SlideShare a Scribd company logo
1 of 22
Download to read offline
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	
  
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.	
  
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.	
  
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	
  
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	
  
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	
  	
  
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	
  
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.	
  
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	
  
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	
  
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	
  
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	
  
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	
  	
  
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	
  
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	
  
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)	
  	
  
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	
  
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?	
  
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”	
  	
  	
  	
  
•  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?	
  
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	
  	
  

More Related Content

What's hot

Echo - Every Child Has Options
Echo - Every Child Has OptionsEcho - Every Child Has Options
Echo - Every Child Has OptionsElizabeth Kaman
 
SEED Direct Action and Community Organizing 101
SEED Direct Action and Community Organizing 101SEED Direct Action and Community Organizing 101
SEED Direct Action and Community Organizing 101AmyStGeorge1
 
Juvenile sexual offender and their victims 2014
Juvenile sexual offender and their victims 2014Juvenile sexual offender and their victims 2014
Juvenile sexual offender and their victims 2014Mdunnam
 
Innovations in Prevention: Youth Substance Abuse & Dating Violence
Innovations in Prevention: Youth Substance Abuse & Dating ViolenceInnovations in Prevention: Youth Substance Abuse & Dating Violence
Innovations in Prevention: Youth Substance Abuse & Dating ViolenceChristine Wekerle
 
Addressing Theory of Mind Deficits in Children with Attachment Disorders
Addressing Theory of Mind Deficits in Children with Attachment DisordersAddressing Theory of Mind Deficits in Children with Attachment Disorders
Addressing Theory of Mind Deficits in Children with Attachment DisordersRandall A. Ram LCSW, LMFT
 
Promoting a trauma informed lens
Promoting a trauma informed lensPromoting a trauma informed lens
Promoting a trauma informed lensRacquel Ellis
 
Final year project
Final year projectFinal year project
Final year projectcasari
 
Final paper sowk 393
Final paper sowk 393Final paper sowk 393
Final paper sowk 393Ashley Marks
 
Agnesian HealthCare Know & Go Friday, April 2017: ACE & Resiliency
Agnesian HealthCare Know & Go Friday, April 2017: ACE & ResiliencyAgnesian HealthCare Know & Go Friday, April 2017: ACE & Resiliency
Agnesian HealthCare Know & Go Friday, April 2017: ACE & ResiliencyAgnesian HealthCare
 

What's hot (20)

Managing the Impact Helping Can Have Through Resiliency Building
Managing the Impact Helping Can Have Through Resiliency BuildingManaging the Impact Helping Can Have Through Resiliency Building
Managing the Impact Helping Can Have Through Resiliency Building
 
Co-Occurring Risk Behaviors During Adolescence
Co-Occurring Risk Behaviors During AdolescenceCo-Occurring Risk Behaviors During Adolescence
Co-Occurring Risk Behaviors During Adolescence
 
Echo - Every Child Has Options
Echo - Every Child Has OptionsEcho - Every Child Has Options
Echo - Every Child Has Options
 
Online threats to positive youth development: Online behaviors related to sex...
Online threats to positive youth development: Online behaviors related to sex...Online threats to positive youth development: Online behaviors related to sex...
Online threats to positive youth development: Online behaviors related to sex...
 
Indiana presentation ceipv
Indiana presentation ceipvIndiana presentation ceipv
Indiana presentation ceipv
 
SEED Direct Action and Community Organizing 101
SEED Direct Action and Community Organizing 101SEED Direct Action and Community Organizing 101
SEED Direct Action and Community Organizing 101
 
Juvenile sexual offender and their victims 2014
Juvenile sexual offender and their victims 2014Juvenile sexual offender and their victims 2014
Juvenile sexual offender and their victims 2014
 
Externalizing behaviors on the Internet versus in-person among youth: Associa...
Externalizing behaviors on the Internet versus in-person among youth: Associa...Externalizing behaviors on the Internet versus in-person among youth: Associa...
Externalizing behaviors on the Internet versus in-person among youth: Associa...
 
Innovations in Prevention: Youth Substance Abuse & Dating Violence
Innovations in Prevention: Youth Substance Abuse & Dating ViolenceInnovations in Prevention: Youth Substance Abuse & Dating Violence
Innovations in Prevention: Youth Substance Abuse & Dating Violence
 
Langley
LangleyLangley
Langley
 
O'reilly
O'reillyO'reilly
O'reilly
 
Addressing Theory of Mind Deficits in Children with Attachment Disorders
Addressing Theory of Mind Deficits in Children with Attachment DisordersAddressing Theory of Mind Deficits in Children with Attachment Disorders
Addressing Theory of Mind Deficits in Children with Attachment Disorders
 
Promoting a trauma informed lens
Promoting a trauma informed lensPromoting a trauma informed lens
Promoting a trauma informed lens
 
Blog2
Blog2Blog2
Blog2
 
Dv VS DV Revised
Dv VS DV RevisedDv VS DV Revised
Dv VS DV Revised
 
Gewirtz
GewirtzGewirtz
Gewirtz
 
Final year project
Final year projectFinal year project
Final year project
 
Gerrity
GerrityGerrity
Gerrity
 
Final paper sowk 393
Final paper sowk 393Final paper sowk 393
Final paper sowk 393
 
Agnesian HealthCare Know & Go Friday, April 2017: ACE & Resiliency
Agnesian HealthCare Know & Go Friday, April 2017: ACE & ResiliencyAgnesian HealthCare Know & Go Friday, April 2017: ACE & Resiliency
Agnesian HealthCare Know & Go Friday, April 2017: ACE & Resiliency
 

Viewers also liked

Product life cycle & marketing strategy
Product life cycle & marketing strategyProduct life cycle & marketing strategy
Product life cycle & marketing strategyHitesh Sunny
 
Product Life Cycle Management
Product Life Cycle ManagementProduct Life Cycle Management
Product Life Cycle ManagementAnand Subramaniam
 
Product life cycle & marketing strategies
Product life cycle & marketing strategiesProduct life cycle & marketing strategies
Product life cycle & marketing strategiesAmar Ingale
 

Viewers also liked (6)

Product life cycle
Product life cycleProduct life cycle
Product life cycle
 
Product life cycle & marketing strategy
Product life cycle & marketing strategyProduct life cycle & marketing strategy
Product life cycle & marketing strategy
 
Product life cycle
Product life cycleProduct life cycle
Product life cycle
 
Product life cycle
Product life cycleProduct life cycle
Product life cycle
 
Product Life Cycle Management
Product Life Cycle ManagementProduct Life Cycle Management
Product Life Cycle Management
 
Product life cycle & marketing strategies
Product life cycle & marketing strategiesProduct life cycle & marketing strategies
Product life cycle & marketing strategies
 

Similar to Len 5 joint presentation

childhood trauma.pptx
childhood trauma.pptxchildhood trauma.pptx
childhood trauma.pptxresearch gate
 
Abused-Children.pptx
Abused-Children.pptxAbused-Children.pptx
Abused-Children.pptxjg203570
 
Value and Impact of The Children’s Advocacy Center Model
Value and Impact of The Children’s Advocacy Center Model Value and Impact of The Children’s Advocacy Center Model
Value and Impact of The Children’s Advocacy Center Model Health Easy Peasy
 
Child Maltreatment and Intra-Familial ViolenceClinical Soc.docx
Child Maltreatment and Intra-Familial ViolenceClinical Soc.docxChild Maltreatment and Intra-Familial ViolenceClinical Soc.docx
Child Maltreatment and Intra-Familial ViolenceClinical Soc.docxbartholomeocoombs
 
Partner Violence and Children...How Should We Respond?-- Angie Boy, DrPh
Partner Violence and Children...How Should We Respond?-- Angie Boy, DrPhPartner Violence and Children...How Should We Respond?-- Angie Boy, DrPh
Partner Violence and Children...How Should We Respond?-- Angie Boy, DrPhGeorgia State School of Public Health
 
Risk Factors for Child Maltreatment Types of Maltr.docx
Risk Factors for Child Maltreatment Types of Maltr.docxRisk Factors for Child Maltreatment Types of Maltr.docx
Risk Factors for Child Maltreatment Types of Maltr.docxmalbert5
 
The Childhood Adversities Narrative (CAN)
The Childhood Adversities Narrative (CAN)The Childhood Adversities Narrative (CAN)
The Childhood Adversities Narrative (CAN)Parisa Kaliush
 
HS 207 week 5 awareness training slides
HS 207 week 5 awareness training slidesHS 207 week 5 awareness training slides
HS 207 week 5 awareness training slidesBealCollegeOnline
 
Child Maltreatment and Child Welfare
Child Maltreatment and Child WelfareChild Maltreatment and Child Welfare
Child Maltreatment and Child WelfareMitchell Hortert
 
Being a Mandated Supporter
Being a Mandated SupporterBeing a Mandated Supporter
Being a Mandated SupporterJim McKay
 
A Multidisciplinary Approach to​ Child Pornography on the Internet: Impact on...
A Multidisciplinary Approach to​ Child Pornography on the Internet: Impact on...A Multidisciplinary Approach to​ Child Pornography on the Internet: Impact on...
A Multidisciplinary Approach to​ Child Pornography on the Internet: Impact on...James Marsh
 
Direct Inmate Supervision CCDC
Direct Inmate Supervision CCDCDirect Inmate Supervision CCDC
Direct Inmate Supervision CCDCJennifer Lanahan
 
Summerlin discussion guide final
Summerlin discussion guide finalSummerlin discussion guide final
Summerlin discussion guide finalJazmin Nagorski
 
6Ashley WaddyENG 112December 3, 2015Child abuse and raci.docx
6Ashley WaddyENG 112December 3, 2015Child abuse and raci.docx6Ashley WaddyENG 112December 3, 2015Child abuse and raci.docx
6Ashley WaddyENG 112December 3, 2015Child abuse and raci.docxevonnehoggarth79783
 
Resilience & Adult Attachment in Cases of Child Trauma
Resilience & Adult Attachment in Cases of Child TraumaResilience & Adult Attachment in Cases of Child Trauma
Resilience & Adult Attachment in Cases of Child TraumaJane Gilgun
 
Running head CHILDREN OF THE SUBSTANCE ABUSE WARS 6.docx
Running head CHILDREN OF THE SUBSTANCE ABUSE WARS 6.docxRunning head CHILDREN OF THE SUBSTANCE ABUSE WARS 6.docx
Running head CHILDREN OF THE SUBSTANCE ABUSE WARS 6.docxsusanschei
 
Running head CHILDREN OF THE SUBSTANCE ABUSE WARS 9.docx
Running head CHILDREN OF THE SUBSTANCE ABUSE WARS 9.docxRunning head CHILDREN OF THE SUBSTANCE ABUSE WARS 9.docx
Running head CHILDREN OF THE SUBSTANCE ABUSE WARS 9.docxsusanschei
 
Enabling and intervention_final
Enabling and intervention_finalEnabling and intervention_final
Enabling and intervention_finalOPUNITE
 

Similar to Len 5 joint presentation (20)

childhood trauma.pptx
childhood trauma.pptxchildhood trauma.pptx
childhood trauma.pptx
 
Abused-Children.pptx
Abused-Children.pptxAbused-Children.pptx
Abused-Children.pptx
 
Value and Impact of The Children’s Advocacy Center Model
Value and Impact of The Children’s Advocacy Center Model Value and Impact of The Children’s Advocacy Center Model
Value and Impact of The Children’s Advocacy Center Model
 
Child Maltreatment and Intra-Familial ViolenceClinical Soc.docx
Child Maltreatment and Intra-Familial ViolenceClinical Soc.docxChild Maltreatment and Intra-Familial ViolenceClinical Soc.docx
Child Maltreatment and Intra-Familial ViolenceClinical Soc.docx
 
Partner Violence and Children...How Should We Respond?-- Angie Boy, DrPh
Partner Violence and Children...How Should We Respond?-- Angie Boy, DrPhPartner Violence and Children...How Should We Respond?-- Angie Boy, DrPh
Partner Violence and Children...How Should We Respond?-- Angie Boy, DrPh
 
Risk Factors for Child Maltreatment Types of Maltr.docx
Risk Factors for Child Maltreatment Types of Maltr.docxRisk Factors for Child Maltreatment Types of Maltr.docx
Risk Factors for Child Maltreatment Types of Maltr.docx
 
The Childhood Adversities Narrative (CAN)
The Childhood Adversities Narrative (CAN)The Childhood Adversities Narrative (CAN)
The Childhood Adversities Narrative (CAN)
 
HS 207 week 5 awareness training slides
HS 207 week 5 awareness training slidesHS 207 week 5 awareness training slides
HS 207 week 5 awareness training slides
 
Child Maltreatment and Child Welfare
Child Maltreatment and Child WelfareChild Maltreatment and Child Welfare
Child Maltreatment and Child Welfare
 
Strengthening Families 101
Strengthening Families 101Strengthening Families 101
Strengthening Families 101
 
Being a Mandated Supporter
Being a Mandated SupporterBeing a Mandated Supporter
Being a Mandated Supporter
 
A Multidisciplinary Approach to​ Child Pornography on the Internet: Impact on...
A Multidisciplinary Approach to​ Child Pornography on the Internet: Impact on...A Multidisciplinary Approach to​ Child Pornography on the Internet: Impact on...
A Multidisciplinary Approach to​ Child Pornography on the Internet: Impact on...
 
Direct Inmate Supervision CCDC
Direct Inmate Supervision CCDCDirect Inmate Supervision CCDC
Direct Inmate Supervision CCDC
 
Summerlin discussion guide final
Summerlin discussion guide finalSummerlin discussion guide final
Summerlin discussion guide final
 
6Ashley WaddyENG 112December 3, 2015Child abuse and raci.docx
6Ashley WaddyENG 112December 3, 2015Child abuse and raci.docx6Ashley WaddyENG 112December 3, 2015Child abuse and raci.docx
6Ashley WaddyENG 112December 3, 2015Child abuse and raci.docx
 
Resilience & Adult Attachment in Cases of Child Trauma
Resilience & Adult Attachment in Cases of Child TraumaResilience & Adult Attachment in Cases of Child Trauma
Resilience & Adult Attachment in Cases of Child Trauma
 
Running head CHILDREN OF THE SUBSTANCE ABUSE WARS 6.docx
Running head CHILDREN OF THE SUBSTANCE ABUSE WARS 6.docxRunning head CHILDREN OF THE SUBSTANCE ABUSE WARS 6.docx
Running head CHILDREN OF THE SUBSTANCE ABUSE WARS 6.docx
 
Trauma Informed Care: Theory & Pactice with Laurie Robinson
Trauma Informed Care: Theory & Pactice with Laurie RobinsonTrauma Informed Care: Theory & Pactice with Laurie Robinson
Trauma Informed Care: Theory & Pactice with Laurie Robinson
 
Running head CHILDREN OF THE SUBSTANCE ABUSE WARS 9.docx
Running head CHILDREN OF THE SUBSTANCE ABUSE WARS 9.docxRunning head CHILDREN OF THE SUBSTANCE ABUSE WARS 9.docx
Running head CHILDREN OF THE SUBSTANCE ABUSE WARS 9.docx
 
Enabling and intervention_final
Enabling and intervention_finalEnabling and intervention_final
Enabling and intervention_final
 

More from OPUNITE

Dr. Tom Frieden keynote
Dr. Tom Frieden keynoteDr. Tom Frieden keynote
Dr. Tom Frieden keynoteOPUNITE
 
Dr. Francis Collins keynote
Dr. Francis Collins keynoteDr. Francis Collins keynote
Dr. Francis Collins keynoteOPUNITE
 
Kana Enomoto keynote
Kana Enomoto keynoteKana Enomoto keynote
Kana Enomoto keynoteOPUNITE
 
Rx16 claad tue-vision_final
Rx16 claad tue-vision_finalRx16 claad tue-vision_final
Rx16 claad tue-vision_finalOPUNITE
 
Rx16 tpp wed_330_1_stack_2nelson_3roberts_4skinner
Rx16 tpp wed_330_1_stack_2nelson_3roberts_4skinnerRx16 tpp wed_330_1_stack_2nelson_3roberts_4skinner
Rx16 tpp wed_330_1_stack_2nelson_3roberts_4skinnerOPUNITE
 
Web rx16 prev_tues_330_1_lawal_2warren_3huddleston_4pershing
Web rx16 prev_tues_330_1_lawal_2warren_3huddleston_4pershingWeb rx16 prev_tues_330_1_lawal_2warren_3huddleston_4pershing
Web rx16 prev_tues_330_1_lawal_2warren_3huddleston_4pershingOPUNITE
 
Rx16 general session_wed_800_1_volkow copy
Rx16 general session_wed_800_1_volkow copyRx16 general session_wed_800_1_volkow copy
Rx16 general session_wed_800_1_volkow copyOPUNITE
 
Rx16 general session_900_1_botticelli
Rx16 general session_900_1_botticelliRx16 general session_900_1_botticelli
Rx16 general session_900_1_botticelliOPUNITE
 
Web rx16 prev_tues_200_1_bretthaude-mueller_2scott_3debenedittis_4cairnes copy
Web rx16 prev_tues_200_1_bretthaude-mueller_2scott_3debenedittis_4cairnes copyWeb rx16 prev_tues_200_1_bretthaude-mueller_2scott_3debenedittis_4cairnes copy
Web rx16 prev_tues_200_1_bretthaude-mueller_2scott_3debenedittis_4cairnes copyOPUNITE
 
Rx16 treat wed_330_1_barnes_2clarkolsen
Rx16 treat wed_330_1_barnes_2clarkolsenRx16 treat wed_330_1_barnes_2clarkolsen
Rx16 treat wed_330_1_barnes_2clarkolsenOPUNITE
 
Rx16 pdmp wed_330_1_hoppe_2sun_3baumgartner-leichting
Rx16 pdmp wed_330_1_hoppe_2sun_3baumgartner-leichtingRx16 pdmp wed_330_1_hoppe_2sun_3baumgartner-leichting
Rx16 pdmp wed_330_1_hoppe_2sun_3baumgartner-leichtingOPUNITE
 
Rx16 prev wed_330_workplace issues and strategies
Rx16 prev wed_330_workplace issues and strategiesRx16 prev wed_330_workplace issues and strategies
Rx16 prev wed_330_workplace issues and strategiesOPUNITE
 
Web only rx16 pharma-wed_330_1_shelley_2atwood-harless
Web only rx16 pharma-wed_330_1_shelley_2atwood-harlessWeb only rx16 pharma-wed_330_1_shelley_2atwood-harless
Web only rx16 pharma-wed_330_1_shelley_2atwood-harlessOPUNITE
 
Rx16 pdmp wed_330_1_hoppe_2sun_3baumgartner-leichting
Rx16 pdmp wed_330_1_hoppe_2sun_3baumgartner-leichtingRx16 pdmp wed_330_1_hoppe_2sun_3baumgartner-leichting
Rx16 pdmp wed_330_1_hoppe_2sun_3baumgartner-leichtingOPUNITE
 
Rx16 len wed_330_1_ferdinand_2price
Rx16 len wed_330_1_ferdinand_2priceRx16 len wed_330_1_ferdinand_2price
Rx16 len wed_330_1_ferdinand_2priceOPUNITE
 
Rx16 heroin wed_330_1_rader_2lynch-earle
Rx16 heroin wed_330_1_rader_2lynch-earleRx16 heroin wed_330_1_rader_2lynch-earle
Rx16 heroin wed_330_1_rader_2lynch-earleOPUNITE
 
Rx16 clinical wed_330_1_saunders_2wexelblatt
Rx16 clinical wed_330_1_saunders_2wexelblattRx16 clinical wed_330_1_saunders_2wexelblatt
Rx16 clinical wed_330_1_saunders_2wexelblattOPUNITE
 
Web only rx16-adv_tues_330_1_elliott_2brunson_3willis_4dean
Web only rx16-adv_tues_330_1_elliott_2brunson_3willis_4deanWeb only rx16-adv_tues_330_1_elliott_2brunson_3willis_4dean
Web only rx16-adv_tues_330_1_elliott_2brunson_3willis_4deanOPUNITE
 
Rx16 treat wed_200_group_falkinburg_miller
Rx16 treat wed_200_group_falkinburg_millerRx16 treat wed_200_group_falkinburg_miller
Rx16 treat wed_200_group_falkinburg_millerOPUNITE
 
Rx16 tpp wed_200_group
Rx16 tpp wed_200_groupRx16 tpp wed_200_group
Rx16 tpp wed_200_groupOPUNITE
 

More from OPUNITE (20)

Dr. Tom Frieden keynote
Dr. Tom Frieden keynoteDr. Tom Frieden keynote
Dr. Tom Frieden keynote
 
Dr. Francis Collins keynote
Dr. Francis Collins keynoteDr. Francis Collins keynote
Dr. Francis Collins keynote
 
Kana Enomoto keynote
Kana Enomoto keynoteKana Enomoto keynote
Kana Enomoto keynote
 
Rx16 claad tue-vision_final
Rx16 claad tue-vision_finalRx16 claad tue-vision_final
Rx16 claad tue-vision_final
 
Rx16 tpp wed_330_1_stack_2nelson_3roberts_4skinner
Rx16 tpp wed_330_1_stack_2nelson_3roberts_4skinnerRx16 tpp wed_330_1_stack_2nelson_3roberts_4skinner
Rx16 tpp wed_330_1_stack_2nelson_3roberts_4skinner
 
Web rx16 prev_tues_330_1_lawal_2warren_3huddleston_4pershing
Web rx16 prev_tues_330_1_lawal_2warren_3huddleston_4pershingWeb rx16 prev_tues_330_1_lawal_2warren_3huddleston_4pershing
Web rx16 prev_tues_330_1_lawal_2warren_3huddleston_4pershing
 
Rx16 general session_wed_800_1_volkow copy
Rx16 general session_wed_800_1_volkow copyRx16 general session_wed_800_1_volkow copy
Rx16 general session_wed_800_1_volkow copy
 
Rx16 general session_900_1_botticelli
Rx16 general session_900_1_botticelliRx16 general session_900_1_botticelli
Rx16 general session_900_1_botticelli
 
Web rx16 prev_tues_200_1_bretthaude-mueller_2scott_3debenedittis_4cairnes copy
Web rx16 prev_tues_200_1_bretthaude-mueller_2scott_3debenedittis_4cairnes copyWeb rx16 prev_tues_200_1_bretthaude-mueller_2scott_3debenedittis_4cairnes copy
Web rx16 prev_tues_200_1_bretthaude-mueller_2scott_3debenedittis_4cairnes copy
 
Rx16 treat wed_330_1_barnes_2clarkolsen
Rx16 treat wed_330_1_barnes_2clarkolsenRx16 treat wed_330_1_barnes_2clarkolsen
Rx16 treat wed_330_1_barnes_2clarkolsen
 
Rx16 pdmp wed_330_1_hoppe_2sun_3baumgartner-leichting
Rx16 pdmp wed_330_1_hoppe_2sun_3baumgartner-leichtingRx16 pdmp wed_330_1_hoppe_2sun_3baumgartner-leichting
Rx16 pdmp wed_330_1_hoppe_2sun_3baumgartner-leichting
 
Rx16 prev wed_330_workplace issues and strategies
Rx16 prev wed_330_workplace issues and strategiesRx16 prev wed_330_workplace issues and strategies
Rx16 prev wed_330_workplace issues and strategies
 
Web only rx16 pharma-wed_330_1_shelley_2atwood-harless
Web only rx16 pharma-wed_330_1_shelley_2atwood-harlessWeb only rx16 pharma-wed_330_1_shelley_2atwood-harless
Web only rx16 pharma-wed_330_1_shelley_2atwood-harless
 
Rx16 pdmp wed_330_1_hoppe_2sun_3baumgartner-leichting
Rx16 pdmp wed_330_1_hoppe_2sun_3baumgartner-leichtingRx16 pdmp wed_330_1_hoppe_2sun_3baumgartner-leichting
Rx16 pdmp wed_330_1_hoppe_2sun_3baumgartner-leichting
 
Rx16 len wed_330_1_ferdinand_2price
Rx16 len wed_330_1_ferdinand_2priceRx16 len wed_330_1_ferdinand_2price
Rx16 len wed_330_1_ferdinand_2price
 
Rx16 heroin wed_330_1_rader_2lynch-earle
Rx16 heroin wed_330_1_rader_2lynch-earleRx16 heroin wed_330_1_rader_2lynch-earle
Rx16 heroin wed_330_1_rader_2lynch-earle
 
Rx16 clinical wed_330_1_saunders_2wexelblatt
Rx16 clinical wed_330_1_saunders_2wexelblattRx16 clinical wed_330_1_saunders_2wexelblatt
Rx16 clinical wed_330_1_saunders_2wexelblatt
 
Web only rx16-adv_tues_330_1_elliott_2brunson_3willis_4dean
Web only rx16-adv_tues_330_1_elliott_2brunson_3willis_4deanWeb only rx16-adv_tues_330_1_elliott_2brunson_3willis_4dean
Web only rx16-adv_tues_330_1_elliott_2brunson_3willis_4dean
 
Rx16 treat wed_200_group_falkinburg_miller
Rx16 treat wed_200_group_falkinburg_millerRx16 treat wed_200_group_falkinburg_miller
Rx16 treat wed_200_group_falkinburg_miller
 
Rx16 tpp wed_200_group
Rx16 tpp wed_200_groupRx16 tpp wed_200_group
Rx16 tpp wed_200_group
 

Recently uploaded

Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escortsaditipandeya
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...chandars293
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomdiscovermytutordmt
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...narwatsonia7
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeCall Girls Delhi
 
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...parulsinha
 
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...narwatsonia7
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 

Recently uploaded (20)

Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
 
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 

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