Auto-évaluation organisationnelle

Les organismes sensibles aux traumatismes ont besoin d’un leadership qui agit comme suit :

initier et promouvoir le changement organisationnel en conformité avec des pratiques sensibles aux traumatismes
élaborer une stratégie de renforcement graduel des pratiques sensibles aux traumatismes;
tenir compte des ressources, de la capacité organisationnelle et des pressions dans le développement de pratiques sensibles aux traumatismes;
reconnaître que tout le personnel contribue aux pratiques sensibles aux traumatismes au niveau organisationnel

La liste de vérification organisationnelle qui suit est fondée sur une liste de vérification élaborée par la Dre Nancy Poole et ses collègues au British Columbia Centre for Excellence in Women’s Health. La liste qui suit a été modifiée et ajoutée à des fins générales à la trousse d’outils sur les traumatismes. (Pour consulter la liste de vérification organisationnelle originale et complète de la Dre Poole, rendez-vous sur le site www.bccewh.bc.ca) La liste de vérification est un outil qui peut être utilisé par les organismes à titre de lignes directrices pour la mise en œuvre de pratiques sensibles aux traumatismes. Elle a été développée pour servir de point de départ d’un processus continu en vue de devenir un organisme ou un système sensible aux traumatismes.

Politique générale et mandat du programme

Critères

Clearly written policy statement

Your organization has a policy or position statement that includes a commitment to trauma-informed principles and practices
The policy/position statement identifies the relationship between trauma and programming, and the implications for service access and design
The policy/position statement is endorsed by leadership

Evidence informed practises

Services are base on an optimistic, strength-based and evidence-informed, trauma-informed model

Overall leadership style

Program directors and clinical supervisors understand the work of direct care staff as it relates to the provision of services to people who have experienced trauma.
Leadership allows staff time and other resources (e.g. space, money) to focus on implementing trauma-informed services.
Leadership is aware of the impact that trauma has on its workforce and that many of its employees have been effected by traumatic events in their lives.
Leadership promotes democratic principles

Collaboration

Collaboration and shared decision making is a key part of leadership style. Collaboration is inclusive of consumers in the development of trauma informed approaches.
Clients/patients/residents (C/P/R) and staff are encouraged to provide suggestions, feedback and ideas, and there is a structured and transparent process for this.

Point of Responsibility

There is a clearly defined point of responsibility for implementing trauma-informed services. This may involve a trauma “initiative”, committee or working group” that is fully supported and endorsed by administration and includes consumers.

Pratiques d’embauche

Critères

Trauma in job description/interview

Job description includes knowledge, skills and abilities to work with people affected by trauma
Job interviews include trauma content, including questions about knowledge and skills related to trauma-informed practise.

Training to promote general awareness

All staff, at all levels receive basic foundational training and continued training (as appropriate) that furthers their understanding of trauma including a basic understanding of the; psychological, neurological, biological, relational and spiritual impact that trauma has on people.
Staff members are released from their usual duties so that they may attend training

Staff receives training on the following topics:

The links between mental health, substance use and trauma (and co-occurring disorders)
Cultural competency (including different cultural practices, beliefs, rituals, different cultural responses to trauma and the importance of linking cultural safety and trauma informed practise)
How gender influences the types of trauma experienced, an individual and systemic responses to trauma
Communication and relationship skills (including non-confrontational limit setting, “people first” language (e.g. people who are experiencing homelessness, reflective listening, skills, etc.)
Minimizing re-traumatisation (including psycho educational framing, coping mechanisms, a cultural safety lens, de-escalation strategies, grounding and emotional modulation techniques)
Vicarious trauma, how it manifests and ways of minimizing its effects (including self-care, resiliency and personal/professional boundaries)
Understanding and being able to recognize fight, flight freeze responses
Mindfulness and developing their capacity to be self soothing and self compassionate
Understanding and appreciating the mind/body/spirit connection
Suicide prevention and gatekeeper training

Staff receives training that promotes awareness of services

Awareness of trauma-specific services in the mental health system
Awareness of the range of specialized service outside of mental health and substance use system to support people with trauma, such as anti-violence services, services for refugees & victims of torture, veterans’ services LGBTTQI * services, Aboriginal healing services, gender specific support groups

Regular Supervision

All staff that work with trauma survivors have structured, strength-based supervision from someone who is trained in understanding trauma

Staff Meetings

There are regular staff meetings that include opportunities for knowledge exchange on working with trauma
Staff is encouraged to discuss ethical issues associated with defining personal and professional boundaries

Peer Support

Opportunities for peer support and consultation are regularly offered

Support for all safety

Part of regular supervision is used to help staff understand their own stress reactions
Self-care is encouraged among staff and issues related to safety/self-care addressed at staff meetings
The organization regularly seeks input from staff about their safety, and / or assesses staff safety through other mechanisms, and makes improvement wherever possible
The organization provides appropriate supports to staff that have experienced vicarious trauma
The organization promotes a psychologically safe work environment for staff and volunteers: A psychologically healthy and safe workplace has been defined as, “a workplace that promotes workers’ psychological well-being and actively works to prevent harm to worker psychological health including in negligent, reckless or intentional ways.” (www.workplacestrategiesformentalhealth.com)

Universal Screening

There is an intake policy that clearly states the purpose of screening for history of trauma and how it will be used to inform service planning g, that apply to all consumers, regardless of how they enter the system ( “which door”)
The screening and assessment process is fully discussed with C/P/R and C/P/R choice and control of what will be disclosed is emphasized throughout
The potential for re-traumatization during screening and assessment is formally acknowledged by the organization, and policies are in place to minimize the potential for re-traumatization
The screening and assessment protocol is informed by currently available academic and practice evidence about being trauma-informed

Location for intake assessment

Intake conducted in a private, confidential space
Appropriate interpreters are provided, as needed (e.g. not family member or an interpreter untrained in trauma)

Follow-up

Screening is followed up (as appropriate )with opportunity for consumers to become aware of how trauma is connected to mental health and substance use concerns, to learn coping skills, to disclose history of trauma at their pace
Supports are in place for consumers after assessment if trauma history is discussed

Politiques et procédures

Critères

Overall

Your organization ensures that all current policies and protocols are not hurtful or harmful to trauma survivor, are respectful and promote safety, trust and flexibility

Consumer Choice

C/P/R ‘s are given full choices in what services they receives, and is allowed to make decisions about their level of participation and the pacing of these services
C/P/R’s are encouraged to make informed choices by providing educational and discussion of potential services available to them, and the benefits, limitations and objectives of each

Survivor Involvement

People who have been affected by trauma are involved in the creation and evaluation of policies and protocols
C/P/R are able to make suggestions for improvement in ways that are confidential and anonymous and/or public and recognized

Cultural Competency

All policies respect culture, gender, race, ethnicity, sexual orientation and physical ability

Privacy and Confidentiality

All staff and consumers are aware of what is involved in the informed consent process (including the extent and limits of confidentiality, what is kept in records, where the records are kept)
There are established processes that support consumer awareness and understanding of informed consent

Safety and Crisis Planning

All C/P/R’s have individualized safety plans that are fully integrated into the programs’ activities (include a list of stressors, specific helpful strategies, specific non-helpful strategies, a strategy for coping with suicidal thoughts and a list of persons that they feel safe around)
There is service policy that informs how individual safety plans are used in a crisis and reviewed when necessary

Avoiding Re-Traumatization

There are policies or procedures in place to minimize the possibility of retraumatization

Supportive/Emotionally Safe Program

C/P/R rights are posted in visible places
The program avoids involuntary or potentially coercive aspects of treatment (e.g. involuntary medication, seclusion, restraints)

Physical Environment

The space around the program building is safe (e.g. parking lot and sidewalks well lit, directions to the program are clear)
The physical environment is attuned to safety (e.g. calming and comfortable)

Referrals

Based on intake assessments, C/P/R’s are referred to accessible, affordable trauma-specific services as necessary
C/P/R’s are engaged in the decision about referral to external programs, if any, and are informed about what to expect of the referral agency
C/P/R’s are supported through the transition to external services

Surveillance et évaluation

Critères

Monitoring

Information on C/P/R experiences of trauma is gathered and used to inform service planning

Evaluation

The evaluation of trauma-informed policies and practices are conducted as part of the regular review and planning process, and this information is used to inform and adjust practice.