Organizational Structure of. Trauma Informed Care KELLI MILLER FRONTIER BEHAVIORAL HEALTH BRIAN SCHAEFFER SPOKANE FIRE DEPARTMENT

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1 Organizational Structure of Trauma Informed Care KELLI MILLER FRONTIER BEHAVIORAL HEALTH BRIAN SCHAEFFER SPOKANE FIRE DEPARTMENT

2 National Council for Behavioral Health Care 7 Domains of Trauma Informed Care Early Screening and Assessment Consumer Driven Care and Services Nurturing a Trauma-Informed and Responsive Workforce Evidenced Based and Emerging Best Practices Creating Safe Environments Community Outreach and Partnership Building 2 Ongoing Performance Improvement and Evaluation 15

3 Kelli Miller, Director of Compliance and Clinical Support

4 Kelli Miller, Director of COMPLIANCE AND Clinical Support

5 Why Trauma Informed Care? ACES study: 2/3 of participants reported at least one ACE The greater the ACES score, the greater the risk as an adult. Prevalence of Trauma: 66% of individuals in Substance Use Disorder Treatment 90% of people in Mental Health Services 77% of male Veterans 18

6 The big roll out 20 All-staff Presentations Demonstrate leadership buy-in Why TIC? TIC is not more work Encouraged and Supported Participation Incorporated TIC presentation into New Hire Orientation

7 TIC vision STATEMENT Your health. Your choices. Your life. Help for today. Hope for tomorrow.

8 Getting started TIC Team Leads Core Implementation Team Staff sign up Selecting teams and alternate members Representation from all program areas

9 Meeting structure Guiding Principles Agendas Meeting minutes Identifying and Prioritizing Goals Access to resources provided by the National Council for Behavioral Health Care Minimum of twice-monthly meetings

10 Moving IDEAS forward Bi-monthly meeting of Core Implementation Team Bi-monthly meeting of TIC Team Leads Project Management Tool Green light, yellow light, red light Involve others as necessary Create communication between decision makers and team members Ongoing Communication All-staff Community partners

11 Project management tool Other Domains to work with/consid Further Implementation Approv Team Member alyes/n Date Recommendations er Names o By whom requested Carole and Facilities & Lobby signage N/A Aaron Yes Furniture respects Thea and Jai- Facilities & personal space N/A Linn Yes Reading material is Carla and Facilities & available N/A Craig Yes Beverages are provided Aaron and Facilities & in the lobbies N/A Carole Yes No loud noises or Facilities & slamming doors N/A Mike Yes TVs available in all lobbies Comment forms and postings displayed and available Initial greeting is welcoming Ensure that lobbies are safe and clean Food or snacks are available in lobby All staff required to wear lanyards Proximity cards for doors N/A Domain II (Esa) Mike and Carla Kelli, Aaron, Carla, Thea Yes Yes Lorem Ipsum is simply dummy text Date received Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since. Projected Costs/Investme nts (time, money, equipment, etc.) Implementation Plan (include actions, timelines and communication strategies) Safety 11/02/15 11/02/15 TBD Will be updated 1/5/16 Safety 11/02/15 11/02/15 TBD Will be updated 1/5/16 Safety 11/02/15 11/02/15 TBD Will be updated 1/5/16 Safety 11/02/15 11/02/15 TBD Will be updated 1/5/16 Safety 11/02/15 11/02/15 TBD Will be updated 1/5/16 Facilities & Safety 11/02/15 11/02/15 TBD Will be updated 1/5/16 Facilities & Safety 11/02/15 11/02/15 TBD Will be updated 1/5/16

12 Ongoing communication

14 NEXT STEPS Keeping the momentum going Teams continue to meet Incorporate TIC into standard operations Continue to champion TIC Collaborate with partners

15 LESSONS LEARNED Developed Project Management tool too late Pull from alternative list sooner rather than later Culture & Language: Becoming to We Are

16 Fire Service Traditional Organization Hierarchical and Paramilitary Teamwork Self-care, wellness, mental support (???)

17 Fire Service Traditional Organization Hierarchical and Paramilitary Teamwork focused Cultural stigma

18 Risk Factors Mission first help everyone Profound physical and psychological risks Maladaptive coping techniques Sleep deprivation

19 Strategic View Application of the Seven Domains of TIC SFD Department Psychologist Peer Support Program Evaluating the EAP Program Supervisor Training Resources (Portal /

21 FD Challenges Denial FD Suicides Continue to Rise Empirical Data limited Surveillance No Quick Fix Behavioral Health & Wellness Programs $$$

22 Organizational Structure of Trauma Informed Care KELLI MILLER FRONTIER BEHAVIORAL HEALTH BRIAN SCHAEFFER SPOKANE FIRE DEPARTMENT

Workplace Peer Support It Works! Lyne Wilson, Director, Human Resources and Employee Relations, NAV CANADA, Ottawa March 25, 2015, Noon-1:00 p.m.

Workplace Peer Support It Works! Lyne Wilson, Director, Human Resources and Employee Relations, NAV CANADA, Ottawa March 25, 2015, Noon-1:00 p.m. ET Important! Send questions/comments to: All Participants