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SEDNET
The Multiagency Network for Students with Emotional/Behavioral
Disabilities
Carl Coalson, Region 12 Project Manager
Serving: Volusia, Flagler, Putnam and St. Johns School Districts
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Everybody’s a
Trauma Informed Care
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What is Trauma?
The experience of violence and victimization
including sexual abuse, physical abuse,
severe neglect, loss,
domestic violence and/or
the witnessing of violence, terrorism or disasters.
(National Association of state Mental Health Program Directors, 2006)
Trauma and Adverse Childhood Experiences
(ACE’S)
• Recurrent and severe physical abuse
• Recurrent and severe emotional abuse
• Sexual Abuse
Growing up in a household with:
• Alcohol or drug user
• Member being imprisoned
• Mentally ill, chronically depressed, or institutionalized member
• Mother being treated violently
• Both biological parents absent
• Emotional or physical abuse
Finding Your ACE Score
While you were growing up, during your first 18 years of life:
1. Did a parent or other adult in the household often or very often…
Swear at you, insult you, put you down, or humiliate you?
or
Act in a way that made you afraid that you might be physically hurt?
Yes No If yes enter 1 ________
2. Did a parent or other adult in the household often or very often…
Push, grab, slap, or throw something at you?
or
Ever hit you so hard that you had marks or were injured?
Yes No If yes enter 1 ________
3. Did an adult or person at least 5 years older than you ever…
Touch or fondle you or have you touch their body in a sexual way?
or
Attempt or actually have oral, anal, or vaginal intercourse with you?
Yes No If yes enter 1 ________
4. Did you often or very often feel that …
No one in your family loved you or thought you were important or special?
or
Your family didn’t look out for each other, feel close to each other, or support each other?
Yes No If yes enter 1 ________
5. Did you often or very often feel that …
You didn’t have enough to eat, had to wear dirty clothes, and had no one to protect you?
or
Your parents were too drunk or high to take care of you or take you to the doctor if you needed
it?
Yes No If yes enter 1 ________
6. Were your parents ever separated or divorced?
Yes No If yes enter 1 ________
7. Was your mother or stepmother:
Often or very often pushed, grabbed, slapped, or had something thrown at her?
or
Sometimes, often, or very often kicked, bitten, hit with a fist, or hit with something hard?
or
Ever repeatedly hit at least a few minutes or threatened with a gun or knife?
Yes No If yes enter 1 ________
8. Did you live with anyone who was a problem drinker or alcoholic or who used street drugs?
Yes No If yes enter 1 ________
9. Was a household member depressed or mentally ill, or did a household member attempt suicide?
Yes No If yes enter 1 ________
10. Did a household member go to prison?
Yes No If yes enter 1 _______
Now add up your “Yes” answers: _______ This is your ACE Score.
ACE Study
Based on ACE score of 4
COPD
Hepatitis
STD’s
IV drug use(male child)
Depression
Attempted Suicide
260%
240%
250%
4600% (6)
460%
1220%
Studies show that
kids in care have
twice the post
traumatic stress as
the rate of US war
vets.
Therefore………
“We need to presume the clients we serve
have a history of traumatic stress and
exercise ‘universal precautions’ by creating
systems of care that are Trauma-informed.”
(Hodas, 2005)
Everybody’s a
Trauma Informed Care
Educational disabilities
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MYTH:
Children in Foster care experience
disabilities at same rates as their
same age peers.
Answer: False. National data
shows that youth in state care
have disabilities at a greater rate
than the general population –
perhaps as high as 28% or more.
The Well-being of Youth Involved
in the DCF System: A National
Overview, Katherine Kortenkamp
and Jennifer Ehrle. The Urban
Institute, January 2002
EDUCATIONAL DISABILITES
Based on figures provided by CPC for end of school year 2010
209 children in Volusia County were living in a paid foster care
setting.
83 of these children had an IEP (individualized Education Plan)
Net result: Nearly 40% of children in foster care were classified as
having an educational disability.
Everybody’s a
Trauma Informed Care
Educational disabilities
Access to stability(home and in school)
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MYTH:
Changing schools is a small set back
that children in foster care can easily
overcome.
Answer: False. Actually, research says
when a student in foster care changes
schools, an average of four to six
months of educational progress is
lost. (Calvin, Making a Difference in a
Child’s Life, 2001)
Everybody’s a
Trauma Informed Care
Educational disabilities
Access to stability(home and in school)
Communication (how can we open the lines?)
H
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Everybody’s a
Trauma Informed Care
Educational disabilities
Access to stability(home and in school)
Communication (how can we open the lines?)
Health needs (physical and mental health)
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R
MYTH:
Infants and toddlers in foster care just need food,
shelter and nurturing and they will be fine.
Answer: False. A 2005 national study of youth in state
care found that 40% of toddlers and 50% of preschooler’s had significant behavioral and
developmental needs. Yet only 21% of the youth were
receiving services. National Working Group on Foster
Care and Education, Educational Outcomes for Youth
in Foster and Out-of-Home Care (September 2007).
Everybody’s a
Trauma Informed Care
Educational disabilities
Access to stability(home and in school)
Communication (how can we open the lines?)
Health needs (physical and mental health)
Educational requirements for graduation
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Children in foster care earn
diplomas at same rate as their
peers.
Answer: False. DCF’s test analysis
of youth who aged out of care in
2007 showed that 40% had
dropped out of school in contrast
to 16% of all youth. DCF’s 2007
Independent Living survey showed
that 55% of 17 year olds are below
grade level and 58% of 17 year
olds failed the FCAT.
Everybody’s a
Trauma Informed Care
Educational disabilities
Access to stability(home and in school)
Communication (how can we open the lines?)
Health needs (physical and mental health)
Educational requirements for graduation
Remember to ask the “kids”