Transcript www.txsystemofcare.org

Texas Children Recovering from Trauma
An Initiative of the Department of State Health Services
Funded by: SAMHSA’s National Child Traumatic Stress Initiative
Grant No: 1U79SM061177-01
Funding Period Oct 2012-Sept 2016
AIM:
Transform children’s mental health
services in Texas into a trauma-informed
care system that fosters resilience and
recovery.
TARGET Population
• Children and Youth
aged 3 to 17 who:
– Are children of
military families
or
– Have experienced or
witnessed trauma
Objectives:
• Transform existing children’s
mental health services into
trauma-informed care services by
– Training workforce
– Enhancing policies and practices
– Increasing number of MH professionals
trained in trauma-informed treatments
• Increase access to traumainformed services and
treatments
• Evaluate outcomes of traumafocused treatments
• Integrate trauma screening
practices into community mental
health organizations in Texas and
increase number of children
screened for trauma
• Creating Two Category III Community Treatment Services
Centers members of the National Child Traumatic Stress
Network (NCTSN) and their learning community:
Heart of Texas Region MHMR Center
Bluebonnet Trails Community Services
These centers are pilot sites for the statewide transformation.
• Through Training:
–
–
–
–
Trauma Informed Care and Cultural Competence ( For Entire workforce)
Trauma-Focused Cognitive Behavior Therapy (For Clinicians)
Parent Child Interaction Therapy (For Clinicians of clients ages 3-7)
Workshops for Caregivers (understanding the needs of their children/youth)
• Creating Community Partners – that will participate in referrals of
target population and participate transformation efforts, advisory
committee and development of transformation strategic plan
• Creating of a Statewide Transformation Strategic Plan by
Steering Committee, Local Advisory Committee, Youth/Caregivers
Representatives & Stakeholders
• Statewide Summit on Transformation to Trauma-Informed Care
Direct Care Services at CTS Centers
Staff Trained in Trauma-Informed Care
Referral from
Community
Partner
NO
CMH
Intake/
Assessment
Screen
with
CANS
History of Trauma or Child of
Military Family?
NO
Treatment
As
Usual
Trauma Focused
Treatment:
TF-CBT or PCIT
YES
Consent
additional
assessment
YES
Assessment of
Trauma
(Best Practice)
For more information on the National Child Traumatic Stress Network:
www.nctsn.org
For more information on the Texas Children Recovering from Trauma Initiative
Marisol Acosta, MEd, LPC-S
Project Director/Program Specialist V
MHSA Division, Children and Adolescents Services
(512) 206-4830
Email: [email protected]
DEPARTMENT OF FAMILY &
PROTECTIVE SERVICES ~TRAUMA
INFORMED CARE INITIATIVE
DFPS
leadership recognizes the
long-term effects of adverse
childhood experiences such as child
abuse and neglect. The need to address
trauma is increasingly viewed as an important
component of effective service delivery.
A Texas trauma- informed system of care:
Protects the unprotected;
Has a respect for culture;
Is inclusive of family, youth and communities;
Is innovative and strives for excellence;
Has integrity in decision making;
Has compassion for all;
Is committed to reducing disproportionality;
Values staff; and
Collaborates to improve outcomes.
Vision
The Texas child welfare system will be one that is
trauma- informed in which all persons working in and
connected to the system are knowledgeable and responsive
to the individualized impacts of trauma in the lives of people
served and those serving within the system. This trauma informed system will incorporate
the child's and family's story and the child's developmental level, while establishing an
evidence-based approach to policies, training, leadership, and service practice.
Mission Statement
The mission of the Texas trauma- informed system of care is to protect children and act in
the children's best interest. The Texas child welfare system seeks active involvement of
parents and other family members. To this end, the Texas child welfare system is
committed to establishing a trauma-informed system of care that promotes child safety,
permanency and well-being; reduces the traumatic impact of child abuse, neglect, and
removal; decreases traumatic experiences for children and their families; and complies
with state and federal statutes. This system of care includes agency staff, judges,
therapists, parents, foster and kinship families, residential contractors, child advocates, and
STAR Health.
Major Goals:
The goals of a Texas based traumainformed system of care are:
1. To implement a trauma- informed
system of care that reduces the
impact of abuse, neglect, and
removal on children, youth and
families.
2. To build capacity related to the use of
trauma- informed principles and
practices through collaboration and
partnerships with other systems
serving children and families involved
in CPS.
3. To increase the use of traumainformed activities by using data to
assess implementation efforts and
monitor change.
4. To foster an environment that
promotes wellness and care for staff
and caregivers experiencing
secondary traumatic stress.
•
•
•
•
Four subgroups
Trauma Informed
Assessment/Tools
Trauma Informed
Training
Trauma Informed
Caregiver Support
Trauma Informed
Staff Support
For more information:
• Claire Hall at:
[email protected] or
512/438-5257
• DFPS Website:
http://www.dfps.state.tx.us/Training/Trauma_Informed_Care/default.asp
RESTRAINT &
SECLUSION REDUCTION
Through Trauma Informed Care and Treatment
Oversight:
Restraint & Seclusion Reduction Leadership Group
Vision:
We envision safe environments that facilitate respect, trust, and
healing through positive relationships.
Mission:
To support and sustain organizational culture change around
reducing the use of seclusion and restraint.
Long-Term Goals:
•Identify and address systemic barriers to seclusion and restraint
reduction.
•Identify best practices and promote alternatives to seclusion and
restraint.
•Recognize and celebrate successful organizational culture change.
Creating a Culture of Care
Strategic Approaches:
 LEADERSHIP
 DEBRIEFING
 USE OF DATA
 WORKFORCE DEVELOPMENT
 STRATEGIES TO EMPOWER CLIENTS
 CONSUMER INVOLVEMENT
For more information:
• National Center for Trauma Informed Care:
http://www.samhsa.gov/nctic/
• Culture of Care Toolkit:
http://www.dshs.state.tx.us/cultureofcare/
• Restraint and Seclusion Reduction:
http://www.hogg.utexas.edu/initiatives/seclusion_restraint.html