We value our clients and the relationships that we create through our work. Check out some case studies below.
Child Welfare Training Academy of Iowa
Case Study: Trauma Informed Care (TIC) dissemination for child serving agency’s in the state of Iowa.
In early 2009, The Midwest Trauma Services Network (MTSN), was established at the behest of Senators Chuck Grassley and Tom Harkin of Iowa and Senator Tom Fortenberry of Nebraska through the Office of Juvenile Justice and Delinquency Prevention. The goal was to deliver Trauma Informed Care (TIC) training across Iowa and Nebraska. As the MTSN began to deliver the agreed upon services, its utility quickly came to the attention of The Coalition for Children and Families of Iowa. As a result, the Coalition began a negotiation for trainings. This relationship has facilitated trainings that have been well received, resulting in a collaborative that has spanned 6 years and has ongoing operations as described below.
Objective: To deliver a series of Trauma Informed Care (TIC) trainings across the state of Iowa to all agencies that operate in contract with the Department of Human Services of Iowa, that serve children.
In 2010 MTSN began a contract to deliver trainings across the state, as organized and logistically facilitated, by the Child Welfare Training Academy (CWTA) a program of the Coalition for Children and Families of Iowa. The initial trainings resulted in requests for more advanced training for front line staff working with children.
As the MTSN worked with the Coalition to determine content and need it became clear that the complexity of the science, specifically the neurophysiological aspects of trauma exposure from a developmental context, demanded a more intensive training approach. Through the development of this approach, the team discovered that the ability to translate the research and data to experience on the floor was problematic for many reasons.
1. Staff turnover in social services is high.
2. Frontline staff are typically younger and less educated.
3. Frontline staff often come with their own unresolved issues.
4. Children’s problematic behavior is overwhelmingly seen in a very black and white way when designing responses. This conflicts with the emerging developmental and neurobiological science best practice.
5. This system of care is in constant flux programmatically.
6. Many staff are exposed to and affected by secondary trauma and vicarious trauma, contributing to burnout.
Solution: The CWTA, DHS and The Coalition looked at the training series that MTSN had for previous contracts around the country. Through this field work experience and adapting to the needs of the client, they decided to build a trainer network. The structure consisted of 6 levels, those levels required 42 hours of training to become a facilitator for each level. Level 1 to be achieved before level 2 could be started, etc. The first round of trainers submitted resumes and interviewed to be part of the training group, the group attended a 6 hour orientation to trauma multiple times, attended a slide by slide round table discussion of the presentation, co-presented segments of the 6 hour orientation 2 times and then presented the whole 6 hour orientation 2 times under the supervision of the MTSN. This model of training was meant to maintain fidelity in first generation presenters and resulted in 11 of the original 20 completing the first year. Those 11 could deliver the orientation inside of their own organizations and additionally community organizations nearby that were interested in TIC concepts. Year two saw a similar application process and the original 11 went on to a second round referred to as level 2, another 6 hour training focused on the neurobiological effects of trauma on children and the caregivers stress inoculation, self care and safety planning in environments of intense emotional labor. Year three replicated years one and two, by now most agencies either had a TIC facilitator or had access to one that could deliver 12 hours of TIC evidence based training that was exceptionally relevant to frontline workers.
Result: To date 7 facilitators have advanced to train activity based levels 3 and 4 of 6 levels which are being used across the state of Iowa in facilities that have group home or PMIC level care. More than 20 facilitators are delivering orientations across the state and requests for facilitators continues.
Iowa Kidsnet approached MTSN with a need to (TK a description of the presenting issue). We have worked together since TK Year to TK mission.
Our process has included trainings, supervision and staff support.
Agencies we've helped through Iowa Kidsnet include
MTSN provides services to education, mental health, child welfare, juvenile justice, law enforcement, state-wide behavioral health providers and disaster systems.
Mental health, substance abuse, behavioral and sex offenders
Youth under 18 years currently receiving residential or home placement treatment as referred by mental health, juvenile justice, child welfare and/or education systems
Iowa Agencies MTSN Has Worked With From 2011-2015:
- Family Resources of Iowa
- Psychology Department University of South Dakota
- Juvenile Court Services (Statewide JCO and Liaison Officer Conferences)
- Child Welfare Training Academy
- Four Oaks
- Y.E.S.S. Center: Des Moines
- Cornerstone Recovery
- IA Judges statewide conference
- Des Moines Public Schools
- Hillcrest Services
- Sioux City Public Schools
- Children and Families of Iowa (CFI)
- Disproportionate Minority Conference: Des Moines
- Northwest Area Education Association (AEA)
- Boys and Girls Home and Family Services
- Lutheran Services of Iowa (LSI)
- Iowa Coalition Conference
- Morningside College
- Junior League of Siouxland
- North East Nebraska Juvenile Justice Center
- Forest Ridge
- Iowa Department of Public Health
- First Resources
- Central Florida Behavioral Health Network
- Massachusetts Home for Little Wanderers
- Crisis Center of Tampa Bay
- Child in Hand, Haiti
- Western Iowa Tech, Sioux City
- Department of Public Health, Nebraska
- Through the Eyes of the Child, Nebraska