Agenda item
Manchester ACEs and Trauma Informed Practice Update
Report of the Direcor of Public Health
This report provides an update to the committee on the Adverse Childhood Experiences (ACEs) and Trauma Responsive Programme.
Minutes:
The Committee considered the report of the Director of Public Health that provided an update on the Adverse Childhood Experiences (ACEs) and Trauma Responsive Programme. The report also included case studies demonstrating the impact that adopting a trauma informed approach and being a trauma responsive organisation has had in the Health Visiting Service and the Street Engagement Hub
Key points and themes in the report included:
· Providing an introduction and background;
· Information relating to the approach and objectives of the Manchester ACEs and Trauma Responsive Programme;
· Delivery of the programme objectives across a range of activities;
· Consideration of the impacts of adopting trauma informed and trauma responsive approaches; and
· Next steps and priorities for the next 12 months.
Some of the key points that arose from the Committee’s discussions were:
· Welcoming the report and the inclusion of the case studies;
· Recognising that the work described underpinned and supported the ambitions of MMF;
· Stating that Covid and the impact of this needed to be recognised as an ACE;
· The need to acknowledge the impact of world events and the resulting trauma experienced by individuals;
· Noting the importance of staff training;
· Noting the important role that Councillors had, by virtue of their engagement with local residents and the need for all Councillors to be trauma informed and trained; and
· Further information was sought in relation to staff working with people seeking sanctuary.
The Committee heard from Anulika Ifezue, Clinical Lead Trainer, Perinatal and Infant Mental Health Lead and Specialist Health Visitor, Manchester University NHS Foundation Trust and Lizzie Hughes, Integrated Neighbourhood Lead (Cheetham and Crumpsall), Manchester Local Care Organisation who spoke to the case studies that had been provided in the report. They described their specific project and initiatives and the positive outcomes for residents.
The Programme Lead: ACEs & Trauma Informed Practice said that the report articulated that significant work had been done to hear and reflect the voice of lived experience. He said that the report also reflected responses to discussions held at previous Committee meetings when this subject had been considered and made reference to the focus on trauma with older people building on the production of the ‘Dark, Chaste and Beautiful’ workshops and piloting a trauma informed approach with at least two care homes.
The Programme Lead: ACEs & Trauma Informed Practice said that to date training had been delivered to approximately 7000 staff in both statutory services and the voluntary sector. He said that an e-learning module would be produced to make training more accessible so as to reach more council staff in the coming year. In order to encourage participation work was also ongoing with colleagues in HROD to ensure this training was embedded in the Health and Wellbeing offer that Directorates were accessing. In addition to this to ensure that staff who experienced trauma, both personally and/or vicariously were supported with appropriate levels of supervision and accessible trauma specific interventions. He noted the comments made regarding training and support for Members and said that consideration could be given to developing a specific Councillor toolkit, similar to that designed for Adult Social Care staff. In response to the specific question related to staff working with people seeking sanctuary, he said that consultations had been held with people with lived experience and the learning from that had informed the training that would be delivered to identified staff who worked with these residents.
Professor Sir Michael Marmot stated that it was important to recognise and acknowledge social and economic factors influenced ACEs. He commented that the report, read in conjunction with the previous agenda item demonstrated that Manchester was committed to improving the lives of all residents.
The Executive Member for Healthy Manchester and Adult Social Care acknowledged the comment made regarding the impact of Covid and ACEs. He said this was understood and he called for a need to focus on this at a national level as the impact of this would be felt in future years.
Decision
To note the report.
Supporting documents:
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Manchester ACEs and Trauma Informed Practice Update, item 38.
PDF 202 KB
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Appendix 1 Case Study - a trauma informed approach in Health Visiting, item 38.
PDF 176 KB
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Appendix 2 - Case Study - Karim's Story, item 38.
PDF 353 KB
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Appendix 3 - Data identifying priority areas in Manchester, item 38.
PDF 62 KB