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“Show people a positive path that enables them to make progress on their own terms. Give them options and alternatives that empower them.” – Mark Gouston
Appreciation:
Please send any submissions recognizing our partners or residents for their great work to Frank.Nagle@ProMedica.org for a feature in our upcoming meetings.
Submit by the 4^th Friday of each month.

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Community Health Updates�Lenawee County Health Department

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Collective Impact Core�Trauma & Resilience

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Guiding Principles of Trauma-Informed Care�(Adopted from Trauma-Informed Oregon’s Guiding Principles of Trauma Informed Care)

Safety: People feel physical and psychologically safe.

Catholic Charities shared they have made safety installations to improve safety for staff and consumers. Installations include cameras, enhanced parking lot lighting, operational adjustments to mitigate potential risk between client and staff.
Department on Aging shared that they have a room dedicated to engaging directly and privately with people. This room cultivates a safe and comfortable environment for constituents.
Community Mental Health shared that their organization recommended a system/policy change for health insurance to ensure newly hired employees in need of their insurance do not go without.
Region 2 AAA shared that they added a layer of engagement with participants registering for workshops to ask if they are familiar with how to access and utilize the online platform which the workshop will take place. If people are not as familiar, they will work directly with them to orient the participant to the various functions, so they are comfortable the day of the workshop.
MSU-Extension shared that they use the Voice by Choice methodology to ensure participants in workshops do not feel put on the spot to participate, answer questions and to engage. It cultivates safety and avoids putting participants in uncomfortable situations.

Trustworthiness & Transparency: Decisions are made with transparency and with the goal of building and maintaining trust among the people impacted.

Jackie Bradley, Lenawee Community Mental Health Authority, shared their organization developed a new strategic plan which included staff sessions and several components along the process to gather staff feedback, recommendations and to implement solutions in response.
MSU-Extension shared that the Continuum of Care has cultivated relationships to incorporate representation from individual(s) with lived experience in their meetings.

Peer Support and Mutual Self-Help: Opportunities are created for acceptance, understanding, and validation from people with shared experiences.

At Interconnections Drop-In Center, everyone is peer support for one another. Several people were affected by Riverview Terrace closure. One person was experiencing homelessness and the staff and team provided support to the individual who was able to receive services to avoid homelessness.
Department on Aging shared they are pivoting the vision of Day Break Programming to focus on peer support for older adults.
The Human Services Building recently did an active shooter training. Following the training, Community Mental Health offered crisis debriefing.

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Guiding Principles of Trauma-Informed Care�(Adopted from Trauma-Informed Oregon’s Guiding Principles of Trauma Informed Care)

Collaboration & Mutuality: Healing happens in relationship and in the meaningful sharing of power and decision making.

Laura Pipis shared that Lynne Punnett is leading an effort to secure housing for Riverview Terrace residents that have been displaced. In search of housing, Lynne included residents in the task force to explore suitable options and to contribute lived experience and perspective to the decision-making process.
Martha York shared that the Matter of Balance program includes a section within the 4th session that dedicates time for participants to shared what they have gone through with their group. Participants have shared that it has helped to heal from trauma’s they have experienced.
Cari Rebottaro shared that working with Caregivers frequently encounters children that may have decision making power on behalf of their parent(s) but continue to include their parent(s) in the decision-making process so they are informed, empowered and can avoid trauma.

Empowerment, Voice & Choice: Every person’s experience is unique and requires and individualized approach. This builds on what individuals and communities have to offer, rather than responding to received deficits.

Marth York shared that Region 2 Area Agency on Aging is hosting a Dementia Minds event where people with dementia are having a chance to share their stories and give voice to their experience of living with dementia. The aim is to dispel the “tragedy narrative” that many stigmatize dementia as being, and instead show how they still have things to contribute in our society. Being part of this Dementia Minds group and hosting a public event that shares their stories gives them a sense of purpose as they work to educate the greater community on how to value and include people with dementia.”
Laura Schultz Pipis shared that during the community’s response in supporting residents at Riverview Terrace, DHHS, Department on Aging, Share the Warmth and other organizations dedicated resources to ensure all residents were connected to case worker that could support their individual needs. The team also formed a taskforce and were able to secure resident participation to ensure their voice was at the table and part of shaping the decisions and supports provided.

Cultural, Historical, & Gender Issues: The Community actively overcomes cultural stereotypes and biases, is culturally responsive, leverages the healing value of traditional cultural connections, and recognizes and addresses historical trauma.

MSU-Extension shared that their organization collects demographic, race/ethnicity, gender, and similar information as part of participants registering for their programs. They identified opportunity to update these questions to ensure their processes are inclusive of culture, history, and gender. This was shared as an example of how organizations embrace culture, history, and gender inclusivity in their operations.
Lenawee Community Mental Health shared that their organization changed signage in their bathrooms to be more gender inclusive. There was previous signage that stated not to flush feminine products in the toilets. This signage has been updated to state not to flush any products other than toilet paper. This is an example of their organization cultivating inclusivity into their physical environment.

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Lenawee Health Network (TOTAL - 11 responses)
Trauma Aware		Trauma Sensitive						Trauma Responsive				Trauma Informed
Recognition & Awareness		Foundational Knowledge		Work Group Readiness		Process & Infrastructure		Gather Information		Prioritize & Create Plan		Implement & Monitor		Adopt Policy & Practice
1	At least one work group member understands the need for TIC and is a champion	1	A few work group members have attended foundational training about TIC	0.45	Work group has stable funding and a low level of chaos	0.36	A dedicated group within the work group is identified as TIC change agents	0.36	TIC Change Agents use a process for gathering info about TIC opportunities	0.18	TIC change agents have developed a method to prioritize TIC opportunities	0.64	A change to policy, practice, or environment has been initiated	0.36	A change to policy, practice, or environment has been adopted
1	A group of members understand the need for TIC and are champions	1	Most members have attended foundational training about TIC	0.91	Work group leadership is committed to TIC	0.09	TIC change agents include people with lived experience in the work group's priority area	0.18	TIC Change Agents have reviewed policies, practices, and environment with a trauma lens	0.09	TIC change agents have created a work plan	0.36	The change is reviewed and monitored	0.27	A change to policy, practice, or environment has been institutionalized
0	A majority of members understand and can speak about the needs for TIC	0	Most members have knowledge about TIC	0.91	A majority of work group members are committed to TIC	0.36	A process of communication and info sharing is established	0.82	The work group has a process for input and feedback from members and people impacted	0.09	TIC change agents monitor the work plan and use it to feed implementation efforts	0.45	Most changes to policy, practice, or environment have been initiated	0.27	Most changes to policy, practice, or environment have been institutionalized
0.64	Work group uses data to validate the need for TIC	0.91	TIC knowledge is exchanges among members as part of the work group culture	0.45	Resources are directed to TIC efforts	0.36	TIC change agents are able to infuse TIC knowledge to other members	0.64	The work group uses other data to identify opportunities for TIC
		0.73	A group of members can apply TIC knowledge and skills	0.91	TIC is a work group priority	0.09	TIC change agents are empowered to call into question non-trauma informed policy and practice, including power structures
				0.73	Work group leaders model TIC
				0.64	Work group leaders embody TIC

Darker colors = more positive responses

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Spotlight Update: �Lenawee Medication Disposal

Medication Disposal Event at ProMedica Charles & Virginia Hickman Hospital.

Collaboration with Lenawee County Sheriff’s Department and Lenawee Substance Abuse Prevention Coalition (HRSA Grant)

2021 = 813 lbs. collected / 17 – 38-gallon containers of sharps
2022 = 599 lbs. collected / 16 – 38-gallon containers of sharps
2023 = 1360 lbs. collected / 20 – 38-gallon containers of sharps

67% increase in medications disposed of responsibly since 2021
17% increase in sharps disposed of responsibly since 2021

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How does the event work?

ProMedica Pharmacy staff and University of Toledo Pharmacy students work with the Lenawee County Sheriff’s Department to organize the event.
Lenawee Substance Abuse Prevention Coalition’s: Prevention & Education workgroup organized give-away bags, radio interviews/recordings, and broad-based communications to increase awareness.
Community members drive through the former COVID drive through at Hickman Hospital.
Dispose of medications, sharps, liquids, aerosols, inhalers, ointments, and pet medications.

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Webinars/Resources

County Health Rankings & Roadmaps:

Responding to gun violence as a public health crisis.

Root Cause Coalition

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November Advocacy

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December Advocacy

World AIDS Day: Rock the Ribbon Campaign (12/1)
National Influenza Vaccination Week (12/5-12/9)
National Handwashing Week
International Sharps Injury Prevention Awareness Month

International Sharps Injury Prevention Society

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Agency Updates

OPEN DISCUSSION

SUBMIT FLYERS OR DIGITAL MATERIALS TO FRANK.NAGLE@PROMEDICA.ORG TO BE INCLUDED IN MEETING MINUTES, FOLLOW-UP EMAIL AND LHN GOOGLE DRIVE.

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WellWise Services�Area Agency on Aging

Adrian Senior Center
4^th Wednesday of the month
11/22/2023 from Noon – 1:30 pm
Call 517-592-1974

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November Schedule

Programs offered at 801 East Maumee Street, Adrian, MI 49221.

APS - Adrian Community Education Center at Comstock.

Community members can scan the QR code to sign up for Adrian ENP communications and interest in programming.
To register:

AdrianENP@ProMedica.org
517-577-0509

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Thank you for joining our meeting today!��Next meeting �November 9, 2023��LHN Google Drive