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Len 5 joint presentation
1. Collabora'ng
Across
Agency
Lines
Marshall
Fisher
Mississippi
Director,
Gulf
Coast
HIDTA
William
Holmes
MD
Medical
Director
for
Foster
Care
Cenpa'co
Roy
Van
Tassell
MS
LPC
Director
Trauma
Evidence-‐Based
Interven'ons
Cenpa'co
2. Disclosure
Statements
• Marshall
Fisher
has
disclosed
no
relevant,
real
or
apparent
personal
or
professional
financial
rela'onships.
• William
Holmes
has
disclosed
no
relevant,
real
or
apparent
personal
or
professional
financial
rela'onships.
• Roy
Van
Tassell
has
disclosed
no
relevant,
real
or
apparent
personal
or
professional
financial
rela'onships.
3. Learning
Objec'ves
1. State
the
benefit
of
building
strategic
coopera'on
between
local,
state,
and
federal
law
enforcement
agencies.
2. Evaluate
tools
for
sharing
data,
ideas,
and
undercover
tac'cs
for
officers
to
inves'gate
Rx
drug
abuse
violators.
3. Construct
a
strategy
for
officers
to
take
home
in
order
to
collaborate
across
agencies.
4. Law
Enforcement
Interven'on
in
Parent
Substance
Use
When
Children
are
Present
Panel
Discussion
William
Holmes
MD
Medical
Director
for
Foster
Care
Cenpa'co
Roy
Van
Tassell
MS
LPC
Director
Trauma
Evidence-‐Based
Interven'ons
Cenpa'co
5. A
Relevant
Scenario
• Imagine
you
arrive
at
a
scene
of
a
reported
disturbance
as
others
are
running
from
scene
you
see
a
minority
teen
male
remaining
• As
you
drove
up
you
saw
him
picking-‐up
a
handgun
from
the
ground
• An
officer
also
just
arriving
shouts
for
him
to
“stop,
and
lay
face
down
on
the
ground”
• The
teen
now
looks
toward
you
as
you
arrive…
Hold
that
thought….
We’ll
get
back
to
you
both
6. The
State
of
the
Union
• 8.3
Mil
kids
lived
w/
@
least
one
parent
dependent
upon
alcohol
or
drugs
in
2007
survey
• In
U.S.
someone
dies
of
drug
OD
every
19
Min
• Since
1999
Rx
painkiller
scripts
have
quadrupled
• 6.1
Mil
Americans
abused
Rx
drugs
in
2011
(down
from
2010)
• But
number
of
deaths
from
Rx
drugs
doubled
since
1999
• Rx
deaths
are
more
than
those
for
heroin
and
coke
combined
• Drug
OD
deaths
now
exceed
motor
vehicle
deaths
in
29
states
Sources:
Trust
for
America’s
Health;
childwelfare.gov;
Na'onal
Survey
on
Drug
Use
and
Health;
CNN
7. It
Magers
to
Us
All
Kids
from
homes
w/
substance
abusing
parents:
• Homes
are
more
chao'c,
unpredictable,
violence
exposed
at
home
&
in
community
• Receive
less
supervision
• Child
needs
take
back
seat
to
parental
needs
/ac'vi'es
• Prenatal
drug
exposure
(fragile,
low
b/wt.
premature)
• ½
to
2/3
of
maltreatment
cases
involve
parent
sub
abuse
• Low
SES
and
many
social
problems
• More
likely
to
be
re-‐vic'mized
or
abuse
others
8. Not
Just
a
Mental
Health
Problem
“The
overrepresenta'on
of
people
with
SMI
or
Co-‐Occurring
Disorder
(COD
)in
the
criminal
jus'ce
system
has
a
significant
impact
on
the
recovery
path
of
these
individuals,
creates
stress
for
their
families,
and
has
an
effect
on
public
safety
and
government
spending.”
Blandford,
A.
&
Osher,
F.
(2012).
A
Checklist
for
Implemen>ng
Evidence-‐
Based
Prac>ces
and
Programs
(EBPs)
for
Jus>ce-‐Involved
Adults
with
Behavioral
Health
Disorders.
Delmar,
NY:
SAMHSA’s
GAINS
Center
for
Behavioral
Health
and
Jus>ce
Transforma>on.
9. Becoming
Trauma
Aware
in
Criminal
Jus'ce
• “there
is
consensus
that
high
percentages
of
jus'ce-‐
involved
women
and
men
have
experienced
serious
trauma
throughout
their
life'me.
• The
reverbera'ng
effect
of
trauma
experiences
can
challenge
a
person’s
capacity
for
recovery
and
pose
significant
barriers
to
accessing
services,
onen
resul'ng
in
an
increased
risk
of
coming
into
contact
with
the
criminal
jus'ce
system
“
Policy
Research
Associates
10. How
Being
Trauma-‐Informed
Improves
Criminal
Jus'ce
Responses
• Create
and
awareness
and
understanding
of
the
impact
of
trauma
•
Create
an
awareness
of
the
impact
of
trauma
on
behavior
• Develop
trauma-‐informed
responses
• Provide
strategies
for
developing
and
implemen'ng
trauma-‐informed
policies
See
more
at:
hgp://gainscenter.samhsa.gov/trauma/trauma_training.asp
hgp://www.prainc.com/how-‐being-‐trauma-‐informed-‐improves-‐criminal-‐jus'ce-‐
responses/#sthash.UF8vLzq2.dpuf
11. Trauma
Informed
Policing
• Being
aware
when
intervening
and
children
are
present
of
what
they
see,
hear
and
experience
• Children
key
off
of
adult,
care
givers
even
impaired
ones
are
child’s
psychological
safe
base
• Threats
to
caregivers
will
threaten
child’s
sense
of
safety,
vulnerability
12. The
Hope
of
System
Collabora'on
• Violence
and
trauma
exposure
is
not
an
automa'c
lifelong
'cket
to
dysfunc'on
•
The
single
biggest
factor
in
what
helps
kids
is
having
a
suppor've,
believing,
consistent,
nurturing
care-‐giver
and
safe
place
in
the
community
• There
are
very
effec've
evidenced-‐based
community
programs,
responses
and
treatments
that
have
been
clinically
demonstrated
to
provide
healing
from
exposure
to
violence
and
abuse
for
adults
and
children
• There
are
effec've
ac'on
steps
for
preven'on
which
everyone
can
help
foster
in
any
community,
the
cycles
can
be
broken
13. Responding
at
the
Scene
• We
understand
that
the
mission
of
LE
at
the
point
of
interven'on
is
a
specific
one
and
has
different
priori'es
e.g.
secure
the
scene
/
safety,
etc.
• But
where
possible
and
as
soon
as
possible
agend
to
the
needs
of
children
present,
be
aware
of
what
they
see,
especially
involving
caregivers
14. Helping
Children
at
the
Scene
• Ask
where
Children
are
–check
if
hurt,
safe
• Describe
your
role
in
simple
terms
• Speak
at
their
level
(kneeling,
si5ng,
squa5ng)
• Try
not
to
talk
badly
about
parent
in
front
of
child
• Keep
kids
with
known
adults
when
possible
• Don’t
say
“everything
will
be
OK”
or
make
promises
you
can’t
keep
15. Helping
Children
at
the
Scene
• Reassure
that
what
is
happening
with
adults
is
NOT
their
fault
• Explain
to
children
why
any
use
of
force
was
necessary
• Provide
parent
or
other
caregiver
with
informa'on
about
safety,
resources
as
appropriate
16. Helpful
Responses
for
Children
• Addressing
kids
on
their
level
?
Get
in
the
ROLES
• Relaxed
manner
• Open
posture
(no
folded
arms
or
hands
on
hips)
• Lean
towards
slightly
w/
upper
body
(on
level)
• Eye
contact
(direct
but
not
piercing,
warm)
• Space
between
you
(note
how
close,
not
allowing
them
to
feel
trapped,
but
blocking
distressful
visual
scenes
is
helpful)
17. Follow-‐up
Can
Support
Resiliency
• On
occasion
children
have
visited
precincts,
fire
sta'ons
or
met
with
responders
in
other
sesngs
(schools
community
sesngs)
aCer
the
scene/event
to
restore
connec'ons
reduce
fear
and
avoidance
• Helps
to
underscore
task
of
safety
at
'me
of
interven'on
and
what
occurred
as
necessary
to
get
people
help
keep
everyone
safe
18. Back
to
Our
Scenario
Which
of
the
following
two
thoughts
going
through
the
mind
of
that
teen
male
-‐s'll
holding
the
handgun-‐
would
you
rather
be
confron'ng?
19. His
possible
thoughts…
• “I
bet
these
two
are
just
like
the
ones
that
day
who
jerked
me
away
from
my
mom
and
were
yelling
when
I
watched
them
throw
her
and
my
dad
on
the
floor,
put
them
in
handcuffs
-‐
and
then
they
put
me
in
a
cop
car
and
I
had
to
go
to
that
shelter”
OR
• “I
wonder
if
these
two
are
like
the
ones
who
came
that
>me
my
mom
and
dad
were
so
high
and
figh>ng
and
we
didn’t
have
food
,
and
one
took
me
and
my
sister
outside
and
said
we’re
going
to
get
your
family
some
help
since
they
can’t
take
care
good
of
you
right
now”
20. • Which
set
of
thoughts
would
you
rather
have
be
going
through
the
mind
of
that
teen
holding
the
handgun?
• Why?
• Beyond
the
obvious,
what
other
differences
could
it
make
going
forward?
21.
22. Who
Helps
the
Helper?
-Secondary Traumatic Stress and Burnout Among Law
Enforcement Investigators Exposed to Disturbing Media Images
Lisa M. Perez & Jeremy Jones & David R. Englert & Daniel Sachau, J Police Crim Psych (2010) 25:113–124
-‐Contamina'on
of
Cop:
Secondary
Trauma'c
Stress
of
Officers
Responding
to
Civilian
Suicides
(From
Suicide
and
Law
Enforcement,
P
337-‐355,
2001,
Donald
C.
Sheehan
and
Janet
I.
Warren,
eds.
-‐-‐
See
NCJ-‐193528)
Author(s):
John
Nicoles
;
Sally
Spencer-‐Thomas,
2001
Nat.
Criminal
Jus'ce
Reference
Service
-‐The
Cause
and
Effect
of
Secondary
Trauma'c
Stress
Wrigen
by
Federal
Employee
Defense
Services
on
19
May
2011.
Posted
in
The
Spotlight
FED
AGENT
.COM
-‐Vicarious
Trauma'za'on
and
Spirituality
in
Law
Enforcement
FBI
Law
Enforcement
Bulle>n
,
July
2011
Vicarious
Trauma'za'on
*Greater
agen'on
being
given
in
last
few
years
to
Secondary
Trauma'c
Stress
for
law
enforcement