WEBVTT

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- Again, good morning. Good morning. Yay, OK. I went to a group of third graders yesterday at Marlin,

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- and I walked in. And I was like, good morning. And they're all like, good morning. And I'm like, wow.

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- They call and response like, OK, yes, they're alive. You're alive. I'm glad that you're here this morning.

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- You could have been somewhere else, but you chose to be here with Hannah and I and Kermit. And thanks

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- for hopefully having listened to Shelly's inspiring talk.

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- this morning. I'm glad that you're coming in after that because they will be related as you'll see.

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- I'm Lee Muser. I am a somatic trauma therapist with a private practice in town. I'm also an outreach

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- creative writing facilitator and a primary prevention trainer for BTCC. And we'll tell you a little

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- bit more about BTCC in a moment. And my pronouns are they them.

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- My name is Hannah Lenchick. I use she, her pronouns. I have not used a microphone in like about a year.

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- So if you catch me drifting and you're like, I just can't hear this woman, please like do big arms at

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- me and I'll try to really like lock in, put the mic back up. I am the community engagement manager at

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- Stone Belt, which if you're not familiar, is an organization that works with folks with intellectual

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- and developmental disabilities. I think a lot about communications, narrative work, advocacy in that sphere.

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- In addition to my work with Stone Belt, I have spent 10, 15 years working in social services and throughout

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- the county, thinking about prevention, building safe, stable, nurturing spaces for family, kids, community

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- members. I work with Pages to Prisoners, helping build out book packages for folks who are incarcerated.

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- I throw a lot of pottery at the pottery studio. I wear a lot of different hats, many of which

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- I like to think about through a trauma-informed lens. So of all the BTCC trainings that Lee and I run,

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- I would say, and it's not like nice to pick favorites, but this one is probably my favorite, other than

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- we also offer a training on power analysis, which is like my true passion.

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- In addition to building a thriving, compassionate community, having hand-built this training over the

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- course of several years with a lot of different iterations, a lot of different folks' experience going

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- into it, I also want to shout out Youth Services Bureau and SCAP, the South Central Community Action

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- Program. About 15? No.

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- that's not right, 10 or 11 years ago, folks from these agencies were sitting down over a thing that

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- they used to do that they called lunch vent, where folks from social service agencies would go out to

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- lunch together and just vent about everything that they were experiencing in their day-to-day work.

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- And at some point, they kind of looked at each other and were like, you know what, I think actually

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- a lot of what we're describing is secondary or vicarious trauma, which

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- we'll define later. And maybe we should have more in-depth conversations about trauma and how that's

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- impacting our community. This training was born out of those conversations and wanting to take conversations

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- about trauma and trauma-informed care out of a space that was just meant to be venting and into a space

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- where folks had constructive tools to be able to bring back to their organizations and the community

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- members that they served every day. So shout out to those organizations.

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- We're going to move into our first interactive thing, which is on a scale of Kermit, how are you feeling

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- today? So I noticed there's some people that don't have anyone at their table, just one person. If you

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- can find another person, because we're going to do a pair share next, if you are at a table with three

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- people, you can do it.

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- Trio, that's the word, a trio share. And with your pair person or your trio person, you're gonna give

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- your name, your pronouns, maybe the organization that you're from, name, pronouns, organization you're

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- from, and on a scale of Kermit, how are you feeling today? Make sense? All right, so pair share or trio

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- share. Name, pronoun, organization, on a scale of Kermit. It's gonna take about two minutes

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- All right. OK, I know you could talk so much more, and I'm probably interrupting very interesting

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- conversations. So my apologies. No one likes to be interrupted, and I'm doing that thing. So I hope

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- you get to know your neighbor a little bit, learn a little bit about them, maybe learn a little bit

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- about yourself in regards to your Kermit representation. I wish we had time for everyone to check in,

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- I'm really interested in where you all are from. But unfortunately, this is a two-hour training, and

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- we're putting it into an hour and 20 minutes. So we don't have time today. But I did want to get a sense

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- of the numbers in the room. Who would self-identify as a one? OK. Two. Three. OK. Four. Five. Six.

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- Seven. Real. Eight. Okay, okay, that's probably the most so far. And nine. Okay, got a lot of eights

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- and nines. Some ones and twos. This is the first time I've ever used this metric, so it's pretty interesting

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- to see. Is this pretty typical, do you think? Hannah, you've used this metric. I feel like for this

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- time of day, and like on a Tuesday,

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- I'm not surprised, but I was a little scared when like hands didn't go up until the last row.

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- I was like, okay, all right, we're all tired. Everyone's overwhelmed. Everybody's also like professional

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- and I am ready to do stuff. So yes. Amazing. I thought that's how I read it. Listen, your personal

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- interpretation, you're okay with that. Yeah. So just to reiterate, in case you came in late, I'm Lee.

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- I use they, them pronouns. I'm not gonna rename my organizations, but I'm gonna identify today. I'm

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- just gonna disclose.

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- A two and a four. Two because I love training with Hannah. So I've got like hearts. I'm feeling like

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- the heart emojis over my head right now. And four because I just, I'm always picking something like

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- that. Yeah, like ah, I'm in front of a room full of people holding a microphone. I should be in bed.

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- I'm gonna go five. I feel like I'm excited to see so many folks in the room.

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- and also just like in the event in general ready to have these conversations and I also like training

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- with Lee. Lee and I have been training together for a long time as a part of BTCC. If you hear me use

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- this acronym, it's because our name is so long. It's beautiful. I love it. It tells you what we do.

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- It's also just like it's a lot of words.

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- Building a Thriving Compassionate Community, or BTCC. Can I get like a temperature check from like,

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- I know this. I've gotten a training from this group before. I know this network to like, maybe I've

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- heard this, to like, I don't know this acronym at all. Folks in the room.

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- Some thumbs down, some thumbs up. Okay, cool. For folks who have already heard this, I'm sorry, you're

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- gonna hear it again. And for folks who haven't, we're a network. So we include individuals and organizations

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- from all throughout Monroe County. We collaborate to do a bunch of different things. We offer training

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- to organizations on a sliding scale fee. We bring in trainers from, again, all sorts of organizations

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- and sectors. It's part of the fun part of our training is that it's all popular education based.

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- We use a model where we know that our trainers have expertise in certain areas, but we also acknowledge

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- that folks in the room, you're bringing in your own expertise and experience as well. So we're here

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- to be co-learners with you. And our trainings include things like this trauma training, like the power

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- analysis training that I mentioned earlier, implicit bias, dominant narrative, primary prevention, sort

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- of the whole gambit of things that you might talk about if you wanted to think about how do you improve

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- community conditions.

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- In addition to providing trainings, we also think a lot about building constructive relationships, again,

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- breaking silos across organizations and sectors, and also thinking about actionable change. So we do

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- some advocacy work together. We think a lot about how to implement primary prevention strategies so

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- that instead of just being in crisis response, we get to move a little bit upstream and ask, like, what

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- are the conditions that we really want to build as a community so that everyone gets their needs met?

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- And we do this in Monroe County and beyond.

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- You can find more details about BTCC on our website, or if you have met Melanie Vestledge, who's here

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- today, who introduced us, Melanie can tell you so many more details. Yeah. Thanks, Hannah. We're going

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- to go over our working goals or working agreements and goals. Hopefully by the end of today, you will

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- have received a basic overview of trauma and resilience. You will

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- be able to view trauma using the socio-ecological model. If you don't know what that is, you will know

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- what that is. And by the end of today, you're going to learn about the importance of shifting the focus

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- from the individual resilience to community resilience. And then we also have some community agreements

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- or working agreements that we have. Critically engage, be present, take care of your needs.

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- Just do your best.

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- coffee time, so hopefully most of you are wide awake. And if you need to leave the room for any reason,

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- of course, that's completely fine. Also, if you need to walk around, stand up, you do not have to be

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- stoically sitting in your chair. Let yourself move your body as it feels right for you. So that might

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- mean walking around or just standing up. You can do that in this space. That would lead us into the next one.

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- We all have experienced trauma in our lives, and so take care of you as you're listening to things that

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- we're talking about today. They might be a little bit spicy for you, and just take care of your needs

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- accordingly.

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- I love this next one, shared responsibility for the success of the session. As Hannah said, that we

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- are co-learning together today, so you will be participating with your expertise. You all have a lot

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- of expertise. We're going to be learning from you and you're going to be learning from us. We're going

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- to be learning from each other.

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- Let's see, say it messy. This is also one of my favorite ones as a very neurodivergent person. I am

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- often saying it messy. I will lose track of what I'm saying. I'll come back around eventually. But you

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- get to do the same. So maybe when you are sharing in your table or with the room, we invite you to say

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- it messy. You don't have to have formulated thoughts. You can just go stream of consciousness. And then

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- move up to speak, move up to listen. What we mean by that one is if you are a person who loves to speak

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- in public,

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- Not me, but I am doing that now. I invite you to maybe take a step back or move up into listening. If

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- you're a person that does not like to speak in public or with other folks, we'd invite you to move up

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- into speaking. Does that make sense? Okay. Any other things that maybe we need to add in or access needs

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- or other community agreements that would help with this space?

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- If something comes up later as we're going along, you can offer that to the group. Okay. We are going

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- to start today's training in full, like the actual content content of the training with an activity.

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- When I mentioned that popular education model, part of that model is that we believe that folks learn

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- the best when you're getting to actually engage with the content.

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- In a minute, not quite yet, I'm gonna ask folks to stand up and move around the room a little bit. Two

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- things when I do ask you to do that, if you could tuck your chairs in. I personally have been victimized

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- by tripping over like 40 convention center chairs in my lifetime and I don't want that for any of you.

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- And also please be mindful of Katz's camera in the back and not like kicking it in the shins. Okay,

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- so in BTCC, we think about sort of where we're at. We do a lot of check-ins.

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- And we often think about this sort of along this spectrum, comfort, stretch, panic. Comfort zone, I

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- feel like pretty self-explanatory, right? This is where you're well regulated. You're like, I'm in my

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- best decision-making framework. I have like access to the full spectrum of like, I'm really thinking

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- about the decisions that I'm making and I'm really comfortable. For me, this is like, I'm at home, I'm

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- on my couch with like dog, two cats, book. Maybe I have some plans later, but I know like exactly

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- when they are, what's going to happen, where I'm going to park, all of that. And then if you move out

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- a little bit, next we have stretch zone. So stretch zone is going to be also what it sounds like, right?

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- Maybe your heart rate is going up a little bit, but you're not fully panicking. We think of stretch

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- zone as a space of calculated risk taking. Maybe you're engaging in something for the first time that

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- makes you a little bit nervous, but you're like,

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- putting yourself out there, you're trying it out, you're still in a space where you're able to engage

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- with whatever is happening, it's just a little bit outside of your comfort zone. Stretched zone is also

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- where we think about not just calculated risk taking, but learning happening. So when I'm in my comfort

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- zone, I may be like, oh, I love it here, this is so comfortable, but I'm not necessarily learning a

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- lot because I'm not taking in new information, I'm not pushing myself at all.

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- Stretch zone is where a lot of learning happens, which is why sometimes it can feel uncomfortable. At

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- the far end of the spectrum, we have the panic zone, which is, broken record, also what it sounds like.

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- This is where you are not able to show up and do a lot of constructive decision making anymore. You're

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- fully shutting down. This might look different for a lot of folks, and we'll talk more about that later.

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- But your panic zone is really where you're not able to fully engage with decision making, with what's

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- happening, because you are just

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- at a point where you're taking in too much information, too much stuff is going on, or something is

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- going on that's putting you out of your brain zone for making a lot of heady decisions. Show of thumbs.

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- Does this feel like it makes sense? We feel good about this. Amazing. Okay. So what I'm going to ask you to do

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- in a minute is stand up, push in your chairs, and we're gonna make this whole room this spectrum. So

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- we'll say over here is gonna be comfort zone, and that back wall is gonna be panic zone. And what I'm

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- gonna do is I'm gonna give you scenarios, and I would love for you to physically place yourself along

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- the spectrum of where you feel like this scenario would put you. Does this make sense? Feel good about

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- it? We're all pushing in our chairs. Ugh, the diligence. Guys, I can't even handle it.

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- All right, comfort is here, panic is back there. First one, can you place yourself, what zone would

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- you be in along the spectrum for singing in public in the Kroger parking lot, alone? You're not like

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- in a choir, it's just you, singing loudly. This is comfort, yeah, yeah. Anybody who's in panic?

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- No, listen, be true to yourself. If you're comfort, I love that. Oh my God. Move this man to comfort

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- zone. Don't lie to me. Don't be in the middle. Yeah, this is, I mean, I feel like this tracks for like

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- me personally, everyone in the back of the room in panic. I'm like, I see you people in the comfort

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- zone. I don't understand you, but I respect you.

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- Okay, for the next one, what about picking up a large spider in a cup and having to take it outside?

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- I have so many questions. Let's talk after.

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- Okay, all right, we've got a much more even distribution. I feel like this also tracks to me. All right,

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- for the next one, what about you walk into a room at work and there is a teenager just sobbing in there.

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- You are the only staff person around.

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- This also tracks for the audience. I would understand. Sometimes things can still put you in the panic.

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- What about you come into work and your boss looks furious and they ask you to come into their office

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- and sit down for a talk?

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- You are out for a walk and you come across someone that you are not sure initially from a distance if

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- they are asleep or if they are having an overdose. You are trying to deescalate someone who has incredibly

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- manic, very up energy.

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- all over the place. All right. You walk into a situation and you are trying to deescalate a police officer

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- who is very high energy and seems a little bit angry. We'll talk after.

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- Last one, and then I'll ask for a few from the audience. You have given someone one dose of Narcan and

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- you are waiting to see if they need another. You're in the waiting space. Okay, I lied. One more.

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- trying to give someone a second dose of Narcan, but you're also trying to get that spider in a cup out

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- of the room, and there are 10 children screaming about the spider behind you.

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- All right, I would love to pull one or two examples from the audience. If you have an example, raise

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- your hand and I'll bring you the mic or a situation. Could be anything. Doesn't have to be something

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- that puts you in panic zone. But hit me with a scenario or two. I used to work at Wheeler Mission. And

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- so we had a lot of high stress situations. And I remember a man one time standing staring blankly at

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- me with an open syringe in his hand looking like he was going to

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- you know, get me, and I don't know, I don't know, that's just a story that I have that feels like the

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- situation that you're explaining. Okay, someone is staring at you, not chatting with you. They are holding

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- a syringe in their hand. All right, we're like, we are where we are. I like this. All right, let me

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- get one more from the group. Who else has one?

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- see a dead possum in the road, it has babies that are walking around. On the road, you stop to pick

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- them up. You have to pick up the baby possums. Quick! It's a busy road. I've never gotten that one in

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- a training report. Thanks for that. I really love novelty. OK, all right.

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- thrilled with how weird that example was, and I think we're just going to end there. I think that's...

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- Before you sit down, I would love to hear a little bit from folks, and again, if you could raise your

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- hand and we'll run the mics around. How did this feel? How did you decide where to put yourself? What

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- sort of changed where you placed yourself along the spectrum? What was your experience?

00:21:21.090 --> 00:21:27.196
- said the scenario, I would, I based it off of what I felt when you said what was happening. Yeah. From

00:21:27.196 --> 00:21:33.242
- your own experiences, right? You're like thinking back to like, okay, here's what I felt. Like here's

00:21:33.242 --> 00:21:39.348
- what comes up in my body in this moment, even just hearing about it. Absolutely. Experience drives our

00:21:39.348 --> 00:21:45.395
- zones and where we're at, where something puts us out. If you've done something 50 times that used to

00:21:45.395 --> 00:21:50.078
- put you in panic zone, maybe now it's just stretch zone or stretch to comfort.

00:21:52.322 --> 00:22:00.013
- You said that because for me, on a couple of them, I felt comfortable, but then I couldn't really distinguish

00:22:00.013 --> 00:22:07.144
- between stretch and panic, because I think it's a really thin line, for me anyway. Absolutely. I love

00:22:07.144 --> 00:22:14.206
- that you pulled that forward. Yes, that we do this as a spectrum because these blur together, right?

00:22:14.206 --> 00:22:18.750
- And I think one other thing that comes forward with that is that

00:22:18.850 --> 00:22:26.938
- This is context driven. When we stacked things, like suddenly people moved a little bit further back

00:22:26.938 --> 00:22:35.026
- towards panic, or if I asked you to do something that's generally comfort zone right after something

00:22:35.026 --> 00:22:43.274
- that was panic zone for you, maybe you're still in that body-wise. You're not able to just re-regulate

00:22:43.274 --> 00:22:47.838
- immediately. What else came up for folks? I'm a student.

00:22:47.938 --> 00:22:56.640
- in a PhD program, so I'm still learning how to do everything, and so content knowledge, I know some

00:22:56.640 --> 00:23:05.428
- of these skills, but it was even when I'm new to these things, it still can be really scary, even if

00:23:05.428 --> 00:23:14.304
- I can do it and have all of the abilities to do it. Yeah, I love that. Sometimes the knowledge versus

00:23:14.304 --> 00:23:15.870
- the actual doing,

00:23:16.290 --> 00:23:22.411
- can feel a little bit different. And just because we know something doesn't mean putting it into practice

00:23:22.411 --> 00:23:28.244
- doesn't still make us feel a little panicky. And sometimes we have to do things for work that put us

00:23:28.244 --> 00:23:34.076
- into panic zone. That is just the reality of working in social services is that sometimes you're the

00:23:34.076 --> 00:23:40.024
- staff person there when a teenager is crying in the room. And you don't get to be like, god speed. I'm

00:23:40.024 --> 00:23:44.702
- just going to go call someone out there. Sometimes there is no one else to call.

00:23:44.994 --> 00:23:50.574
- That is another part of why we run this exercise at the start of trauma trainings is to talk

00:23:50.574 --> 00:23:56.634
- about collaborative work. So throughout the training later in the second portion, we're going to get

00:23:56.634 --> 00:24:02.874
- to trauma-informed tools. And I really want to hold that it's not about expecting any one of us to show

00:24:02.874 --> 00:24:08.874
- up perfectly and non-panicky any time. It's about understanding if you are working with someone and

00:24:08.874 --> 00:24:12.414
- they're in panic for the spider one and you're in comfort,

00:24:12.834 --> 00:24:21.676
- you become the spider person, because it's a lot easier and faster than asking someone who's in the

00:24:21.676 --> 00:24:30.517
- panic zone to, like, re-regulate down and then take the spider outside. So, yes. Anything else that

00:24:30.517 --> 00:24:39.713
- came up for folks? I thought it was very cool how, you know, something that would make me very panicked

00:24:39.713 --> 00:24:40.862
- or a stretch

00:24:40.962 --> 00:24:46.342
- was definitely something that made other people feel comfortable. It was nice to just know that there

00:24:46.342 --> 00:24:51.827
- are people out there that feel comfortable in situations that are very uncomfortable for most. And then

00:24:51.827 --> 00:24:57.260
- it was accompanied with, I've been doing this for 30 years. That's great. But then there's also people

00:24:57.260 --> 00:25:02.904
- that have been doing it for 30 years that still feel panicked in certain situations. So then it's honoring

00:25:02.904 --> 00:25:09.022
- our limits, but then also having hope that we actually might feel more comfortable over time with certain exposure.

00:25:11.490 --> 00:25:18.253
- We have one over here. I think for a lot of these scenarios, I feel like I have the skills to handle

00:25:18.253 --> 00:25:25.285
- them, and I handle it every day. But I'm not necessarily comfortable if the other person is experiencing

00:25:25.285 --> 00:25:32.048
- a lot. I'm not like, oh, yeah, and I'm just totally cool and on vacation. It's like, no, I'm clocked

00:25:32.048 --> 00:25:38.142
- in. So it's always kind of falling in a little bit of a stretch zone. So reasonable, yeah.

00:25:38.338 --> 00:25:44.990
- And I think it's also worth tracking in ourselves over time. How do these zones shift for us? I think

00:25:44.990 --> 00:25:51.643
- the more you do something, if you're like, OK, but it still feels like stretch. Or if you hit a point

00:25:51.643 --> 00:25:58.295
- where you're like, this just isn't affecting me anymore, and maybe it should in some way, that's also

00:25:58.295 --> 00:26:03.774
- good to track. I'm not saying if things start to feel comfortable, that's terrible.

00:26:04.738 --> 00:26:10.453
- assessing like is it comfort, is it burnout, is also I think worth doing. Yeah, thank you for that.

00:26:10.453 --> 00:26:14.110
- Okay, all right, great work. You can all take your seats again.

00:26:31.106 --> 00:26:37.027
- All right, parting thoughts from comfort, stretch, panic. The only other thing that I will throw out

00:26:37.027 --> 00:26:43.124
- here is that these zones, part of why we have everyone do this activity is because everyone experiences

00:26:43.124 --> 00:26:49.455
- this, whether you're staff or clients or community members. And so also as a gentle reminder and invitation

00:26:49.455 --> 00:26:55.611
- that if you are in social services of any type and you are working with community members, in particular

00:26:55.611 --> 00:26:58.718
- community members who are maybe experiencing crisis,

00:26:59.010 --> 00:27:06.131
- If they're coming in and they're in panic zone, they're not necessarily in a space to fill out a 15

00:27:06.131 --> 00:27:13.609
- page questionnaire. And part of our work is making sure that we're able to give folks the time and space

00:27:13.609 --> 00:27:20.801
- to deescalate a little bit and get back down into either stretch or comfort before we start throwing

00:27:20.801 --> 00:27:28.350
- a bunch of things their way. Last thought is that we talked a little bit about how our experiences shaped

00:27:28.450 --> 00:27:34.509
- our responses to this, some of those experiences may be trauma experiences. So we know that everyone

00:27:34.509 --> 00:27:40.508
- experiences trauma, certain demographics are more likely to experience certain types of trauma, and

00:27:40.508 --> 00:27:46.807
- trauma shapes all of this. Which is why, at this point, we're gonna talk about trauma definitions, what?

00:27:46.807 --> 00:27:51.006
- Do these look familiar to folks? Are you like, yeah, I've seen these.

00:27:51.138 --> 00:27:57.026
- All right, we won't spend a ton of time on them then, but I wanna run you through really quick and then

00:27:57.026 --> 00:28:02.404
- Lee will share about our overarching trauma framework. Acute trauma, trauma that happens once,

00:28:02.404 --> 00:28:08.122
- it is acute, right? You're like, okay, that was an incident or an event. Can folks just popcorn out,

00:28:08.122 --> 00:28:13.840
- give me an example? And just shout it so that I don't have to run the mic this time. A car accident,

00:28:13.840 --> 00:28:18.878
- that's a perfect example. It happens, right? It is done. May still feel effects from it.

00:28:19.234 --> 00:28:25.850
- Next, we're gonna talk about chronic trauma, trauma that is prolonged over a long period of time. Can

00:28:25.850 --> 00:28:32.467
- folks give me an example or two of that? I'm so sad. Wait, did we go again? Sexual abuse, absolutely.

00:28:32.467 --> 00:28:39.148
- Could be chronic, ongoing, happens over a long span of time in a recurring way. Complex trauma, trauma

00:28:39.148 --> 00:28:45.700
- that may include chronic and acute, and that also may be of a deeply personal nature. Folks, give me

00:28:45.700 --> 00:28:47.646
- an example of complex trauma.

00:28:51.810 --> 00:29:01.631
- That's a good one. I see. Okay. Yes. So like an overdose may be an acute incident, but then like the

00:29:01.631 --> 00:29:12.133
- overarching substance user abuse might be complex. Love that. Okay. Secondary or vicarious trauma, probably

00:29:12.133 --> 00:29:14.078
- familiar for folks.

00:29:14.370 --> 00:29:19.979
- trauma that is experienced secondhand, you may not be the first person receiving it, but you might be

00:29:19.979 --> 00:29:25.479
- somebody hearing about the car accident, right, and you're thinking back to like, oh my god, I also

00:29:25.479 --> 00:29:31.253
- experienced a car accident, and that's bringing up a lot of stuff for me to hear someone else talk about

00:29:31.253 --> 00:29:36.972
- this. A lot of social service providers end up experiencing secondary or vicarious trauma, often called

00:29:36.972 --> 00:29:42.526
- burnout. These make sense? Feel good about the sort of individual level. Cool. On the other side, we

00:29:42.526 --> 00:29:44.286
- have community level trauma, so

00:29:44.386 --> 00:29:50.408
- I think of these as like how we talk about trauma on the one-to-one, and this is more how we talk about

00:29:50.408 --> 00:29:56.199
- trauma zooming out a little bit. So a community trauma is a trauma that we all experience together.

00:29:56.199 --> 00:30:02.163
- We may have our own unique experiences of it, but it is something that impacts us all at the community

00:30:02.163 --> 00:30:08.301
- level. Example of a community trauma? School shootings, I hear tornado, I hear earthquake, or am I making

00:30:08.301 --> 00:30:11.486
- it up? Okay, yes, natural disasters, school shootings.

00:30:11.650 --> 00:30:18.521
- These are classic examples of community level trauma. Racial trauma, trauma that comes up from experiencing

00:30:18.521 --> 00:30:25.011
- racial microaggressions on the regular or macroaggressions. It is just a reality. When I said earlier

00:30:25.011 --> 00:30:31.373
- that certain demographics in the US are more likely to experience trauma, it is unavoidable that we

00:30:31.373 --> 00:30:38.244
- live in a culture deeply shaped by race and racism. Racial trauma might come up in the form of experiencing

00:30:38.244 --> 00:30:39.326
- police violence,

00:30:39.458 --> 00:30:45.337
- I'm experiencing, again, racial microaggressions. Yeah. Generational trauma. I am not... What's the

00:30:45.337 --> 00:30:51.452
- word I'm looking for? Epigenetics. Yeah. Okay. I was like, I'm not... That's not my field of expertise.

00:30:51.452 --> 00:30:57.508
- So forgive me if I don't have a ton to share on this, but there is good evidence that trauma is passed

00:30:57.508 --> 00:31:03.387
- from generation to generation, and I will leave that to folks more qualified than me to describe in

00:31:03.387 --> 00:31:07.326
- depth. And lastly, historical trauma. It's community-level trauma.

00:31:07.426 --> 00:31:12.884
- but at the historical level, so the way that community trauma may continue to impact communities far

00:31:12.884 --> 00:31:18.396
- past when the actual acute incident happens. Do we feel good about these definitions? You had amazing

00:31:18.396 --> 00:31:23.799
- examples. Thank you for popcorning out and being so loud without the mic. These are not the end all

00:31:23.799 --> 00:31:29.365
- be all, but they are a good starting place, and we like to make sure that folks have this just as some

00:31:29.365 --> 00:31:33.310
- sort of shared language that fits into our overarching trauma framework.

00:31:34.786 --> 00:31:41.751
- Thanks, Hannah. So we have a trauma framework that we use called the three E's. And I'm going to explain

00:31:41.751 --> 00:31:48.452
- more about these three E's in a moment. We've got the event, and then we have the experience that is

00:31:48.452 --> 00:31:55.085
- going to determine the effect of the event. So kind of a neutral example is from my friend Solomon.

00:31:55.085 --> 00:32:01.785
- She uses this example, and I love it, so I steal it every time. A roller coaster could be the event.

00:32:01.785 --> 00:32:04.638
- Who's a roller coaster lover in this room?

00:32:05.250 --> 00:32:11.155
- OK, awesome. So for the lovers of roller coasters, you're going to have this event. You're going to

00:32:11.155 --> 00:32:17.237
- have probably a really great experience. The effect is like marvelous, right? Like woohoo. Woohoo! Who

00:32:17.237 --> 00:32:23.378
- does not? Who's like the no? No one? OK, yeah. So for you, you're going to choose not to do that, first

00:32:23.378 --> 00:32:29.342
- of all. You're going to choose, right? So when we have choice, we know choice is a big determiner of

00:32:29.538 --> 00:32:35.533
- experience. If you had to go on that roller coaster, it's going to be traumatic because you didn't choose

00:32:35.533 --> 00:32:41.245
- to do it. And then you're probably going to get nauseous and you're going to hate life for a moment,

00:32:41.245 --> 00:32:47.127
- perhaps. So the variables are really important. If we have another example, like a car accident, nobody

00:32:47.127 --> 00:32:49.502
- chooses to be in a car accident. However,

00:32:50.178 --> 00:32:57.281
- There are variables that we can choose and not choose based on power structures, based on systems. So

00:32:57.281 --> 00:33:04.524
- perhaps maybe Hannah and I have both been in a car accident. Hannah has great insurance, car insurance,

00:33:04.524 --> 00:33:11.488
- health insurance. She has a partner at home waiting for her. He has an extra car she can borrow. So

00:33:11.488 --> 00:33:12.254
- the effect

00:33:12.386 --> 00:33:18.334
- of that car accident is going to be maybe different than me who doesn't have car, I'm sorry, car insurance,

00:33:18.334 --> 00:33:23.952
- I actually do, but doesn't have car insurance, doesn't have health insurance, doesn't have a partner,

00:33:23.952 --> 00:33:29.460
- no extra car, I can't get to work, I lose my job, right? It's a really different experience for the

00:33:29.460 --> 00:33:35.077
- both of us. Same event, really different effect. So that's why we don't compare trauma, we don't like

00:33:35.077 --> 00:33:41.246
- compare trauma to one another because there's so many variables that are going to be different for each person.

00:33:41.346 --> 00:33:48.850
- No one size fits all. Also, just coming back to power and systems, if I am experiencing a lot of shame

00:33:48.850 --> 00:33:56.281
- and blame for not having car insurance, not having health insurance or whatnot, it's even going to be

00:33:56.281 --> 00:34:03.566
- more catastrophic. That effect is going to be felt even more. So we want to know these variables in

00:34:03.566 --> 00:34:09.758
- relation to trauma. Any questions or anything that doesn't make sense on that? Okay.

00:34:11.394 --> 00:34:18.376
- I just want to say real quick, I wrote this down last night. I think of it as who and what is supporting

00:34:18.376 --> 00:34:25.425
- us through an experience. If we don't have people or systems or people supporting us through experiences,

00:34:25.425 --> 00:34:32.340
- we're gonna have a lot more trauma. And then we have the impacts of trauma, which are very much related

00:34:32.340 --> 00:34:39.456
- to what I just said. We often look at this list and we're like, oh, this is a list of individual problems.

00:34:39.456 --> 00:34:41.118
- It's actually a list of,

00:34:41.474 --> 00:34:47.960
- cultural and community problems because we know that I don't have an issue in a silo. I have an issue

00:34:47.960 --> 00:34:54.319
- in relation to my experiences and the things that I'm in relationship with. So this is particularly

00:34:54.319 --> 00:35:00.678
- important. Hannah mentioned racial, generational, and historical trauma. A lot of the things on the

00:35:00.678 --> 00:35:06.910
- right-hand side are going to be related to that. Diabetes, high blood pressure, asthma, very much

00:35:07.202 --> 00:35:13.094
- impacted by generational trauma, historical trauma, and racial trauma. So we have to take those into

00:35:13.094 --> 00:35:19.045
- consideration when we're looking at the impacts of trauma. Let's see, what else do I wanna say? Yeah,

00:35:19.045 --> 00:35:24.937
- and a different way of saying that is they're influenced by protective factors. So again, if we have

00:35:24.937 --> 00:35:30.888
- good healthcare, if we have good relationships, good supportive aftercare, we're gonna have different

00:35:30.888 --> 00:35:34.622
- impacts of trauma. Our health is gonna be impacted differently.

00:35:42.786 --> 00:35:48.618
- So Lee was talking about protective factors and risk factors. Protective factors, like it says, are

00:35:48.618 --> 00:35:54.566
- conditions that individuals, families, or the larger society mitigate the presence of risk, right? So

00:35:54.566 --> 00:36:00.456
- I think of them as like, if you're going out into the world, this is the padding that helps keep you

00:36:00.456 --> 00:36:06.405
- safe. We all have this experience every day of like the friend that you can call who will always pick

00:36:06.405 --> 00:36:08.446
- up and be like, that is fucked up.

00:36:08.738 --> 00:36:15.159
- that should not have happened. And you're like, OK, that just is like an emotional burden off. But also,

00:36:15.159 --> 00:36:21.335
- like Lee was talking about, protective factors at higher levels on the social ecological model. Risk

00:36:21.335 --> 00:36:27.817
- factors on the flip side, conditions that when present make you more likely to experience harm, violence,

00:36:27.817 --> 00:36:34.237
- traumatic experiences. This is the social ecological model. Familiar, not familiar, thumbs down, I never

00:36:34.237 --> 00:36:34.910
- seen this.

00:36:39.266 --> 00:36:45.758
- thumbs up, I think. So I won't spend too much time sharing about it, but it is a public health model

00:36:45.758 --> 00:36:52.444
- that takes you from the individual all the way up to public policy. So we often talk about this in BTCC

00:36:52.444 --> 00:36:59.000
- as what surrounds us shapes us. Our decisions, our actions, our experiences, what puts us in comfort,

00:36:59.000 --> 00:37:05.557
- stretch, panic are shaped not only by our individual attitudes, our experiences, our skills, but also

00:37:05.557 --> 00:37:07.614
- by the relationships around us.

00:37:07.778 --> 00:37:14.214
- the organizations that we're a part of, our community, and community not just as like the series of

00:37:14.214 --> 00:37:20.651
- organizations or groups, but also like the public infrastructure, what it's set up like, the spaces

00:37:20.651 --> 00:37:27.087
- we have access to, and then at the top level, public policy, so the way that local, state, national

00:37:27.087 --> 00:37:33.523
- policy also shapes our lives. So what I would love to give folks some time to do is think about how

00:37:33.523 --> 00:37:35.390
- protective factors can exist

00:37:35.522 --> 00:37:42.155
- along the entire social ecological model. These are some of the most important things that we can build

00:37:42.155 --> 00:37:48.661
- for each other as a community in order to reduce both the likelihood of trauma and the impacts of it.

00:37:48.661 --> 00:37:55.486
- So really important and I want to say this is also part of a primary prevention model where we're thinking

00:37:55.618 --> 00:38:01.094
- not just about mitigating risk factors, like that is an element, but also about building constructively

00:38:01.094 --> 00:38:06.465
- towards what we want for folks. We could spend all day mitigating risk factors, and at the end of the

00:38:06.465 --> 00:38:11.730
- day, if we're not actually building something out for folks to step into instead, we're still gonna

00:38:11.730 --> 00:38:17.048
- have a gap there. So this is your chance to get to dream big about protective factors and what those

00:38:17.048 --> 00:38:22.525
- could look like, and we're gonna break it down by rows. So in this row, I'm gonna ask you guys to think

00:38:22.525 --> 00:38:24.894
- about personal, eh, you know what, actually,

00:38:25.026 --> 00:38:30.577
- we're gonna skip individual level. I'm sorry, I'm realizing that we have four rows, five levels, and

00:38:30.577 --> 00:38:36.237
- I am not a hater of individual level skills, but it is often where we focus as a community is thinking

00:38:36.237 --> 00:38:41.898
- about like, how do I just teach someone this one skill that will change their whole life? I love that,

00:38:41.898 --> 00:38:47.504
- skill building is amazing. And also when we focus on higher levels of the social ecological model, we

00:38:47.504 --> 00:38:52.670
- have the opportunity to impact so many individual circles that are down here, because really,

00:38:52.770 --> 00:38:59.339
- This isn't just one person. All of our circles are here. So I'm sorry, we're going to skip individual

00:38:59.339 --> 00:39:05.908
- level skills, but so fun because that means that your row gets to do interpersonal instead. So if you

00:39:05.908 --> 00:39:12.734
- could as a group chat for a few minutes, I'm going to give you four minutes and build out a list together

00:39:12.734 --> 00:39:17.822
- of protective factors at the interpersonal level, at the organizational level,

00:39:18.530 --> 00:39:24.038
- at the community level, and you guys get public policy. And if you hate the level that you're at and

00:39:24.038 --> 00:39:29.765
- you just need to flee to another table, I'm not going to stop you. But I think it's also a good exercise

00:39:29.765 --> 00:39:35.492
- to be forced sometimes to think outside of the normal zones that we work in. So let's feel like it makes

00:39:35.492 --> 00:39:41.164
- sense to people. You got four minutes. Build me out a list of the best protective factors at your level

00:39:41.164 --> 00:39:45.854
- of the SEM. If you have any questions, just raise your hand. We'll come and hang out.

00:39:54.018 --> 00:40:02.206
- All right, that's it. That's your four minutes, and I hope that you solved protective factors for everyone.

00:40:02.206 --> 00:40:10.166
- All right, I would love to hear a report back from groups a little bit on some of the protective factors

00:40:10.166 --> 00:40:18.353
- that you listed out at your level of the social ecological model. Interpersonal row, anybody feel compelled

00:40:18.353 --> 00:40:21.310
- to start? AA and NA, 12-step programs.

00:40:23.490 --> 00:40:29.527
- Okay, I love it. I'm gonna say that's like a good float between interpersonal and organizational. No,

00:40:29.527 --> 00:40:35.504
- listen, you're just, you're like, you're recognizing one of the great things about the SEM, which is

00:40:35.504 --> 00:40:41.481
- that it's porous, right? Like you may go to an NA or an AA meeting, but the individual relationships

00:40:41.481 --> 00:40:47.459
- that you build there are like still very much on the interpersonal level and sometimes end up living

00:40:47.459 --> 00:40:51.838
- outside of that group, so. Sponsor. Absolutely, yes. So yes, I love this.

00:40:57.378 --> 00:41:03.669
- Families, friends, absolutely are protective factors at the interpersonal level and I appreciate that

00:41:03.669 --> 00:41:09.960
- you pulled forward with stability. One thing about protective factors is like some of the things that

00:41:09.960 --> 00:41:16.128
- make them protective, right, are that stability. Much like the sort of comfort stretch panic again,

00:41:16.128 --> 00:41:19.582
- right, like these are not super rigid, black and white.

00:41:19.682 --> 00:41:27.658
- If someone is a protective factor for you one time, that doesn't necessarily mean that they always are.

00:41:27.658 --> 00:41:36.017
- Our relationships with our family and our friends are fluid. They change based on context, time, experience.

00:41:36.017 --> 00:41:43.686
- Yes. Other interpersonal? Spiritual. Spiritual community of the church, a pastor, or even something

00:41:43.686 --> 00:41:44.606
- like music.

00:41:45.538 --> 00:41:51.287
- Yeah, a pastor, religious leaders, absolutely are interpersonal level protective factors. Music and

00:41:51.287 --> 00:41:57.265
- a connection to the spiritual, I might almost put at the individual level. I think sometimes our belief

00:41:57.265 --> 00:42:03.934
- in things that are bigger than us or our attitudes about that are a really good individual level protective factor.

00:42:04.002 --> 00:42:10.426
- They shape how we see the world around us, but those then are shaped in turn by the interpersonal factors

00:42:10.426 --> 00:42:16.971
- which are relationships with like the spiritual leaders in a faith community or other congregation members.

00:42:16.971 --> 00:42:22.729
- Absolutely, that's a great one. All right, I'm gonna scooch us on to organizational. What sort

00:42:22.729 --> 00:42:29.213
- of organizations might exist in a community that are protective factors? We just talked about this earlier

00:42:29.213 --> 00:42:30.910
- about harm reduction sites.

00:42:33.058 --> 00:42:39.635
- Harm reduction sites, we love to hear it. Absolutely are such a good protective factor. Organizations

00:42:39.635 --> 00:42:45.632
- that host those, absolutely. What else you got for me? What else is a good protective factor

00:42:45.632 --> 00:42:52.273
- as an organization? Community mental health centers. Community mental health centers, yes, absolutely.

00:42:52.273 --> 00:42:58.915
- Create a space where folks can go to access services in a way that's accessible and affordable. That's

00:42:58.915 --> 00:43:02.526
- a great example of an organizational protective factor.

00:43:03.490 --> 00:43:12.129
- What other sorts of orgs we got? I would say libraries. Yes, such a good example. Libraries are a great

00:43:12.129 --> 00:43:20.686
- space where folks can go, don't have to spend money to be there. Community, there's often programming,

00:43:20.686 --> 00:43:26.750
- resources available and accessible to folks. Libraries, absolutely, yes.

00:43:26.850 --> 00:43:33.997
- One of my best friends is a children's librarian, and I cannot stress enough how much I'm like, God,

00:43:33.997 --> 00:43:41.074
- she's a protective factor for every child that she reads a book to. The patience is just boundless.

00:43:41.074 --> 00:43:45.886
- What other sorts of organizations might we have? The school system.

00:43:48.226 --> 00:43:54.521
- And that is also a perfect segue because I would say like a school, right, as an organization and then

00:43:54.521 --> 00:44:00.694
- maybe when we're like zooming out a little bit towards like the whole school system, we get a little

00:44:00.694 --> 00:44:06.928
- bit into the community level, right? Like how our schools operate as a unit, how they are coordinated

00:44:06.928 --> 00:44:13.529
- across the school system kind of sits between like organizational and community. So on that note, community

00:44:13.529 --> 00:44:18.174
- row, what sorts of things about a community might create protective factors

00:44:23.394 --> 00:44:29.491
- We had really great voices at the table, so I won't take away from their shine. But something I thought

00:44:29.491 --> 00:44:35.530
- of individually is like problem-solving courts, like drug courts, mental health courts, where multiple

00:44:35.530 --> 00:44:41.041
- sectors are at a table to like reduce recidivism and create awareness. And this may also fall

00:44:41.041 --> 00:44:46.142
- into organizational, but RCOs, so like the recovery community organizations for peers.

00:44:48.002 --> 00:44:54.445
- We love to see cross-organizational collaboration. Diversion programs that bring in multiple partners

00:44:54.445 --> 00:45:01.078
- that are all there to support and scaffold somebody's needs. That's a good example of protective factors

00:45:01.078 --> 00:45:07.521
- at the community level. Absolutely, yes. What else we got? I heard there was much, much discussion at

00:45:07.521 --> 00:45:14.027
- this table. I'm not trying to, I'm just like. Who wants this mic? I'm gonna put it right here. I think

00:45:14.027 --> 00:45:17.438
- we talked a little bit about co-creating third spaces

00:45:17.602 --> 00:45:24.280
- So having like spaces for people to actually like show up in Also, I kind of want to add like transportation

00:45:24.280 --> 00:45:30.713
- on here a little bit too of like actually being able to get to those places as a protective factor 1000%

00:45:30.713 --> 00:45:36.289
- I love both of those so much. Yes Third spaces are great where it's like it's not owned by

00:45:36.289 --> 00:45:41.374
- any one organization. It really is just like a community space also transportation

00:45:42.274 --> 00:45:48.479
- Yeah, working with folks with disabilities, it is one of the biggest barriers that folks face. And like,

00:45:48.479 --> 00:45:54.566
- you can have all the amazing protective factor programs in the world, but if people can't get to them,

00:45:54.566 --> 00:46:00.594
- it's just not doing that much to actually scaffold the things that they need. All right, amazing work

00:46:00.594 --> 00:46:06.622
- community level, anything else? All right, last level, public policy. Hit me with your policy dreams.

00:46:12.002 --> 00:46:22.699
- So this sort of cluster came up with a handful. Decriminalization, free and public rehab funding, affordable

00:46:22.699 --> 00:46:32.514
- and dignified housing and shelter networks, living wage, high quality reentry programs, and ban the

00:46:32.514 --> 00:46:39.678
- box legislation. You can clap. You can clap for public policy solutions.

00:46:41.154 --> 00:46:47.645
- That was such a good list. I'm not going to reiterate them all. I'm just going to say, yeah, absolutely.

00:46:47.645 --> 00:46:53.950
- Public policy that thinks about building safety for folks, building stability, moving from a place of

00:46:53.950 --> 00:47:00.256
- care that is really values-based, absolutely a protective factor. The other thing that I want to name

00:47:00.256 --> 00:47:06.623
- before we scooch on from talking about protective factors is thinking about how protective factors get

00:47:06.623 --> 00:47:10.270
- to be self-identified by folks experiencing the most harm.

00:47:10.498 --> 00:47:16.397
- I think part of what makes me feel so stoked about some of those public policy recommendations is I'm

00:47:16.397 --> 00:47:22.181
- like, these are some policies that are being advocated for by self-advocates, folks who are like, I

00:47:22.181 --> 00:47:28.138
- have lived experience with this. These are things that would be helpful. I have lots of thoughts about

00:47:28.138 --> 00:47:33.921
- things that are protective factors in my life that I have friends who would be like, no. That's not

00:47:33.921 --> 00:47:37.854
- fun. I don't want to do that. I don't want to take my dog on a walk

00:47:37.986 --> 00:47:43.158
- 10 p.m. It's still 90 degree weather and I'm like but it's kind of nice kind of like makes you feel

00:47:43.158 --> 00:47:48.485
- better a little bit about a stressful day and they're like this is too hot out. It is really important

00:47:48.485 --> 00:47:53.967
- that when we talk about protective factors and we talk especially about scaling up to those higher levels

00:47:53.967 --> 00:47:59.138
- where we're going to be impacting tons of people on the individual and interpersonal levels that we

00:47:59.138 --> 00:48:00.638
- make sure that folks who are

00:48:00.738 --> 00:48:10.207
- the most impacted by those policies are at the table and have the power to impact those policies because

00:48:10.207 --> 00:48:19.675
- that is really how we get protective factors that actually work. Think of it as like the transportation,

00:48:19.675 --> 00:48:29.054
- yeah. The thing I was gonna add was thinking about the ways that interventions at those levels can work

00:48:29.186 --> 00:48:35.350
- towards the other levels, which is to say there's ways that interpersonal and organizational work can

00:48:35.350 --> 00:48:41.514
- and should build power towards interventions on the community and public policy level. And when we're

00:48:41.514 --> 00:48:47.800
- thinking about the forms of public policy or community level intervention, how are those creating space

00:48:47.800 --> 00:48:51.486
- and structures for individual and interpersonal empowerment?

00:48:54.050 --> 00:48:59.852
- Yeah, when I said that the social ecological model is porous, it's porous and it's also bi-directional,

00:48:59.852 --> 00:49:05.653
- right? Yes, like what we do at the public policy level not only shapes individuals but also individuals

00:49:05.653 --> 00:49:11.399
- and like those systems we build at the interpersonal level have the chance to shape our organizations,

00:49:11.399 --> 00:49:17.145
- our community and our public policy. So any final questions about building protective factors as a way

00:49:17.145 --> 00:49:19.934
- to address trauma or the social ecological model?

00:49:23.970 --> 00:49:48.862
- it really loud? And even when we think about like on the individual level of

00:49:49.634 --> 00:49:55.421
- you know, there's ways to embed some of the other circles into that, right? Where it's like, on an individual

00:49:55.421 --> 00:50:00.839
- level, we often like don't ask anything of the people that are being served, right? They're just being

00:50:00.839 --> 00:50:06.310
- served, you know? And it's like, a couple of us are working on something called a clubhouse, and that's

00:50:06.310 --> 00:50:11.887
- like a big thing embedded into it is that like when they enter the community, they're asked of something.

00:50:11.887 --> 00:50:17.726
- And that's like a structural thing, a cultural thing from the very start that I think that like neighborhoods,

00:50:17.954 --> 00:50:25.418
- community spaces can think about when they build it. Yeah, perfect. No, listen, that's like the light

00:50:25.418 --> 00:50:32.442
- equivalent of a mic drop. Just turn the lights off. What I said was really, take out the light,

00:50:32.442 --> 00:50:39.832
- like you said. Yeah, I so appreciate that. And it pulls up also an adjacent thing for me, which is I

00:50:39.832 --> 00:50:42.686
- think it can feel really overwhelming.

00:50:42.818 --> 00:50:48.233
- to try to change some of those upper levels, like when you're talking about them as structures, they

00:50:48.233 --> 00:50:53.648
- do feel very fixed, and we often have the perception that this just is what it is. My organization's

00:50:53.648 --> 00:50:59.438
- hierarchy just lives the way it is, it's the structure we've built, but I think both A, when we're building

00:50:59.438 --> 00:51:04.477
- new things, trying to do something different, like what you're describing with the clubhouse,

00:51:04.477 --> 00:51:10.750
- and also B, remembering that even in organizations that have existed for five decades, it's just something we built.

00:51:10.850 --> 00:51:17.448
- And we can change it. We can like dismantle it, adjust it, make something new. It takes a lot of work,

00:51:17.448 --> 00:51:23.919
- which is also often I think why we default to individual level strategies. And again, not to like be

00:51:23.919 --> 00:51:30.325
- a hater, but we just pour a lot of energy into these because we imagine that like it's more doable,

00:51:30.325 --> 00:51:36.988
- but over the long arc, it really like doing upper level change does a lot more. It just takes a heavier

00:51:36.988 --> 00:51:39.550
- impact on the front end. Anything else?

00:51:42.274 --> 00:51:48.394
- OK. Thank you all for that. That was very inspiring to hear your contributions. We're going to be moving

00:51:48.394 --> 00:51:54.281
- into some more nitty gritty information about trauma. But as we do that, I want you to keep thinking

00:51:54.281 --> 00:52:00.285
- about this is not in relation to just the individual. This is in relation to interpersonal, community,

00:52:00.285 --> 00:52:06.521
- organizational, and policy. So in all the different levels, we want to be thinking about all the different

00:52:06.521 --> 00:52:10.718
- levels. Are we bringing in the metrics of what we know disrupts trauma?

00:52:10.914 --> 00:52:17.486
- So the first one is through the CDC. They did some great research for us, so we didn't have to. It might

00:52:17.486 --> 00:52:24.183
- not be on their site anymore, but this is from the CDC. The CDC tells us that when there are safe, stable,

00:52:24.183 --> 00:52:30.692
- and nurturing relationships and environments, trauma goes down. So a trauma-informed approach will have

00:52:30.692 --> 00:52:32.382
- safety. It will be stable.

00:52:32.482 --> 00:52:39.582
- and it will have nurturing relationships and environments. We know from the CDC they have told us that

00:52:39.582 --> 00:52:46.752
- when we have SSNREs that promotes optimal youth development, brain development in terms of physicality,

00:52:46.752 --> 00:52:53.646
- socially and emotionally, when there is safe, stable, nurturing relationships and environments that

00:52:53.646 --> 00:53:00.746
- promotes healthy resilience, resourced resilience among individuals who have experiences of adversity,

00:53:00.746 --> 00:53:01.918
- and when there's

00:53:02.018 --> 00:53:07.884
- safe, stable, and nurturing relationships and environments, it's a preventative form of many kinds of

00:53:07.884 --> 00:53:13.866
- violence, which might make sense, right? If there's safety and nurturance and stability, the likelihood

00:53:13.866 --> 00:53:19.790
- of violence is decreased. So this is something to be thinking about in your own organizations and what

00:53:19.790 --> 00:53:25.713
- you're doing. Are your relationships, are your policies, are your ways that you're working with people

00:53:25.713 --> 00:53:30.142
- informed by the SSNREs? And if they're not, then you're not trauma-informed.

00:53:33.794 --> 00:53:41.855
- Thank you. So this is by the arrow? Great. Short path, long path. When we got together, so this is brain

00:53:41.855 --> 00:53:49.379
- stuff. We're going to do brain stuff. Brain stuff is really useful with regards to trauma because

00:53:49.379 --> 00:53:57.363
- understanding brain stuff allows us to have some compassion for ourselves and others and how they might

00:53:57.363 --> 00:54:01.662
- respond or react. So this morning when we did the panic

00:54:02.114 --> 00:54:12.800
- Stretch, comfort, exercise. Some of you have an immediate short path to panic. Hannah asked me earlier,

00:54:12.800 --> 00:54:21.534
- we were talking about karaoke. My brain is going to shortcut to panic. It scares me.

00:54:21.634 --> 00:54:28.126
- I can do a lot of things, but I don't want to do karaoke. So I have a short path. I could learn how

00:54:28.126 --> 00:54:34.619
- to enjoy karaoke, I guess. I'm imagining it would just take time. So I could develop a long path of

00:54:34.619 --> 00:54:41.176
- healthy thinking and healthy nervous system response to karaoke if I was invested in that, which I'm

00:54:41.176 --> 00:54:47.863
- not. But it might be really useful in your positions to know how to build a long path. But anyway, the

00:54:47.863 --> 00:54:50.590
- people that you work with and yourselves,

00:54:50.690 --> 00:54:56.747
- just through our brain, developed a short path response. So when you're with people, they might respond

00:54:56.747 --> 00:55:02.746
- in a way that doesn't make sense to you. This is because their short path is different than yours. You

00:55:02.746 --> 00:55:08.861
- might sometimes respond in a way that doesn't even make sense to you. It's just because you have a short

00:55:08.861 --> 00:55:15.326
- path that is very reactive, that amygdala is triggered. This can be found in simple examples like maybe you're

00:55:15.554 --> 00:55:21.300
- afraid of snakes, so you see something that looks like a snake and your brain just, your amygdala fires

00:55:21.300 --> 00:55:26.935
- off and it's like you get really afraid. If you're afraid of spiders, similar response. You can learn

00:55:26.935 --> 00:55:32.514
- how to overcome that. Trauma therapy is really useful for that. Um, but also it is just good to know

00:55:32.514 --> 00:55:38.205
- like, Oh, I'm not a bad person. X person isn't bad person. They just have a short path in their brain.

00:55:38.205 --> 00:55:41.630
- I want to have compassion for them and myself. Um, let's see.

00:55:42.306 --> 00:55:48.289
- It can take work to create a long path, building in a pause, or recovering quickly enough to ascertain

00:55:48.289 --> 00:55:54.098
- that there's actually no threat or that steps can be taken to mitigate the threat. But it's usually

00:55:54.098 --> 00:56:00.255
- a different path of the brain. The long path connects to the prefrontal cortex. Slowing down, regulating,

00:56:00.255 --> 00:56:02.462
- and asking questions helps with that.

00:56:03.266 --> 00:56:09.006
- This is potentially a very long slide that I'm just doing in a couple of minutes. So I hope that this

00:56:09.006 --> 00:56:14.689
- information makes sense and is useful. Can you all identify that you have some short paths, and then

00:56:14.689 --> 00:56:20.316
- you have maybe at one point had short paths that turned into long path through different maybe work

00:56:20.316 --> 00:56:26.112
- that you've done? Does that make sense? OK. And Hannah, if there's anything I'm leaving out, just feel

00:56:26.112 --> 00:56:28.926
- free to jump in. This is other brain information.

00:56:30.370 --> 00:56:36.166
- All of our brains have mirror neurons. We don't get to choose to have mirror neurons or not.

00:56:36.166 --> 00:56:42.522
- We all have them. Our brains are all designed to be in response to the people that I'm with. This can

00:56:42.522 --> 00:56:45.950
- be really fun. So if you have a person that comes home

00:56:46.018 --> 00:56:51.619
- at the end of the day and they're super happy about their day, it's like contagious. You might find

00:56:51.619 --> 00:56:57.500
- yourself excited by their excitement. If they come home at the end of the day and they have had a really

00:56:57.500 --> 00:57:03.213
- shitty ass day, you might be noticing your mood is impacted by their day. So our neural pathways, our

00:57:03.213 --> 00:57:08.871
- mirror neurons will imitate. Again, this isn't good or bad, it's just what happens, but it's good to

00:57:08.871 --> 00:57:14.696
- be aware of. This is really useful when we're in deescalation situations. If any of you do deescalation

00:57:14.696 --> 00:57:15.984
- work, you want to know

00:57:15.984 --> 00:57:21.658
- I don't want to mirror the person who's escalated, right? I want to be the grounding person in this

00:57:21.658 --> 00:57:27.899
- dynamic because their mirror neurons will start to mirror mine. Does that make sense? Anyone do de-escalation

00:57:27.899 --> 00:57:33.573
- work or work with folks who can be escalated at times? Yeah. It's really important, practical work.

00:57:33.573 --> 00:57:39.474
- And also, just like when we're, like Hannah mentioned, secondary trauma. If we've been with people that

00:57:39.474 --> 00:57:45.262
- are really stressed out all day, we're going to want to make sure that we're taking care of ourselves

00:57:45.262 --> 00:57:45.886
- and, yeah,

00:57:46.082 --> 00:57:55.257
- Basically that, taking care of ourselves because of those mirror neurons can be pretty intense sometimes.

00:57:55.257 --> 00:58:04.085
- Okay. The next slide. Key principles of a trauma-informed approach. Let me get over to my notes. This

00:58:04.085 --> 00:58:12.827
- comes from SAMHSA. And SAMHSA told us that there's things we want to pay attention to, just like the

00:58:12.827 --> 00:58:14.558
- CDC gave us SSNREs.

00:58:14.658 --> 00:58:20.482
- SAMHSA gave us the key principles of trauma-informed approach that we also want to ask ourselves with

00:58:20.482 --> 00:58:26.535
- our programming, interpersonal, organizational, community, and policy. Are these things that we're doing,

00:58:26.535 --> 00:58:32.359
- are they rooted in safety? Do throughout the organization and staff and the people that we serve, are

00:58:32.359 --> 00:58:37.726
- they physically and psychologically safe? If they're not, it's not a trauma-informed program.

00:58:37.922 --> 00:58:43.996
- Is there trustworthy and transparency? There should be organizational operations and decisions that

00:58:43.996 --> 00:58:50.253
- are conducted with transparency are fulfilling this trauma-informed approach. The goal is to build and

00:58:50.253 --> 00:58:56.874
- maintain trust among clients, family members, staff, and others involved. If you are part of an organization

00:58:56.874 --> 00:59:03.252
- where there's a lot of gatekeeping and secrecy, not a trauma-informed approach is likely causing trauma.

00:59:03.252 --> 00:59:06.046
- Peer support. Peer support is a key component

00:59:06.242 --> 00:59:12.713
- in a mutual self-help, those are both key components in a trauma-informed approach where there's an

00:59:12.713 --> 00:59:19.183
- establishment of safety and hope and building trust, enhancing collaboration, and serving as models

00:59:19.183 --> 00:59:26.042
- for recovery and healing and maximizing a sense of empowerment. Empowerment is crucial when we're talking

00:59:26.042 --> 00:59:32.706
- about a trauma-informed approach. And then I'm gonna hand this over to Hannah for the last two. So the

00:59:32.706 --> 00:59:35.230
- last two, collaboration and mutuality,

00:59:35.970 --> 00:59:42.222
- I'm so grateful that you brought up the example of the clubhouse earlier because I think it is a good

00:59:42.222 --> 00:59:47.678
- example of mutuality where folks at the table are not experiencing like a really intense

00:59:47.810 --> 00:59:53.927
- hierarchy or like Lee was saying like a gatekeeping dynamic where one individual as the service provider

00:59:53.927 --> 00:59:59.752
- has a ton of power and the other person there to receive services is like just seen as a recipient.

00:59:59.752 --> 01:00:05.635
- It is much more trauma informed when we collaborate and that means collaboration across all of those

01:00:05.635 --> 01:00:11.519
- levels of the SCM again right like at the interpersonal level when you're sitting down with a client

01:00:11.519 --> 01:00:15.422
- you're collaborating with them to figure out what their goals are.

01:00:15.906 --> 01:00:21.605
- At the organizational level and community level that we're collaborating with community members but

01:00:21.605 --> 01:00:27.360
- also with other organizations. Public policy level that folks get to be involved in making decisions

01:00:27.360 --> 01:00:33.230
- about what our public policy looks like. But again, not just collaborative but also that it is mutual.

01:00:33.230 --> 01:00:39.099
- Everyone has a role to play. Everyone gets to bring their experience to the table and it is valued and

01:00:39.099 --> 01:00:44.798
- taken seriously. And then the last part I could nerd out about all day. Empowerment, voice, choice.

01:00:45.090 --> 01:00:51.641
- These are things that are so deeply tied to power sharing. So empowerment not just in the sense of like,

01:00:51.641 --> 01:00:57.942
- I tell you that you're doing an amazing job and you feel empowered. But empowerment as in I actually

01:00:57.942 --> 01:01:04.244
- share the ability to make decisions with you. I trust your voice when you tell me what you need. And

01:01:04.244 --> 01:01:10.046
- I make sure that there are choices within what I am reasonably able to power share with you.

01:01:10.146 --> 01:01:16.951
- So many of our organizations are set up to really put staff in a position of hoarding power and that

01:01:16.951 --> 01:01:23.755
- is stressful. Like honestly it is more mutual in my experience for staff and community members to be

01:01:23.755 --> 01:01:24.766
- able to share.

01:01:24.866 --> 01:01:31.548
- choice and power than it is for staff members to have to make a bunch of decisions for other folks.

01:01:31.548 --> 01:01:38.229
- I think that that can seem more efficient on the front end, but in the long haul actually creates a

01:01:38.229 --> 01:01:42.238
- lot of burnout and vicarious trauma. It's also worth noting

01:01:42.786 --> 01:01:49.447
- One thing that we often find in folks who have experienced trauma is that it stems from a moment where

01:01:49.447 --> 01:01:56.237
- there was a lack of choice. And so that is part of why choice is a core part of SAMHSA's trauma-informed

01:01:56.237 --> 01:02:02.704
- approach is because if someone has already experienced a substantial trauma or really any trauma in

01:02:02.704 --> 01:02:09.171
- which their agency was taken away, re-experiencing that as they access services and supports can be

01:02:09.171 --> 01:02:10.270
- re-traumatizing.

01:02:11.650 --> 01:02:17.038
- Harding thoughts about these key principles and then we'll turn you out into a breakout group where

01:02:17.038 --> 01:02:22.750
- you'll get a chance to talk through these in a scenario and be like, okay, how would I actually implement

01:02:22.750 --> 01:02:28.138
- these? These build into each other. If it seems like you could kind of collapse them down into like

01:02:28.138 --> 01:02:33.526
- one bullet point where it's just a bunch of commas, that's on purpose. They are supposed to support

01:02:33.526 --> 01:02:37.406
- each other and our work is best when it includes all of these elements.

01:02:37.570 --> 01:02:43.389
- Also, I can't reiterate again enough how much we do want to use all of these approaches across the social

01:02:43.389 --> 01:02:49.097
- ecological model. So that means like trustworthiness and transparency again isn't just you sitting down

01:02:49.097 --> 01:02:54.806
- with someone and being like, I'm going to tell you this thing. But if it feels like you're telling them

01:02:54.806 --> 01:03:00.350
- something secret and like the organizational vibe is that like they shouldn't have that information.

01:03:00.898 --> 01:03:07.898
- people feel that dissonance. And so we want to make sure that across the SEM, we're aligning these strategies

01:03:07.898 --> 01:03:14.516
- so that people don't feel caught off guard if something really changes from level to level. And lastly,

01:03:14.516 --> 01:03:21.134
- these are not check boxes. These are messy. What safety means to one person, when Lee was talking about

01:03:21.134 --> 01:03:23.870
- physical, emotional, psychological safety,

01:03:23.970 --> 01:03:30.262
- probably looks really different for someone else. And so part of our work as we implement trauma-informed

01:03:30.262 --> 01:03:36.495
- strategies is about asking what these look like structurally, but also what they look like in the moment

01:03:36.495 --> 01:03:42.431
- and staying flexible and adaptable to the people that we work with. It is not about just setting up

01:03:42.431 --> 01:03:48.427
- a policy for your organization or group that says, like, we're trauma-informed, yes, because we read

01:03:48.427 --> 01:03:51.454
- the definitions and we're like, sounds good to me.

01:03:51.554 --> 01:03:57.317
- It's an ongoing practice that we have to be in chronic assessment about. And in particular, when we

01:03:57.317 --> 01:04:03.311
- hit moments of escalation, like Lee was talking about, I think these are great checkpoints to come back

01:04:03.311 --> 01:04:09.247
- when we debrief and be like, okay, cool. What went well? What was challenging? How could we build more

01:04:09.247 --> 01:04:15.125
- safety next time? Did it feel like we were trustworthy? Did we do what we said we were gonna do? Were

01:04:15.125 --> 01:04:19.390
- we as transparent as we could be? These are not a like, cool, you did it.

01:04:19.554 --> 01:04:25.167
- These are an ongoing reflection as we move forward and as our programs and our work evolves over time

01:04:25.167 --> 01:04:30.670
- and with the community members. That leads us to our next slide perfectly. But before we do that, I

01:04:30.670 --> 01:04:36.392
- just want to give a shout out to Prentice Hemphill, who's doing a lot of research and work in the field

01:04:36.392 --> 01:04:42.005
- of trauma. They have told us, confirmed for us, that what we already know is that trauma happens when

01:04:42.005 --> 01:04:47.838
- we don't have safety, it happens when we don't have belonging, and it happens when we don't have dignity.

01:04:48.066 --> 01:04:54.849
- we want to really be looking for in our programs. Is there safety? Is there the dignity of the individual

01:04:54.849 --> 01:05:01.248
- and the collective? And is there a sense of belonging that's co-created in this environment? Hannah

01:05:01.248 --> 01:05:07.711
- basically just did this slide. Trauma and resiliency lives on a spectrum. We're constantly learning.

01:05:07.711 --> 01:05:14.814
- We're never done with this one. We're always invited to reevaluate our programs. Where are we on these SSNREs?

01:05:14.914 --> 01:05:20.637
- the trustworthiness, the transparency, et cetera. So it's a constant reevaluation. It can,

01:05:20.637 --> 01:05:27.241
- for some of you, you're like, gosh, my organization is nowhere near this. That is understandable because

01:05:27.241 --> 01:05:33.530
- we don't live in a trauma-informed culture. It does take time to move from this me to an us kind of

01:05:33.530 --> 01:05:40.134
- perspective or ethos, but it can happen. Just take some, yeah, it takes time. So just to know that ahead

01:05:40.134 --> 01:05:44.222
- of time. We're gonna move into an example, or how do you say it?

01:05:44.674 --> 01:05:51.104
- Take the mic, Hannah. You speak it. A scenario? A breakout. There we go. I thought the example was good.

01:05:51.104 --> 01:05:57.412
- It worked. So I'm going to go ahead and read this out loud. I apologize for folks in the back. If it's

01:05:57.412 --> 01:06:03.658
- a little bit challenging to read, hopefully hearing it out loud works out. And if you need to come up

01:06:03.658 --> 01:06:09.843
- and reread it closer, too, that is totally fine. Once I read it out, I'm going to have folks in your

01:06:09.843 --> 01:06:13.150
- groups take about seven minutes, and you can actually

01:06:13.378 --> 01:06:19.228
- ignore this first set of questions. So fun. You get to just blow off part of the slide. When does that

01:06:19.228 --> 01:06:25.305
- happen? Um, and instead focus on the second set. So I'm going to give you the scenario and then in groups,

01:06:25.305 --> 01:06:31.098
- I just want you to think about what would it look like to respond to this scenario in a way that held

01:06:31.098 --> 01:06:36.834
- the key concepts of trauma informed care. So safety, trustworthiness and transparency, peer support,

01:06:36.834 --> 01:06:41.662
- collaboration and mutuality, empowerment, voice and choice. We feel good about this.

01:06:42.050 --> 01:06:47.505
- Okay, your scenario is a community member has walked into the township trustee office and is loudly

01:06:47.505 --> 01:06:50.014
- yelling about needing help paying their rent.

01:06:50.082 --> 01:06:55.327
- They're slurring their words a bit and knocking flyers off of the entryway walls. They're shouting at

01:06:55.327 --> 01:07:00.778
- a staff member that their mother is dead because of people like you. This community member does regularly

01:07:00.778 --> 01:07:05.972
- stop by the township trustee to chat with staff members, access food pantry services, and to rest in

01:07:05.972 --> 01:07:11.268
- the lobby. Some of you know that there have recently been layoffs at the business where they work, and

01:07:11.268 --> 01:07:16.514
- near this time last year, their mother passed away due to a lack of access to financial resources and

01:07:16.514 --> 01:07:18.622
- medication. So you've got seven minutes.

01:07:18.754 --> 01:07:25.753
- I don't expect you to have like, and now we've solved it and we did world peace, but talk about how

01:07:25.753 --> 01:07:33.032
- you might approach this situation in a way that does hold the trauma-informed principles. You feel okay

01:07:33.032 --> 01:07:40.521
- about it? Okay, and we're gonna report back in the last few, so. All right, we've got four or five minutes

01:07:40.521 --> 01:07:45.630
- left and I would love to hear a little bit about what came up for y'all.

01:07:46.370 --> 01:07:52.831
- This is my loudest voice even with a microphone. This is the best I can do. Just have resting Midwestern

01:07:52.831 --> 01:07:59.107
- quiet voice. You just, you gotta work with me. All right. I would love to hear a little bit of report

01:07:59.107 --> 01:08:05.506
- back from the tables and I think, oh my God, I love the energy. You were hand up right away. All right,

01:08:05.506 --> 01:08:11.659
- because of that, we'll start in the back and then we're just gonna like swivel up and I'm sorry for

01:08:11.659 --> 01:08:15.966
- tables on this side that you have to go last, but share a little bit.

01:08:16.962 --> 01:08:24.203
- We had a very interesting conversation and it was brought up that a person walks in, first thing you

01:08:24.203 --> 01:08:31.515
- would notice is that they're slurring, which gives us an idea that they may be under the influence or

01:08:31.515 --> 01:08:38.684
- a mood-altering substance such as alcohol or a narcotic. That probably, and then someone brought up

01:08:38.684 --> 01:08:41.982
- the fact that we might want to establish some

01:08:42.114 --> 01:08:51.687
- sense of trustworthiness and safety and dignity by moving that individual into a place where they can

01:08:51.687 --> 01:09:00.510
- express themselves and maybe even a term deescalate. I think trustworthiness and feeling safe

01:09:01.058 --> 01:09:08.131
- And that person may want to be validated by being heard, acknowledging that they exist. You know, they

01:09:08.131 --> 01:09:14.999
- have already gone through, it's looked like a series of trauma, starting with the fact that they've

01:09:14.999 --> 01:09:22.141
- lost their mother due to the community not being there with the necessary resources. So how do you work

01:09:22.141 --> 01:09:25.918
- with people like that? I also brought up the fact was,

01:09:26.530 --> 01:09:36.862
- Resources are in place, but oftentimes there's not enough healthcare workers to manage that. And then

01:09:36.862 --> 01:09:47.194
- you have the community or let's say the state legislatures legislature that have not yet accommodated

01:09:47.194 --> 01:09:52.158
- these necessary places where people who are been

01:09:52.514 --> 01:10:01.612
- repeatedly traumatized by their environment and generational trauma, they have not been able to access

01:10:01.612 --> 01:10:08.414
- any of these resources. So how do we provide that? And peer support came in.

01:10:08.642 --> 01:10:17.807
- someone that has walked in their shoes, someone that can say, let's go out for a cup of coffee, collaboration

01:10:17.807 --> 01:10:26.138
- and mutuality, maybe find like-minded people, and immediately stay with that individual. And I also

01:10:26.138 --> 01:10:34.637
- may want to say too, if a person may be suicidal, we don't know, how would you call the 911? And then

01:10:34.637 --> 01:10:37.886
- let's say they don't have the training

01:10:38.146 --> 01:10:43.762
- work with someone and they put them in handcuffs because they're under the influence and they may have

01:10:43.762 --> 01:10:49.379
- a warrant out for their arrest. So would you do that to a diabetic? You're speaking my language. We're

01:10:49.379 --> 01:10:50.142
- talking about

01:10:50.434 --> 01:10:54.894
- All of these strategies, I love this, that you're pulling in strategies for building safety

01:10:54.894 --> 01:10:59.741
- on the interpersonal level, like you're checking in with them, you're doing some assessment of them

01:10:59.741 --> 01:11:04.880
- as soon as they walk in, that's like, I'm just reading the vibe, but you're also talking about structures

01:11:04.880 --> 01:11:09.727
- for safety, building spaces within our organizations that are easy for folks to deescalate in, that

01:11:09.727 --> 01:11:14.769
- we can be like, hey, do you wanna go have a cup of coffee in this break room? And I will listen to you.

01:11:14.769 --> 01:11:17.726
- Public policy safety interventions, increasing the amount of

01:11:17.826 --> 01:11:25.905
- Folks who can be supports, caregivers, oh, listen, I love it. I love that you were thinking both about

01:11:25.905 --> 01:11:33.983
- how do we in this moment build some interpersonal safety, but also let's scale back and talk about how

01:11:33.983 --> 01:11:41.984
- we even get to a moment where this is possible. Dream answer. Next table, anything else that you guys

01:11:41.984 --> 01:11:45.278
- added? I guess I'll add one thing because

01:11:45.410 --> 01:11:51.188
- I'm retired. I do a lot of advocacy work, though, in my community. One of the things I did as an HR

01:11:51.188 --> 01:11:56.967
- manager, which I think would be important here, too, is when somebody comes in to gain their trust,

01:11:56.967 --> 01:12:03.034
- I would sit down and try to have a conversation with them where you're side by side, you're not towering

01:12:03.034 --> 01:12:06.270
- over them, you're not giving the impression that you're

01:12:06.498 --> 01:12:12.232
- better than them or higher than them or whatever. So that goes a long way to start developing that trust

01:12:12.232 --> 01:12:18.129
- if you sit down at their level and then start having those conversations. I love that, yes. I love thinking

01:12:18.129 --> 01:12:23.862
- about, again, like the interpersonal, like we're having a conversation and some of those organizational,

01:12:23.862 --> 01:12:29.541
- like, it's hard to sit down with somebody if there's only, like, the only place to sit is across a desk

01:12:29.541 --> 01:12:35.111
- where you're like, ah yes, there is like a power dynamic here, but instead being like, no, we're just

01:12:35.111 --> 01:12:36.094
- sitting together.

01:12:36.770 --> 01:12:42.571
- OK, I would love to go through every table, but we're out of time. And that's a great problem to have.

01:12:42.571 --> 01:12:48.596
- So I hope that folks got something out of today. And I can't stress how much there are a million follow-up

01:12:48.596 --> 01:12:54.341
- resources, as well as Lee, mine, and Melanie's contact info. And just know that I'm crying inside for

01:12:54.341 --> 01:12:58.846
- not getting to hear from the rest of tables, and I just have to live with that.
