# Presentation: 403542

## Judges As Champions

**A. Kathryn Power, Director    **
**Center for Mental Health Services**

**April 5, 2006 – B****osto****n, MA**

- Judges Leadership Initiative
- Annual National Meeting

**National GAINS Center Conference**

***Judges As Champions***

## Mental Health System Transformation 

**National GAINS Center Conference**

## Trauma

- Criminal Justice

- Mental Health

**National GAINS Center Conference**

## Women, Violence, and Trauma—

**National Center on Women, Violence, and Trauma **
**The SAMHSA Women’s Coordinating Committee**
**Women, Co-Occurring Disorders, and Violence Study**** **

**Women, Violence, and Trauma—**
**A SAMHSA-wide Priority**

**National GAINS Center Conference**

## 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.**

**The Public Health Model**

**National GAINS Center Conference**

## 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 **** **** **

**What do we know about the impact of trauma?****  **

**National GAINS Center Conference**

## 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***** approach—including 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 **** **

**What do we know about trauma interventions? **

**National GAINS Center Conference**

## What do we know about trauma outcomes? 

**SAMHSA’s 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**

**What do we know about trauma outcomes? **

**National GAINS Center Conference**

## Trauma-informed Programs 

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

**Trauma-informed Programs **

**National GAINS Center Conference**

## “Leadership...is not about great leaders alone, but great leaders who exist in a fertile relationship with the Great Group...the leader and the team are able to achieve something 

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

**National GAINS Center Conference**