KSOC-TV: Trauma-Informed Approaches for Caring for Every Child’s Mental Health


Good afternoon, everyone, and
thanks for being with us today.
If this is your first time joining us, KSOC stands for the
“Knowledge Network for Systems f
Care” or systems of care television. I’m Gary Blau,
Chief of the Child, Adolescent
and Family Branch of the Substance
Abuse and Mental Health Services
Administration or SAMHSA. KSOC-TV gives SAMHSA the
opportunity to share timely,
relevant, technical assistance n critical issues related to
mental health needs of children,
youth and families. During our August webisode, we
discussed the specific mental
health needs of children and
youth who are LGBTQ, lesbian, gay,
bisexual, transgender or
questioning. That and previous webisodes are available for
viewing on demand at
www.samhsa.gov/children/multimei
a. Let’s get started with today’s
topic, taking a TRUMD TRUMD
approach to caring for every child’s mental health. We know
that a key aspect of trauma is
the risk that individuals can actually re-experience
trauma when it’s being discusse.
So we urge you to make sure that you have support available
if you need while you’re watchig
the program. Part of our work at SAMHSA is to ensure
that all people, including
children, young adults and their families, have access to
services and support that can
meet their behavioral health needs. But what if the very
systems designed to serve them
unintentially induce or exacerbate trauma? This has been
a key concern in the behavioral
health community, leading experts to rethink the approach
to providing services,
particularly to those who have already experienced trauma. Our
program today will discuss
SAMHSA’s definition of trauma, the long-term effects of
unaddressed trauma, and ways tht
communicates can work together to minimize the impact of trauma
through trauma-informed services
and intervention. Throughout out today’s
discussion we encourage you to
join the conversation by tweetig questions to hashtag #KSOCTV all
one word, KSOCtv, clicking the
“Ask a Question” above your screen or by calling
1-800-527-1401. Now before we
begin, let’s check in on what’s happen nothing children’s mental
health and systems of care acros
the country. Stephanie Dukes is at our
newsdesk with the latest
headlines.>> Stephanie Dukes: Thank,
Gary. Here are our top stories.
Illicit drug use is decreasing according to SAMHSA
national survey on drug and
alcohol use. The survey showed a slight decline of .7 between
2012 and 2013, and a 2.8% declie
since 2002. The survey also looked at binge-drinking
among 12-20 year olds. Rates
varied widely across the country, with a low of 9.2% in
Shelby County Tennessee to high
of 46.3% in the District of Columbia’s Ward 2.
SAMHSA is working to address the
problem of underage and binge drinking with the “Talk
They Hear You” campaign. The
effort helps parents and caregivers start talking to
their children as early as nine
years old about the dangers of alcohol. Resources for parents
are available at SAMHSA.gov.
Connecticut Heath officials have made the move away from
seclusion and restraint in the
care of those of mental health problems. State-run hospitals
are beginning to incorporate
trauma-informed care featuring a patient centered approach that
doesn’t involve outdated physicl
intervention. Pat Rehmer, the state’s
commissioner of the Department f
Mental Health and Addiction Services says that the move has
led to shorter hospital stays ad
quicker return to life in the community. State mental
health officials in Ohio also ae
working to incorporate a more trauma-informed approach,
particularly with those in the
child welfare system. The Ohio trauma-informed care
initiative is educating
organizations about how to
recognize trauma. They’re learning to
interact with children in a way
that takes into account the guard of their past experiences.
The child trend reports that one
in seven Ohio children has been exposed to more than
three traumatic experiences.
Leaders in Tarpon Springs, Florida, are showing they
understand the importance of
trauma-informed practices. The city is the first in the nation
to declare itself a
trauma-informed community.
Through the Peace for Tarpon Initiative
initiative, the city gathered
representatives from churches, school, child welfare,
justice, health, housing and the
community at large. Housing and schools were early
adopters of the people-centered
approach result nothing more dialogue and engage WMENT
community members and students
who had experienced trauma. The lessons from Tarpon Springs
are being spread throughout the
country with cities like Topeka, Kansas, Michigan and
Meadville, Pennsylvania, seeking
advice on starting their own trauma-informed programs.
Tarpon Springs’s story is
featured in Dr. Robert Anda’s Community Resilience Cookbook,
available at Community Resiliene
Cookbook dot org. Finally, emotional videos and
training about trauma-informed
care are among the offerings at new web portal from the
Georgetown University National
Technical Assistance Center for Children’s Ment AP California
health. The comprehensive
learning tool features diverse points of view from
administrators, youth, family
members and others. The site is designed to reinforce Federal,
SDPAT local efforts to become
more trauma informed. That’s the news, back to you, Gary.>>Gary Blau:. Thanks,
Stephanie. It seems like there
is a lot going around these days about the issue of trauma. Our
guests today are right at the
center of these important discussions. I’m pleased to
introduce Dr. Larke Huang,
Director of the Office of Behavioral Health Equity at
SAMHSA, she’s also SAMHSA’s
strategic initiative lead on trauma injustice. Kay Connors,
Program Director at the FITT Center Department of
Psychiatry part of SAMHSA child
traumatic stress network. And Che Bullock, a young adult
trauma survivor. Welcome to all
of you. Today we’re going to spend some time specifically
talking about how healthcare
providers and social services, juvenile justice, other child
serving agencies can adopt a
trauma informed approach to help promote healing and
recovery. So let’s begin our
discussion about trauma and effectos children and youth.
I’m going to actually start and
turn to Kay. Kay, can you help us to define trauma for our
audience? I mean, what exactly s
trauma?>> Kay Connors: I’m going to
use the definition that Larke ad
her team worked carefully on. I think it really is
helpful way for everybody to
understand trauma and the idea there is three E’s to keep in
mind. The first “e,” trauma is
an event and in our mental health world, it’s one of the
few issues that we recognize
starts with an event outside of the person. It can affect one
person in the family or can
affect everybody in the family. Many families we work
with tell us if one family membr
is hurting it affects the whole family. The second “e,”
is the experience of trauma, an
event happened and then we each as individuals have
our own experience of that and
children at whatever developmental stage they are,
wherever they are in their path
of growing up, it affects each of them differently. It’s
going to affect an infant or
toddler in a DAFRNT way than it is going to affect a
teenager, though both are
critical points in time in their development and they really need
support and family understanding
and caregiver understanding, primary care
providers, teachers, mental
health affects all of us. The last “e,” is the effects. For
those of us that are any kind of
child or family-serving system, we’re really interested
in what is the effect of that
traumatic experience on a child and their family? So if
the event happened in school, hw
does that affect the child’s performance in school
and the classroom? If it affectd
the whole community, how is the community bouncing back
after such a difficult event? If
it’s a difficult issue like a family violence
situation, how are the parents
and the children experiencing
what is the effect on the whole
family? We know — You were
talking about the events, the insurance, the effects, can you
give some examples of in terms f
like the traumatic events, what some of those
actually might be?>> Kay Connors: So you know in
our country we certainly been
impacted by natural disasters, hurricanes,
earthquakes, you know, very
unusual, difficult storm events,
so that can be something that would
affect the whole community. For
some families that are dealing with issues related to
the child welfare, protection of
their children, it might be struggling with issues around
regret or family violence and
that impacts kids and families overall. Certainly
some of our kids and teachers
have — and parents, have been impacted by violence in schools,
bullying or other unsafe things
happening in schools. Community violence, as well.>>Gary Blau: Uh-huh. And then,
so in terms of these kind of
events, I’m going to actually shift gears and talk to
Che for a minute, you heard Kay
defining some of the trauma issues here. You’ve had
real first-hand experience with
trauma and a particularly traumatic event and can you talk
a little bit about that for our
audience?>> Che Bullock: Yeah, the
event I experienced, it was
life-threatening. I was actualy stabbed nine times at a local
night club. During that time, I
was in the streets a lot and by being in the streets, you
observe a lot of enemies and it
was a hit put out on my life saying that they wanted me
deceased. So I was at the club,
maybe two or three guys got into an altercation, one guy
stabbed me nine times. First I
had accepted habit, I can’t take that back. Hard to
move on, I have to accept it. I
accepted it and brick by brick, moved past it. So –>>Gary Blau: Uh-huh. And so
this was sort of the culmination
of a whole bunch of activities that obviously got
you into this situation and you
have also, I think, had a longer-term experience, perhaps,
even with involvement with folks
that may not have always been in the best role models and
things in terms of your history?>>Che Bullock: Yes. I
experienced another — I guess
people that really know I guess right from wrong, they
understood you are not supposed
to do things, but because of our current situation, we felt like
we had to. I think that comes
from not having high human capital or high social capital,
focus on financial capital,
always worried about money. Of course, money is the root of
things, who knows where it can
go. So — Uh-huh. You had involvement with gang in
terms of inner city kind of
things.>>Che Bullock: Yes, yes. The
gang was more, I wanted to be
loved, shown some type of attention. Growing up where I
grew up, we didn’t have I guess
that base feeling at home, it just wasn’t there. So we
reached out, I reached out to te
streets and the streets showed me — not good love, but
some type of attention and thats
what I was running for.>> At first you were embraced
by this and not realizing
subsequent events would literaly

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