TIC Collective Toolkit - Trauma Informed Care
QUICKTOOLKITAsAs wewe comecome togethertogether facingfacingthisthis globalglobal pandemic,pandemic, wewe areare allallexperiencingexperiencing heightenedheightened levelslevels ofofstressstress whichwhich couldcould bebe viewedviewed asas aacollectivecollective trauma.trauma. TheThe purposepurpose ofofthisthis toolkittoolkit isis toto buildbuild aa betterbetterunderstandingunderstanding ofof whatwhat traumatraumaisis andand howhow traumatrauma affectsaffects thethethoughts,thoughts, actionsactions andand behavioursbehaviours ofofpeoplepeople affectedaffected byby itit soso thatthat wewe cancancomecome togethertogether inin solidaritysolidarityandand hope.hope.Learn more at www.ticcollective.ca or contact us at info@ticcollective.ca
PurposeIn a climate of universal trauma, trauma-informed care (TIC) is needed now more than ever. TICoffers a useful lens for processing the effects of COVID-19 and also prepares us for the possibility ofincreased trauma as a result of the pandemic. These resources will not only equip people to care forthemselves, but will also train individuals in the basics of trauma-informed care to more effectivelysupport those who have experienced the effects of trauma. This toolkit is set out in differing levels fordiffering individual needs and capabilities at this time.“I don’t think we therapists and community workers are burning out. The problem ofburnout is not in our heads or in our hearts, but in the real world where there is a lackof justice. The people I work alongside don’t burn me out and they don’t hurt me: theytransform me, challenge me and inspire me. What harms me are the injustices andindignities suffered by clients, and my frustrating inability to personally change theunjust structures of the society they struggle with and live in.” *Vikki ReynoldsTable of ContentsWHAT is Trauma?Understanding how trauma shows up in everyday life.Level 1: Taking Care of Yourself - Stress and Resilience“It’s Okay to not be Okay”Recognizing and managing stress, building resilience through mindful practice, short video links andpracticing self compassion.Level 2: Taking Care of Others - Application of Trauma-Informed CareUnderstanding the effects of trauma and increasing the capacity to offertrauma informed servicesCollections of free online certificate classes and links to deepen understanding of the prevalence andlong term effects of trauma.Level 3: Further Resources on TICRecognition of the inherent worth and dignity of all personsCollection of TED Talks, Toolkits, further learning from experts in the field, and evidence basedjournal toresistingburnoutinsightsrccjournal.pdf2
WHAT IS TRAUMA?Trauma: An experience or set of circumstances so overwhelming that it incapacitates anindividual’s ability to cope. – TIC Collective“Trauma is not what happens to you, but what happens inside of you because of whathappens to you” - Gabor Mate“Trauma, by definition, is the inability to do anything to change the situation” and“Predictability and trust are at the root of trauma.” – Bessel van der KolkOn anairplanewe needto put onour own oxygen masksbefore we can helpothers. It is the samein life. We need toaddress our owntrauma and stressorsbefore we caneffectively interactwith others.The way your body reacts to trauma is exactly the same way it responds to stress.LEVEL 1Are you feeling stressed?It’s okay to not be okay.Path to wellnessRECOGNIZETHE IMPACTOF STRESSRELAXTHEBODYRESILIENCYBUILDINGRecognize THE Impact of Stress in our BodyHow Stress Affects Your Body4 minutesTED Talk agement-ted-talks/When experiencing traumatic events, it is typical that we also experience stress. The signs andsymptoms of stress may be cognitive (thinking-related), emotional, physical or behavioural withvarying degrees of severity. We can gauge our stress response to help us determine if we could usesome tools, and which ones would be the best for us.3
LEVEL 1Are you experiencing any of thefollowing signs of stress?Relax the BodyThe 5-4-3-2-1 Grounding Exercise to Cope with Anxiety5 minutesBeing overwhelmed, and having anxious thoughts can happen to all of us. Using this tool can help us tobe present, and is a tool that can be used anywhere.Worksheet/Videos ing-technique/Square Breathing: How to Reduce Stress through Breathwork3 minutesSquare, or shape breathing can shift your energy, connect you with your body, calm your nervoussystem and decrease stress.https://blog.zencare.co/square-breathing/4
LEVEL 1Mindful Gnats: Paced Breathing90 secondsYouTube video of telling you to breathe in and then out- literallybreathing.https://www.youtube.com/watch?v QWJtWfSSTi4Progressive Muscle ult/files/MuscleRelaxation.pdfStaying Grounded through Meditation - Insight Timer(videos, grounding, meditation edMentalHealth Help LineAlberta 1-877-303-2642Crisis Services Canada:1-833-456-4566, text 45645Money Mentors https://moneymentors.ca/Text4Hope– 019.aspxteachings of themedicine wheelHelp in Tough 16759.aspx5
LEVEL 1ResiliencY BUILDING“Resilience is not a trait that people either have or do not have. Resilience involvesbehaviours, thoughts and actions that can be learned and developed by anyone.”-Akshay MalikBuilding fMental Wellness Moment Videos with Dr. Nicholas Mitchell (AHS) New ones added regularly.https://www.youtube.com/watch?v z4s-6N8f0a4How Brains are Built: The Core Story of Brain Development4 minutesAlberta Family Wellnesshttps://www.youtube.com/watch?v LmVWOe1ky8sCoronaVirus anxietyworkbook: Free anxiety-workbook/4 Ways to Practice TraumaInformed Healing During /6
LEVEL 2LEVEL 2Understanding the effects of trauma andincreasing personal capacity to offertrauma informed services“Recent advances in neuroscience have also shown the relationship between childhoodtrauma and brain development over time. The experience of toxic stress (negative stressresulting from prolonged adversity) in childhood may result in social, emotional, and cognitiveimpairments, as well as challenges with core skills later in life.”**Center on the Developing Child at Harvard University, 2016Trauma-informed care (TIC) is a lens that allowshelping agencies to understand a client’s currentproblems in the context of past victimization and toask “what happened to you,” not “what’s wrongwith you?”Trauma-AwareBasic awareness ofsigns and implicationsof trauma; staff startto discuss thisTrauma-SensitiveStaff start to exploreprinciples of TIC andconsider how theymight implement themEvidence has shown that agencies thatadopt Trauma-Informed Care haveincreased staff satisfaction, staff retention,organizational commitment, and better jobperformance.Trauma-ResponsiveChange at all levels of theorganization have begun;procedures and practicesare reconsideredTrauma-InformedFull implementationof trauma-informedpractice; culture of TICwith clients/each otherBecoming Trauma-Informed Occurs on a Spectrum, TIC hildrens-development/7
LEVEL 2What is Trauma-Informed Care?Trauma-informed care is recognizing the pervasive nature of trauma and creatingemotionally and physically safe environments that promote healing & recovery, avoidingpractices and situations that may inadvertently re-traumatize individuals.(adapted from University of Buffalo).The Guiding Principles of Trauma-Informed Care are recognized as:· Physical and emotional safety· Collaboration and mutuality· Trust and transparency· Empowerment, voice and choice· Peer-support· Respect for cultural, historical, andgender issuesTrauma-Informed Considerations to Guide All Interactions in Every Situation1. Do you all feel safe in your current environment?2. Is there trust and transparency among those around you?3. Does everyone around you feel supported by peers and colleagues? Does anyone feel isolated fromothers physically or emotionally?4. Are there power imbalances present?5. Is everyone’s voice being heard? Is there choice in the situation(s) where possible?6. Is everyone’s identity valued, respected and supported in terms of gender, history, culture or race?7. Does everyone feel valued as a human being?Trauma-Informed Starts with You3 minutesYouTube video (level 1)https://www.youtube.com/watch?v z4s-6N8f0a48
LEVEL 2Free courses and trainingAlberta Health Services Trauma Informed Care E-Learning Increase knowledge about trauma and the impact it has by creating connection, sharing knowledgeand resources 6 age15526.aspxCalgary and Area Child Advocacy Centre: “Being Trauma Aware” 2.5 hour a-aware/Alberta Family Wellness Initiative: Brain Story “experiences at sensitive periods of development change the brain in ways that increase or decreaserisk for later physical and mental illness, including addiction.” Certification in Brain Story science. 19 modules self-paced, qualifies for Continuing Education Units (CEU’s) for many professional designations for organizations and continuing /trainingUniversity of Alberta – Indigenous Studies 12 week course, 20 nline-courses/indigenous-canada/index.htmlwebinars & multimediaTED Talk: How Childhood Trauma Affects Health Across a Lifetime16 minutesNadine Burke Harrishttps://www.ted.com/talks/nadine burke harris how childhood trauma affects health across a lifetime?language enTrauma-Informed Interventions through an Indigenous Worldview1 hour 15 minutesBrianna indigenous-worldview-presented-briannaToxic Stress: Centre on the Developing ey-concepts/toxic-stress/In Brief: Resilience s/inbrief-resilience-series/Trauma-Informed Practice with Indigenous Peoples across the Life Span1 hour 12 peoples-across-life-span9
LEVEL 3LEVEL 3Increased learning on TIC and therecognition of the inherent worth anddignity that all persons own.“Not every story has a happy ending, .but the discoveries of science, theteachings of the heart, and the revelations of the soul all assure us thatno human being is ever beyond redemption. The possibility of renewalexists so long as life exists. How to support that possibility in others and inourselves is the ultimate question.”Gabor Maté, In the Realm of Hungry Ghosts: Close Encounters with AddictionmultimediaTED Talk Ernesto Sirolli: Want to Help Someone? Shut up and Listen!17 minuteshttps://www.youtube.com/watch?v 10Su8LUjNsU&feature youtu.beTEDxRC2 Alberto Cairo: There are no scraps of men19 minuteshttps://www.ted.com/talks/alberto cairo there are no scraps of men?language enBrenè Brown on Empathy3 minuteshttps://www.youtube.com/watch?v 1Evwgu369Jw&feature youtu.beTEDxCSU Understanding PTSD’s Effects on Brain, Body, and Emotions Janet Seahorn19 minuteshttps://www.youtube.com/watch?v BEHDQeIRTgsTED Talk The Secret to Living Longer May be Your Social Lifehttps://www.ted.com/talks/susan pinker the secret to living longer may be your social life?language en“Without dignity, identity is erased.”― Laura Hillenbrand, Unbroken: A World War II Story of Survival, Resilience and Redemption10
LEVEL 3Tools and ResourcesLEVEL 3PEARR Tool: Trauma-Informed Approach to Victim Assistance in Health Care Settings a/documents/PDFs/PEARRToolm15NoField2019.ashx?la en&hash F14648F8505CF79BAA9B62B87B6C584802673D3A How to use the PEARR Tool: med/using-the-pearr-toolRecovery Stories: Tonierhttps://www.youtube.com/watch?v mFPAq7BszacThe Future of Healing: Shifting From Trauma-Informed Careto Healing Centered Engagement ng-centered-engagement-634f557ce69cTOOLKITBC ProvincialMental Health and Substance UsePlanning Council.Trauma-Informed Practice Guide 05/2013 TIP-Guide.pdfTrauma-Informed Toolkit /2013/10/Trauma-informed Toolkit.pdf11
LEVEL 3Essays and ArticlesDignity is Delicate (2018)Remy eal-with-remarkably-shallow-rootsThe Respect Deficit: Economic inequality is an Urgent Problem. Deeper Still is Our Loss of Mutual Respect,the Foundation of a Fair Society (2018)Richard V. /08/09/the-respect-deficit/Action Steps Using ACEs and Trauma-informed Care: A Resilience Model (2017)Laurie l.com/articles/10.1186/s40352-017-0050-5Adverse Childhood Experiences and Trauma Informed Care: The Future of Health Care (2016)Resmiye Oral et sion Fatigue (2018)Cheryl gue/Efficacy, Hope, Optimism and Resilience at Workplace - Positive Organizational Behavior (2013)Akshay rp P221891Responding to Childhood Trauma: The Promise and Practice of Trauma-Informed Care (2006)Gordon R. Hodas, spondingHodas.pdfThe Three Pillars of Trauma-informed Care (2008)Howard -ca6bb629a442.pdfKey Ingredients for Successful Trauma-Informed CareImplementation (2016)Christopher Menschner & Alexandra Maulhttp://www.chcs.org/media/ATC whitepaper 040616.pdf“Never doubt thata small groupof thoughtful,committed citizenscan change the world;indeed, it’s the onlything that ever has.Always rememberthat you are absolutelyunique. Just likeeveryone else.”Margaret Mead a12
LEVEL 3LEVEL 3Further Reputable Resources for Self ExplorationBessel van der Kolk M.D.The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma (Book)Overcoming Trauma with Yoga5 minuteshttps://www.youtube.com/watch?v MmKfzbHzm sLaura van Dernoot LipskyTrauma Stewardship: An Everyday Guide to Caring for Self While Caring for Others (Book)Laura van Dernoot Lipsky and Connie Burk.TED Talk Beyond The Cliff19 minuteshttps://www.youtube.com/watch?v uOzDGrcvmusDr. Gabor MateIn the Realm of Hungry Ghosts (Book)TED Talk The Power of Addiction and The Addiction of Power19 minuteshttps://www.youtube.com/watch?v 66cYcSak6nE&vl enJohann HariChasing the Scream: The First and Last Days of the War on Drugs (Book)TED Talk Everything you Think You Know About Addiction Is Wrong15 minuteshttps://www.ted.com/talks/johann hari everything you think you know about addiction is wrongDr. Bruce Perry:The Boy Who Was Raised as a Dog: And Other Stories from a Child Psychiatrist’s Notebook--WhatTraumatized Children Can Teach Us About Loss, Love, and Healing (Book)The Importance of Early Childhood and Relationships18 y-s-most-fascinating-organ-the-brainNadine Burke HarrisThe Deepest Well: Healing the Long-Term Effects of Childhood Adversity (Book)TED Talk How Childhood Trauma Affects Health Across the Lifespan16 minuteshttps://www.ted.com/talks/nadine burke harris how childhood trauma affects health across a lifetime?language enDr. Michael UngarChange Your World: The Science of Resilience (Book)Resilience Research Centre at Dalhousie University chael/watch-dr-ungar/13
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this toolkit is to build a better understanding of what trauma is and how trauma affects the thoughts, actions and behaviours of people affected by it so that we can come together in solidarity . coronavirus-anxiety-workbook/ 4 Ways to Practice Trauma-Informed Healing During COVID-19
Trauma Informed Care is not necessary. 17 13 42% Principal Support for TIC Most of my respected peers have embraced TIC. 17 13 42% The top leaders in this organization are "walking the talk". 11 13 34% The top leaders support TIC. 20 14 48% My respected peers are dedicated to making TIC successful. 17 14 44%
Tabla 2. Definición de TIC según países Definición Total LAC A. Sur A. Central Caribe Países que tienen una definición de TIC 6 4 1 1 Países que trabajan en una definición de TIC 3 3 0 0 Países que no han abordado el tema de TIC 11 3 2 6 Total 20 10 3 7 Definición de TIC que ha sido adoptada por Colombia y México: Colombia:
The Material Science of Trauma 13 3. The Inner Science of Trauma 29 4. The Architecture of Collective Trauma 61 5. The Wisdom of Collective Trauma 85 6. A Group Process for Integration 119 7. Guidance for Facilitators, Therapists, and Healers 151 8. Picture of a Traumatized World 171 9. Vis
Behind the Term: Trauma Prepared in 2016 by Development Services Group, Inc., under contract no. HHSS 2832 0120 0037i/HHSS 2834 2002T, ref. no. 283– 12–3702. 1 Behind the Term: Trauma Related terms: complex trauma, historical trauma, human-caused trauma, naturally caused trauma, trauma,
categories of trauma as a framework for trauma assessment. “Little t” trauma “Big T” trauma Complex trauma “Little t” Trauma “Little t” trauma involves events that we encounter day to day that can make life difficult but are not out of the ord
The assessed content included prima - ry survey, secondary survey, airway and ventilation, circulation, shock, thoracic trauma, head/spinal trauma, abdomen/pelvis trauma, musculoskeletal trauma, paediatric trauma, geriatric trauma, obstetric trauma, trans - fer of care, and other course specific inclusions.
Historical trauma - Cumulative emotional and psychological wounding from massive group trauma across generations, including lifespan Historical trauma response (HTR) is a constellation of features in reaction to massive group trauma, includes . historical unresolved grief (similar to Child of Survivors Complex re: Jewish Holocaust survivors and
1000 days during pregnancy and the first 2 years of life, as called for in the 2008 Series. One of the main drivers of this new international commitment is the Scaling Up Nutrition (SUN) movement.18,19 National commitment in LMICs is growing, donor funding is rising, and civil society and the private sector are increasingly engaged. However, this progress has not yet translated into .
