Item 08 Appendix 1 - Trauma Informed and Responsive Strategy Document 2025-28
West Dunbartonshire Council · 20 February 2025
Back to Community Planning West Dunbartonshire Management Board — 20 February 2025 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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West Dunbartonshire Trauma Informed and Responsive Approach – Strategy Document 2025-2028 Policy Number Owner Date Effective Review Date ITEM 8 - APPENDIX 1
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Document Management Details Document Management Category Details Policy Title West Dunbartonshire Trauma-Informed and Responsive Strategy 2025-28 Writer of Policy *** Approved By Date Approved Date Effective Review Date Version Number Version 1 Rationale for Introduction/driver for Change Detailed in introduction Lead Officer Consultation and Approval Process Trauma Informed and Responsive Steering Group Date when the Equalities Impact Assessment was approved
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Contents Executive Summary __________________________________________________________ 4 Introduction________________________________________________________________ 5 What is Trauma? ______________________________________________________ 5 What is the Impact of Trauma? __________________________________________ 6 What can reduce the Impact of Trauma? ___________________________________ 9 What is Trauma Informed Practice? ______________________________________ 10 How do we become Trauma Informed and Responsive? ______________________ 12 Why Should Trauma Informed Practice Matter to Me? _______________________ 13 Vision for West Dunbartonshire _______________________________________________ 15 National Context ___________________________________________________________ 16 Local Context ______________________________________________________________ 18 A West Dunbartonshire Trauma Informed Approach ________________________ 18 How Many People Locally Have Experienced Trauma? _______________________ 18 How will our services become Trauma Informed and Responsive? ______________ 20 Outcome 1 – Staff Support and Wellbeing _______________________________________ 20 Outcome 2 – Trauma-Informed Systems, Policies and Processes _____________________ 21 Outcome 3 – Community Involvement __________________________________________ 22 Outcome 4 – Leadership and Culture ___________________________________________ 24 Governance and Reporting ___________________________________________________ 24 Glossary __________________________________________________________________ 25 Further Reading ____________________________________________________________ 26 Further Support ____________________________________________________________ 27
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References ________________________________________________________________ 28 Executive Summary The West Dunbartonshire Trauma-Informed and Responsive Strategy 2025-2028 begins the journey to embed Trauma-Informed Principles across our services and community. Strategy Key Messages: 1. Understanding Trauma and Its Local Impact: Trauma results from harmful or life-threatening events and affects physical, mental, and social health. An estimated 13,000 residents experiencing four or more Adverse Childhood Experiences (ACEs), highlighting the urgency for Trauma-Informed Practice. 2. Vision and Strategic Outcomes: Four outcomes guide the strategy: o Staff Support and Wellbeing: Equip staff with tools to understand and address trauma while supporting employees who may have their own experiences. o Trauma-Informed Systems and Policies: Embed trauma-informed principles to enhance safety, trust, and inclusivity. o Community Involvement: Empower our community in co-producing trauma- informed services. o Leadership and Culture: Promote organisational culture change through trauma- informed leadership. 3. The Case for a Trauma-Informed Approach: Trauma-informed principles enhance trust, safety, and empowerment, reducing re- traumatisation and improving service outcomes. This approach supports existing priorities in the West Dunbartonshire Strategic Plan (2023-26) and aligns with national frameworks like the National Trauma Transformation Programme (NTTP).
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This strategy reflects West Dunbartonshire’s commitment to creating a supportive, safe, and inclusive environment for residents and employees by aligning local priorities with national frameworks and evidence-based practices. Introduction What is Trauma? Trauma is a response to a wide range of events that can be harmful or life threatening to an individual. Trauma can be experienced from one off events, a series of events or long-term circumstances of an individual. How trauma and traumatic events are experienced will be unique to everyone, but the impact of trauma is long lasting. Some individuals may experience potentially traumatic events in childhood, known as Adverse Childhood Experiences (ACEs). These events can disrupt development and emotional regulation. Many people will experience an ACE in childhood and have no prolonged impact. However, exposure to 4 or more ACEs have been linked to poorer health and wellbeing outcomes in adulthood1. The below diagram shows some examples of different traumatic events and some adverse childhood experiences. Figure 1: Diagram of Adverse Childhood Experiences and Trauma2 1 Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. American journal of preventive medicine, 14(4), 245–258. https://doi.org/10.1016/s0749-3797(98)00017-8 2 https://www.traumatransformation.scot/app/uploads/2023/10/NESD1770-Caregiver-Venn-Diagram-v2.pdf
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What is the Impact of Trauma? The full impact of trauma can vary considerably between individuals. The impact of trauma will depend on the event(s), access to services, and life circumstances. However, the impact of trauma can be long lasting. Although the level of impact trauma can cause can vary, it is common for trauma to affect social wellbeing, physical health and mental health. Figure 2: National Trauma Transformation Programme Trauma Tree3 3 https://www.traumatransformation.scot/app/uploads/2023/09/NESD1770-NTTP_Trauma-Tree.pdf
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Justice Services that support victims and witnesses of crimes also must be aware of the ways environments, circumstances and systems can be traumatic to individuals. It is also important to recognise that people who perpetrate crimes will often be victims of crime so the prevalence rates for those affected by trauma, who are part of justice services - whether victim or perpetrator, is much higher than the general population. Figure 3: National Trauma Transformation Trauma Tree for Victims and Witnesses4: 4 tree-unhealthy-thmb-230523.jpeg (1290×886) (traumatransformation.scot)
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The links between trauma and health and wellbeing outcomes are complex. Some of the risks to health, social and emotional wellbeing are to do with risk-taking behaviours, while other risks come from biology and the impact of stress hormones. Experiencing trauma can impact everyone in different ways depending on their own unique circumstances. However, some common outcomes of different age groups include: Age Range Trauma Impact Pre-Natal Trauma experience linked with maternal anxiety and low birth weights5 5 Blackmore, E. R., Putnam, F. W., Pressman, E. K., Rubinow, D. R., Putnam, K. T., Matthieu, M. M., Gilchrist, M. A., Jones, I., & O'Connor, T. G. (2016). The Effects of Trauma History and Prenatal Affective Symptoms on Obstetric Outcomes. Journal of traumatic stress, 29(3), 245–252. https://doi.org/10.1002/jts.22095
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Babies and Infants Experiencing trauma linked with developmental and cognitive delays before turning 66 Children and Young People Experience high fear response, even in safe environments7 Adults Increased cancer risk through health behaviours and chronic stress8 Older Adults Trauma experience and low resilience linked to higher mortality in older adults9 What can reduce the Impact of Trauma? Our own personal resilience and our access to protective factors can play a role. Protective factors, such as having social support and high self-esteem, can reduce the negative impact of trauma. We will all have our own level of resilience which will impact how we cope and adapt with stressful events in our day-to-day lives. Having low resilience and fewer protective factors can mean we experience traumatic events worse than others. However, it is important that our services and organisation embed Trauma Informed Practice to ensure people can get the support they need, regardless of their own personal circumstances. 6 Vanderzee, K. L., Sigel, B. A., Pemberton, J. R., & John, S. G. (2018). Treatments for Early Childhood Trauma: Decision Considerations for Clinicians. Journal of child & adolescent trauma, 12(4), 515–528. https://doi.org/10.1007/s40653-018-0244-6 7 McLaughlin, K. A., & Lambert, H. K. (2017). Child Trauma Exposure and Psychopathology: Mechanisms of Risk and Resilience. Current opinion in psychology, 14, 29–34. https://doi.org/10.1016/j.copsyc.2016.10.004 8 Marshall, D. C., Carney, L. M., Hsieh, K., Dickstein, D, R., Downes, M., Chaudhari, A., McVorran, S., Montgomery, G, H., Schnur, J, B., (2023), Effects of trauma history on cancer-related screening, diagnosis, and treatment, The Lancet Oncology, 24(11), 426-437, https://doi.org/10.1016/S1470-2045(23)00438-2x 9 Nishimi, K., Bürgin, D., O'Donovan, A., (2023), Psychological resilience to lifetime trauma and risk for cardiometabolic disease and mortality in older adults: A longitudinal cohort study, Journal of Psychosomatic Research, 175, https://doi.org/10.1016/j.jpsychores.2023.111539
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Being a Trauma Informed Organisation will ensure that we work in ways that understand the impact of trauma and work in ways that prevent further harm. What is Trauma Informed Practice? Trauma Informed Practice is a way of working that is rooted in the understanding of how exposure to trauma can impact an individual’s functioning and development. This can impact how they interact with people and services. Adopting Trauma Informed Practice into service delivery allows those who have experienced trauma to experience services that foster safety and positive relationships which can support recovery. Some people who interact with our services may have experienced a traumatic event however may not realise the impact this has had on them. By adopting a Trauma Informed approach to our services, we can work in ways that reduce exposure to potential trauma triggers. Trauma triggers cover a wider range of external factors that can remind an individual of their traumatic experience. Staff can also benefit from Trauma Informed Practice within the workplace. Having a supportive, understanding and empowering workplace culture can ensure staff feel valued and respected at work. Trauma Informed Practice is working in ways that: Realising the prevalence of trauma and adversities on our communities Recognising the impact of trauma across the life course Resist re-traumatisation and further harm Realising resilience of individuals Reduce and address inequalities to improve lives Recognises importance relationships
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To make this happen, it is important to apply the principles of Trauma Informed Practice into the work we do: Safety Trust Choice Collaboration Empowerment
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Another important aspect is cultural considerations. By being considerate of individuals needs by removing barriers and addressing stereotypes. Some examples of working in ways that consider culture include: Using and valuing connections to cultures and healing that connecting with culture can bring Using processes that are person-centred Understanding the need for gender responsive services Trauma Informed Practice is a journey that involves reviewing how we currently work and making the necessary changes. How do we become Trauma Informed and Responsive? Becoming a Trauma Informed and Responsive organisation is a journey that takes time. Some changes can be made immediately in the way we work to be more Trauma Informed and some changes will take longer to embed sustainably. A Trauma Informed and Responsive organisation involves being proactive in the journey to embedding Trauma Informed Practice and Principles within the organisation. This means reviewing systems, processes and policies with a Trauma Lens to ensure sustainable change. From the learning that has happened across Scotland, the development of the Trauma Informed and Responsive Roadmap was created. This highlights the different stages every service and organisation will go through to adopt and strengthen their Trauma Informed approach. National Trauma Transformation: Roadmap for Creating Trauma Informed and Responsive Change10 10 https://www.traumatransformation.scot/app/uploads/2023/11/Roadmap-for-Trauma-Informed-Change-Executive- Summary.pdf
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Every service will be at different stages of the Trauma Informed journey but collectively the change will result in a Trauma Informed and Responsive Organisation. Why Should Trauma Informed Practice Matter to Me? Trauma is everyone’s business. As a member of the community, we will regularly access services. As an employee, we will regularly contact and deliver services.
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We need to ensure that our services are designed with trauma in mind to ensure they are inviting and offer the correct support at the appropriate time. Services that are designed in Trauma Informed ways have a wide range of benefits for both the people accessing services and staff. Some examples of the benefits of working in Trauma Informed ways include: Age Range Trauma Informed Practice in Action Pre-Natal Individualised care that focuses on Trust, Safety and relationships help childbearing people feel empowered following a traumatic birth.11 Babies and Infants Children accessing Trauma Informed programmes Early Education Centres showed developmental, social and emotional improvements compared with classes not actively Trauma Informed programmes12 Children and Young People Changing the language used in case notes with young people can help young people to feel safety and trust between themselves and professionals.13 Adults Using a trauma-informed tool for understanding patient history can support making plans unique to the individuals – including knowing potential triggers and personal distress management preferences. 14 11 Annabel Tafe, Allison Cummins, Christine Catling, Exploring women’s experiences in a midwifery continuity of care model following a traumatic birth, Women and Birth, Volume 36, Issue 4,2023, Pages e421-e427, ISSN 1871- 5192, https://doi.org/10.1016/j.wombi.2023.01.006. 1. Tan, P. Z., Aralis, H., Ijadi-Maghsoodi, R., Wang, E., Kataoka, H. S., Miller, K., Sinclair, M., Gorospe, M. C., R. Delja, R. J., Barrera, W., Lee, J. S., Mogil, C., Milburn, N., Paley, B., (2024), Advancing equitable access to high quality early childhood education through a trauma- and resilience-informed community schools approach, Early Childhood Research Quarterly, 69, 111-121, https://doi.org/10.1016/j.ecresq.2024.06.004 13 Firmin, C., Langhoff, K., Eyal-Lubling, R., Maglajlic, A. R., Lefevre, M., (2024), ‘Known to services’ or ‘Known by professionals’: Relationality at the core of trauma-informed responses to extra-familial harm, Children and Youth Services Review, 160, https://doi.org/10.1016/j.childyouth.2024.107595 14 Marshall, D., Green, S., Jones, M. B., Starrs, C., Montgomery, H. G., Minassian, K., Wunder, B., Force, J., Schnur, B. J., Trauma-Informed Radiation Therapy: Implementation and Evaluation of a Sensitive Practice Tool for Female Patients Undergoing Radiotherapy for Breast Cancer, Journal of the American College of Radiology,19(11),1236- 1243, https://doi.org/10.1016/j.jacr.2022.07.011.
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Older Adults Adopting Trauma Informed Approaches to care can support autonomy and promote staff and dementia patient safety15 We all have a part to play to make West Dunbartonshire a Trauma Informed place to live, work and thrive. Vision for West Dunbartonshire Embedding Trauma-Informed and Responsive Practice takes time. We need to work with our community planning partnership members to ensure sustainable change can happen across West Dunbartonshire. The work to develop a Trauma Informed and Responsive West Dunbartonshire contributes to the overall vision for the Community Planning West Dunbartonshire Partnership that West Dunbartonshire is a ‘A great place to live, work and visit'. Our vision is to embed Trauma-Informed ways of working in all that we do to ensure our community and staff are supported to reduce the negative impacts trauma can cause. Ensuring the Trauma-Informed Principles of Safety, Trust, Choice, Collaboration are understood and embedded in our services is key. Four local outcomes have been created based on best practice and learning from other areas to support embedding Trauma Informed and Responsive Changes in a systematic way. 15 Couzner, L., Spence, N., Fausto, K., Huo, Y., Vale, L., Elkins, S., Saltis, J., Cations, M., (2022), Delivering Trauma- Informed Care in a Hospital Ward for Older Adults With Dementia: An Illustrative Case Series, Frontiers in Rehabilitation Sciences, 3, DOI=10.3389/fresc.2022.934099
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National Context Developing a Trauma Informed Workforce across Scotland is a shared vision of the Scottish Government and the Convention of Scottish Local Authorities (COSLA). Adopting Trauma Informed approaches strengthens already existing priorities. Trauma Informed Practice and Principles have been embedded and supports agendas in multiple National Strategies, Priorities, Guidance and Policy.
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National Trauma Transformation Programme Vision and links to other policy agendas16: Working in Trauma Informed ways is becoming the standard. Some areas we support must report their progress in working in Trauma-Informed ways, such as: - Medication Assisted Treatment (MAT) Standard 10 - Scottish Social Services Council (SSSC) Codes of Practice To support the delivery of Trauma Informed and Responsive Practice nationally, the Improvement Service, COSLA, Resilience Learning Partnership (RLP) and NHS Education for Scotland (NES) have worked together to develop National Trauma Transformation Programme (NTTP). This work started in 2017 with the creation of the Knowledge and Skills Framework and the development of the National Trauma Training Programme in 2018. The NTTP was created to highlight the need for a whole systems approach to a Trauma Informed culture and changes to policies and practice which are of a transformational nature. 16 Improvement Service, Improving outcomes for people and communities affected by poverty, inequality, trauma and adversity: joining the dots across key policy agendas: joining-dots-across-policy-agendas.pdf
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Local Context A West Dunbartonshire Trauma Informed Approach The trauma agenda is crossing-cutting both nationally and locally. The work to because Trauma- Informed supports existing priorities around staff support, involving communities and building resilience of our communities and services. Some examples of local strategies that include commitment to or will be supported by applying a Trauma-Informed Approach include. West Dunbartonshire Local Outcome Improvement Plan 2022-27 West Dunbartonshire Council Strategic Plan 2022-27 West Dunbartonshire Health and Social Care Partnership Strategic Plan 2023-26 Improving Lives Together Housing and Employability Delivery Plan 24-25 Education Delivery Plan 24-25 Citizens, Culture and Facilities Delivery Plan 24-25 People and Technology Delivery Plan 24-25 Regulatory and Regeneration Delivery Plan 24-25 Resources Delivery Plan 24-25 How Many People Locally Have Experienced Trauma? In Scotland, we do not regularly screen for trauma experiences when accessing services. Some experts have suggested this can lead to stigmatisation and create discomfort for those being asked about their experiences. However, we can estimate the levels of trauma experienced locally using various research and published reports.
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When a child is victim of physical, emotional and or sexual abuse, or grows up in a household where abuse takes place, that is recognised as an Adverse Childhood Experience (ACE). The 2019 Scottish Health Survey reports that 1in 7 adults have experienced 4 or more ACEs. 47% of adults reported verbal abuse and 28% reporting physical abuse. 10% of women and 4% of men had reported sexual abuse in childhood. If we applied these figures to West Dunbartonshire, we could estimate: Adversity Experienced Number of People 4+ ACEs 13,284 Verbal Abuse 42,509 Sexual Abuse 4,605 (Women) 1,700 (Men) It is important to highlight that there are links between ACEs and Violence Against Women and Girls (VAWG). For example, Domestic Abuse, which is a form of VAWG, was reported as an ACE by 24% of adults. Gender inequality is the cause and consequence of VAWG, and this needs to be understood within context of the different expectations and gender roles for men and women in society. Women and girls are disproportionately affected by VAWG, and they experience it because they are women and girls. Recorded Crimes in Scotland (2023-24) data shows 94% of the victims of Domestic abuse incidents where female, and evidence suggests that Childhood Sexual Abuse (CSA) has a higher prevalence in girls. This is also what was found in the 2019 Scottish Health Survey – 10% of women and 4% of men had experienced sexual abuse in childhood. The West Dunbartonshire GGC Health and Wellbeing Survey reports 1 in 6 residents felt isolated from friends and family. Around 33% of respondents had experienced some form of discrimination a few times in the last year. This shows a large section of our population may have limited social support.
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How will our services become Trauma Informed and Responsive? West Dunbartonshire Council and West Dunbartonshire HSCP are committed to becoming Trauma Informed and Responsive organisations. This involves embarking on our own journey to embedding Trauma Informed Practice in a meaningful way. As part of this, we have set a clear vision for West Dunbartonshire and outcomes that we aim to achieve over the course of this strategy. Outcome 1 – Staff Support and Wellbeing Staff are supported and empowered to understand the impact of trauma. Staff feeling able to work in Trauma Informed and Responsive ways is key to embedding this work. Staff within our organisation may have their own trauma and our organisation and policies should be designed to support them. Additionally, in our supporting roles, we may experience discloses of traumatic events which can cause vicarious trauma. Being able to acknowledge and respond in ways that are Trauma-Informed is important. A Trauma-Informed organisation will recognise the importance of supporting staff to stay within their personal Window of Tolerance. We all work best within our Optimal Zone and experiencing trauma in our personal or work lives can shrink this zone and lead to increased chance of burnout or feeling overwhelmed.
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We know... We Aim To... Staff need training opportunities on Trauma Informed Practice Encourage uptake of nationally available resources Reviewing Induction Training for new employees Staff wellbeing is important to the success of the programme Explore current access to staff support and identify gaps Update relevant policies and procedures relating to staff wellbeing Create a culture that staff feel valued and supported Outcome 2 – Trauma-Informed Systems, Policies and Processes To become a Trauma Informed and Responsive organisation, it is important that our systems and processes reflect this aim. Without this, it can be difficult to ensure long-term and sustainable changes.
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Areas of our organisation will already be working in Trauma-Informed ways and can be celebrated. Other areas may be able to make small changes that have a big impact. By acknowledging the need for systems to be updated in line with Trauma-Informed Practice, we can ensure a mechanism to allow for continuous improvement by actively looking for best practice and learning from others. By creating and promoting Trauma-Informed Systems, Policies and Processes, this ensures work is sustainable and will provide long-term changes. We know... We Aim To... Embedding Trauma-Informed Principles in the way we work supports sustainability Sharing good practice from learning across our own systems and external examples. Encourage Senior Leaders to apply the Trauma Self-Assessment tool to their services and wider organisation Policies and processes should be created and updated with a Trauma Lens Encourage the use of the Trauma Lens tool for policy updates and developments Workshops developed to support those using the Trauma Lens tool Outcome 3 – Community Involvement Our West Dunbartonshire community will include those who have lived experience of trauma. As part of the programme, it is important to embed their views throughout our work and make sure we have a strong voice of those with Lived Experience. The West Dunbartonshire Community Empowerment Strategy and Action Plan and the HSCP Engagement and Participation Strategy underpin our approach to involving the community in a meaningful way. Community refers to a group of people that share common characteristics with each other, such as:
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Groups of people who all live in the same geographical area (i.e. West Dunbartonshire covers Clydebank, Dumbarton, and Alexandria) Groups of people who share a common identity characteristic (i.e. identify as disabled, LGBTQ+, etc.) Groups of people who are brought together by a shared passion (i.e. climate activists, unions, etc.) Intersectionality recognises that people can belong to multiple groups which can add to the possibility of being discriminated against17. Our approaches to engagement with communities should be Trauma-Informed by embedding the Trauma-Informed Principles in all the activities we undertake. We know... We Aim To... Our West Dunbartonshire community includes those with Lived Experience, and it is important to include those with Lived Experience in a meaningful way Strengthen relationships with 3rd Sector advocacy groups and promote the messaging of the NTTP Embed a Trauma-Informed Approach when doing engagement work Feedback loops are important Strengthen feedback loops with a Trauma- Informed Approach 17 Hankivsky, O., (2014) ‘Intersectionality 101’. Institute for Intersectionality Research and Policy. 7, 1-36
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Outcome 4 – Leadership and Culture To ensure the long-term commitment needed to embed Trauma Informed changes, leadership buy-in is vital. Work should be undertaken to ensure leaders are confident and have the tools they need to lead on implementing Trauma Informed Practice into their services. A Trauma-Informed leader embodies the Trauma-Informed Principles of Safety, Trust, Choice, Collaboration and Empowerment. A Trauma-Informed and Responsive organisation will embrace cultural changes that embed these principles, so this way of working becomes the expectation for how we work. We know... We Aim To... Leaders need a deep understanding of Trauma and the impact on services Encourage leaders to attend Skilled Trauma Informed Leaders Training (STILT) Promote visible Trauma Informed Leadership Leadership buy-in is important for sustainable change Hold Trauma Informed Leaders Events to increase buy-in Governance and Reporting The West Dunbartonshire Trauma Informed and Responsive Steering Group was established to support the development of this Strategy Document. Individual workstreams will continue to feed into this reporting mechanism. Reports will be shared with the West Dunbartonshire Community Planning Management Board yearly to detail key work towards the outcomes.
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Glossary Adverse Childhood Experiences (ACEs) – Several events that happen in childhood that can be traumatic. Experiencing 4 or more ACEs are linked to higher risks of poorer health and wellbeing outcomes at adulthood. Adversity - A range of difficult or unpleasant situations. Community - A group of people who live in the same area or share the same characteristic. Community Planning – A goal of public bodies working with the local community to develop services that make a positive difference in local lives. Community Planning Partnership – The name for the group of public services and community representatives that participate in the development of service planning. Governance – The way we report progress and updates to promote accountability. Health and Social Care Partnership – An integrated organisation formed from local NHS health boards and Local Authorities to provide efficiencies and quality services.
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Lived Experience – Direct experience of a situation that can provide additional knowledge or understanding that cannot be achieved through formal learning alone. Trauma - An event or series of events that are perceived as harmful. Physiological – Functions and processes of the body. Protective Factors – Something about a person, community or physical environment that can help to protect from, minimise or mitigate negative outcomes associated with trauma. Trauma Informed - An understanding anyone can experience trauma, being aware of the impact of trauma and preventing further harm. Trauma Informed Practice – A way of working that embeds Trauma Informed Principles in a meaningful way. Trauma Responsive – Promotes a proactive approach to embedding Trauma Informed Practice within organisational systems, processes and policies. Resilience - The ability to recover from difficult circumstances or events. Re-Traumatisation - The reaction to an exposure to something that reminds a person of a previous Traumatic experience. Vicarious Trauma – A type of trauma experienced after hearing about someone else’s first- hand experience. 3rd Sector - An umbrella term for organisations that are not public or private sector. Often non- profit, charities, community groups and social enterprises will come under the 3rd Sector heading. Further Reading Below is a list of resources that are available freely and are useful to learn more on this topic and the wider National programme. National Trauma Transformation Programme (NTTP): o Knowledge & Skills Framework
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o Training Plan o Roadmap for Creating Trauma-Informed and Responsive Change: Executive Summary o Embedding Trauma-Informed and Responsive Organisations, Systems and Workforce National Learning Report 2024 o A Roadmap for Creating Trauma-Informed and Responsive Change Part 2: Self- Assessment o Roadmap for Creating Trauma-Informed and Responsive Change Appendix A: How we design and deliver services trauma-informed lens and walkthrough tool Scottish Government: Trauma-Informed Practice: Toolkit Beacon House: The Window of Tolerance Further Support Trauma can impact anyone. If you require more support or want services to signpost to, below include some services that are available to people living and working in West Dunbartonshire. - Adult Protection Process: Adult Support and Protection - West Dunbartonshire HSCP (wdhscp.org.uk) - Childhood abuse survivors: Childhood abuse: survivor support in West Dunbartonshire - mygov.scot - Child protection Process: Child Protection - West Dunbartonshire HSCP (wdhscp.org.uk) - Togetherall (All WD residents 16+): Togetherall - VAWG Info (includes support for men): Violence Against Women and Girls - West Dunbartonshire HSCP (wdhscp.org.uk) - WD Advice Services: Advice for young people | West Dunbartonshire Council (west- dunbarton.gov.uk) - WD Crisis Services: Crisis Services | West Dunbartonshire Council (west- dunbarton.gov.uk) - WD Self-Directed Support Info: Self Directed Support - West Dunbartonshire HSCP (wdhscp.org.uk) - WD Education Focused Mental Health Support: Schools - health and well-being | West Dunbartonshire Council (west-dunbarton.gov.uk) - WDWellbeing Info: Homepage | WD Wellbeing
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References 1. Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. American journal of preventive medicine, 14(4), 245–258. https://doi.org/10.1016/s0749-3797(98)00017-8 2. National Trauma Transformation Programme ACE and Trauma Venn Diagram: https://www.traumatransformation.scot/app/uploads/2023/10/NESD1770-Caregiver- Venn-Diagram-v2.pdf 3. National Trauma Transformation Programme Trauma Tree https://www.traumatransformation.scot/app/uploads/2023/09/NESD1770- NTTP_Trauma-Tree.pdf 4. National Trauma Transformation Programme Justice Trauma Tree: https://www.traumatransformation.scot/app/uploads/2023/07/tree-unhealthy-thmb- 230523.jpeg 5. Blackmore, E. R., Putnam, F. W., Pressman, E. K., Rubinow, D. R., Putnam, K. T., Matthieu, M. M., Gilchrist, M. A., Jones, I., & O'Connor, T. G. (2016). The Effects of Trauma History and Prenatal Affective Symptoms on Obstetric Outcomes. Journal of traumatic stress, 29(3), 245–252. https://doi.org/10.1002/jts.22095 6. Vanderzee, K. L., Sigel, B. A., Pemberton, J. R., & John, S. G. (2018). Treatments for Early Childhood Trauma: Decision Considerations for Clinicians. Journal of child & adolescent trauma, 12(4), 515–528. https://doi.org/10.1007/s40653-018-0244-6 7. McLaughlin, K. A., & Lambert, H. K. (2017). Child Trauma Exposure and Psychopathology: Mechanisms of Risk and Resilience. Current opinion in psychology, 14, 29–34. https://doi.org/10.1016/j.copsyc.2016.10.004 8. Marshall, D. C., Carney, L. M., Hsieh, K., Dickstein, D, R., Downes, M., Chaudhari, A., McVorran, S., Montgomery, G, H., Schnur, J, B., (2023), Effects of trauma history on cancer-related screening, diagnosis, and treatment, The Lancet Oncology, 24(11), 426- 437, https://doi.org/10.1016/S1470-2045(23)00438-2x 9. Nishimi, K., Bürgin, D., O'Donovan, A., (2023), Psychological resilience to lifetime trauma and risk for cardiometabolic disease and mortality in older adults: A longitudinal cohort study, Journal of Psychosomatic Research, 175, https://doi.org/10.1016/j.jpsychores.2023.111539
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