Explanation of Trauma Informed Care Network. Who are we and what do we hope to accomplish?

1. Trauma Informed
Care Network
Introductory Meeting
March 14, 2014
Sponsored by:
Healing Pathways Therapy Center
1174 E. Graystone Way, Suite 8
Salt Lake City, UT 84106
435-280-2089
www.healingpathwaystherapy.com

2. About Us:
 Formed in Salt Lake City, UT, in 2013
 Group of mental health and medical professionals who have
observed the impact of trauma on the physical health and
emotional well being of our clients and patients.
 As we apply evidence-based trauma resolution techniques, we are
able to help to alleviate many of the mental and physical
symptoms associated with these traumas.
 Clients and patients tend to see improvements in many areas of
their life: physical health, emotional functioning, relationships,
recreation, general life adjustment, spirituality, etc.
 Decreased need for long-term medical treatment, psychotropic
medications, or dependency on addictive behaviors.
 Through these successes we have been motivated to share this
information, increase collaboration with mental health and
medical colleagues in the community.
 Our goal is to continue to work together to treat these clients and
to increase outreach and education to the general public
 Help more of the general public to understand the impact of
underlying trauma and facilitate access to effective treatment.

3. Big Picture:
To work together to promote client and
patient healing through trauma resolution;
to alleviate current symptoms and to
reduce future and secondary effects of
trauma in individuals, families, and in our
community.

4. How to Start a Movement

5. What are your interests in
trauma informed care?

6. What are some of the causes of
resistance to trauma informed
care?

7. In my training as a family physician, I was told not to pull
up the lid on something you don’t have the time and
training to deal with, like early life trauma. I am deeply
embarrassed in looking back at my career caring for
patients in Camden because I followed this advice too
often. It’s likely that many of my patients had early life
trauma that was probably sitting right below the
surface, but I rarely asked. It’s frightening to open up a
Pandora’s box in a 10-15 minute visit of an
overwhelmed primary care office.
I believe ACE scores should become a vital sign, as
important as height, weight, and blood pressure. - Dr.
Jeffrey Brenner

8. Mission of TICN:
To increase awareness and understanding of the
impact of emotional trauma, to promote the
practice of evidence-based trauma informed
mental and medical health care, and to facilitate
client and patient access to providers engaged in
trauma informed care.

9. Goals of TICN:
 To provide networking, outreach, and education
 To bring together mental health and medical
professionals who are engaged in trauma
informed care to work together to increase
awareness
 To gather and disseminate educational resources
to facilitate trauma awareness in mental health
and medical professionals as well as the
community at large
 To promote effective evidence-based
interventions to clients and patients with a history
of trauma.

10. What is Trauma-Informed
Care?
 We support the definition of SAMHSA: Substance Abuse and
Mental Health Services Administration
 Most individuals seeking public behavioral health services and
many other public services, such as homeless and domestic
violence services, have histories of physical and sexual abuse and
other types of trauma-inducing experiences. These experiences
often lead to mental health and co-occurring disorders such as
chronic health conditions, substance abuse, eating disorders, and
HIV/AIDS, as well as contact with the criminal justice system.
 When a human service program takes the step to become trauma-informed,
every part of its organization, management, and service
delivery system is assessed and potentially modified to include a
basic understanding of how trauma affects the life of an individual
seeking services. Trauma-informed organizations, programs, and
services are based on an understanding of the vulnerabilities or
triggers of trauma survivors that traditional service delivery
approaches may exacerbate, so that these services and programs
can be more supportive and avoid re-traumatization.

11. What are Trauma-Specific
Interventions?
Trauma-specific interventions are designed specifically
to address the consequences of trauma in the
individual and to facilitate healing. Treatment programs
generally recognize the following:
 The survivor's need to be respected, informed,
connected, and hopeful regarding their own
recovery
 The interrelation between trauma and symptoms of
trauma (e.g., substance abuse, eating disorders,
depression, and anxiety)
 The need to work in a collaborative way with
survivors, family and friends of the survivor, and other
human services agencies in a manner that will
empower survivors and consumers

12. Accountable Care Organizations:
Implications for Trauma Informed Care
 ACO’s are an undeniable part of future
healthcare. ACOs were introduced to the
healthcare field as part of the Affordable Care
Act, and involve the merging of different specialty
provider entities into single organizations able to
better coordinate care, improve quality, and cut
costs. These integrated “centers” of care will serve
as the foundation for healthcare’s future as more
and more payers are investing in them — and
providers that don’t get involved now are at risk
losing business.

13. ACES study:
 10 year study – Kaiser-Permenante Health
Network
 17,000 medical patients involved
 Asked questions about childhood trauma
events
 Looked at the effects of adverse
childhood experiences over the lifespan
 Largest study ever done on this subject

16. Immediate Results:
• Just asking these questions reduced doctors
office visits by 35%
• Emergency room visits decreased by 11%
• Rather than getting calls to their 24-hour
hotline, Dr. Felitti got many letters thanking
him for asking these questions. Patients said,
“No one ever asked me before”.

17. Other Findings:
• childhood trauma was very common, even in
employed white middle-class, college-educated
people with great health insurance;
• there was a direct link between childhood trauma
and adult onset of chronic disease, as well as
depression, suicide, being violent and a victim of
violence;
• more types of trauma increased the risk of health,
social and emotional problems.
• people usually experience more than one type of
trauma – rarely is it only sex abuse or only verbal
abuse.

18. Two thirds of the 17,000 people in the
ACE Study had an ACE score of at
least one
87 percent of those had more than
one. Eighteen states have done their
own ACE surveys; their results are
similar to the CDC’s ACE Study.

31. APA January 2008 Cover Story: PTSD treatments
grow in evidence and effectiveness
• Prolonged Exposure Therapy
• Cognitive-Processing Therapy
• Stress-inoculation Training
• Eye Movement Desensitization and
Reprocessing (EMDR)
• Medications
http://www.apa.org/monitor/jan08/ptsd.aspx

32. U.S. Department of Veterans Affairs
PTSD: National Center for PTSD
• Cognitive Processing Therapy
• Prolonged Exposure Therapy
• EMDR
• Medicine
http://www.ptsd.va.gov/public/treatment/therapy-med/
treatment-ptsd.asp

33. What can TICN do to address
these issues?
 Meet regularly for collaboration and
training
 Assess and connect with current resources
in the community
 Identify where education is needed
 Share Resources
 Presentations/CEU’s
 Outreach
 Other ideas?

34. Speakers’ Bureau?
Possible Topics:
 Understanding Trauma and it’s Impact
 Attachment Issues as a Form of Trauma
 Effective Trauma Resolution Techniques
 Trauma and Autoimmune Illness – Understanding the
Link
 Medical Treatment and Support for the Traumatized
Individual
 Psychotropic Medications and Trauma
 Understanding Inter-generational Trauma and
Epigenetics
 Thoughts, Toxins, and Trauma

35. www.ticn.org

36. Brochure

37. Thank you for coming!!!
 Please complete Sign up Sheet
 Applications for Website Providers List
 Meet and Greet
 Next meeting: April 11th @ 2 PM