Dr Treisman’s book on “Trauma, adversity, and culturally informed, infused, and responsive system and organisational transformation” will be released in early 2021 and available for pre-order shortly- it is over 300 pages long and A4 in size. It is jam packed with treasures such as practical ideas, photographed examples, photocopiable resources, real world examples from contributors from all around the world, amazing new illustrations and infographics, and much more.
This page is focused on providing resources, websites, information, & services around moving towards and sustaining being a culturally, adversity, and trauma-informed, infused, and responsive organisation and system. We at Safe Hands and Thinking Minds also offer a range of consultation, support, and training packages to support and enhance this transformation.
Introduction into adversity, culturally, trauma-informed, infused, and responsive practice:
An adversity, culturally, dissociation, and trauma-informed, infused, and responsive organisational lens acknowledges & advocates that “trauma-informed” practice is so much more than a buzz word, a one-off training event, a fruit bowl being placed in a reception area, an adapted policy collecting dust on a shelf, or a tick-box exercise. It is more about meaningful multi-layered whole-system wide transformation; and is a journey. This focuses on supporting, creating, embedding, & sustaining cultural & paradigm shifts & transformation across all levels of the organisation.
This shift & vision recognises the prevalence, & multi-layered impact of trauma & adversity at an individual, family, societal, & organisational level; as well as the crucial parallel processes which can occur within & between these systems. Therefore, culturally, adversity, and trauma-informed and responsive organisational transformation focuses on humanising systems & making them healthier, more relational, more integrated, more reflective, & more connected. It is about changing how systems do what they do, & who they are- their very fabric. This also includes embodying & infusing adversity, culturally, dissociation, and trauma-informed ideas & practices into everyday practice, into the feeling of the place, & into the whole system; from policies to supervision, to team meetings to the language used, to recruitment procedures, to the physical environment, & so forth (Please see the infusing & weaving worksheet below).
Under a trauma-informed process, this knowledge, values, principles, & assumptions aim to be embedded into the culture of the organisation, & are ideally owned & contributed to by everyone; including those from multiple levels, roles, & those with lived experiences. A trauma-informed process can not be trauma-informed without being interconnected with areas of cultural humility, cultural inclusiveness, & cultural responsiveness; including integrating & acknowledging historical trauma, oppression, cultural trauma, social injustice, intersections of identity, & inter generational trauma.
Within trauma-informed organisational change there are various steps, guiding values, & stages; however, like with people, this can be slow, complex, not linear, & messy. Therefore, the progress, development, embedding, & sustaining of meaningful trauma-informed ideas, attitudes, policies, & practice is an ongoing process & a journey.
To engage more with these ideas. Please see worksheets & websites for more information & resources.
A bit about our story, journey, & passion in this area:
Dr Treisman & associates passionately believe in social, contextual, societal, & systemic impact & that trauma-informed practice is a social movement. As the quote above says, “If the flower doesn’t bloom, you don’t try to fix the flower, and you certainly don’t blame the flower, but you try to make environments which support flowers to bloom”. Therefore, we need to make adversity, culturally, and trauma-informed, infused, & responsive environments which not only acknowledge, respect, & are structured around the pervasive, extensive, & multi-layered impact of trauma, dissociation, toxic stress, and adversity in our societies; but also ones which actively resist & reduce further re-traumatising, blaming, marginalising, exclusion, & oppression.
Dr Treisman & associates have also experienced the vast difference, impact, & physical/social/spiritual/emotional consequences of working in traumatised, trauma-inducing, and unhealthy systems; verse working in connected, supportive, healing, & nurturing teams. This has further validated & fuelled their passion & dedication to trauma-informed organisational practice.
To develop further, connect, & expand on these ideas & passion, Dr Treisman was also awarded a Winston Churchill Fellowship which involved travelling to 14 cities across America, attending 3 international conferences, & having meetings with over 100 specialists in this area to learn from best practice in culturally, adversity, dissociation, and trauma-informed, infused, & responsive systems. The report from this trip can be found below; and will be expanded much more richly in Dr Treisman’s forthcoming book on this topic. Dr Treisman wishes to extend a huge thank you to the incredible people & organisations who gave their time, energy, & knowledge to the trip; as well as to the Winston Churchill Fellowship for a phenomenal opportunity.
Therefore, to disseminate these ideas, & expand on them, Dr Treisman & associates have drawn on their extensive clinical experience in the areas of relational trauma, developmental trauma, disrupted attachment, trauma-informed organisational change, refugee & asylum-seeking people; as well as in the areas of implementation science & groups dynamics to offer a range of support, consultation, & training packages; & to create multiple free trauma-informed organisational resources & useful links (See below). They are also currently proactively putting these theories, concepts, models, values, & ideas into practice by offering trauma-informed & trauma-responsive transformation packages (of different lengths and levels) to multiple organisations within the UK & internationally (Africa & Asia) including residential homes, social services, foster care systems, prisons, youth offending services, schools, hospitals, homelessness shelters, & domestic violence shelters.
Please contact us to learn more about the fellowship, the worksheets, training, consultancy, and support offered around meaningful trauma-informed practice.
Free Resources and Worksheets (This is regularly being updated; as well as worksheets being updated- We also welcome suggestions, as well as ideas for new resources. For other clinical resources & worksheets around relational & developmental trauma, please see the other pages on this website)
Dr Treisman’s Winston Churchill Report on adversity, culturally, and trauma-informed, infused, and responsive organisations-https://www.wcmt.org.uk/sites/default/files/report-documents/Treisman%20K%202018%20Final.pdf
Some of the rationale and whys as to why an organisation might want to move towards being more adversity, culturally, and informed, infused, and responsive-the why and rationale finalword
The different organisational elements and areas that trauma-informed principles and values should be infused & woven into- Visual Sketch note trauma-informed weaving into whole system
Trauma-informed values, principles, and assumptions-Visual Sketch note– trauma-informed values, principles, and assumptions
Trauma-informed values, principles, & assumptions- Part 2- Explanation, Guidance, & Expansion- (Ongoing work in progress)- Values section expanded Document to support assessment, readiness, development, and action plans.
Trauma-informed values and principles applied to the current covid situation written by Dr Karen Treisman- trauma informed values in covid
Karen Treisman discussing some of the survival, protective, and coping responses and skills which organisations, systems, and teams can use and rely on when in a place of threat, stress, trauma, and fear. Discusses fight, flight, freeze, and many more responses. https://youtu.be/PaRwY7qzEyw and a worksheet on this http://www.safehandsthinkingminds.co.uk/wp-content/uploads/2018/09/organisational-defences-final-bled.pdf (please ensure this is fully cited and referenced if shared or used)
Karen Treisman discussing the importance of how organisations make people feel during this time; and how the values of trauma-informed practice need to be embedded and modelled; and our staff wellbeing needs to be at the forefront- https://www.youtube.com/watch?v=9J7ayCkw4eg
Karen Treisman and Lisa Cherry in conversation about trauma, adversity, and culturally informed, infused, and responsive organisations in the context of the pandemic- https://www.youtube.com/watch?v=4rqbKq9UBHU&feature=emb_logo
Trauma-informed Building Design and Physical Environment– Creating spaces and buildings which are in line with the values and principles of trauma
Trauma-informed Supervision Crib Sheet (regularly updated and adapted)- trauma-informed supervision
Trauma-informed Team Meetings Crib Sheet (regularly updated and adapted)-trauma-informed meetings- Karen Treisman
Trauma-informed interview and recruitment (regularly updated and adapted)-recruitment and induction- trauma-informed
Some ways to support staff wellness, wellness, & care- individual and organisational (this accompanies the self-care training package which we offer)- self-care infographics
Keeping momentum up, embedding it further, and breathing life into trauma-informed ideas- Some top tips to further keep the momentum alive
Intersection of Identities- Cultural Humility & Responsiveness- Visual Sketch note- cultural humility sketchnote pdf
Intersection of Identities- Cultural Humility & Responsiveness- Guidance & Introduction- cultural humility and responsiveness
Trauma-informed implementation & sustainability obstacles, and things to hold in mind- implementation infographics with copyright word
Trauma-informed survival & coping responses- feeling safe & putting up defences
Trauma-informed survival & coping responses in an organisational context- organisational defences final bled
Multi-layered Organisational safety sketch note- mutli-layered safety sketch note
Different types of trauma & the impact & consequences Sketchnote- sketchnote types of trauma
Several more coming soon.
Recommended Websites and Links around Trauma-Informed Organisations, Systems, and Practice: (Not an exhaustive or prescriptive list; and not in a particular order. For clinical and other support links around trauma and attachment, please see other page)
National Child Traumatic Stress Network- http://www.nctsn.org/ https://www.nctsn.org/trauma-informed-care/creating-trauma-informed-systems
Trauma-informed Oregon- https://traumainformedoregon.org/
Trauma-informed care: Perspectives and resources- http://trauma.jbsinternational.com/traumatool/index.html
Sanctuary Model- Dr Sandy Bloom- www.sanctuaryweb.com
Some great webinars on trauma-informed care including from Sandra Bloom- http://marc.healthfederation.org/brownbag
MARC Health federation (trauma-informed and trauma-responsive communities)- marc.healthfederation.org
https://www.chcs.org/resource/implementing-trauma-informed-care-organizational-culture-practice/-Great webinar by Ken Epstein
Trauma-informed infographic- https://www.chcs.org/resource/key-ingredients-trauma-informed-care/
Campaign for trauma informed policy and practice (USA)- www.ctipp.org
Trauma Transformed San Francisco- http://traumatransformed.org/
International Society for Traumatic Stress Studies- https://www.istss.org/
Chadwick Center- www.ChadwickCenter.com
Chadwick Trauma-informed Systems, Dissemination, and Implementation Project- https://ctisp.org/
Ohio Domestic Violence Network- http://www.odvn.org/ (Trauma-informed road map and trauma-informed approaches)
Children’s Crisis Treatment Center- http://cctckids.org/programs-services/overview/
Traumatic Stress Institute- Klingberg Family Center- https://traumaticstressinstitute.org/