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Polio, Candy Land, COVID-19, PTSD, a new children's book, questions and self-care resources.

 
Dear Trauma Colleagues:
Hope you all are staying well.   
Fun fact: 1949--In the midst of the polio epidemic--a disease that placed tens of thousands of children inside iron lungs, and many thousands more around the country quarantined at home--a young San Diego schoolteacher named Eleanor Abbott invented Candy Land, one of the most popular board games of all time.
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Abbott created the game inside a polio ward, as a patient herself, with the hope of giving the immobilized children around her a momentary sense of freedom and mobility. As a way of further connecting with the kids, Abbott featured on the game board an illustration of a boy with a leg brace.  Milton Bradley was quick to buy the game from Abbott. And to this day, Candy Land continues to be popular, more than 65 years after the disease was eradicated.   Of course so many of us played this game as kids, but I found the back story fascinating. Who knew ? Makes me wonder ...what will be invented from this pandemic?
*Attached are two articles---one regarding implications of using ACES measures and one with a lot of articles and Links to Academic Pediatrics’ Child Well-Being and ACEs in the 2017 US special issue. Would love to know if any of you are using ACES measures and how that is working.  We'd love to schedule a call to discuss the pros and cons of ACES screenings. 
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* Link to article:  Could you get PTSD from your pandemic experience? The long-term mental health effects of coronavirus
Published Sat, Apr 18 2020
* Dr. Chandra Ghosh (Director of the national CPP program) developed new children’s book in collaboration with the National Child Traumatic Stress Network. It is designed to serve as a population-based intervention using story to help children and families talk about their experiences related to COVID-19 and sheltering in place and to hopefully find ways to support relationships and emotion regulation during this stressful time. I know many of you have used Chandra’s previous Trinka and Sam stories in the past for hurricanes and other challenging times, so we hope this one is also useful to all of you.  Thanks so much to Chandra for her generosity and offer to please feel free to share it broadly. The description is below:
Fighting the Big Virus: Trinka, Sam, and Little town Work Together. This story was developed to help young children and families talk about their experiences and feelings related to COVID-19 and the need to shelter in place. In the story, the virus has spread to Littletown causing changes in everyone's lives. We hope the story helps children and families talk about family and community strengths, challenges and feelings related to COVID-19, ways grown-ups help children keep safe, and our gratitude for frontline workers.
The story includes a coloring book, a booklet of common questions children may ask, and a parent guide.
These can all be downloaded from http://piploproductions.com/trinka-and-sam-virus/
*We’ve also added these and other resources to our list of COVID-19 Resources:   https://cpeip.fsu.edu/trauma/covid19.cfm

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Also, I strongly urge you to join ACES Connection (https://www.acesconnection.com) which has so many relevant postings to our trauma work like below:
NEW BLOG POST
TITLE: Building Organizational Resilience in the Face of a Ubiquitous Challenge
BY: Karen Johnson
COMMUNITY: ACEs Connection Community Champions, Facilitators, and Managers
Ubiquitous: present, appearing, found everywhere. The challenges arising from the COVID-19 pandemic fit this definition better than any event I have experienced in my lifetime. 
We each have a moment when our life changed – a before and after COVID-19. For some it was a few weeks ago – when you worried about laying people off, contemplated canceling events or faced confounding questions such as “How do I keep my staff safe?” For many it was the news of Wednesday night, March 11: suspension of the NBA season, a ban on foreign nationals traveling to the US and Tom Hanks’ infection. Within one hour the world had shifted.
Whenever your moment, it probably involved many emotions – confusion, fear, suspicion, uncertainty, grief, anxiety, anger. It may have affected your ability to cope, focus or problem solve. And it also may have involved adrenaline, determination, altruism and kicked in your innate ability to be resilient.
As a leader, you are moving mountains to bounce back, to adjust in the face of this unprecedented adversity. These efforts prompt the questions: How do we intentionally promote resilience in the workforce? How do we continue to provide our complex services while taking care of our families, our work force, each other and ourselves?
The teachings and principles from trauma-informed approaches and resilience offer a foundation for answering these questions.
Safety. As a result of COVID-19, everyone is in a state of alert, living much of the time in our lower, survival brain. Staff are worried about their jobs, how to care for children, if they or their family members will get sick. As leaders, we need to focus on prioritizing physical, emotional and psychological safety in every interaction and process.
  • Share training and resources with staff on how to respond and stay safe.
  • Share best practices with staff for working remotely.
  • Encourage staff to practice social distancing outside of work.
  • Model vulnerability, which Brené Brown reminds us “builds trust while letting us lead during disruptive and challenging times.” Talk about challenges and difficult emotions and create safe spaces for staff to do the same.
  • Regulate, regulate, regulate. Fear and trauma interrupt our ability to access our frontal cortex. When we are in our survival brain, it is harder to think, problem solve, focus or productively manage conflict. We can stay in our thinking brain by practicing regulation strategies such as:
  • Focused breathing
  • Pausing between a stimulus and action
  • Mindfulness
  • Grounding techniques
  • Make sure supervisors are checking in with staff often, asking how they are doing and what they need. And be sure someone is checking in on you.
  • Trust and transparency. Trust is imperative in our organizations, especially during times of uncertainty and fear. Trust is built through practice and intentional relationship building.
  • Explore Brené Brown’s BRAVING framework from Dare to Lead, an excellent model for building trust in our workforce.
  • Share as much information as possible. Staff have lots of questions and may doubt our decisions or intentions. Be accepting of staff who are slow to trust.
  • Understand that staff can handle difficult news. Offer opportunities for processing hard information and allow differences of opinion.
  • Examine current expectations. Consider if established work practices can be adjusted. Can deadlines be extended, projects be reassigned or put on hold? How can teams be nimble to adjust to changing needs and challenges of staff?
  • Collaboration and mutuality. Working together while practicing social distancing is required right now. A tragic outcome of these events will be if our relationships suffer because we are physically removed from each other.



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  • Partner with staff. Ask for ideas. Listen to and consider solutions. If the solutions aren’t feasible, communicate that and thank staff for the input.
  • Consider allowing staff to use the organization’s sharing platforms, such as Zoom, to stay in touch with their families.
  • Look for common experiences with staff (not only related to this crisis) that can highlight our shared humanity.
  • Empowerment, voice and choice. Everyone needs to feel be supported, and their voice heard as they explore their options.  
  • Seek staff input in planning or changing team and organizational processes. Offer options, when possible, for altering work schedules based on staff needs.
  • Honor different ways to engage in the work. Understand those who are quiet, or even sullen, may not always have the capacity for rich conversations about how they are feeling or what they need.
  • Assume that everyone is doing the best they can. This tenant of trauma-informed approaches helps us stay regulated and focused.
  • Peer support. Now, more than ever, we can rely on each other and our shared experiences.
  • Consider creating a buddy system that ensures no staff member is outside the protective culture.
  • Bring Mental Health First Aid at Work to your workforce, a valuable resource for educating staff about the signs and symptoms of mental illness at work.
  • Ensure all staff know how to access Employee Assistance Program resources to address behavioral health concerns.
  • Gender, historical and cultural differences. Many of us have significant privilege. This moment requires us to understand and check our privilege
  • Practice cultural humility.
  • Be curious about how this pandemic impacts people across all sectors and groups.
  • Be curious about how systemic approaches to this crisis impact marginalized populations.
  • Ensure everyone is invited to contribute to solutions.
Employing these principles is humbling and exhausting work. As a result, it is critical to practice self-care and self-compassion. Be kind to yourself. You are doing the best you can, and it is enough.
Building resilience in the workforce is key to adapting to the challenges ahead. The good news is our resilience is ubiquitous. It is present, appearing and found everywhere.
Karen Johnson         Trauma-Informed Lens Consulting                  traumainformedlens.net
For instructions on how to change your email settings, 
Stay safe.   Thanks so much for the important work you do!   Mimi
-- 
Dr. Mimi Graham, Director
FSU Center for Prevention & Early Intervention Policy
1339 East Lafayette Street
Tallahassee, FL 32301
Office: 850-922-1302  Cell 850-510-7770

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