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Trauma-Sensitive Services
MVBCN Overview > FOR PROVIDERS > Trauma-Sensitive Services

Trauma-Sensitive Services

In 2001, MVBCN began to explore ways to improve what we offer to trauma survivors, with an initial focus on those who frequently used crisis or hospital services. We launched a year-long discussion among consumers, providers, and program managers which created a regional vision of a trauma-informed system.
Oversight of the BCN’s Trauma Survivors Project is the responsibility of an Administrative/Oversight committee which includes significant consumer representation. Below is a list of the major systems change efforts so far, and supporting materials.
- Extensive clinical and support staff training on the high prevalence of trauma and the need for trauma informed care. Trauma 101 is offered several times each year to educate clinicians about the pervasiveness of trauma experience and elements of trauma sensitive care
  • Trauma and the Brain (PDF) - These slides from the Trauma 101 training demonstrate how traumatic events are processed and store in the brain
- Addition of trauma screening as a required element of assessment at each point of entry into services.
- Trauma Peer Support contracted through Project ABLE. Click HERE for information.
- Development of a consumer-centered Personal Action/Crisis Prevention Plan.
- Inclusion of questions on our annual consumer satisfaction survey to determine consumer awareness of trauma and abuse as contributors to mental health and addictions problems, and the extent to which trauma is considered in care.
- Development of a Trauma Sensitive Services Policy (PDF) for adoption by BCN member agencies.
- Provision of materials to assist agencies in orienting new staff to trauma sensitive care:
1. These two webinars present findings from the Adverse Childhood Events Study, and provide information on the long-lasting impacts of child abuse and neglect on both and women.
2. The Adverse Childhood Events Study found a strong link between difficult childhood experiences and later life health risks. This chart describes their findings: Impact of Adverse Childhood Events (PDF). A good summary of the entire study is in this article: Gold into Lead (PDF).

3. This call to arms comes from the National Council of Community Behavioral Healthcare: Trauma Informed Care, a Call to Arms (PDF)

4. Trauma policy (PDF) adopted by the Oregon Addictions and Mental Health Division in 2006.
5. Additional weblinks for trauma-related information are available at the AMHD website

6. Two brief summaries of Complex PTSD are available online at MIWatch.org: News about Mental Illness and the US Department of Veterans Affairs.
7. Developmental Trauma Disorder is being proposed for the DSM-V as an improved understanding of children who have experienced abuse and neglect. For the article (PDF) from Dr. Van der Kolk making the case for this new diagnostic formulation, click HERE. For the proposed diagnostic criteria (PDF) from the DSM-V workgroup, click HERE.

8. This material is from a recent book by Sandra Bloom, MD, and explains the biological basis for how all of us react when under stress: The Human Stress Response: What Does Everyone Need to Know? (PDF)

9. Materials to help survivors and their clinicians who are struggling to deal with self-injury: Trauma Informed Self-Injury Compendium 2011 (PDF)

10. Materials from April 9, 2013, provider training by ISST-D on "Understanding and Working with Complex Trauma and Dissociation":

11. Excellent 90 minute webinar on Trauma Informed Primary Care from the OHA Transformation Center is available HERE (YouTube). The slides from that presentation are HERE (PDF).


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