Trauma Informed Practice in Nottingham City Council Donna

Trauma Informed Practice in Nottingham City Council Donna Stenton-Groves – Clinical Lead & MST Manager Rhiannon Gray – Workforce Development Consultant Sara-Jane Brighouse – Project Manager

Welcome • Introductions • Outline of what we’re going to cover • Mythbusting 2

Children’s Integrated Services Priorities • PRIORITY 1. - A LEARNING CITY • PRIORITY 2. - RESILIENCE IN CHILDREN, FAMILIES AND COMMUNITIES • PRIORITY 3. - HEALTHY MIND, BODIES AND RELATIONSHIPS 3

Practice Model - ways of working Strengths based Whole Family Restorative Trauma Informed 4

What we’ve done • Youth Justice Service Pilot • Development of resources and screening tool • Partnership work • Events and communication 5

…and where we are headed Next steps • Continue with pilot and produce evaluation • Plan and cascade to Children’s Integrated Services • Develop a Partnership offer 6

What is Trauma? “Trauma is much more than a story about the past that explains why people are frightened, angry or out of control. Trauma is re-experienced in the present, not as a story, but as profoundly disturbing physical sensations and emotions that may not be consciously associated with memories of past trauma. Terror, rage and helplessness are manifested as bodily reactions, like a pounding heart, nausea, gut-wretching sensations and characteristic body movements that signify collapse, rigidity or rage… The challenge in recovering from trauma is to learn to tolerate feeling what you feel and knowing what you know without becoming overwhelmed. There are many ways to achieve this, but all involve establishing a sense of safety and the regulation of physiological arousal” Bessel van der Kolk (2014) 7

What is a Trauma-Informed Approach? Trauma- Traumainformed approach ≠ specific treatment 8

What is a Trauma-Informed Approach? What is wrong with you? What happened to you? How might we support you? 9

Principles of a Trauma-Informed Approach 1. Recognition 6. Empowerment, choice and control 2. Safety 3. Resist re-traumatisation 7. Peer support & mutual self-help 4. Trustworthiness and 8. Cultural, historical and gender transparency. 5. Collaboration and mutuality issues 9. Pathways to trauma-specific care (Substance Abuse and Mental Health Services Administration, 2014 a; Young. Minds, 2018). ) 10

Don’t ever take a fence down until you know why it was put up. - Robert Frost - 11

The offer for schools • If you’re interested in what this could like for you, please contact: Workforce Development Lead, Rhiannon Gray Rhiannon. gray@nottinghamcity. gov. uk 12