WELCOME

Grounding

Practice

Trauma Informed and Mindfulness Cornerstones to Organizational Culture

Monica Martinez, Chief Executive Officer Inbal Yassur, Clinical Director

Why this topic is important

In 5 Seconds (please excuse the language)

From Trauma Inducing to Trauma Reducing Stress and it’s impact on all of us Navigating stress Responding not reacting – in the face of challenges Building personal and organizational resiliency

Today’s Explorations

At Encompass, you can change the world…

It starts in our community!

Encompass is the largest community-based, nonprofit organization with 40 programs county-wide providing services in behavioral health, family and social well-being, early childhood education,

housing, and more.

We believe change is not only possible, it’s scalable -- resulting in big social impact.

We exist to create pathways toward equity in these areas while serving our neighbors with compassion and dignity.

Values

Awareness

Trauma Informed

Person Centered

IMPACT

Becoming Trauma Informed

OUR JOURNEY

the impact of trauma and toxic stress

Realize

racial disparities and notice

where trauma shows up

Recognize

by integrating practices and revising our

policies

Respond

accidental re-traumatization

within our interactions

Resist

THE FUERTE PROGRAM

Familias Unidas En Respecto, Tranquilidad y Esperanza/

Families United in Respect, Tranquility and Hope

A Collaborative Partnership between Encompass Community Services and the Santa Cruz County

Probation Department

Four to six month intensive program that aims to address the mental health needs of youth on probation through the use of Trauma Focused Cognitive Behavioral Therapy (TF-CBT) Increase parental capacity and skills to care for and address the mental health needs of their children involved in the justice system Address the unmet needs of family members through linkages to community resources

PROGRAM OVERVIEW

Who is FUERTE Serving? **All data from July 1, 2015-December 31, 2016 for 25 youth served

FUERTE Evidence Based Practices

Trauma-Focused

Cognitive Behavioral

Therapy (TF-CBT)

Motivational

Interviewing (MI)

Intensive Case

Management

Treatment Matching

Evidence Based Practices

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is a model of psychotherapy that addresses the unique needs of child with PTSD symptoms, depression, behavior problems, and other difficulties related to traumatic life experiences. TF-CBT is a short-term treatment approach that can work in as few as 12 sessions. TF-CBT typically includes parents or caregivers in treatment.

Snapshot of Outcomes **All data from July 1, 2015-December 31, 2016 for 25 youth served

17 of the 25 youth have completed the program:

o 76% Successful Completion—13

o 24% Unsuccessful Completion—4

76% did not recidivate (as defined by an arrest for a new law violation)

65% showed improvements in at least 3 life domain functioning areas on

the Child and Adolescent Needs and Strengths Assessment (CANS)

82% of families reported satisfaction with mental health services

Practice Awareness of Breath

“Put on your own

oxygen mask first.”

How and where do I experience stress in my body?

How does stress manifest itself in

communication/relationships?

Let’s make a U - Turn

What causes me stress?

Traumatic events-

violence, suicide, deaths

Staff and Budget Cuts!!!

Technology and Paperwork demands

Lawsuits, reforms, task-

driven vs. relational

Feeling unsafe with clients

Staff Turnover

Not enough time for

collaboration or supervision

Client needs vs. payer models of

care

Trauma-Organized Systems: Chronic Stressors and Collective Trauma

“Stress occurs when pressure exceeds your perceived ability to cope”. S Palmer, 1999.

Body – Increased heart rate, Sweaty palms, Shallow breath, Tense muscles Mind - Tunnel vision/Narrow focus, Inability to concentrate

Behavior - Impulsive, Reactive, Self Protective

What is stress?

Toxic Stress and Health Equity

From Dysregulation to Regulation

Thinking Brain Makes informed, rational decisions

Survival/Emotional Brain (Limbic system) Protective instincts: Flight/Flight/Freeze

Trauma Toxic Stress

Overwhelming Feelings

Coping Strategies

Meaning Making

Ruta Mazelis: http://www.healingselfinjury.org

Trauma affects organizations and systems as well as communities and individuals

CLIENT

STAFF

ADMINISTRATION

ORGANIZATION

GOVERNMENT FUNDERS THE PUBLIC

TRAUMA ORGANIZED TRAUMA INFORMED HEALING ORGANIZATION

Reflective Collaborative Culture of learning Making meaning out of

the past Growth and Prevention

Oriented Relational Leadership

CLIENT

STAFF

ADMINISTRATION

ORGANIZATION

GOVERNMENT FUNDERS THE PUBLIC

Shared Language Foundational Understanding

of Trauma Understanding of the nature

and impact of trauma Understanding racial

disparities and insidious trauma

Reactive Reliving/Retelling Avoiding/Numbing Fragmentation Authoritarian Leadership Us vs. Them

TRAUMA INDUCING TO TRAUMA REDUCING

FROM TO

Reactive Responsive, Co-regulation

Reliving / Retelling Culture of learning

Avoiding / Numbing Reconnection

Fragmentation Collaborative

Us vs. Them (Dehumanizing) Compassion

From Trauma Organized to Healing Organization

PAUSE

STRECH

REFLECT

QUESTIONS?

Resiliency The ability to bounce back from challenging situations

And effectively adapt to change and thrive

Trauma and stress

“Wear a groove in the

brain”

Mindfulness practices create

new pathways

WHAT IS

MINDFULNESS?

MINDFULNESS: THE NEW SUPERPOWER?

“Mindfulness is a way

of being in wise and

purposeful relationship

with one’s experience,

both inwardly and

outwardly.”

MINDFULNESS IS NOT

o Positive thinking

o Just another relaxation

technique

o Going into a trance

o Clearing your mind

“One of the most effective means for working with that moment when we see the gathering storm of our habitual tendencies is the practice of pausing, or creating a gap. We can stop and take three conscious breaths, and the world has a chance to open up to us in that gap. We can allow space into our state of mind.” - Pema Chodron

Resiliency skill - Mindful Pause

“…learning to observe ourselves in real time. As we pay attention, we begin to see ourselves (and others) more clearly. And, based on our clear-seeing, we are able

to make wise choices—so we can act rather than react.” Pamela Wise, Appropriate Response

Seeing clearly

Not enough

time

Rehearsing

Multitasking

Comparing

Filtering Judging

Identifying

Advising

Blocks to Listening

From Mindless Listening to Mindful Listening

“Listening takes a combination of intention and attention. The intention part is having a genuine interest in the other person – their experiencing, view, feelings, and needs. The attention part is being able to stay present, open, and unbiased as we receive the other’s words – even when they don’t line up with our own ideas or desires.”

Mindfulness and Heartfulness

become the default mode

What will help me

remember

to pause?

Reflection

“The world needs every one of us to show up in our fullness.” Jon Kabat-Zinn

THANK YOU!