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These are the user uploaded subtitles that are being translated: 1 00:00:15,300 --> 00:00:19,780 This presentation assumes some Basic knowledge about trauma-informed care 2 00:00:20,100 --> 00:00:25,930 and you may have Received This from a prior presentation In the series or From another presentation. 3 00:00:26,200 --> 00:00:30,400 So we'll review trauma-informed care pretty quickly and then move on 4 00:00:30,400 --> 00:00:34,810 to Some specific Examples to really bring it home and apply it practically 5 00:00:36,600 --> 00:00:43,600 As you may recall, trauma-informed care represents a general Strategy for interacting with persons 6 00:00:43,600 --> 00:00:47,450 adults Or children who have experienced major trauma in their Lives 7 00:00:48,100 --> 00:00:50,800 There are several Key components to trauma-informed care 8 00:00:51,200 --> 00:00:58,520 One is safety It's incredibly Important to Establish a sense of psychological as well as physical safety 9 00:00:58,800 --> 00:01:01,249 When you're interacting with a Traumatized child 10 00:01:01,500 --> 00:01:07,340 So that they Feel Comfortable and feels They can trust You and share what's on their mind 11 00:01:07,700 --> 00:01:13,970 Transparency is the second major pillar in this really refers to Sharing information with The child 12 00:01:14,200 --> 00:01:16,700 Informing them of what you're thinking 13 00:01:16,700 --> 00:01:21,700 What you want to do, why you want to do it, what's going to happen next so that they don't feel 14 00:01:21,700 --> 00:01:27,100 the anxiety of being out of control and uncertain of what will happen next? 15 00:01:27,100 --> 00:01:30,300 Ideally, in all Circumstances where it's possible 16 00:01:30,300 --> 00:01:32,200 we'd like to get the child consent 17 00:01:32,200 --> 00:01:36,000 not only deliver the information but then get their consent to proceed 18 00:01:36,000 --> 00:01:37,069 Whenever possible 19 00:01:37,700 --> 00:01:42,200 Respect for the traumatized child is really paramount During their trauma 20 00:01:42,200 --> 00:01:48,800 they may have been consistently disrespected Dehumanized, Terrorized, And isolated 21 00:01:48,800 --> 00:01:52,130 So we need to go out of our way to show them respect 22 00:01:53,100 --> 00:01:57,000 And concentrate on their strengths and their resilience. 23 00:01:57,000 --> 00:02:01,069 And that leads to empowerment, which is another pillar of trauma-informed care 24 00:02:01,400 --> 00:02:05,719 We need to look beyond seeing traumatized Children as the victims 25 00:02:05,900 --> 00:02:07,910 They're more than victims. They're survivors 26 00:02:08,300 --> 00:02:10,400 They're very resilient. They're very strong 27 00:02:10,400 --> 00:02:16,159 And we need to empower them to realize how strong and resilient they are so they can begin to rebuild 28 00:02:16,500 --> 00:02:18,889 their sense of self-esteem and self-agency 29 00:02:20,500 --> 00:02:27,309 Probably the biggest tenant of trauma-informed care involves the idea that trauma-informed 30 00:02:28,100 --> 00:02:33,100 Providers Recognize the impact the trauma Has On a child Or an adult 31 00:02:33,100 --> 00:02:36,600 the way it changes their Views of the World themselves. 32 00:02:36,600 --> 00:02:41,900 And so that we can be understanding this we can respond appropriately and take steps 33 00:02:41,900 --> 00:02:48,550 to Minimize bating child distress And making things Difficult for them while we're interacting With them 34 00:02:49,400 --> 00:02:55,900 As you know, trauma has a profound impact on a person's Views of themselves 35 00:02:55,900 --> 00:02:58,500 as the world around them, of other people 36 00:02:58,500 --> 00:03:03,800 And this translates To Changes in their attitudes 37 00:03:03,800 --> 00:03:05,500 Their expectations of others 38 00:03:05,500 --> 00:03:10,540 The way they interpret your reactions, your words, your facial expressions, and the way they behave 39 00:03:10,700 --> 00:03:16,060 All of these things Are influenced by Prior experiences And when a child has been traumatized 40 00:03:16,800 --> 00:03:23,100 Their behaviors, attitudes, and thought may adapt to a very hostile environment and change 41 00:03:23,100 --> 00:03:30,800 in a way Way that Is helpful to them to survive In a very hostile Environment, but which may be Maladaptive 42 00:03:30,800 --> 00:03:37,270 In other environments Such as ones that are safe and Caring, for example, when working with your agency 43 00:03:38,000 --> 00:03:48,300 So a child may originally have felt strong, in control of their lives and with a lot of potential 44 00:03:48,300 --> 00:03:52,900 They may have seen the world As a very safe place and other People looking out for them 45 00:03:52,900 --> 00:03:58,100 after their significant trauma, specifically in Sexual exploitation Or trafficking 46 00:03:58,100 --> 00:04:01,600 They no longer See the world as a safe place They no longer see themselves 47 00:04:01,600 --> 00:04:07,930 as Powerful and in control Instead, they see themselves as vulnerable, weak, and Dehumanized 48 00:04:08,600 --> 00:04:12,100 With very low self-esteem They see other people as wanting to harm them 49 00:04:12,100 --> 00:04:14,650 and not wanting to help them,They want to exploit them 50 00:04:15,300 --> 00:04:20,199 So they expect From you and from Others that you will judge them 51 00:04:20,700 --> 00:04:22,900 Dehumanize them, terrorism, harm them 52 00:04:22,900 --> 00:04:28,600 And they may use that Expectation, it Will affect the way that 53 00:04:28,600 --> 00:04:31,900 their attitudes toward You and their behavior toward you 54 00:04:31,900 --> 00:04:35,079 They may be hostile to media withdrawn, They may be very wary. 55 00:04:35,700 --> 00:04:38,230 Because They've learned to adapt to a hostile world 56 00:04:39,200 --> 00:04:46,000 So the influence of trauma on a Child's Thoughts and behaviors and attitudes can be profound 57 00:04:46,000 --> 00:04:51,400 And we As specialists need to be able to understand that so that we can step back 58 00:04:51,400 --> 00:04:55,779 And say this child's behavior doesn't reflect their feelings towards me 59 00:04:56,100 --> 00:04:59,289 They're responding to their traumatic past 60 00:04:59,900 --> 00:05:03,910 And that helps us Remain nonjudgmental, open, and empathic 61 00:05:05,000 --> 00:05:07,709 Trauma-informed care is also rights-based 62 00:05:08,400 --> 00:05:11,700 Fundamental human rights reserve serve embodied and trauma-informed care 63 00:05:11,700 --> 00:05:15,509 in the way, we need to interact with exploited and trafficked children 64 00:05:15,800 --> 00:05:19,000 We've talked about the child's right to obtain information 65 00:05:19,000 --> 00:05:23,310 in a way that they can understand developmentally appropriate in their language 66 00:05:23,900 --> 00:05:27,600 They need to be given the opportunity to express their views 67 00:05:27,600 --> 00:05:31,410 and Be heard not only to listen but To have a voice themselves 68 00:05:31,700 --> 00:05:35,970 We may not be able to honor what they want, but we need to give them a voice 69 00:05:36,500 --> 00:05:39,000 And engage them Listen to what they're saying 70 00:05:39,600 --> 00:05:42,300 They have a right to privacy And confidentiality 71 00:05:42,300 --> 00:05:47,900 So that They are not questioned in front of other people who might mean them harm 72 00:05:47,900 --> 00:05:51,899 that other people don't Have access to the Information Who shouldn't have access to it 73 00:05:52,500 --> 00:05:56,700 Their right To care about them that is free of bias and Discrimination 74 00:05:56,700 --> 00:06:01,200 Is Extremely important, especially for children who have been traumatized 75 00:06:01,200 --> 00:06:07,589 Through Exploitation and trafficking Because on so many different levels, many Of these children experience bias 76 00:06:07,900 --> 00:06:11,800 And discrimination for Some of their vulnerabilities 77 00:06:11,800 --> 00:06:15,959 as well as aspects of Trafficking or exploitation That are stigmatized 78 00:06:16,600 --> 00:06:19,400 They have a right to dignity And self-respect 79 00:06:19,400 --> 00:06:24,329 and a right to have everyone respect their cultural and religious beliefs and practices 80 00:06:25,500 --> 00:06:29,100 So these theories are very important in Trauma-informed Care, Rights-based care 81 00:06:29,100 --> 00:06:31,600 They're extremely Important And you're familiar with them 82 00:06:31,600 --> 00:06:36,100 But how does it actually work? How do you Apply this theory to practice? 83 00:06:36,100 --> 00:06:37,949 And that's what I want to explain right now 84 00:06:38,900 --> 00:06:40,830 Let's start off with an example 85 00:06:41,300 --> 00:06:44,300 Let's pretend you're a law enforcement officer and you're investigating 86 00:06:44,300 --> 00:06:49,600 a Case of live stream Online child Sexual exploitation And the child involves 87 00:06:49,600 --> 00:06:55,529 a nine-year-old girl whose mother Has her perform sexual acts at the Direction of online buyers 88 00:06:55,800 --> 00:07:00,400 And this occurs in the child's home The mother has put an ad online 89 00:07:00,400 --> 00:07:05,200 and so people buy 20 minutes, and 30 minutes of online Time with this child 90 00:07:05,200 --> 00:07:08,549 And direct her To Perform Various sex acts 91 00:07:09,900 --> 00:07:11,459 You're about to interview the child 92 00:07:12,000 --> 00:07:16,620 The child has just entered your Office and has no idea why she's there 93 00:07:17,800 --> 00:07:22,630 She's nine years old . She's in a strange place, and she has no idea Why she's there or who you are 94 00:07:23,100 --> 00:07:29,800 What are the things you need to think about when you're preparing a trauma-informed Approach to this child? 95 00:07:29,800 --> 00:07:34,200 Well, you need to be thinking about how she may be feeling inside 96 00:07:34,200 --> 00:07:38,500 What would you Be feeling if you were in her place, would you be anxious? 97 00:07:38,500 --> 00:07:43,029 She's probably anxious. She's probably scared She's probably Somewhat curious But afraid 98 00:07:43,600 --> 00:07:48,730 We have to think about all that and try to allay some of those fears and allay That Anxiety 99 00:07:49,600 --> 00:07:53,100 We know that we need To establish a sense of psychological safety 100 00:07:53,100 --> 00:07:56,700 So what can we do In the environment and with our own behavior? 101 00:07:56,700 --> 00:08:01,800 and The words we say to put her at ease And make her Feel like this is a safe place? 102 00:08:01,800 --> 00:08:05,230 I can talk to you as a police officer I can tell you what's on my mind 103 00:08:05,900 --> 00:08:11,019 And this is going to require That we build rapport and trust. We can't just dive into sensitive questions 104 00:08:11,300 --> 00:08:14,900 Instead, we might want to take time to build rapport 105 00:08:14,900 --> 00:08:19,900 Ask the child about things that she likes to do And things that she likes In her life 106 00:08:19,900 --> 00:08:27,300 or Ask non-threatening questions, very open-ended so that she has a chance To realize that you care about her 107 00:08:27,300 --> 00:08:32,889 that You are listening to her, and you're paying close attention and that'll establish a sense of trust 108 00:08:33,300 --> 00:08:38,900 She needs to Have information, so you need to think about what information would Help her feel relaxed 109 00:08:38,900 --> 00:08:41,109 would lay some of that anxiety And fear 110 00:08:41,400 --> 00:08:48,100 Well, you can start by providing information about Who you are, what your role is, and Where you are 111 00:08:48,100 --> 00:08:50,409 and that You're in the police station and Why you're there 112 00:08:50,800 --> 00:08:56,400 In ways that she can understand, speaking slowly and sort of checking in to make sure that she understands 113 00:08:56,400 --> 00:09:00,159 you might explain all that to her and say, you know I've just told you a whole lot 114 00:09:00,500 --> 00:09:03,500 Do you have any questions about what I said? 115 00:09:03,500 --> 00:09:05,900 Then you need to Explain What you want to do 116 00:09:05,900 --> 00:09:08,300 I need to ask you some questions Why do you need to ask questions? 117 00:09:08,300 --> 00:09:12,820 Well, I need To ask questions to get To know something about You, to see how I can help 118 00:09:13,500 --> 00:09:17,739 That's the explanation You're giving her information now you need to get consent 119 00:09:18,500 --> 00:09:22,059 You might want to explain a little bit more about the question. Some are sensitive, some are not 120 00:09:22,600 --> 00:09:27,759 You don't have To answer the questions. You can answer the ones you want to, but you Have a choice. 121 00:09:27,900 --> 00:09:30,300 Is it okay if I ask you questions? 122 00:09:30,300 --> 00:09:31,000 So all of these 123 00:09:31,000 --> 00:09:35,700 Things tie back into The theory Of trauma-informed care, the right to consent, and the right to information. 124 00:09:35,700 --> 00:09:38,700 The safety and rapport Building, all of those things. 125 00:09:38,700 --> 00:09:41,320 This is practically how you carry that out 126 00:09:42,300 --> 00:09:43,789 Let's take Another example 127 00:09:44,300 --> 00:09:47,330 You're the law enforcement officer interviewing Samuel 128 00:09:47,600 --> 00:09:52,129 Samuel's father has sold child sexual abuse materials of Samuel on the Internet 129 00:09:52,900 --> 00:09:57,600 Police have raided the home and arrested the father and the father of Samuel's only caregiver. 130 00:09:57,600 --> 00:09:59,420 The mother and the Russell family are not in the picture. 131 00:10:00,200 --> 00:10:06,800 You know That the child will be taken to a children's shelter because that's What happens in your area and in your region 132 00:10:06,800 --> 00:10:09,049 Your country doesn't Have children's shelters for this purpose 133 00:10:09,800 --> 00:10:12,980 And you're pretty sure that Samuel's not going to be happy about doing that 134 00:10:13,900 --> 00:10:15,859 You want to Respect his right to be heard 135 00:10:16,700 --> 00:10:18,200 He doesn't know what you're thinking About all this 136 00:10:18,200 --> 00:10:23,700 And he says, well, what happens now? What are you going to say? 137 00:10:23,700 --> 00:10:27,500 Well, you might want to start by putting it back in his court and saying 138 00:10:27,500 --> 00:10:29,829 Samuel, what do you think should happen now? 139 00:10:30,500 --> 00:10:33,000 You've explained that the father is no longer in the house 140 00:10:33,000 --> 00:10:37,929 And so what Do you think should happen? And he maybe he says, I think I should go home 141 00:10:39,000 --> 00:10:41,559 I like Home I want to be home, I want to be with my father 142 00:10:42,100 --> 00:10:45,200 And then you could say, okay, tell me about that Tell me all the reasons 143 00:10:45,200 --> 00:10:48,700 Why do you want to be at home and then say, you know, and I hear what you're saying 144 00:10:48,700 --> 00:10:51,000 and I absolutely respect That, but I'm concerned 145 00:10:51,000 --> 00:10:55,179 because your father's not going to be in the home, so he's not going to be there to take care of You 146 00:10:55,400 --> 00:10:57,639 So going home is really not an option 147 00:10:57,900 --> 00:11:01,300 And then you can explain what you need To do 148 00:11:01,300 --> 00:11:04,900 And what is coming down the pike, that the children's shelter 149 00:11:04,900 --> 00:11:06,519 is probably what You're going to be doing 150 00:11:07,200 --> 00:11:10,800 And then listen to what he has to say, He may say, I want to go to the children's shelter 151 00:11:10,800 --> 00:11:12,700 And then you Say, tell me more About that 152 00:11:12,700 --> 00:11:15,200 What are your concerns? What are your fears? 153 00:11:15,200 --> 00:11:18,099 The point is you're Giving him Voice 154 00:11:18,700 --> 00:11:21,400 You can't have him go home There's nobody to take care of him at home 155 00:11:21,400 --> 00:11:27,000 But you want to hear what he wants, why he wants it, and why He objects to your Plan 156 00:11:27,000 --> 00:11:29,700 Ultimately, you're going to have To follow through With your plan 157 00:11:29,700 --> 00:11:36,800 But the information you gained by talking to him about It and his fears, his Concerns can be very helpful 158 00:11:36,800 --> 00:11:43,750 in assuring that when he does Go to a shelter, you maximize the likelihood that he has a good experience there 159 00:11:45,100 --> 00:11:46,480 Let's take another example 160 00:11:46,900 --> 00:11:53,980 Sophia has been identified by police as a victim of sexual exploitation when they conducted a raid on a nearby Hotel 161 00:11:54,900 --> 00:11:57,600 You've been called to assess and provide services 162 00:11:57,600 --> 00:12:01,500 You may be a social Worker, you may be a counselor, a victim advocate 163 00:12:01,500 --> 00:12:04,059 but you've been called to assess and serve 164 00:12:04,900 --> 00:12:11,700 While you're Preparing to Go in and talk to Sofia, you Overhear one staff member say to somebody else 165 00:12:11,700 --> 00:12:15,970 If she hadn't made such bad decisions, she wouldn't be in this situation. 166 00:12:16,600 --> 00:12:18,280 And they're referring to Sofia 167 00:12:19,100 --> 00:12:25,000 What do you do? Sophia deserves care That's free of bias and discrimination 168 00:12:25,000 --> 00:12:30,770 And that's not what's happening here This staff member Has clearly exhibited bias 169 00:12:31,400 --> 00:12:40,070 In a Very sort of hostile way that could be very detrimental to the staff Around you and Ultimately to Sophia herself 170 00:12:40,400 --> 00:12:46,600 It's really important that we Recognize Bias and Discrimination in our environment 171 00:12:46,600 --> 00:12:50,480 and take steps to address it, too 172 00:12:50,600 --> 00:12:54,680 especially In cases of human trafficking and sexual exploitation 173 00:12:55,300 --> 00:13:00,400 Trafficked persons may experience a lot of bias and discrimination on multiple Levels 174 00:13:00,400 --> 00:13:03,350 or maybe stigma related to, say prostitution 175 00:13:03,700 --> 00:13:08,870 Or because they're From a different country or the type of work that they've been forced to do 176 00:13:09,100 --> 00:13:13,700 It may be Related to Stigma and Bias, related to some of their vulnerabilities 177 00:13:13,700 --> 00:13:17,900 and the fact that they've Run away from home and are homeless now, maybe 178 00:13:17,900 --> 00:13:23,419 they're from a Specific Ethnic or Racial group that is Marginalized 179 00:13:24,100 --> 00:13:31,500 Maybe their gender identity and sexual orientation are stigmatized. 180 00:13:31,500 --> 00:13:38,600 So many people who have been trafficked Or exploited suffer bias And discrimination on multiple levels 181 00:13:38,600 --> 00:13:41,600 And we need to be very careful that We take steps 182 00:13:41,600 --> 00:13:45,950 and extra effort to deliver care that's free of bias and discrimination 183 00:13:47,000 --> 00:13:48,300 Okay.Back to Sofia 184 00:13:48,700 --> 00:13:52,690 So you've heard if you hadn't made such bad decisions, you Wouldn't be in this situation 185 00:13:53,400 --> 00:13:54,900 What would you do? 186 00:13:54,900 --> 00:13:59,100 Well, you're not going to start yelling at the person who's made this inappropriate remark 187 00:13:59,100 --> 00:14:02,900 in front of Everybody else, that's just going to lead them to be defensive 188 00:14:02,900 --> 00:14:06,659 and shut down and not listen to what you're saying And it's Basically rude 189 00:14:06,900 --> 00:14:09,900 So what you might want to do Though, is trying to address the 190 00:14:09,900 --> 00:14:11,400 The situation is a private way 191 00:14:11,400 --> 00:14:15,300 You might ask them if you can speak to them privately for a minute 192 00:14:15,300 --> 00:14:20,800 and then say something along the lines of, you know, I overheard You talking about our client, Sophia 193 00:14:20,800 --> 00:14:22,710 And it made me very uncomfortable 194 00:14:23,200 --> 00:14:25,590 I think this child needs our help and support. 195 00:14:25,900 --> 00:14:27,360 Not our blame and judgment 196 00:14:27,900 --> 00:14:31,919 We have no idea what trauma she's Experienced and how she got to this Point 197 00:14:32,500 --> 00:14:35,669 She deserves compassionate care. Just Like all our clients 198 00:14:36,300 --> 00:14:40,289 You're a great case manager who treats youth with dignity and respect. 199 00:14:40,800 --> 00:14:42,539 Can you do that for this child as well? 20738

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