In this video, Andi will be talking about how Adverse Childhood Experiences (ACEs) are not the only way that stress can become toxic (insert pandemic here). Understanding our origins (see what we did there) can help us understand what we’re going through can make all of us feel less alone (and less weird).
Costco is out of toilet paper and CVS is out of cough syrup. Your group fitness class and your favorite restaurant are closed. Your cousin keeps posting memes on instagram about some conspiracy theory and your co-worker brags on about how she hasn’t been sick in years so she’s not worried about germs. This is not a nightmare. This is real life in 2020 thanks to COVID-19, aka the coronavirus.
On March 11th, three months from when the first cases of pneumonia were reported in China, the World Health Organization (WHO) declared COVID-19 a pandemic. With a composed and articulate delivery, WHO chief Dr. Tedros Adhanom Ghebreyesus expressed that this declaration could lead to a response of “unjustified acceptance that the fight is over” or “unreasonable fear.” He wasn’t wrong. With what seemed like an air of hope, he also reported that this declaration should not change the approach governments are taking to stop the spread, or flatten the curve. Fear is quite the motivator. As we introduce in The Basics, fear can activate our stress response system (aka our survival brain) and when that happens, reason and logic can go out the window. We have a reaction to a real or perceived threat to safety that affects our body, thoughts, emotions, and behaviors. In this scenario, COVID-19 is the trigger that activates unique fears and responses in each person. For some, the response might be fight or flight. For others, it might be freeze or fawn. Some people get angry and might fixate on finding someone to blame, other people might feel overwhelmed and shut down completely or go on with life as usual, Still others feel guilty that people are suffering and turn to people-pleasing or caregiving. We adapt.
You may be wondering, “so what am I supposed to do about it?”
First, we can take a trauma-informed approach when responding to one another during the COVID-19 pandemic. The Substance Abuse and Mental Health Services Administration (SAMHSA) uses the 4 R’s: realizing that each person’s history of trauma can affect them today; recognizing the ways people are thinking, feeling, acting as a normal response to an abnormal situation; responding with compassion and understanding (while still holding them accountable and practicing healthy boundaries for yourself); and reducing re-traumatization. The key principles of a trauma-informed approach include safety at the forefront.
Second, we can all practice getting and staying in our resilience zone. When we read news headlines or talk to a co-worker that seems to be communicating with exclamation points, it can be contagious. If we’ve had a life full of stress, trauma, and adversity, it can become even more difficult to distinguish between what is “reasonable” and “unreasonable.” Some of us may have a hard time putting our thinking cap on when emotion is in the driver’s seat. During times of high stress, feeling angry, guilty, and overwhelmed makes perfect sense given the person’s life experience. But staying staying there or allowing those emotions to inform our behaviors can impact our health.
Strengthening our “resilience muscle” starts with awareness. What am I noticing in my body, thoughts, emotions, and behaviors? Am I inside or outside of my resilience zone? When I read a headline or hear some news and the words are upsetting, what is my reaction? Do I stockpile toilet paper or do I think about ways I can continue to connect with others or support those who are more vulnerable during a time when physical distancing is a necessary intervention? That balance will be the difference between succumbing to the frenzy and chaos and moving through this pandemic with resilience.
To learn more about what your baseline in the window of tolerance might be…
Image credit: TW @SIOUXSTEW based on Thomas Splettstöber TW: @SPLETTE and the Centers for Disease Control and Prevention
“The implementation of a trauma-informed approach is an ongoing organizational change process. A ‘trauma-informed approach’ is not a program model that can be implemented and then simply monitored by a fidelity checklist. Rather, it is a profound paradigm shift in knowledge, perspective, attitudes and skills that continues to deepen and unfold over time.”
My middle child loves all things games. Board games, card games, video games…we play a LOT of games together. She even loves game shows. One of our favorite things to do together is to watch some of the classic game shows from the 1980s (thank you, Amazon Prime video).
One of our favorite games over the years has been Jenga. For anyone who has not played Jenga before, players take turns removing a block from a tower made from 54 blocks. The player has to then place that block on top of the tower, creating an increasingly unstable structure. If the tower topples when you are placing your block, the other player wins. One thing my daughter learned very quickly with Jenga is that pulling a piece out from the bottom is very dangerous.
In other words, strong foundations are critical.
I think about this game a lot in relation to our work at Origins. One of our mantras is that a trauma-informed approach is much more than completing a checklist of tasks. Sure, there are a lot of interventions that have the potential to build resilience as standalone initiatives–mindfulness techniques, restorative practices, trauma screenings (when done thoughtfully and responsibly), to mention just a few. These interventions can indeed have a big impact. But that impact can be so much more powerful and so much more sustainable if they are implemented within the context of a strong foundation.
Going back to the Jenga analogy, before introducing a change to the Jenga structure, we must first “set the table” with a solid foundation. If the bottom layers of the tower were built in a rush or were missing a brick or two, making changes to the rest of the structure can be dangerous.
So what does a strong foundation for a trauma-informed approach look like? We think there are at least five critical components: the language, the people, the why, the culture, and the plan. We will be exploring all of these in more detail in a series of blogs over the coming months, but let’s look at each of them briefly.
First, the language. Everyone–including the CEO or the Executive Director, middle management or program staff, and support staff–needs shared language. As an example of what we are talking about, let’s take the language that might be used to describe someone who is not taking the medications prescribed by their doctor. The medical field might have traditionally labeled this patient as non-compliant. A trauma-informed approach would encourage a discussion about why the patient is not taking the medication in the first place. Language matters. For this reason, we created The Basics, a 90-minute online training session that provides a shared language for the basic science behind the ACEs framework and what it means to develop a trauma-informed and resilience-building approach. (We talk more about the importance of language in our blog here)
Second, the people. Relationships can be a source of trauma and a solution. Strong relationships built on inclusivity, collaboration, and teamwork help us build resilience and improve experiences and outcomes. A trauma-informed approach requires building effective teams and evaluating how we can create community, both within and outside of organizations. Who is on your implementation team and who is leading it? Are you building relationships with community partners? Who has a seat at your team’s table and who might be missing? How will you meaningfully include the voices of those who are missing from your table? Even better, how can you set a place for them? As the saying goes, teamwork makes the dream work. And integrating a trauma-informed approach is definitely a team sport.
Third, the why. Understanding “why you do what you do” is an important brick in the foundation and can help articulate a clear vision and mission. Knowing why that Jenga tower is being built is a critical piece that supports its sustainability. As said by comedian Michael Jr. “When you know your why, your what has more impact because you’re walking in or towards your purpose.”
Fourth, the culture. All organizations, communities, and families have a culture, whether it has been created intentionally or not. Taking the time and creating the space to be intentional about building a culture that supports and sustains your vision and mission is essential. As management guru Peter Drucker reminds us, “culture eats strategy for breakfast.” Part of being intentional is articulating a set of values for your organization or community that will support trauma-informed principles and practices and a resilience-building approach. Those values will help guide your implementation.
Last, and certainly not least, the plan (which is what everyone always asks for!). Operationalizing a trauma-informed approach requires a concrete implementation plan with specific goals and objectives. A good implementation plan starts with an assessment of what the organization is already doing to integrate the approach and identifying opportunities for improvement. Prioritizing these findings and translating them into concrete goals is critical to getting out of the starting gate with this approach. All of this requires an appetite for risk-taking and a tolerance for mistakes.
These five things–the language, the people, the why, the culture, and the plan–don’t look very different from the necessary steps for any sustainable planning process. Indeed, a trauma-informed approach doesn’t exist in a vacuum and can’t be separated from foundational planning work.
We explore all of these concepts in much more detail in our Resilience Champion Certificate program (and will also be doing so in our upcoming blog series!). This self-paced course (which includes access to The Basics) will guide you as you move from trauma-aware to trauma-informed and trauma-responsive. You and/or your team will work through one section each week (or faster or slower, if you prefer) to help you establish a foundation, create goals, and identify concrete steps you can take to sustain a trauma-informed and resilience-building approach in your specific setting.
Strong foundations matter in organizations and in games. I’ve reached the point where my tween daughter beats me in most games we play (and I am definitely not the type to let her win) with a few notable exceptions. Coming closer (without going over) to the correct prices when we watch The Price is Right together is one of those exceptions. I attribute that to my decades of experience going to the grocery store. And that foundation gives me the edge.