Trauma-Informed-Systems-Initative-2014
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Trauma-Informed-Systems-Initative-2014
Trauma Informed Systems Initiative San Francisco Department of Public Health2014 Year in ReviewTrauma Informed Systems Initiative• • •Trauma Informed Trauma-Informed-Systems-Initative-2014 Systems InitiativeSan Francisco Department of Public Health2014 Year in ReviewA Trauma Informed Public Health System for San FranciscansTrauma IS a pervasive, long-lasting, public health issue that affects our public health workforce and system. In recent years the devastating impact of trauma on i Trauma-Informed-Systems-Initative-2014ndividuals, families and communities has drawn considerable attention from service providers, researchers and policy makers. Like people, organizationTrauma-Informed-Systems-Initative-2014
s are also susceptible to trauma that affects its workforce in dynamic ways that contribute to fragmentation, numbing, reactivity and depersonalizatioTrauma Informed Systems Initiative San Francisco Department of Public Health2014 Year in ReviewTrauma Informed Systems Initiative• • •Trauma Informed Trauma-Informed-Systems-Initative-2014 Public Health has developed a Trauma Informed Systems Framework intended to help improve organizational functioning, increase resilience and improve workforce experience. Our Trauma Informed Systems Workgroup, made up of staff and DPH employees is leading this change effort, which includes the foll Trauma-Informed-Systems-Initative-2014owing components:•Mandatory, foundational training to all 9,000 public health employees to create a shared language and understanding of trauma for ouTrauma-Informed-Systems-Initative-2014
r workforce•Development of an embedded Champions Learning Community (CLC) to support, apply and sustain the application of the TIS principles and pracTrauma Informed Systems Initiative San Francisco Department of Public Health2014 Year in ReviewTrauma Informed Systems Initiative• • •Trauma Informed Trauma-Informed-Systems-Initative-2014the initiative.•Intentional efforts to align TIS with all our workforce and policy initiatives to insure TIS implementation increases coherence, unifies our system and improves outcomes.•Leadership Engagement and outreach to support leaders to integrate TIS principles into day-to-day operations as w Trauma-Informed-Systems-Initative-2014ell as promote system change at the program and policy level.•Work towards establishing San Francisco as a Trauma Informed City insuring that the entiTrauma-Informed-Systems-Initative-2014
re workforce has a common language and principles.RationaleTrauma is broadly experienced, pervasive and has can have long lasting effects. We know froTrauma Informed Systems Initiative San Francisco Department of Public Health2014 Year in ReviewTrauma Informed Systems Initiative• • •Trauma Informed Trauma-Informed-Systems-Initative-2014VJ, Anda RF, Nordenberg D, Williamson OF, Spitz AM, Edwards V, Koss MP. Marks IS. Relationship of childhood abuse and household dysfunction to many of the lead -ng causes of death in adults The Adverse Ch-Idhood Experiences I ACE I Study. American /Oiirno? 0/ Preventive Meứieine 1998,14:245-258.1Tra Trauma-Informed-Systems-Initative-2014uma Informed Systems InitiativeGetting its initial momentum from the work of Vietnam veterans, their families, mental health professionals and clergy,Trauma-Informed-Systems-Initative-2014
the field of trauma has grown in the past 3 decades. In the 1980's and 1990’s a significant body of research accumulated to validate the connection bTrauma Informed Systems Initiative San Francisco Department of Public Health2014 Year in ReviewTrauma Informed Systems Initiative• • •Trauma Informed Trauma-Informed-Systems-Initative-2014the country, publishing their research and creating the foundation for what we know now about effective treatment for traumatized people and necessary elements for recovery. The subject of trauma, also sometimes called "toxic stress" has attracted lots of energy in the mental health and public healt Trauma-Informed-Systems-Initative-2014h fields, partly because of a few very high profile studies linking trauma to major health problems and relationship difficulties. The Adverse childhoTrauma-Informed-Systems-Initative-2014
od Experiences study (ACEs study) for example, showed a clear connection between how many ACE's one has experienced (the trauma-dose) and long-term, sTrauma Informed Systems Initiative San Francisco Department of Public Health2014 Year in ReviewTrauma Informed Systems Initiative• • •Trauma Informed Trauma-Informed-Systems-Initative-2014in health outcomes are acutely experienced in disenfranchised communities suffering the long-term effects of specific traumas such as community violence coupled with the long-term effects of institutional discrimination, poverty, lack of access to adequate resources. Addressing trauma for public hea Trauma-Informed-Systems-Initative-2014lth must be a top priority. San Francisco’s Trauma Informed Systems (TIS) Initiative extends the focus on the impact of toxic stress and trauma from tTrauma-Informed-Systems-Initative-2014
he community receiving services to the system delivering services.A Trauma Informed System: Etiology and RecoveryThe mission of the public health systTrauma Informed Systems Initiative San Francisco Department of Public Health2014 Year in ReviewTrauma Informed Systems Initiative• • •Trauma Informed Trauma-Informed-Systems-Initative-2014 objectives' as a pathway to this mission:♦Assess and research the health of the community ♦Develop and enforce healthy policy ♦Prevent disease and injury ♦Educate the public and train health care providers ♦Provide quality, comprehensive, culturally-proficient health services ♦Ensure equal access t Trauma-Informed-Systems-Initative-2014o all"A system cannot be truly trauma-informed unless the system can create and sustain a process of understanding itself. A program cannot be safe foTrauma-Informed-Systems-Initative-2014
r clients unless it is simultaneously safe for staff and safe for administrators. Lacking such a process and despite well-intentioned training effortsTrauma Informed Systems Initiative San Francisco Department of Public Health2014 Year in ReviewTrauma Informed Systems Initiative• • •Trauma Informed Trauma-Informed-Systems-Initative-2014es previously experienced by clients and staff"-Sandra Bloom*; Jennings, /I (2CO3 update}. Modtfi It* Orveiwi’r.'U Travnxi-infotmcd Oehovicvof Health System and Traumo-Speei/icServices. Nalitxial Center for Mental Health Services. National Center lor Trauma Informed Care, Funded by SAMSHA.5 From v»w Trauma-Informed-Systems-Initative-2014w.itfdph.org. 2012-2013 Annual Report. Son fraockco Deportment of Publie Heolrh •From Bloom. 5 (2010). OfQanirotionofsrreííTrauma-Informed-Systems-Initative-2014
ormed Service Oeléeery. Becker, M. Levine, 3. A Pubhc Health Perspective oi Women's Mental Health: New York. Springer (pp. 295-31112Trauma Informed SyTrauma Informed Systems Initiative San Francisco Department of Public Health2014 Year in ReviewTrauma Informed Systems Initiative• • •Trauma Informed Trauma Informed Systems Initiative San Francisco Department of Public Health2014 Year in ReviewTrauma Informed Systems Initiative• • •Trauma InformedGọi ngay
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