Practical TIC Approaches

Fr. Putthoff,

Yes, it's pretty much imperative that a trauma-informed org become what's called a Trauma-Informed System of Care (TISC); the organizational culture needs to change. The Sanctuary Model covers this.

We do have a page on TISC's which can be found at http://tiny.cc/tic_models. Specifically there’s:

The Sanctuary Model: An Integrated Theory

http://www.sanctuaryweb.com/sanctuary-model.php

Creating Trauma-Informed Care Environments: Organizational Self-Assessment for Trauma-Informed Care Practices in Youth Residential Settings

http://www.trauma-informed-california.org/wp-content/uploads/2012/0...

Also are you aware of Dr. Joseph Marshall's work in San Francisco? Here's a video that includes a link to his bio and org:

Dr. Joseph Marshall, Jr. on changing urban youth violence (3 mins)

http://acesconnection.com/video/dr-joseph-marshall-jr-on-changing-u... 

He's been doing this work for, I believe, about 25 years.

And this article just popped up in my daily ACE research:

Bright Idea: The Sanctuary Model Makes 'Trauma-Informed' a Way of Life

http://ncfy.acf.hhs.gov/news/2012/10/bright-idea-sanctuary-model-makes-trauma-informed-way-life  

Let me know if I can be of further help.

Thanks for such a thoughtful reply Chris.  I am with you on much of this.  I want to push though as TIC seems to have us focus on the individual staff.  I agree with that, but also want to think about us as a group, as an organization.  I think that is what I am learning from Sanctuary--that a community can also be TIC and I want to work on this as well.  Part of this is actually bringing all of us together--including the folks we work with--our youth.  

Hi Fr. Puthoff,

Yes, practice is definitely different than learning. It's an art that begins w/ a paradigm change in each of us. The best advice I can give is to consider the person you are talking to a traumatized version of yourself, get in their shoes (brain) and be as non-judgmental and supportive as you can. Respect and providing an environment of safety (environment includes staff attitudes/interactions) are paramount. Here are some resources that expand on that base.

Service Providers: qualities and characteristics essential to working with trauma survivors:

"Empathic--Able to talk openly--Self-aware--Flexible--Comfortable with the unknown--Willingness to learn from survivors--Willingness to connect emotionally with the trauma survivor’s experience of trauma--Willingness to step into the world of the survivor--Able to regulate own emotions--Able to treat the survivor as an equal--Good listener--Willingness to debrief" (p 59-61) toolkit

Principles of Sensitive Practice

A brief, empathic, validating response by a healthcare provider to someone who discloses a trauma history may be…

http://www.integration.samhsa.gov/pbhci-learning-community/Trauma-Informed_Care_in_an_Integrated_World_for_CIHS_8_27-12_all_edits.pdf#page=27

Communicating a Sensitivity to Trauma Issues

Please watch this video starting at 11:30 – end

http://acesconnection.com/video/trauma-informed-care-tic

Culturally Sensitive Approaches to Trauma

Trauma Informed Consequences in Practice

I targeted specific pages in the above toolkits but feel free to explore the documents more if you have time. Also we have a Trauma-Informed Toolkits page that can be found at http://tiny.cc/tic_tools.

Please let me know more specifics if I'm off target or if you need any additional help. If I think of any additional resources I will be sure to add to this thread.

Chris-Resource Admin