What Do You See?

1. Sanctuary: a model for changing outcomes and challenging assumptionsSarah YanosyLanda HarrisonSanctuary InstituteANDRUS

2. What Do You See?

3. Another Perspective

4. Another Example

5. Another Example

6. Sanctuary Organizational Change Based on Safety for both those who receive services and those who provide them

7. The Sanctuary Blueprint

8. trauma

9. Sanctuary Beliefs #1 Adversity is Universal

10. Sanctuary Beliefs #2 What’s Happened?

11. So Why All the Fuss About Childhood Trauma???

12. The Relationship of Adverse Childhood Experiences to Adult Health Status A collaborative effort of Kaiser Permanente and The Centers for Disease ControlVincent J. Felitti, M.D.Robert F. Anda, M.D.

13. The Adverse Childhood Experiences (ACE) Study Purpose: Examine the health and social effects of adverse childhood experiences over the lifespan

14. The Adverse Childhood Experiences (ACE) Study Subjects: • 18,000 participants • Aged 50 or older (62%) • White (77%) • Had attended college (72%)

15. What Are Adverse Childhood Experiences? Abuse: psychological, physical, sexual Household Dysfunction: substance abuse, mental illness, domestic violence, separation from parents, incarceration

16. The Adverse Childhood Experiences (ACE) Study Scope of ACES Exposure + ACES as predictive of health risks/disease = ACEs the leading determinant of the health and social well-being in the US

18. So…. Childhood Adversity is a Critical Public Health Issue… and Nobody is Talking About It

20. A new Perspective Looking through a different lens

21. What We Say: What We See: “She just can’t make any friends. Nobody likes her!” • Poor social skills • Difficulty in relationships

22. What Might Be Going On? • Trauma causes disrupted attachments • Survival: If loving and trusting leads to pain, don’t do it! Trauma bonding is the other side of the coin

23. What We Say: What We See: • Hyperactivity • Fidgeting • Constant Movement “This kid can’t sit still!”

24. What Might Be Going On? • Trauma causes hypervigilance • Traumatized people are always on the lookout for danger

25. What We Say: What We See: “It’s like a tornado hits wherever she goes!” • Causing chaos • Provoking others

26. What Might Be Going On? • Trauma results in addiction to endorphins • Survival: Adrenaline kicks in to give us extra strength and speed

27. What We Say: What We See: • Aggression “This kid is really going to hurt someone!”

28. What Might Be Going On? • Trauma causes fight or flight • Survival: The most basic human instinct

29. What We Say: What We See: • Stories don’t make sense • Not a very good liar – gets caught a lot! “She is a pathological liar!”

30. What Might Be Going On? • Trauma causes gaps in memory known as DISSOCIATION. • Survival: We need things to make sense. When we are missing pieces, we fill them in.

31. Example: The S_nc_uary _odel was deve_oped by D_. San_ra B_oom and her coll__gues.

32. What We Say: What We See: “It doesn’t take anything to set that boy off!” • Hair-trigger temper

33. What Might Be Going On? • Trauma results in flashbacks • Survival: Traumatic memory gets stored in a different part of our brains, and even in our bodies.

34. So, if Traumatic Stress has Such an Adverse Impact on the Kids We Serve… What’s it Doing to Me and the Place I Work?

35. Parallel Process The Organization is a Living, Growing, Changing System with Its Own Unique Biology…It is Every Bit as Susceptible to Stress, Strain & Trauma as the Individuals Who Live and Work in the Organization

36. Parallel Symptoms • Hypersensitivity to even minor threat • Extremist thinking • Aggression and impulse control • Attention to threat while ignoring less threatening, but important information

37. Parallel Process! Our systems frequently replicate the very experiences that have proven to be so toxic for the people we are supposed to treat.

38. Parallel Process Fiscal pressures Social expectations Regulatory responsibilities Loss Neglect Abuse Domestic Violence Substance Abuse Imprisonment

39. Parallel Process Crisis Driven Fragmented Helpless Aggressive Stuck Hopeless : Loss of meaning Crisis Driven Fragmented Helpless Aggressive Stuck Hopeless

40. "If you don't like how things are, change it! You're not a tree." ~ Jim Rohn Business Philosopher & Motivational Speaker

41. WHERE DO WE EVEN BEGIN??? Address the Culture!! We Cannot Hope to Change the Lives of Children, If We Cannot Change the Environments in Which Care and Intervention Takes Place

42. HOW DO WE CREATE A CULTURE THAT: