The URL can be used to link to this page

Home My WebLink AboutCOM 0626.002 2022-2024 Susan L.K. Lee Loy = Jiq Office: (808)961-8396 • Council Member Fax: (808)961-8912 :' ' � ��'' • Email: sue.leelo hawaiicoun ov District 3 _ Y@ tY•g HAWAI`I COUNTY COUNCIL 25 Aupuni Street,Hilo,Hawai`i 96720 CZC) MEMORANDUM :, DATE: December 12, 2023 TO: Heather Kimball, Council Chair; and =� Members of the Hawai`i County Council FROM: it8usan L.K. Lee Loy, Council Member SUBJECT: Re: Communication 626.1 —presentation by Ms.Tia Hartsock Attached to this memorandum is a copy of a presentation to the Governmental Operations and External Affairs Committee for the meeting on December 19, 2023. Please distribute as appropriate. SLL:so Comm: No 1�•1- Ref:To: 111I14 i DEC 1, g 2023 Hawai'i County Is an Equal Opportunity Provider And Employer Ref. Rate : Trauma-Informed Care & the Climate Crisis Tia L.R. Hartsock MSW, MSCJA Hawai`i Island County Council Dec. 19, 2023 • 5�;of ', ��` • tA � ri Office oWe��n4e•11sdsad d Resilience Office of the Governor, State of Hawaii Creating a Trauma-Informed Hawai'i r :. . Agenda g e r \ LI 1. Office Of Wellness and Resilience kW 10 2. Trauma Informed Care 3. Climate Change & Trauma .. o- Office of Wellness and Henilience Office of the Governor,State of Hawaii I" Pt 5,i,4., --.0., a •IIIIIIM a�►ak �� I , t 1 �, b x vv i 1 r 41 i g. i; Hawaii Session Laws 2022 - Gov. Ige signed Act 291 to establish OWR in the Office of the Governor In Dec. 2022, Gov. Green appointed Director e r,, o s v;`w,, Fully staffed in June 2023; staff on 3 islands will ' 4 _ ° t'� , implement the charge of Act 291 Office of Wellness and Resilience Office of the Governor,State of Hawaii Our mission is to strengthen our state systems and services, using healing- centered care principles as strategies to make Hawaii a trauma-informed state. We break down barriers that impact the physical, social, and emotional well-being of Hawai`i's people - from keiki to kupuna. Office of Wellness and Reslllence Office of the Governor,State of Hawai'I What is trauma? • Office of Wellness and Resilience Office of the Governor,State of Hawaii Definition of trauma Substance Abuse and Mental Health Services Administration (SAMHSA) defines trauma as: "...an event, series of events, or set of circumstances that is experienced as physically or emotionally harmful or life threatening and that has lasting adverse effects on the individual's functioning and mental, physical, social, i` �,�, � : f�. emotional, or spiritual well-being." Office of Wellness and Resilience Office of the Governor,State of Hawaii Grief and loss War and terrorism Intimate partner Gun violence and and other domestic violence forms of mass violence Bullying Medical Adverse childhood in.terventions Physical, emotional events (ACES), childhood 2and sexual abuse abuse and neglect cc F- S'S 2 i s . t"�yC R{-.1. .f Office of Wellness and Resilience Office of the Governor,State of Hawaii NeurobioLogy y r , r ._.�, Neocortex: J �. Rational or Thinking Brain 1 r--- ` X A Limbic Brain: ?" Emotional" or Feeling Brain le r�'' �. ... Reptilian Brain: . Instinctual or Dinosaur Brain Source:"The Triune Brain".Thorton,J.(2009). Humans have three brains.The Book of Threes.Retrieved from: https://www.bookofthrees.com/hu mans-have-three-brains/ Epigenetics 41111 • O • • Generation I Generation II fle=neraticn III Source:Shaw,J.(2017).Is Epigenetics Inherited?Harvard Magazine.Retrieved from:https://www.harvardmagazine.com/2017/04/is-epigenetics- inherited,Illustration by Jude Buffum Adverse Childhood Experiences L ABUSE NEGLECT HOUSEHOLD DYSFUNCTION j E_ w ii Physical Physical Mental Illness Incarcerated Relative 1Hx r , iisi ,, ,,,,,,„,„„.,.,,_ or Emotional Emotional Mother treated violently Substance Abuse lek Sexual Divorce Source:Centers for Disease Control and Prevention Credit.Robert Wood Johnson Foundation Early Death Disease, Disability, and Social Problems Adoption of Health-risk Behaviors Social, Emotional, and Cognitive Impairment Disrupted Neurodevelopment Adverse Childhood Experiences Conception Mechanism by Which Adverse Childhood Experiences Influence Health and Well-being Throughout the Lifespan • Source: • „.„..orA / Trauma-Informed Care 410 4" a %S t 5a.Mq I Office of Wellness and Resilience Office of the Governor,State of Hawaii 4' 4.1 Trauma-Informed Care (TIC) Hawaii-Informed Version Trauma-Informed Care is an approach to understanding, recognizing, respecting, and responding to the pervasive and widespread impacts of trauma on our ability to connect with ourselves and others, our place and the elements around us, and our ways of being. /tom 95H•1 Source:Hawaii Trauma-Informed Care Task Force Office of Wellness and Resilience Office of the Governor,State of Hawaii 111}y SAFETY TRUSTWORTHINESS & Ps S 'PORT Physical and psychorogicd safety is priority TRANSPARENCY Peoples stifles and Lived experiences are valued wrtldn the organization-for staff and people and fecagrazed as key to budding safety, In its operaiions and decisions,organ/ationaI who are served tk+derstanderg how people business is ed transparency A goal establishing trust.and iiowth after healing perceive safety is key Mutual self-helpand peer support are vetted as exists to bunk!trust among all who interact with the organizationvehicles for recovery and growth 6 Principles of Trauma-Informed Approaches tat i EMPOWERMENT, VOICE, & CULTURAL, HISTORICAL, & CHOICE GENDER ISSUES irdioduala strengths and experiences are The organization actively moves past cuiturat recognized and Witt upon throughout the biases,offers access to gender responsive organization The culture fosters a belief in the services,leverages the healing value of J f� +9 primacy of the people served,in resilience,and traditional cultural connections,incorporates /.;. .....,! s9 in the ability of individuals,organizations,and policies,protocols,and processes that are communities to heat and promote recovery responsive to the racial.ethnic and cultural (l! from trauma needs of individuals served,a recognizes m and and addresses historical trauma Source:Substance Abuse and Mental Health Services Administration.(2014).Trauma-Informed Care in Behavioral Health Office of Wellness and Resilience Office of the Governor,State of Hawaii Services:Treatment Improvement Protocol(TIP)Series,No.57.Retrieved from:https://www.ncbi.ntm.nih.gov/books/NBK207201/ ii. ROADMAP TO HEALING This graphic illustrates the spectrum of organization types when considering the level of trauma informed and healing centered approaches they currently implement. TRAUMA TRAUMA TRAUMA TRAUMA HEALING AFFECTED AWARE SENSITIVE (TRAUMA ESPONSIVE INFORMED CENTERED Organization that is Recognition and naming of Staff have foundational Organization fully integrates r Organization actively realizes. Organization actively unaware or ignorant to trauma and toxic stress.and knowledge of NEAR science. \ knowledge about trauma recognizes,responds to.and centers resilience and the impacts of trauma opportunities for resilience trauma-informed principles. and resilience into trauma resists re-traumatization healing,for both clients for clients and staff among clients and staff and recognize signs and into policies,procedures. of staff and clients and staff symptoms of trauma and practices Source: �S �' .9,,„MgY �'-•r050, .y r a_• - ,, tl '` tr'N b.ytwp.y.s Office of Wellness and Resilience Office of the Governor,State of Hawaii HF ki )411110 4 .1* 44144, '' .//�� Climate Change & Trauma �t�•��DSD 7 k ` .1111 Office of Wellness and Resilience Office of the Governor,State of Hawaii it".4 Climate change is associated with adverse impacts on mental health and well-being, including trauma. • Climate change is likely to increase the incidence of a range of potentially traumatic events, including weather-related disasters, familiar and community violence, life-threatening illnesses, and bereavement. • The health impacts of climate change are unevenly distributed, with people living in more vulnerable contexts with fewer supports generally experiencing the worst outcomes. .del •;, `\ Office of Wellness and Resilience Source: International Society for Traumatic Stress Studies: https://istss.org/ISTSS_Main/media/ISTSS-Staff/Images/Climate-Change-Fact-Sheet.pdf Officeofthe GovernorStaceof Hawaii — What can we do? Policy action steps: • Support efforts to prevent mental health problems, including traumatic stress, and promote well-being alongside treatment in order to boost resilience to the effects of climate change Clinical action steps: • Deliver mental health and psychological support services at multiple levels, including at the community level through community networks Research action steps: • Develop measures that could be used to assess climate change-related 4'4 gbp~ exposures and traumatic stress impacts vita Offke of Wellness and Resilience Source: International Society for Traumatic Stress Studies: https://istss.org/ISTSS_Main/media/ISTSS-Staff/Images/Climate-Change-Fact-Sheet.pdf Officeofthe Governor,5tateofHawai'i Addressing Trauma on Maui • Convening Mental Health Coordinated Response Meetings since Aug. 9, totaling 400+ people • Instrumental in standing up services, breaking down barriers, sharing resources and lessons learned • More than 200+ Hawaii licensed professionals providing volunteer mental health services to 1,000+ survivors on the ground • In collaboration with Kamehameha Schools and Hui Ho`omalu, stood up wellness weekends, offering services based on Hawaiian healing practices 6 o r~1 Office of Wellness and Residence Office of the Governor,State of Hawaii # 19�5 9 g•7i�. \`, :► I Office of Wellness and Resilience Office of the Governor,State of Hawaii Questions? _ ti, Email P ° : 1959 °°' \, goo - . gov.owr@hawaii.gov 1 • i t " • \ b - ' • t •• N % I * : \: , Websito Q governor.hawaii.gov/office-of- _ �'••..,', `°.•toe 'Z 's' wellness-and-resilience/ Office of Wellness and Resilience Office of the Governor, State of Hawaii