with Sarah Yanosy, LCSW
Successful trauma-informed interventions look at both clients and the organization itself as vulnerable to the effects of trauma. Traumatic reenactment is not only a phenomenon of individual relationships, but also occurs between groups of people and even systems. Traumatic reenactment can be thought of as behavior that is comprised of maladaptive survival skills often employed by traumatized populations. “Re-scripting” reenactment, a primary tool of the Sanctuary Model developed by Sandra Bloom, is an effective way of dealing with these so-called manipulative behaviors that traumatized children and adults exhibit. We can often see these traumatic reenactments in the larger system as well, manifesting as splits between staff or divisiveness between units or departments. When staff or caregivers are able to recognize these reenactments among children, families, colleagues and even the agency as a whole, they can actively intervene to change this behavior and the functioning of their children and families, co-works and agencies. Sanctuary is the only organizational and clinical intervention recognized as a Promising Practice by the National Child Traumatic Stress Network (National Child Traumatic Stress Network, 2008). More recently, the Sanctuary Institute at ANDRUS was awarded the 2011 Council on Accreditation’s Innovative Practices award (Council on Accreditation, 2011) for its dissemination of the model.
Sarah M. Yanosy, LCSW is the Director of the Sanctuary Institute at ANDRUS in Yonkers, NY. As a clinical practitioner of the Sanctuary Model in her work with children and families, Ms. Yanosy collaborated with Dr. Sandra Bloom and colleagues to create the Sanctuary Institute.n her role as Director, Ms. Yanosy has overseen the implementation of this system-wide holistic organizational intervention for over 300 organizations, including residential treatment, D&A treatment, domestic violence, and juvenile justice programs in addition to hospital, community based and school settings across the United States and in seven other countries. She has been a keynote and featured speaker on trauma and organizational culture at both national and international conferences. Her most recent publication is an article co-authored with Landa Harrison entitled Traumatic Reenactment: How This Triangle Can Sabotage Intervention and Treatment” The International Society for Prevention of Child Abuse and Neglect (ISPCAN) (2011).
This program has been approved for CEU credits by the New York State Education Department’s State Board for Social Work. Adelphi University School of Social Work is an approved provider of continuing education for licensed social workers #0032.
*According to NYSED, in order to award social work clock hours; “When you offer a multi-day or multi-part course/educational activity, the learner must complete all parts in order to earn the certificate for contact hours, in the same way that a student must complete a semester-long course to receive college credit. You may not award partial credit for a program, even a one-day program, if the learner does not complete all requirements at that time.”*