Texas Children Recovering from Trauma An Initiative of the Department of State Health Services

1. Texas Children Recovering from TraumaAn Initiative of the Department of State Health Services Funded by: SAMHSA’s National Child Traumatic Stress InitiativeGrant No: 1U79SM061177-01Funding Period Oct 2012-Sept 2016 AIM: Transform children’s mental health services in Texas into a trauma-informed care system that fosters resilience and recovery.

2. Objectives: • Transform existing children’s mental health services into trauma-informed care services by • Training workforce • Enhancing policies and practices • Increasing number of MH professionals trained in trauma-informed treatments • Increase access to trauma-informed services and treatments • Evaluate outcomes of trauma-focused treatments • Integrate trauma screening practices into community mental health organizations in Texas and increase number of children screened for trauma TARGET Population • Children and Youth aged 3 to 17 who: • Are children of military families or • Have experienced or witnessed trauma

3. H O W ? • Creating Two Category III Community Treatment Services Centers members of the National Child Traumatic Stress Network (NCTSN) and their learning community: Heart of Texas Region MHMR Center Bluebonnet Trails Community ServicesThese centers are pilot sites for the statewide transformation. • Through Training: • Trauma Informed Care and Cultural Competence ( For Entire workforce) • Trauma-Focused Cognitive Behavior Therapy (For Clinicians) • Parent Child Interaction Therapy (For Clinicians of clients ages 3-7) • Workshops for Caregivers (understanding the needs of their children/youth) • Creating Community Partners – that will participate in referrals of target population and participate transformation efforts, advisory committee and development of transformation strategic plan • Creating of a Statewide Transformation Strategic Plan by Steering Committee, Local Advisory Committee, Youth/Caregivers Representatives & Stakeholders • Statewide Summit on Transformation to Trauma-Informed Care

4. Direct Care Services at CTS Centers Staff Trained in Trauma-Informed Care Referral from Community Partner CMHIntake/ Assessment Screen with CANS NO YES History of Trauma or Child of Military Family? Consent additional assessment NO YES Assessment of Trauma (Best Practice) Treatment As Usual Trauma Focused Treatment: TF-CBT or PCIT

5. For more information on the National Child Traumatic Stress Network: www.nctsn.org For more information on the Texas Children Recovering from Trauma Initiative Marisol Acosta, MEd, LPC-SProject Director/Program Specialist VMHSA Division, Children and Adolescents Services (512) 206-4830 Email: Marisol.Acosta@dshs.texas.gov

6. Department of Family & Protective Services ~Trauma Informed Care Initiative

7. DFPS • leadership recognizes the • long-term effects of adverse childhood experiences such as child abuse and neglect. The need to address trauma is increasingly viewed as an important component of effective service delivery. • A Texas trauma- informed system of care: • Protects the unprotected; • Has a respect for culture; • Is inclusive of family, youth and communities; • Is innovative and strives for excellence; • Has integrity in decision making; • Has compassion for all; • Is committed to reducing disproportionality; • Values staff; and • Collaborates to improve outcomes.

8. Vision The Texas child welfare system will be one that is trauma- informed in which all persons working in and connected to the system are knowledgeable and responsive to the individualized impacts of trauma in the lives of people served and those serving within the system. This trauma informed system will incorporate the child's and family's story and the child's developmental level, while establishing an evidence-based approach to policies, training, leadership, and service practice. Mission Statement The mission of the Texas trauma- informed system of care is to protect children and act in the children's best interest. The Texas child welfare system seeks active involvement of parents and other family members. To this end, the Texas child welfare system is committed to establishing a trauma-informed system of care that promotes child safety, permanency and well-being; reduces the traumatic impact of child abuse, neglect, and removal; decreases traumatic experiences for children and their families; and complies with state and federal statutes. This system of care includes agency staff, judges, therapists, parents, foster and kinship families, residential contractors, child advocates, and STAR Health.

9. Major Goals: The goals of a Texas based trauma-informed system of care are: 1. To implement a trauma- informed system of care that reduces the impact of abuse, neglect, and removal on children, youth and families. 2. To build capacity related to the use of trauma- informed principles and practices through collaboration and partnerships with other systems serving children and families involved in CPS. 3. To increase the use of trauma- informed activities by using data to assess implementation efforts and monitor change. 4. To foster an environment that promotes wellness and care for staff and caregivers experiencing secondary traumatic stress. Four subgroups • Trauma Informed Assessment/Tools • Trauma Informed Training • Trauma Informed Caregiver Support • Trauma Informed Staff Support

10. For more information: • Claire Hall at:Claire.Hall@dfps.state.tx.us  or 512/438-5257 • DFPS Website: http://www.dfps.state.tx.us/Training/Trauma_Informed_Care/default.asp

11. Restraint & Seclusion Reduction Through Trauma Informed Care and Treatment

12. Oversight: • Restraint & Seclusion Reduction Leadership Group • Vision: • We envision safe environments that facilitate respect, trust, and healing through positive relationships. • Mission: • To support and sustain organizational culture change around reducing the use of seclusion and restraint. • Long-Term Goals: • Identify and address systemic barriers to seclusion and restraint reduction. • Identify best practices and promote alternatives to seclusion and restraint. • Recognize and celebrate successful organizational culture change.

13. Creating a Culture of Care • Strategic Approaches: • LEADERSHIP • DEBRIEFING • USE OF DATA • WORKFORCE DEVELOPMENT • STRATEGIES TO EMPOWER CLIENTS • CONSUMER INVOLVEMENT

14. For more information: • National Center for Trauma Informed Care: http://www.samhsa.gov/nctic/ • Culture of Care Toolkit: http://www.dshs.state.tx.us/cultureofcare/ • Restraint and Seclusion Reduction: http://www.hogg.utexas.edu/initiatives/seclusion_restraint.html