Our 4-part series on trauma-informed care
All sessions 12:15 p.m. - 1:00 p.m.
Part 1 - 11/28/18
Why trauma-informed care matters and how it happens in Northeast Ohio
Trauma is an event, series of events, or set of circumstances that an individual experiences as physically or emotionally harmful or life-threatening and has lasting adverse effects. The series begins with a review of how trauma affects the brain and how it manifests in beliefs, behaviors, and activities of traumatized individuals. This understanding provides a perspective that helps define the hallmarks of trauma-informed agency protocols, and universal precaution against re-traumatizing vulnerable populations.
Beth Boyle, MBA
Regional Liaison
Ohio Department of Developmental Disabilities

Part 2 - 12/12/18
What does trauma-informed care look like, and how do you start?
The U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) offers six core principles of trauma informed care: 1) Safety; 2) Trustworthiness and transparency; 3) Peer support and mutual self-help; 4) Collaboration and mutuality; 5) Empowerment, voice and choice; and 6) Cultural, historical and gender issues.
Sue Marasco, PhD
Director, Education & Trauma Recovery Services
May Dugan Center

Part 3 - 01/09/19
Trauma-informed care in primary care settings
Many with trauma histories are seen in primary care. Individuals who have experienced trauma can find medical settings stressful because they often must answer personal questions or submit to physical exams that may bring up painful memories. Primary care providers in high-volume, high-demand practices can struggle to understand and meet the needs of patients affected by individual and community trauma. Trauma is a major driver of serious health conditions such as cardiac disease and cancer. Addressing it can improve the physical, behavioral, social and economic health of Ohio and Ohioans. Primary care staff and settings can improve care, health, costs and patient and provider satisfaction.
Ronald Dwinnells, MD
Chief Executive Officer
ONE Health Ohio

Part 4 - 01/23/19
Secondary trauma and compassion fatigue
There can be a cost for caring for those who care for people who experience trauma, with symptoms that include stress, fatigue and irritability and more. Secondary traumatic stress is the emotional distress that results when helping professionals face trauma experiences of another. Awareness of the effects of indirect trauma exposure is a basic part of protecting the health of those who help. Resilience is the antidote, and an important part is self-care.
Kim Kehl, BS, M.Ed
Ohio Trauma-Informed Care Project Coordinator
Ohio Dept. of Mental Health and Addiction Services

Sue Marasco, PhD
Director, Education & Trauma Recovery Services
May Dugan Center
About the presenters:
Kim Kehl, BS, M.Ed
Kim has served as Ohio’s Trauma-Informed Care Project Coordinator under the Ohio Department of Mental Health and Addiction Services (Ohio MHAS) Medical Director since 2015, collaborating with federal, state and local partners for training and adoption of trauma-informed practices across Ohio. He has previously worked with numerous Ohio agencies that include the Ohio Departments of Education, Mental Health, Health, Job and Family Services, Transportation and the Governor’s Ohio Family and Children First Council. He has an M.Ed. in Educational Leadership from Wright State University and a B.S. from Kent State University in Special and Elementary Education in 1978.
Sue Marasco, PhD
Sue joined the May Dugan Center in Cleveland in 2010 and serves as director of Trauma Recovery Services. She has devoted 20 years of study and teaching on cultural trauma. Her expertise includes the effects of trauma on the brain and how it manifests in individual’s beliefs, behaviors, and actions. Sue’s work includes strategies for creating environments, skills, and practices supportive of professionals, paraprofessionals, and peer-support staff working in the mental health and health care fields. The Center for Community Solutions honored Sue with the 2018 Anisfield-Wolf Memorial Award. In 2016, the National Alliance on Mental Illness presented her with the Mental Health Provider Award for her development of a trauma-informed classroom for adults.