Trauma-Informed Approaches Using the Seven Domains of Trauma Informed Care

1. Trauma-Informed Approaches Using the Seven Domains of Trauma Informed Care Oregon Supported Employment Center for Excellence October 3, 2018

2. National Council Trauma-Informed Faculty • Cheryl S. Sharp, MSW, MWT • Exclusive Consultant for Trauma-Informed Services • 30 years working with adult trauma survivors • Exclusive consultant for National Council’s TIC learning communities, suicide prevention and crisis services • Voice of lived experience as a family member and • ex-patient • Mother of four, grandmother of three, avid gardener, chef and reader

3. Paradigm Shift We begin to ask, “What happened to you?” rather than “What is wrong with you?” We have to ask, “What’s strong?” rather than “What’s wrong?”

4. Trauma in the Context of Culture We don’t see things as they are; we see things as we are. Anais Nin 4

5. SAMHSA’s 8 Dimensions of Wellness

6. Behaviors as Adaptations When clients no show or are difficult to engage Have personality conflicts at work Have very low or very high self esteem Don’t follow through on an agreed upon goal

7. Trauma-Informed Approaches

8. Principles of a Trauma-Informed Approach Cultural, Historical and Gender Issues Fallot 2008, SAMHSA, 2012) 8

9. But What Exactly Does Safety Mean? “We always recognized the importance of physical safety. Our refusal to tolerate violence of any sort constituted our best defense against any breach in physical safety. But a physically safe environment, although necessary, was not sufficient. So there had to be other kinds of safety, which I have termed psychological safety, social safety, and moral safety.”(Sandra L. Bloom, Creating Sanctuary, 2013)

10. Psychological Safety “Refers to the ability to be safe within oneself, to rely on one’s ability to self-protect and keep oneself out of harm’s way.” (Bloom, 2013) If you have never felt safe or remembered safety, how will you know it when it is present?

11. Social Safety “The sense of feeling safe with other people…There are so many traumatized people that there will never be enough individual therapists to treat them. We must begin to create naturally occurring, healing environments that provide some of the corrective experiences that are vital for recovery.” (Bloom, 2013)

12. Moral Safety The never-ending quest for understanding how organizations function in the healing process. An attempt to reduce the hypocrisy that is present, both explicitly and implicitly A morally safe environment struggles with the issues of honesty and integrity (Bloom, 2013)

13. SAMHSA’s Four R’s

14. What Is a Trauma-Informed Approach?

15. Working in a Trauma Informed Way 15

16. The 7 Domains of Trauma-Informed Care 16

17. Domain 1

18. Domain 2

19. Domain 3

20. Domain 4

21. Domain 5

22. Domain 6 Community Outreach and Partnership Building Recognize that the people we serve are part of and affected by other systems including:

23. Domain 7

24. What Can I Do Next? 24

25. What Can I Do Next? 25

26. Contact Information Cheryl Sharp, MSW, ALWF, ITE Exclusive Consultant for Trauma-Informed Services cheryls@thenationalcouncil.org www.thenationalcouncil.org 252/670-0178