Australian WFD and Learning Directions for Achieving Recovery OrientedTrauma Informed Services<br />Trauma Informed Care a...
Why Pursue WFD and Learning Directions?<br />We need to presume the clients we serve have a history of traumatic stress an...
Changing culture requires both ……<br />Organisational change<br />Workforce change<br />“Where will the staff with the rig...
Criteria for building a trauma informed MHS system (SAMHSA, 2007)<br />3/12 criteria relate to WF<br />WF recruitment, hir...
Education and training systems …<br />Accredited (AQTF) Trauma? No<br />University qualifications<br />eg, GP, psychiatry,...
CS&HISC MH Skills Articulation Project<br />Methodology<br />VET/Universities & Mapping Reports<br />Explored MH qualifica...
Practice and occupational boundaries in CMH<br />
CS&HISC MH Skills Articulation Project<br />Findings (Policy and WF Study)<br />Supported integration across medical, talk...
Inclusion of Trauma in MH WFD Directions in Australia<br />Trauma? No<br />National MH Strategy, Plan, Standards<br />COAG...
CSHISC Environmental Scan 2011<br />“Examine expansion of care coordination roles and skills/practices to support increasi...
Trauma competencies<br />Competence - Definition<br />The state or quality of being adequately or well qualified; ability....
“Criteria for building a trauma informed MHS system” (SAMHSA, 2007)<br />3/12 criteria relate to WF<br />WF recruitment, h...
1.	WF recruitment, hiring and retention 	of trauma informed staff<br />Prioritize staff with training in and/or lived expe...
2.	WF orientation, training, support, job 	competencies and standards related 	to trauma<br />Trauma informed HR for all e...
2.	WF orientation, training, support, job 	competencies and standards related 	to trauma<br />All direct care staff (clini...
2.	WF orientation, training, support, job 	competencies and standards related 	to trauma<br />All clinical staff (includin...
3.	Consumer/trauma survivor 	involvement and trauma informed 	rights<br />Involved at all levels of service planning, impl...
Implementation plan for the 4th National MH Plan<br />Workforce Development<br />Action 25: Develop and commence implement...
Trauma competencies<br />“Comorbidity Competencies Skills Indicators” (Graham, H. & White, R., 2011)<br />Essential Knowle...
Trauma competencies<br />Essential Knowledge<br />Knowledge of the impacts  of a history of trauma and the various ways it...
Trauma competencies<br />Essential Knowledge<br />Core Practice Skills<br />Identifies and responds to mental health issue...
Trauma competencies<br />Essential Knowledge<br />Core Practice Skills<br />Specialist Skills/Leadership <br />Actively de...
Supervision, coaching & mentorship<br />Professional development<br />Leadership<br />Trauma champions<br />Healing workpl...
Recovery principles include<br />Hope and faith<br />Meaning, purpose & direction<br />Equality & respect<br />Empowerment...
Summation<br />
Mental Health Coordinating Council<br />PO Box 668, Rozelle NSW 2039 <br />Cnr. Church & Glover Streets, Callan Park<br />...
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Tina Smith presentation

  1. 1. Australian WFD and Learning Directions for Achieving Recovery OrientedTrauma Informed Services<br />Trauma Informed Care and Practice:<br />Meeting the Challenge Conference<br />Sydney - 23 & 24 June 2011<br />Tina Smith, Senior Policy Officer MHCC<br />
  2. 2. Why Pursue WFD and Learning Directions?<br />We need to presume the clients we serve have a history of traumatic stress and assume universal precautions by creating systems that are “trauma informed”.<br />(Hodas, 2005)<br />
  3. 3. Changing culture requires both ……<br />Organisational change<br />Workforce change<br />“Where will the staff with the rights skills and experience come from to deliver trauma informed services?”<br />
  4. 4. Criteria for building a trauma informed MHS system (SAMHSA, 2007)<br />3/12 criteria relate to WF<br />WF recruitment, hiring and retention of trauma informed staff<br />WF orientation, training, support, job competencies and standards related to trauma<br />Consumer/trauma survivor involvement and trauma informed rights<br />
  5. 5. Education and training systems …<br />Accredited (AQTF) Trauma? No<br />University qualifications<br />eg, GP, psychiatry, nursing, psychology, SW, OT<br />Vocational qualifications (CS&H Training Packages)<br />eg, Certificate IV and Diploma in MH and/or AOD, other?<br />MH Peer Worker Competency Development Project<br />Non-accreditedTrauma? Yes<br />Short courses<br />
  6. 6. CS&HISC MH Skills Articulation Project<br />Methodology<br />VET/Universities & Mapping Reports<br />Explored MH qualifications and content at Australian universities<br />Policy and Workforce Report<br />Interviews and focus groups about job roles/tasks<br />79 MHWs (public/community, staff/managers)<br />Diverse qualifications and experience<br />3 areas (metro, regional, rural)<br />
  7. 7. Practice and occupational boundaries in CMH<br />
  8. 8. CS&HISC MH Skills Articulation Project<br />Findings (Policy and WF Study)<br />Supported integration across medical, talking and social rehabilitation approaches <br />Identified the need to: <br />“Systematically assess the skills and knowledge required to work effectively in the sector, with a view to developing a unified body of psychosocial practice from which to derive an evidence-based workforce strategy”<br />Filling gaps in knowledge & skills<br />
  9. 9. Inclusion of Trauma in MH WFD Directions in Australia<br />Trauma? No<br />National MH Strategy, Plan, Standards<br />COAG NAP MH 2006-2011<br />National MH WFD Strategy/Plan<br />Health Workforce Australia (HWA)<br />Skills Australia<br />Trauma? Yes<br />CSHISC Environmental Scan 2011/CIP<br />As well as service coordination, PSR & talking therapies to improve responses to people with complex and diverse needs<br />
  10. 10. CSHISC Environmental Scan 2011<br />“Examine expansion of care coordination roles and skills/practices to support increasingly complex needs, including trauma-informed care and talking therapies. Any development of training package content should be addressed in conjunction with broader community MH WFD objectives and identification of a unified body of knowledge/evidence about PSR/recovery-oriented practice”.<br />“This work would inform the existing 2010–2011 work plan proposal: ‘Mental health work – recovery-oriented community mental health and higher-level skills’”.<br />What are the competencies needed to deliver trauma informed services?<br />
  11. 11. Trauma competencies<br />Competence - Definition<br />The state or quality of being adequately or well qualified; ability. <br />A specific range of skill, knowledge, or ability.<br />Knowledge- what we know<br />Skills- what we do<br />Attitude- how we do it<br />
  12. 12. “Criteria for building a trauma informed MHS system” (SAMHSA, 2007)<br />3/12 criteria relate to WF<br />WF recruitment, hiring and retention of trauma informed staff<br />WF orientation, training, support, job competencies and standards related to trauma<br />Consumer/trauma survivor involvement and trauma informed rights<br />
  13. 13. 1. WF recruitment, hiring and retention of trauma informed staff<br />Prioritize staff with training in and/or lived experience of trauma (eg, job descriptions, “trauma champions”)<br />Outreach to trauma informed/educated employees<br />Advocate for trauma content in education and training <br />Incentives, bonuses and promotions for trauma informed staff <br />Professional development opportunities to become trauma informed<br />Trauma informed/protective OH&S<br />
  14. 14. 2. WF orientation, training, support, job competencies and standards related to trauma<br />Trauma informed HR for all employees<br />… that incorporates relevant skill sets and job standards<br />Broad human service involvement (ie, integration & coordination)<br />All staff (admin, direct care, management)<br />To receive basic education about …<br />Prevalence of trauma<br />Traumatic impacts<br />Dynamics of re-traumatization<br />Diversity and trauma<br />
  15. 15. 2. WF orientation, training, support, job competencies and standards related to trauma<br />All direct care staff (clinical and non-clinical)<br />Understanding & responding to complex behaviour/s<br />Maintaining boundaries (personal & professional)<br />Trauma dynamics and the avoidance of iatrogenic re-traumatization<br />Relationships between trauma, MH and life problems<br />Vicarious traumatization and self-care<br />Specific traumas (issues & approaches)<br />Trauma techniques (eg, grounding, recovery skills)<br />And … all Training must involve<br />people with lives experience<br />
  16. 16. 2. WF orientation, training, support, job competencies and standards related to trauma<br />All clinical staff (including disaster response staff)<br />Evidence based practice in trauma assessment & treatment skills<br />Participation on advanced trauma training<br />For disaster responders – initial assessment through intervention<br />
  17. 17. 3. Consumer/trauma survivor involvement and trauma informed rights<br />Involved at all levels of service planning, implementation & evaluation (ie, not just training and peer work roles)<br />Trauma informed ISPs developed collaboratively with every consumer and, where appropriate, their involved family and friends<br />Rights informed participation agenda (ie, discrimination)<br />
  18. 18. Implementation plan for the 4th National MH Plan<br />Workforce Development<br />Action 25: Develop and commence implementation of a National Mental Health Workforce Strategy that defines standardized workforce competencies and roles in clinical, community and peer support areas.<br />Action 26: Increase consumer and carer employment in clinical and community support settings.<br />
  19. 19. Trauma competencies<br />“Comorbidity Competencies Skills Indicators” (Graham, H. & White, R., 2011)<br />Essential Knowledge<br />Core Practice Skills<br />Specialist Skills/Leadership <br />
  20. 20. Trauma competencies<br />Essential Knowledge<br />Knowledge of the impacts of a history of trauma and the various ways it can impact an individual, family and/or community <br />Basic knowledge of impact of childhood abuse and neglect and the links with adult problems.<br />Knows that trauma can be associated with complex and diverse health and social issues and unhelpful coping strategies (suicidality, intoxication/self-medication, dissociation, anxiety, excessive anger, self-harm).<br />Core Practice Skills<br />Specialist Skills/Leadership <br />
  21. 21. Trauma competencies<br />Essential Knowledge<br />Core Practice Skills<br />Identifies and responds to mental health issues immediately following a traumatic event, but does not try to engage with the trauma history at this time.<br />Is aware of triggers, vulnerabilities or untimely helping that might contribute to re-traumatisation.<br />Supports consumers who have been through trauma to access MH treatment, rehabilitation and support services, where indicated.<br />Specialist Skills/Leadership <br />
  22. 22. Trauma competencies<br />Essential Knowledge<br />Core Practice Skills<br />Specialist Skills/Leadership <br />Actively demonstrates a recovery oriented approach to understanding how trauma affects each individual, helping them to discover their own strategies and goals.<br />Collaborates with other health and community services professionals involved in the persons’s recovery from trauma.<br />Provides education for people seeking healthy coping strategies in response to trauma.<br />Facilitates professional development for services to be more trauma informed.<br />
  23. 23. Supervision, coaching & mentorship<br />Professional development<br />Leadership<br />Trauma champions<br />Healing workplaces<br />Organizational/cultural change<br />Trauma informed approaches<br /> are<br /> Recovery oriented approaches<br />
  24. 24. Recovery principles include<br />Hope and faith<br />Meaning, purpose & direction<br />Equality & respect<br />Empowerment & self-determination<br />Social inclusion and connectedness<br />
  25. 25. Summation<br />
  26. 26. Mental Health Coordinating Council<br />PO Box 668, Rozelle NSW 2039 <br />Cnr. Church & Glover Streets, Callan Park<br />P: (02) 9555 8388 F: (02) 9810 8145<br />Email:info@mhcc.org.au Website: www.mhcc.org.au<br />Materials available online such as: information; fact sheets; training & workforce development; research publications; the Mental Health Rights Manual; submissions; sector events; current issues and news. www.mhcc.org.au<br />Presenter: Tina Smith tina@mhcc.org.au<br />

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