Tristate Trauma Network
2018-2019 Trauma-Informed Learning Community
Announcement: Tristate Trauma Networkis pleased to invite you to apply to become a member of our 3nd Trauma-Informed Care Learning Community in partnership with The National Council for Behavioral Health. The purpose of this learning community is to assist interested organizations in gaining the knowledge, information, resources and support needed to shift their culture to one that is trauma-informed.
A Trauma-Informed Care Organization includes:
Safe, calm and secure environment with supportive care
System wide understanding of trauma prevalence, impact, and trauma informed care
Cultural Competence
Consumer voice, choice and self-advocacy
Recovery, consumer-driven and trauma specific services
Healing, hopeful, honest and trusting relationships
A Trauma-Informed School Includes:
Safe, calm and secure environment with supports for students and staff
System wide understanding of trauma prevalence, impact and trauma- informed environments, policies, procedures and practices.
Cultural Competence
Student and family voice, choice and self-advocacy
Student-driven and trauma-specific supports and services
Healing, hopeful, honest and trusting relationships
Selection in this learning community will depend on your organization’s readiness as well as its commitment to participate in all activities including webinars, face-to-face meetings, individual and group calls.
There 10 agency slots available for the 2017-2018 TTN TIC Learning Community. If you are interested in applying, please complete the following 5-page application in full, including the declaration of commitment section to be signed by your TIC Team Leader and CEO. Information provided does not need to be limited to 5 pages.
*You must be a TTN Agency Member in order to participate in the Learning Community. If you are chosen and not currently a member, you must become a Member prior to the start of the Learning Community.
Applications should be emailed to and are due by 5:00pm on May 15, 2018.
Tristate Trauma Network
2018-2019 Trauma-Informed Learning Community
Application
Please complete all of the following sections:
Name of Organization: ______
Name of Program within Organization (if only one program will be participating): ______
Address: ______
______
Designated Learning Community Team Leader/Contact Person: ______
Email Address: ______
Phone: ______
Demographic Information
- Description of Agency Program(s):
Type: ______
Services Provided: ______
Population Served: ______
- Describe your Partnerships with other agencies including the categories below: ______
______
Mental Health Center: ______
Substance Use Services: ______
Primary Care: ______
Others: ______
- Number of staff ______
Types of positions: ______
______
- Number of clients or students served per year ______
- Number of peer positions ______
Types of positions:______
______
- We have a Consumer, Parent, or Student Advisory Council
______Yes ______No
Trauma-Informed Care
Please describe the history of your agency’s efforts to become trauma-informed. Attach an additional sheet to your application, if necessary. ______
______
Has your organization engaged in any of the following trauma-informed efforts? (Please check all that apply)
_____ Staff training in trauma, its prevalence and its impact
_____ Staff training in the principles and practices of trauma-informed care
_____ Staff training in trauma-specific treatment modalities
_____ Staff training in assisting students who have experienced trauma
If yes, please list types of trainings: ______
______
_____ Staff orientation in trauma and trauma-informed care
_____ Screening and assessment of clients or students for trauma
_____ Offer trauma-specific treatment approaches
_____ Offer individual trauma-focused therapy
_____ Offer group trauma-focused therapy
_____ Involve consumers or students’ families in various ways
If yes, how?
_____ Consumer Advisory Council _____ Committees _____Workgroups
_____ Staff Hiring Panels ______Other ______
_____ Assessed the safety and comfort of our environment
If yes, how? ______
______
Does your agency use a variety of methods to gain staff feedback? ______
If yes, how? _____Satisfaction Surveys _____Focus Groups _____ Staff Meetings
_____ Offering staff support ______Compassion Fatigue Training _____EAP
_____ Supervision
Does your agency use a variety of methods to gain consumer feedback? ______
If yes, how? _____Satisfaction Surveys _____Focus Groups _____Meetings
_____ Other ______
Social Service Agencies: Are you committed to establishing a Core Implementation Team (CIT) that includes: organization or program leadership, clinical leadership (if appropriate to your setting), at least 1-2 consumers, quality assurance or data person, others?
_____ Yes _____ No
Schools: Are you committed to establishing a Core Implementation Team (CIT) that includes: school leadership or administration, teachers, student support service personnel, and students (if appropriate) or family members impacted by trauma ?
_____ Yes _____ No
Do you have a Core Implementation Team or other type of Trauma-Informed Care Team already established in your agency?
_____ Yes _____ No
If yes, who is on your team? # of staff and their positions; # of consumers, if any. ______
What is your vision for what you would like your organization to look and feel like by the end of this learning community? ______
______
What would you like to get from this learning community? ______
______
______
Is there any additional information you would like to provide for this application?
______
Declaration of Commitment:
My organization is fully aware of the expectations involved in joining this learning community and on behalf of my organization/program; I declare our commitment to participate in all of the learning community activities. (Please see announcement letter for organizational commitment.)
______
Team Leader NameSignature
______
CEO NameSignature
______
Date
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