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>> > > WELL, GREETINGS, EVERYBODY AGAIN. THANK YOU SO MUCH FOR BEING BELOW THESE DAYS. IT IS REALLY MY PRIVILEGE TO MODERATE THIS
FIRST PANEL OF OUR SIX OF OUR PANELS TODAY. THIS IS THE INTEGRATING PRIMARY AND BEHAVIORAL
HEALTH AND WELLNESS SERVICES FOR TRAFFICKING SURVIVORS, FIRST PANEL. ONCE MORE, I'' M SABRINA MATOFF STEPP, I'' M THE DIRECTOR OF THE OFFICE OF FEMALE ' S HEALTH AT THE HEALTH RESOURCES AS WELL AS SOLUTIONS ADMINISTRATION.THE HRSA OFFICE OF FEMALE'' S HEALTH AND WELLNESS LEADS WELLNESS RELATED ACTIVITY THROUGHOUT OUR FIRM. WE ASSISTANCE PROGRAMS THAT ASSISTANCE UNDERSERVED FEMALES AS WELL AS GIRLS WHO ARE GEOGRAPHICALLY ISOLATED, MEDICALLY AT RISK OR FINANCIALLY VULNERABLE. AMONG THE IMPORTANT THINGS THAT'' S REALLY ESSENTIAL TO LEARN ABOUT OUR OFFICE, WE INTEGRATE, WE COLLABORATE, AND WE INTEGRATE, WE COLLABORATE AS WELL AS WE INNOVATE. I THINK WE REALLY HAVE A FANTASTIC AREA AS PART OF BEING BELOW THESE DAYS. SO, AGAIN, I REALLY AM FORTUNATE TO BE HERE TO WELCOME WHAT I BELIEVE IS JUST AN INCREDIBLE GROUP OF EXPERTS, JOINING ME TODAY. I REALLY SEE THEM AS TYPE OF OUR CNN HEROES. I REALLY FEEL LIKE I'' M UP RIGHT HERE LIKE ANDERSON COOPER AND ALSO THEY ARE OUR HEROES. SO, THINK ABOUT YOURSELVES LIKE THAT. RIGHT HERE WITH US TODAY IS DR. KIMBERLY CHANG, SITE SUPERVISOR AND ALSO PHYSICIAN AT ASIAN WELLNESS SOLUTIONS IN OAKLAND. SHE WILL CERTAINLY BE AIDING US UNDERSTAND EVEN MORE ABOUT INTEGRATION TO PRIMARY AND ALSO BEHAVIORAL HEALTH AND ALSO HOW TO MAKE THIS TAKE PLACE. WE ALSO ARE SIGNED UP WITH BY DR. ANNIE LEWIS O'' CONNOR, DIRECTOR OF COORDINATED APPROACH TO DURABILITY AND ALSO EMPOWERMENT AND BRIGHAM AND FEMALES'' S MEDICAL FACILITY
IN BOSTON AS WELL AS WILL CERTAINLY AID United States DISCOVER AND COMPREHEND TRAUMA AS WELL AS ITS INFLUENCE ON POINT OF VIEW OF A CLIENT

OR PATIENT.WE ALSO HAVE MISS HOLLY AUSTIN GIBBS, SHE'' S. ONE OF OUR EXTREMELY IMPORTANT TRAFFICKING SURVIVORS AS WELL AS SHE'' S LIKEWISE THE PROGRAM DIRECTOR OF PERSON.
TRAFFICKING FEEDBACK AT DIGNITY WELLNESS IN SACRAMENTO, THE GOLDEN STATE. AS WELL AS WILL DISCUSS IDEAS OF TRAUMA INFORMED.
STRATEGIES AND WHAT THIS RESEMBLES IN ACTION. FINALLY WE'' RE ALSO SIGNED UP WITH BY DR. RENEE ORNELAS, A PEDIATRIC SPECIALIST, AND ALSO.
SHE'' S AT THE FAMILY MEMBERS ADVOCACY CENTER AT THE TSHOOTSOO MEDICAL CENTER IN FT DEFIANCE,.
ARIZONA. DR. ORNELAS WILL DISCOVER HOW TO ACCOMPLISH INTEGRATED.
CARE FUNCTION IN A CULTURALLY QUALIFIED METHOD RURAL AREAS. HAVE A LOOK AT THEIR BIOS. THEY WILL CERTAINLY EACH TALK FOR TEN MINS AS WELL AS WE'' LL. HAVE TIME FOR EXCELLENT QUESTIONS AND ANSWERS.ON THIS SLIDE YOU
SEE OUR DISCOVERING PURPOSES. FOR THIS FIRST SESSION.
I WON ' T READ THEM WORD FOR WORD. YOU TIN SEE THEM ON THE SLIDE BUT WE'' RE GOING. TO DIVE RIGHT INTO A NUMBER OF REALLY IMPORTANT FUNDAMENTALS AND ALSO ISSUES FOR THIS FIRST PANEL. ONCE MORE, SPEAKING ABOUT INTEGRATED AND INJURY.
NOTIFIED TREATMENT, EXISTING MODELS AS WELL AS STRUCTURE, BUSINESS PROBLEMS NECESSARY FOR SUCCESS,.
AND ALSO DISCOVERING HEALTHENED CULTURALLY SPECIFIC, ALL EXTREMELY VITAL. I HAVE A FEW MINUTES NOW TRULY TO SET SOME.
FRAMING FOR THIS PANEL.WE ' RE GOING TO SPEAK ABOUT THE VALUE OF. INTEGRATION OF PRIMARILY AS WELL AS BEHAVIORAL HEALTH SOLUTIONS IN RESPONDING TO THE HEALTH REQUIRES. OF SURVIVORS OF PERSON TRAFFICKING, WE'' RE ALSO GOING TO DISCUSS TREATMENT COORDINATION AND APPEARANCE.
AT CULTURAL COMPETENCY. YOU LISTENED TO THE PREVIOUS AUDIO SPEAKER TALK WITH THIS. WE'' LL OFFER YOU CONCRETE PRACTICAL INNOVATIVE.
APPROACHES. YOU'' RE HERE TO TAKE ACTION AS WE'' VE HEARD. FROM OUR ASSISTANT SECRETARY JOHNSON. SO, MOVING ON, THIS SEMINAR COMMITTEE ASKED.
ME TO SET SOME GROUNDING BACKGROUND AND ALSO CONCEPTS, AND SO WHAT I'' D LIKE TO SHARE WITH YOU TO. START BELOW IS DESPITE THE METHOD REALLY FOR ANY SPECIALIST WORKING IN THIS ROOM.
FUNCTIONING WITH HUMAN BEING TRAFFICKING SURVIVORS, THIS FUNCTION RETURNS TO THE SURVIVOR, THE.
SURVIVOR AT THE CENTER OF ALL THAT WE DO.SO, WHAT DOES THAT REALLY RESEMBLE? DO SURVIVORS REALLY FEEL LISTENED TO BY THEIR PROVIDERS.
AND ALSO SUPPORTED BY MEDICAL CARE SOLUTION GROUP? DO PROVIDERS THEMSELVES FEELING THEY CAN SUPPORT.
THE SURVIVORS' ' CULL CONSTELLATION OF CONCERNS THEY BRING? CONTAINER THEY ENGAGE AND ALSO DEAL WITH OTHER NETWORKS.
OF RECOMMENDATION? AS WELL AS CAN WE CONNECT SURVIVORS TO ALL KINDS.
OF SOCIAL DETERMINANTS OF HEALTH REQUIRES SUCH AS REAL ESTATE, FOOD, DAY CARE, TRANSPORTATION,.
EMPLOYMENT, LEGAL, OTHER REQUIRES? SO WE'' RE GOING TO CHECK OUT ALL OF THAT IN TODAY ' S. SESSION. SO A LITTLE ABOUT MY FIRM, WHY IS WELLNESS.
RESOURCES AS WELL AS SOLUTIONS MANAGEMENT BELOW, WE'' RE PART OF THE DIVISION OF HEALTH AND WELLNESS AS WELL AS. HUMAN SERVICES, HHS. OUR MANAGER WELCOMES YOU ALL TO THIS.
EXTREMELY VITAL MEETING.AND REALLY HRSA IS
THE COMPANY THAT REALLY. FOCUSES ON UNDERSERVED POPULATIONS. TENS OF MANY MILLIONS OF AMERICANS RECEIVE THEIR.
HEALTHCARE THROUGH AFFORDABLE HEALTH TREATMENT AND ALSO OTHER SOLUTION PROGRAMS. HRSA HAS OVER 90 PROGRAMS THAT SERVE THE UNDERSERVED. WE HAVE MORE THAN 3000 GRANTEES THROUGHOUT THE AGENCY. OUR PROGRAMS REALLY SERVE RURAL POPULACES,.
TEENS, PREGNANT WOMEN, LGBTQ, INDIVIDUALS WITH HIV AND ALSO HELP AS WELL AS PEOPLE LIVING WITH.
COMPOUND USAGE CONDITIONS. WE UNDERSTAND HOW IMPORTANT MEDICAL CARE IS AS AN.
INITIAL POINT OF TREATMENT FOR SURVIVORS. AS WELL AS WITHIN EVERY ONE OF OUR SOLUTIONS OF CARE AT HRSA.
WE REALLY UNDERSTAND AND TRY TO MERGE AND INCORPORATE INTO HEALTH CARE, UTILIZE TEAM.
BASE STRATEGY AND CLIENT FOCUSED MEDICAL HOMES. PART OF BEHAVIORAL WELLNESS COMBINATION IS PATHWAYS.
FOR THE CONTINUUM OF TREATMENT SOLUTIONS ONE-OF-A-KIND TO THEIR OWN NEEDS. SO, LET'' S BEGIN WITH A COMMON INTERPRETATION WHEN.
WE'' RE TALKING ABOUT COMBINATION. INTEGRATION IS EVEN MORE THAN SUPPLYING MENTAL. HEALTH AND COMPOUND USE SOLUTIONS'. IT ' S REALLY ABOUT BUILDING AND MAINTAINING.
INTEGRATED CARE THROUGHOUT ALL FACETS OF AN COMPANY, THAT MIRRORS THE VALUES OF THAT COMPANY,.
COLLABORATIVE CARE AND ALSO UNDERSTANDING TO MAKE SURE THAT WE'' RE REALLY MAKING A DIFFERENCE ON CLINICAL.
OUTCOMES.THIS MEANING ORIGINATES FROM THE SAMHSA HRSA. CENTER FOR INTEGRATIVE SERVICES OR SERVICES. IT ' S VITAL THAT WE'UNDERSTAND THAT SIMILAR. TO OTHER CLINICAL OUTCOMES LIKE HYPERTENSION OR DIABETES, THESE KINDS OF BEHAVIORAL WELLNESS. PROBLEMS CAN REALLY BE SILENT KILLERS, THAT PEOPLE THAT MAY PRESENT WITH ALL KINDS OF. PROBLEMS BUT NOT NECESSARILY A CLINICAL PROBLEM ARE REALLY TRYING TO TELL United States THAT THERE IS. VARIOUS OTHER ISSUES GOING ON AND ALSO THAT THESE ARE
REALLY ESSENTIAL MODERATING FACTORS WE REQUIREMENT TO PAY. FOCUS TO BECAUSE WITHOUT FOCUSING ON THOSE MODERATING FACTORS, WE MAY NOT REALLY. MAKE ANY DISTINCTION ON THE WELLNESS OUTCOMES THEMSELVES.
WHICH ' S REALLY AN ESSENTIAL POINT FOR US. TO THINK ABOUT THAT THERE ARE HEALTH RESULTS STRAIGHT BUT THERE ARE ALL THESE MEDIATING. ASPECTS. AND I THINK IN SOME CASES HUMAN TRAFFICKING.
IS JUST ONE OF THOSE MEDIATING ELEMENTS. SO OUR PANEL MEMBERS RIGHT HERE TODAY ARE GOING. TO SPEAK ABOUT THIS.THEY ARE GOING TO TALK ABOUT TRAUMA INFORMED.
TREATMENT APPROACHES TO REALLY IMPROVING HEALTH AND WELLNESS OUTCOMES. AS YOU ALL KNOW, INJURY INFORMED TREATMENT UNDERSTANDS. THE PREVALENT EFFECT OF INJURY AND ALSO UNDERSTANDS POSSIBLE PATHS FOR HEALING, ACKNOWLEDGES SIGNS. AND ALSO SIGNS OF INJURY IN CLIENTS, HOUSEHOLD, PERSONNEL AS WELL AS OTHERS ENTAILED WITH THE SYSTEM.
INJURY INFORMED TREATMENT COMPLETELY INCORPORATES EXPERTISE. RIGHT INTO PLAN, PROCEDURES AND ALSO METHODS. AS WELL AS WE REALLY SEEK TO AVOID RETRAUMATIZATION.
THAT ' S REALLY WHAT WE ' RE TRYING TO DO, REALLY. AT'A SYSTEM LEVEL'. I ASSUME THAT ' S ANOTHER PERSON ELEMENT OF WHY WE ' RE. HERE RIGHT NOW TO THINK ABOUT EQUIPMENT, INDIVIDUALS, COMMUNITIES, BUSINESSES, THE WHOLE SOCIAL. ECO-FRIENDLY MODEL.
WE KNOW TRAUMA FEEDS ON A CONTINUUM. THERE ARE FACILITY REQUIRES WHEN IT COMES TO AIDING. SURVIVORS FUNCTION THEIR METHOD THROUGH THE SYSTEM SO BY EMPLOYING THESE TRAUMA NOTIFIED APPROACHES. AS WELL AS ASSIMILATION YOUR ORGANIZATION, OUR COMPANIES COLLABORATING CAN BE BETTER POSITIONED. TO HELP SURVIVORS WITH RECOVERY, WITH RESILIENCY, AND ALSO A NEW TERM THAT I LEARNED IN THE LAST.
COUPLE OF WEEKS, SOMETHING CALLED BLOG POST TRAUMATIC GROWTH.THAT ' S A BOOK PRINCIPLE, SOMETHING THAT WE'' RE. GOING TO PURSUE TOGETHER. SO'YOU ' LL HEAR, ONCE MORE, FROM OUR PANEL ABOUT. ALL HANDS ON DECK APPROACHES, I'' D LIKE TO SHARE A COUPLE THINGS WE'' VE DONE AT HRSA THAT. IS REALLY TAKEN THIS TYPE OF IDEA OF ALL HAND ON DECK, AT THE HEALTH RESOURCES AS WELL AS SOLUTIONS.
ADMINISTRATION WE HAVE CREATED A HRSA APPROACH TO ADDRESS INTIMATE COMPANION VIOLENCE. AS WE UNDERSTAND, THERE'' S USUALLY COMBINATION.
AND ALSO OVERLAP WITH IPV AND HUMAN BEING TRAFFICKING. AND ALSO JANE REMAINS IN THE AUDIENCE WITH ME FROM THE.
GROUP, OUR LEAD FOR STRATEGIC INITIATIVES AND ALSO A BIG THANKS TO JANE FOR HER ASSIST WITH ALL.
OF THIS FUNCTION. DUE TO THE FACT THAT WE UNDERSTAND THAT INJURY, ONCE MORE, IS PART.
OF A WHOLE LOT OF THE PROGRAMS THAT WE DEAL WITH, WE LAUNCHED THIS CAMPAIGN IN 2017, AS WELL AS WE'' RE. WORKING THROUGHOUT ALL OF HRSA'' S PROGRAMS, ALL THE BUREAUS AND OFFICES TO ADDRESS VIOLENCE.
PREVENTION, OVER THE NEXT 3 YEARS. ANOTHER INITIATIVE THAT WE'' RE WORKING
ON. IN AT HRSA IS JOB CATALYST, WE'' RE DOING THIS WITH OUR COWORKERS AT THE ADMINISTRATION.
OF KIDS AS WELL AS FAMILIES WITH THEIR BENEFICIARIES, FUTURES WITHOUT VIOLENCE, AND ALSO HRSA'' S BUREAU.
OF PRIMARY HEALTH TREATMENT, A STATE LEVEL EFFORT FOCUSING ON IMPLEMENTING PRACTICE AND ALSO PLANS,.
HEALTH AND WELLNESS FACILITY, CARRIERS AND SOCIAL SERVICE COMPANIES TO ADDRESS IPV AND HUMAN TRAFFICKING,.
SO PLEASE REACH OUT TO ME OR JANE OR TO OUR COLLEAGUES AT ACF OR FUTURES WITHOUT VIOLENCE.
IF YOU'' D LIKE TO GET MORE INFORMATION ABOUT THOSE PROJECTS.SO THAT IS JUST THE
BEGINNING OF WHAT I THINK.
WE'' RE GOING TO BE LOOKING AT TODAY. I DEFINITELY UNDERSTAND THAT I REQUIRED TO FIND OUT AS MUCH.
AS ANYBODY HERE ABOUT THESE CONCERNS EVEN MORE SO WE CAN DO THE FANTASTIC FUNCTION THAT WE DEMAND TO PERFORM.
AT HRSA. I'' M GOING TO TRANSFORM THE MICROPHONE OVER NOW. TO A PERSON THAT TRULY IS A PIONEER WHEN IT CONCERNS TRAUMA INFORMED TREATMENT, CULTURALLY.
QUALIFIED CARE, DR. KIMBERLY CHANG FROM THE ASIAN HEALTH SOLUTIONS.
CLINIC IN OAKLAND, THE GOLDEN STATE, AND SHE'' S GOING TO OBTAIN US STARTED ON THIS REALLY ABUNDANT DISCUSSION.SO THANK YOU. [PRAISE]> > > DON ' T BEGIN THE TIMER YET. NO, JUST JOKING. GREETINGS, EVERY PERSON. YOU CAN POSSIBLY DO BETTER THAN THAT. POSTPRANDIAL THANKSGIVING MUST HAVE LASTED.
FOR A LONG TIME. GREETINGS. THANKS FIRST OFF TO AIDE SECRETARY.
JOHNSON FROM ADMINISTRATION FOR YOUNGSTERS AND ALSO FAMILY MEMBERS, AS WELL AS PARTICULARLY TO SUPERVISOR CHON.
FOR ALL YOUR LEADERSHIP IN ORGANIZING THIS TODAY. ADDITIONALLY, TO THE FEDERAL TEAM THAT ASSISTED TO ARRANGE.
AS WELL AS PUT THIS TOGETHER, THANK YOU SO MUCH. THIS IS REALLY VITAL AND ALSO WE APPRECIATE IT.
FROM THE GROUND LEVEL. THANK YOU, DR. MATOFF STEPP, FOR THE INTRODUCTION. AS WELL AS LAYING THE GROUND FUNCTION. MY PRESENTATION REMAINS IN THREE PARTS. FIRST I'' M GOING TO BEGIN BY SHARING WHAT THE.
COMBINATION OF PRIMARY TREATMENT AND ALSO BEHAVIORAL WELLNESS SOLUTIONS FOR TRAFFICKING SURVIVORS.
REALLY MEANS AND WHAT IT ACTUALLY RESEMBLES. SECONDLY I'' LL GIVE A QUICK HISTORY OF COMBINATION.
AS WELL AS WHERE OUR PRESENT INITIATIVES REMAIN IN THE WELLNESS CARE DISTRIBUTION SYSTEM.FINALLY I ' LL SHARE WHAT MY UNIVERSITY HOSPITAL,.
ASIAN WELLNESS SERVICES IS DOING AROUND INTEGRATION AND A LITTLE ABOUT GOVERNMENT QUALIFIED HEALTH.
CENTERS FQHCS, AS WELL AS THEIR INFLUENCE FOR REACH. I'' M ESTABLISHING UP WHAT WE CONTAINER VIEW AS INFRASTRUCTURE.
BUILDING FOR THE ASSIMILATION OF SOLUTIONS AND ALSO HEALTH CARE AND BEHAVIORAL HEALTH FOR TRAFFICKING.
SURVIVORS IN THE FUTURE. SO, REALLY WHAT IS ASSIMILATION AND ALSO WHAT DOES.
IT TAKE TO GET THERE? TODAY I'' M PORTRAYING THE VOICE OF COWORKERS.
COUNTRY WIDE SHARING QUOTES FROM AN SPECIALIST BASE CONVENING OF NATIONAL ORGANIZATION OF COMMUNITY.
HEALTH AND WELLNESS CENTERS THIS YEAR. INCORPORATED EQUIPMENTS METHOD TAKES A FUNDAMENTAL.
REDESIGN TO JUSTICE, LEGAL, MEDICAL, HEALTH AND WELLNESS, FOOD, HOUSING AND ALSO TRANSPORT. IT'' S A WHOLE REDO WHERE SOLUTIONS ARE COORDINATED.
WITHIN AN INTEGRATED SYSTEM INCLUDING CONTINUUM OF TREATMENT, AVAILABLE 24/7. IT'' S WHERE INDIVIDUALS ENTER THE SYSTEM, BASED. ON WHAT THEY NEED AT THAT POINT IN TIME, WITHIN

THEIR LIFE CONTEXT.YOU GOT IT, RIGHT? THAT ' S COMBINATION. REALLY WHAT IS IT? BELOW IT IS. COMBINATION IS REALLY A PROXY WORD FOR QUALITY.
AND ALSO VALUE. INTEGRATION MEANS ADDING A RANGE OF PRACTICE.
TO A WELLNESS SYSTEM, WHETHER IT'' S MEDICAL CARE SIDE OR BEHAVIORAL HEALTH SIDE. THAT MEANS ADDING NEW FUNCTION CIRCULATIONS, NEW WORKER,. NEW SERVICES AS WELL AS NEW SKILL COLLECTIONS. WITH THE GOAL BEING FAR BETTER HIGH QUALITY OF HEALTH.
CARE, AND BETTER VALUE OF HEALTHCARE, FOR THE PEOPLE AND ALSO THE PAYERS. SO NOTICE HOW I SAY HEALTHCARE AND ALSO NOT MEDICAL.
CARE. IT'' S AN INCORPORATED SYSTEMS TECHNIQUE
WITH OTHER. FIELDS AND OUTSIDE COMPANIONS ADDED TO TREATMENT WE'' RE PROVIDING'. IT ' S NOT PRACTICALLY A WARM HANDOFF OR HAVING.
A PSYCHIATRIST OR THERAPIST IN THE VERY SAME STRUCTURE AS A PRIMARY TREATMENT DOCTOR. SO COMBINATION IS TREATMENT RESULTING FROM METHOD.
TEAM OF PRIMARY TREATMENT AND BEHAVIORAL WELLNESS CLINICIANS FUNCTIONING TOGETHER WITH INDIVIDUALS.
AND ALSO FAMILY MEMBERS UTILIZING ORGANIZED AS WELL AS ECONOMICAL METHOD TO GIVING PERSON CENTERED TREATMENT.
FOR A DEFINED POPULATION, THAT MAY ADDRESS MENTAL HEALTH AND WELLNESS, CHEMICAL ABUSE CONDITIONS,.
HEALTH AND WELLNESS ACTIONS, INCLUDING CONTRIBUTION TO MEDICAL AILMENTS, CHRONIC MEDICAL HEALTH PROBLEM,.
LIFE STRESSORS AND DILEMMAS, STRESS RELATED PHYSICAL SYMPTOMS AND ALSO INADEQUATE PATTERNS.
OF HEALTH CARE UTILIZATION.AS WELL AS ADDRESSING
INDIVIDUALS ' CONCRETE DEMANDS. AND ALSO SERVICES THAT THEY NEED
. SO THIS IS A GUIDEBOOK OF WHAT WE THINK INTEGRATION. MUST RESEMBLE IN THE FUTURE, FOR HEALTHCARE. HISTORICALLY, WE IDEA ABOUT HEALTH CARE. IN An EXTREMELY DIRECT STYLE. AS AN EXAMPLE, WE ' LL SEE A PATIENT,'IN THE WORKPLACE,.
IN PRIMARY CARE. WE'' LL DISPLAY OR ANALYZE THE PERSON FOR EXPLOITATION.
OR PERSON TRAFFICKING OR PHYSICAL VIOLENCE OR HIV OR HEART ILLNESS OR WHATEVER CONCERN WE'' RE ATTENDING.
TO THAT DAY. WE'' LL TREAT OR REFER THE PATIENT FOR ADDITIONAL.
SERVICES OR SPECIALIZED SOLUTIONS. IT'' S HISTORICALLY BEEN An EXTREMELY DIRECT PROCEDURE. HOWEVER IN THE REAL LIFE, INDIVIDUALS WEAR'' T. ALWAYS PRESENT BY DOING THIS, LINEARLY. IT'' S NOT LINEAR CARE.'IT ' S CYCLICAL. AS WELL AS PATIENTS ENTER AND LEAVE THE SYSTEM AT. DIFFERENT POINTS. IN AN INTEGRATED SYSTEM GAIN ACCESS TO TO CARE REQUIRES. TO BE 24/7, THERE NEEDS TO BE TRIAGE SOLUTION, PHONE SOLUTION, FACTOR INDIVIDUAL OR
PEOPLE TO ASSIST. TAKE CARE OF ANXIOUSNESS, OR OTHER EMOTIONAL DILEMMAS, OR CONCRETE NEEDS OF THE CLIENT REAL ESTATE,.
FOOD INSTABILITY AS WELL AS SUCH. FOR TRUE INTEGRATION WE HAVE TO CONSIDER.
HOW WE MAY REQUIREMENT TO REDESIGN OUR SOLUTIONS TO KEEP INDIVIDUALS IN CARE.IT ' S NOT SIMPLY 9 TO FIVE WORKPLACE TREATMENT OR.
CARE WITHIN THE FOUR WALLS OF OUR CENTER. SO PEOPLE WITH BEHAVIORAL WELLNESS ISSUES COME.
TO THE SYSTEMS OF TREATMENT IN DIFFERENT AREAS. AND THERE MUST BE NO MISDOING DOOR. THEY SUIT THROUGH A FOOD BANK, SANCTUARY, SCHOOLS,.
BEHAVIOR HEALTH OR TREATMENT, AS AN EXAMPLE. SO FUNDAMENTALLY WE DEMAND TO UNDERSTAND IT'' S. NOT LINEAR.AND MORE

IMPORTANTLY, IT'' S ADDITIONALLY NOT FAILURE.'IT ' S NOT FAILING WHEN PEOPLE REMAIN IN THE. INTERMITTENT PHASE. FOR INSTANCE, IN REGARDS TO TRAFFICKING, I ' VE. HAD INDIVIDUALS AT ASIAN HEALTH SOLUTIONS WHO DO COME IN LINEAR PRESENTATION, CONCERN CLINIC,.
WE'' LL ASK ABOUT VENTURE OR VIOLENCE, SOMETIMES WE HAVE DISCLOSURE, SOMETIMES WE DON'' T. THE POINT IS TO GET THE TREATMENT THEY DEMAND. WE ' VE HAD PEOPLE WHO HAVE BEEN IN AND ALSO OUT. OF EXPLOITATION AS WELL AS TRAFFICKING SITUATIONS, BUT THEN RETURN INTO IT. DO WE MATTER THAT AS A FAILURE? NO. WE MATTER THAT AS COMPONENT OF THEIR CARE AND CONTINUUM.
OF TREATMENT. WE'' VE HAD CLIENTS WHO HAVE COME WITH INTERACTION.
WITH OTHER SECTORS, SO LAW ENFORCEMENT, OR OTHER SOCIAL SERVICES.FOR EXAMPLE, WE HAD
A CLIENT WHO WAS SEX.
TRAFFICKED IN ANOTHER PERSON REGION, BUT SHE LIVED IN OUR COUNTY. SO HER LEGAL SITUATION IS BEING DEALT WITH AND.
SOCIAL SOLUTIONS IN THE COUNTY SHE WAS SEX TRAFFICKED IN BUT SHE NEEDED TO ACCESS IN WHICH.
SHE LIVED IN OUR COUNTY. WE DID SOME CARE SYCHRONISATION AS WELL AS GOT HER.
HEALTHCARE SOLUTIONS WITH US IN THE SPECIALIZED MENTAL HEALTH AND WELLNESS SOLUTIONS AT ASIAN HEALTH SOLUTIONS.
BECAUSE SHE WAS EXHIBITING SOME PARANOIA AND ALSO PSYCHOSIS. THERE ARE CLIENTS THAT CYCLE IN AND OUT OF.
BEING TRAFFICKED, THE BIKING AND ALSO INTERMITTENT NATURE, THE CONTINUUM, DOESN'' T REPRESENT FAILURE. WE NEED TO INCORPORATE SYSTEMS OF TREATMENT, THERE'' S. BEEN A TRADITION OF SEPARATE AS WELL AS PARALLEL SYSTEMS. INTEGRATED BEHAVIORAL HEALTH AND WELLNESS RESULTS IN BETTER.
MATCH OF CLINICAL SOLUTIONS TO THE TRUTHS THAT PEOPLE AND MEDICAL PROFESSIONALS DEAL WITH DAILY. SO, YOU KNOW, IT'' S NOT WE ' RE
NOT SIMPLY A PHYSICAL. BODY OR A MIND OR PSYCHOLOGICAL ANIMAL. WE'' RE INTEGRATED, JUST AS'WE ' RE HOLISTIC CREATURES.
AS HUMAN, SO OUGHT TO OUR TREATMENT BE.IF WE'' RE I ' M GOING TO LEAVE THIS POINT RIGHT HERE. WE SHOULD HAVE ANOTHER PERSON BOX CONTRIBUTED TO THIS. WE SHOULD TALK ABOUT COMBINATION OF ORAL HEALTH AND WELLNESS.
CARE. SOMEONE SAID INDEED, THANKS. WE OUGHT TO DISCUSS ORAL HEALTHCARE. I LIKE IT WHEN YOU RESPOND BACK. DENTAL HEALTHCARE IS BEING INCORPORATED RIGHT INTO.
PRIMARY TREATMENT, ESPECIALLY IN FQHCs Today. WE NOW FROM MY COLLEAGUE'' S RESEARCH STUDY,. IN THE RESEARCH STUDY OF SURVIVORS 26.5 %OF TRAFFICKED SURVIVORS HADN ' T SEEN A DENTAL PROFESSIONAL. RIGHT HERE IS AN INSTANCE THAT ASIAN HEALTH AND WELLNESS SERVICES,. OUR DENTAL MEDICAL PROFESSIONAL ARE INCORPORATING ANXIETY SCREENING WITH ON WEBSITE SOCIAL WORKERS TO ADDRESS.
ANY FAVORABLE SCREENS.THAT ' S ALMOST DEPRESSION BUT THAT COULD. BE AN ENTREE INTO POSSIBLE BACKGROUND OF BEING TRAFFICKED OR CURRENT TRAFFICKING SCENARIOS. TO MAKE SURE THAT ' S ANOTHER COURSE FOR ASSIMILATION. SO WHY SHOULD WE INTEGRATE CARE? THIS IS THE INFLUENTIAL RESEARCH STUDY FROM INSTITUTE OF. MEDICATION IN 2006, REPORT IMPROVING THE QUALITY OF WELLNESS CARE FOR MENTAL AS WELL AS MATERIAL USE. PROBLEMS. I ' M ALMOST OUT OF TIME.
THIS IS FOUNDATION IN ESTABLISHING CONCEPTS. WE DEMAND TO INCORPORATE. HEALTH CARE IS DE FACTO MENTAL HEALTH SYSTEM. FOR INDIVIDUALS FINDING BEHAVIORAL HEALTH TREATMENT, THE BULK IN THE PRIMARY CARE SETTING. THESE ARE 3 TYPES OF THREE KINDS OF INTEGRATION,. CONSULTATIVE DESIGN WHERE YOU RECEIVE TREATMENT IN
2 DIFFERENT SETUPS. WE SEVERE TO PSYCHIATRY OR THERAPY AND. THEY RECEIVE IT IN A SEPARATE SETTING.
CARBON MONOXIDE LOCATED. OR NEXT TO EACH OTHER IN THE EXACT SAME BUILDING. AS WELL AS COLLABORATIVE WHERE WE ' RE TRYING TO GO,. WHERE WE ' RE WORKING TOGETHER AS A TEAM.THESE ARE THE
PRESENT EXAMPLES. WE HAVE THEM ALL AT ASIAN HEALTH AND WELLNESS SOLUTIONS. AND ALSO WE ' RE RELOCATING TOWARDS THAT ROADWAY MAP THAT. I SHOWED YOU EARLIER. COMPONENTS FOR COMBINATION ARE EXTREMELY CRUCIAL.
WE REQUIREMENT PARTNERSHIPS, NOT SIMPLY PARTNERSHIPS,. ME AS A PRIMARY TREATMENT DOCTOR DEALING WITH A THERAPIST OR SOCIAL WORKER.
WE REQUIREMENT PARTNERSHIPS AT LEADERSHIP DEGREE. YOU SPOKE WITH DR. MATOFF STEPP ABOUT THE PROJECT STIMULANT AND. FUTURE ABOUT VIOLENCE PROGRAM, AT LEADERSHIP LEVEL, STATE DEPARTMENTS OF HEALTH AND WELLNESS
, STATE. RESIDENTIAL VIOLENCE COALITIONS AND ALSO HEALTH CARE ASSOCIATIONS OF COMMUNITY HEALTH CENTERS ON. A LEADERSHIP LEVEL.REFERRAL SYSTEMS, CAPACITY BUILDING OF LABOR FORCE,. CASE ADMINISTRATION,
VERY ESSENTIAL.

CASE ADMINISTRATION FOR EXTERNAL SERVICES AND.
NEEDS. CARE SYCHRONISATION WITHIN OUR SYSTEM. AS WELL AS THINKING OF THE COMORBIDITIES THAT
. INDIVIDUALS HAVE. YOU LEARNT THROUGH DIRECTOR CHON ' S COMMENTS EARLIER. THAT CLIENTS WAS AVAILABLE IN WITH A GREAT DEAL OF PHYSICAL ILLNESS AS WELL AS ILLNESS. WE NEED TO ADDRESS THAT ALSO.
WE NEED TO ACCOMPLISH UNIVERSAL ASSESSMENTS AND ALSO SCREENINGS. FOR A WHOLE HOST OF CONCERNS AS WELL AS MAKE OUR CARE PATIENT CENTRIC, CULTURALLY AS WELL AS LINGUISTICALLY. RESPONSIBLE.
A GREAT DEAL OF THIS IS NOT REIMBURSABLE BUT THIS. IS WHAT WE NEED. IN THE INCORPORATED SYSTEMS STRATEGY WE HAVE. TO HAVE THESE PARTNERS AS WELL AS SYSTEMS OF
CARE. WE CANISTER ' T PUT IT ON THE BACKS OF OUR PATIENTS. TO FIGURE THIS OUT. WE REQUIREMENT TO BE DOING IT FOR THEM. LASTLY, NATIONAL EFFECT OF FQHCs, THIS IS.
YEAR OVER YEAR TREATMENT OF BEHAVIORAL WELLNESS SOLUTIONS WITHIN THE FEDERALLY QUALITIED UNIVERSITY HOSPITAL.
FROM 2016 TO 2017. ENHANCE OF BEHAVIORAL WELLNESS SOLUTIONS BY. 16 %TO 9.9 MILLION GOS TO, 2 MILLION CLIENTS UNIQUE PRIVATE CLIENTS OBTAINED TREATMENT FOR. BEHAVIOR HEALTH AND WELLNESS, OUT OF An OVERALL
PATIENT POPULATION OF 27 MILLION NATIONWIDE. ULTIMATELY, YOU ' LL HEAR ON ANOTHER PERSON PANEL I THINK. LATER TODAY ABOUT SUBSTANCE MAYBE TOMORROW, SUBSTANCE USAGE DISORDERS. EXACT SAME POINT, A GROWTH IN THE TAKE CARE OF COMPOUND. USAGE CONDITIONS AS WELL AS FEDERALLY CERTIFIED WELLNESS CENTERS YEAR OVER YEAR, BROADENING AS WELL AS GROWING. AS WE MOVE FORWARD. SO A GREAT DEAL OF REACH, A LOT OF POSSIBILITY IN. THE FQHCs, THE FACILITIES IS THERE, AND WE NEED TO LOCATE WAYS TO SCALE THIS AS WELL AS INCORPORATE. THIS TO REACH EVEN MORE CLIENTS WHO ARE BEING TRAFFICKED.THANK YOU
SO MUCH. [APPLAUSE] > > GOOD MORNING. I WISH EVERYONE HAS HEATED UP NOW.
I WISHED TO STAND HERE SINCE I COULDN ' T. SEE THE PROMPT FROM OVER THERE BUT I CAN ' T SEE IT FROM BELOW EITHER. >> [GIGGLING] OK. GREAT EARLY MORNING, EVERYBODY. I ' M SO EXCITED THAT I HAVE SOME FINANCIAL. DISCLOSURES AS WELL AS I ' M NOT GOING TO READ THEM ERRONEOUS BUT I
REALLY WANT TO RECOGNIZE THE. SENIOR LEADERSHIP AT BRIGHAM AND FEMALE ' S HEALTH CENTER FOR REALLY OFFERING ME THE CHANCE SIX YEARS. AGO TO CREATE A CENTER THAT WOULD AS A MATTER OF FACT BE INGENIOUS AND ALSO INNOVATIVE IN THINKING OF. HOW WE DEAL WITH ALL INDIVIDUALS THAT ARE AFFECTED BY
WILLFUL VIOLENCE.SO I ' M HONORED TO SAY THAT THE TREATMENT CLINIC WHICH. IS OVERSEEN BY CLIENT ADVISORS
DOES SEE CLIENTS WITH DOMESTIC AND SEXUAL VIOLENCE, HUMAN BEING TRAFFICKING.

AND OTHER KINDS OF AREA VIOLENCE. SO, I ADDITIONALLY INTENDED TO
SHARE THAT I DO OPERATE AT. BRIGHAM AND WOMEN ' S HEALTHCARE FACILITY IN BOSTON, 750 BED HOSPITAL. WE HAVE 150 OUTPATIENT PRACTICES, OVER 1400. PHYSICIANS, 3500 REGISTERED NURSES
, 650 SOCIAL WORKERS'. WE ALLOW. AND I HAVE BEEN ENTRUSTED ALONG WITH OTHER COLLEAGUES OF MINE TO CONSIDER HOW WE END UP BEING An INJURY. NOTIFIED TREATMENT INSTITUTION. I INTEND TO ACKNOWLEDGE DR. CAROL WARSHAW FOR MENTORSHIP OF ME TO LEARN. REGARDING TRAUMA INFORMED AND BE A LEADER IN THAT REALM. I ' M GOING TO GROUND US ALL RIGHT HERE BY SAYING. WHAT I ALWAYS CLAIM WHEN I PROVIDE THIS TALK, WE ASK CLIENTS TO EMBRACE EQUIPMENT, PARTICULARLY. HEALTH CARE SYSTEM WHEN WE UNDERSTAND NATURALLY WE HAVE PROBLEMS.IS THAT FAIR ENOUGH? I SHOULD SEE MORE HEADS NODDING. RIGHT? SO I ' VE SOMETIMES TAKEN MYSELF AND ALSO WALKED. MYSELF THROUGH THE SYSTEM TO SEE WHAT IT WOULD SEEM LIKE.

WE CALL THEM TRACERS, RIGHT, IN THE WELLNESS. TREATMENT SYSTEM.'I WOULD URGE MUCH OF United States TO THINK ABOUT. DOING TRACERS BECAUSE IT REALLY OPENS OUR EYES TO THE TRIP THAT AT LEAST IN MY LINE.
OF WORK AS A DOCTOR THAT MY INDIVIDUALS EXPERIENCE.
SO, WHAT IS INJURY? AND I TIN SAY THAT WHEN WE FIRST BEGAN OUR. INJURY EDUCATED GUIDING COMMITTEE 6 YEARS EARLIER THIS SLIDE LOOKED DIFFERENT. WE ' VE EVOLVED IN OUR THINKING, PARTNERED WITH. MOST OF YOU BELOW, WE HAVE COLLABORATED WITH SAMHSA AND ALSO OTHER FOLKS THAT THINK ALIKE.AND BECAUSE REALM, WE HAVE SPECIFIED TRAUMA. AS FOR WHAT YOU SEE IN FRONT OF YOU. I BELIEVE IN THE HEALTHCARE SYSTEM WHAT I ' VE. FOUND OUT IS MY COLLEAGUES REALLY SORT OF GET WHAT INDIVIDUAL

AS WELL AS INTERPERSONAL INJURY IS,.
BUT WHAT ' S LACKING IS UNDERSTANDING OF CULTURAL, HISTORICAL OPPRESSIONS.
I ' M PROUD TO SAY VERY FIRST TIME IN MY JOB,. I ' M THREE YEARS IN, WE ' RE TALKING ABOUT DETAILS IN HEALTHCARE SUCH AS BIGOTRY,'STRUCTURAL. FASCISM, UNCONSCIOUS BIAS, AND'PROUD TO BE AN ESTABLISHMENT PUTTING POLICIES IN POSITION. AS WELL AS HOLDING PEOPLE ACCOUNTABLE.WE DEFINED BIGOTRY AS TRAUMATIC. WE THINK RACISM IS TRAUMA. AND. [PRAISE] THANKS.
AND WE DEFINE IT AS A PREJUDICE OR

DISCRIMINATION OR INCONGRUITY AGAINST A PERSON OF A VARIOUS
. RACE BASED ON THE IDEA OUR OWN RACE IS SUPERIOR. IT TOOK United States A WHILE TO CHECK OUT ALL THE VARIOUS. DEFINITIONS OF BIGOTRY AS WELL AS FELT THAT A PERSON RESONATED WITH United States. THE OTHER THING THAT I THINK IS THAT WE ' VE. FOUND OUT ON OUR JOURNEY IS THE CROSSWAY OF ALL OF THIS.AND SO I ACTUALLY I UNDERSTAND WE ' RE HERE TO DEVELOP. A RESEARCH STUDY SCHEDULE AND ALSO CONVERSATION, I SAY LET ' S DO
EVERYTHING AND NOT SILO THE SERVICES. I CONSIDER THE EXACT SAME REGISTERED NURSES, WHETHER An EXCELLENT. INFRASTRUCTURE AND ALSO MAGNUM OPUS NURSES HAVE DONE BUT IT WOULD BE WONDERFUL IF THEY DID ALL'. SORT OF INJURY. A GREAT FACILITIES WITH KNOWLEDGE. WE ' RE SEEING INTERSECTION OF ALL THESE VARIOUS. KINDS OF VIOLENCE.I DESIRE TO TAKE YOU ON THE TRIP WITH THE
SIX LEADING CONCEPTS. I PRESUME EVERYBODY IS FAMILIAR WITH THIS,
CORRECT? WHAT I WANT TO PERFORM WITH YOU IS CONSIDER THESE
6 GUIDING CONCEPTS AND ALSO I WISH TO CONSIDER IT THROUGH THE EYES OF A SUFFERER OR A SURVIVOR. SO I'' M GOING TO ASK YOU TO TAKE PLACE A JOURNEY WITH ME. WHEN A CLIENT CONCERNS United States, LET'' S SAY IT ' S. An INDIVIDUAL WHO HAS BEEN TRAFFICKED, ALSO HAS A HIGH ACE RATING, THAT MAY BE SUBJECTED TO. BIGOTRY AND MICRO AGGRESSIVENESS AS WELL AS THAT PATIENT IS UPCOMING TO BE SEEN BY United States, BROUGHT BY LEGISLATION.
ENFORCEMENT. THE INDIVIDUAL MAY BE THINKING WHAT ARE THEY.
GOING ASK ME? DO I NEED TO LET THEM KNOW EVERYTHING? WILL CERTAINLY I RESPOND TO THE INQUIRIES AND WILL CERTAINLY THEY.
THINK I'' M CRAZY IF I GET ACTIVATED? I STILL HAVE BODY MEMORIES.WILL THEY DO SOMETHING THAT INJURES? I HAVE An AWFUL TIME MANAGING DISCOMFORT. MY DISCOMFORT RESISTANCE IS AWFUL. WILL THEY ASSISTANCE ME TO GET IN TOUCH WITH OTHERS? WILL THEY UNDERSTAND WHAT I BRING WITH ME.
FROM MY CULTURE, MY HISTORICAL HISTORY? MY RACE? MY ETHNICITY? GOSH, I WISH THEY DON'' T ASK WHY DID YOU STAY,. WHY DO YOU MAINTAIN GOING BACK AND ALSO DOING THIS. CHILD, I ' VE BEEN ASKED THAT BEFORE. I QUESTION WHAT THEY ARE CREATING IN THE MEDICAL. DOCUMENT. WILL CERTAINLY IT EXIST FOR LIFE OR I CAN TAKE IT.
OUT? WHO IS GOING TO ATTEND THAT FOR ME? I HOPE I FEEL SAFE. I REALLY HOPE THAT I TIN SHARE. I HOPE THAT I'' LL FEEL SUPPORTED. I WISH I CONTAINER FIND MY VOICE. I HOPE I CANISTER BE ACKNOWLEDGED FOR THAT I AM.
AS WELL AS WHERE I AM, REGARDLESS OF THAT MY RACE, MY CULTURE, MY SEX, OR MY ETHNICITY.WHEN I FIRST

BEGAN FINDING OUT ABOUT THE SIX.
LEADING CONCEPTS I WAS REALLY THINKING WITH THE TRIPLE AIM OF MY COMPANY, PROVIDERS.
AND ALSO THEIR PATIENT PARTNERSHIPS, AND ALSO PEER TO PEER. NOW I'' M CONSIDERING IT VIA HOW DOES.
THIS SEARCH FOR THOSE THAT WE OFFER? AND ALSO I BELIEVE THOSE PRINCIPLES STILL APPLY. SO AMONG THE IMPORTANT THINGS THAT I'' VE BEEN TASKED.
WITH AT THE MEDICAL FACILITY IS, ANNIE, WHAT IS THIS TRAUMA INFORMED TREATMENT THINGS ABOUT, WHAT''
S IT. GOING TO COST United States, EXISTS A ROI IF WE USE IT? HOW DO YOU MEASURE IT? EXISTS MEASURABLE THINGS WE OUGHT TO BE LOOKING.
AT? I'' VE BEEN THINKING ABOUT THAT FOR THE LAST.
FEW YEARS.I ' M GOING TO PROGRAM YOU A LITTLE OF PILOT.
INFORMATION THAT WE CANISTER SCALE IT UP WITH SOME BETTER FINANCING. I HAVE OBSERVED IN MY FACILITY INVOLVEMENT WITH.
CLIENTS THAT I'' VE NOT SEEN BEFORE. I REALLY THINK IT'' S AS A RESULT OF THE USING THE. T.I.C. APPROACH. I UNDERSTAND IF I CAN RETURN TO MY HEALTHCARE FACILITY AND. I CAN SHOW THEM I CONTAINER DO THESE THINGS THAT I TIN REDUCTION EMERGENCY DEPARTMENT USE,. THAT I TIN REDUCTION ABSENCE FEES BECAUSE NOW INDIVIDUALS ARE ALL SET TO ENGAGE. THAT THE SIZE OF KEEP FOR OUR CLIENTS THAT.
ARE IN OUR UNDERRESOURCED OR LOW RESOURCED COMMUNITIES GOES TO LEAST TWO DAYS LONGER. IF I TIN DECLINE THAT, IF I TIN CONSIDER HEALTH.
END RESULTS, SEVERAL OF THE ONES THAT WE'' RE LOOKING AT, IF WE CAN THINK ABOUT SOME INNOVATIVE.
AS WELL AS CREATIVE WAYS TO ACCOMPLISH THIS WORK. PERMIT ME TO SHARE A PAIR THINGS WE LEARNED. WE'' VE ALREADY HEARD THIS TODAY THAT DISCLOSURE.
IS NOT THE OBJECTIVE, RIGHT? I HAVE TO SAY THAT THERE'' S NOT A DAY THAT. PASSES AT WORK THAT I WEAR ' T OBTAIN A CALL FROM A PRACTITIONERS THAT SAYS I RECOGNIZE SHE ' S BEING.

TRAFFICKED BUT SHE WON ' T INFORM ME.ONE STUDY IS LOOKING AT TIERED SCREENING. I ' VE BEEN EXERCISING AT THE BEDSIDE FOR A.
VERY LONG TIME AS WELL AS I'' VE BEEN SHOWED TO OBTAIN THE DETAILS, UNDERSTAND THE FULL BREADTH OF WHAT.
IT IS WE'' RE TRYING TO UNDERSTAND, AS WELL AS WHAT I'' VE INVOLVE LEARN IS I WEAR ' T NEED THAT ANY LONGER. I REQUIRED SOME BASIC DETAILS. I REQUIRED TO CAST A WIDE NET. TELL ME, HAS ANYTHING TOOK PLACE IN YOUR LIFE
. THAT YOU REALLY FEEL HAS IMPACTED YOU? IF IT HAS, HOW HAS IT INFLUENCED YOU? I BEGINNING REALLY BASIC NOW. I STEPPED FAR FROM TYPE OF ARE YOU BEING.
HIT, KICKED OR PUNCHED, IS SOMETHING PUSHING OR SHOVING YOU, STEPPED FAR FROM THAT COMPLETELY.
DUE TO THE FACT THAT I THINK IN A TIERED TESTING SYSTEM WE MUST ALL FIGURE OUT WHAT ARE YOU GOING.
TO DO WITH THAT SAID INFO AND ALSO JUST HOW MUCH OF THAT DETAILS DO YOU REALLY REQUIRED? AND ALSO WHAT I'' M FINDING IS LESS IS MORE'. THAT ' S WHAT IS ON MY DOOR TO MY OFFICE NOW. MUCH LESS IS EVEN MORE. SO I CHALLENGE US TO THINK ABOUT THIS. I RECOGNIZE WE ' RE GOING TO DO A PILOT RESEARCH ON. THIS AT MY WORK. I BELIEVE THE WIDE SCREENING GETS INFORMATION,.
GOOD WARM HANDOVER TO YOUR NEXT INDIVIDUAL, ALLOW THEM TO DO THE SECURITY AS WELL AS THREAT ANALYSIS, OUR.
ADVOCATES, SOCIAL WORKERS ARE PROFICIENT AT THAT.SAVE THE DETAILS FOR ENTERING INTO THERAPY AND. ANYONE WHO IS GOING TO WORK
WITH YOU ON THAT PARTICULAR. BUT I DO THINK IN WELLNESS CARE WE ' RE ASKING. MEANS TOO MANY QUESTIONS.
THE OTHER POINT WE ' RE FOCUSING ON IN OUR INJURY. ANALYSIS INQUIRY IS LOOKING
AT STRENGTH. WHEN YOU PERTAIN TO MY FACILITY ONE OF THE FIRST. QUESTIONS WE ASK, TELL ME SOMETHING YOU '
RE HAPPY WITH. INFORM ME WHAT FEELS EXCELLENT IN YOUR LIFE. AND THE MAJORITY OF PEOPLE CLAIM, WELL, YOU OBTAIN THOSE CLIENTS. THAT CONTAINER ' T FIND ANYTHING, THAT ' S NOT WHAT I ' M EXPERIENCING.I ' M SEARCHING FOR THAT WITH A LITTLE'GINGERLY LOVE,. KINDNESS AND ALSO EMPATHY THEY AGREE TO SHARE GREAT DEALS OF THINGS AS WELL AS WE ' RE WORK FROM THOSE STAMINAS. I INTEND TO SHARE DATA. WE ' VE BEEN DOING A GREAT DEAL OF TRAINING. THIS GLIDE RECOMMENDS 768 PROVIDERS IN OUR. SYSTEM. PRE MESSAGE LAYOUT EFFORTS, TRAINING ON TRAUMA. EDUCATED TREATMENT, THAT SLIDE I SHOWED YOU, WHAT IS INJURY. WE SPEAK ABOUT ALL THAT. TRAFFICKING AS WELL AS RACISM AS WELL AS UNCONSCIOUS PREJUDICES. A COUPLE FAST SEARCHINGS FOR ON THIS. YOU TIN SEE THAT HOW KNOWLEDGEABLE ARE YOU. REGARDING TRAUMA INFORMED CARE WENT UP.WE FELT 30 %IN THE AREA RAISED THEIR HAND.

AND ALSO STATED YEAH, I ' M GOOD, I GET INJURY'EDUCATED TREATMENT BUT YOU CAN SEE THE NUMBERS ROSE AFTER. ONE INTERESTING POINT DUE TO ABSENCE OF TIME. I ' M PLEASED TO TALK WITH ANY OF YOU THROUGHOUT THE NEXT DAY AND ALSO A FIFTY PERCENT, IS WHEN ASKED THE. QUESTION, THE REALLY LAST CONCERN, TO THE RIGHT, HOW IMPORTANT DO YOU FEEL IT IS TO BE CONSCIOUS.
OF WAYS THAT YOUR OWN LIFE EXPERIENCES NEGATIVELY AFFECT YOUR CAPACITY TO DELIVER TREATMENT, SO THIS.
IS WHERE WE OBTAIN HEALTHCARE, PEOPLE'' S OWN HISTORIES OF TRAUMA, AND ALSO REALLY REMARKABLY.
THOSE NUMBERS WERE FAIRLY LOW IN THE BEGINNING.THEY LEAPT UP SUBSTANTIALLY, YOU CAN SEE. AND AFTER THAT LAST, WHAT MY ORGANIZATION APPRECIATES AND ALSO THOSE OF United States IN A HEALTH CARE INSTITUTION.
KNOW CASH AS WELL AS EFFICIENCY GO TO THE TOP OF OUR AGENDA THESE DAYS. I INTENDED TO TAKE An APPEARANCE AT 10 SITUATIONS, THE.
TREATMENT HERE WAS MY FACILITY. THE TEN INSTANCES, 10 SITUATIONS THAT ENTERED INTO BEING.
REFERRED TO THE CLINIC BY PRESENTING TO THE EMERGENCY SITUATION DIVISION WITH SOME KIND OF INTERPERSONAL.
KIND OF VIOLENCE.AS YOU CAN SEE

FROM HEAVEN IS MEDICAL MODEL.
OF CARE. AND AFTER THAT THE GRAY IS THE INJURY NOTIFIED. IN THESE 10 CASES, THIS IS WHERE WE'' LL SCALE.
UP WITH OUR ACL MEDICAID POPULACE, EMERGENCY SITUATION ROOM SEES CAME DOWN SUBSTANTIALLY, THAT.
OUR ENGAGEMENT WITH PRIMARY CARE WENT SKIES HIGH BECAUSE WE USED TRAUMA EDUCATED TREATMENT.
PRIMARY CARE PROVIDERS. AND SOLUTIONS THAT CONTAINER OFTEN ASSISTANCE OUR PATIENTS.
WITH PAIN SUCH AS P.T.AND O.T.

AND ALSO MATTERS OF THAT TYPE ALSO INCREASED. INDIVIDUALS ENGAGED AND OUR SIZE OF KEEP DID.
BOIL DOWN. WE'' LL BE SCALING THIS UP IN OUR ACL MEDICAID.
PROJECT AS WELL AS I'' M DELIGHTED TO SEE WE MIGHT HAVE SOME RETURN ON THE DATA. SO, LASTLY, I BELIEVE I HAVE 30 SECONDS HERE,.
IN HEALTH TREATMENT WE HAVE ACCESSIBILITY TO A LOT OF INFORMATION. I'' VE BEEN LOOKING AT PRESS GANEY'' S, HCAHPS. AND ALSO DATA, WHAT ARE TRAUMA SENSITIVE OR TRAUMA CENTRIC. WE HAVE DATA AND ALSO MUST SWEAT OFF INFORMATION TO SEE.
WHERE IT'' S APPLICABLE. I HAVE BEEN BLESSED TO HAVE ENORMOUS INSTITUTIONAL.
ASSISTANCE, AS WELL AS I CLAIM I STAND BEFORE YOU, I BASE ON THE SHOULDERS OF AN AMAZING TEAM BACK AT.
THE HEALTH CENTER THAT'' S INTERDISCIPLINARY, LENSES ARE BROUGHT TO THE TOPIC. DIFFICULTIES WILL CERTAINLY BE SHIFTING THE STANDARD BUT.
I'' M SEEING A CHANGE HAPPEN. WE DEMAND THAT LONG-TERM FUNDING TO KIND OF.
MAKE SURE WE GET OUR METRICS RIGHT AS WELL AS THEY CONTRIBUTE. AND AFTER THAT AS SOON AS ONCE MORE SUSTAINABILITY. HOW ARE WE GOING TO MAKE THIS LAST WHEN WE.
KNOW WE'' VE GOT A GOOD PRACTICE, WE TEND TO REGRESS TO THE MEAN AND ALSO I'' M REALLY PROACTIVELY.
THINKING ABOUT CONSIDERING SUSTAINABILITY AS WELL AS TALKING WITH MANY OF YOU THAT HAVE GOOD.
PRACTICES.SO THANKS.

[ PRAISE]> >'> I ' M HOLLY GIBBS, I ' M THE DIRECTOR OF THE. DIGNITY HEALTH HUMAN TRAFFICKING FEEDBACK PROGRAM. I ' M THRILLED TO SHOW TO YOU CONCERNING ALL THAT.
WE'' VE DONE AT SELF-RESPECT WELLNESS. SELF-RESPECT HEALTH IS AMONG THE LARGEST HEALTH CARE.
SYSTEMS IN THE COUNTRY. AND WE INTRODUCED A PROGRAM IN 2014 CALLED PERSON.
TRAFFICKING RESPONSE PROGRAM WHERE WE INTENDED TO EDUCATE PERSONNEL CONCERNING PERSON TRAFFICKING,.
TRAUMA INFORMED CARE, IMPLEMENT POLICIES AND ALSO PROCEDURES TO RECOGNIZE POSSIBLE SUFFERERS AND.
GIVE LONG TERM CARE AND ALSO SERVICES. I'' M GOING TO DIVE AHEAD A COUPLE SLIDES TO.
THE PEARR DEVICE. WHEN I FIRST BEGAN AT SELF-RESPECT WELLNESS, MY.
OBJECTIVE WAS TO PRODUCE A POLICY OR PROCEDURE TO SUGGEST STAFF ON HOW TO RESPOND IF A POSSIBILITY.
SUFFERER ENTERS THE MEDICAL CARE FACILITY, OK? AND ALSO WHEN WE BEGAN THIS PROCESS, WE WERE.
ASSUMING THAT INDIVIDUALS WOULD BE IN A LOCATION WHERE THEY ARE ACTIVELY BEING TAKEN ADVANTAGE OF,.
AS WELL AS READY TO ACCEPT AID, BUT MAY NOT BE ABLE TO REQUEST HELP FOR SOME REASON.MAYBE THERE ' S
A CONTROLLING BUDDY WITH. THEM.
THEREFORE OUR FIRST VICTIM RESPONSE TREATMENT.
KIND OF LOOKED LIKE, OK, IF YOU DETERMINE THE RED FLAGS AT TRIAGE, THEN THESE ARE ALL.
THE STEPS THAT YOU'' RE GOING TO TAKE AND ALSO YOU'' RE GOING TO GET THEM IN An AREA, INQUIRE SOME.
CONCERNS ON THEIR OWN, IN An AREA ON THEIR OWN, ASK QUESTIONS AS WELL AS CONNECT THEM WITH RESOURCES. WHAT WE LEARNED OVER 3 YEARS, WE'' VE
HAD. LOTS OF, LOTS OF CASES OF INDIVIDUALS PROVIDING WITH SIGNS OF LABOR OR SEX TRAFFICKING, IN THE.
FIRST YEAR ALONE WE HAD OVER 31 CASES.PATIENTS ARE OFFERING ON A SPECTRUM, RIGHT? WE HAVE INDIVIDUALS PRESENTING THAT GO TO RISK. OF LABOR OR SEX TRAFFICKING VICTIMIZATION, PATIENTS THAT EXIST IN A WAY WE SUSPECT. THEY MAY BE ACTIVELY BEING GROOMED BY A LABOR OR SEX TRAFFICKER, AS WELL AS AFTER THAT WE HAD PEOPLE. PRESENTING THAT WE SUSPECTED TO BE
TARGETS BUT EITHER WERE OPEN TO QUESTIONS OR OTHERWISE OPEN. TO INQUIRIES.
EITHER WERE READY FOR SUPPORT OR WEREN'' T. READY FOR HELP. AND AFTERWARDS WE WERE SEEING SURVIVORS THAT WERE.
DAYS, WEEKS, MONTHS, EVEN YEARS PREVIOUS THE EXPERIENCE. SO WITH THIS HUGE RANGE, THIS SIMPLIFIED.
FORMULA ON IDENTIFYING RED FLAGS AND TRIAGE, FOLLOWING THIS PROCESS, IT DIDN'' T MAKE GOOD SENSE. SO, WE WERE SEEKING A TRAUMA INFORMED.
METHOD TO OFFERING TARGET AID TO An INDIVIDUAL. THIS IS WHAT WE CREATED. THE PEARR TOOL. WE PARTNERED WITH HEAL TRAFFICKING AS WELL AS PACIFIC.
SURVIVOR CENTER TO FIND UP WITH THESE ACTIONS. SO THE PEARR TOOL IS BASED ON A UNIVERSAL.
EDUCATION AND LEARNING TECHNIQUE WHICH IS ALIGNED WITH BOTH A PATIENT CENTERED TECHNIQUE AND INJURY INFORMED.
APPROACH.UNIVERSAL EDUCATION AND LEARNING

TECHNIQUE SUGGESTS YOU ' RE. INFORMING THE CLIENT REGARDING DIFFERENT KINDS OF MISUSE, OVERLOOK AND ALSO PHYSICAL VIOLENCE IN THIS SITUATION,. HUMAN TRAFFICKING.
AND ALSO AFTER THAT USING ASSISTANCE. IF THAT ' S WHAT APPEARS TO BE APPROPRIATE. ACTIONS ARE OFFER PERSONAL PRIVACY, EDUCATE THE PERSON. REGARDING PERSON TRAFFICKING OR ANY TYPE OF
PHYSICAL VIOLENCE, IF APPROPRIATE STEP INTO ASKING ABOUT SAFETY. WORRIES, ESPECIALLY IN A MEDICAL FACILITY SETTING AS WELL AS THE PERSON IS PRESENTING WITH RED FLAGS. INQUIRE ABOUT SAFETY CONCERNS AS WELL AS DEAL TO CONNECT. THEM WITH AREA FIRMS. THE LAST ACTION IS TO RESPECT AS WELL AS RESPOND, REGARDLESS. OF HOW THE PERSON SOLUTIONS, EVEN IF THEY DISCLOSE THAT THEY ARE EXPERIENCING VICTIMIZATION,. IF THEY DON ' T WANT ASSISTANCE YOU RESPECT THEIR CHOICE. AND AFTERWARDS RESPOND ACCORDLY, INCLUDING COVERAGE. SAFETY AND SECURITY PROBLEMS AS WELL AS UNCERTAINTIES OF MISUSE, DISREGARD AND ALSO VIOLENCE, TO APPROPRIATE INTERNAL TEAM,. AND TO AGENCIES AS REQUIRED OR PERMITTED BY LAW.THE PEARR DEVICE ISN ' T MEANT TO CHANGE MANDATED. COVERAGE, IT'' S DESIGNED TO CORRESPOND.
WHEN IT'INVOLVES MANDATED REPORTING A GREAT DEAL. OF TIMES THE PERSON IS LEFT OUT OF THE EQUATION. WE NEED A PRIVATE DISCUSSION WITH THE PATIENT. BECAUSE CHANCES ARE THE CLIENT DOESN ' T EVEN RECOGNIZE WHAT HUMAN BEING TRAFFICKING IS, RIGHT? SO YOU MAY HAVE JUST INFORMED THEM ON WHAT ' S. HAPPENING TO THEM MAY BE THIS THING
CALLED HUMAN TRAFFICKING. THAT MAY BE THE FIRST STEP FOR THEM. THEY ARE GOING TO SIT AND ALSO PROCESS THAT AS WELL AS. MAYBE LOOK FOR ASSISTANCE FROM YOU OR FROM ANOTHER PERSON AFTER THE SEE. SO IN ORDER TO IMPLEMENT THIS PROCEDURE AT. DIGNITY WELLNESS, WE WANTED TO INFORM PERSONNEL CONCERNING TRAUMA.THIS IS A PART OF OUR PROCESS, OUR ENDEAVOR.

TO BE An INJURY EDUCATED COMPANY.
SO I ' M DEALING WITH SEVERAL STAKEHOLDERS TO. CREATE A KIND OF REFRESHER COURSE MODULE ON TRAUMA NOTIFIED TREATMENT. I SIMPLY DESIRED TO PRESENT THE TOPIC TO HEALTHCARE. PERSONNEL, INCLUDING RESULTS OF TRAUMA, VARIOUS KINDS OF TRAUMA, AND ALSO HOW IT CONTAINER AFFECT THEIR. NEIGHBORHOODS AND THEMSELVES, THE HEALTH CARE EXPERTS SUPPLYING THE CARE AND ALSO SERVICES. AND SO WE INCLUDE THIS SLIDE FROM THIS FACILITY. FOR HEALTH TREATMENT STRATEGIES AT THE END OF EDUCATIONAL COMPONENT DESCRIBING WHAT INJURY IS, AND ALL. THE MANNER INS WHICH IT CAN HAVE LONG-TERM AND WIDESPREAD EFFECT.
THIS KIND OF DESCRIBES An INDIVIDUAL CENTERED. STRATEGY, CLIENT EMPOWERMENT, CHOICE, COLLABORATION, SECURITY AND ALSO RELIABILITY. I ASSUME A LOT OF HEALTHCARE COMPANIES. ARE CORE WORTHS, INCLUDING DIGNITY HEALTH AND WELLNESS ' S CORE WORTHS ARE WRITTEN IN A METHOD'WHERE THE. CLIENT IS AT THE CENTER.
WE ARE ALL TRYING TO SUPPLY An INDIVIDUAL FOCUSED. TECHNIQUE. BUT IF YOU ' RE EDUCATED ON INJURY, I THINK. THAT CANISTER ONLY BETTER YOUR CAPACITY TO OFFER A CLIENT CENTERED APPROACH. THEN YOU CONTAINER UNDERSTAND WHY YOUR CLIENT MAY. NOT INTEND TO ACCEPT SOLUTIONS OR WHY YOUR CLIENT MAY BE REACTING TO YOU IN An UNFAVORABLE WAY.IT MAY BE BASED ON PRIOR TRAUMA. SO IN THIS MODULE, WE ' RE ASKING HOW CAN YOU. CHANGE YOUR PERSON TREATMENT INTERACTIONS TO REFLECT THESE CORE CONCEPTS OF An INJURY
INFORMED. AS WELL AS PERSON FOCUSED METHOD. WE ' RE ASKING THIS AT SELF-RESPECT HEALTH FROM THE. LEADING DOWN AND ALSO UPSIDE DOWN. WE'' RE TRYING TO MAKE MODIFICATIONS ON AN ORGANIZATIONAL. DEGREE, WHERE WE'' RE CURRENTLY DESIGNING A SYSTEM POLICY TO RECOMMEND TEAM ON HOW TO'REPLY TO. A PATIENT WHO WE SUSPECT TO BE A VICTIM OF ANY SORT OF PHYSICAL VIOLENCE, INCLUDING HUMAN TRAFFICKING,. THAT POLICY WILL CERTAINLY CONSIST OF THE PEARR TOOL.LET ME SHARE SOME EXAMPLES HOW LEADERS IN.
OUR SYSTEM HAVE DECIDED AS WELL AS

IMPLEMENTED TRAUMA ENLIGHTENED TECHNIQUES.
SO IN ARIZONA, WE HAVE A HEALTHCARE FACILITY CALLED ST. JOSEPH ' S MEDICAL FACILITY AND ALSO MEDICAL FACILITY. THEY PARTNERED WITH THE PHOENIX CHILDREN ' S. HOSPITAL TO OFFER HEALTHCARE SERVICES TO LOCALS GETTING CARE AT THE PHOENIX AZ DREAM. FACILITY. THIS CONSISTS OF SURVIVORS OF PERSON TRAFFICKING. SO ST. JOSEPH ' S WAS PROVIDING OR IS GIVING THE. OB/GYN SERVICES TO LADIES AND LADIES ON SCHOOL, SIGNIFICANCE AT PHOENIX DESIRE CENTER.SO 2 TAKEAWAYS FROM THIS, NEIGHBORHOOD PARTNERSHIP. AND ALSO MEETING THE PATIENTS WHERE THEY GO TO. SO FOR SOME, COMING INTO A HEALTH CENTER SETUP. ON ARE LEAVING THE DOORS OF THE CLINIC MAY BE SCARY.
SO OUR PROVIDERS ARE GOING TO THE PHOENIX AZ. DREAM FACILITY AS WELL AS OFFERING SOLUTIONS TO THE LADIES.
THE BARROW NEUROLOGICAL INSTITUTE ALSO IN. PHOENIX METRO BEGAN WITH THE TRAUMATIC MIND INJURY PROGRAM. EMPLOYEES WERE EDUCATED TO USE A DEVICE CALLED. ASSISTS. WE KNOW THE SOLID CONNECTION BETWEEN DOMESTIC. VIOLENCE AS WELL AS SEX TRAFFICKING, THEREFORE WE ' RE ALSO SEEING SURVIVORS OF PERSON TRAFFICKING. VIA THIS PROGRAM. RESIDENTS ARE OFFERED A VISIT TO THE BARROW. INSTITUTE IF'THEY DISPLAY POSITIVE FOR THIS TOOL. EACH PATIENT SEES A
NEUROLOGIST AND THE FACILITY. SOCIAL EMPLOYEE. ALL INDIVIDUAL TREATMENT IS FREE OF COST REGARDLESS. OF INSURANCE STANDING. THEY ARE OFFERED, THEY BEING THE INDIVIDUALS,. ARE PROVIDE STATE OF THE ART TBI TREATMENT THAT ALL CLIENTS GET CONSISTING OF MRI IMAGING,.
MEDICINE, OUTPATIENT TREATMENT, PSYCHIATRIC SERVICES AND SO FORTH. THE LEAD OF THIS PROGRAM, DR. JAVIER CARDENAS IS RIGHT HERE THESE DAYS. I ENCOURAGE YOU TO CONNECT WITH HIM IF YOU ' D. LIKE TO LEARN MORE.THE THIRD PROGRAM IS GRACE HOUSEHOLD UNIVERSITY HOSPITAL. PERSON TRAFFICKING MEDICAL SAFE HOUSE IN SACRAMENTO. THE GRACE HOUSEHOLD HEALTH SERVICE IS A FAMILY.

MEDICINE RESIDENCY TRAINING FACILITY.
IT ' S BASED ON THE CAMPUS OF OUR METHODIST. HOSPITAL IN SACRAMENTO. SO MERCY FAMILY HEALTH AND WELLNESS CENTER USES COMPREHENSIVE. SERVICES FOR CLIENTS OF ALL AGES CONSISTING OF MAIN AND ALSO URGENT CARE, X RAYS, LABORATORY, GAIN ACCESS TO. TO HOSPITAL SPECIALISTS.DEVELOPING THE SAFE HOUSE THEREFORE THE SOLUTIONS. ARE BEING OFFERED WITH THIS PROGRAM, SURVIVORS OF BOTH LABOR AND SEX TRAFFICKING CONTAINER
RECEIVE. THE VERY SAME TOP QUALITY TREATMENT THAT ALL INDIVIDUALS ARE GETTING AT THE MERCY FAMILY MEMBERS UNIVERSITY HOSPITAL. THE DOCTORS AS WELL AS STAFF THAT ARE DEALING WITH. PATIENTS VIA THIS PROGRAM WERE ALL EDUCATED
ON PERSON TRAFFICKING AS WELL AS INJURY NOTIFIED CARE. AND RIGHT HERE ARE SOME EXAMPLES OF SOME ADJUSTMENTS THAT WERE MADE FOR THESE PATIENTS. SO THERE ' S A DIRECT PHONE LINE TO THE CLINICAL. ORGANIZER, AND ALSO A PATIENT ADVOCATE, WHO IS TRAINED BY THE NEIGHBORHOOD
DOMESTIC PHYSICAL VIOLENCE SANCTUARY. THAT GIVES SOLUTIONS TO SURVIVORS OF PERSON TRAFFICKING.WE OFFER EXTENDED PERSON TREATMENT CHECKS OUT TO CLIENTS. THROUGH THE HT MEDICAL
SAFE HOUSE, FROM AN HR TO 90 MINUTES. THERE ' S NO JUDGMENT FOR MISSED OUT ON APPOINTMENTS.
THIS WILL CERTAINLY TAKE PLACE WHEN WE ' RE SEEING SURVIVORS,.

ESPECIALLY THOSE WHO ARE REMAINING IN A SHELTER
. AND ALSO THE LAST ONE I DESIRE TO REFERENCE IS OUR. PERSONNEL'CONNECT WITH PATIENTS BY SMS MESSAGE SO WE ' RE MEETING THE CLIENTS WHERE THEY ARE.
AT. IF THEIR PREFERRED KIND OF COMMUNICATION IS. TEXT THAT ' S WHAT WE ESTABLISH WITH THEM.
SO I ' M GOING TO READ A QUOTE FROM A SURVIVOR. THAT IS A PATIENT AT THE MEDICAL RISK-FREE SANCTUARY, JENNA MACKAY. JENNA IS A SURVIVOR
AND ALSO SUPPORTER AND SHE ' S. THE CREATOR OF AN COMPANY CALLED THE JENNA MACKAY FOUNDATION.I NEVER SAW A DOCTOR WHILE I WAS TRAFFICKED,. WHICH WAS A DECADE AGO. I SAW PLENTY AFTER.
IT TOOK SIX YEARS FOR SOMEBODY TO RECOGNIZE. THE INDICATIONS. AND ALSO ULTIMATELY TREAT ME

. UNTIL I SAW DR. CHAMBERS, I HAD NEVER EVER GOTTEN THE CARE I REQUIRED. HE DEVELOPED A SECURE AREA TO SHARE MY TALE. AND PAIN AND ALSO TREATED ME WITH COMPASSION. I REALLY FELT RESPECTED BY A MEDICAL PROFESSIONAL, AND ALSO LASTLY. FEELING THAT I WILL CERTAINLY HAVE A REFUGE TO RECEIVE TREATMENT THAT I NEVER GOTTEN BEFORE. HIS PROFESSIONALISM AND TRUST AS WELL AS GENEROSITY
TRULY IS. WHAT DIGNITY HEALTH AND WELLNESS SPEAKS ABOUT. I CAN WALK INTO THAT WORKPLACE, TAKE A DEEP BREATH,. AND ALSO TRUST IN THE CARE THAT I WILL RECEIVE.SO DR. RON CHAMBERS IS THE SUPERVISOR OF THE MEASURESY.
FAMILY HEALTH AND WELLNESS CENTER, RON IS ALSO HERE TODAY.

RON RECOGNIZED THAT BY DEVELOPING SUCH A. PROGRAM CITIZEN DOCTORS WITH NOT ONLY LEARN MORE ABOUT HUMAN TRAFFICKING AND INJURY INFORMED.
CARE IN A HANDS ON MANNER BUT UPON GRADUATION WOULD TAKE THE UNDERSTANDING WITH THEM TO OTHER.
PRACTICES, WE ' RE CREATING A PHYSICIAN WORKFORCE ACROSS THE NATION WHO PREPARE TO SERVE'. VICTIMS OF PHYSICAL VIOLENCE AND ANYONE WHO REMAINS IN A PLACEMENT OF VULNERABILITY, INCLUDING SURVIVORS. OF HUMAN TRAFFICKING.THANK YOU. [APPLAUSE] > > HELLO. I ' M RENEE ORNELAS, AND ALSO I ' M SHOULD I HAVE WAITED
. FOR SOMEBODY TO PRESENT ME? OK. >> ALL RIGHT'. SORRY REGARDING THAT. I'' M A KID ABUSE
DOCTOR BY TRAINING. AND BY BOARD ACCREDITATION. AND I PRESUMES I DO THIS.
WHERE I FUNCTION CURRENTLY IS THE TS HOOTSOO MEDICAL. FACILITY. I OPERATED IN ALBUQUERQUE FOR 28
YEARS AND STARTED. A PROGRAM THERE THAT PROVIDED MEDICAL SERVICES FOR CHILDREN WITH CONCERNS OF SEXUAL ASSAULT,. TEENAGERS, AFTER SEXUAL ATTACK, AND AFTER THAT A GROUP OF ADULTS THAT WERE DEVELOPMENTALLY. DISABLED OR DISABLED IN SOME WAY THAT THIS KIND OF TECHNIQUE MADE FEELING. I WAS HIRED TO FIND TO NAVAJO COUNTRY AND. START A PROGRAM FOR THEM.THAT ' S IN WHICH I ' VE BEEN FOR THE LAST THREE.
YEARS. AND ALSO I ' M GOING
TO SPEAK TO YOU ABOUT CULTURAL. EXPERTISE, WHICH I TRULY HAVEN ' T PUT IN THAT TYPE OF A FRAMEWORK, BUT I HOPE I HAVE.'SOME THINGS I TIN OFFER YOU. THIS IS THE DEFINITION OF CULTURAL EXPERTISE. CREATED BY THE HEALTH AND WELLNESS AS WELL AS HUMAN SERVICES. DIVISION, OFFICE OF MINORITY HEALTH.
AND IT ' S A VERY NECESSARILY WIDE INTERPRETATION. AND IT INCORPORATES MANY ASPECTS OF A PERSON ' S. HISTORY AND ALSO SETTING, EXPERIENCES, EVERY LITTLE THING THAT GOES TO KIND THAT SPECIFIC PERSON ' S. SOCIETY, AND INCLUDES THINGS SUCH AS AGE, ORIENTATION, SEXUAL POSITIONING, RURAL VERSUS. URBAN, ALL THOSE THINGS THAT ENTER INTO DEVELOPING WHO EACH OF US ARE.ALL OF OUR EXPERIENCES ENTIRELY. I WISH TO BEGINNING BY SHOWING YOU A PICTURE
OF. WHERE I LIVE AND ALSO WORK. I DON ' T HAVE A POINTER.
IF YOU LOOK AT THE THIS IS FORT DEFIANCE,. ARIZONA. THE NAVAJO COUNTRY HAS 330,000
PEOPLE IN IT. LAST CENSUS BUREAU. AND ALSO MY THE SUPPORTER SIMPLY MESSAGE AS WELL AS TOLD ME. BASE ON THE CHAPTER RESIDENCE THERE ' S 6000 PEOPLE IN THE FORT DEFIANCE AREA. IF'YOU CHECK OUT THIS, WHAT I WANTED TO SHOW. WAS THAT IT ' S A VERY RURAL UNPOPULATED LOCATION OF THE NATION. AND YOU SEE THE RED ROOFS, IN WHICH WE LIVE. IT ' S THE HOUSING. IF YOU LOOK IN THE MIDDLE YOU ' LL SEE THESE. STRUCTURES THAT ARE WHITE
, THAT ' S THE HEALTHCARE FACILITY. AND AFTERWARDS THROUGHOUT YOU'' LL NOTIFICATION ARE BEAUTIFUL.
HILLS, RED ROCKS, BLUE SKIES. I TOOK THIS ENVISION FROM THE TOP OF THE HILLSIDE.
BEHIND THE HOUSING WHERE I WALK MY PET DOGS. AS YOU TIN SEE, IT'' S An EXTREMELY COUNTRY SETUP. AS WELL AS ACCESSIBILITY TO MEDICAL SOLUTIONS IS DIFFICULT. AND IT'' S DIFFICULT DUE TO SEVERAL.
TYPE OF FACTORS WHICH I LEARNED ONCE I MOVED THERE, I'' M FORTUNATE TO LIVE IN THE HOUSING.
I DO. I CAN WALK NEARBY TO FUNCTION, I HAVE.
A CAR.AND EVEN

THINGS THAT YOU MIGHT CONSIDER PROVIDED.
LIKE MEDICAL TRANSPORTATION IS REALLY COMPLEX THERE, BECAUSE YOU CAN JUST GET HELP, THE.
CLINICAL TRANSPORT, WHICH ACCESS SPENDS FOR, WHICH IS A KIND OF MEDICAID, IF YOU ARE GOING.
TO AN APPOINTMENT AT A MEDICALLY ASSOCIATED LOCATION, A HEALTHCARE FACILITY, AS WELL AS IF AND THIS CALLS FOR.
A REFERENCE FROM YOUR MEDICAL CARE MEDICAL PROFESSIONAL TO An INSTANCE EMPLOYEE, THAT AFTER THAT SETS IT UP WITH.
A MOTORIST AS WELL AS YOUR PERSON. AS WELL AS ALL OF THIS MIGHT SEEM NOT SO DIFFICULT.
BUT WHEN YOU HAVE LIMITATIONS OF COMMUNICATIONS SUCH AS CELLULAR PHONE SERVICE, WHERE YOU TIN'' T. EVEN GET SOLUTION UNLESS YOU DRIVE FIVE MILES TO THE ROAD, IT ENDS UP BEING VERY CHALLENGING. AND ALSO SIMPLY SIMPLE OBSTACLE OF NOT BEING ABLE.
TO LEAVE A MESSAGE, NOT HAVING THE ABILITY TO GET A MESSAGE, THINGS LIKE THAT, CAN REALLY.
HINDER THE HEALTH AND WELLNESS CARE. SO, IT'' S BUT IT ' S An ATTRACTIVE PLACE. AS WELL AS I LIKE LIVING THERE AND ALSO I LIKE WORKING.
THERE.AND I'' M UNDERSTANDING HOW TO PERFORM A BETTER WORK BY
PAYING ATTENTION.SO MY ADVICE IN

STIPULATIONS OF PAYING INTEREST IS THAT PRIOR TO YOU GO TO
FUNCTION IN AN LOCATION, SUCH AS THIS, WHICH FOR ME WAS THE NAVAJO NATION I ASSUMED I UNDERSTOOD THE WORK
I DO, CHILD SEXUAL ABUSE MAINLY, AND I STARTED SEEING ADULTS ONCE I WENT OUT THERE, SEXUAL OFFENSE. SO, I THOUGHT I RECOGNIZED THE AREA BECAUSE I HAD BEEN IN ALBUQUERQUE FOR 28 YEARS, TWO AS WELL AS A HALF HOURS AWAY, HAD SEEN PEOPLE FROM THE PUEBLOS AND ALSO APACHE RESERVATION AND ALSO NAVAJO, BUT IT'' S An ABSOLUTELY DIFFERENT EXPERIENCE WHEN YOU GO AS WELL AS LIVE THERE. AS WELL AS IT'' S ESSENTIAL TO BE OPEN. AND ALSO LEARN MORE ABOUT THE CULTURE, LANGUAGE, CUSTOMS AND ALSO CUSTOMIZEDS. THIS CAN HAPPEN IN A SELECTION OF WAYS. I HAVE THE WHAT IS IT IN THE NAVAJO LANGUAGE? IT JUST WENT OUT OF MY HEAD. BUT IT'' S LIKE, YOU UNDERSTAND, THE PROGRAM THAT YOU PLUG IN AS WELL AS CANISTER LEARN FRENCH AND ALSO SPANISH AS WELL AS ALL OF THAT. SOMEBODY SHOUTS OUT THE NAME I'' LL WHAT IS IT? YES, ROSETTA STONE.I HAVE ROSETTA ROCK ON NAVAJO LANGUAGE. AND ALSO I HAVE TO SAY IT'' S STILL IN PACKAGE AS WELL AS I HAVEN'' T CONSIDERED IT CONSIDERING THAT MY FIRST FEW WEEKS BEING THERE. AND I'' M TRYING. SO YOU DO, YOU HAVE TO DISCOVER AS MUCH
AS YOU CONTAINER ABOUT THESE VARIOUS ESPECIALLY CUSTOMS AND ALSO PERSONALIZEDS, MAKE YOUR SPACE CULTURALLY WELCOMING AS WELL AS FAMILIAR. YOU HAVE TO BE HUMBLE AND ALSO TRUTHFUL CONCERNING YOUR STANDING AS A NEWBY TO THE AREA. IF YOU WEAR'' T DO THESE THREE THINGS INDIVIDUALS WILL NOT MAKE USE OF YOUR SERVICES AND ALSO YOU WON'' T HAVE ANY TRUSTWORTHINESS.
SO, YOU'NEED TO GO GENTLY AND ALSO HONESTLY INTO LOCATIONS THAT YOU ' VE PROBABLY NEVER NAVIGATED BEFORE.THE THING THAT I HAVE ON MY SIDE IS A YOUNGSTER MISUSE PEDIATRICIAN, I WAS PROVIDING A SOLUTION THAT HADN'' T EXISTED ON THE NAVAJO COUNTRY BEFORE AND ALSO THERE WAS A HUGE NEED. AND ALSO I REACHED DO THINGS I'' M REALLY GREAT AT, THAT I ENJOY, DEALING WITH CHILDREN AND ALSO ADULTS, CURRENTLY ADULTS, THAT HAVE BEEN EITHER SEXUALLY MISTREATED OR SEXUALLY ASSAULTED. I FOUND OUT ABOUT IHS 638, FORTUNATE TO FUNCTION FOR A 638, WHICH IS A HEALTH CENTER WHICH HAS ACTUALLY DEVELOPED A BOARD, IN MY SITUATION THE FT DEFIANCE INDIAN HEALTH CENTER BOARD BECAUSE NATIVE COMMUNITIES HAVE A RIGHT TO SELF GOVERNANCE, TRIBES, NATIONS, AND ALSO THE CASH THEY FORM A BOARD AND THE CASH INSTEAD OF GOING TO IHS FACILITY GOES TO THIS BOARD. THEY DECIDE WHAT KINDS OF SOLUTIONS ARE GOING TO BE AT THAT HEALTH CENTER WHICH IS WHY I'' M THERE.IT ' S A HUGE DEMAND. BUT AS FOR I RECOGNIZE, IT'' S THE ONLY PROGRAM OF ITS KIND ON THE COUNTRY, AS WELL AS MAYBE ALSO NATIONALLY. IF SOMEONE KNOWS OF ANOTHER THING, PLEASE ALLOW ME TO KNOW. I WAS USE TO 24-HOUR HOTLINES, KNOWING WHO DID THIS WORK, FINDING IT OUT, MAKING CONNECTIONS, OBTAINING CARDS FROM INDIVIDUALS. THE SORT OF SERVICES OUR INDIVIDUALS NEED ARE SPREAD OUT AMONGST VARIOUS COMPANIES. A FEW OF THEM ARE FEDERAL. A FEW OF THEM ARE STATE. SOME OF THEM ARE TRIBAL. THINGS LIKE REINFORCING FAMILIES, THAT'' S. IN WHICH THE SUPPORTERS WHEN WE HAVE DOMESTIC VIOLENCE, CARBON MONOXIDE OCCURRING TROUBLE, THAT'' S
THAT. WE TELEPHONE CALL, ALTHEA IS THE INDIVIDUAL WHO COMES, AS WELL AS SPEAKS WITH OUR CLIENTS CONCERNING RESTRAINING ORDERS,.
ASSISTS THEM GET TO A SHELTER. WE USE SERVICES IN CHINLEY, I'' LL SAY THE WORD. ADABE, I TIN'' T BEGIN TO SAY THE CORRECT NAME, BUT THEY CAME, THEY HAD CASH FOR SOME TIME,.
AS WELL AS THEY SENT US SOMEBODY THAT WOULD COME AND FUNCTION WITH OUR CLIENTS WITH ISSUES OF DOMESTIC.
PHYSICAL VIOLENCE, AND THEY TRAVELED AN HR AND A HALF WHEN A WEEK ONE METHOD TO FIND AND ALSO DO THOSE.
SERVICES BUT THEY WERE GREAT.THEIR CASH WENT OUT SO WE LOST THAT SERVICE. TO PUT IT SIMPLY WHEN YOU GO INTO THESE COMMUNITIES,. THERE ARE SERVICES THERE.
THEY ARE NOT YOU JUST HAVE TO ASK, INTRODUCE. YOURSELF, MOST LIKELY TO MEETINGS, LOSE CONSCIOUSNESS BROCHURES AND ALSO YOUR CARD, CONNECT WITH OTHER INDIVIDUAL IN. THE LOCATION DOING THIS KIND OF WORK. YOU ' LL FIND TRIBAL AND NEIGHBORHOOD COMPANIES. WHO OFFER SERVICES, AS WELL AS A VERY
IMPORTANT THING IN WHICH I WORKED WITH NAVAJO COUNTRY, PARTNERING. WITH STANDARD HEALERS WHICH ARE A COMPONENT OF THE HEALTH CENTER PERSONNEL, WE ' RE BLESSED TO HAVE. THAT. AND ALSO I WILL CERTAINLY REVEAL YOU, THIS IS An IMAGE OF. A FEW OF THE IMPORTANT THINGS THAT ARE AVAILABLE AT TS HOOTSOO MEDICAL CENTER. SO ACCORDING TO THE TYPICAL RECOVERY ELEMENT. OF PROVIDING SOLUTIONS, I MAKE A REFERENCE MUCH LIKE YOU WOULD FOR DENTAL OR P.T. OR ANY OF THOSE POINTS, MAKE A REFERENCE FOR. A STANDARD HEALER.THE SOLUTIONS, IF THEY ARE A VICTIM
OF CRIME.

AND MADE A COPS REPORT, CRIMINAL ACTIVITY TARGETS PAYMENT HAS A TYPE YOU TIN SUBMIT AND ALSO THEY WILL. PAY FOR THOSE SERVICES FOR TYPICAL RECOVERY DUE TO THE FACT THAT LIKE ANYTHING ELSE, THERE ' S GOING. TO BE SOME TYPE OF FEE.
AND THEY WILL CERTAINLY BE IN INTERACTION WITH THE. FAMILY. WHAT YOU SEE, OH, THERE ' S SOME THINGS. YEAH, I JUST DESIRED'TO EXPLAIN, DO YOU SEE. THIS? WHAT YOU SEE ON THE RIGHT-HAND MAN SIDE OF THIS. MOVE IS A SCULPTURE AS YOU STROLL RIGHT INTO THE MEDICAL FACILITY IT ' S ON THE RIGHT HAND SIDE.IT ' S A NAVAJO DOCTOR
SPEAKING WITH A KID, AND ALSO.
YOU TIN SEE HIS MOMS AND DADS IN THE BACKGROUND. THERE'' S THIS GORGEOUS MURAL IN THE BACK THAT.
THIS RESTS AGAINST. THAT'' S WHAT THE LOCATION APPEARS LIKE. SO MATTERS LIKE THAT ARE REALLY ESSENTIAL IN. TERMS OF DEVELOPING AN ENVIRONMENT THAT'' S WELCOME AND ALSO WELCOMING TO THE PEOPLE. THIS IS THEIR AREA. WE ARE THERE TO PROVIDE SOLUTIONS, TO AID,.
BUT THIS IS THEIR LIFE AND THEIR NATION. THE HOGON YOU SEE ON THE RIGHT SIDE OF THIS.
GLIDE IS WHERE THE TRADITIONAL SOLUTIONS TAKE PLACE. THIS IS ON YOU TIN SEE IN THE BACKGROUND THERE'' S. A WALL. THAT ' S COMPONENT OF THE THE HOGON IS ON THE HEALTH CENTER. PROPERTY, ON THE EXTREMELY NORTH END OF THE HEALTHCARE FACILITY RESIDENTIAL OR COMMERCIAL PROPERTY. THERE ' S ANOTHER HOGON WITHIN THE HEALTH CENTER.
WALLS IN THE TEENAGE CARE DEVICE WHICH IS A PROGRAM, 10 WEEK PROGRAM FOR ADOLESCENTS.
13 17 YEARS OLD, TWO SWEAT LODGES ADDITIONALLY FOR THE INDIVIDUALS, ONE FOR THE MEN, ONE FOR.
THE LADIES. IT'' S A PROGRAM THAT HAS SCHOOL, BUT ONE OF THE MOST. CRUCIAL ELEMENT IS EDUCATION IN LANGUAGE, TRADITION, THEIR CLANS, THEIR SOCIETY, AND.
IT'' S INTENDED TO BRING A KID A TEEN WHO COULD BE HAVING A HARD TIME BACK TO THEIR CENTER.SO ONE OF THE CONCEPTS I ' VE LEARNED IN THE.
NAVAJO SOCIETY IS THAT OF BALANCE, THAT HEALTH AND WELLNESS COMES FROM BEING BALANCED. AND ALSO THIS IS ONE EFFORT TO AID THOSE YOUNG ADULTS.
COME TO BE MORE KNOWLEDGEABLE ABOUT THAT THEY ARE, WHERE THEY COME FROM, AS WELL AS ACCOMPLISH HEALTH AND WELLNESS VIA BALANCE. ON THE LEFT HAND SIDE THAT'' S OUR EXAM AREA.'YOU ' LL SEE THERE ARE FOUR SECRET MOUNTAINS,.
ACTUALLY 7, BUT 4 KEY ONES.AND THIS IS THE NORTH WALL SURFACE. YEP, THE NORTH WALL. AND ALSO THAT'' S THE PELVIC TABLE, THE CULPOSCOPE.
TO ACCOMPLISH OUR ASSESSMENTS, THE MURAL REPRESENTS NORTH, SOUTH, EAST AND ALSO WEST. I HAVE CLOUDS IN A CORNER, A RAINBOW OVER.
THE DOOR, THE SPACE NEXT DOOR IS WHAT WE PHONE CALL THE HOUSEHOLD OFFICE, FAMILY MEMBERS AREA, WHICH'' S. ALSO WHERE THE ADVOCATE SITS, WHICH'' S THE MURALS OF RED ROCKS AS WELL AS PLATEAUS, AND ALSO PETS,. BIRDS, AND WELL, THE EAGLES AND ALSO STEEDS, AND AFTER THAT THE ADMINISTRATION ROOM IS RED ROCKS,.
ALL RED ROCKS THAT ARE FROM THE LOCATION. BUT THE EFFORT IS MADE TO CREATE THIS SETTING.
THAT REALLY FEELS WELCOMING TO THE INDIVIDUALS WHO CONCERN US FOR SERVICES. WHEN I FIRST GOT THERE I ASKED ONE OF THE.
TYPICAL WHAT I COULD DO TO AID CREATE THIS TYPE OF ENVIRONMENT AND MY BOSS, DR. TUT, RECOMMENDED THE MURALS. YOU TRADITIONAL THERAPIST INFORMED ME YOU SHOULD.
WEAR TURQUOISE ANYWHERE TO AID THE KIDS RECOGNIZE YOU AS WELL AS FEELING COMFY WITH YOU. SO IF YOU END UP DOING THIS SORT OF FUNCTION,.
IN An ESTABLISHING THAT'' S NOT ACQUAINTED TO YOU, I'' M FROM LOS ANGELES, BORN AND ALSO ELEVATED IN EAST.
L.A., MOSTED LIKELY TO ALBUQUERQUE, I HAVE STILL A LOT TO LEARN.THE CRUCIAL THING IS TO I BELIEVE CONNECT. WITH THE AREA AROUND YOU AS WELL AS THE VARIOUS OTHER PROFESSIONALS REQUEST FOR ASSISTANCES AS WELL AS DIRECTION,. AS WELL AS ONE OF ONE OF THE MOST COMMON CONCERNS I OBTAINED
WHEN I FIRST LEFT THERE WAS THE LENGTH OF TIME. ARE YOU GOING TO BE RIGHT HERE FOR.
I INFORMED THEM, THE LAST PLACE I WORKED, I WORKED.
FOR 28 YEARS, I PUT ON'' T KNOW. I MEAN, AT FIRST I ASSUMED, OH MY GOD, DID. I JUST I DID, I SIGNED An AGREEMENT FOR A YEAR. BUT WHAT IT IS IS THAT YOU MAY BE DEALING. I WAS DEALING WITH A TEAM OF PEOPLE, A NEIGHBORHOOD IN WHICH'PEOPLE REOCCUR, PROVIDERS COME AND ALSO.
GO. AND IT ' S DIFFICULT TO TYPE A BOND, IF THEY. BE FAMILIAR WITH YOU, YOUR FAMILY, ALL THE ISSUES YOU HAVE, AS WELL AS THEN THE NEXT TIME YOU'MOST LIKELY TO. A SEE YOU ' RE GONE, YOU ' RE SUPPOSED TO OPEN AGAIN TO THE NEXT PERSON COMING IN? SO, WE HAVE TO CHECK OUT
THINGS FROM THE PERSPECTIVE. OF THE AREA THAT WE SERVE'. AND NOW I ' M NOT ASKED THAT INQUIRY ANYMORE.I DON ' T KNOW WHAT THAT INDICATES, BUT IT ' S An ENTIRELY. FAIR INQUIRY TO ASK. AND IT'' S SOMETHING THAT WE NEED TO THINK ABOUT.
AS WE GO INTO THESE COMMUNITIES, WHAT IS YOUR DEDICATION TO THAT COMMUNITY? CANISTER YOU PUT THAT ACROSS? BE HONEST ABOUT WHAT YOUR FINANCIAL INVESTMENT IS AS WELL AS.
WHY YOU'' RE THERE AS WELL AS WHERE YOU COME FROM. ALL OF THOSE THINGS GO TO RISE YOUR INTEGRITY. SO THANK YOU. [APPLAUSE]> > > OKAY. WELL, WE ARE RUNNING A LITTLE BEHIND. BUT I THINK WE DO NEED TO TAKE A WHILE FOR.
INQUIRIES. WE DID OBTAIN SOME QUESTIONS FOR EACH AND EVERY OF OUR.
PANEL PARTICIPANTS TO ASK, THERE MAY BE SOME QUESTIONS IN THE TARGET MARKET ALSO. SO WE'' LL BE SUCCINCT, RIGHT? WE'' LL BE SUCCINCT POSSIBLY IN OUR RESPONSES. SO I'' M GOING TO PRESENT A COUPLE OF THE INQUIRIES.
THAT WE HAVE ALREADY COLLECTED SO MUCH, FOR EACH AND EVERY OF THE PANEL MEMBERS. ALLOW'' S GET GOING. THE FIRST INQUIRY IS FOR HOLLY. WHICH CONCERN IS WHAT DOES IT MEAN TO.
BE SURVIVOR INFORMED? AND HOW IS THAT IMPORTANT TO TRAUMA INFORMED.
TECHNIQUE? >> > > SO LET ' S TEST THIS OUT.IT ' S GOOD, IT'' S WORKING. I ' M GOING TO READ An INTERPRETATION THAT WAS CREATED.
IN 2017 BY THE PERSON TRAFFICKING LEADERSHIP ACADEMY. THIS WAS ARRANGED BY NITAC IN NORTHERN THE GOLDEN STATE. OK. SO TO BE SURVIVOR INFORMED IS A PROGRAM, PLANS,.
INTERVENTION OR ITEM THAT IS DEVELOPED, IMPLEMENTED AND ALSO EXAMINED WITH INTENTIONAL.
LEADERSHIP AS WELL AS INPUT FROM VICTIMS AS WELL AS SURVIVORS TO MAKE CERTAIN THAT THE PROGRAM OR PRODUCT ACCURATELY.
STANDS FOR THE DEMAND, PASSIONS, AND ASSUMPTIONS OF THE TARGET SUFFERER POPULATION. BEING SURVIVOR INFORMED IS KEY TO A TRAUMA.
EDUCATED STRATEGY BECAUSE NO PERSON UNDERSTANDS OUR TRAUMA BETTER THAN SURVIVORS. SO FOR THOSE THAT WEAR'' T KNOW ME, I ' M A SURVIVOR. OF HUMAN BEING TRAFFICKING. I WAS TRAFFICKED FOR COMMERCIAL SEX WHEN I. WAS 14 YEARS OF AGES BY A MALE I MET AT MY LOCAL SHOPPING CENTER. SO YOU'' LL SEE I PUT ON ' T HAVE, YOU RECOGNIZE, “DOCTOR”. BESIDE MY TITLE, I DON ' T HAVE M.D. BESIDE MY TITLE BUT I BRING A DIFFERENT KIND OF PROFICIENCY.
TO THE TABLE. AS A SURVIVOR, AS
A SUFFERER, AT 14, I HAD TO. EXPERIENCE AN EMERGENCY DEPARTMENT.I HAD TO BE EXAMINED BY AN OB/GYN DOCTOR,. EXAMINED BY AN EMERGENCY SITUATION PSYCHIATRIST. THIS WAS ALL AFTER BEING QUESTIONED BY 6.
VARIOUS MALE DETECTIVES WHO WERE ALL TREATING ME IN An EXTREMELY NON TARGET CENTERED, NON INJURY.
INFORMED MANNER. I BRING THESE EXPERIENCES TO THE TABLE, AS WELL AS.
WE'' RE ALWAYS ACTIVELY CONNECTING TO OTHER SURVIVORS OF SEX AND LABOR TRAFFICKING TO.
EDUCATE WHAT WE ARE DOING AT DIGNITY HEALTH. A LOT OF JUST RECENTLY, WE MOSTED LIKELY TO DESIGN VICTIM OUTREACH.
POSTERS, SO WE PROVIDED FINANCING TO THE NATIONAL SURVIVOR NETWORK TO ASSIST United States PRODUCE POSTERS.
WHERE THE LANGUAGE AND ALSO THE IMAGERY IS SURVIVOR INFORMED. IF I MAY, I INTENDED TO URGE ANY PERSON RIGHT HERE.
WORKING IN A HEALTH AND WELLNESS CARE SYSTEM TO GET TO KNOW THE SURVIVORS THAT ARE HERE TODAY. THERE'' S LOTS SURVIVORS IN THE AUDIENCE.FOR THOSE OF YOU
THAT IDENTIFY AS A SURVIVOR. OPENLY, AND ALSO YOU WANT TO SHARE THAT YOU ' RE HERE AS WELL AS'AVAILABLE AS An EXPERT,.
IF YOU WOULDN'' T MIND STANDING. THANK YOU. [APPLAUSE]> > > THANK YOU, HOLLY, FOR SHARING. THAT WAS EXCEPTIONALLY MOVING. O.K.. OUR NEXT INQUIRY IS FOR DR. CHANG. WHAT WOULD IT TAKE TO SCALE THE ASSIMILATION.
OF MEDICAL CARE AS WELL AS BEHAVIORAL WELLNESS SERVICE FORCEFULLY RIGHT INTO THE HRSA GOVERNMENT QUALIFIED.
HEALTH FACILITY PROGRAM? >> > > THANKS. HELLO. MANY THANKS FOR THAT QUESTION. I REALLY PLANTED THAT ONE. SO, YOU RECOGNIZE, I THINK YOU SPOKEN WITH THE PRESENTATION.
FACILITIES EXISTS. WE HAVE THE PIECES. WE HAVE ABILITY STRUCTURE. WE HAVE THE SOAR TRAINING.WE HAVE WAYS THAT INDIVIDUALS ARE FINDING OUT ABOUT. HUMAN TRAFFICKING AND ISSUES, WE HAVE DIFFERENT SCREENING TOOLS AND EVALUATIONS, WE HAVE THE. WORKER, RIGHT? WE HAVE
SPECIALTY MENTAL HEALTH, WE HAVE SOCIAL. EMPLOYEES, WE HAVE SITUATION SUPERVISORS AND TREATMENT SYCHRONISATION IN HEALTH CENTERS ACROSS THE COUNTRY. THIS IS ALL DONE IN PIECEMEAL FASHION, EVERY. UNIVERSITY HOSPITAL IS TRYING TO FIND OUT HOW TO MAKE THIS DONE, PROBABLY DR.CHAMBERS AT DIGNITY AND ALSO YOUR FACILITY, HOW ARE. WE GOING TO MAKE THE LEADERSHIP DEAL WITH THE ORGANIZATIONAL DEGREE AS WELL AS COUNTY LEVEL AS WELL AS.
STATEWIDE DEGREE. SO NATURALLY THIS COMES DOWN TO A WORKED WITH. FINANCING STREAM, WAYS TO MEASURE SUCCESS AND ALSO CRITERIA MEASURES FOR SUCCESS, DIFFERENT DEMO.
JOB MONIES TO TRY TO SEE HOW WOULD THIS OPERATE IN VARIOUS NEIGHBORHOODS. YOU ' VE SEEN ONE UNIVERSITY HOSPITAL, YOU ' VE SEEN. ONE HEALTH AND WELLNESS CENTER, RIGHT? EVERY PERSON IS VARIOUS. EVERY NEIGHBORHOOD, EVERY UNDERSERVED POPULACE.
IS DIFFERENT. THAT ' S ONE ITEM OF IT. ON MY SECOND TO THE LAST SLIDE, THE FOURTH. TO THE LAST SLIDE, SORRY, I DISCUSSED REMOVING PLAN BARRIERS AND ALSO COMPENSATION, SAME DAY. PAYMENT MAY ASSISTANCE A LITTLE BIT.RIGHT NOW IF YOU SEE A PRIMARY
CARE DOCTOR,. I DO A WARM HANDOFF TO A SOCIAL EMPLOYEE OR TO ANOTHER PERSON BEHAVIORAL WELLNESS WORKER, YOU TIN. ONLY EXPENSE OUT FOR ONE CHECK OUT. SO IS THAT INDIVIDUAL CENTERED WHEN I SAY COME.
BACK TOMORROW AND ALSO YOU TIN SEE THE THERAPIST? IT ' S NOT, RIGHT? SO POLICY BARRIERS AROUND SHARING OF INFO. IN BETWEEN MENTAL HEALTH AND MEDICAL CARE AS WELL AS HIPAA BARRIERS ARE SOME POLICY OBSTACLES. AS WELL AS LABOR FORCE TRAINING, WE NEED TO DO ABILITY. BUILDING AMONGST DIFFERENT INDUSTRIES FOR THIS RELEASE IN ADDITION TO TRAUMA, ALONG WITH BEHAVIORAL.
HEALTH AND WELLNESS CARE. > > GREAT.THANK YOU. OK. CONTINUING, THIS CONCERN IS FOR DR. ORNELAS. WHAT ARE THE CONCERNS THAT ARISE WHEN SCHOOL >>.

AGE YOUNGSTERS OR ADOLESCENTS ARE IDENTIFIED AND ATTEMPTED TO INTEGRATE THEM IN FAMILY MEMBERS. AS WELL AS SCHOOL ATMOSPHERES? > > SO, THAT ' S A CONCERN I LIKEWISE GREW. YOU HAVE MYSELF AS A KID ABUSE DOCTOR,. DR. JORDAN GREENBAUM >>, AND ANOTHER FEMALE I JUST. MET, THE THREE PEOPLE ARE KID ABUSE PEDIATRICIANS. I WOULD SAY ANY AMONG United States IF
YOU NEEDED TO KNOW. MORE YOU COULD SPEAK WITH United States ABOUT YOUR PARTICULAR CONCERN. BUT THE ISSUE IS THAT IN MY EXPERIENCE OUR. REACTION HASN ' T BEEN EXCELLENT. IT HAS ACTUALLY NOT BEEN OF THE QUALITY THAT YOU MIGHT.
SEE FOR AN ADULT, USUALLY YOU SEE IN PEDIATRICS WE PATH BEHIND WHAT OCCURS FOR ADULTS.IF THOSE OF YOU THAT COLLABORATED WITH YOUNGSTERS,. THAT ARE NEGLECTED, AND AFTER THAT SHOT TO LOCATION

THEM IN FOSTER HOMES, AS WELL AS THESE ARE CHILDREN THAT WILL. THAT DON ' T LEARN ABOUT RESTING DOWN TO EAT DINNER, DON ' T UNDERSTAND ABOUT GOING TO REST AT 8:00 AT. EVENING. THEY DON ' T KNOW WHAT IT ' S LIKE TO SIT IN A. CLASS AND ALSO LEARN THEIR MULTIPLICATION TABLES.'A GREAT DEAL OF THESE ARE THE VERY SAME KINDS OF CONCERNS. SO SOMEBODY WHO YOU HAVE A 14 YEAR OLD WHO. HAS BEEN TAKING CARE OF HER LITTLE BROTHERS AND ALSO SIS, COUSINS AS WELL AS THE VARIOUS OTHER SIBLINGS. OF THE OTHER INDIVIDUALS IN THE HOME, AND ALSO NOW YOU ANTICIPATE HER TO ACT LIKE A NINTH GRADER,. FRESHMAN IN HIGH SCHOOL, THEY ARE GOING TO THINK EVERYTHING IS REALLY DUMB.AND, YOU KNOW, THEY ARE ACCUSTOMED TO SOCIALIZING. WITH YOUNGSTERS THAT ARE A WHOLE LOT OLDER, HAVING A GREAT DEAL MORE

FREEDOM. IT BECOMES CHALLENGING TO TRY TO TAKE
THESE,. THAT WE WOULD IDENTIFY AS TEENAGERS OR KIDS, AS WELL AS PUT THEM IN THESE ENVIRONMENTS THAT ARE.
MEANT FOR KIDS WHO HAVE HAD A MORE TYPICAL UPBRINGING. SO, I BELIEVE WHATEVER IT IS THAT WE DECIDE. TO PERFORM, AND THERE ARE PROGRAMS AROUND, THERE ' S MANY CONCERNS THAT COME UP BECAUSE THEY CONTAINER ' T. BECAUSE THERE ' S VARIOUS PROBLEMS DUE TO THE FACT THAT THEY ARE'MINORS, AND THEY HAVE RIGHTS, EVEN AS. MINORS, ADDRESSING An EXTREMELY COMPLICATED SET OF CONCERNS FOR SOMEBODY WHO DOESN ' T HAVE. THE MATURATION NECESSARILY TO UNDERSTAND WHAT THE EFFECTS ARE OF'ALL OF THEIR BEHAVIORS,. AND THE LIFE THEY MAY SEEK TO GET BACK INTO. SO, IT ' S NOT AN VERY EASY THING.
AS WELL AS I ASSUME WE NEED TO GO CAREFULLY INTO IT',. AS WELL AS CONSIDER EACH PERSON YOUNG ADULT AND WHAT IT IS THEY WANT OUT OF THE PROGRAMS THAT. WE ' RE PUTTING WITH EACH OTHER FOR THEM. > > EXCELLENT. OK. I ' M GOING TO ASK An INQUIRY
OF'DR. LEWIS O ' CONNOR, An INQUIRY ON A KEEP IN MIND CARD.'AS WELL AS ANOTHER INQUIRY THAT FIT. ONE OF THE QUESTIONS. WHAT ARE WAYS WE CONTAINER PUSH OURSELVES FURTHER? YOU IDENTIFIED SOME GAPS, SOME WAYS FEMALE ' S.
AND BRIGHAM HOSPITAL IN BOSTON BUT HOW DO WE CHECK OUT THAT AREA AND ALSO PUSH OURSELVES A. LITTLE BIT FURTHER, THAT
LINES UP WITH THE INQUIRY THAT CAME IN ON A NOTE CARD WHICH IS REALLY. LOOKING AT QUANTIFYING EFFICIENCY AS WELL AS PATIENT RESULTS. SO IF YOU CAN TYPE OF INTEGRATE THOSE 2. QUESTIONS INTO HOW YOU SEE THAT, THAT WOULD
BE HELPFUL. > > OK. THE FIRST INQUIRY I BELIEVE IS REALLY EASY. TO SOLUTION IN SOME WAYS THAT WE HAVE
TO HOLD OURSELVES ACCOUNTABLE, AND BE COMMITTED TO.
>> LONG-LASTING KNOWING, AS WELL AS WHEN WE DO OUR INJURY NOTIFIED CARE TRAINING WE OFFER A CARD,. WE ASK EVERYONE TO CARRY IT WITH THEM AND ALSO COMPOSE THREE POINTS
DOWN THAT YOU ' RE GOING. TO ADJUSTMENT. SO EVERYBODY WILL CERTAINLY WHINE ABOUT TYPE OF THE.
SHIPMENT OF TREATMENT TO ANY OF THE POPULATIONS WE ' RE TALKING ABOUT TODAY'BUT NOBODY
DESIRES. TO PERFORM ANYTHING DIFFERENT. SO I BELIEVE THAT ' S ONE. THEN THE VARIOUS OTHER THING IS'THOSE PEOPLE THAT ARE. ON OUR TRIP KNOWING AS WELL AS ENJOYING THE PRINCIPLES OF T.I.C. IS TO REALLY MODEL THAT. YOU UNDERSTAND, SO WHEN A PERSON PRESENTS TO ME A. PERSON
AND SAYS THIS MORBIDLY OVERWEIGHT PATIENT IN AREA 3, A ROLE MODEL BACK, MARY JONES,. BMI IS 40, THAT OCCURS TO BE IN
AREA 3, IS TO REALLY THINK ABOUT OUR LANGUAGE AS WELL AS DESIGN. THAT BACK.IT ' S A SHORT OFF THE TOP OF MY HEAD RESPONSE. CONTAINER YOU CLAIM THE SECOND INQUIRY? > > YEAH, THE INQUIRY RELATED TO QUANTIFYING. EFFECTIVENESS IN INDIVIDUAL END RESULTS. THE DIFFICULT QUESTION. > > YEAH, SO I INDICATE I ' M REALLY ASSUMING A GREAT DEAL. ABOUT THE METRICS AS WELL AS ANY PERSON THINKING ABOUT THE STUDY AS WELL AS THE METRICS PLEASE LET ' S. DISCUSSION WHILE WE ' RE RIGHT HERE. I BELIEVE IT HAS TO BE WHAT ' S MEANINGFUL TO. PATIENTS. I UTILIZED TO THINK THAT THE A1c IS REALLY IT',. THE BLOOD PRESSURE IS REALLY IS, THE REALITY THEY MADE IT TO TRANSMITTABLE DISEASE. I DON ' T KNOW THAT ' S IT.
WHAT IS MEANINGFUL TO THE INDIVIDUAL? I WAS APPRECIATED. I WAS'TREATED KINDLY. I JUST HAD A DUAL MEDICAL DIAGNOSIS PERSON THAT IS. NOW SITTING IN A DUAL MEDICAL DIAGNOSIS PROGRAM THAT WAITED IN OUR E.R.FOR THREE DAYS BEFORE SHE. COULD OBTAIN THAT BED. AND WHEN I ATTACHED WITH HER YESTERDAY WHAT. SHE SAID TO ME IS I SIMPLY DESIRED TO THANK PEOPLE THAT TREATED ME SO KIND. IT WAS VARIOUS THIS MOMENT. AND THE METHOD YOU WOULD EXPLAIN TO THE INDIVIDUALS. BELOW, I SEEMED LIKE WHEN I OBTAINED RIGHT HERE THEY REALLY RECOGNIZED ME. I DIDN ' T HAVE TO SAY ALL OF IT AGAIN. ISN ' T THAT SUGARY FOOD? THAT ' S A MEASUREMENT. HOW DO WE CAPTURE THAT? LIKE YOU STATED, INCLUDE INDIVIDUAL ADVISORS, THAT.
THEY HAVE DONE SO MUCH FOR ME IN MY THINKING AS WELL AS MY PERSONAL GROWTH, HOW I ASSUME ABOUT.
WHAT MY FACILITY OUGHT TO RESEMBLE BECAUSE THEY HAVE BEEN THERE FROM THE START. UH UH. I'' M LIKE, O.K.. FOR THE FACILITY, THEY DEVELOPED.
THIS, THEY SUCHED AS TREATMENT. THERE'' S A MILLION CARE CENTERS. BUT OURS IS DIFFERENT, COORDINATED APPROACH.
TO DURABILITY AND EMPOWERMENT.

>> > > THE CONCERN FOR HOLLY, INDIVIDUALS WOULD LOVE TO KNOW.
HOW TO OBTAIN A COPY OF THE PEARR TOOL. >> > > DOWNLOAD IT ABSOLUTELY FREE FROM THE WEB SITE,.
DIGNITYHEALTH.ORG/ PERSON TRAFFICKING REACTION. THERE'' S AN EXPANDED DESCRIPTION, THE ACTUAL.
TOOL IS AVAILABLE FOR DOWNLOAD THERE. YOU TIN LEARN ABOUT OUR OTHER PROGRAMS THROUGH.
OUR WEBSITE ALSO. >> > > EXIST INQUIRIES FROM THE TARGET MARKET ANY INDIVIDUAL.
WANTS TO COME TO THE MIC. WE'' LL TAKE ONE OR TWO CONCERNS FROM THE TARGET MARKET.
AS WELL AS BE TONE TO DAMAGE. >> > > BILLING FOR NAVAJO IF IT'' S NOT A RECORD,. DOES 638 ENTER INTO PLAY, HOW DO YOU PAY FOR THE SERVICES? >> > > LET ' S SEE. THEY BECOME PART OF MENTAL HEALTH AND WELLNESS SERVICES. THE ONLY METHOD I'' VE EVER SEEN THAT IT GETS PAID.
FOR IS THROUGH WHAT THEY CALL GAIN ACCESS TO, WHICH IS MEDICAID PROGRAM. BUT, WHAT A GREAT DEAL OF THINGS REGARDING THE TRADITIONAL.
HEALERS THAT WE HAVE AT THE MEDICAL FACILITY, THE SPECIFIC FAMILIES OFTEN HAVE THEIR.
OWN HEALERS THAT THEY WISH TO GO TO. THAT'' S WHAT THE CVRC CASH IS PRACTICAL WITH. IF THEY WISH TO USE THE HEALERS THAT WE HAVE.
AT OUR HEALTH CENTER, THAT'' S PART OF THE MEDICAL SOLUTIONS THAT THEY ARE ENTITLED TO. THEREFORE IT'' S EITHER ONE OR THE OTHER USUALLY.

>> > > I SIMPLY DESIRED TO SAY, BELOW'' S AN PRESUMPTION. I MADE WHEN I FIRST RELOCATED OUT THERE. THERE'' S MORMONS, CATHOLICS, BORN AGAIN CHRISTIAN,.
EVANGELICAL, THERE'' S A GREAT DEAL OF PROMOTER WORK THAT WAS USED UP THE DIFFERENT NATIONS THROUGHOUT.
THE INDIGENOUS COUNTRIES, ACROSS THE COUNTRY. AND ALSO THE RESULTS EXIST. THEREFORE TO PRESUME THAT SOMEONE RECOGNIZES.
WITH TRADITIONAL SERVICES IS THAT. IT'' S AN ASSUMPTION, SOMETHING THAT YOU HAVE.
TO ASK AS YOU'' RE PROVIDING SOLUTIONS, IS THIS SOMETHING THAT WOULD BE HELPFUL TO YOU DUE TO THE FACT THAT.
WE HAVE THIS, WE HAVE THIS. SO, THAT'' S PROBABLY THE FIRST ACTION. >> > > FANTASTIC. NEXT CONCERN. >> > > YES, HI, I'' M CHANDIA. I WISH TO DISCUSS TARGETS AS WELL AS SURVIVORS.
BELOW. ALL THE PRESENTATIONS, I DIDN'' T LISTEN TO SPECIFIC. DISCUSS PEOPLE THAT CAME FROM OUTSIDE THE UNITED STATES, AND GOT THERAPY, THE BEST.
THERAPY THAT THEY HAVE. AS WELL AS THEY ARE CURRENTLY I LEARN THAT THE TARGETS.
DIDN'' T GET THE MOST EFFECTIVE THERAPY THAT THEY REQUIRED SINCE OF LANGUAGE, CULTURAL, YOU STATED.
ABOUT HOW THEY INTEND TO BE DEALT WITH AS PEOPLE THAT DON'' T FIND OUT ABOUT THE SYSTEM BELOW.SO I DEAL WITH SOME MEDICAL PRACTITIONERS
IN NEW YORK CITY, AND WE DISCOVER SO I HELP THEM TO ESTABLISH HOW TO FUNCTION WITH MULTI FOREIGNERS
BELOW, PEOPLE FROM AFRICA, INDIVIDUALS FROM ASIA, INDIVIDUALS FROM, YOU RECOGNIZE, THEY HAVE A DIFFERENT
THING HOW MEDICAL PRACTITIONERS CANISTER TECHNIQUE THEM.IT ' S DIFFICULT. DID YOU CREATE THAT PIPE AS WELL AS IF YOU CANISTER
SHOW United States IT WOULD BE GOOD SO I CAN FIND OUT MORE REGARDING FROM YOUR SPECIALIST PERSPECTIVE
SINCE I HAVE MINE, AS WELL AS I COLLABORATE WITH 85% SURVIVORS FROM 27 COUNTRIES. >> > > DR. CHANG WOULD LIKE TO BEGIN. >> > > YEAH, MANY THANKS FOR THAT INQUIRY. I'' M GOING TO TALK EVEN MORE GENERALLY REGARDING INDIVIDUAL TREATMENT OVERALL FOR VARIOUS FOR INDIVIDUALS THAT ARE FROM VARIOUS NATIONS OR TALK VARIOUS LANGUAGES AND ALSO CULTURE. WE'' RE MANDATED BY REGULATION TO HAVE A BOARD OF DIRECTORS THAT IS 51% INDIVIDUALS OR USERS OF THE SYSTEM. SO AT ASIAN HEALTH SOLUTIONS WE HAVE BOARD MEMBERS THAT IN THE PAST HAVE SPOKEN KOREAN, TAGALOG, CHINESE OR VIETNAMESE, WE BRING INTERPRETERS FOR THEM WHEN THEY DO THEIR GOVERNANCE BOARD MEETINGS, TO MAKE SURE THAT'' S ONE DEGREE OF KIND OF PRODUCTION SURE THAT THE PERSON ' S VOICE IS HEARD.THE SECOND THING WE'' VE DONE OPERATIONALLY IS DO A GREAT DEAL OF AT OUR MEETINGS, ALL STAFF MEETINGS, WE DO A GREAT DEAL OF BACKGROUND, TEACHING REGARDING THE VARIOUS MEANS MIGRATIONS AND ALSO SOCIAL PROFICIENCIES OF THOSE DIFFERENT ASIAN POPULACES, AS AN EXAMPLE, FOR THE CAMBODIAN CLIENTS WE HAD PEOPLE COME IN AND ALSO DISCUSS THE GENOCIDE AS WELL AS THE DISPUTE, WHERE INDIVIDUALS WERE ORIGINATING FROM AND ALSO WHAT DOES THAT MEAN RIGHT HERE IN THE UNITED STATES WHEN THEY EMIGRATE OR OBTAIN REFUGEE STATUS. WE'' RE DOING A WHOLE LOT OF PROGRAMS THAT'' S NOT NECESSARILY CLINICALLY ASSOCIATED BUT IT IS ABOUT THE CONTEXT IN WHICH OUR PEOPLE INVOLVE HEALTHCARE TO GAIN ACCESS TO HEALTHCARE. SO WE ADDRESS INTERGENERATIONAL TRAUMAS AND THINGS LIKE THAT.YOU KNOW,

WHEN I THINK OF HUMAN TRAFFICKING, IT'' S MORE BROADLY IN THE CONTEXT OF MEDICAL CARE AND ALSO INDIVIDUAL CARE. SO THINKING ABOUT THE SOCIAL, HISTORICAL CULTURAL ASPECTS OF CLIENTS IS ESSENTIAL AS WELL AS FAMILY CONTEXT AND WE LIKEWISE HAVE INTERPRETERS. >> > > I WISH TO INCLUDE ONE POINT. IF YOU REALLY CONSIDER GUIDING CONCEPTS OF T.I.C., THE AND ALSO USE THOSE AT ORGANIZATIONAL DEGREE ALSO, CULTURAL, HISTORICAL, SEX RECOMMENDATION, VOICE, OPTION, EMPOWERMENT, SECURITY, WHAT DOES THAT RESEMBLE? I FIND THAT THOSE PRINCIPLES ARE GROUNDING IN THE WORK AS WE THINK OF IT. >> > > I BELIEVE THIS WILL BE OUR LAST CONCERN FROM THE TARGET MARKET. >> > > SO AS A SURVIVOR AMONG THE IMPORTANT THINGS I THINK ABOUT, A COUPLE PEOPLE STATED CODING, INCLUDING INFORMATION THROUGHOUT MEDICAL CARE PROVIDERS SO THEY ARE ON THE EXACT SAME PAGE, I ASSUME THAT'' S REALLY ESSENTIAL, MY WORRY IS FOR SURVIVORS AND ALSO HAVING THAT CREATED COMPLETELY ON THEIR WELLNESS DOCUMENT AND SIMPLY THE UNDERSTANDING THAT, YOU KNOW, THE POLITICAL ENVIRONMENT IS ALWAYS CHANGING, WE DON'' T KNOW HOW INSURANCE POLICY FIRMS ARE GOING TO RESPOND.OFTENTIMES THERE CONTAINER

BE UNFAVORABLE REPERCUSSIONS TO THAT.
SO WHAT ARE THE FACTORS TO CONSIDER THAT WE HAVE OR THAT ARE BEING SPOKE ABOUT OR REQUIREMENT TO BE SPOKEN ABOUT IN ORDER TO INCLUDE THAT AS WELL AS ENSURE THAT WE'' RE RECOGNIZING HOW THOSE THINGS CAN ACTUALLY HAVE DOWNSIDE INFLUENCES WHILE STILL WANTING TO PROGRESS FAVORABLY? >> > > YEAH, DR. LEWIS O'' CONNOR? >> > > THE ELECTRONIC HEALTH AND WELLNESS RECORD OBTAINED WAY IN FRONT OF US, WE'' RE SUPPORT INTO THE QUANDARY HOW DO WE FILE, JUST HOW MUCH, WHO SEES IT.I STILL BRING IT BACK TO GIVING YOU A SELECTION. HOW MUCH OF THIS DO YOU WANT IN YOUR MEDICAL RECORD? IF IT'' S REALLY SENSITIVE WHAT YOU'' RE WRITING AS WELL AS IF YOU BELIEVE IT'' S GOING TO BE A TENDER SUBJECT FOR SOMEBODY, YOU'' VE GOT TO COLLABORATE WITH YOUR EHR TO SEGMENT IT, TO SAFEGUARD IT, TO BREAK THE GLASS 4 TIMES BEFORE YOU OPEN IT.BUT AGAIN

I ASSUME THE PEOPLE NEED TO BE INCLUDED IN United States MAKING POLICIES AND ALSO PROCEDURES. >> > > TERRIFIC. OKAY. WELL, WE HAVE REALLY BEEN COMPENSATED WITH A.
WONDERFUL PANEL THIS EARLY MORNING. JUST A PAIR IDEAS I TOOK OUT AND ALSO WE'' LL. BRING THIS FIRST PANEL TO A CLOSE. I ASSUME WE'' VE HEARD A LOT ABOUT CYCLICAL VERSUS.
LINEAR IN EQUIPMENT. WE'' VE HEARD SO MUCH ABOUT THE RELEVANCE OF.
PATIENT AS WELL AS SURVIVOR ENGAGEMENT.THEY ARE THE PROFESSIONALS. HEALTH EXPERTS MAY HAVE FANCY DEGREES. BUT WE AREN ' T THE EXPERTS IN THIS
ROOM. I DISCOVERED SOMETHING NEW ABOUT RECOMMENDATION TO. SPIRITUAL HEALING REALLY THINKING OF SOCIAL SKILLS, INTEGRATING INTO THAT SYSTEMS. OF TREATMENT. WE HEARD ABOUT DIMENSION. WE ' RE NEVER GOING TO HAVE ALL THE DIMENSION. AND ALSO INFORMATION PROBLEMS SOLVED BUT WE STILL DEMAND TO MAINTAIN DEALING WITH THEM AND OBTAIN THOSE INTO. SYSTEMS WHERE WE ' RE MEASURING WHAT WE REQUIREMENT TO ACTION FOR THE RIGHT REASONS TO ENHANCE. OUTCOMES.AND AFTER THAT I THINK AMONG THE LAST THINGS I. HEARD THAT I LIKED, ONE OF OUR PANEL MEMBERS SAID HEALTH AND WELLNESS
COMES FROM REMAINING IN A BALANCED.
WORLD, A WELL BALANCED SETTING, AND ALSO SO IT ' S ABOUT ASSISTING OURSELVES, AIDING INDIVIDUALS,. AIDING OUR COLLEAGUES, ASSISTING EACH OTHER. NONE OF THIS WORK WE CANISTER DO BY OURSELVES. IT ' S An AREA INITIATIVE, WE WANT TO SEE A. DAY WHEN THERE IS NO TRAFFICKING. SO IT DOES TAKE EVERY PERSON TO ARRIVE. AS WELL AS I SIMPLY WOULD LIKE TO CLOSE ALSO WITH TYPE. OF A PERSONAL REMARK. AS I WAS SITTING, WAITING FOR THE SEMINAR. TO BEGINNING SOMEBODY ASKED FOR HOW LONG I ' VE BEEN IN THE FEDERAL FEDERAL GOVERNMENT, AT HRSA FOR 24. YEARS, NOT MY ENTIRE FEDERAL PROFESSION, I ' VE BEEN IN THE FEDERAL FEDERAL GOVERNMENT 28 YEARS, AND. SO THERE ' S TRULY VERY COUPLE OF TIMES WHEN YOU ' RE'A FEDERAL EMPLOYEE WHEN YOU'HAVE AN CHANCE. TO REALLY HAVE ONE OF THESE TIMES
, YOU ' RE HUMBLED AS WELL AS INSPIRED BY PEOPLE.AND THE REASON WE ' RE ALL STRUGGLING AND FIGHTING.

FOR TODAY. THEREFORE'THIS I WILL CLAIM IS ONE OF THOSE TIMES,. AMONG THOSE TIMES WHEN I ' M REALLY INFLUENCED AS WELL AS HUMBLED AND ALSO SO I SIMPLY INTENDED TO GIVE THANKS TO OUR. PANEL. THANKS ALL FOR THE NERVE YOU BRING, THE. TALES, THE STORIES WE HEARD, THE TALES YOU ALL HOLD UP, BECAUSE IT IS ABOUT THE STORY,.
IT'' S ABOUT THE FUNCTION. AND ALSO AS WE HEARD FROM HOLLY, WE'' VE HEARD FROM.
A FEW OF OUR OTHER SURVIVORS, EVERYONE NEEDS TO BE HEARD, RIGHT? WHEN WE LISTEN, WE LEARN.AND WHEN WE

LEARN, WE CAN REALLY GROW. AND AFTER THAT AS WE GROW, WE CANISTER MAKE MODIFICATION HAPPEN. SO I WOULD LOVE TO SAY THANK YOU AGAIN TO.
OUR AMAZING PANEL. THANK YOU TO OUR SYMPOSIUM DEVELOPERS BELOW,.
AND ALSO WE'' RE GOING TO RELAX AND I'' LL TURN IT BACK OVER TO OUR EMCEE. THANKS. [PRAISE]

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