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Part II NHCHC National Health Care of People Living in Public Places Council On Resilience LIGHT AFTER DARKNESS Matthew Bennett Bennett@Coldspringcenter.org 720 635 5504

March 31, 2016

Part II NHCHC National Health Care of People Living in Public Places Council On Resilience LIGHT AFTER DARKNESS

Matthew Bennett Bennett@Coldspringcenter.org 720 635 5504

 

Trauma CARE

 

We are on a roll!

 

inherently wrong that the hero is left to his or her own devices

DRAMATIC   Joseph  Campbell       THE ABYSS  The Good NEWS

 

the mentor  always the pain and suffering connects with the suffering   finder teacher of the mind

regain control of their lives

 

PEOPLE in the ABYSS need someone to assist them to come to terms with their losses

 

BIO  PSYCHO SOCIAL PROCESS  three circles  case history of the person tell your narrative

 

LOOK AT THE WHOLE PERSON  We have known this all along

 

pre-frontal cortex   energy as the trust that someone feels with the care taker   a connection a deeper connection of trust and building relationships a network

 

chemical  serotonin  dopamine  cortisol    keep the person from being regulated.

 

meet them where they are  free will  human mind  where the mentor comes in Daniel Segal.

 

CAPITOL HILL  kicked them out early  you can get anything you want anytime    feed my addiction    go through the open air drug market.  Person gets to the crossroads

 

Library STAFF at places for connections

 

Broadway and Colfax  how do I want to feel better a week from now?

 

no distinct option  –  motivational interviewing  –   teacher of the mind offer different options    lost your family, your job, your place, your spirit, your will

 

BODY SCRIPT     committee in your head votes to change behavior  change talk  sustain talk  day before and day before and day before

 

take a class go see a person   take risks

 

talk about programs  free resources  motivational interviewing where do you see yourself being? 

 

make policies all of the time    thinking about the pros and cons we are unconscious for the most part

 

RELATIONSHIPS information and energy is transferred.

 

YOU ARE THE AVERAGE OF THE 5 PEOPLE WHO YOU SPEND THE MOST TIME WITH

 

suppose it is with no one else?

 

IMMEDIATE IMPACT of people who you know affects you 15% of the time

 

ONCE REMOVED 10%  FRIENDS FRIENDS influence us  7%

 

SOCIAL NETWORKS  what energy are they getting from those social networks?

 

SET THE STAGE FOR WHAT ARE WE DOING ABOUT ANY OF THIS  FLIP THE SWITCH!!!

 

PAIN And Wisdom of Post Traumatic GROWTH

 

Biological

 

FREE WILL

SOCIAL

 

Spiritual  

experiences

 PATIENCE   BEING STILL BEING PRESENT  SHUTTING UP  CARING FOR ME NO MATTER WHAT  CHANGE PHYSICAL STRUCTURE OF THEIR MIND

 

make mistakes me clear about it  don’t say  you’re sorry unless you made the mistake

 

Primary

Secondary TRAUMA

ongoing trust building   all processes integrated

 

LOVING COMPASSION           UNCOMPROMISING

 

NO RIGHT And wrong  ONLY  EXPERIENCES LIKE THE RIVER THE DANCE OF CHANGE

 

social service providers

 

“GETTING ON AFTER GETTING OUT”

 

WORD PICTURE:  NEW CLIENTS LIFE IS A PORTRAIT WAIT UNTIL YOU SEE THE ENTIRE PICTURE BEFORE YOU respond

 

how  i walk through this change with you

 

EMOTIONAL  LABOR

 

FISH BOWL     OF ABSURDITIES  CRISIS AFTER CRISIS  CRISES EVERY MOMENT SEEMINGLY WITHOUT END

 

DEMYSTIFYING YOUR EDUCATION  AND YOUR PEDIGREE  KNOWING THAT YOU’RE VULNERABLE

 

WHAT ENERGY DO WE MEET THAT SUFFERING WITH?   judith herman

 

DISCONNECTED  ISOLATION

 

40%  OUTCOMES WITH PERSON COMING IN FOR SUPPORT

30% IS RELATIONSHIPS

YOU AS THE SUPPORTIVE PERSON BELIEVES IN THE PERSON 

15%  better tomorrow

15%  technique  is a factor

 

my frustration  lower your caseload spend more time with the people

 

hire additional staff

 

Judith Herman:  recovery can take place only within the context of relationships  trusting compassionate relationships  trauma relationships

 

motivational interviewing:  Miller and Rollnick  being present time  and going forward being real being connected being still

 

 

 

people worthy of someone’s trust  they feel strength when they are with us  people turn their backs on people with pain  OXYTOCIN releases  setting up the brain for recovery

 

  1.  breast feeding
  2. sex orgasm  spoon
  3. child birth

OXYTOCIN   makes us feel good  makes us open up

 

vibrations in common frequency

 

secure attachment

NEDERLAND  COLORADO   the GREAT GATSBY  WHISKEY DAY  2.5 acres in the mountains

 

regulate myself  learned

haven’t felt synced up with anyone for a long time

 

release chemical  DHT  chemical prepares us for fight or flight

 

De-hydrostone  Testerone  (DHT)  WHY QUICK REACTIONS ARE COMMON  because of fear and lack of trust

 

SAFETY   people have to feel that they are safe  health outcomes  mental health outcomes trend

 

advocacy  we cannot expect the person to stop if they feel that they do not feel safe.

 

50%  been abused by system   AT LEAST 

 

they won’t be hurt  safety allows us to take risks  secure  base  if they feel safe with us that is the only time that they feel safe.

step out of this  do whatever I did  day in and day out  engage in treatment

 

HYPER SENSITIVE  seeing danger wherever it exists

 

addicted to    LOSS  AND FEELING SORRY

 

autonomy  not much to expect

 

and    you are not ready  I WONDER WHAT YOU WILL DO

 

being gently  go gently into that good night

 

you might give them a possibility instead of reacting to this behavior

 

SCARED STRAIGHT  confrontation does not do anything it is destructive

 

PERSON ON THE STREET   PEOPLE WHO LIVE IN SITUATIONS THAT ARE UNQUIET MIND  LIMITED  SEPARATE PERSON WHO IS WITHOUT A SAFE PLACE WHO HAS NOWHERE TO GO AND FEEL WHOLE  

 

DOPAMINE  SEROTONIN  OXYTOCIN

 

not unrealistic expectations to help  meet the person where they are at  structure programs and policies to meet them neuro-biologically

 

THE HAUNTED HELPER:  ENERGY  CONTAGIOUS  100K    impacts our social network  misery  mostly loss  whether you will ever see them again  whether they will be all right

 

THIRD EXERCISE:  balance healthy fatigue burnout  stress

 

great jobs  could you do anything else  paid more perhaps

 

PASSION WHAT ARE WE DOING THIS FOR?

 

SELF-CARE

 

ACT OF HELPING

 

2 blocks from I-25  Indianapolis   “HELP THEY’RE TRYING TO KILL ME”  thumbs up

 

player in the situation    bought the drinks

 

causes of social fatigue

 

WHAT YOU LOVE ABOUT THIS WORK?

 

WHY ARE YOU IN THIS ROOM?

 

celebrate with one another   connect with what helping is  a healer

helping satisfaction                                              helping fatigue

 

he does two day training  called by God  faith  or went through something hard  passion something in our core if this does not connect as a spirit

 

stay connected with passion or negatives will take you out in a heart beat

 

PASSION SEEKING COLLABORATING    BEING PRESENT  to OTHERS  colleagues and people who are living in public spaces

 

 

Handouts will be posted on the National Council for the Homeless WEBSITE

 

ASSESSING HISTORY OF TRAUMA  COALITION  take  back and 

Professional Life Skills  Assessment

 

Trauma RESOURCE BOOK LIST

 

PLACE TO START COMMUNICATE WITH MATTHEW

 

self-care  NOT GOOD AT IT  ESPECIALLY   ME   

 

  • BRAIN SCANS AFTER 9/11      psychological first-responders    could not tell the differences from the empathetic helper to the victims  

 

get it off our shoulders    transfer trauma  painful stories  addiction  fail to care for our community  wreaks  havoc on us  transfer of emotions

 

most time they are in our service what turns a little bit of stress   into a mass hemorrhage

 

when will homeless issues dissipate

 

social adjustment  you don’t know what those 33 messages are.  

 

BACK TO SQUARE 1  once you understand you realize that you know less than when you started

 

people who are alive who would not be alive  still

 

outcomes are hard to measure     sowing seeds

 

COMPASSION FATIGUE:  hard stories one after the next after the next after the next shake it off  like the IMPALA

Poases muscles

 

VICARIOUS TRAUMA:

 

I HATE  ___________

 

great teacher  top 5  elementary school teacher  Ms  Bennett

 

happiest healthiest  people  I ever met

 

stealing her paperwork  stealing her work from the copier  handouts  copying them and handing them out  this goes on for 6 years

 

DSM:  Personality DISORDER –  diagnose  Jerry Yaeger

 

getting in car go down to school

 

every night after 6 years hear her tires from work  MARY JO STORY

 

2nd grade teacher       at  some school  moved to FIRST GRADE ALEISHA AND ALLISON

 

WHY ARE YOU DEPRESSED ?

 

TRAUMA does not start when they work into our services

 

being without a safe place is exposure  over time

 

secondary trauma   train running you down

 

takes your breathe away

 

daughter committed suicide  lost my stuff  in the session   lost it

 

Girl sexual abuse she deserved this from her father  

 

BOTH of these are secondary trauma

 

not worst stories                  but the event can trigger feelings that are not able to be settled in your life

 

seek out support  get your butt in therapy

over identification      or avoidance

 

step over your boundaries and take care of the person

enmeshment  

flight avoidance  wall to the person seeking services

 

callousness

 

BURN OUT  PUBLIC HEALTH  IN TOP 5

Exhaustion

SHAME And DOUBT

CYNICISM and CALLOUSNESS

FAILURE

HELPLESSNESS

 

CRITICAL  TRIGGERS

 

work dream  I need a three day weekend

 

me checking my e-mail,  returning a phone call, checking voice mail

 

UNDERSTAND TRIGGERS

 

BEST WORK TO The JOB

unfair  feeling of shame

impact on well-being

BIOLOGICAL HEALTH

 

PSYCHOLOGICAL HEALTH

 

SOCIAL HEALTH

 

early onset of diseases  CORTISOL is damaging

 

missing work  we start stealing from employers

 

you do not see any hope for improvement

 

HOW DO WE TAKE CARE OF OURSELVES?

 

8  hours of sleep  we need 8 hours  study says

 

all of them sleep 4 hours who are heads of companies
EXERCISE  yoga  tai chi

 

MINDFUL PRESENCE

 

massage

 

five times a week 45 minutes  heavy workouts

 

BRAIN 25% of glucose and O2

Take breaks

 

90 to 120 minutes we can operate without fatigue

 

120  minutes and take a break listen to a sign  checking your mail multi-tasking  stop all of this

 

lose 90% of productivity

 

men hunt  women providing most of choleric intake

 

check out  completely

 

disconnect from work we can be on 24/7  cortisol stays in the system

 

need one 2 week  vacation  a year

 

take  off

 

distracted   11 minutes and it takes 25 minutes to get back to the task we were doing

 

 check email three times daily

 

how we answer e-mails makes a huge difference

 

practice breathing centering regulating energy  being aware at the moment meditating taking time being present

 

deep breaths for a long time  paying attention

positive MINDFULNESS INCREASES

 

immune functioning

 

empty the mind be all    aware

 

100 deep breaths

 

6 years

good mood

journaling

 

space and time

 

parasympathetic nervous system

 

no fire no danger

 

par sympathetic nervous system has not developed

 

7  minutes daily  and for 3 weeks

 

anxiety disorder

 

20 minutes daily a magical #

 

physical work

 

shining shoes

 

quiet place a sanctuary

 

glass of water  when I start and end each day

 

Denver Public Library  they have two of them  for meditation on Wednesday mornings

 

massage  touch   aromatherapy  tea

 

TENSION RELEASE EXERCISES  TRE

 

gardening caring for plants and others without any need to be given   grace  contemplative prayer

 

co workers who you love to be with

LEADERSHIP

 

TRAUMA  PARALLEL PROCESSES

 

listening to them bashing staff  what’s the relationship like in this room

 

healthy engaging ways    tired all dysfunction   

 

TICKET TO WORK

 

healthy ENVIRONMENT   LOVE and CARE ABOUT US

 

 

JEFES make life miserable  39%  heart health issues with a person who is a _______________ tyrant

 

leaders have to deal with keeping the days abierto

 

transferred DOWN  employment is survival  keep ourselves safe

 

connect with people with their vision and passion

 

individual supervision  necessary  if you are doing 

quality improvement

 

training

advocacy  civil and human rights soluttions

 

diez minutos

 

terrible leadership  impacted staff working at offices

 

 

 

 

THEO  a place for all  the VILLAGE

 

 

 

recognized  

 

BLOG  posts ONE TIME WEEKLY  obsessively reads  reception  5 to 7  Stout STREET Social    across from the BLUE BEAR

 

traumatic impact of bad leadership 

 

grace for work and for being here  honor to have your time and energy

dedicated your life to your community

 

positive NOTE  SCIENCE OF HOPE  PATHWAY OUT  ACCESSING THE MIND

ceasing current pain  suffering activates the reward centers of the brain

 

DOPAMINE SEROTONIN

feeling of well being

sense of happiness

pituitary gland  endorphin

 

never lost sight of the spirit  of the core

 

hold that lamp of hope

 

OXYTOCIN  key to bonding  natural opioid

 

expecting to be healthier and feel better   kills pain and nourishes the body

 

when we are with someone who we trust oxytocin is released.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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