sanctuary organizational change based on safety for both those who receive services and those who...
TRANSCRIPT
Sanctuary: a model for changing
outcomes and challenging assumptions
Sarah YanosyLanda Harrison
Sanctuary InstituteANDRUS
SANCTUARY
Organizational ChangeBased on
Safety for both those who receive services and
those who provide them
The Sanctuary Blueprint
Understanding Trauma
Core Commitmen
ts
SELF
The Relationship of Adverse Childhood Experiences to Adult Health Status
A collaborative effort of Kaiser Permanente and The Centers for Disease Control
Vincent J. Felitti, M.D.Robert F. Anda, M.D.
The Adverse Childhood Experiences (ACE) Study
Purpose:
Examine the health and social effects of adverse childhood experiences over the lifespan
The Adverse Childhood Experiences (ACE) Study
Subjects:
– 18,000 participants – Aged 50 or older (62%) – White (77%) – Had attended college (72%)
What Are Adverse Childhood Experiences?
Abuse: psychological, physical, sexual
Household Dysfunction: substance abuse, mental illness, domestic violence, separation from parents, incarceration
The Adverse Childhood Experiences (ACE) Study
Scope of ACES Exposure + ACES as predictive of health risks/disease =
ACEs the leading determinant of the health and social well-being in the US
WHAT WE SAY: WHAT WE SEE:
“She just can’t make any friends.
Nobody likes her!”
Poor social skills
Difficulty in relationships
What Might Be Going On?
• Trauma causes disrupted attachments
• Survival: If loving and trusting leads to pain, don’t do it! Trauma bonding is the other side of the coin
• Trauma causes hypervigilance
• Traumatized people are always on the lookout for danger
What Might Be Going On?
What We Say: What We See:
“It’s like a tornado hits
wherever she goes!”
Causing chaos
Provoking others
• Trauma results in addiction to endorphins
• Survival: Adrenaline kicks in to give us extra strength and speed
What Might Be Going On?
“She is a pathological
liar!”
Stories don’t make sense
Not a very good liar – gets caught a lot!
What We Say: What We See:
• Trauma causes gaps in memory known as DISSOCIATION.
• Survival: We need things to make sense. When we are missing pieces, we fill them in.
What Might Be Going On?
• Trauma results in flashbacks
• Survival: Traumatic memory gets stored in a different part of our brains, and even in our bodies.
What Might Be Going On?
So, if Traumatic Stress has Such an Adverse Impact on the Kids We Serve…
What’s it Doing to Me and the Place I Work?
Parallel Process
The Organization is a Living, Growing, Changing System with
Its Own Unique Biology…It is Every Bit as Susceptible to
Stress, Strain & Trauma as the Individuals Who Live and Work in
the Organization
Parallel Symptoms
• Hypersensitivity to even minor threat
• Extremist thinking• Aggression and impulse control• Attention to threat while
ignoring less threatening, but important information
Parallel Process!
Our systems frequently replicate the very experiences that have proven to be so toxic for
the people we are supposed to treat.
Parallel Process
Community
Children &
Families
Loss NeglectAbuseDomestic ViolenceSubstance AbuseImprisonment
Fiscal pressuresSocial expectations
Regulatory responsibilities
Parallel Process
Community
Children &
Families
Crisis DrivenFragmentedHelplessAggressiveStuckHopeless
Crisis DrivenFragmented
HelplessAggressive
StuckHopeless : Loss of
meaning
• "If you don't like how things are, change it! You're not a tree."
~ Jim Rohn Business Philosopher &
Motivational Speaker
WHERE DO WE EVEN BEGIN???
Address the Culture!!
We Cannot Hope to Change the Lives of Children, If
We Cannot Change the Environments in Which Care
and Intervention Takes Place