Journey to Recovery The International Conference of Attachment and Trauma Informed PracticeTM MCG, Melbourne 5 - 6 March, 2015 2015 Conference Evaluation Committee Conference Partners Conference Exhibitors The Expert Advisory Committee provides specialist sectorial advice to ensure the conference achieves the purpose of promoting and advancing the field of attachment and trauma informed practice. We wish to thank the following members for their innovation and valuable contribution to the structure, content and ethical considerations in developing the Conference. Anne-Maree Rogers EACH Social & Community Health Bronwyn Harrison OzChild Merilyn Duff EACH Social & Community Health Nicky Bisogni Adults Surviving Child Abuse, Mental Health Professional’s Network Ariane Florent Lighthouse Foundation Rudy Gonzalez Lighthouse Institute Catherine Keating Lighthouse Institute Eleanor Bignell Lighthouse Institute This work was partly made possible due to funding from the Australian Government Department of Health, Mental Health Australia, and MacKillop Family Services. Report prepared by Catherine Keating, Learning and Development Manager, Lighthouse Institute Rudy Gonzalez, Executive Director, Lighthouse Institute Acknowledgements We would like to thank the presenters and delegates for their participation; evaluation respondents for their valued feedback; panel delegates for their contributions; ICMS for coordinating the conference; the Mullum Mullum Indigenous Gathering Place Choir for their wonderful performance; and our Expert Advisory Committee for their wisdom, guidance and input into the planning and delivery of the conference. We would also like to acknowledge the support of our community partners: EACH Social and Community Health, OzChild, Centre for Excellence in Child and Family Welfare, Adults Surviving Child Abuse and Mental Health Professionals Network. Thank-you also to our conference exhibitors: Permanent Care and Adoptive Families, Kimochis, the Centre for Excellence in Child and Family Welfare, Knightlamp and Lighthouse Foundation. We are also especially grateful to our sponsors who have made this event possible: the Australian Government Department of Health, Mental Health Australia, and MacKillop Family Services. I“ came away feeling very inspired and having a lot of new ideas that has had me still thinking some weeks later. I have been able to bring many of these ideas and comments to my Management team.” - Journey to Recovery 2015 Conference delegate Journey to Recovery 2015 Journey to Recovery: The International Conference of Attachment and Trauma Informed Practice was held from 5 – 6 March 2015 at the Melbourne Cricket Ground. In collaboration with our community partners, Journey to Recovery is an exciting initiative that provides carers, consumers, practitioners, policy makers, researchers, educators and survivors of trauma an opportunity to come together, share experiences and to reflect on practice and research into recovery-oriented approaches from an attachment and trauma informed perspective. The Conference comes at a pivotal time, where trauma informed practice is becoming increasingly seen as best practice in work with survivors of trauma and offers delegates a unique platform to reflect on “what has been; what is possible; and what comes next?” in the field of attachment and trauma informed practice. Building on the success of the inaugural conference in 2013, we came together again in 2015 to explore how this work has progressed over the past 18 months, with a major focus on innovations and best practice across diverse disciplines. We were joined by many experts in the field of attachment and trauma informed practice and also provided a platform for emerging thinkers in this area to examine what the current research is saying about trauma recovery, what is best practice at an international level, and how we can scale up innovation to reach more people? This year, there was a strong emphasis on the role of culture in attachment and trauma informed practice and also the examination of the unique contribution of consumer participation and lived experience in the further advancement of this work. Overall, the Conference aimed to: • Bring together national and international leaders in attachment and trauma informed work to showcase advances in best practice and new innovations across a wide range of sectors and disciplines; • Provide leaders, practitioners, policy makers, researchers, carers, consumers and survivors of trauma with an opportunity to come together, share experiences, and reflect on practice and research into recovery-oriented approaches from an attachment and trauma informed perspective; • Provide a platform for survivors of trauma/carers/consumers to share their journeys, and to highlight what factors assisted their recovery; • Further advance recovery-oriented approaches in mental health care/human services provision; • Further advance prevention and early intervention approaches for those at high risk of developing mental health problems combining both emerging scientific knowledge and the expertise of carers and consumers; • Improve information sharing and collaboration across services/ sectors/ disciplines; • Exhibit current best practice in attachment and trauma informed practice and research; • Consolidate what has been learnt to date and discussed where to from here with a strong focus on what needs to happen to achieve collective impact; • Provide opportunities for genuine carer and consumer participation across the planning, delivery, attendance and evaluation of the conference. Over the course of two days, the Conference program comprised of 21 presentations highlighting innovation and best practice in attachment and trauma informed work in many contexts, with various populations and across a diverse range of settings. We also had an emotive and insightful presentation from a trauma survivor/carer who discussed her experience of trauma; the critical elements of her recovery process and relevant interventions; and the unique role her lived experience has played in being a Carer for other traumatised young people. We were also privileged to have seven keynote addresses from some of the world’s greatest thinkers in attachment and trauma related work, including: • Ms Sarah Yanosy, Director of the Sanctuary Institute • Professor Pat Dudgeon, Psychologist and Research Fellow at the School of Indigenous Studies at the University of Western Australia • Dr Paul Valent, Psychiatrist and founder and past president of The Australasian Society for Traumatic Stress Studies and of The Child Survivor of the Holocaust group in Melbourne • Dr Louise Byrne, Lived Experience Practitioner and Mental Health Academic at CQ University • Dr Judith Lewis Herman, Clinical Professor of Psychiatry at Harvard Medical School and Director of Training at the Victims of Violence Program at the Cambridge Health Alliance • Dr Michael Merzenich, Professor Emeritus of Neuroscience at the University of California • Dr Cathy Kezelman, Medical Practitioner, Mental Health Consumer Advocate, and President of Adults Surviving Child Abuse. • Carol Jarvis, Trauma Survivor and Support Carer, Lighthouse Foundation In total, 180 people attended the conference, with representation from practitioners, survivors, carers, primary health, community services, government, and academic sectors. We believe the high level of interest across such diverse areas reflects a critical mass in demand for training and research in the field, along with possibilities for cross-sectoral learning and engagement. Delegates attended from every State and Territory in Australia, in addition to those who attended from the United States, Brunei, Canada, India and New Zealand. By providing a valuable opportunity for networking and learning, we believe the Journey to Recovery Conference has made an important contribution to a growing, interdisciplinary field. Many delegates came away from the Conference with new connections and networks; new ideas and strategies to enhance their practice; a renewed enthusiasm for their work; and a strong sense of a paradigm shift and growing community of practice in this vital work. We hope to continue to build on the momentum generated by the second instalment of the Journey to Recovery Conference. We look forward to continuing this international event, which aims to bring together community, government and academic sectors to reflect on what has been, what is possible and what is next, in the field of attachment and trauma informed practice. Program THURSDAY 05 MARCH 2015 08:00 Registration - Dean Jones Bar 09:00 Opening Address: Kane Bowden, CEO Lighthouse Foundation & Rudy Gonzalez, Executive Director Lighthouse Institute Welcome to Country: Aunty Georgina Nicholson, Wurundjeri Tribe Council Room: Members Dining Room 09:30 Keynote Address 1 Ms Sarah Yanosy - Sanctuary: Healing for Clients, Organizations and Systems Room: Members Dining Room Chair: Rudy Gonzalez, Lighthouse Institute 10:30 Morning Tea - Dean Jones Bar 11:00 11:30 12:00 SE-01 Connection & Belonging Chair: Anne-Maree Rogers, EACH Social and Community Health Room: Harrison Room A SE-02 Culture Chair: Merilyn Duff, EACH Aboriginal Community Health Room: Members Dining Room SE-03 Education Chair: Bronwyn Harrison, OzChild Room: Harrison Room B Presentation 1 Finding the hero within: A journey from shame to vulnerability with youth affected by trauma Presentation 4 ‘What accent? I don’t have an accent – everyone else does.’ Why aren’t we talking about culture, trauma and attachment? Presentation 7 Smarter schools can reduce the impact of broken attachments Tania Blomfield, choosetochange Helen Lenga, Private Practitioner Gregory Nicolau, Australian Childhood Trauma Group Presentation 2 “True North” A model of integration and connection for those who are moving out of homelessness into a supported non exclusionary adult residential community Presentation 5 Exploring ‘attachment’ and parenting perspectives with Aboriginal and other socio-cultural experiences Presentation 8 The wellbeing classroom Amanda Smith & Stephanie Winton, Mission Australia Dr Jenine Godwin-Thompson, Lighthouse Institute Michael Edgecomb, SMG Community Services Presentation 3 Being a/part : A study of young people’s experience of belonging Presentation 6 Treatment of Autism Spectrum Disorder (ASD) in residential out-of-home care settings: A case-study. Presentation 9 Anglicare Victoria’s ‘TEACHaR’ program – closing the ‘education gap’ for children in care and the value of research-informed innovation Dr Tatiana Corrales, Anglicare Victoria Tymur Hussein Clinical Care Manager, Lighthouse Foundation Laura David, Anglicare Victoria 12:30 Keynote Address 2 Professor Pat Dudgeon - The National Empowerment Project, Promoting Cultural, Social and Emotional Wellbeing to Strengthen Aboriginal and Torres Strait Islander Communities Chair: Rudy Gonzalez, Lighthouse Institute Room: Members Dining Room 13:30 Performance - Members Dining Room The Mullum Mullum Indigenous Gathering Place Choir 13:40 Lunch - Dean Jones Bar 14:30 Keynote Address 3 Dr Paul Valent - Back to Basics: Attachment Trauma and Fulfilment Chair: Rudy Gonzalez, Lighthouse Institute Room: Members Dining Room 15:30 Survivor Story Carol Jarvis, Support Carer, Lighthouse Foundation Chair: Rudy Gonzalez, Lighthouse Institute Room: Members Dining Room 15:45 Afternoon Tea - Dean Jones Bar 16:15 Keynote Address 4 Dr Louise Byrne - Recovery Expertise: Gained by Experience Chair: Rudy Gonzalez, Lighthouse Institute Room: Members Dining Room 17:15 Closing Address - Members Dining Room FRIDAY 06 MARCH 2015 08:30 Registration - Dean Jones Bar 09:15 Opening Address: Rudy Gonzalez, Executive Director Lighthouse Institute Room: Members Dining Room 09:30 Keynote Address 5 Dr Judith Lewis Herman (via video link) - Empowerment and Recovery for Trauma Survivors Chair: Rudy Gonzalez, Lighthouse Institute Room: Members Dining Room 10:30 Morning Tea - Dean Jones Bar 11:00 11:30 SE-04 Impacts of Childhood Trauma in Adulthood Chair: Ariane Florent, Lighthouse Foundation Room: Harrison Room A SE-05 Trauma Informed Practice Models Chair: Moira Kairys, Centre for Excellence in Child and Family Welfare, Inc. Room: Members Dining Room SE-06 Mental Health Chair: Cathy Kezelman, Adults Surviving Child Abuse Room: Harrison Room B Presentation 10 Adult attachment in looked after children and their mental health: Exploring the link between childhood adversity and the development of psychiatric disorders Presentation 14 Therapeutic Family Model of Care™: An attachment and trauma informed approach to practice Presentation 18 Hidden in plain sight: Creating a trauma informed child and adolescent mental health service Carly Cameron, PhD., Deakin University Tymur Hussein, Lighthouse Foundation Nicola Palfrey & Velissa Aplin, ACT Health Presentation 11 Udayan Care’s (Sunshine Homes) After Care Program: A unique model of transition from children’s homes to independence Presentation 15 “Special consideration”: Supporting trauma informed practice with people with disabilities Presentation 19 The Ripple Intervention – a local tertiary mental health service collaboration to enhance the mental health of young people in OoHC Dr Kiran Modi, Udayan Care Sarah Waters, Berry Street A/Prof Annette Jackson, Berry St Take Two Stephen Halperin, Orygen Youth Health Clinical Program Tony Glynn, Royal Childrens Hospital 12:00 12:30 Presentation 12 Presentation 16 Therapeutic approaches to the treatment of Building trauma-informed practice: trauma and addiction Implementation of the Sanctuary Model at MacKillop Family Services Presentation 20 Who wants to go on an adventure? The journey of an inner cities adult persons residential service combining Bush Adventure Therapy and Trauma Informed Care (BAT-TIC) for people seeking meaningful recovery Nigel Joseph, Substance Use Recovery (SURe) consortium, EACH Social and Community Health Julie Avery, MacKillop Family Services Amanda Smith & Sue Cramb, Mission Australia – Roma House Presentation 13 “Where’s the therapy?” Why sessional counselling has limited impact in developmental trauma Presentation 17 Not in isolation: The importance of relationships in healing childhood trauma Presentation 21 Trauma for practitioners: Looking after us Adela Holmes & Stephan Friedrich, Knightlamp Michelle Taylor, Blossomtree Psychology Jessica Perring, Bravehearts, Inc. 13:00 Lunch - Dean Jones Bar 14:00 Keynote Address 6 Dr Michael Merzenich - Brain Plasticity-Based Training in Child Populations Chair: Rudy Gonzalez, Lighthouse Institute Room: Members Dining Room 15:00 Afternoon Tea - Dean Jones Bar 15:30 Keynote Address 7 Dr Cathy Kezelman - Supporting Trauma Survivors Makes Good Economic Sense Chair: Rudy Gonzalez, Lighthouse Institute Room: Members Dining Room 16:30 Panel Discussion - Dr Michael Merzenich, Dr Cathy Kezelman, Ms Sarah Yanosy, Dr Paul Valent, Tymur Hussein Chair: Peter Streker, Community Stars Room: Members Dining Room 17:00 Conference Close - Rudy Gonzalez, Lighthouse Institute Poster Presentation Visualing Ritual Trauma: The Paintings of Francis Bacon (1909-1992) Lynn Brunet, Independent Scholar When they first appeared in public, the paintings of the British artist Francis Bacon were regarded as some of the most disturbing images to have come out of the twentieth century. The artist grew up in a military household in Ireland during the Irish Civil War and later admitted that throughout his childhood he was sexually abused and regularly beaten. Many of his painting convey a sense of foreboding and confinement in bleak, ritualistic spaces, though when pressed for explanations for these works the artist always claimed that he did not know what they meant. He often said that they represented the patterns of his nervous system projected onto the canvas and stated, ‘images just drop in as if they were handed down to me’. My research examines the spaces and activities the artist evokes in his images and applies insights from the field of trauma studies to ask whether the sense of disturbance created in Bacon’s work could be associated with traumatic exposure to initatory rites that were commonly practised by many fraternities and secret societies in the Ireland of his childhood. The paper is drawn frm my book entitled ‘A Course of Severe and Arduous Trials: Bacon, Beckett and Spurious Freemasonry in Early Twentieth Century Ireland’ (Oxford: Peter Lang, 2009) which also asks similar questions about the plays and novel of Samual Beckett. To view conference slides and the photo gallery, please visit: www.lighthouseinstitute.org.au Keynote Speakers MS SARAH YANOSY Director of the Sanctuary Institute Ms Sarah M. Yanosy, LCSW is the Director of the Sanctuary Institute at ANDRUS in Yonkers, NY. As a clinical practitioner of the Sanctuary Model in her work with children and families, Ms. Yanosy collaborated with Dr. Sandra Bloom and colleagues to create the Sanctuary Institute. In her role as Director, Ms. Yanosy has overseen the implementation of this system-wide holistic organizational intervention for over 300 organizations, including residential treatment, D&A treatment, domestic violence, and juvenile justice programs in addition to hospital, community based and school settings across the United States and in seven other countries. She has been a keynote and featured speaker on trauma and organizational culture at both national and international conferences. Her most recent publication is an article co-authored with Landa Harrison entitled “Traumatic Reenactment: How This Triangle Can Sabotage Intervention and Treatment” The International Society for Prevention of Child Abuse and Neglect (ISPCAN) (2011). Sponsored by MacKillop Family Services PROF PAT DUDGEON Professor Pat Dudgeon is from the Bardi people of the Kimberly area in Western Australia. She is a psychologist and research fellow at the School of Indigenous Studies at the University of Western Australia. Her area of research includes social and emotional wellbeing and suicide prevention. Amongst her many commitments, she is a Commissioner of the Australian National Mental Health Commission, on the executive board of the Australian Indigenous Psychologist’s Association, and co-chair of the commonwealth Aboriginal Torres Strait Islander Mental Health and Suicide Prevention Advisory Group. She is currently the project leader of the National Empowerment Project: an Indigenous suicide prevention project working with Aboriginal communities across the country. She has many publications in Indigenous mental health in particular, the Working Together: Aboriginal and Torres Strait Islander Mental Health and Wellbeing Principles and Practice. She is actively involved with the Aboriginal community and has a commitment to social justice for Indigenous people. DR PAUL VALENT Dr Paul Valent is a psychiatrist who graduated in medicine at the University of Melbourne, and in Psychiatry in London. He has many years’ experience in his specialties of psychotherapy, liaison psychiatry and traumatology. He is a founder and past president of The Australasian Society for Traumatic Stress Studies and of The Child Survivor of the Holocaust group in Melbourne. Dr Valent has written many articles, chapters, encyclopaedia entries, and has contributed to the recently launched Trauma Online course. He has written a number of books – Child Survivors of the Holocaust; From Survival to Fulfilment; Trauma and Fulfilment Therapy; and In Two Minds; Tales of a Psychotherapist. Dr Valent is a world leader in trauma theory. Attachment is a vital ingredient in his survival strategies framework. DR LOUISE BYRNE Dr Louise Byrne works within the mental health sector from the perspective of her own experience of significant mental health challenges, service use and Recovery. For over 15 years Louise experienced hospitalisation and extended periods of debilitating mental unwellness, before finding her niche as a lived experience practitioner - helping to bridge the gap between the experiences of people using mental health services and the perceptions of service providers. Louise has worked from her lived experience in a variety of roles in government, non-government and tertiary settings since 2005. Her current position is at CQUniversity, Australia where she is employed as a fulltime lived experience in mental health academic. Louise’s PhD explored the emerging lived experience workforce in Australia. Louise teaches the Recovery approach in mental health from the perspective of her lived understanding. Research has found great benefit to students in lived experience teaching of the concepts including, an increased interest in working in mental health and a reduction in stigmatising attitudes. DR JUDITH LEWIS HERMAN M.D (via video link) Dr Judith Lewis Herman M.D. is Clinical Professor of Psychiatry at Harvard Medical School and Director of Training at the Victims of Violence Program at The Cambridge Health Alliance, Cambridge, MA. Dr. Herman received her medical degree at Harvard Medical School and her training in general and community psychiatry at Boston University Medical Center. She is the author of two awardwinning books: Father-Daughter Incest (Harvard University Press, 1981), and Trauma and Recovery (Basic Books, 1992), and co-author of The Trauma Recovery Group: A Guide for Practitioners (Guilford 2011). She has lectured and written widely on the subject of sexual and domestic violence. She is the recipient of the Lifetime Achievement Awards from the International Society for Traumatic Stress Studies (1996) and the Trauma Psychology division of the American Psychological Association (2011). In 2007 she was named a Distinguished Life Fellow of the American Psychiatric Association. DR CATHY KEZELMAN Dr. Cathy Kezelman is a medical practitioner, mental health consumer advocate, President of Adults Surviving Child Abuse (ASCA) , director of Mental Health Coordinating Council (MHCC), foundation member of the national Trauma Informed Care and Practice Advisory working Group, member of the Mental Health Community Advisory Council (NSW), and on the Advisory Panel of Tzedek. Under her stewardship ASCA has grown from a peer support organisation to a leading national organisation combining a prominent consumer voice with that of researchers, academics and clinicians advocating for socio-political change and informed responsiveness to complex trauma. She is a prominent voice in the media and at conferences, as well as author of a memoir chronicling her journey of recovery from child sexual abuse: Innocence Revisited- a tale in parts. She is co-author of the ASCA document Practice Guidelines for Treatment of Complex trauma and Trauma Informed Care and Service Delivery. DR MICHAEL MERZENICH, PhD Dr. Merzenich is the brain behind BrainHQ and the author of Soft-Wired: How the New Science of Brain Plasticity Can Change Your Life. For nearly five decades, he has been a leading pioneer in brain plasticity research. As co-founder and Chief Scientific Officer of Posit Science, Michael Merzenich heads the company’s science team. Dr. Merzenich has published more than 150 articles in leading peer-reviewed journals (such as Science and Nature), received numerous awards and prizes (including the Ipsen Prize, Zülch Prize, Thomas Alva Edison Patent Award and Purkinje Medal), and been granted nearly 100 patents for his work. He and his work have been highlighted in hundreds of books about the brain, learning, rehabilitation, and plasticity. Dr. Merzenich’s work is also often covered in the popular press, including the New York Times, the Wall Street Journal, Time, Wired, Forbes, Discover, and Newsweek. He has appeared extensively on television. He is the scientific consultant and provided the brain assessments and brain training exercises for the Discovery Channel show “Hack My Brain” (which aired in Australia as “Redesign My Brain.”) His work has also been featured on four PBS specials: “The Brain Fitness Program,” “Brain Fitness 2: Sight and Sound,” “The New Science of Learning,” and “Brain Fitness Frontiers.” Dr. Merzenich earned his bachelor’s degree at the University of Portland and his PhD at Johns Hopkins. He completed a post-doctoral fellowship at the University of Wisconsin in Madison before becoming a professor at the University of California, San Francisco. In 2007, he retired from his long career at UCSF as Francis A. Sooy Professor and Co-Director of the Keck Center for Integrative Neuroscience. He was elected to the National Academy of Sciences in 1999 and the Institute of Medicine in 2008. In the late 1980s, Dr. Merzenich was on the team that invented the cochlear implant, now distributed by market leader Advanced Bionics. In 1996, Dr. Merzenich was the founding CEO of Scientific Learning Corporation (Nasdaq: SCIL), which markets and distributes software that applies principles of brain plasticity to assist children with language learning and reading. Evaluation Results An independent evaluation of the Conference was carried out by ICMS, between 10 March 2015 and 02 April 2015. Eighty five respondents completed the survey out of 180 Conference delegates. The following provides a summary of the key results and feedback. Promotion of the Conference The majority of the evaluation respondents first heard about the Conference through a colleague or word of mouth (41.18%); or via email communications from Lighthouse Institute (32.94%). Other respondents heard about the conference via email communication from a conference partner organisation (8.23%), the conference website (7.06%), social media (3.45%), or by some other means (7.06%). Figure 1. How did you hear about the conference? 50% 41.56% 23.28% 14.29% 9.09% 7.79% 3.90% 0% Lighthouse Institute mailing list communications Lighthouse Institute partner organisations Word of mouth/colleague Conference website Social Media Facebook, Twitter, LinkedIn etc. Other Conference Organisation, Venue and Catering Overall, respondents were very satisfied with the organisation of the Conference, including the registration process; website and pre-conference information; conference location, venue and catering; the audio-visual equipment used, exhibitors and layout of the exhibition area. The majority of respondents (71.43%) rated the organisation of the Conference as ‘excellent’. Most respondents (71.43%) felt that the ease of the registration process was ‘excellent’, and the respondents reported that the usefulness of the website and general pre-conference information was ‘excellent’ (50.00%) or ‘good’ (41.67%). Figure 2. Average satisfaction rating with conference organisations, ease of registration process and usefulness of website & information Average rating 0 = Very Poor 5 = Excellent 5 4 3 2 1 0 The conference was well organised Ease of the registration process Usefulness of website and general pre-conference information Satisfaction with the catering provided was rated as ‘excellent’ (60.71%) or ‘good’ (35.71%). The majority of respondents thought the conference location was excellent (69.05%); and nearly 67% of respondents thought the conference venue was ‘excellent’. In fact, when asked to recommend another location or venue for future conferences, of the 43 people who responded to this question, 76.74% said the MCG was an excellent venue/location. “Love the MCG!” “The MCG was a fantastic location.” “The location is alright for me, excellent choice, wide space.” Figure 3. Average satisfaction with the Conference location, venue and catering Average rating 0 = Very Poor 5 = Excellent 5 4 3 2 1 0 Satisfation with the catering provided Satisfaction with the conference location Satisfaction with the conference venue The majority of respondents stated that the audio-visual equipment used and support was ‘excellent’ (51.22%) or ‘good’ (40.24%); results were a little more mixed with regards to the quality of exhibitors and the information they provided with the majority reporting it was ‘good’ (53.66%) or ‘excellent’ (28.05%); and similarly, most respondents thought the layout and use of the exhibition area was ‘good’ (58.54%) or ‘excellent’ (26.83%). Figure 4. Average satisfaction rating with audio-visual equipment used and support, exhibitors, and the layout and use of the exhibition space Average rating 0 = Very Poor 5 = Excellent 5 4 3 2 1 0 Audio-visual equipment used and support Quality of exhibitors and information they provided Layout and use of the exhibition area Design of the conference program The feedback from respondents suggested a high level of satisfaction with the overall design and quality of the two day conference program. The majority (81.93%) of respondents felt that the number of concurrent sessions was ‘just right’, as was the length of the presentations in the concurrent sessions (74.70%). Similarly, most respondents (84.34%) felt that the number of keynote addresses was ‘just right’ and that the length of their presentations was ‘just right’ (91.57%). Respondents generally felt that the expertise of the speakers was either ‘excellent’ (58.54%) or ‘good’ (39.02%); and that the quality of the presentation content was ‘excellent’ (47.56%) or ‘good’ (47.56%). Figure 5. Satisfaction with number of Concurrent sessions, number of keynote presentations, length of presentations in concurrent sessions and length of keynote presentations 100% t igh tr s Ju st Ju t us ht rig J t us J o To 0% y an m t No Number of concurrent sessions h ug o en o To y an m Number of keynote presentations ht rig t or sh ou n te No gh o To o To g lon Length of presenations in concurrent sesions Figure 6. Average satisfation rating with expertise of speakers and quality of presentation content Average rating 0 = Very Poor 5 = Excellent 5 4 3 2 1 0 Speaker Expertise ht rig Quality of presentation content o To t or sh o To Length of keynote presentations g lon The majority of respondents (54.88%) reported that the range of cross-sectorial and multidisciplinary presentation topics was ‘good’, with an additional 32.93% saying it was ‘excellent’; and more than 60% of respondents thought that the wellness program and general approach to safety and wellbeing was ‘excellent’ or ‘good’ (34.94%). Figure 7. Average satisfaction with wellness program, and range of cross-sectorial and multidisciplinary presentation topics Average rating 0 = Very Poor 5 = Excellent 5 4 3 2 1 0 Satisfaction with wellness program & general approach to safety and wellbeing Range of cross-sectorial and multidisciplinary presentation topics Overall, the majority of respondents (78.05%) thought the length of the conference was ‘just right’, however a small proportion would have preferred that it was longer (14.63%) and Figure 8. Satisfaction with length of the conference 100% 78.05% 41.56% 0% Prefer it was longer 7.32% Just right Could be shorter Overall, the majority of respondents (96.15%) reported that they would recommend this Conference to others in the future; and 94.87% of respondent said that they themselves would attend this Conference again in the future. Key Learnings from the Conference The evaluation survey sought detailed written feedback on respondents’ expectations of the conference, what they gained from it, and recommendations and suggestions. The results are presented below. Question 1. What did you hope to gain from the Conference? There was a very strong theme of respondent’s (84%) wanting to broaden their knowledge, understanding and application of attachment and trauma informed practice; and that they hoped to gain greater confidence in their work through new ideas, skills and strategies. “Increased understanding of ways to work with trauma affected people.” “Improved understanding of trauma-informed practice and what is happening in this space.” “Confidence in providing trauma counselling.” “Additional strategies to embed trauma informed practice into the workplace.” “Ideas in improving my ability to assist people in moving towards recovery.” “Increased practitioner knowledge and confidence.” “Greater understanding of trauma theory and application in practice.” “The new knowledge that I gain, I would like to adapt some of it to the areas of working in my country.” “Learning more about best practice in relation to trauma and attachment.” A minor theme also emerged in relation to networking and respondents (19.5%) wanting to build a community of practice committed to trauma informed work. “Build network of practitioners working from trauma informed models.” “Inspiration, new research knowledge, contacts and networking.” “Good networking and audience for ideas.” “To learn about how various people/organisations are applying an attachment and trauma informed approach in their respective settings. To network with other people committed to attachment and trauma informed work and to take back some innovative ideas to my own workplace.” “Innovations, networking, community.” Question 2. What did you take away from the Conference? Most respondents felt that their expectations as to what they hoped to gain at the conference were met or exceeded. In particular, respondents reported that they took away with them an increased knowledge and deeper understanding of the work; new ideas and skills for practice; and felt that the Conference had reaffirmed the importance of their work and improved confidence in their skills (77.4%). They also felt that the conference was a great networking opportunity and enhanced their sense of connection with others in the field (24.2%); and also that the Conference left them feeling inspired and with a strong sense of hope in that recovery is possible (24.2%). “New knowledge, inspiration to change my professional and personal practice.” “Inspiration, new research knowledge, contacts and networking.” “I came away feeling inspired and having a lot of new ideas that has me still thinking some weeks later. I have been able to bring many of these ideas and comments to my Management team.” “New learning and extended knowledge on previously known topics, refreshed enthusiasm to work in a challenging field.” “Lots! I came away feeling very stimulated and inspired. Good insights, new knowledge and awareness.” “Better networks and contacts. Discussion points to have with other staff members regarding staff professional development.” “Exactly what I needed. Great networking opportunities, learning and talking about trauma informed practice in a cross cultural sense.” “Networks, ideas for my own practice.” “Lots of great new ideas with high applicability in my practice, a renewed lens on the value of LEP (lived experience practice), thanks Louise, a reaffirmation of my skills – important for days when things don’t go to plan.” “Books bought, leaflets, pamphlets, new friends, more knowledge about NGOs here in Australia, and the knowledge about trauma informed practice.” “Lots of contacts, reinforcement of professional knowledge.” “New information, hope.” “Hope, belief and keenness to read more on the subject.” “Lots of information, insights, positive statements about recovery.” Question 3. What issues, topics or ideas would you like to see addressed the next Conference? Many respondents wanted to build on this Conference in more depth, either through workshops, group discussions and/or detailed consideration of practice issues, international models, and case examples. “Keynote speakers who have or are working in therapeutic models at the international level, particularly from the UK.” “More practical application of the Sanctuary Models and new methods.” “More group discussions – learning from each other.” “Practice issues.” “Is it possible to build on this conference, some more case examples?” “An extension/ update on what was presented at this conference.” “More in depth practice as a build on this conference.” “Examples of trauma informed practice in greater depth, with the opportunity for interactive discussion. The short sessions were very interesting and informative, and are valuable, but would value chance to unpack it more.” A greater focus on trauma informed practice in mental health and substance abuse also emerged as a theme. “Relationship between trauma and mental health diagnoses.” “Impact of childhood trauma on adult mental health – in particular people who hear voices, and EBP to assist people to recover.” “Psychological/ mental health assessments; their use and application.” “More around comorbidity – mental health and substance abuse.” “Personality disorders and how they are present in conjunction with trauma.” “Addiction/ substance use.” “Trauma and the impact on adult mental health and the appropriate psychosocial support.” Other feedback was quite broad and generally reflected the diversity of sectors and disciplines represented at this Conference. “Childhood trauma and residential provision.” “More information on current practice around youth homelessness.” “Connection of PTSD in war survivors, veterans and refugees. Transgenerational trauma.” “Some more information on domestic abuse outside of women and children (men and boys) and any other information on effects.” “More cross cultural information.” “More survivor stories; stories from parent’s perspectives on trauma cases.” “The role of lived experience in support work.” “More on how to treat perpetrators.” “How a greater interrelationship and dialogue between the government and non-government sector could be achieved.” “The identification of the causes of the abuse of children, the identification of social structures that permit the physical and psychological sacrifices of the child and the issue of prevention.” “A broad spectrum, self-harm, eating disorders, post-traumatic stress disorder, etc.” “Gender specific tools/programs to assist in the recovery process for boys and girls.” “I was surprised at the lack of Child Protection professionals present at this conference – seems the content would be most important to their work.” “A greater emphasis on clinical work.” Question 4. How could the Conference be improved? Overall, the respondents were positive in their feedback about the Conference. “It was great.” “I think the conference was really well organised and congratulate you on your event.” “Not sure, it was great.” “No improvements, I thought it was great.” There were however a number of areas where suggestions for improvements were made, particularly with regards to the program design (54.7%); and the catering and venue (23.1%). “One or two longer workshops.” “I would have built a little more time for people to swap rooms between the concurrent presentations.” “Workshops perhaps.” “More interactive sessions would be valuable and help break up the information overload. For me it was too much being ‘talked at’.” “A greater range of activities in the wellness room, various tasks to suit a range of interests and activities.” “Have much more consumer involvement and lead in all aspects.” “More practical application of the Sanctuary Models and new method.” “Tea and coffee in the mornings! Live demos if possible about application.” “More world renowned specialists in trauma work.” Reflections on Journey to Recovery 2015 Over the course of the Journey to Recovery Conference, we were able to draw inspiration and insight from the stories and expertise of survivors, carers, researchers, and practitioners – all of whom are leading the way in informing and developing recovery-oriented interventions, creating social and political reform, and changing lives. As one delegate stated: “…there are many great people out there, in varied fields, all passionate about supporting those who have suffered trauma in their lives and are working on ways to better their care and recovery.” What stood out about the Conference was an overwhelming recognition of the relevancy of this work across such a broad range of sectors and disciplines; the valuable contribution of cross-sectorial collaboration and learning; and of a rapidly growing community of practice firmly committed to the advancement of attachment and trauma-informed work: “Increased knowledge in the area of complex trauma, plus a great sense of the community of trauma informed practitioners or supporters thereof.” “Benefit of trauma informed knowledge to all sectors.” “What other people in the sector are doing or have done.” “A sense that there has been a significant paradigm shift in how we understand the experience of and work with those impacted by trauma and attachment disruptions, but also where there are still some significant gaps and room for improvement.” “A much better understanding of the growing move towards working from a trauma-informed perspective, and also a better understanding of the resistance in the community field towards working this way.” It was great to observe and to hear from delegates that the atmosphere of the Conference strongly reflected that of a trauma-informed setting and quickly became a space of nurture, caring and safety – a therapeutic environment in which delegates were encouraged and supported to respond to the potential negative consequences of the traumatic material being discussed. This was captured in some of the comments from delegates when asked about what they took away with them from the Conference: “The importance of the wellbeing room.” “Further development of and integration of my clinical skill and wonderful, surprising addition to my discussions in my organisation about vicarious trauma, self-care, etc. Trauma informed and sensitive organisation wonderful. Also hope and creativity and cooperative interventions. Up front about wellness and potential impact of material”. “Refresher on trauma theories, new concepts, new networks, importance of wellbeing and self-care when working in this field.” Reassuringly, several key messages were reinforced time and time again throughout the various presentations across the 2 days. Firstly, there was a strong focus on the process of recovery and the environments in which healing occurs. In discussing attachment and separation, Dr Paul Valent stated that “recovery has to begin with a person, not an institution. That’s where it all began, with the absence of a person.” In discussing engagement with mental health services, Dr Louise Byrne talked about how the environment is often created to make staff feel more comfortable and safe, not necessarily the service user and addressed the feeling of extreme powerlessness experienced by service users - a sentiment beautifully captured by Ms Sarah Yanosy who stated that “we cannot hope to change the lives of the people we serve if we cannot change the environment in which we serve”. She also posited that in any treatment community we need to reframe how we think and say to ourselves “ I am the treatment.” There was also an emphasis on the need to address trauma holistically. The Conference program emphasised the multiple contexts in which trauma occurs, and the multiple points of intervention that can and should be considered. As Sarah Yanosy stated: “trauma informed practice requires a paradigm shift from clients being viewed as the only point of intervention” and that we need to understand treatment in terms of a “community of care”. Dr Judith Lewis Herman asserted that “violence is transmitted from the political world to the personal” and that “the survivor’s social world can influence the eventual outcomes of trauma.” Dr Cathy Kezelman’s presentation highlighted the startling social, economic and psychological cost of trauma and demonstrated just why a systems approach to treatment and recovery is required. The Conference program also showcased the way multiple modalities and approaches can respond to the various needs of individuals and communities and the resounding lesson was that we need to continue to strengthen how we work across multiple layers - engaging survivors not only at the individual level, but also focusing on the interrelational transactions between multiple systems at the familial, group, organisational, community and social policy levels. This was a topic that some respondents felt could be explored in greater depth at future conferences: “…more thought needs to be given to the way trauma is integrated into mental health care.” “The identification of the causes of the abuse of children, the identification of social structures that permit the physical and psychological sacrifice of the child and the issue of prevention.” “The importance of community in raising awareness about complex trauma and how vital community is in the healing process.” “…finally, the sector is starting to take notice of the underlying causes of mental and related illnesses and ask sufferers the right questions.” In response to the feedback from the previous Conference, this time around there was an intentional focus on the importance of culture and multiple world views in enhancing how we conceptualise and understand attachment and trauma in various groups and contexts. As Dr Paul Valent pointed out: “the words of attachment and trauma are still not recognised in many languages and we are just starting to understand what they really mean.” At an individual level, Helen Lenga talked about how we often apply culture to ‘others’ and challenged us to examine our own culture and how it influences our worldview, and ultimately how we work with our clients; whilst at the macro level, Jenine GodwinThompson asserted that worldviews even within Aboriginal culture differs quite drastically and that overall, Aboriginal worldview has been lost in social policy. Professor Pat Dudgeon cautioned us to move beyond cultural awareness to cultural responsiveness and to find a balance between labelling and not labelling (which does not acknowledge that inequalities exist); and highlighted that Aboriginal healing is a spiritual journey that involves reconnection to family, community, culture and country (land). We examined the critical role of lived experience and consumer participation in enhancing attachment and trauma informed work and asked the question: “how can we invest further in consumer-led initiatives”? We were fortunate to have consumer participation in the planning and development of the conference and approximately 40% of our delegate base was comprised of Carers charged with the critical task of providing stable, consistent and loving relationships for some of our most vulnerable young people. We heard from Dr Louise Byrne who spoke about the rights of survivors and the need for a stronger consumer voice in the mental health space. She also articulated that the expertise of lived experience practitioners lies in “having been oppressed and then transcending that” and shined a light on the important role they have in helping others to “find their gold” and to “discover what they can do with it”. We also heard the highly emotive and thought provoking story of Carol Jarvis’ who shared with us her own journey to recovery. Her presentation reminded us of the importance of not censoring survivors despite how uncomfortable their story may be to hear. It also gave pause to consider our own woundedness as a metaphor for our humanness and to think about the use of self in trauma recovery work. Again, some respondents felt this was an area that could be explored in more depth: “I really enjoyed the consumer, peer support, lived experience perspective represented and would hope this continues.” “More survivor stories; stories from parent’s perspectives on trauma cases” “Much more consumer-led initiatives, with an acknowledgment that consumers are the experts and professionals.” Finally, we reflected on the gradual paradigm shift occurring in this space and the importance of hope in attachment and trauma informed work. Ms Sarah Yanosy and Dr Michael Merzenich discussed the hope that comes with now knowing that we can re-shape the brain and that brain plasticity can be driven in a negative or positive direction; whereas Dr Judith Lewis Herman reported that despite experiences of trauma, “people maintain a sense of fairness and if you can appeal to that sense of fairness, you can begin to build a relationship and start those attachment bonds.” We talked about how organisations and opportunities like the Conference can develop a community of practice where the intention is to create a gravitational pull into this therapeutic movement, but also questioned how we can scale up our efforts to educate the broader community in order to create what Dr Cathy Kezelman termed “a trauma-informed society” - a society primed to protect people from harm. Holding hope for our clients can be a difficult task, but when we feel more connected to a network of supportive colleagues with shared values and commitments, we are much better equipped to positively contribute to a cause. Overall, many respondents felt that this was the most important thing they took away with them – a sense of hope that recovery is possible; a renewed enthusiasm for their work; and finally, a feeling of being connected to a group of people committed to the advancement of attachment and trauma informed practice. We thank you for your participation in this Conference and look forward to you continuing on this journey with us. Catherine Keating, Learning and Development Manager, Lighthouse Institute Rudy Gonzalez, Executive Director, Lighthouse Institute P. 03 9093 7500 F. 03 9093 7555 [email protected] www.lighthouseinstitute.org.au
© Copyright 2024