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Schools promoting "trauma-informed" teaching to reach troubled students

If 1 in 4 children, nationally, have been exposed to violence (as cited in this article) what is preventing more schools from adopting trauma-informed or trauma-sensitive educational and classroom management methods? 

Do you work in education? Has your school implemented trauma informed practices? If so, what is your school doing, and how is it going thus far? If not, what are the obstacles preventing implementation of trauma-informed practices? 

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I have been working within the SDP for the past several years as a school-based outpatient clinician, as well as a school-based clinician within an STS program. As I establish relationships with teachers and administrators , I use language that introduces them to trauma-informed concepts (safety plans, triggers, de-escalation techniques, viewing the child as "injured," not "bad." I then offer to present in-service trainings for teachers about the impact of trauma on learning, where attachment and trauma concepts are further explained, and teachers are offered techniques to create safer classroom environments. I also offer to teach children about the brain on stress ("the stressed brain cannot learn"), physiological indicators that the body is becoming stressed, techniques to self-soothe, and creating safety cards. We end with relaxation techniques (such as "Rainbow Walking" from "Ready, Set, Relax."). When teachers fill out a simple evaluation from the training, I ask if they would be interested in receiving information about reflective supervision. In May of this year, 16/40 teachers said YES to this. My challenge has been obtaining funding for my trainings and services as a specialist/expert in this realm. Thoughts??

Hi Leisa,

Yes, supportive or reflective supervision - either 1:1 or in groups, professional learning communities, psychoeducation on secondary traumatic stress, reducing "case loads" for each provider.  All of these interventions have shown promise in terms of reducing burn-out and secondary traumatic stress.

Thank you all for your positive input. In the Netherlands we are wrestling with the same topics you are.

My wife and I wrote a book about trauma and attachment related problems in school.

In our research we found the following English/American literature very helpful:

Attachment in the Classroom - Heather Geddes

What about me?                   - Louise Michelle Bomber

Inside I'M Hurting                  - Louise Michelle Bomber

Teenagers and Attachment     -  Edited by Andrea Perry

Settling to Learn                     Louise Michelle Bomber & Daniel A. Hughes

Supporting and Educating Traumatized Students  -  Eric Rossen & Robert Hull

Treating Traumatic Stress in Children and Adolescents - Margaret Blaustein & Kristine Kinniburgh

In explaining this topic to fellow teachers we use the ACE material, this website, Bruce Perry's publications, Dan Hughes books, publications of Besel van der Kolk, and the three videos from the Center on the Developing Child (Harvard University)

http://developingchild.harvard.edu/resources/multimedia/videos/three_core_concepts/brain_architecture/

Willem de Jong

 

This is a fascinating discussion! 

Here are some stories I did about trauma-informed schools in Spokane and San Francisco that might provide more information about school-wide approaches. These stories are part of a series about schools that are taking a compassionate approach to school discipline. Later this year, I'll do a story about what a school and district need to have the most success, in terms of reductions in referrals, suspensions, expulsions, absenteeism, and an increase in academic scores and student safety measurements. 

At Cherokee Point Elementary, kids don't conform to school; school conforms to kids -- San Diego

There's no such thing as a bad kid in these Spokane, WA, trauma-informed elementary schools -- Spokane, WA

Q-and-A with Suzanne Savall, principal of trauma-informed elementary school in Spokane, WA    -- Spokane, WA

San Francisco's El Dorado Elementary uses trauma-informed & restorative practices; suspensions drop 89%

I'm very interested hearing from people that work in schools that are taking a trauma-informed approach. A large part of the job I recently left as a Behavior Strategist in a private special education school/ residential treatment facility was to work with staff on a trauma-informed (responsive) approach with the kids we served. 


I really developed a passion for it and would love to continue working within that focus. When recently moving to Texas I was hoping to find something within an education environment where I could continue, but have had no luck yet. 

It really does make so many of the behaviors that teachers find puzzling make more sense when seen through trauma-informed lenses. Unfortunately, unless a whole district is on board, like many of those Jane Stevens talks about on the west coast, it is likely delivered in a professional development (if at all) and those can be hit or miss depending on the interest of the learner. 

Thank you for posting the question. I hope to read some responses. 

Lee

Hi Lee, Thanks for replying.  

I work in a school that has implemented trauma-informed practices.  But it has been a real struggle. Trauma-informed practices when delivered to one student at a time, via the school counselors, dean of students, social workers, etc., seem to be working for us fairly well.  However, at the school wide level, we have not been as successful.  We aren't giving up - ever - but I am hoping to hear some ideas how other schools are doing this.  The biggest challenge, based on conversations with the teachers, is simply the scale of numbers.  100% of our students have experienced significant trauma and most are still living in highly stressful (chronic stress) situations.  

We have a ratio of about 1 staff for each 12 or 13 students.  But once you subtract the one to one support staff (counselors, social workers, homeless support staff, etc.) the reality is that we have about 1 staff for every 22 students.  When all 22 (or the majority) of those students are "struggling" it can be overwhelming.  By the end of this past school year, the staff were exhausted.  Our staff attrition levels hit an all time high, over 15% at the end of the 2013-2014 school year. We are usually at about 5% per year.  In addition, the staff who chose to leave were the staff who were not providing one to one services, but rather the staff who were teaching, advising, etc - the ones who were in the trenches, as they say, working with the larger student body.  

So,while I feel like we made a lot of progress, we did so at a cost - not financial, but in staff retention - which obviously impacts our ability to create a safe and supportive environment with our students. With such a larger turn over, the new staff joining us are going to have start back at square one, building relationships with our students. 

Any thoughts, ideas, recommendations, etc., on implementation techniques that reduce the burn out level for the team, would be greatly appreciated.  

Leisa

Leisa -

as someone who is trying to introduce trauma-informed practice to a school here in the UK, I found your post incredibly helpful in its detail and I shall be thinking further on the issues and solutions you've posited. What resonated with me most in your comments was the importance of adding an intake survey, which I am pressing to be added to our pre-admissions assessment process. I am in the currently constructing something along those lines, and I would be very interested in seeing the survey model you've developed, if possible? With thanks,

Dominic V

Good stuff. That paints a more clear picture. That sounds pretty exciting change to me, but I'm interested. For those that don't agree with the approach, or struggle with not seeing immediate results, it isn't likely as exciting. You mentioned relationship a couple of times in your posts and that is very important as well. Having as many conversations as possible that don't have anything to do with directions or redirection can have an amazing impact on the relationships.

Melanie, 

You are so right when you say that teachers (and administrators) don't always listen to people who have not "been in the classroom."  You are in an incredibly unique position being both a special education director and a parent of children who have experienced trauma.  If anyone can get through to the teachers and admin, it should be you.  

I think its terribly unfortunate when some school personnel don't want new information, or won't even listen to new information because they discount the source.  But I know it happens.  We deal with the same issues at our school, and our school is very small compared to most districts. I feel like we have a bit of an easier sell because the staff is smaller in numbers (less people to convince), but even with the smaller school, we still see this happening.  And I also know that the teachers really care about their students, so its not that they don't want to do the best they can. This is one of the challenges in implementing trauma informed care practices. The team at our school wants to do the best they can, but if I can't (or if someone can't) break it down into tangible steps that can be used in practice (as opposed to theory), they struggle with how to utilize the information, and then tell me that I don't know what's it like to be working with the students.  It's a very valid issue, and one that needs to be solved. 

This summer we have a team of teachers working with the restorative justice staff to come up with a step by step tutorial and flow chart... kind of an "If This, Then This" approach.  When we come back in the fall, we'll spend time role playing the if/then scenarios that are most common in our school. Hopefully it will help the education staff feel more comfortable with the trauma informed approach.  

Thanks for all of the resources you listed as well!! Great information!! 

Leisa

100% of our students have experienced significant trauma and most are still living in highly stressful (chronic stress) situations.  

That was our numbers as well. I think you will continue to struggle and see turn over if it is something left up to certain school staff to "deliver" the trauma-informed practices. To me, a trauma-informed school is one that practices the approach in all of their interactions using "universal precautions." 

How long has it been since the school has implemented the practices...and what exactly are the practices? I'm curious as to what certain counselors, social workers do. 

I can tell you what we did, although it was a private school/ residential treatment facility. The school was made up of the students from the residential houses as well as community kids that surrounding districts determined they could not serve. One of the benefits that we had was a person who could spend a lot of time working with staff (me) and I know that is a luxury many schools don't have. 

One thing that I found early on is that trauma-informed practices have to start in human resources. There should be no surprise when a new staff comes in and finds that we are not about timeouts, compliance, and a swift kick/ punishment (if we look at many behaviors as a result of neurological changes due to trauma, why punish for being traumatized?)...

One of the initial training sessions  for new employees involved a day long trauma-informed services training. This is introductory and required annually, as well as a second tier of training. 

Students are given a chance to voluntarily complete the ACEs survey. There is also a "de-escalation preference" survey that would be completed that gives us information on things that help them feel clam and safe when they are starting to become upset, as well as the valuable information of what triggers them. The information from these surveys are used in developing plans that inform interactions with the students. 

When considering physical restraint, the debriefing process became a great tool. Reflecting on what could have gone different often found staff recognizing a point where it went wrong and how they contributed to it. I'm proud to say that in the last year the occurrences of restraint drastically reduced. 

A really simple way of looking at it is that there is what trauma-informed looks like and what trauma-informed does not look like. I know that may seem easier said than done, but it really is hard to argue with. You can't use trauma-informed practices "sometimes" or only some people. it really takes more than just being informed, but being responsive and practicing it. 

This article is aimed at residential facilities, but I feel it applies when looking at systemic change toward trauma-informed http://www.sanctuaryweb.com/PDFs_new/Bloom%20TC%20Sanctuary%20Model%20Organization%20Development.pdf

Its also important to be aware of secondary trauma working with these kids, and help take care of ourselves. We can't lose good people to burnout. 

Good luck, and I hope we get some great responses here!

Lee ~ You hit on a key point. No one should be surprised that we don't "punish" the students.  We use a restorative justice model to teach students how their actions/behaviors impact the community as a whole. It's time intensive, but it has helped prevent suspensions and expulsions, which has helped create stability in the lives of our students.  While I'd like to believe that everyone was on board with the restorative justice model, I know that for some of the staff who had been in the school system for many years, this process was too slow, and didn't deliver immediate change, as opposed to suspensions, where the staff no had to "deal with that student" for any given number of days.  

We have had a series of trainings/conferences/working sessions over the past two years (2012-2013 was the year we started shifting our school culture), including training on brain development, the impact of toxic stress of brain development, harm reduction, restorative justice, ACES, etc.  But when it came right down to it, not all staff wanted the changes.  I am happy to say that as we have hired, and continue to hire new staff, I believe we are finding team members who understand why we use this model, and they are trained before they start working with students.  Hopefully,that will help with the upcoming school year.  

As for what we have changed, and what we are doing - there is a lot to share. I started working as the school's director in the 2011-2012 school year.  It did not take long to realize that our students were coming to our school as their last chance.  And while we were serving some of the students very well, we were not reaching another very large group.  They were showing up, often because they were court ordered to attend school, but they were making very little progress, and their behaviors were off the charts.  We all recognized that we need to do things differently, but we did not know where to start.  And this is where the research started.  

We knew - 

1) physical environment made a difference - our school had not been well maintained, lights were burned out, the carpet was so old and dirty that we were not sure what color it had been originally, and technology was almost non-existent. The few computers we did have, were very old, and ran at dial up speed (when we were lucky). And overall the school had grown in such a way that it had pieced together adding another 25-20 foot room, or a few more offices, etc.  We were (and still are) located in a mall.  Students had to walk down the mall hallway to move from one set of classrooms to another.  

2) relationships were paramount to a student's success - the students who did well at our school, were the  ones who had been able to make positive connections with a staff member, or several staff members.  This issue was somewhat controversial because it appeared to be a race issue.  60% of our students were minorities.  We had one (yes one) staff member who was not white.  And the majority of students who were doing well, were white.  Even as I type this, I feel compelled to add that I do not think anyone was making racist decisions in hiring the staff. First, we are in Minnesota, it's pretty white here.  Second, if you look at the statistics on race in the education sector, there are far fewer minority teachers than there are white/caucasian teachers.

3) our students' lives were/are incredibly complex and we were a "school." Our job was to educate students using the 7 hours per day, 175 days per year, that we were open.  The issues students were facing outside of school were directly impacting their ability to focus or learn during the school day. We were working against a lifetime of violence, poverty, stress, etc., and we had just 14% of their time in any given year to make a difference. 

4) we had a lot to learn, and a lot of work ahead of us! 

What we did: 

1) Changed the physical environment - in the summer between the 2011-2012 school year and the start of the 2012-2013 school year. We completely remodeled the school. We literally gutted it and started over with an empty shell.  Our goal was to create a school that was welcoming, calm, beautiful, and most importantly would be a place students would want to spend time. We focused on layout, calming earthy colors, natural light (we could not add windows, so we added 20 solar light tubes to bring in the natural light through the roof.) Fortunately our landlord was willing to do a lot of this work and build the cost (lease hold improvements) into a new 10 year lease.  We also bought new computers and furniture.  What we kept of the old furniture and computers we re-furbished/cleaned. We also added showers, and a washer and dryer, so that our homeless students could shower and do their laundry before or after school.  

2) We focused on training staff about how to build positive relationships with students.  And when we posted open positions, we targeted the communities where our students lived, which over the past two years has increased the number of minority staff members to about 40%. Fortunately our student population grew over that same period of time. We didn't move anyone out of positions, we simply added staff members and in doing so, created a more diverse team.  Our long term goal is to have the racial demographics of our staff reflect the racial demographics of our students.  This will take years to accomplish because we also want to keep the staff we have, they are invested in our students, the whole team is amazing (which is also why it was so hard to see so many leave this year) and again, stability is critical for our population. But over time, we believe we can accomplish this. 

3) We flipped over the apple cart in terms of our program.  

* We created an emergency assistance program for our homeless students. We work closely with local county and community organizations to assist in finding shelter, long term housing, food, and funds.  We use our Title Funds to support a portion of this program, and general operating funds for the rest. 

* We added mental health support, including more staff and a plethora of support groups - anger management, sobriety, healthy relationships, boys group, girls group, etc. 

* We added programs based on student request - 1) a school store, run by students, who earn credit and work experience, 2) a student council - also student created and student run, 3) student activities - community building activities, these change all the time based on student interest, but we have a few events that are constants now, Prom and Talent shows.  The students have also hosted a Valentine dance, movie nights, school spirit weeks, etc.  

* We added a free breakfast and lunch program.  The school did not have a meal program in the past. It's helped to have something available at school. 

* We added a project based education model to give students more control over their education.  We still offer "seminars" (shorter, mini classes), but there are fewer of them than we had in the past.

* We implemented a restorative justice model for behavior management issues, and more importantly to give students real-life experience in solving conflict. 

There were other changes made too, but those are the big ones. While we can't control what happens outside of school, we can mitigate the trauma of poverty by addressing homelessness and basic food and nutrition.  We can also create meaningful opportunities for students to be involved in their education and to some extent, give them tools to address issues without violence.  The goal is to create a community where building resilience in our students is the foundation of everything we do.

And while all of the above changes have been significant in our process of change. The most important thing that we have done, is added an intake survey to our student orientation process. Our survey consists of 25 questions, 10 of which are the ACES questions.  We use this intake data to start interventions right away, before we see behavior or academic issues.  The data is collected and stored in our student data base.  We then document any and all new issues and interventions that occur, whenever they occur (at school, at home, in the streets...)  This data has allowed us to shape our program based on common trends we are seeing in the students.  If we have a high percentage of students who are parents, we start a parenting group.  If we have a high number of students who are dealing with legal issues, we bring in lawyers and law enforcement to talk with students (in groups - we never single out the students who have self identified this as an issue) about the legal process, their rights, and how to avoid criminal issues.  If  we have a high number of students reporting that they have or have had an STD, we add another sexual health seminar and we buy more condoms (I'm serious).  

The data gives us a ton of detail, and we do look at the details, but from the broader perspective, we are looking at trends in the data, and not just the intake data, but how it relates to the interventions and outcomes.  And while we have only been doing this for two years, and as you read in my post, its been incredibly hard on the staff - the student data already shows significant improvements.  Student mobility has decreased by 40%, attendance percentage has increased by over 10%, and we just had our largest graduating class ever.  I will be interested in seeing our statewide standardized test results once they are released.  But whether they have improved or not, we are please by the improvements.  

As for specific trauma informed practices - they are mostly embedded into the  program items above. But the single most important component to trauma informed practices is how we, the staff at the school, treat our students.  This is where staff development becomes so important.  It's not enough to tell people (staff) how to treat someone, or how to respond (vs react), there has to be both a reason to do something differently AND a means in which to do it.  One of the best training events we had last year was by Peter Harrell Jr. on Verbal Defense and Influence.  It was four full days (fairly long for a staff in-service training) but it provided our entire team with a common language for addressing everyday issues at school, and practice in using the common language. Verbal Defense and Influence has five core platform items on which the training is based - the first one being - everyone deserves to be treated with dignity and respect, which is also the basis for our trauma informed practices.  

In addition to the common language, we also follow a few simple rules: 

a) ask a student what's wrong, or what happened that has made him/her upset/angry/sad/etc.

b) never blame or shame, always discuss, seek to understand

c) assume the role of listener, ask questions, find the underlying issues 

d) be a positive role model

e) follow up - let the student know you remember, you care, and you want to help

Well that is really long "summary!" 

I wish I could say that we have perfected everything we are doing (the list above), but we have not. As with any change, there have been issues we did not expect that have caused us to make changes as we go.  And we are continually learning. The big "learning" from 2013-2014 school year, is that change is hard and while we have built great relationships within our school community, but we have to find a way to prevent burn-out.  

The beauty in the relationships we have with our students, is that we know about their lives.  The hardest part about the relationships we have with our students, is that we know about their lives.  We are educators who are doing crisis management - every day.  One of my research projects for this summer, is to figure out how firefighters, police officers, emergency room doctors, and crisis response teams manage their work load, and their stress. And how do we, as an organization, create systems of support for our staff.  Hence, my original post. :-) 

Hi Krys, 

I like that you are also working with the children about the "brain on stress." This is a component that we are adding  this year.   So far, we have been making all of these changes and the staff have been in the loop as to why we have made the changes, but for the most part, we  have not talked to the students about "why" we are doing these things.  They have not complained, they seem to be appreciating having more choices and more say in their education.  But now that most of the systems are in place, we want to help students understand what they are experiencing so that they can be more cognizant of  their triggers, the reasons behind their anger, and the reason why we focus so much attention to decreasing conflict and creating an interconnected community.  

As for funding, if you are working with schools, it might be worth talking with the finance director to see if you could be added into their Title 1 budget (services to students) or to their Title 2 budget (teacher training). These budgets might already be set for the 2014-2015 school year, but schools (at least in MN) have the ability to modify their budgets well into the 2014-2015 school year.  Also, if you are working with children in schools, it might be worth finding out how many of the students are in special education. Maybe the school could add your services to their special education program.  

I've also been looking for grant opportunities to fund parts of our program.  If I see anything that might work, I'll send you the information.  

I will jump in here. I am a special ed director for a school district, but I am also a parent of two children who have trauma backgrounds (we adopted about three years ago). I feel like the old Hair Club for Men commercial where the guy at the end says, "I am not only the president, but I am also a client." I have had the opportunity to do a presentation at the state CEC conference, and will be doing another this summer at the state conference for sp. ed. directors. Some other avenues have opened up too. I am trying to get to the teachers and administrators. My experience is the people with the most knowledge about our kids are social workers and school psychologists; however, they spend minimal time with them. The ones who need the knowledge are the teachers and building administrators (they dole out the discipline) and they know the least. On top of that, I don't find that these folks listen to the people with the knowledge because "they have never been a teacher and don't know what it is like to have them in the class." I feel like once they have the knowledge of the impact of trauma on students, it will help change their perspective and then practices.  Just a few other helpful resources in addition to some of the ones mentioned that I liked 

1.Reaching and Teaching Children Who Hurt: Strategies for Your Classroom [Paperback]
Susan Craig Ph.D. (Author)

Creating Sanctuary: Toward the Evolution of Sane Societies, Revised Edition [Paperback]

Sandra L Bloom--she also has an article specific to the schools that you can google.

3. Hanging In: Strategies For Teaching The Students Who Challenge Us Most

Jeffrey Benson--not specific to trauma but very relevant and practical strategies

I am eager to hear what everyone is doing. Carry on warriors!

I appreciate your work and hope you can continue in Texas. I think you especially hit the issue head on when you identify that trauma-informed practice is not just sometimes for some people. The systemic and cultural/philosophical changes that ACE directs us towards represent the movement that Dr. Anda refers to. 

As a mental health clinician who worked for a time in the schools, I marveled at the disconnect between educational practices and psychology/social work interventions. I understand that the staff/student ratio plays a role in the problems, but I am confused at how little educators seem to value the relationship aspect of teaching and learning. I think all of this points towards more core requirements for psych and social work in teacher preparation programs.

Hi Dominic,

I am happy to share our intake survey. I am attaching two documents.  The word document is the one that we have all students fill out.  We also have the Risk Assessment Survey questions as a separate document (PDF) in case a student does not feel comfortable answering the questions with their name on document.  

We have recently converted this document to a "google form" so that students can fill it out electronically. All of our students are assigned a chromebook during orientation.  We have them complete the survey during the chromebook training, its worked wonderfully.  

We haven't had any students request the survey questions separately. We were surprised by this because thought students  might be hesitant to reveal so much information about themselves when they were so new to our school.  But on the contrary, we have found that students want to share this information; they want someone else to know what is going on in their lives. 

I'd love to hear any suggestions you have on improving our intake survey!! 

Thanks, 

Leisa

Attachments

I forgot to ask...has anyone done the  Neurosequential Model in Education (NME) training through the Child Trauma Academy? It is very costly. I have considered trying to look for a grant to help pay for this if it is fantastic. 

Hi Dominic, 

You are  correct. Our students are between the ages of 15 and 20, with the average age being 17 yrs and 9 months.  Screening at younger ages may need to be done face to face, or by having a parent/guardian fill out a survey?

We also do a comprehensive file review when a new student enrolls.  We request records from all previous schools, medical records (when applicable), and in some cases we will call the previous school(s) to try to gain a better understanding of what the child has experienced in the past.   

The earlier we can start addressing the traumas these children have experienced, the better the odds for success.  Keep me posted on how your process is going.  

Thanks,

Leisa

Hi Wendy, 

I am so glad you replied.  Having seen the disconnect in the schools where you have worked, do you have any ideas on how to bridge that gap? I know that in MN, the teacher licensure process is extensive, and by the time educators are done with their schooling, you would hope that they had been inundated with information on child development, brain development, cognitive processing, etc. But that does not appear to be the case, at least not at any depth.  

I'd appreciate any thoughts you have on what can be done to support teachers and assist them in making the transition from mainstream industrialized education approaches to more of an individualized whole learner approach. (And please forgive my generalizations - I am speaking to the higher ed approach of training teachers, more than to the individuals themselves.) 

Leisa

The link enclosed is to an article from a researcher at UNC-Chapel Hill about practices that can help kids cope after a traumatic event (especially in the news). Maybe this is related to what you are looking for? http://endeavors.unc.edu/helping_children_heal The researcher advocates trying to make the response(s) as unique as possible for the various ways that children respond to trauma. Cheers.

Hi Leisa-

took me awhile to find my way back to respond to your post! 

I really am not the expert or even close to having clout in terms of education, but I guess if ACE information implies big paradigm changes, then I see that having big implications for the pairing of social work and mental health practices within public education.I saw another post here about social workers and psychologists understanding the students best but having the least contact- that's a place for change. Cross training between disciplines and an emphasis on whole person approaches to education our children clearly are needed in our nation for many reasons. I don't know how we get there but the work that you and your peers around the country are doing at smaller grass roots level paves the way and gives us best practice.  My fantasy is that teacher training and  social work/psychology/mental health career preparation should happen in the same department and require cross training and multi-disciplinary practicum experiences. Maybe ACE work is gearing up towards creating a new social science related job title that is a hybrid of current "guidance counselor" and trauma trained therapist...?

Hi Wendy, 

I could not agree more.  We recently hired a whole group of new staff who are school counselors but also have teaching certifications.  The new staff members are called "student success coordinators" and are going to be serving as a hybrid teacher/case manager/counselor.  This new group of staff members are going to be on the front line of education, working with their students everyday. With their counseling training and experience and their direct interaction with students, they will have skills and tools that most teachers haven't had in the past.  We just completed a three day orientation with the new team members and I am super excited about the possibilities in front of us this coming year, and for many years to come.  

It will be fascinating to see where this change takes us, and I will definitely be writing about it as the year progresses.  

Thanks again for your thoughts!!

Leisa

Hi i'd really like to know the 25 questions you refer to and if they include strengths and interests in addition to the ACEs and triggers.
We consult and provide mental health and school culture supports at many public schools in NYC and are considering using a modified ACE questionnaire in our intake interviews with students and families.
Any chance you could share it in this thread?
Thanks and all the best,
Kristen
Sorry I asked before I saw you had posted it. For some reason that one hadn't loaded the first time.
Thanks for sharing resources everyone. I'm also interested in the expensive training mentioned above if anyone has feedback abut it. Best, Kristen

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