National Association of State Mental Health Program Directors (NASMHPD) (Alexandria, VA)
It is critical that people learn about the intersection of trauma, mental health challenges, and substance use and how they will impact women and girls and their families and communities and overall well-being. Representatives from more than three dozen federal agencies have gotten together to focus on this issue and to develop collective strategies to address its impact. This webinar held May 29, 2014 aimed to address: "the historical context of the intersection of mental health substance abuse and trauma; review current research of the problems of trauma and adverse experiences, and the impacts of that on women and girls; highlight two evidence-based practices of seeking safety in the trauma resolution center; and the core components of a trauma-informed approach when focusing on these intersections". The presentations given during this webinar are: "SAMHSA's Women and Violence Study Trauma Services in Public Mental Health [WCDVS]" by Susan Salasin; "Adverse Childhood Experiences: Impacts on Health & Wellbeing across the Life Course" by Melissa Merrick; "Seeking Safety: An Evidence-Based Model for Trauma and/or Addiction" by Lisa M. Najavits; and "If It Works in Miami…a Model Program for Serving Traumatized Human Beings" by Teresa Descilo.
"Recognizing that most inmates are trauma survivors and many common prison routines can re-traumatize women, the Women’s Community Correctional Center of Hawaii, under the leadership of Warden Mark Kawika Patterson, works to create “a place of healing and forgiveness” [pu'uhonua] through its Trauma- Informed Care Initiative (TICI) … Reducing the use of restraints and isolation has been a focus of the training and activities of TICI, since these interventions are likely to re-traumatize women who are trauma survivors and cause trauma responses in women who had not previously experienced trauma" (p. 1). Sections of this publication include: program-at-a-glance; WCCC inmate demography; what trauma is; some potential sources of trauma; trauma's effects on individuals; the consequences of historical trauma; institutional practices can re-traumatize; healing from trauma; planning and implementing the WCCC Trauma-Informed Care Initiative—needs assessment, planning, training on trauma-informed care, and strategic planning; TICI accomplishments—trauma screening and assessment, workforce development, and the use of trauma-informed practices to reduce seclusion and restraint; resources to build the pu'uhonua; keys to success—inspirational leadership, becoming a learning organization, survival participation, community involvement, and partnering with other government agencies, academia, and community-based non-profits.
The fundamentals, cultural considerations, and actions to be taken to address trauma through peer support are explained. “This guide was created for a very specific purpose: to help make trauma-informed peer support available to women who are trauma survivors and who receive or have received mental health and/or substance abuse services. It is designed as a resource for peer supporters in these or other settings who want to learn how to integrate trauma-informed principles into their relationships with the women they support or into the peer support groups they are members of. The goal is to provide peer supporters—both male and female—with the understanding, tools, and resources needed to engage in culturally responsive, trauma-informed peer support relationships with women trauma survivors” (p. 1). Thirteen chapters are in this publication: introduction to trauma and trauma-informed practices; whether one is a trauma survivor or not; peer support fundamentals; gender policies and the criminalization of women; culture and trauma; religion, spirituality, and trauma; trauma-informed peer support across the lifespan; trauma and peer support relationships; self-awareness and self-care; organizational context—working in systems; trauma-informed storytelling and other healing practices; self-inflicted violence and peer support; and reclaiming power through social action.
"This video training series was designed to provide an important foundation for understanding trauma, the implications of trauma on the behaviors of inmates while in confinement, and how correctional administrators and practitioners can use this information to support successful PREA implementation and ultimately provide a safer environment for inmates and staff … Through considering the role that past and present trauma plays in building safe – and particularly sexually safe – environments, correctional administrators and staff training directors can support staff in efforts to more fully meet a facility’s mission and make everyone safer … the material contained in this video series will provide an opportunity for staff in confinement facilities to learn and be thoughtful about the benefits of a trauma-informed approach in correctional settings. " (p. 2).
This training program contains five models and one documentary. Module One—An introduction to the Series. Using a Prevention, Trauma-Informed Framework when Implementing PREA (7 minutes): Andie Moss introduces you to need for understanding the role of trauma in implementing PREA. Module Two--What Is It Important To Understand Trauma When Implementing PREA? (15 minutes): Dr. Joan Gillece, a pioneer in implementing a trauma-informed approach, will explain what trauma is and how it influences PREA implementation. Module Three--Understanding the Neurobiological Effects of Trauma When implementing PREA (12 minutes): the neurobiological impact of trauma is explained by Dr. Brian Sims. Module Four--Implementing PREA Standards with a Trauma Focus (26 minutes): A panel of clinicians and practitioners from the Dorchester County Detention Center on Maryland’s Eastern, hosted by Andie Moss, provides examples on how to implement the PREA standards "through a trauma-informed lens in adult confinement settings … [these concepts are easily transferable to juvenile facilities". Module Five--Practical Solutions to Challenging Situations (10 minutes): The implementation of a trauma-informed approach in a jail is discussed by Alisha Salisbury, Warden Steve Mills, and PREA officer and investigator Lt. Robert Fitzgerald from the Dorchester County Detention Center. This "module will provide some creative examples for policymakers and practitioners to consider as they begin or continue to implement a trauma-informed approach". Healing Neen: Trauma and Recovery (25 minutes): this film shows how one woman benefited from trauma-informed care that helped her to take a journey from trauma, through the criminal justice system, to healing.