Making Wisconsin the Leader In Trauma Informed Care

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1 Making Wisconsin the Leader In Trauma Informed Care Tonette Walker First Lady of Wisconsin Carol Howard Director, Fostering Futures Fredi-Ellen Bove Administrator, Division of Safety and Permanence Bonnie MacRitchie Children s Mental Health Program and Policy Analyst Kimberly Wild - Family Preservation, Support, and Reunification Analyst Larry Winter Director, Chippewa County Department of Human Services

2 Presentation Introduction: Background on Fostering Futures and Wisconsin Trauma Project Fostering Futures Phase II project Wisconsin Trauma Project: Expansion County Perspective

3 Fostering Futures Fostering Futures is a public-private collaborative supported by Wisconsin First Lady Tonette Walker to promote the integration of trauma-informed practices in all systems affecting children and families, supported by state policies that make this practice work, leading to the longterm goal of improving health and socio-economic outcomes for families and children in Wisconsin. Started in Fall 2011 Phase I: Jan Dec focused on 3 pilot sites

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5 Wisconsin Trauma Project Comprehensive approach to create a more traumainformed and responsive child welfare system through training, skill development and collaboration. Administered by WI Dept of Children and Families. Started in 2012 with 3 counties and 1 Tribe : 12 additional counties

6 Impact of Adverse Childhood Experiences (ACEs)

7 : Trauma-Informed Landscape in Wisconsin DCF Fostering Futures Advancing Trauma-Informed Care

8 : Trauma-Informed Landscape in Wisconsin DCF Fostering Futures Advancing Trauma-Informed Care

9 : WI Trauma Project & Fostering Futures Trauma Focused-Cognitive Behavioral Therapy (TF-CBT) the Child Trauma-informed Parenting the Family Fostering Futures Trauma-informed Learning Communities the System

10 : WI Trauma Project & Fostering Futures 2016 TF-CBT 25 counties and 1 tribe Trauma-informed Parenting 11 counties and 1 tribe Fostering Futures Trauma-Informed Care Learning Community 13 counties 2017 & 2018 Capacity for: 450 more clinicians to be trained 20 more Trauma-informed Parenting workshops 12 more counties in a Fostering Futures Trauma-Informed Care Learning Community

11 Fostering Futures About Phase 1 pilot Lessons Learned About Phase 2

12 Fostering Futures: Phase 1 A two-year pilot project designed to translate scientific evidence about Adverse Childhood Experiences (ACEs), trauma-informed care (TIC), and resiliency into communities with a focus on systems of care that impact Wisconsin children and families.

13 Steering Committee Pilot Community Pilot Community Pilot Community Rural Tribal Urban Policy Advisory Council Core Team Core Team Core Team Advisory Group Advisory Group Advisory Group Evaluation Partner Marketing Partner

14 Phase 1: Primary Project Strategies Peer Learning Collaborative (PLC) Media/marketing campaign A blueprint (website)

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17 Successes and Lessons Learned Successes Increased personal knowledge of TIC Increased use of principles in interactions with others Enhanced team cohesiveness Collaborative, bipartisan PAC Lessons Need organizational teams Need organizational leadership participation Need structured implementation model

18 About Phase 2 : Advancing the TIC Learning Community Focus on implementation of TIC in child welfare agencies and in governmental systems to stimulate the creation of policies/systems change that advance TIC ultimately improving the health and well-being of Wisconsin s children and families

19 Participants in Fostering Futures Phase II/Trauma Project Systems Change County Participants: Adams, Barron, Chippewa, Dane, Door, Fond du Lac, Jackson, Kewaunee, Oneida, Price, Sawyer, Sheboygan, and St. Croix State Participants: DHS/Public Health, DHS/Children s Long- Term Supports, DCF/Department-wide, DCF/Division of Milwaukee Child Protective Services, Department of Corrections, Department of Workforce Development, Department of Veteran Affairs, WI Economic Development Corporation

20 Learning Community Self Selection Conferences National Coaches Tools & Know-how Webinars Local Coaches

21 National Council for Behavioral Health The Seven domains of Trauma-Informed Care 1 Early screening and comprehensive assessment 2 Consumer driven care and services 3 Trauma-informed, educated and responsive workforce 4 Trauma-informed, evidence-based and emerging best practices 5 Safe and secure environments 6 Community outreach and partnership building 7 Ongoing performance improvement and evaluation

22 TF-CBT Learning Collaborative Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) Evidence-based treatment Short-term intervention with defined beginning, middle and end Improves trauma-related outcomes in children/adolescents, ages 3 to 18 TF-CBT Learning Collaborative 12 month training process Training and consultation provided by NCTSN national trainers

23 How will this support the county service array? Introduce evidence-based trauma screening, assessment and treatment into county service array Effective trauma intervention for CPS-involved children and families Data tracking for continuous quality improvement Early outcomes in Wisconsin

24 Participant Feedback The Trauma Project is one of the pivotal initiatives that DCF is supporting and funding within our state that has the potential to significantly reduce the intergenerational transmission of trauma as we help children heal. -Nancy Pohlman, Manager of Children and Family Services, La Crosse County

25 Participant Feedback TF-CBT has provided additional tools and structure to interventions that have been a part of my practice. Children and caregivers explain to me that it works. Symptom reduction from beginning to middle to final assessment is a concrete measure of progress made through TF-CBT. -Tracy Mayer, LCSW, Rock County

26 Trauma-Informed Parenting training 16-hour curriculum for Birth Parents, Foster Parents, Adoptive Parents and Relative Caregivers and agency Social Workers Knowledge and skill development Strong partnerships Consultation and support Local team of skilled trainers dcf.wisconsin.gov

27 What will participants learn? To recognize and respond to behaviors that result from trauma. The effects of trauma on child development Methods to show their child he or she is safe Tips for effectively advocating for their child Strategies for taking care of themselves

28 Participant Reactions Foster Parent: I feel better prepared to face the behaviors from my foster daughter with what I ve learned at the training. Kinship Caregiver: I now understand more about brain development and what their actual age is Ongoing Worker: I really liked the cognitive triangle [concept] and anticipate using that professionally or with foster placements in the future.

29 What kind of support will my county receive? Kick-off webinar Detailed implementation checklist with accompanying documents Weekly consultation calls with Master Trainer Site visits from DCF staff and Master Trainer

30 2017 Application Will be released in Fall 2016 Will be asking DCF BRO staff to distribute to Directors via Contact for questions: Bonnie MacRitchie

31 Chippewa County Wisconsin Trauma Project Journey

32 Trauma Focused-Cognitive Behavioral Therapy Partnering with three local agencies that work with Child Welfare youth: 1. LE Phillips (2 therapists) 2. Children s Service Society of Wisconsin-Eau Claire (2 therapists) 3. Vantage Point Clinic (2 therapists) All starting their training in August of 2016.

33 Trauma Focused-Cognitive Behavioral Therapy Agencies are excited to participate. Working collaboratively with agencies helps build working relationships for better outcomes. All agencies thanked Chippewa County for the opportunity to participate in this project. Clinicians trained in Trauma Focused-Cognitive Behavioral Therapy report the training has dramatically improved their understanding of trauma.

34 Trauma Informed Parenting Almost finished with the first 8 week parenting training series. Participants report that the training is informative, helpful, and enjoyable. Diverse population: Teachers, GAL, Priest, Principal, foster parents, and parents attending. 4 trainers being trained for sustainability.

35 System change Core implementation team is a subcommittee of the Children Youth and Families Committee in Chippewa County. 9 member core team (One consumer) 6 home team members (Consumer, community partners, school district, and corporation counsel)

36 System Change Mission: To expand opportunities for individuals to receive trauma informed interventions by enhancing efforts for the communities of Chippewa County and their residents to become skilled in trauma informed practices. Vision: A community that seeks to understand individual s life experiences and empowers them to thrive.

37 Chippewa County Department Of Human Services Trauma Project Contact: Connie Fedie Trauma Project Coordinator

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