Responsive Without Being STS- In Informed Ginny Sprang, Ph.D. - - PowerPoint PPT Presentation

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Responsive Without Being STS- In Informed Ginny Sprang, Ph.D. - - PowerPoint PPT Presentation

Oct 27, 2022 142 likes •390 views

You Cannot be Trauma Responsive Without Being STS- In Informed Ginny Sprang, Ph.D. University of Kentucky College of Medicine Professor of Psychiatry Executive Director, Center on Trauma and Children sprang@uky.edu BLUF Work with trauma

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You Cannot be Trauma Responsive Without Being STS- In Informed

Ginny Sprang, Ph.D. University of Kentucky College of Medicine Professor of Psychiatry Executive Director, Center on Trauma and Children sprang@uky.edu

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BLUF

  • Work with trauma exposed clients can produce

symptoms of distress and even traumatic stress in those who work with them

  • These symptoms can be prevented and/or managed

though individual AND organizational action

  • TIC provides the pathway for addressing Secondary

Traumatic Stress

  • You can’t be trauma responsive if you aren’t STS

informed

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Learning Objectives

  • 1. Describe secondary traumatic stress and related conditions
  • 2. Assess the degree to which their workplace is secondary

traumatic stress informed

  • 3. Integrate secondary traumatic stress initiatives into their
  • rganization’s workforce development plan
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The Promise and Challenge of Trauma Informed Care

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“…We are stewards not just of those who allow us into their lives but

  • f our own capacity to be helpful...”

Jon Conte

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Secondary Traumatic Stress is not just a Psychological Phenomenon

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Stress Hierarchy

Normal Stress Moderate Stress Extreme Stress

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Stress Continuum

Amygdala Hippocampus Temporal Lobe Sends the signal to be alert Sorts through memory for relevant information to inform action Uses this information to make a decision and act Activates fight, flight or freeze Memory retrieval may be delayed or disorganized Immediate action required to preserve life/integrity Memory retrieval is shut down or significantly

  • impaired. Unable to file

new memories Effective problem solving is severely impaired Normal Moderate Extreme

Information processing is slowed

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Normal Stress at Work

Our Body and Brain work together to

– Regulate emotion – Process information – Use regulation and information processing to form healthy relationships

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Secondary Traumatic Stress

– Identifying Options are less accessible – Clear thinking is impaired – We may overreact to situations causing impairment in our relationships – We are not less intelligent, emotionally intelligent or capable, we are trapped in an ALARM state

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Secondary Traumatic Stress

  • A result of the brain’s ALARM doing its job
  • It occurs because the brain is trying to protect us by

staying highly alert

  • Staying in this alarm state interferes with our ability to

work

  • Recovery involves helping our brains shift out of

ALARM mode

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Subjective Danger

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What do we know from TIC that would help us address the problem of STS

  • Recovery requires processing
  • We have to metabolize the experience so it will

pass

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Situational Reconstruction Activity

  • 1. Identify and reflect on a stressful client encounter at work
  • 2. Think of a way the stressful circumstance could be worse
  • 3. Think of a way the stressful circumstance could be better
  • 4. What can you do to bring about the better version and prevent the

worst?

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What do we know from TIC that would help us address the problem of STS

Take a multi-tiered approach to solving the problem

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How to be trauma informed

This knowledge and practice approach informs the way the organization collaborates with other partners and systems of care

Collaboration

The organization understands the impact of trauma on the clients served and the professional workforce.

Knowledge

This knowledge is evident in the protocols and policies used by the organization

Practice

Practice

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Secondary Traumatic Stress Informed Organizational Assessment (STSI-OA)

Development team: Ginny Sprang, Ph.D.,Leslie Ross, PsyD, Brian Miller, Ph.D., Kimberly Blackshear, Cynthia Vrabel,MD, Jacob Ham, Ph.D., Jim Henry, Ph.D., Jim Caringi, Ph.D.

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STSI-OA Purpose

Provide a pathway for how STS initiatives can be incorporated into TIC To describe characteristics

  • f a STS informed
  • rganization

Highlight where the

  • rganization is doing a good

job and areas of deficit Provide a blueprint for individualized training Track progress towards desired change over time

01 02 03 04 05

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Resilience Leader Practices Organizational Policy Routine Organizational Practices

Evaluation and Monitoring

Physical and Psychological Safety

STSI-OA Domains

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Resilience Building

  • Enhancing worker

competency

  • Strong peer

support

  • Fostering healthy

coping strategies Promoting Safety

  • Protection from

dangerous situations and people

  • Protocols for how

to respond to staff needs following a critical incident

Some Sample Items

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Changing the Lens

In a trauma responsive environment we ask different questions. Do we apply the same rule of thumb to employees?

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STSI-OA

  • For a copy of the assessment tool

www.uky.edu/CTAC

  • Contact Ginny Sprang, Ph.D. at

sprang@uky.edu