Building a Trauma-Informed UI Health

1. Building a Trauma-Informed UI Health

2. Increasing life expectancy • Reducing obesity • Reducing preventable hospitalizations • Reducing discrimination • Improving overall health • Reducing economic hardship • Increasing opportunities for children to live healthy lives • Institutionalizing a Health in All Policies approach • BECOMING A TRAUMA-INFORMED CITY

3. Trauma-Informed Hospitals Workgroup • 16 Participating hospitals including: • UI Health • Northwestern • University of Chicago • Rush • Presence • Advocate • Mercy

4. Defining trauma “Individual trauma results from an event, series of events, or set of circumstances that is experiences 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.” Source: Substance Abuse and Mental Health Administration; Health Management Associates Trauma Informed Care Webinar

6. Sources: Bruce Perry, MD PhD; Daniel Siegel, MD Neurodevelopment and Attachment

7. Brain Regulates Body through Autonomic Nervous System Thoughts or reactions to memories (am I safe?am I loved?) are transmitted from brain to bodyin less than a second

9. Hospitals as a Traumatized Community • Both staff and patients carry the burden and stress of their own individual ACEs and traumas. • In addition, healthcare workers carry the ADDITIONAL secondary traumatic stress of exposure to their patients’ ACEs and traumas and the stress of their workplace, which often is high demand and inadequately resourced. Source: Illinois ACE Response Collaborative Group, The Center for Childhood Resilience – Lurie Children’s Hospital;

10. What does trauma mean for UI Health staff? Impact of chronic worker stress • Increased chronic pain, fatigue, diabetes, heart disease • Increased healthcare costs and worker’s comp costs (on job injuries) • Increased worker turnover • Takes ~10 months for organizations to recover if leadership leaves • Costs $3.5K to replace an $8/hr employee (recruitment, training) • Increased tardiness and absenteeism • Caused by burnout, low moral and engagement • Costs organizations $84 billion annually ($2.6-$3.5K/employee/ year) • Decreased presenteesim, not functioning to full capacity • 60% of workers reported decreased productivity due to workplace stress • Leads to increased likelihood of mistakes, poor quality, increased time for tasks • Costs organizations $168 billion annually in lost productivity Source: Anda, Robert F et al. “Childhood Abuse, Household Dysfunction, and Indicators of Impaired Adult Worker Performance.” The Permanente Journal 8.1 (2004): 30–38; Health Management Associates Trauma Informed Care Webinar

11. What does trauma really mean for ui health staff?

12. SAMHSA’s Concept of a Trauma-Informed Approach

16. What can UI Health do? • We can START WITH OUR STAFF by following SAMSHA or other guidelines for Trauma-Informed Institutions to support staff through trauma-informed: • Developing leaders and champions • Policies • Hiring Practices • Staff Training and Support • Content of Care • Physical Environment CREATE A CULTURE OF SAFETY and CONNECTION that SUPPORTS SELF-REGULATION Source: Illinois ACE Response Collaborative Group, The Center for Childhood Resilience – Lurie Children’s Hospital

17. The continuum of change Implementing change takes time. Becoming a trauma-informed hospital is a multi-year process that starts with a shift in staff knowledge, perspectives, attitudes, and skills. Source: This framework was adapted by the Philadelphia ACE Task Force from the Missouri Model: A Development Framework for Trauma Informed

18. Why this, why now? • Harness momentum • Chicago-wide effort • Staff stories • Leverage existing resources • Staff expertise • TeamSTEPPS • Align with KRAs • Increase employee engagement • Increase physician engagement

19. What’s Already HapPENING In OUR INSTITUTION

20. What exisiting Programs Can We Align With

21. Which EXISITNG ORGANIZATIONAL MEASURES WILL BENEFIT FROM THIS WORK

22. EXISTING employee resources Can we do more to support staff and address burnout?

23. Potential next steps • Define how does becoming trauma-informed support the goals of our organization? • Assemble a core team and specific recommendations/next steps