International Association of Chiefs of Police

Transcription

1 International Association of Chiefs of Police Protecting Children of Arrested Parents: Using a Trauma-informed Approach November 5, 2014

2 Webinar Housekeeping Participants who prefer to dial in can click on the phone icon Teleconference information will then appear on screen here All participants will be muted throughout the webinar Participants will automatically hear the audio broadcast through their computer speakers.

3 Webinar Housekeeping Participants can view others attending the webinar The Chat feature allows participants to communicate with the host or presenter and seek technical assistance if needed. The Q & A section will be utilized to submit all questions about material being presented.

4 Moderator Sabrina Rhodes Project Specialist Juvenile Justice and Child Protection Initiatives International Association of Chiefs of Police (IACP)

5 Help us Count! 5

6 Webinar Objectives Successes and challenges in implementing a children of arrested parents policy in a major city police department Tips and tactics that can be used to minimize trauma to children of arrestees An overview of trauma and a trauma-informed approach for law enforcement Guidance on how law enforcement policies and procedures can be trauma-informed when safeguarding children of arrested parents 6

7 POLL QUESTION #1

8 Philadelphia Police Department Francis T. Healy, Esq. Captain Special Legal Advisor to the Commissioner Philadelphia Police Department

9 Police and Children of Arrested Parents Step 1: Recognize that police actions impact the physical, emotional and psychological well-being of children.

10 Police and Children of Arrested Parents Step 2: Decide whether your Department is willing to assume the ethical, moral and possibly legal responsibility for these children. Is this really an option?

11 Police and Children of Arrested Parents Step 3: Law Enforcement must recognize that policy alone will not address or solve this problem. When dealing with children, multiple stakeholders are involved.

12 Police and Children of Arrested Parents Step 4 Since multiple stakeholders are involved, Law Enforcement must understand that each stakeholder may have similar, but often different agendas.

13 Police and Children of Arrested Parents Step 5: Law Enforcement must take a leadership role in bringing all stakeholders together and developing a common mission, with specific duties and responsibilities assigned.

14 Police and Children of Arrested Parents WHY? All stakeholders in a jurisdiction are interested in the best interest of children, but all have different agendas. Police policy cannot be myopic and must transcend the individual department to be functionally effective.

15 Police and Children of Arrested Parents Step 6: Physically meet with other stakeholders/policymakers to ensure final police policy is accepted, supported and integrated into the stakeholders Standard Operating Procedures.

16 Questions submitted during the presentation will now be addressed!

17 Substance Abuse and Mental Health Services Administration (SAMHSA) Rebecca Flatow Public Health Analyst Office of Policy, Planning, and Innovation Substance Abuse and Mental Health Services Administration (SAMHSA)

18 SAMHSA s Comprehensive Public Health Approach to Child Trauma and Protecting Children of Arrested Parents November 5, 2014, 3:00 to 4:00 PM EST IACP Webinar on Protecting Children of Arrested Parents Rebecca B. Flatow, J.D., M.S.S.W

19 SAMHSA s Trauma and Justice Strategic Initiative 19 Implement and study a trauma-informed approach throughout health, behavioral health, and related systems. Create capacity and systems change in the behavioral health and justice systems to prevent the entry or deeper involvement of individuals with mental, substance use and co-occurring disorders into the justice system and support re-entry into the community to further public safety and personal recovery. Reduce the impact of disasters on the behavioral health of individuals, families, and communities.

20 The Central Role of Trauma School Problems, Incarceration Homelessness, Relationship & Job Problems Violence and Trauma Substance Abuse, Parenting Problems Suicide PTSD Depression Schizophrenia Mental Health Problems

21 The Impact of Trauma Trauma is cumulative Trauma affects the developing brain Trauma increases likelihood of health risk behaviors (smoking, drinking, overeating) as means of coping Trauma is directly related to mental health symptoms, substance abuse, chronic physical illness, early mortality

22 Trauma and Co-Occurring Disorders Now understood to be an almost universal experience of public mental health, substance abuse and social service consumers. Trauma survivors are at a much higher risk for co-occurring mental and substance use disorders, violence victimization and perpetration, self-injury, and a host of other risks/coping mechanisms which have devastating human, social, and economic costs. 22

23 Trauma Prevalence While most people experience at least one traumatic event in their lifetimes, studies indicate that as many as 43 to 80% of men and women in psychiatric hospitals have experiences physical or sexual abuse, most of them as children. Up to two-thirds of both men and women in substance abuse treatment report childhood abuse or neglect. 23

24 Adverse Childhood Experiences Study The ACE study was a research collaboration between the Centers for Disease Control and Prevention (CDC) and the Kaiser Permanente Health Appraisal Clinic in San Diego that took place from 1995 to The study examined health outcomes of over 17,000 Kaiser members in relation to events in their childhood. Each of the participants was asked a range of questions about Adverse Childhood Experiences (ACEs) and various health outcomes. The study found that adults who reported multiple adverse experiences in childhood were much more likely to suffer a range of negative health and social outcomes in adulthood including depression, substance use, alcoholism, smoking, suicide, heart disease, lung disease, injuries, HIV/sexually transmitted diseases, and impaired work performance.

25 Impact of Trauma Over the Life Span Effects of childhood adverse experiences: neurological biological psychological social (Felitti et al., 1998)

26 ACEs and Negative Outcomes 60% 50% 40% 30% 20% 10% 0% ACEs and Negative Outcomes ACE Score Depressed Mood for 2+ Weeks in Past Year Current Smoker Ever Used Illicit Drugs Considers Self an Alcoholic Ever Attempted Suicide

27 ACEs Underlie Chronic Depression in Adults % With a Lifetime History of Depression >=4 ACE Score Women Men

28 Adverse Childhood Experiences (ACEs) Underlie Suicide % Attempting Suicide ACE Score

29 Adverse Childhood Experiences and Current Smoking % or more ACE Score

30 ACES and Adult Alcoholism % Alcoholic ACE Score

31 SAMHSA S CONCEPT OF TRAUMA RELEASED OCTOBER 2014

32 SAMHSA s Concept of Trauma and Guidance for a Trauma-Informed Approach Gain shared understanding of what we mean by trauma and a trauma-informed approach (TIA) Get agreement to enable discussions of trauma/tia across different service sectors Provide the basis for measurement Provide the basis for training and technical assistance

33 SAMHSA s Concept of Trauma The 3 Es Individual trauma results from an event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or life threatening and that has lasting adverse effects on the individual s functioning and mental, physical, social, emotional, or spiritual well-being. From SAMHSA s Concept Paper

34 A Trauma-Informed Approach (Four R s) A trauma-informed program, organization, or system: Realizes Realizes widespread impact of trauma and understands potential paths for recovery Recognizes Recognizes signs and symptoms of trauma in clients, families, staff, and others involved with the system Responds Responds by fully integrating knowledge about trauma into policies, procedures, and practices Resists Seeks to actively resist re-traumatization From SAMHSA s Concept Paper

35 Key Principles of a Trauma-Informed Approach Safety Cultural, Historical, and Gender Issues Trustworthiness and Transparency Empowerment, Voice, and Choice Peer Support Collaboration and Mutuality

36 Guidance Domains for a Trauma- Informed Approach Governance and leadership Policy Physical environment of the organization Engagement and involvement Cross sector collaboration Screening, assessment, and interventions Training and workforce development Progress monitoring and quality assurance Financing Evaluation

37 POLL QUESTION #2

38 Governance and Leadership

39 Policy

40 Engagement and Involvement

41 Cross Sector Collaboration

42 Trauma-Related SAMHSA TA Centers

43 Collaboration with Juvenile Justice: Attorney General s Defending Childhood Initiative Connections with Law Enforcement and the Juvenile Justice System (trauma training for judges, family and youth courts, detention, etc.) Children Exposed to Violence (grants and task force with a focus on trauma interventions) National Forum on Youth Violence Prevention 10 cities initiative Joint State Juvenile Justice Policy Academy trauma focus, screening, treatment, court personnel training, 2014

44 Contact Information Rebecca B. Flatow, J.D., M.S.S.W. Public Health Analyst Office of Policy, Planning, and Innovation Substance Abuse and Mental Health Services Administration

45 Moderator Sabrina Rhodes Project Specialist Juvenile Justice and Child Protection Initiatives International Association of Chiefs of Police (IACP)

46 Bureau o f Justice A s s i s t ance INTERNATIONAL ASSOCIATION OF CHIEFS OF POLICE Safeguarding Children of Arrested Parents U.S. De partment of Justice

47 IACP/BJA Children of Arrested Parents Project Model Policy and Concepts Paper: Online and Classroom training Fact Sheet & Pre-Arrest/Arrest Checklist Webinar Series Technical Assistance Police Chief Magazine Feature Article Roll Call Training Video

48 Questions submitted during the presentation will now be addressed!

49 For more information on IACP s Children of Arrested Parents Project, contact: Sabrina Rhodes iacpyouth@theiacp.org THE-IACP x Webinar handouts: