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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