Trauma Informed Efforts in Menominee
The Menominee Tribe and Menominee County have been dedicated to becoming trauma informed.
Much of this work started with our work with Fostering Futures and has continued to
grow and spread throughout our community.
Trauma Informed Education:
We have developed a 2 hour training entitled "Introduction to Trauma Informed Care."
This training includes discussion on the following topics: Historical Trauma,
Brain Development, Adverse Childhood Experiences, Secondary Trauma, Resiliency,
Principles of Trauma Informed Care, and Community Trauma Informed work. To date
430 people have received this training. Agencies trained in the last year include:
Eagle’s Nest Homeless Shelter, Youth Development and Outreach, College of the
Menominee Nation, Menominee Transit, Human Resources, Menominee Tribal Social
Services, Child Support, Menominee County Human Services, UW-Extension, Aging,
Maehnowesekiyah Wellness Center (AODA and DV services), Menominee Tribal Police
Department, Menominee Tribal Courts, and MISD.
We also provide the ACE Interface training in our community. We had 2 employees
complete the ACE Master Training in 2015; they have spread the word of ACE’s to
240 people in our area. In October 2016 we had 2 additional employees complete
the Master Trainer curriculum and look forward to further helping the state
get the word out about ACE’s.
Quarterly, both the Introduction to TIC and ACE Interface are held at the Community
Resource Center for community members to attend. We have been dedicated to training
evaluations and reviewing data gathered at the completion of the trainings. We have
used the data to evolve the trainings to be increasingly beneficial to the participants.
We are exploring ways to compile data on the TI work occurring in the community.
We would like to determine how agencies are using the TIC education they received
and document what changes have been made because of the education.
The Fostering Futures group completed the production of a Historical Trauma Video.
This speaks specifically of the historical trauma experienced by the Menominee people.
We will be using this video to train new employees to help them better understand the
population they will be serving and to sustain our TIC efforts over time.
Menominee is being recognized by our federal government as well as the state government.
August 17, 2016 US Senator Heidi Heitkamp conducted a field hearing of the US Senate
Committee on Indian Affairs and the Council on Native American Trauma-informed Initiatives,
in Bismarck, North Dakota. A round table discussion on trauma in Indian Country was held.
The Menominee Tribe was asked to give testimony on this issue and Senator Heitkamp
touted Menominee as a poster Tribe and leader in all their efforts to address Trauma in Indian Country.
Menominee Indian School District (MISD):
MISD continues to be a leader in the trauma efforts. In September 2015 the district
opened the Student Health Center to address the unmet mental health needs of the
student body. Counselors from 3 local agencies (Menominee Tribal Clinic, Menominee
County Human Services, and Maehnowesekiyah Wellness Center) staff the health center.
The last academic year, there were over 400 appointment/student encounters.
The district and the Head Start program have shown their dedication to being trauma
informed by bringing the Head Start Trauma Smart curriculum to the community. This
is a 10 module curriculum from the Crittenton Children’s Center in Missouri. This
model was designed to help communities heal from traumatic events and build resilience.
The Head Start, Pre-K, Kindergarten and 1st grade staff attended the 2015-16 academic
year. The rest of the Keshena Primary School staff is currently attending the 2016-17
academic year.
The College of the Menominee Nation has also been very supportive of the trauma work.
Along with training their staff, they have put trauma and ACE’s education into the
Elementary Education, Early Childhood Education and Nursing curriculums.
Menominee Tribal Clinic (MTC):
MTC has just completed their affiliation with the Pediatric Integrated Care Collaborative.
This is a program supported by SAMSHA and Johns Hopkins University that works to identify
and treat trauma related problems. The clinic has started screening families with babies
and young children for trauma using the SEEK (Safe Environment for Every Kid from the
University of Maryland School of Medicine) Screen.
The clinic maintains a close partnership with MISD providing both dental and behavioral
health services in school for the students. There is work to implement optical services in the future.
MTC continues to be committed to work toward a solution to the AODA issues being experienced
in our community. We have worked to offer auxiliary services as alternatives to opioid
prescriptions. These include physical therapy, chiropractic services, massage therapy,
exercise therapy, and acupuncture. According to reporting done by the WI Prescription Drug
Monitoring Program, Menominee County has had a decrease of 25.5% in opioid prescriptions.
MTC is currently participating in the "National Cooperative Agreement on Clinical Workforce
Development" with the Weitzman Institute to start a Post-Graduate Psychology Residency Program.
The clinic’s current expansion significantly increases the area for Behavioral Health Services.
We hope to house 2 pre-doctoral interns and 2 post-doctoral residents. Rotations for these
interns and residents would include the MTC medical department, the Student Health Center
and the Menominee Tribal Jail. The interns and residents will focus on Trauma Intervention
and Native and Rural Health.
The clinic currently has all staff participating in continuous trauma training. They have
developed a 26 module (1 year) training for staff. Every 2 weeks videos or articles are
send to staff for review. This provides an ongoing reminder of the trauma principles and
works to remind staff to provide services in a trauma sensitive way.
Menominee County Human Services (MCHS):
MCHS is committed to being trauma informed. They have implemented a trauma history
that is a part of all assessments. They are in the process of reviewing all policies,
procedures, and forms to be trauma sensitive. They have adjusted fee scales to accommodate
more clients. They oversee area emergency services along with providing counseling and
mental health case management. In 2016 the staff was trained in "Alternative Response"
which aims to reduce out of home placements and facilitate cooperative, coordinated work
with families to establish healing relationships.
MCHS is an active participant in Fostering Futures, ACE’s education, the Student Health
Center and community engagement. They, along with Maehnowesekiyah Wellness Center,
continue to explore options to better service youth in the area struggling with AODA and mental health issues.
Community Outreach:
ACE/TIC continues to meet as a core team and an advisory group quarterly. We also participate
in The Community Engagement Workgroup. This is a way to keep other agencies and the entire
community updated on our trauma work. We have been fortunate to have many agencies and
citizens support and validate our work.
In 2016 we were able to purchase resiliency supplies for MTC, MCHS, and Menominee Tribal
Social Services from "Resilience Trumps ACE’s." We feel it is important to have consistent
messages throughout our small community. We used some funds to purchase books for
Maehnowesekiyah Wellness Center to help their clients maintain sobriety. We also purchased
books for MCHS for families in foster care and families wanting to develop a wellness recovery plan.
Books purchased:
365 Days of Walking the Red Road: The Native American Path to Leading a Spiritual Life Every Day
The Red Road to Wellbriety: In the Native American Way
Little Book of Mindfulness – 10 Minutes a Day to Less Stress, More Peace
Adult Children of Alcoholics
Maybe Days: A Book for Children in Foster Care
A Child’s Journey through Placement Wellness Recovery Action Plan (WRAP) materials including:
Family Wrap, WRAP for the Effects of Trauma, Youth WRAP, and A WRAP Workbook for Kids.
Fostering Futures, along with Casey Family Programs, sponsored a community event featuring
the speaker Mr. Jonathon Cloud. The event was "Understanding and Responding to Trauma Exposure."
It was attended by 70 people and was very well received.
We are in the beginning stages of developing a trauma focused website with the help of the
Menominee Tribal IT Department. This website will be a source of TI education and will grow
to include best trauma practices. Fostering Futures also writes and distributes a monthly
newsletter to help spread the word of trauma and adversities.
We continue to meet with and update our local governing bodies annually. This includes
The Menominee Tribal Legislature, The Menominee County Board of Supervisors, and The
Menominee Indian School District Board. We are thankful for their continued support for Trauma Informed Care.