A' Kathryn Power, Director

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Judges As Champions
Judges Leadership Initiative Annual National
Meeting
National GAINS Center Conference
April 5, 2006 Boston, MA
A. Kathryn Power, Director Center for Mental
Health Services
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Mental Health System Transformation
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Mental Health
Trauma
Criminal Justice
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Women, Violence, and Trauma A SAMHSA-wide
Priority 

• National Center on Women, Violence, and Trauma
• The SAMHSA Womens Coordinating Committee
• Women, Co-Occurring Disorders, and Violence Study

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The Public Health Model
A community approach to preventing and treating
illnesses. Its premise is that caring for the
health of an individual protects the community
while, in turn, caring for the health of a
community protects the individual, with society
at large reaping the overall rewards.
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What do we know about the impact of trauma?   

• It results in major and costly human service
  systems failures
• It creates a legacy of lifetime disabilities for
  children
• It has intergenerational and historical costs
• Treatment as usual for consumers with trauma
  histories thwarts recovery 

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What do we know about trauma interventions?

• Proven models and tools for intervening and
  treating trauma-related problems have been
  developed (Harris Najavits Miller Ford)
• To fully address the needs of trauma survivors
  requires a systemic approachincluding
  trauma-specific services and a trauma-informed
  environment
• Hope and self-determination are essential
  elements for consumer recovery 
• Consumers have established champion roles in
  developing trauma-informed systems and services

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What do we know about trauma outcomes?

• SAMHSAs Women and Violence Study is the most
  comprehensive study to date on the impact of a
  trauma-integrated approach
• The study featured a trauma-integrated counseling
  approach that addressed both mental health and
  substance use conditions
• Findings at both 6 and 12 months suggest that
  integrated counseling is the key element
  associated with better outcomes

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Trauma-informed Programs

• Connecticut The Womens Support Program in
  Hartford and New Briton for women affected by
  trauma
• Maryland TAMAR (Trauma, Addictions, Mental
  Health, and Recovery) Project and TAMARs
  Children
• Hawaii Trauma-informed post-booking jail
  diversion project

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Leadershipis not about great leaders alone, but
great leaders who exist in a fertile relationship
with the Great Groupthe leader and the team are
able to achieve something that neither could
achieve alone. Warren Bennis Leadership Expert
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