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TRAUMA-INFORMED CARE SERIES: SESSION SIX CREATING A PATH FOR RESILIENCY

GWENDOLYN OLTON, MA, RN CHERYL MARTIN, MA, RN, CASAC ELIZABETH MEEKER, PSYD

One factor that supports resiliency in the people I serve is ___________

Learning Objectives

By the end of this session we will be able to: ‣ Describe resiliency ‣ Explain the importance of resilience ‣ Recognize factors that influence resiliency ‣ Demonstrate practices that support hope and

possibility in others ‣ Identify six areas of fitness that may support resiliency

(Meichenbaum)

Resiliency Here are some words that have been used to describe

resiliency: -adapt -overcome -adjust -grow -thrive -bounce back -recover -stretch

‣Resiliency is the capacity to adapt

successfully in the presence of risk and adversity

‣ “Every trauma survivor I’ve met is resilient in his or

her own way, and every one of their stories inspires awe at how people cope.” -Bessel Van Der Kolk

Why is resiliency so important?

Remember the ACE study When we have low resiliency we are at greater risk for: Experiencing events as stressful Experiencing depression Having social difficulties Experiencing poor health

In fact, trauma can

make us stronger “Victimized” “Survived” “Thrived”

What contributes to resiliency?

‣ Having the ability to access and utilize social supports ‣ Experiencing self-efficacy ‣ Experiencing pleasant, warm emotions more often

than unpleasant emotions ‣ Having cognitive flexibility and balancing problem-

solving with acceptance: Think of the Serenity Prayer ‣ Engaging in behaviors that are consistent with our

values ‣ Having “enough” (this will be different for everyone)

concrete resources

How can you contribute to resiliency?

Building a relationship that creates safety and connection: - Using a conversational style and “way of being” with the person that is collaborative, engaging, and supports their autonomy. Supporting hope and possibility in others: -Identifying and affirming strengths, reviewing past successes, reframing and reattribution (using “try” instead of “fail”), responding to confidence talk

There are many different pathways to resilience…

‣ The path that works for one person may not work for

another ‣ Person-centered, caring professionals can facilitate

this journey ‣ Everyone can strengthen their resilience ‣ How a person’s culture perceives trauma will influence

the path that person will take

The journey is facilitated… ‣ When the person experiences a safe and trusting

relationship in which he/she can voice emotions and pain

This voicing can open up opportunity, understanding,

freedom to find joy again

From trauma to resiliency to post-traumatic growth

How can post-traumatic growth evidence itself?

‣ Enhanced self-knowledge, knowing who we are ‣ Knowledge of what is most important in our lives ‣ Improved relationships with others ‣ Increased altruism

In the end, each of us is responsible for initiating and

continuing our own personal journey

Meichenbaum’s Fitness Areas ‣ Physical Fitness

‣ Interpersonal Fitness

‣ Emotional Fitness

‣ Thinking Fitness

‣ Behavioral Fitness

‣ Spiritual Fitness

Activity: ‣ Read through the six fitness areas ‣ Pick one that you connect with the most “What will you do to enhance your fitness in this area?” “How can you use these this area of fitness to support the people you serve?”

Additional Thoughts: Cognitive fitness: ‣ Think about how you view crises. How do you interpret the event and

then respond to it? ‣ Think about change. How do you interpret change. Is it an expected

part of living for you?

Emotional fitness: ‣ Think about how you view yourself. Do you strive to develop

confidence in your ability to solve problems ‣ Think about your outlook on life. Do you have hope and can you

visualize what you want? ‣ Think about how you care for yourself. Are you aware of your own

needs and feelings and do you engage in activities you enjoy?

Remember:

Each journey is unique! There is no right or wrong way! Some people write, some meditate, some engage in

spiritual practices. The choice is yours. For the people you serve, it is

theirs.

The Trauma Informed Care Series: http://www.ctacny.com/trauma-informed-care-series.html

Thanks for joining us for this series. We are grateful for our experience with you and with each other.

Hoping your journey with us has ignited in you a passion for

trauma responsive care, a belief that you can provide this care and a commitment to bring trauma responsive care to the people

you serve.

Please remember that caring for yourself is also a gift to the people you serve

Questions? Thank you!

FOR YOU?

References ‣ The Body Keeps the Score, Brain, Mind, and Body in the Healing

of Trauma, Bessel Van Der Kolk, M.D., Penguin Group, 2014

‣ Roadmap to Resilience: A Guide for Military, Trauma Victims and Their Families, Donald Meichenbaum, PhD., Institute Press, 2013

‣ Roadmap to Resilience Toolkit: ‣ http://www.acesconnection.com/collection/roadmap-to-resilience-

toolkit ‣ http://www.cdc.gov/violenceprevention/acestudy/index.html ‣ http://kaiserpermanentehistory.org/tag/adverse-childhood-

experiences-ace/

How to Obtain Your Continuing Education Contact Hour for this Webinar?!

‣ After registering & within 24 hours, log back on to NYU Silver CE Online Portal

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see “Take Assessment” in red ‣ Complete assessment ‣ Once done, you will be directed how to download your

CE certificate ‣ For Questions: Call us at 212-998-5973 or email us at

silver.continuingeducation@nyu.edu

Contact Information Gwen Olton, MA, RN Senior Consultant, Training & Practice Transformation 585-341-2200 golton@ccsi.org Cheryl Martin, MA, RN, CASAC Integrated Health Trainer and Clinical Consultant 585-753-2686 cmartin@ccsi.org Elizabeth Meeker, PsyD Director, Training & Practice Transformation 585-613-7645 emeeker@ccsi.org