Webinar Resources | Training Preview for Trauma Informed Biographical Timeline (TIBT)
Presented by Sarah Buffie, CEO, Soul Bird Consulting
The Trauma Informed Biographical Timeline (TIBT) is a trauma informed assessment that helps to put a person’s current situation in context with their life experiences. It is a way to help see the whole person, not just the case files. This 37 minute webinar and subsequent follow-up introduce you to the TIBT concepts and provide a brief preview of what to expect during Sarah’s full-day training.
NEW RESOURCE: Sarah Buffie’s Learning From Someone’s Biography – Context Matters!
Two New Trauma Informed Biographical Timeline (TIBT) Resource Lists
Books on TIBT | Links and Additional TIBT Resources | View TIBT FAQs Powerpoint Presentation
Sarah Buffie’s Trauma Informed Biographical Timeline (TIBT) training preview webinars. | Click on image to view video of session.
Sarah Buffie’s webinars and trainings were a part of the CIP’s Healthy Kids Learning Community initiative, a dissemination endeavor designed to create an accessible, continuing resource for clinicians and caregivers dealing with the surmounting crises and dimensions that has occurred during the Ohio opiate epidemic over the past half decade.
In keeping with this mission, the Center for Innovative Practices, in collaboration with WraparoundOhio.org and the Healthy Kids Learning Community initiative, partnered with some of Ohio’s foremost experts in their respective fields to lend their perspectives via their areas of expertise in a community share for the Buckeye State’s youth, families, clinicians, and various stakeholders dealing with the challenges and recovery of those youth and families.
View Webinar Series from the Healthy Kids Learning Community Initiative
RELATED RESOURCES | Competencies & Resources for TIBT facilitators – Nadine Burke’s TED Talk and three videos on Attachment Theory from John Bowlby. – Click on image to view videos.
Adverse Childhood Experiences – Click on image to visit websites..
Social Emotional Development – Click on image to view PDF.
PACEs Connection and Red Flags National Framework and Tool Kit – Click on image to visit website.
About Sarah Buffie
Sarah Buffie MSW, LSW, founding director of Soul Bird Consulting believes that nothing has the power to heal like supportive relationships. Specializing in trauma responsive care, she helps organizations and individuals disrupt current models of thinking by building empathy and understanding around the effects of trauma. Sarah has worked in community organizing- specifically, Asset Based Community Development, for over a decade and has a deep passion for her work. Her focus is to spread awareness about how trauma affects the brain and body, and teach effective approaches for developing resilience within the people organizations strive to serve, and the people closest to the work, caregivers and direct providers. Sarah received her Masters in Social Work from Northern Kentucky University with a focus in trauma, positive psychology, and mindfulness. With years working closely in her Cincinnati community through her Americorps service as well as abroad with her Peace Corps service in Namibia, Africa, Sarah brings a unique community building lens to the work.
Sarah received her Masters in Social Work from Northern Kentucky University with a focus in trauma, positive psychology, and mindfulness. With years working closely in her Cincinnati community through her Americorps service as well as abroad with her Peace Corps service in Namibia, Africa, Sarah brings a unique community building lens to the work.
Healing traditionally implies fixing something that is broken, but our philosophy explores healing as an ongoing process of growth and support. Our brains and bodies have an innate capacity to heal themselves and that is amplified when we are in safe relationships with others.
– Hands on approaches to educate, empower and energize.
– Honor and value the work of direct care providers for clients and communities.
– Conduct asset mapping and trauma mapping for clients.
– Working Towards Equity: Consensus Building Workshops
– Affinity group facilitation
– Understanding Personal Bias Training
– Support leadership in developing organizational practices that improve staff retention and decrease burnout.
– Make knowledge accessible and get to the heart of ‘what’s next’ for clients.
– Share easily adaptable self-care practices.
– Breaking Down Organizational Bias
– Identifying Blind Spots for Consumer/Client Relationships
– Leadership Training- Building Authentic Inclusive Workspaces
Let’s work together to challenge the notion of ‘impossible’. Nothing has the power to heal like supportive relationships. We help organizations and individuals disrupt current models of thinking by building empathy and understanding around the effects of trauma and systems of oppression.
Trauma Informed Biographical Timeline View Webinar | FAQs Trauma Informed Biographical Timeline Follow-Up View Webinar | Hand Brain Takeaway with Sarah Buffie View Webinar
MSY Trauma Trainings
Presented by Sarah Buffie, CEO, Soul Bird Consulting
The Trauma Informed Biographical Timeline (TIBT) is a trauma informed assessment that helps to put a person’s current situation in context with their life experiences. It is a way to help see the whole person, not just the case files. This 37 minute webinar and subsequent follow-up introduce you to the TIBT concepts and provide a brief preview of what to expect during Sarah’s full-day training.
NEW RESOURCE: Sarah Buffie’s Learning From Someone’s Biography – Context Matters!
Two New Trauma Informed Biographical Timeline (TIBT) Resource Lists
Books on TIBT | Links and Additional TIBT Resources | View TIBT FAQs Powerpoint Presentation
Sarah Buffie’s Trauma Informed Biographical Timeline (TIBT) training preview webinars. | Click on image to view video of session.
Sarah Buffie’s webinars and trainings were a part of the CIP’s Healthy Kids Learning Community initiative, a dissemination endeavor designed to create an accessible, continuing resource for clinicians and caregivers dealing with the surmounting crises and dimensions that has occurred during the Ohio opiate epidemic over the past half decade.
In keeping with this mission, the Center for Innovative Practices, in collaboration with WraparoundOhio.org and the Healthy Kids Learning Community initiative, partnered with some of Ohio’s foremost experts in their respective fields to lend their perspectives via their areas of expertise in a community share for the Buckeye State’s youth, families, clinicians, and various stakeholders dealing with the challenges and recovery of those youth and families.
View Webinar Series from the Healthy Kids Learning Community Initiative
RELATED RESOURCES | Competencies & Resources for TIBT facilitators – Nadine Burke’s TED Talk and three videos on Attachment Theory from John Bowlby. – Click on image to view videos.
Adverse Childhood Experiences – Click on image to visit websites..
Social Emotional Development – Click on image to view PDF.
PACEs Connection and Red Flags National Framework and Tool Kit – Click on image to visit website.
About Sarah Buffie
Sarah Buffie MSW, LSW, founding director of Soul Bird Consulting believes that nothing has the power to heal like supportive relationships. Specializing in trauma responsive care, she helps organizations and individuals disrupt current models of thinking by building empathy and understanding around the effects of trauma. Sarah has worked in community organizing- specifically, Asset Based Community Development, for over a decade and has a deep passion for her work. Her focus is to spread awareness about how trauma affects the brain and body, and teach effective approaches for developing resilience within the people organizations strive to serve, and the people closest to the work, caregivers and direct providers. Sarah received her Masters in Social Work from Northern Kentucky University with a focus in trauma, positive psychology, and mindfulness. With years working closely in her Cincinnati community through her Americorps service as well as abroad with her Peace Corps service in Namibia, Africa, Sarah brings a unique community building lens to the work.
Sarah received her Masters in Social Work from Northern Kentucky University with a focus in trauma, positive psychology, and mindfulness. With years working closely in her Cincinnati community through her Americorps service as well as abroad with her Peace Corps service in Namibia, Africa, Sarah brings a unique community building lens to the work.
Healing traditionally implies fixing something that is broken, but our philosophy explores healing as an ongoing process of growth and support. Our brains and bodies have an innate capacity to heal themselves and that is amplified when we are in safe relationships with others.
– Hands on approaches to educate, empower and energize.
– Honor and value the work of direct care providers for clients and communities.
– Conduct asset mapping and trauma mapping for clients.
– Working Towards Equity: Consensus Building Workshops
– Affinity group facilitation
– Understanding Personal Bias Training
– Support leadership in developing organizational practices that improve staff retention and decrease burnout.
– Make knowledge accessible and get to the heart of ‘what’s next’ for clients.
– Share easily adaptable self-care practices.
– Breaking Down Organizational Bias
– Identifying Blind Spots for Consumer/Client Relationships
– Leadership Training- Building Authentic Inclusive Workspaces
Let’s work together to challenge the notion of ‘impossible’. Nothing has the power to heal like supportive relationships. We help organizations and individuals disrupt current models of thinking by building empathy and understanding around the effects of trauma and systems of oppression.
Trauma Informed Biographical Timeline View Webinar | FAQs Trauma Informed Biographical Timeline Follow-Up View Webinar | Hand Brain Takeaway with Sarah Buffie View Webinar
WraparoundOhio.org is presented by The Center for Innovative Practices | Part of the Begun Center for Violence Prevention
at Case Western Reserve University’s Mandel School of Applied Social Services
Campus Location: 11235 Bellflower Road Room 375 | Cleveland, OH 44106
Mailing Address: 10900 Euclid Avenue | Cleveland, OH 44106-7164
Telephone: 216-368-6293 | email: pxm6@case.edu
© 2019 Center for Innovative Practices, Cleveland, Ohio 44106
Sarah Buffie Resource Links for TIBT Training Preview | Trauma, Impact, Resilience & Development
Bessel van der Kolk, The Body Keeps the Score Click here
Louis Cozolino, The neuroscience of human relationships: Attachment and the developing social brain
Dan Siegel, The Developing Mind: How Relationships and the Brain Interact to Shape Who We Are
Steven Porges, The Polyvagal Theory
Understanding Resilience with Buffie & Vicario:o
WraparoundOhio.org is presented by The Center for Innovative Practices | Part of the Begun Center for Violence Prevention
at Case Western Reserve University’s Mandel School of Applied Social Services
Campus Location: 11235 Bellflower Road Room 375 | Cleveland, OH 44106
Mailing Address: 10900 Euclid Avenue | Cleveland, OH 44106-7164
Telephone: 216-368-6293 | email: pxm6@case.edu
© 2019 Center for Innovative Practices, Cleveland, Ohio 44106
The CIP’s Wraparound Infrastructure Development Series | Sessions 1-3
Sessions respectively recorded: April 6, 2021, May 5, 2021, June 9, 2021
Working Together to Assure the Infrastructure for Successful Wraparound Implementation
The CIP Ohio Wraparound Training and Workforce Development | Wraparound Resource Tool Kit
This initial session of the series, ” Working Together to Assure the Infrastructure for Successful Wraparound Implementation,” provides an overview with strategies for implementing Wraparound in a System of Care. It offers tool sets for developing highly customized plans of care, team- based processes employing strengths and unmet needs as the basis for different help and supports for families with complex needs, and seeks to “magnify” help beyond the boundaries of services.
In addition, the session offers insights regarding organizing processes best applied to the “outliers” from across systems; offers mechanisms for reflecting on and improving the local system of care; ideas for building and maintaining a focus on what individual family stories teach us about our community systems; leadership “learning from” family plans alternatives to “fixing” plans; and individualized answers to improved pathways for families.
Finally, it addresses questions regarding the given the status of Wraparound in our communities such as: What do we do about assuring that the right people are engaged together to take best advantage of these opportunities? What do we do about assuring that the right people have the right information to prepare for these opportunities? What do we need to do about building spots at the table for all stakeholders? What do we do now to ensure that Wraparound remains a community owned resource in the future? What are we planning to assure that we do more than build Wraparound, also change our organizations so they align better with our values? What are our first thoughts about managing multiple opportunities in a similar time window (crossing the streams)? And what is our plan to move to shared action in time for these opportunities?
(You may need to start at the beginning.)
Keeping the Values In as you Build Wraparound Out
The second session of the Wraparound Infrastructure Development series, entitled, ”Keeping the Values In as You Build Wraparound Out,” offers guidelines on staffing and human resource capacities, access to needed services and supports, and accountability. In addition, it examines various pathways to customization along with the process of understanding and communicating what we are doing and whether it is making a difference.
Overall, the session helps clinicians and organizations maintain the values of Wraparound as you build out through intentional self-reflection, analysis, and response. It also assists in developing a keystone pattern of reflecting on the ways in which the system of care principles are articulated and visible in your work and decisions.
If you missed it, View Session 1 here
The First Decisions are Never the Last: What Comes Next?
Session 3, the final session of the of the Wraparound Infrastructure Development series, “The First Decisions are Never the Last: What Comes Next?” addresses key areas for moving forward, incluuding: How to plan an organized community response to these initiatives; how to educate and mobilize the community to work together to support the work and expand our system of care; Identifying local provider capacity to provide services; what new resources does Ohio RISE offer, i.e. Mobile Response Services, Psychiatric Residential Treatment Facilities and IHBT services; and what do these mean for individual counties.
Our aims and efforts include a broader vision for our community SOC that can serve as a foundation for these decisions and opportunities. We have built a home for the “crossing the streams” conversation somewhere in our SOC intersystem structures while thinking through how to get the right information to the right people as soon as it is available. Moreover, we have ways to update staff and customers about the latest decisions and resources in our SOC and are building a capacity to revise structures and decisions as new features and events indicate.
The streams suggest possibilities that can be invaluable to the families we get to serve, as long as we work to be strategic and intentional rather than simply reactive. Aligning efforts across these streams can make a cross-system system more effective, keeping the values in as you build out.
New processes, including regionality, need to inform our next decisions involving sources and locations of services, making a difference through which Wraparound can be the “grease” that makes the pieces run more smoothly together.
WraparoundOhio.org is presented by The Center for Innovative Practices | Part of the Begun Center for Violence Prevention
at Case Western Reserve University’s Mandel School of Applied Social Services
Campus Location: 11235 Bellflower Road Room 375 | Cleveland, OH 44106
Mailing Address: 10900 Euclid Avenue | Cleveland, OH 44106-7164
Telephone: 216-368-6293 | email: pxm6@case.edu
© 2019 Center for Innovative Practices, Cleveland, Ohio 44106
ADDITIONAL RESOURCES (Click on pic to download PDF)
:
Wraparound Infrastructure Development Series | Session 1 (April 6, 2021)
Working Together to Assure the Infrastructure for Successful Wraparound Implementation
This initial session of the series, ” Working Together to Assure the Infrastructure for Successful Wraparound Implementation,” provides an overview with strategies for implementing Wraparound in a System of Care. It offers tool sets for developing highly customized plans of care, team- based processes employing strengths and unmet needs as the basis for different help and supports for families with complex needs, and seeks to “magnify” help beyond the boundaries of services.
In addition, the session offers insights regarding organizing processes best applied to the “outliers” from across systems; offers mechanisms for reflecting on and improving the local system of care; ideas for building and maintaining a focus on what individual family stories teach us about our community systems; leadership “learning from” family plans alternatives to “fixing” plans; and individualized answers to improved pathways for families.
Finally, it addresses questions regarding the given the status of Wraparound in our communities such as: What do we do about assuring that the right people are engaged together to take best advantage of these opportunities? What do we do about assuring that the right people have the right information to prepare for these opportunities? What do we need to do about building spots at the table for all stakeholders? What do we do now to ensure that Wraparound remains a community owned resource in the future? What are we planning to assure that we do more than build Wraparound, also change our organizations so they align better with our values? What are our first thoughts about managing multiple opportunities in a similar time window (crossing the streams)? And what is our plan to move to shared action in time for these opportunities?
(You may need to start at the beginning.)
Wraparound Infrastructure Development Series | Session 2 (May 5, 2021)
Keeping the Values In as you Build Wraparound Out
The second session of the Wraparound Infrastructure Development series, entitled, ”Keeping the Values In as You Build Wraparound Out,” offers guidelines on staffing and human resource capacities, access to needed services and supports, and accountability. In addition, it examines various pathways to customization along with the process of understanding and communicating what we are doing and whether it is making a difference.
Overall, the session helps clinicians and organizations maintain the values of Wraparound as you build out through intentional self-reflection, analysis, and response. It also assists in developing a keystone pattern of reflecting on the ways in which the system of care principles are articulated and visible in your work and decisions.
If you missed it, View Session 1 here
Wraparound Infrastructure Development Series | Session 3 (June 9, 2021)
The First Decisions are Never the Last: What Comes Next?
Session 3, the final session of the of the Wraparound Infrastructure Development series, “The First Decisions are Never the Last: What Comes Next?” addresses key areas for moving forward, incluuding: How to plan an organized community response to these initiatives; how to educate and mobilize the community to work together to support the work and expand our system of care; Identifying local provider capacity to provide services; what new resources does Ohio RISE offer, i.e. Mobile Response Services, Psychiatric Residential Treatment Facilities and IHBT services; and what do these mean for individual counties.
Our aims and efforts include a broader vision for our community SOC that can serve as a foundation for these decisions and opportunities. We have built a home for the “crossing the streams” conversation somewhere in our SOC intersystem structures while thinking through how to get the right information to the right people as soon as it is available. Moreover, we have ways to update staff and customers about the latest decisions and resources in our SOC and are building a capacity to revise structures and decisions as new features and events indicate.
The streams suggest possibilities that can be invaluable to the families we get to serve, as long as we work to be strategic and intentional rather than simply reactive. Aligning efforts across these streams can make a cross-system system more effective, keeping the values in as you build out.
New processes, including regionality, need to inform our next decisions involving sources and locations of services, making a difference through which Wraparound can be the “grease” that makes the pieces run more smoothly together.
PROVIDER SELF-CARE
MSY Self-Care Trainings
Urban Zen: Avoiding Burnout in High Stress Work Environments
Presented by Marcia Miller, E-RYT 500
Marcia Miller has been teaching yoga for over 40 years and has taught all levels and types of students from new beginners to yoga teachers and everyone in between. In 2001 Marcia was one of the founders/owners of Yoga on High. She is one of a few Master Teacher Trainers for the Urban Zen Integrative Therapy (UZIT) Trainings and in charge of Reiki training for UZIT. She is on a community advisory board for the Center for Integrative Health and Wellness at the Ohio State University and offers UZIT modalities in Wexner Medical Center at the Ohio State University.
Webinar | Urban Zen Avoiding Burnout in High Stress Work Environments
https://wraparoundohio.org/webinar-urban-zen-avoiding-burnout-in-high-stress-work-environments/
Shifting Gears & Changing Minds | Adapting Mental Health & Behavioral Health Services for COVID-19
The Center for Innovative Practices (CIP) offers a timely webinar on how mental health and behavioral health specialists and clinicians can meet the evolving needs of young clients and their families during the Covid-19 crisis and the necessary distancing involved. The session explores strategies, tools, and lessons learned in ways to offer connection and continuity those in recovery. – Hosted by the CIP’s Senior Research Associate, Bobbi Beale, PsyD as part of the CIP’s continuing mission to help clinicians, their organizations, their clients, families and communities adjust to new ways of connecting in recovery, especially with high fidelity intensive home-base treatment and Wraparound Systems of Care approaches to youth mental health and substance use recovery.
View Video of Session here
WraparoundOhio.org is presented by The Center for Innovative Practices | Part of the Begun Center for Violence Prevention
at Case Western Reserve University’s Mandel School of Applied Social Services
Campus Location: 11235 Bellflower Road Room 375 | Cleveland, OH 44106
Mailing Address: 10900 Euclid Avenue | Cleveland, OH 44106-7164
Telephone: 216-368-6293 | email: pxm6@case.edu
© 2019 Center for Innovative Practices, Cleveland, Ohio 44106
Healthy Kids Learning Community Facilitated Discussions On the Opioid Crisis in Ohio
Hosted by the CIP’s Senior Research Associate, Bobbi Beale, PsyD as part of the CIP’s continuing mission to help clinicians, their organizations, their clients, families and communities adjust to new ways of connecting in recovery, especially with high fidelity intensive home-base treatment and Wraparound Systems of Care approaches to youth mental health and substance use recovery. View Session in Bigger Frame | View Video of Session
Shifting Gears & Changing Our Minds – Adjusting BH services during COVID-19 HO2 (PDF) Here | Shifting Gears & Changing Our Minds – Adjusting BH services during COVID-19 HO2 (Word Document) Here | Individualized Resilience Plan – Sample (PDF) Here | Individualized Resilience Plan – Sample (Word Document) Here
Healthy Kids Learning Community Facilitated Discussions On the Opioid Crisis in Ohio
Healthy Kids Learning Community Facilitated Discussions On the Opioid Crisis in Ohio
THE OPIOID EPIDEMIC | HEALTHY KIDS LEARNING COMMUNITY
Webinar | Understanding Opioid Addiction and Recovery
According to the Center for Disease Control (CDC) measuring overdose deaths from 2000 to 2014, the United States is experiencing an epidemic of drug overdose (poisoning) deaths. Since 2000, the rate of deaths from drug overdoses has increased 137%, including a 200% increase in the rate of overdose deaths involving opioids (opioid pain relievers and heroin).
In Ohio in 2016, there were 4,329 overall overdose deaths, representing an over 30% increase from the previous year. 2,296 deaths involved synthetic opiates (primarily fentanyl and excluding methadone) while 1,478 deaths involved heroin and 867 deaths involved Rx opioids. One bright spot is that deaths involving physician-prescribed opioids declined for the 5th straight year. This decline was matched by a four-year decline in opioids prescribed in Ohio over the last four years and a significant increase in prescription monitoring: Ohio Automated Rx Reporting System (OARRS).
View Webinar Understanding Opioid Addiction and Pathways to Recovery | View Powerpoint Presentation PDF
The Center for Innovative Practices (CIP), in partnership with the Ohio Department of Mental Health and Addiction Services, Ohio Family and Children First, and with the support of the Substance Abuse and Mental Health Administration (SAMHSA), presents a webinar on “Understanding Opioid Addiction and Pathways to Recovery,” providing an overview opiates, opioids, addiction, and some promising practices toward recovery and reduction of use. The webinar was presented by Michael Fox, LPCC-S, LCDC III, Consultant and Trainer: Center for Innovative Practices.
ALSO: View and learn more from our complementary webinar The Opioid Crisis and the Impact on Families
Perhaps Some Hope
One highlight from the webinar involves Monitoring the Future, a yearly, NIDA-funded survey conducted with thousands of 8th, 10th and 12th graders from around the country. It notes quite low levels – especially by comparison to 10-year peak levels of opioid use. MTF and NIDA Director, Nora Volkow, have observed that the current lower rates of opioid use by youth may be hopefully predictive as ‘they may well take their more cautious behaviors with them into their twenties and thirties. The current highest-risk group – young adults – demonstrated much higher rates of opioid use a decade ago while they were teens.
ADDITIONAL RESOURCES (Click on pic to download PDF)
Also:
The National Child Traumatic Network Visit site | The Child Trauma Academy Visit site | ACE Study Visit site | Substance Abuse and Mental Health Services Administration Visit site | American Academy of Child and Adolescent Psychiatry Visit site | The Sanctuary Model Visit site
The Public Children Services Association of Ohio Visit site
About the Presenter
Michael Fox, LPCC-S, LCDC III, Consultant and Trainer, Center for Innovative Practice
Combining experiences from mental health and substance abuse direct treatment, systemic and contextual coordination, and teaching with research-driven data, Mike works with demonstrated practices to assist professionals and communities decrease risk to individuals and help families. He provides educational training and consultation to professionals working with youth and families with co-occurring mental health and substance abuse issues, including the Integrated Co-Occurring Treatment Model (ICT) model developed by the Center for Innovative Practices. Previously, Mike worked in the addictions field of counseling with adults and later provided treatment to co-occurring youth in home-based settings. Mike also teaches college courses in psychology, addictions and human development.
Presented by the Center for Innovative Practices (CIP) and WraparoundOhio.org in partnership with: (To learn more, click on pic.)
Webinar | The Opioid Crisis: Impact on Families Part 2
The opiate crisis in Ohio is affecting our children and families at alarming rates. Through it all, there is a need to understand this crisis and prepare beyond the immediate needs and look into long-term lasting affects on the children in families who struggle with opiate addiction. Ohio is the Second worst state in the nation for drug overdoses, with Dayton ranked 1rst with the highest per capita overdoses in the county.
– We rank in the top 6 for most deaths.
– Children in relative placement has increased 62%
– Foster Care placements have increased 11%.While Opiate use has increased the State allotment of Child Welfare funding has decreased by 21%
View Webinar Opioid Crisis and the Impact on Families | View Powerpoint Presentation PDF
The Center for Innovative Practices (CIP), in partnership with the Ohio Department of Mental Health and Addiction Services, Ohio Family and Children First, and with the support of the Substance Abuse and Mental Health Administration (SAMHSA), presents a webinar on “The Opioid Crisis and the Impact on Families,” exploring the unique impact of parental opiate use on the development of the child and the resulting challenges. We know that more children have been taken into child protective services custody due to opiate addiction in the family, that they are in out of home placement longer, and they seem to have a unique set of challenges. Join us to learn about how to support our families and children. The webinar was presented by Angela LaRiviere, Director of Youth Move Ohio, and Timothy Schaffner, Executive Director of Trumbull County Children Services.Substance Use, the Opioid Epidemic, and the Child Welfare System: Key Findings from a Mixed Methods Study Opiate Presentation Resources and References.
ALSO: View and learn more from our complementary webinar Understanding Opioid Addiction and Recovery
Ohio Drug Overdose Data: 2016 General Findings
Ohio’s opioid epidemic continued to evolve in 2016 to stronger drugs, driving an increase in unintentional overdose deaths. The data shows a significant increase in overdose deaths involving the opioid fentanyl, the emergence of more powerful fentanyl-related drugs like carfentanil, and indications that cocaine was used with fentanyl and other opiates.
The data also shows some promising progress – the fewest unintentional overdose deaths involving prescription opioids since 2009 (excluding deaths involving fentanyl and related drugs)Read Full ReportIllegally produced fentanyl can be hundreds of times stronger than heroin, and carfentanil and other related drugs can be stronger than fentanyl.In 2016, unintentional drug overdoses caused the deaths of 4,050 Ohio residents, a 32.8 percent increase compared to 2015 when there were 3,050 overdose deaths.Fentanyl and related drugs were involved in 58.2 percent (2,357) of all unintentional drug overdose deaths in 2016.
By comparison, fentanyl was involved in 37.9 percent (1,155) in 2015, 19.9 percent (503) in 2014, 4.0 percent (84) in 2013, and 3.9 percent (75) in 2012 (see Figures 1 and 2). With the emergence of carfentanil in 2016, the fentanyl-related drug was involved in 340 overdose deaths, most of them during the second half of the year. For males and females respectively, the largest number of fentanyl and related drug overdose deaths were among the 25-34 age group. (see Figure 3). The increase in fentanyl and carfentanil overdose deaths in 2016 corresponded with an increase in drug seizure reports by law enforcement (see Figure 4).
The number of cocaine-related overdose deaths rose significantly from 685 in 2015 to 1,109 in 2016 — a 61.9 percent increase (see Table 1). Of cocaine-related overdose deaths in 2016, 80.2 percent also involved an opiate, and 55.8 percent involved fentanyl and related opiates in particular.
The number of overdose deaths involving heroin remained relatively flat with 1,444 overdose deaths in 2016 compared to 1,424 in 2015.
Learn More: Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health
ADDITIONAL RESOURCES (Click on pic to download PDF)
:
Also:
The National Child Traumatic Network Visit site | The Child Trauma Academy Visit site | ACE Study Visit site | Substance Abuse and Mental Health Services Administration Visit site | American Academy of Child and Adolescent Psychiatry Visit site | The Sanctuary Model Visit site
The Public Children Services Association of Ohio Visit site
About the Presenters
Angela LaRiviere, Director of Youth Move Ohio
Angela LaRiviere supervises staff and youth to develop strategic plans for youth inclusion and voice in Ohio, provides training and guidance to youth, partner organizations and county groups. She also oversees grants and chapter development and participates in state management teams. She develops youth leadership councils on a state and county level. Develop advocacy and strategic plans. Provide support for youth and provide training and technical assistance to state and county partners. She has also created programing and policy agendas to address homeless youth issues and has facilitated state and local youth empowerment councils to address root causes of homelessness while also providing training and technical assistance to local, state, and national partners. she has also developed special programs for homeless youth and mothers and developed community awareness and funding strategies.
Timothy Schaffner, M.Ed., LSWTrustee
Executive Director, Trumbull County Children Services, Timothy Schaffner was named Executive Director of Trumbull County Children Services in November 2012. As a leader in behavioral health and residential care for children, 
Schaffner has provided consultation and training for many educational, residential and child welfare facilities and brings a wealth of management and child mental health treatment experience to his role as executive director.Schaffner had been the executive director of Valley Counseling Services prior to joining Trumbull County Children Services (in April 2012), from 1995 to 2006 served as Corporate Director/Corporate Clinical Executive for the Center for Behavioral Medicine at Forum Health, and prior to that he was director of youth services at Tod Children’s Hospital in Youngstown. Schaffner brings a total of 37 years of experience in professional child care to his position.
Presented by the Center for Innovative Practices and WraparoundOhio.org in partnership with: (To learn more, click on pic.)
Webinar | The Opioid Crisis: Impact on Families Part 2
This second part of the two part webinar examines assessments, interventions, and trauma-informed approaches in addressing youth and families caught in the grip of the opiate crisis in Ohio.
View Part 2 of The Opioid Crisis and the Impact on Families
As was covered in Part 1, Ohio, being at the forefront of the opiate crisis, children and families have been impacted by this epidemic at rates unparalleled in modern times.
Beyond the immediate impact on children’s well-being, the effects may be more long lasting as abrupt changes in parental attunement can impact patterns of attachment. Also notable, routine interventions may be inadequate to address children and family needs
The objectives in Part 2 include:
Completing the overview of Part 1 on the impact on individual children; providing updates on the current opiate crisis impact on youth, families and child welfare in Ohio; and an overview of interventions on multiple levels including system of care, agencies, programs, individuals and communities
Covered in Part 2 are trending narratives in the crisis, which does not necessarily rely on the adjective ‘opiate’ to explain how it is unfolding. For example, unintended opiate related deaths are trending down in most hard hit communities, with heroin being replaced by fentanyl and other synthetics. Furthermore, fewer pharmaceutical opiates are being dispensed and the use of naloxone by first responders is becoming more a part of routine response to overdoses. Finally, the increase in the availability of medically Assisted Treatments like buprenorphine is helping combat addiction and usage.
Nevertheless, not all the news is good as opiate use is being replaced by other substances like crack cocaine and methamphetamines. And while overdose deaths are decreasing, its impact on our citizens and systems continues, with children in custody related to parental substance use continues to increase with those children in custody continuing to be
younger in age, in care longer, and at higher levels of care.
All of this has had an impact on Ohio’s systems of care, particularly PTSD occurring in caregivers overwhelmed by the scope and dimensions of the crisis. (See Marcia Miller’s Urban Zen webinar for ways to help alleviate burnout and stress in caregivers by clicking here.)
Significant takeaways from Part 2 include:
– Addressing secondary trauma in caregivers is crucial to reducing stress, burnout, and ultimately staff turnover, which can impact and impede recovery across the board.
– Attunement and attachment between parents and children consist of an ongoing process learning and growth between parents and children. – Attunement can be enhanced and enriched; attachments can be repaired and strengthened.
– Knowledge by caregivers – especially those new to the field – of trauma-informed approaches and care – Adverse Childhood Experiences (ACEs) in particular – is crucial in understanding the landscape of opiate recovery and the proper evidenced-based interventions that prove effective.
– Active listening is premium when establishing safety, stability, and trust with a new individual and her or his family. Curb the strong instinct to find or provide “solutions” to problems and allow the clients/patients to bear witness to their individual experiences and establish the process for them to discover their own solutions. Active listening, time, and patience.
– Assessments and screenings are a key component is outlining intervention options and understanding what facilitates positive outcomes.
– Before we ask, “What’s wrong?” – Ask: “What happened?” in a person’s life. From there, we can develop effective interventions.
Through it all, there is a need to understand this crisis and prepare beyond the immediate needs and look into long-term lasting affects on the children in families who struggle with opiate addiction. Ohio is the Second worst state in the nation for drug overdoses, with Dayton ranked 1rst with the highest per capita overdoses in the county.
– We rank in the top 6 for most deaths.
– Children in relative placement has increased 62%
– Foster Care placements have increased 11%.While Opiate use has increased the State allotment of Child Welfare funding has decreased by 21%
View Webinar Opioid Crisis and the Impact on Families | View Powerpoint Presentation PDF
The Center for Innovative Practices (CIP), in partnership with the Ohio Department of Mental Health and Addiction Services, Ohio Family and Children First, and with the support of the Substance Abuse and Mental Health Administration (SAMHSA), presents a webinar on “The Opioid Crisis and the Impact on Families,” exploring the unique impact of parental opiate use on the development of the child and the resulting challenges. We know that more children have been taken into child protective services custody due to opiate addiction in the family, that they are in out of home placement longer, and they seem to have a unique set of challenges. Join us to learn about how to support our families and children. The webinar was presented by Angela LaRiviere, Director of Youth Move Ohio, and Timothy Schaffner, Executive Director of Trumbull County Children Services.Substance Use, the Opioid Epidemic, and the Child Welfare System: Key Findings from a Mixed Methods Study Opiate Presentation Resources and References.
ALSO: View and learn more from our complementary webinar Understanding Opioid Addiction and Recovery
Ohio Drug Overdose Data: 2016 General Findings
Ohio’s opioid epidemic continued to evolve in 2016 to stronger drugs, driving an increase in unintentional overdose deaths. The data shows a significant increase in overdose deaths involving the opioid fentanyl, the emergence of more powerful fentanyl-related drugs like carfentanil, and indications that cocaine was used with fentanyl and other opiates.
The data also shows some promising progress – the fewest unintentional overdose deaths involving prescription opioids since 2009 (excluding deaths involving fentanyl and related drugs)Read Full ReportIllegally produced fentanyl can be hundreds of times stronger than heroin, and carfentanil and other related drugs can be stronger than fentanyl.In 2016, unintentional drug overdoses caused the deaths of 4,050 Ohio residents, a 32.8 percent increase compared to 2015 when there were 3,050 overdose deaths.Fentanyl and related drugs were involved in 58.2 percent (2,357) of all unintentional drug overdose deaths in 2016.
By comparison, fentanyl was involved in 37.9 percent (1,155) in 2015, 19.9 percent (503) in 2014, 4.0 percent (84) in 2013, and 3.9 percent (75) in 2012 (see Figures 1 and 2). With the emergence of carfentanil in 2016, the fentanyl-related drug was involved in 340 overdose deaths, most of them during the second half of the year. For males and females respectively, the largest number of fentanyl and related drug overdose deaths were among the 25-34 age group. (see Figure 3). The increase in fentanyl and carfentanil overdose deaths in 2016 corresponded with an increase in drug seizure reports by law enforcement (see Figure 4).
The number of cocaine-related overdose deaths rose significantly from 685 in 2015 to 1,109 in 2016 — a 61.9 percent increase (see Table 1). Of cocaine-related overdose deaths in 2016, 80.2 percent also involved an opiate, and 55.8 percent involved fentanyl and related opiates in particular.
The number of overdose deaths involving heroin remained relatively flat with 1,444 overdose deaths in 2016 compared to 1,424 in 2015.
Learn More: Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health
ABOUT THE PRESENTER
Timothy Schaffner, M.Ed., LSWTrustee
Executive Director, Trumbull County Children Services, Timothy Schaffner was named Executive Director of Trumbull County Children Services in November 2012. As a leader in behavioral health and residential care for children, Schaffner has provided consultation and training for many educational, residential and child welfare facilities and brings a wealth of management and child mental health treatment experience to his role as executive director.Schaffner had been the executive director of Valley Counseling Services prior to joining Trumbull County Children Services (in April 2012), from 1995 to 2006 served as Corporate Director/Corporate Clinical Executive for the Center for Behavioral Medicine at Forum Health, and prior to that he was director of youth services at Tod Children’s Hospital in Youngstown. Schaffner brings a total of 37 years of experience in professional child care to his position.
ADDITIONAL RESOURCES (Click on pic to download PDF)
:
Also:
The National Child Traumatic Network Visit site | The Child Trauma Academy Visit site | ACE Study Visit site | Substance Abuse and Mental Health Services Administration Visit site | American Academy of Child and Adolescent Psychiatry Visit site | The Sanctuary Model Visit site
The Public Children Services Association of Ohio Visit site
Angela Lariviere : Angela.yepdirector@gmail.com
TIM SCHAFFNER email; timothy.schaffner@jfs.ohio.gov
Presented by the Center for Innovative Practices and WraparoundOhio.org in partnership with: (To learn more, click on pic.)
Healthy Kids Learning Community Webinar Series
HEALTHY KIDS LEARNING COMMUNITY WEBINARS | 2018-19
Healthy Kids Learning Community Facilitated Discussions On the Opioid Crisis in Ohio
Ohio Department of Developmental Disabilities (DODD) Six-Part Training Series
Follow the Center for Innovative Practices (CIP) on Facebook here and on Twitter here
WrapaoundOhio.org is presented by The Center for Innovative Practices | Part of the Begun Center for Violence Prevention
at Case Western Reserve University’s Mandel School of Applied Social Services
Campus Location: 11235 Bellflower Road Room 375 | Cleveland, OH 44106
Mailing Address: 10900 Euclid Avenue | Cleveland, OH 44106-7164
Telephone: 216-368-5235 | email: pxm6@case.edu
© 2020 Center for Innovative Practices, Cleveland, Ohio 44106
CIP New Initiatives Supervisors Overview September 2021
Co-Directors Bobbi Beale, PsyD and Richard Shepler, PhD discuss new initiatives happening with the The Center for Innovative Practices (CIP) at Case Western Reserve University’s Begun Center for Violence Prevention and the impact on Ohio’s at-risk youth in recovery. The one-hour discussion session held with clinical supervisors from throughout Ohio’s mental health and recovery provider community addresses the state’s evolving Medicaid guidelines, how to meet the challenges of staffing, and the various ways the CIP is helping communities and organizations navigate the changes and make the most of the new possibilities these initiatives bring.
Download Decision Tree for IHBT WA ICT MST FFT and MRSS 9.21 here | WA IHBT MRSS Comparison Grid here
WraparoundOhio.org is presented by The Center for Innovative Practices | Part of the Begun Center for Violence Prevention
at Case Western Reserve University’s Mandel School of Applied Social Services
Campus Location: 11235 Bellflower Road Room 375 | Cleveland, OH 44106
Mailing Address: 10900 Euclid Avenue | Cleveland, OH 44106-7164
Telephone: 216-368-6293 | email: pxm6@case.edu
© 2019 Center for Innovative Practices, Cleveland, Ohio 44106
CIP Innovative Conversations Provides Intensive Home-Based Treatment Overview | A Four-Part Series
The Center for Innovative Practices (CIP), part of the Begun Center for Violence Prevention at the Mandel School of Applied Social Sciences at Case Western Reserve University, has developed a podcast initiative entitled, Innovative Conversations, exploring topics pertaining to the CIP mission of identifying promising practices and evidence-based interventions for youth dealing with mental health, substance use, trauma, and judicial justice challenges.
Hosted by first CIP director Patrick Kanary, the series also examines how Wraparound Systems of Care can better facilitate how integrated treatment can help yield optimal outcomes with youth recovery.
The sessions begin with a historical perspective of the Evolution of the Systems of Care Approach, progresses to Trauma and Trauma Informed Care in a System of Care Approach,
The series then explores, The Impact of Generational Trauma and Promising Practices in Multiple Systems of Care, concluding with a round-table discussion with a panel of Ohio’s leading experts, Systems of Care, Behavioral Health, and Juvenile Justice: Multiple Perspectives.
The four-part series can be found below.
Session 1 | Evolution of the Systems of Care Approach
Click here to learn more | Click here to listen
Beth Stroul provides an overview and history of Systems of Care, a spectrum of effective, community-based services and supports for children and youth with or at risk for behavioral health or other challenges and their families, that is organized into a coordinated network, builds meaningful partnerships with families and youth, and addresses their cultural and linguistic needs, in order to help them to function better at home, in school, in the community, and throughout life..
Session 2 | Trauma and Trauma Informed Care in a System of Care Approach
Click here to learn more | Click here to listen
Trauma can range from things that make you feel like you’re going to die – very dangerous and serious aggressive behaviors, assault and all sorts of abuse – to what we will call traumatic stress, ongoing pressure, unrelenting and woven into their lives that include poverty, discrimination and bullying. These are all things that threaten you in one way or another, but ultimately you feel that you cannot escape them. Trauma-Informed Care is applying your knowledge of trauma to your field, to your practice to your organization..
Session 3 | The Impact of Generational Trauma and Promising Practices in Multiple Systems of Care
Click here to learn more | Click here to listen
The FITT Model recognizes and aims to address the impact of traumatic events and contextual stressors on every member of the family, on family relationships, and on the family as a whole. The FITT Model, anchored in family and trauma-informed principles and practices, provides the framework for an ecological family systems approach that strengthens families’ efforts to attain safety and stability as they plot a course to address their unique needs. The FITT model infuses a trauma-specific family systems approach to assessment, intervention and treatment.
Session 4 | Systems of Care, Behavioral Health, and Juvenile Justice: Multiple Perspectives
Click here to learn more | Click here to listen
According to recent data, about 75% of youth involved in the juvenile justice system have experienced traumatic victimization, a significant factor that Ohio’s systems – among the pioneering leaders in effective, fidelity-based juvenile justice interventions, are just beginning to grapple with in new ways in terms of both policy and practice. This podcast provides insight and information related to youth with behavioral health conditions and their involvement in the juvenile justice system and what areas of improvement are needed. The discussion addresses this issue from multiple perspectives..
IHBTOhio.org is presented by The Center for Innovative Practices | Part of the Begun Center for Violence Prevention
at Case Western Reserve University’s Mandel School of Applied Social Services
Campus Location: 11235 Bellflower Road Room 375 | Cleveland, OH 44106
Mailing Address: 10900 Euclid Avenue | Cleveland, OH 44106-7164
Telephone: 216-368-5235 | email: pxm6@case.edu
© 2019 Center for Innovative Practices, Cleveland, Ohio 44106
