CITIHA as System Transformation

Culturally Informed, Trauma Integrated Healing Approach (CITIHA) as system transformation is © copyright We Al-li 2011 – 2020

A CITIHA is a strengths-based service delivery model that is rooted in an understanding of and responsiveness to the impact of trauma on culture and community that emphasises physical, psychological, and emotional safety for both the people we walk alongside and staff.

We Al-li offers a comprehensive approach to achieve systems transformation through having all organisational staff contribute their knowledge and understanding of the business is a way that is practical and without being disruptive to service delivery. We can be flexible to meet your requirements.  Recently we delivered this approach nationally in the following way, and found it to be robust:

  • Co-design process with Senior Management Team.
  • Orientation session with staff.
  • Nomination of Trauma Champions.
  • Delivery of two by three day workshops with the opportunity for Services to develop a CITIHA action plan (i.e operationalise the outcomes of the workshops.)  These workshops are usually spaced two to four weeks apart.

Download the training brief here

The model also involved:

  • Administration of We Al-li’s Culturally Informed, Trauma Integrated Healing Assessment Tool (CITIHAT) pre and post workshops.
  • Pre and post workshop contact.
  • Establishment of a Trauma Champion working group.  This is a peer to peer group that supports the ongoing implementation and integration of the CITIHA beyond the end of workshop delivery.  There is an option for We Al-li to sit on this group in an advisory consultant role.
  • We Al-li sharing trauma-informed resources on many aspects of service delivery, to assist a Service in having access to the right information to enact relevant changes.
  • Key CITIHA elements of team building and creativity.

The governance framework for the CITIHA includes five key assumptions, seven core values and eight core principles, all which support the outcomes of the CITIHA, critically embedding all actions in policy, procedure and practice.

Download CITIHA Framework here

Workshop One

The Aim of workshop ONE in the Culturally Informed Trauma Integrated Healing Approach is:

Consolidate and deepen theories, skills and capacity to develop organisational specific Communities of Care within Community of Practice, to deliver trauma integrated care for clients.

Objectives of Workshop One

  1. Describe collective historical trauma experiences and behaviours, as they would apply to your specific client groups.
  2. Analyse and implement culturally informed safety principles and practices relevant to your specific work region.
  3. Apply skills for working with clients to help regulate self-control, inform choices and develop autonomy.
  4. Establish power sharing and governance in the application of trauma specific service practice.
  5. Clarify and implement principles of an integrated care response with risk management for frightened, distressed clients.
  6. Explain and map an Action Plan for relationship building within the organisation, with clients and with other service organisations.
  7. Demonstrate theory to practice in the use of Genograms in building listening-sharing skills for work with clients and within your staff care practice in your organisation.
  8. Implement self-care – self-reflective practice in building the Community of Care for workers and clients within the organisational Action Plan in your service system.

Workshop Two

The Aim of workshop TWO in the Culturally Informed Trauma Integrated Healing Approach is:

Deepen theories, skills and capacity to respond to men, women and children who may have complex – developmental trauma behaviours, using applied trauma specific Indigenous healing skills, while building a Community of Practice within the service system.

Objectives of Workshop Two

  1. Use appropriate skills, including recognising and responding to triggers and de-escalation strategies for working with men, women and children who have complex trauma backgrounds.
  2. Describe and apply skills attained for working with children who have developmental trauma, and hence have agitated behaviours.
  3. Use the values, assumptions and principles to review work in your organisation and Action Plan the movement of the Service for the next 15 years.
  4. Review, define and apply practical skills for working with families and communities impacted by trauma and its effects, i.e. trauma responses/behaviours, with loss, grief, mourning, and bereavement vs. victimisation issues, from an Indigenous perspective.
  5. Analyse and discuss ways of using genograms to give better attention to the needs of your clients.
  6. Describe and show capacity for deep listening as a vital tool for both clients and workers.
  7. Implement organisational self-care – client care plans for dealing with toxic stress under Community of Care principles.
  8. Show Action Planning capacity in the conduct of a Community of Practice.