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Consumer Advisory Board – Colorado Coalition for the Homeless Stout Street Health Center May 2016

May 17, 2016

Trauma Care  Jennifer Perlman and __________

Consumer Advisory Board – Colorado Coalition for the Homeless Stout Street Health Center May 2016


Hoy es Martes  16 de Mayo de 1916

Sarah Lightfoot  –  Jennifer Perlman  – , Mary Lea Forington,  Carey Carner

Tanger Jones –  Lori Malone  – moi  – Rocko  –   , –  Laray Krapelin  –  Steve Shanklin,  Latoya Winston

Adverse Childhood Experience   17,000 people in the 90’s   40  to 60 years old at Kaiser permanente


indicators  –   incarceration   abuse  loss  death  illness  disease  loss of work  fear  early in life  from birth to 18   neglect  abandonment  divorce  

TRAUMA CARE    –  Vincent Coletti  weight loss  and trauma


  • WHAT 


  • HOW


  • WHY



  • WHEN

impact on life span  shorter life span,  inability to function, basic life skills,  impairments,  cumulative exposure to ttrauma  many episodes  without support and intervention


2/3  of everyone report 1   many experience more than 4  


relational  trauma  feeling that you are left with


affect people over and over retraumatized during the rest of one’s life



impact  in behavioral health  impact in trauma through use of drugs  food  many other forms of neglect of nature of person 

does not make any sense for us to be so sick



revictimization  no one protected you and therefore you do not protect  your own life you take many risks


problem with substances  early childhood   score of people with adverse trauma is higher and higher and creates mental health challenges and also  changes in brain chemistry


inherited development that is curtailed in genetic changes to the baby


STATE OF WASHINGTON  did a study of people without a place to live and what are the causes of them being out on the street  directly  related to people who have lost everything  as early as birth.


deeper implications  not of data but of life experience


family member who used substances


11%  never without a safe place to live: 


what happened to you  that made it impossible for you to live except to survive


broke your leg  and it was never repaired correctly


changes the way that your system works


reacting with fear


feel  disassociated  how to manage


soothe your responses


lead to disease and disabilities


high blood pressure



bad or good attempting to cope  5.5% of people in precarious situations   lose their lives early on and due to failure of their bodies to cope


“I am happy to see you.”  “You are courageous”


truth of our lives are seen in our bodies as children


complex people with less MONEY  it is a malopropism


can we heal  and can we recover can we move on   



two paths   environment  where they are engaged safe and be present to them


and how  do we go on doing things differently


How do we get rid of everything that limits people


life dissatisfaction        failure feeling that you’re a failure




affects people differwently


respond to the losses


trauma care wide spread impact of trauma


recognize the signs and symptoms put the knowledge in practice


trauma language  that reflects the quality of life   what took place  what happened to you


all of us have experienced trauma   do not traumatize people and retraumatize them


terrified of the water  or anything that hurt harmed destroyed the person



How could I say those lies about this wonderful person


flaked up insecure nothing to say everyday always


  • 6  principles
      safe environment
  • build trust over time
  • offered choices
  • collaborative relationships  with me
  • asked  questions have you thought about,  
  • empowering the person  to care for themselves and ask for support
  • cultural historic  gender situations

throw out all of the garbage in your life   be free  and also empty the suffering


compliant as opposed to reflecting on the person and not on  routines that are impersonal


destroying the temple  a sacred way of life


I asked a doctor who was more important the patient of the physician?  




COLD SPRING  Center  Matthew Bennett


DAD died at an early age  cause and effect of the losses something triggered and pushed someone over the edge


took a full historty person was staying afloat for many years barely   how to deal with grief and loss


loss of spouse  parent sibling  a person’s responses to trauma is personal and unique  grieving is not a uniform loss and experience of change


trauma carer has been around for a long time


core competencies


trust building with not blaming but in determining what can be done to improve the performance of people




























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