The customers for this trauma-informed and ACEs education initiative are Haywood County Health and Human Services Agency (HHSA) staff, other community-based service providers, and Haywood County residents served by these organizations.  The program aims to make a difference at both the individual/interpersonal behavior and organizational/policy levels.  

It is not only important to recognize the benefits of fostering resilience in our community, but also our HHSA staff serving our community.

All identified customers have well-established programs for which the majority of their services target the underserved and at-risk and/or vulnerable populations in Haywood County.  

The "Story Behind the Curve" helps us understand the causes and forces at that work that explain the data behind the 'number of HHSA staff who complete training sessions about trauma-informed care and ACEs' and the resources Haywood County Health and Human Services Agency plans to commit to address the health issue.  Haywood HHSA devotes staff time and space for this project, including offering training.  

What's Helping What We Do? These are the positive forces at work in our Trauma-Informed and ACEs Education Initiative that influence how much we do or how well we do it.

• Agency support for offering trainings 
• Several agency staff are trained to teach this program.

What's Hurting What We Do? These are the negative forces at work in our Trauma-Informed and ACEs Education Initiative that influence how much we do or how well we do it.

• A more regular training schedule is needed, which will help meet the needs of needs of incoming staff.
• It can be challenging to tailor the training to the many roles held by participants.  
• Staff have limited capacity to attend additional trainings.  

The following actions have been identified by our Healthy Haywood Coalition as ideas for what can work for this performance measure to make a difference on trauma and adverse childhood experiences.

Actions and Approaches Identified by Our Agency and Healthy Haywood Coalition These are actions and approaches that we think can make a difference for this performance measure.

• Internal-agency training
• External community-based, faith-based, and provider or organization trainings
• Marketing campaign designed to promote the awareness of adverse childhood experiences and related outcomes.

No-cost and Low-cost Ideas Identified by Our Agency and Healthy Haywood Coalition These are no-cost and low-cost actions and approaches that we think can make a difference for this performance measure.

• Trauma-Informed System of Care Initiative
• Community collaboration

What communities served/customers think would work to do better These are actions and approaches that our communities served/customers think can make a difference for this performance measure.

• Maintaining long-term provider & patient relationship/continuity of care
• Increase access to inpatient treatment
• Allowing initiation of medication assisted treatment in detention centers

List of Questions/Research Agenda These are questions to follow-up on for this performance measure. If you still need more information about what works to do better, make these questions part of your information & research agenda.

• Is your organization guided by the SAMSHA Trauma-Informed Approach principles?