Building a Trauma Informed Resilient Culture within a ... - Amazon S3

2017SoutheasternSchoolBehavioralHealthConference

April27&28,2017

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Building a Trauma Informed Resilient Culture within a Public

SchoolRonVanTreuren,Ph.D.

andAngelaSchardein,LCSW

Why address Trauma in Schools?InastudyconductedonthetroubledSouthSideofChicago:• Studentswhoseneighborhoods(anarearoughly6-10

squareblocks)hadbeenthesiteofahomicidewithintheprevioustwoweeksscoredhalfastandarddeviationloweronatestofintelligence.

• Thisfitsinwithwhatisknownabouttheeffectsofposttraumaticstress,Sharkeysaid."Theresultssuggestthatchildrenmaycarrytheburdenofviolencewiththemastheytakepartindailylifewithintheneighborhoodorschoolsettings,"hesaid.

Sharkey,P.(2010).Theacuteeffectoflocalhomicidesonchildren’scognitiveperformance,ProceedingsoftheNationalAcademyofSciencesoftheUnitedStatesofAmerica107(26)11733-8.

Louisville Kentucky• Population760,000• Murderrate

• 84in2015(47%increase)

• 117in2016(39%increase)

• 2015TotalnumberofshootingsinLouisville,includingonesthatweren’tfatal,skyrocketed43percent,from244to348.

• 100,000childreninJeffersonCountyPublicSchools

• Ineveryschooltherearechildrenwholiveinneighborhoodswhereexposureislikely


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A Snapshot of JCPS100,600Students(3to21yearsofage)

123LanguagesSpoken

172schools,including18magnetschoolsand52magnetprogramsatalllevels

32NationalMeritScholars(Classof2016)

Earnedover$156,000,000inscholarships(Classof2016)

Snapshot Continued64,000Areeligibleforfreeorreducedlunch

6,128HomelessStudents(2015-2016)

3,161PsychiatricHospitalizations(7/1/15to5/8/16)

1,637MentalHealthMobileAssessments(7/1/15to5/8/16)

867StudentswithanEmotional-BehavioralDisability

Snapshot Continued2,563Livingwithrelatives(KinshipCareProgram)due

toabuseorneglect(2013)

6,034Grandparentsareraisingtheirgrandchildren

2,488ChildrenexposedtodomesticviolencethatresultedinanLMPDreport(3/2014to10/2016)

1,500Children,eachyear,liveinahomewherepolicearenotcalledbutaparentfilesapetitionforanemergencyprotectionorderduetodomesticviolence


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JCPS and Metro Police Data• In2015,theschooldistrictandMetroPolice

beganacooperativearrangementwheretheysharedataonchildrenwhohavewitnesseddomesticviolence.

• DatacomesfromPolicereportsbyneighborhoodzipcode

• AteamwithinJCPSworkstoidentifythesechildrenbyschoolandtracktheeffectonbehavior

• Educatorsaresensitized• Interventionstrategiesaredevelopedwhen

needed

LMPD Data Aggressor Relationship to Child: All in the Family

AdultBrother2% AdultSister

1%

Father43%

Guardian1%

Juvenile'sPartner4%

Mother21%

Mother'sCurrent/Former

Partner15%

OtherFamily5%

Stepfather5%

Unknown/NoRelation

3%

7/1/15– 1/1/16

Children Witness or Involved Domestic Violence 2015


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Zip Code 40215Incidents of crime during the last 4 weeks within a half mile radius

Louisville Kentucky … my home for the past 25 years

• HomeofKentuckyDerbyandDerbyFestival

• LouisvilleSluggerBatFactoryandMuseum

• MuhammadAliwasfromLouisvilleandhashisMuseuminLouisville

• ColonelSandersandhisfamousFriedChickenisfromLouisville

• BourbonTrailandBourbonTours

And…JenniferLawrence…ofcourse…


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Collective Impact Partnership• CenterforWomenand

Families• CenterstoneofKentucky• CommunityFoundationof

Louisville• FamilyandChildren’sPlace• JeffersonCountyPublic

Schools• KentuckyOneHealth• KentuckyYouthAdvocates• LouisvilleMetro

DepartmentofCommunityBasedServices(NeighborhoodPlace)

• MetroDepartmentofPublicHealth&Wellness

• MetroUnitedWay• NortonHealthcare• Mayor’sOffice• LouisvilleMetroCouncil• UniversityofLouisville

DepartmentofPublicHealthandInformationSciences

• UniversityofLouisvilleKentSchoolofSocialWork

• YMCAofGreaterLouisville

The Study found the higher the ACE Score, the greater the riskof experiencing poor physical and mental health, and negative social consequences later in life.


April27&28,2017

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Your ACES ScorePriortoyour18thbirthday:1. Didaparentorotheradultinthe

householdoftenorveryoften…Swearatyou,insultyou,putyoudown,orhumiliateyou?orActinawaythatmadeyouafraidthatyoumightbephysicallyhurt?No___If Yes,enter1 __

2. Didaparentorotheradultinthehouseholdoftenorveryoften…Push,grab,slap,orthrowsomethingatyou?orEverhityousohardthatyouhadmarksorwereinjured?No___If Yes,enter1 __

3. Didanadultorpersonatleast5yearsolderthanyouever…Touchorfondleyouorhaveyoutouchtheirbodyinasexualway?orAttemptoractuallyhaveoral,anal,orvaginalintercoursewithyou?No___If Yes,enter1 __

4. Didyouoftenorveryoftenfeelthat…Nooneinyourfamilylovedyouorthoughtyouwereimportantorspecial?orYourfamilydidn’tlookoutforeachother,feelclosetoeachother,orsupporteachother?No___If Yes,enter1 __

5. Didyouoftenorveryoftenfeelthat…Youdidn’thaveenoughtoeat,hadtoweardirtyclothes,andhadnoonetoprotectyou?orYourparentsweretoodrunkorhightotakecareofyouortakeyoutothedoctorifyouneededit?No___If Yes,enter1 __

6. Wereyourparentseverseparatedordivorced?No___If Yes,enter1 __

7. Wasyourmotherorstepmother:Oftenorveryoftenpushed,grabbed,slapped,orhadsomethingthrownather?orSometimes,often,orveryoftenkicked,bitten,hitwithafist,orhitwithsomethinghard?orEverrepeatedlyhitoveratleastafewminutesorthreatenedwithagunorknife?No___If Yes,enter1 __

8. Didyoulivewithanyonewhowasaproblemdrinkeroralcoholic,orwhousedstreetdrugs?No___If Yes,enter1 __

9. Wasahouseholdmemberdepressedormentallyill,ordidahouseholdmemberattemptsuicide? No___If Yes,enter1 __

10. Didahouseholdmembergotoprison?No___If Yes,enter1 __

Nowaddupyour“Yes”answers: _ ThisisyourACEScore

Kentucky Specific ACES● 4mostprevalentaces○ Divorce○ Incarceratedrelative○ Substanceabuse○ Economichardship

● 30%willexperience2ormoreacesthroughoutchildhood

● 1in5willexperience2ormoreacesbyage5


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Builds on Prior Community work with 40 Developmental Assets: ResiliencyExternalAssets• Support

• Family,CaringNeighborhood,ParentInvolvementinSchool

• Empowerment• ServicetoOthers,Safety

• Boundries andExpectations• School,Family,PositivePeer

Influence

• Constructiveuseoftime• CreativeActivities,Religious

Community,YouthPrograms

InternalAssets• CommitmenttoLearning

• AchievementMotivation,SchoolEngagement,Reading

• PositiveValues• Integrity,Honesty,Restraint

• SocialCompetencies• PlanningDecisionMaking,

CulturalCompetency,PeacefulConflictResolution

• PositiveIdentity• SelfEsteem,Senseof

Purpose,PositiveViewofPersonalFuture

www.search-institute.org

Infusing trauma awareness, knowledge, and skills into the cultures, practices, and policies of Jefferson County Public Schools and out-of-school-time provider agencies to foster the resiliency of vulnerable children and families.

Bounce: Addressing Root Causes of Health• TraumaresiliencymodelforJCPS

• Harnessingpublicschoolresources• CollaboratingwithCommunityPartners• FocusingonskillbuildinginOut-Of-School(OST)

time• JCPSassessmentduring2013-2014

• Safety• SubstanceAbuse• PhysicalHealthandNutrition• MentalHealth

• Abletocompareneighborhoodsandfocusonareasofgreatestneed


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Neighborhood Focus• SchoolReadiness

• Leadershipbuyin• Schoolneed• Resources

available• SchoolChoseninSouth

Louisville(40215)• 533StudentsK– 5• 91.2%qualifyfor

freeandreducedlunch

Partners work to achieve these results• Childrenarereadytoenterschool• Studentsattendschoolconsistently• Studentsareactivelyinvolvedinlearningandtheir

community• Familiesareincreasinglyinvolvedwiththeirchildren's

education• Schoolsareengagedwithfamiliesandcommunities• Studentssucceedacademically• Studentsarehealthy- physically,socially,and

emotionally• Studentsliveandlearninasafe,supportive,andstable

environment,andcommunitiesaredesirableplacestolive

Pre-intervention survey of school staff of students exhibiting ACE indicators:


April27&28,2017

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Bounce Activities (Fall 2014)• TrainallstaffatpilotschoolandOSTprovidersto

recognizeandrespondtosymptomsoftrauma.• ProvideprogramsthateducateparentsaboutACEs

andtechniquestobuildresilienceintheirfamilies.• Usingevidence-basedcurriculum,conductsmall

group,in-classroomsessionsthatincreasesupportforthestudents,reducerisk-takingbehaviorsanddecreaseincidenceofnewtraumaorre-traumatization

• Providereferralsforstudentsneedingmoreintensiveinterventions(Centerstone’s piece)

Training All Staff• ACES• TypesofTrauma

• Acute,Chronic,Complex

• ExamplesofTraumaticEvents

• SignsofTrauma• ProtectiveFactors• Resources

Protective Factors• Caringadult• Parentalresilience• Socialconnections• Knowledgeofparentingandchild

development• Concretesupportintimesofneed• Nurturingandattachment/socialand

emotionalcompetenceofchildren


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Practicing Self-Care• Support--teamwork• Takingtimeouts• Managingstress• Lovingyourself!• MeetingYourOwnphysical,emotional,andspiritualneeds

Outcomes

Caring, Safety and Belonging


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Staff Survey

JCPS Comp School Survey – ParentsMixed results


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Early Indicators of Success• Improvementinstaffsurveyofabilitytosupport

studentsexperiencingtraumaticevents.• PreFall2014– PostFebruary2015• Thosedescribingtheirskillas“none”or“limited”

decreasedfrom70.5%to44.8%• Studentswithhigh-intensitybehavioralreferrals

(physicalviolence)declinedfrompreviousyear.• Percentofstudentswith10ormorereferrals

declinedfrom40%- 30%• 100%ofstudentswith10ormorereferralswere

identifiedfortherapeutictreatmentintervention• SchoolStaffTraininghasbeenadaptedforOST

providersanddeliveredtoover500YMCAproviders

DLA 20 Data • Developedtohaveavalidandreliablemethodof

determiningaGAFScore• DLA20firstnormedwithAdultsbuthasversionsfor

Children/Adolescents,DevelopmentalDisabilityandSubstanceAbuse

• Centerstone ofKentucky(formerlySevenCounties)usedtheDLA20extensivelyinSchoolBasedPopulation

• Cutoffforstepdowntobriefinterventionordischargeplanning:50

• Currently6monthbetweenadministrations• Datacanbeanalyzedwithfullscaleand/oritem

analysis

DLA 20

46.92

49.51

30.00

35.00

40.00

45.00

50.00

55.00

Sep 08 May 09

School Based Services FY09: Greater Than 60 Days

N=198

DLA 20 Scores

t = -7.932, df = 197,

p < .0001

3.96

4.574.35

4.81

0.00

1.00

2.00

3.00

4.00

5.00

6.00

Sep 08 May 09

School Based Services:FY09 Greater Than 60 Days

N = 193 - 198

Behavioral Norms

t = -5.683, df = 192, p < .0001

Problem Solving

t = -6.613, df = 197, p < .0001


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Van Treuren, Using the DLA 20 to Measure Functional Outcomes in a Child and Family Population, Children’s Services Research Conference, Tampa, FL March 2013

47.98 49.1147.54

45.85

50.3148.35

50.49 50.91 50.76 50.38

55.67

51.39

40.0042.0044.0046.0048.0050.0052.0054.0056.0058.0060.00

SBS West South FRP FIC TotC&F

DLA20SummaryFY11ChildandFamilyJeffersonCountyData

bySiteN=576

TIME1 TIME2

DLA20SCORE

All sitesdisplayedshowedasignificantincreaseinDLA20scoresduringFY11,(p<.012)

49.2548.5748.19

49.9549.32

46.70

51.0849.28

52.51

50.59

53.2352.93

50.4652.37

57.92

52.29

40.0042.0044.0046.0048.0050.0052.0054.0056.0058.0060.00

DLA20SummaryFY12ChildandFamilyJeffersonCountyData

bySiteN=861

TIME1 TIME2

DLA20SCORE

All sitesdisplayedshowedasignificantincrease inDLA20scoresduringFY12,(p<.039)

48.48

49.7449.95

50.46

47

47.5

48

48.5

49

49.5

50

50.5

51

Time1 Time2

DLA20

Score

TransitionsProgramSevenCountiesServices,Inc.

FY11 FY12

FY11t=-0.851, df =30,p=.401FY12t=1.732,df =41,p=.091

44.4245.33

40.00

42.00

44.00

46.00

48.00

50.00

Time1 Time2

DLA20

ChildrenReceivingServicesThroughCenterstone atSemple Elementary

FY16andFY17N=33

N =33t=-1.75,df =32,p=.09


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ResourcesThe National Child Traumatic Stress Networkhttp://www.nctsn.org/

Child Trauma Academyhttp://childtrauma.org/The Heart of Learning: Compassion, Resiliency, and Academic Successhttp://www.k12.wa.us/CompassionateSchools/HeartofLearning.aspx

Centers for Disease Control and Prevention (ACE Study)http://www.cdc.gov/ace/The National Institute for Trauma and Loss in Childrenhttp://www.starrtraining.org/home

Ron Van Treuren, [email protected]

Angela Schardein, [email protected]

Documents

Building a Trauma Informed Resilient Culture within a ... - Amazon S3