UCAAN JOURNAL CLUB
Trauma and Resilience in California Native Communities
September 16, 2022
Allyson Kelley & Associates, PLLC.
Disclosures: The authors do not have any conflict of interest to report. �
Purpose
Discuss �the practice paper and how community was engaged to inform trauma and resilience work in Indigenous communities in California
Review � learned during the process
Share�the next steps in this work, including the development of a tribal adverse childhood experiences screening tool
Engaged community in addressing trauma and promoting resilience
Identified the needs and experiences of trauma and resilience specific to Native communities in California
Explored how screening tools and trauma-informed care could be more responsive to Indigenous experiences and communities
Practice Paper
Methods – Collecting Stories
“An Indigenous model must reflect Indigenous reality. It must integrate the past, the present, and the people’s vision for the future. It must acknowledge resources and challenges and allow communities to build a commitment to identifying and resolving health concerns and issues.”
- Chino, M. & DeBruyn, L. (2006)
Methods: Collecting Stories
Narrative research methods
Collaborative, semi-structured interviews
Ten tribal professionals in behavioral health and family welfare agencies based on specific criteria
Methods: Collecting Stories
Data Analysis
NVivo 12.0
Content and narrative analysis
Individual interviews were completed and reviewed
Reflection and time needed - going back to the story, to the meaning
Analyzing to bring forward participants’ stories and experiences rather than decontextualizing answers from original contexts.
Findings
Unique Perspectives on �Trauma Screening and Healing
Indigenous Communities Experience Trauma but also Demonstrate Resilience
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Trauma-Informed Care in Tribal Communities the Path Forward
Findings
Findings
| Perspectives on Trauma Screening and Healing
“There is no way to recover, unless we uncover.”
- Tribal Health Professional
Indigenous Communities Experience Trauma and Demonstrate Resilience
Culturally informed response�Trauma-informed care at the community level
Culturally informed practice�Culture integrated into tools and interventions
Readiness for change �Change at the individual, community, organizational levels
Prioritize healing�Tools, trauma-informed care, and interventions should prioritize healing
The Path Forward: Trauma-Informed Care in Tribal Communities
“Relationships take time, and consistency, and showing up, and listening. So many of the forces of trauma-informed care are what’s needed to be applied in the communities from each and every provider or staff person, frontline person, receptionist, you know, to really incorporate and include the people that we are living and working with.”
- Tribal Health Professional
Conclusions
“To effectively address the traumas that impact Indigenous peoples it is important to recognize and respond to the social and structural inequities that exist, such as historical trauma, discrimination, racism, poverty, and limited access to treatment or care.”
Lessons Learned
Screening and solutions driven by community need and strengths
What does this mean for advancing� ACEs Science?
Culturally relevant approaches to advancing ACEs work with Indigenous communities in culturally responsive ways
Promote culturally responsive methods of healing
Informs the development and validation of a Tribal adverse childhood experiences screening tool
New methods to balance trauma and resilience, connection to culture
What does this mean for education and training �and/or clinical implementation?
Informs new trauma-informed care practices within Tribal Health Programs and Tribal-serving organizations
Informs education and trainings within Tribal communities that include trauma-resilience related topics
Trainings and clinical interventions should emphasize resilience
Need to be balanced between trauma and strengths
What is Next? �Tribal Adverse Childhood Experiences Tool
Thank you!
Allyson Kelley & Associates, PLLC.