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Sanctuary: a model for changing outcomes and challenging assumptions Sarah Yanosy Landa Harrison Sanctuary Institute ANDRUS. What Do You See?. Another Perspective. Another Example. Another Example. Sanctuary. Organizational Change Based on Safety for both - PowerPoint PPT Presentation
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Sanctuary: a model for changing
outcomes and challenging assumptions
Sarah YanosyLanda Harrison
Sanctuary InstituteANDRUS
WHAT DO YOU SEE?
ANOTHER PERSPECTIVE
ANOTHER EXAMPLE
Another Example
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
TRAUMA
Coping Adversity
SANCTUARY BELIEFS
#1 Adversity is Universal
SANCTUARY BELIEFS
#2 What’s Happened?
So Why All the Fuss About Childhood
Trauma???
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
So….
Childhood Adversity is a Critical Public Health Issue…
and
Nobody is Talking About It
A NEW PERSPECTIVELooking through a different lens
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
“This kid can’t sit still!”
Hyperactivity
Fidgeting Constant
Movement
What We Say: What We See:
• 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?
“This kid is really going
to hurt someone!”
Aggression
What We Say: What We See:
• Trauma causes fight or flight
• Survival: The most basic human instinct
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?
Example:
The S_nc_uary _odel was deve_oped by D_. San_ra B_oom and her coll__gues.
“It doesn’t take anything to set that boy off!”
Hair-trigger
temper
What We Say: What We See:
• 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 ProcessCommun
ity
Children &
Families
Loss NeglectAbuseDomestic ViolenceSubstance AbuseImprisonment
Fiscal pressuresSocial expectations
Regulatory responsibilities
Parallel ProcessCommun
ity
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
HOW DO WE CREATE A CULTURE THAT:
Promotes and supports positive change in the children, their families and ourselves?
Maximizes each other’s strengths and minimizes each other’s weaknesses?
Buffers us from the impact of repetitive stress?