Commonwealth Discusses Effects of Trauma, Highlights Work to Embed Trauma-Informed Focus Across Systems

Trauma-Informed Care

HARRISBURG, PA — Department of Human Services (DHS) Secretary Teresa Miller and Governor’s Office of Advocacy and Reform Executive Director Dan Jurman this past discussed the far-reaching effects of trauma on mental and physical health, a person’s sense of opportunity and hope in changing and overcoming individual circumstances, and whole communities through shared experiences. The Wolf Administration is committed to building systems that validate and seek to heal individual and community pain by embedding a trauma-informed approach that gets to the root of a person’s challenges and circumstances and helps them on a path to healing and a better life.

“Trauma is a broad term, but it is a varying, individual experience. We cannot oversimplify a person’s own trauma, but we can be compassionate and empathetic in validating a person’s circumstances,” said Secretary Miller. “This focus can and must be embedded across public and private systems. Government, social service providers, education, health care, law enforcement, and religious communities all have the opportunity to take a collaborative, trauma-informed approach to understanding and validating a person’s trauma and being part of a healing, restorative process that helps a person overcome their challenges and circumstances.”

Trauma is defined as lasting emotional and physical results of an event, series of events, or circumstances that can create biologically based responses with long-lasting, adverse effects on a person’s learning, relationships, functioning, and well-being. Trauma can stem from a variety of personal experiences such as unhealthy relationships, poor mental or physical health, child abuse, domestic violence, or crime. Trauma can also affect an individual whose circumstances or identity subjects them to larger community challenges like poverty, racism, disasters, or a public health crisis like we are currently experiencing through COVID-19. The effects of this trauma can begin in childhood and extend across a person’s lifespan, and consideration of an individual’s experience with trauma must be built into systems that provide care and supportive services so we can truly meet a person’s specific needs.

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Because trauma affects so many Pennsylvanians, Governor Wolf announced his intent to make Pennsylvania a trauma-informed state. A think-tank of 25 experts in fields like psychiatry, psychology, education, law enforcement, social work, public health, community development, county government, and clergy was established to represent fields like sexual assault, domestic violence, addiction, post-incarceration re-entry, and child welfare, among others, representing urban, suburban, and rural communities around Pennsylvania. The group would establish guidelines, benchmarks, and goals for embedding trauma-informed care across government, health care, social services, education, and corrections systems.

This work has culminated in a final report called Trauma-Informed PA: A Plan to Make Pennsylvania a Trauma-Informed, Healing-Centered State, released earlier this week. The report outlines a mission, vision, and values for embedding trauma-informed principles across systems of care and social services.

“By becoming a trauma-informed state, we affirm an understanding that behaviors, circumstances, and outcomes often seen as negatives are usually caused by or are symptoms of unhealed and underlying trauma,” said Jurman, who led the think-tank and will oversee implementation of the plan. “When we can align our work with that focus, we can shift our focus to understanding the individual as a whole person with a complex history and experiences that influence their decisions and behaviors. Pennsylvania is committed to embedding this focus across systems of care and helping people make progress towards their individual goals, heal, and achieve a better life.”

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DHS’ Office of Mental Health and Substance Abuse Services (OMHSAS) oversees Pennsylvania’s behavioral health Medicaid program and, in partnership with county mental health offices and private providers, behavioral health systems of care across the commonwealth. OMHSAS has led efforts since 2008 to incorporate trauma-informed care in its state-run facilities and in privately run residential treatment facilities. Through this, OMHSAS is leading efforts to set compliance standards and training requirements to ensure that licensed facilities across DHS’ system of care are both trauma-aware and trauma-informed by 2022. These standards will require that facilities and their staff are able to identify and understand trauma, how it impacts the brain, and how to implement care systems that help heal individuals and prevent re-traumatization.

“A critical part of this work is recognizing where broader, community-level trauma exists and spans across generations and affects individual people and how they see themselves in relation to the world around them. Racism and poverty are traumatizing for larger communities who face these circumstances every day both through their individual lived experience and through representations of this trauma in news, entertainment, and public discourse – an experience that can be traumatizing through repeat exposure,” said Secretary Miller. “Governor Wolf and I are committed to using our positions and privilege to promote anti-racist work with the ultimate goal of eliminating racism and the perpetuation of trauma in these communities.”

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OMHSAS is also seeking to educate the public and behavioral health providers on personal and community trauma through the PA Care Partnership, a system of care partnership focused on youth and families. Through the partnership, a series of webinars were hosted throughout July in recognition of Minority Mental Health Awareness Month that discussed mental health stigma and trauma experienced by Black communities, trauma-informed cultural sensitivity, and the mental health effects of the COVID-19 pandemic on minority communities.

For more information on behavioral health programs across Pennsylvania, visit www.dhs.pa.gov.

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Harold A Maio
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Harold A Maio
August 2, 2020 2:58 pm

Discussing “the stigma” of mental health issues, cannot be fully appreciated until one learns to confront those taught and teaching there is one. We too easily accept them, and the harm they do.

Harold A Maio

Abigail Wenderson
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Abigail Wenderson
August 14, 2020 8:46 am

Great Initiative, completely supporting your efforts because trauma deeply impact one’s physical and mental health and it is must to heal them.