Trauma Informed Care: The Hurdles we need to jump.

1. Trauma Informed Care:The Hurdles we need to jump. Daniel McAlpine: Specialist Support Services. Lifestyle Solutions.

2. What is Trauma Informed Care? Complex Trauma (the things we need to consider). The young person’s Complex Trauma history. How Complex Trauma has influenced the development of the young person. How the young person responds to the world around them in terms of their complex trauma history. Generational trauma issues, as well as genetic influences. Protective Factors.

3. What is Trauma Informed Care? The Care Setting. Consider the young person’s physical and environmental needs. What are the young person's emotional needs? What are the carer’s needs. Wrap around model of care. Triggers.

4. The Trauma Informed Care Setting is. (Bringing it together) Understanding the young person. Things that happened before birth Things that happened during and after birth Their short term and long term care needs Those things that trigger them. The rest The team that will work with the young person (carers, psychologists, teachers, coaches caseworkers etc.) The physical environment

5. Trauma Informed Care Things we forget about.

6. Match Making. Putting together the jig saw puzzle. The Dark Arts. Emergency, Emergency, Emergency. How it is done. The needs of the people already in the placement.

7. Information Flow Often little available. Available information informs the placement matching process It informs the behaviour management process It also informs the carer support and other management roles required.

8. The Impacts of Complex Trauma The impact is often pervasive and deep Human’s are very complex beings. The signs of the impact can change over time Reintroduction of triggers. Assumptions Carer /Staff own trauma history.

9. Placement Support. When do we provide the support? The carer/staff role is the toughest role. What is support? Difference amongst people Contextualising the place the carer/staff fill Capacity to follow through on strategies

10. Allied health. Overlooked or forgotten. Communication and sensory issues Physical problems Increased health problems

11. Service Provision Service Providers have contractual requirements to meet. Finding suitable carers/staff can be very difficult Making sure that carers and staff are prepared for the role is difficult Funding bodies need to ensure that young people at risk are provided with appropriate service. In General, the OOHC services are overwhelmed. Many of the young people have experienced significant complex trauma.

12. What can we do? Be trauma Informed. Develop a matching and transition process that is evidence based. Develop a library of information for the young person. Just because there is little available, does not mean that we leave it that way. Understand how trauma has influenced not only the young person, but those who care for the young person also. Supervision and support works better when it is collaborative Collaborate with allied health professionals. Develop partnerships. Service providers be clear about the services that are in their capacity to provide and the services that lay outside their capacity. We cannot do it all. We should not do it all.

13. Reference. http://www.traumainformedcareproject.org/resources/WhySchoolsNeedToBeTraumaInformed(2).pdf http://www.health.vic.gov.au/chiefpsychiatrist/creatingsafety/ntac/module6.pdf http://www.berrystreet.org.au/Assets/533/1/Atkins_Prue_Pike_From_the_ground_up.pdf http://www.childhoodinstitute.org.au/Assets/192/1/Therapeutic_Foster_Care_Integrating_mental_health_child_welfare.pdf http://lighthousefoundation.org.au/resources/read/ http://childtraumaacademy.com/