Innovations in Trauma-Informed Care: Building the Nation’s First System of Trauma-Informed Recreation Centers

Author:

Holmes Megan R.1ORCID,King Jennifer A.1,Miller Emily K.1,King-White Dakota L.12,Korsch-Williams Amy E.1ORCID,Johnson Erica M.13,Oliver Tomeika S.1,Conard Ivan T.1

Affiliation:

1. Center on Trauma and Adversity, Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, OH 44106, USA

2. Levin College of Public Affairs and Education, Cleveland State University, Cleveland, OH 44155, USA

3. Weatherhead School of Management, Case Western Reserve University, Cleveland, OH 44106, USA

Abstract

Exposure to adversity and traumatic events affects well-being across important domains of functioning, including mental, physical, social, emotional, spiritual, and neurobiological. Situated as a focal point throughout neighborhoods, recreation centers are a prime opportunity to cultivate spaces of safety and healing. However, current models of trauma-informed care largely do not map neatly onto the recreation organizational structure and functioning. This paper describes the efforts over the past five years to transform the City of Cleveland, Ohio’s 22 recreation centers into trauma-informed Neighborhood Resource and Recreation Centers (NRRCs)––places where children, youth, and adults can readily acquire the support and services they need in an environment in which trauma-informed care principles are fully embedded in the fabric of the organization’s culture. Phase 1 included transitioning the recreation centers to NRRCs, hiring of trained social workers and counselors to work within the recreation centers, and training all recreation staff about trauma. Phase 2 included development of NRRC trauma-informed standards, development of the Trauma-Informed Progress Tool to track change over time, development of Trauma-Informed Leadership Competencies for Center Managers, and ongoing training for the social workers and counselors. We discuss ideas for future work and lessons learned from each phase.

Funder

City of Cleveland

Publisher

MDPI AG

Subject

Behavioral Neuroscience,General Psychology,Genetics,Development,Ecology, Evolution, Behavior and Systematics

Reference39 articles.

1. Jackson, M.F., and Zone, K. (2018). Toxic Stress and Trauma Management Training for Division of Recreation Staff, The City Record. Available online: https://www.clevelandcitycouncil.org/pdf/web/viewer.html?file=/sites/default/files/2021-11/City-Record-May-23-2018.pdf#search=toxic%20stress.

2. Substance Abuse and Mental Health Services Administration (2020, November 07). SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach, Available online: https://calio.dspacedirect.org/handle/11212/1971.

3. The enduring effects of abuse and related adverse experiences in childhood;Anda;Eur. Arch. Psychiatry Clin. Neurosci.,2006

4. Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults: The Adverse Childhood Experiences (ACE) Study;Felitti;Am. J. Prev. Med.,1998

5. The epidemiology of traumatic event exposure worldwide: Results from the World Mental Health Survey Consortium;Benjet;Psychol. Med.,2016

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