WEBVTT

1 "Jasmina Sisirak" (3966624256)
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Right now we will share the, the recording,

2 "Jasmina Sisirak" (3966624256)
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the PowerPoint and any resources that we mentioned during this webinar on our YouTube channel and I will also send that to all the attendees and everyone who is registered

3 "Jasmina Sisirak" (3966624256)
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after this webinar today's webinar we're excited to.

4 "Jasmina Sisirak" (3966624256)
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Present on brain health and trauma among people with intellectual and developmental disability, systemic bias and ableism in healthcare a little bit about today's webinar accessing culturally relevant trauma.

5 "Jasmina Sisirak" (3966624256)
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Informed care is a major challenge for people with intellectual disability, health care providers,

6 "Jasmina Sisirak" (3966624256)
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social service providers and community supports may have biases about people with disability that interfere with their ability to provide culturally acceptable care. This webinar.

7 "Jasmina Sisirak" (3966624256)
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Examine historical perspective as enablers and disability bias and reviews the impact of ableism in health care for people with intellectual disability through case based learning, we will discuss key approaches,

8 "Jasmina Sisirak" (3966624256)
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including trauma informed care to support people with intellectual disability who experience? Sexual trauma.

9 "Jasmina Sisirak" (3966624256)
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We have amazing presenters today.

10 "Jasmina Sisirak" (3966624256)
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Leanne Davis, I will let each presenter introduce themselves as they can speak about themselves better than I can read the BIOS. Jamie. Patty secretary and kiesha. Weller Leanne.

11 "Leigh Ann" (1149416960)
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Thank you so much for that quick kind of setting up for our webinar series. I'm Leanne Davis.

12 "Leigh Ann" (1149416960)
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I'm the senior director for the arts, National Center on criminal justice and disability,

13 "Leigh Ann" (1149416960)
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and so happy to be here today to bring this webinar series to you working with the board resource center and with our our wonderful partners with the health matters program as well.

14 "Leigh Ann" (1149416960)
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So, I wanted to just give you a little bit of an overview of our national center on criminal justice and disability.

15 "Leigh Ann" (1149416960)
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Uh, the center was created in 2013 and were funded through the Bureau of justice assistants, and our goal is to really advocate at that intersection of criminal justice reform, while also advancing disability rights.

16 "Leigh Ann" (1149416960)
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We work on both victims issues as well as those as that are. Are suspects in the criminal justice system. criminal justice system

17 "Leigh Ann" (1149416960)
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We have rather a broad portfolio of work that we that we do at the center. That includes funding through the federal government as well as foundations and have a small but mighty staff working on these issues.

18 "Leigh Ann" (1149416960)
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We work to really reach out to disability advocates as well as criminal justice professionals people with, and are over 600 chapter network. network

19 "Leigh Ann" (1149416960)
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Some of the the key items that we do through the center is provide training and technical assistants next slide. Sorry about that.

20 "Leigh Ann" (1149416960)
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We provide training and technical assistance as well as information and referral, uh, a number of different policy, briefs and other publications, all seeking to educate folks, uh, through social media, webinars,

21 "Leigh Ann" (1149416960)
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and attending different conferences. Next slide.

22 "Leigh Ann" (1149416960)
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And I just wanted to mention a few of our projects here, so you'll get an idea of the different work that we've been doing since starting about 10 years ago. In fact, we'll have a 10 year anniversary this year.

23 "Leigh Ann" (1149416960)
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We're working to develop a national training for law enforcement that looks at people with mental health as well as intellectual developmental disabilities. I just wanted to mention that we are using for short.

24 "Leigh Ann" (1149416960)
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So if you see that on the slide.

25 "Leigh Ann" (1149416960)
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That's referring to intellectual developmental disability.

26 "Leigh Ann" (1149416960)
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We also have a project where the project is looking at how people with autism, especially children wonder and how we can provide education and prevention of people, children dying, due to that,

27 "Leigh Ann" (1149416960)
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uh, key key projects that relate to our topic today. Is on violence and trauma in the lives of people with we have a project.

28 "Leigh Ann" (1149416960)
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Working with the board resource center and keisha Weller, who you will meet soon.

29 "Leigh Ann" (1149416960)
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I'll talk about sexual violence where we're educating healthcare providers about how they can talk to their patients that have intellectual developmental disability specifically about sexual violence.

30 "Leigh Ann" (1149416960)
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We are providing strategic planning in Arizona for their statewide network. On this topic. We also do some international work through the open society Foundation have different contracts.

31 "Leigh Ann" (1149416960)
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Facts and provide a community of practice for our chapter network on issues related to criminal justice.

32 "Leigh Ann" (1149416960)
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Next slide please. So, let's talk about the series and talk a little bit more about specifically this interconnection between brain health and trauma.

33 "Leigh Ann" (1149416960)
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The big thing we want to ask is what is the connection and how does that impact health care professionals what are the key messages? Do we need to be bringing to the healthcare profession when we think about this issue? Well.

34 "Leigh Ann" (1149416960)
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1st of all.

35 "Leigh Ann" (1149416960)
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Individuals in the medical profession need to understand that there is a disproportionate impact, a large impact of trauma among people with, across their lifespan.

36 "Leigh Ann" (1149416960)
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We did note some of the places to find data on this topic here below, below that key phrase.

37 "Leigh Ann" (1149416960)
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So, people with of all ages are more likely to experience trauma compared to their peers without disabilities.

38 "Leigh Ann" (1149416960)
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There's also a higher risk of maltreatment for people with and that increases the risk of trauma throughout their lives.

39 "Leigh Ann" (1149416960)
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This trauma could include emotional, physical, sexual abuse, neglect and exploitation. Some of this data comes through the Bureau of Justice statistics. We do have, um.

40 "Leigh Ann" (1149416960)
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Federal data that can provide this information when I started out in the field 27 years ago, we did not have this data.

41 "Leigh Ann" (1149416960)
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So, it's important that we continue to advocate through, um, federal, steady surveys, such as the National crime victim survey to really include people with, in research and surveys like this.

42 "Leigh Ann" (1149416960)
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Um, secondly, we know that trauma and resilience informed healthcare systems can improve 3 different. different

43 "Leigh Ann" (1149416960)
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Areas, so we're thinking about health care engagement. So how do people in the medical field engage interact with people with disabilities? Do they have the skill set that they need to do that treatment involvement?

44 "Leigh Ann" (1149416960)
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How are people with disabilities involved in their own treatment and we often talk about supported decision making and self determination and really giving people with disabilities the tools they need to have the kind of communication that is

45 "Leigh Ann" (1149416960)
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effective.

46 "Leigh Ann" (1149416960)
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With their health care professionals.

47 "Leigh Ann" (1149416960)
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And then, of course, all of this can positively impact health outcome. So it's important to link these 3 together and think about how all of these interact. And that's what we'll be talking about today in the webinar.

48 "Leigh Ann" (1149416960)
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Next slide I wanted to mention too, that a good precursor to this series.

49 "Leigh Ann" (1149416960)
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If you'd like to go check this out is a webinar that we provided in 2021 as part of the healthy brain webinar series. It was called preventing violence abuse, neglect and exploitation of people with id'd.

50 "Leigh Ann" (1149416960)
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It includes the webinar recording. You can check out the power points and links to. points and links to

51 "Leigh Ann" (1149416960)
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A number of different resources through that webinar that webinar we really looked at identifying the different range of abuse and neglect that people with experience and then learning how to talk to people with ID about trauma.

52 "Leigh Ann" (1149416960)
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And that was focused on healthcare providers as well. And you can check out that link and I think that that will be put in the chat as well. Um, there for the health matters YouTube channel.

53 "Leigh Ann" (1149416960)
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So, with that is a background and thinking about what we talked about the link between brain health and trauma, and people with id'd, let's hone in on what is the purpose of this series?

54 "Leigh Ann" (1149416960)
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So, this is the 1st of 4 different webinars that we'll be bringing you.

55 "Leigh Ann" (1149416960)
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So, the key purpose is to highlight those discriminatory practices and that implicit bias that's in healthcare settings and encourage the use of trauma, informed care strategies.

56 "Leigh Ann" (1149416960)
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We have to address the bias and, you know, working from a national center on criminal justice we see. Similar biases, right? Among law enforcement as well among courts and we also see it in the medical field.

57 "Leigh Ann" (1149416960)
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So we want to really highlight this.

58 "Leigh Ann" (1149416960)
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So that we can help healthcare professionals, understand that when they see their own bias, they can better address that and provide more trauma informed care response.

59 "Leigh Ann" (1149416960)
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Right and more strategies that they have in their toolbox when they're working with the disability community and a key point to this,

60 "Leigh Ann" (1149416960)
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and we want to thank so much the work of Patty and if kiesha of people who are peer advocate survivors,

61 "Leigh Ann" (1149416960)
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who are really bringing the message home for the healthcare healthcare community we want to learn from you and healthcare providers about brain health and trauma informed.

62 "Leigh Ann" (1149416960)
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Care so we'll be hearing from both Patty and keisha here in a few minutes about that.

63 "Leigh Ann" (1149416960)
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Next slide, so I will provide just an overview of what we'll be talking about on today's webinar,

64 "Leigh Ann" (1149416960)
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as I already mentioned that trauma affect affects people with throughout their lives. And as they age.

65 "Leigh Ann" (1149416960)
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And to keep that in mind too, that it's not, it's really throughout the lifespan of someone with. And then also that accessing trauma informed care is a major challenge for people with.

66 "Leigh Ann" (1149416960)
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So, thinking about what are the barriers around that healthcare providers, social service providers,

67 "Leigh Ann" (1149416960)
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and community supports may have biases about people with disability that actually impacts their ability to provide acceptable care. So, where.

68 "Leigh Ann" (1149416960)
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That implicit bias really keeping people with disabilities from getting the help that they need from being able to communicate, even with their, with their healthcare providers.

69 "Leigh Ann" (1149416960)
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And then we also review the impact of ableism and healthcare for people with through case based learning.

70 "Leigh Ann" (1149416960)
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And we'll do that through the talk about sexual violence project, which has created videos, which some of you already had a chance to watch if you didn't we really encourage you to go back and watch those videos.

71 "Leigh Ann" (1149416960)
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But these really bring.

72 "Leigh Ann" (1149416960)
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Case based scenarios to the work, and we think that that will help in terms of bringing some key messages home for those watching the webinar today.

73 "Leigh Ann" (1149416960)
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Next slide please.

74 "Leigh Ann" (1149416960)
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We wanted to start off too, with the same definition of trauma across the board and we all have the same idea in our minds when we're thinking about what does trauma mean?

75 "Leigh Ann" (1149416960)
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So, we are using the definition from the substance abuse, mental health services administration also called samhsa, because it's so long and hard to say. Um, so from Sam, so we get these 3 key.

76 "Leigh Ann" (1149416960)
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Items that make up the definition of trauma 1st, of all it can result from an event, a series of events or a set of circumstances as physically, or emotionally harmful, or that is life threatening.

77 "Leigh Ann" (1149416960)
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So we're looking at what caused the trauma. Secondly, it has lasting adverse effects on the person's functioning and their mental, physical social, emotional or spiritual wellbeing.

78 "Leigh Ann" (1149416960)
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So not only is it what it's from but.

79 "Leigh Ann" (1149416960)
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What it causes and then, thirdly, it can affect the brain in the body, which can cause some of these different types of outcomes, including behavioral, physical, sleeping issues and increased risk of developing dementia.

80 "Leigh Ann" (1149416960)
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So, this, this is not all the different eggs because there are many others, but this is just providing some examples of what trauma can cause.

81 "Leigh Ann" (1149416960)
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Uh, next slide please, and something we also wanted to really help listeners keep in mind and, as you think about the rest of the series, too, to keep this in mind that we know the impact of trauma is widespread.

82 "Leigh Ann" (1149416960)
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So, when we think about brain health, right? We have to think about how trauma is impacting folks in all of these different areas and we think about the lifespan as well. So, some of the areas to keep in mind are in these 3.

83 "Leigh Ann" (1149416960)
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Different buckets from abuse, which can be physical, emotional, sexual as examples to neglect and also just.

84 "Leigh Ann" (1149416960)
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General dysfunction that's happening in the home, so just.

85 "Leigh Ann" (1149416960)
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Kind of keeping them this in mind that this can affect people in many different areas and thinking about how this affects people with id'd specifically in these different buckets. As we look at the link between brain health and trauma throughout the series.

86 "Leigh Ann" (1149416960)
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Next slide please.

87 "Leigh Ann" (1149416960)
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So, this leads us to the talk about sexual violence, a project, which I just mentioned earlier what this project has done is create easy to use training tools for healthcare providers.

88 "Leigh Ann" (1149416960)
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1 of what you already saw. If you watch the video. Our goal is to really create easy quick, not too long videos and quick easy to use information for healthcare providers.

89 "Leigh Ann" (1149416960)
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To help them know how to comfortably have conversations about really hard conversations to usually have with people with. We're outreach to healthcare providers and a number of different avenues.

90 "Leigh Ann" (1149416960)
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1 of which is webinars like this, we hope to increase those patient centered conversations.

91 "Leigh Ann" (1149416960)
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So that the focus is on the patient with that, that will also help increase reporting of sexual violence and just generally decrease discomfort that health care providers.

92 "Leigh Ann" (1149416960)
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Can feel because they've never been able to practice this, or know how to do it before. I wanted to mention that there is a QR code that you can use to quickly go to the project more more easily on your computers.

93 "Leigh Ann" (1149416960)
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And then next slide.

94 "Leigh Ann" (1149416960)
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As part of this project, um, there are some core values that we think is very important and we can think about this, as it relates to any type of trauma that people with disabilities may experience,

95 "Leigh Ann" (1149416960)
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but the 2 that we see that we hear from people with disabilities often is that they want to be heard, listen to us take time in the appointment to listen to us and then, secondly,

96 "Leigh Ann" (1149416960)
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believe how important is it and how.

97 "Leigh Ann" (1149416960)
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Easily sometimes, especially if there's another doctor in the room or a healthcare provider in the room. Um, and then the care provider for that individual to talk to the care provider, for example, instead of the person with the disability.

98 "Leigh Ann" (1149416960)
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So, while, that might not seem like a big deal to those, the medical profession, or who don't live in the disability community. That is a huge deal. The person with the disability can feel completely dismissed.

99 "Leigh Ann" (1149416960)
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So that listening piece and that believing piece is.

100 "Leigh Ann" (1149416960)
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To to talking about sexual violence and other topics trauma and we just provided here again.

101 "Leigh Ann" (1149416960)
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An example of James going to the doctor as 1 video that really addresses the issue of stereotypes that men are abused when they are.

102 "Leigh Ann" (1149416960)
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So, James really wanted to bring this out in the project and then, secondly, teaches video highlights how to how to be clear with your doctor about abuse and.

103 "Leigh Ann" (1149416960)
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She has her own life experience to share on that, which she will do here in a few minutes.

104 "Leigh Ann" (1149416960)
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Next slide. So what is the call to action from national survivor leaders?

105 "Leigh Ann" (1149416960)
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1st of all kiesha mentioned that we need to talk about sexual violence to end this silent epidemic of abuse and then James focuses on the fact that people with disabilities deserve to live a life free from abuse and then too often

106 "Leigh Ann" (1149416960)
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it's ignored or excused. So, key messages that we really want to help to promote in any.

107 "Leigh Ann" (1149416960)
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Possible to the healthcare profession.

108 "Leigh Ann" (1149416960)
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Next slide and I will hand it over now to jasmine who will present cases case as our moderator today.

109 "Leigh Ann" (1149416960)
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And thank you so much jasmine for walking us through this specific scenario. And I know that you'll be able to provide a question at the end. And hopefully we can hear from folks in the chat about that question.

110 "Jasmina Sisirak" (3966624256)
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Thanks Leanne. I, um, I have already emailed we cannot watch the videos because everyone has different Internet speed so it gets really frustrating to watch the video in a live format.

111 "Jasmina Sisirak" (3966624256)
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So, I've provided a, uh, I'm going to provide a link to meet with her doctor video again and I know some of you or many of you have re, watched it already.

112 "Jasmina Sisirak" (3966624256)
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Before the webinar and I, thank you for that. It's about 3 and a half minutes.

113 "Jasmina Sisirak" (3966624256)
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Um, and the purpose of the video is in this 3, and a half minute video is where kiesha meets with her, um, healthcare provider, and the video illustrates a medical appointment where,

114 "Jasmina Sisirak" (3966624256)
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where kiesha visits with the doctor and discloses that she has recently experience sexual violence. The doctrine the nurse had gentle.

115 "Jasmina Sisirak" (3966624256)
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To their voices and made eye contact with kiesha they were genuinely concerned about bruised arm and infection.

116 "Jasmina Sisirak" (3966624256)
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The doctor asked caregiver to step outside the examination room, the doctor used the picture charge to help video to help keisha, articulate where she had gotten abused or hurt.

117 "Jasmina Sisirak" (3966624256)
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And even though keisha was traumatized, she did not appear re, victimized by her doctor's visit.

118 "Jasmina Sisirak" (3966624256)
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And both the doctor and a nurse used everyday language. So kiesha could understand what was going on. Um, at the end, they followed up and asked, uh, kiesha Tal, keisha that she can. There are people that can help her.

119 "Jasmina Sisirak" (3966624256)
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So the question for you oppose, then, please put your comments in a chat box is what would you do to promote continuity of care after this, this doctor's visit and, as a definition,

120 "Jasmina Sisirak" (3966624256)
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for the continuity of care, it's an organized and carefully coordinated process. That's essential to high quality patient client care, which involves the patient family, and then interdisciplinary team working together to facilitate.

121 "Jasmina Sisirak" (3966624256)
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The transition of the patient client from 1 level of care to another.

122 "Jasmina Sisirak" (3966624256)
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So, if you have any comments about, what would you do next to promote this continuity of care um, please put them in a chat box.

123 "Jasmina Sisirak" (3966624256)
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Um, I'm seeing some already.

124 "Jasmina Sisirak" (3966624256)
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1 of the questions, if we were to conduct training to our own agencies, are we able to use these videos? I'm going to let LeAnn answer that they are available on YouTube. So they're they're public. Absolutely. Yes.

125 "Leigh Ann" (1149416960)
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Please use them. Well, that is the whole goal of the project is that they are, and they're quick, right? They're quick and easy to use. We also have, um, other, um.

126 "Leigh Ann" (1149416960)
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Uh, different, uh, publications that are very easy and simple to use as well, like, charts, um, different things on our website that go along with the video. So please check all those out and you can contact us directly.

127 "Leigh Ann" (1149416960)
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If you have more questions about that.

128 "Jasmina Sisirak" (3966624256)
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And don't worry about grabbing these video links or anything. We will post everything on the YouTube channel and all of the links and resources will be available to you. And you will be emailed once that up.

129 "Jasmina Sisirak" (3966624256)
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And it usually takes less than 7 days for us to do that. So, just sit back and just listening and soak in as much as you can. Um, 1 of the comments provide follow up with both the patient and her caregiver ensure her family and Guardian.

130 "Jasmina Sisirak" (3966624256)
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Appointed or aware of the appointment and then Leanne mark, keisha, or anyone else of the presenters if you want to jump in and, and kind of do a commentary on this. Please do.

131 "Jasmina Sisirak" (3966624256)
00:21:54.749 --> 00:22:06.959
Another attendee mentioned, you create an after care plan. This is best done by a therapist, but agencies can create an aftercare plan. That is helpful.

132 "Jasmina Sisirak" (3966624256)
00:22:06.959 --> 00:22:11.399
A warm handoff to social work would be good.

133 "Jasmina Sisirak" (3966624256)
00:22:11.399 --> 00:22:20.969
I also think it's, it'd be valuable in the videos to at least have the dialogue that the victim is no longer at risk safe from the perpetrator.

134 "Jasmina Sisirak" (3966624256)
00:22:20.969 --> 00:22:34.679
That's a good point. Ensure that he understands the next steps and ask if she wants support and who she wants to support her.

135 "Jasmina Sisirak" (3966624256)
00:22:34.679 --> 00:22:45.659
I would ensure that she was set up with a therapist and the staff working with her are educated on trauma and understand what could develop from this trauma.

136 "Jasmina Sisirak" (3966624256)
00:22:45.659 --> 00:22:56.699
Follow up with her, the perpetrator needs to be investigated. Next steps should include this involve adult protective services.

137 "Jasmina Sisirak" (3966624256)
00:22:56.699 --> 00:23:02.039
Any comments, um, so far I'm reposting the video link.

138 "Leigh Ann" (1149416960)
00:23:02.039 --> 00:23:14.814
For some, some of you asked for it again I think these are wonderful. Thank you so much for everyone to everyone for posting these. Um, we're actually going to go back and look at these as a team as these are. Great.

139 "Leigh Ann" (1149416960)
00:23:15.204 --> 00:23:25.344
Um, I will say that even just getting a therapist, um, who who know how, or have it expertise working with people with can be challenging at times. Oh, yeah, yeah.

140 "Leigh Ann" (1149416960)
00:23:25.799 --> 00:23:36.024
So, that's 1 of the things that that I hear from different places throughout the country of just finding individuals that have that expertise, or, um, are willing to do that.

141 "Leigh Ann" (1149416960)
00:23:36.474 --> 00:23:51.384
Um, I also see a comment about involving adult, protective services and that is, of course, 1 area that we have been doing quite a bit of work at the national level in ensuring. That does, um, address this issue.

142 "Leigh Ann" (1149416960)
00:23:51.414 --> 00:23:55.734
That they're focused on people with disabilities, too, with what they with the work that they.

143 "Leigh Ann" (1149416960)
00:23:55.799 --> 00:24:09.179
Do because we've often heard that hasn't always been there and that the API is not always been responsive. So, um, there's some really good points. I think that as, as the webinar continues, that we can.

144 "Leigh Ann" (1149416960)
00:24:09.179 --> 00:24:13.439
Kind of circle back to some of these comments that have been made. So thank you so much.

145 "Jasmina Sisirak" (3966624256)
00:24:13.439 --> 00:24:25.469
Thanks Leanne. And next I wanted to and introduce Jamie Patty and kiesha, and they will be further talking about trauma, informed approach. Jamie.

146 "Jaime Suvak" (1037440512)
00:24:25.914 --> 00:24:35.454
Thank you and thank you for having us here today. It was funny, because my daughter was asking me mom. Are you nervous about this big webinar today?

147 "Jaime Suvak" (1037440512)
00:24:35.454 --> 00:24:49.554
And I hadn't thought about it, because I'm just so passionate about this work and excited to share what we've been working on with all of you in hopes of creating further change. So, thank you all for being here with us today. My name is Jamie.

148 "Jaime Suvak" (1037440512)
00:24:49.554 --> 00:24:55.464
Sue back and even though this slide is a little bit off, I'm actually a PhD student so I want.

149 "Jaime Suvak" (1037440512)
00:24:55.469 --> 00:25:08.934
To be clear, I don't have those letters quite yet and I'm at this school for global inclusion and social development at UMass Boston I formally was at the disabled person's protection commission in Massachusetts,

150 "Jaime Suvak" (1037440512)
00:25:08.934 --> 00:25:22.974
and I helped to start the sexual assault response unit, which employs peer support leaders as well, as navigators to increase access to trauma services for survivors with disabilities.

151 "Jaime Suvak" (1037440512)
00:25:23.304 --> 00:25:25.464
I'm also a licensed mental health counselors.

152 "Jaime Suvak" (1037440512)
00:25:25.469 --> 00:25:37.914
And I've been working in the field of therapy, advocacy activism, education in sexual violence for about 25 years now. And I would really love it. If Patty introduced herself.

153 "Jaime Suvak" (1037440512)
00:25:37.914 --> 00:25:40.764
And then kiesha introduced herself as well. well

154 "Patricia Quatieri" (793402112)
00:25:41.069 --> 00:25:52.079
I'm feeling quite scary. I am, I choose it for. He said, well, person protecting emerging. I.

155 "Patricia Quatieri" (793402112)
00:25:52.079 --> 00:25:56.369
What were Jamie very well and, um.

156 "Patricia Quatieri" (793402112)
00:25:56.369 --> 00:26:02.759
I do a lot work, so this is my passion. I've been doing this, um.

157 "Patricia Quatieri" (793402112)
00:26:02.759 --> 00:26:05.819
Check this out.

158 "Patricia Quatieri" (793402112)
00:26:05.819 --> 00:26:11.789
For 25 years as guy and whoops.

159 "Patricia Quatieri" (793402112)
00:26:11.789 --> 00:26:15.329
In in.

160 "Patricia Quatieri" (793402112)
00:26:15.329 --> 00:26:19.289
Thank you thank you.

161 "kecia" (590238464)
00:26:19.289 --> 00:26:23.939
Remind me hello everyone my name is Kitty.

162 "kecia" (590238464)
00:26:23.939 --> 00:26:35.159
And I am the National with my colleague for the peer support network.

163 "kecia" (590238464)
00:26:35.159 --> 00:26:40.619
And I've, um, I've also worked with Jamie to perfect.

164 "kecia" (590238464)
00:26:40.619 --> 00:26:47.279
To the, uh, network I, um, I have also been working with the, um.

165 "kecia" (590238464)
00:26:47.279 --> 00:26:58.259
National arc, the natural, such African no guesses. Disobey sector was the Davis and the board research center with Mark.

166 "kecia" (590238464)
00:26:58.259 --> 00:27:05.339
I talk about sexual violence on projects for quite a few years.

167 "kecia" (590238464)
00:27:05.339 --> 00:27:16.679
This is our 3rd action. I'm really happy about that from the West foundation. I am also a cofounder member of the, um, California.

168 "kecia" (590238464)
00:27:16.679 --> 00:27:29.399
Fire coalition network, so it's a pleasure to be here. And this, this kind of work is my passion. I don't even get nervous when I'm talking about.

169 "Jaime Suvak" (1037440512)
00:27:30.779 --> 00:27:38.519
Thank you Patty and, um, and before we jump in, I was hoping that, um.

170 "Jaime Suvak" (1037440512)
00:27:38.814 --> 00:27:50.244
If folks can think about the words trauma informed, and just put in the chat 1 word or 2 words that come to mind when someone talks to you about trauma informed.

171 "Jaime Suvak" (1037440512)
00:27:50.274 --> 00:28:00.594
I'd like to know what folks are thinking when they hear that word. And as you're doing, it just want to remind folks that we're going to be hearing some personal stories.

172 "Jaime Suvak" (1037440512)
00:28:00.594 --> 00:28:08.334
We're gonna be hearing about some trauma we're going to be hearing about some experiences 1st hand and that sometimes can be.

173 "Jaime Suvak" (1037440512)
00:28:08.519 --> 00:28:18.924
Difficult and if you are having a hard time, do what you need to do, take care of yourselves to step away and please come back to us. At some point.

174 "Jaime Suvak" (1037440512)
00:28:19.284 --> 00:28:28.494
I also want to just let, you know that we're going to be doing a very brief overview of trauma, informed care and trauma, informed approaches.

175 "Jaime Suvak" (1037440512)
00:28:28.584 --> 00:28:38.394
But then we're really going to be talking with Patty and keisha about their experiences and how it exemplifies some of the things that have been going.

176 "Jaime Suvak" (1037440512)
00:28:38.519 --> 00:28:48.239
Well, and they're changing, and some of the things that have not been going so well for them and what we, the work that we need to continue to do. Um.

177 "Jaime Suvak" (1037440512)
00:28:49.469 --> 00:29:03.539
1 thing I want to make very clear is that Patty myself and kiesha have been working very, very hard on this presentation to make sure that what Patty and keisha would like to say, gets.

178 "Jaime Suvak" (1037440512)
00:29:03.539 --> 00:29:15.624
In this room in this webinar today. So, what you might notice is that I have my notes from when we've been meeting, and the things that Patty and have talked about in our meetings and put together for themselves.

179 "Jaime Suvak" (1037440512)
00:29:15.894 --> 00:29:20.394
And you might see me prompt certain things based on things we've talked about.

180 "Jaime Suvak" (1037440512)
00:29:20.394 --> 00:29:33.444
But I want to assure you that these are Patty and precious words their thoughts and the things that they want to tell you today, I also want to let, you know, that if you have questions, you can feel free to put them in the chat. Because we're really hoping.

181 "Jaime Suvak" (1037440512)
00:29:33.539 --> 00:29:48.209
I have time at the end of this, and Patty, and keisha said they're both open and they're ready and willing to answer any questions that you might have for them. So that being said we can move to the next slide. Please.

182 "Jaime Suvak" (1037440512)
00:29:48.324 --> 00:30:03.204
And I'm going to scroll up and see if what folks have said here on the chat and listening and caring, very real compassionate, listening and presence, understanding that many people experience trauma,

183 "Jaime Suvak" (1037440512)
00:30:03.234 --> 00:30:17.694
require understanding and compassion. How best to interact with folks recognizing lived experience? Oh, I love these 1st person. 1st, knowledgeable and thoughtful about trauma. Um.

184 "Jaime Suvak" (1037440512)
00:30:18.414 --> 00:30:29.964
Yeah, these are amazing. Oh, these are great. So yeah, there you, all are very well versed in trauma informed and what it means on the interpersonal level.

185 "Jaime Suvak" (1037440512)
00:30:29.964 --> 00:30:41.874
So that, so, from how to work with a person 1 on 1 or in a group, um, and those things really rely on these 6 principles of the trauma, informed approach,

186 "Jaime Suvak" (1037440512)
00:30:42.114 --> 00:30:48.024
they rely on safety and safety is not just physical safety. It's very.

187 "Jaime Suvak" (1037440512)
00:30:48.054 --> 00:31:02.154
Very important for folks to feel safe and that means to feel like they're being listened to that they're being understood and that you're going to take care with what they're telling you and both Patty and keisha will talk in their

188 "Jaime Suvak" (1037440512)
00:31:02.484 --> 00:31:10.464
interviews with me about all of these principles in 1 way or another it's also about trustworthiness and transparency.

189 "Jaime Suvak" (1037440512)
00:31:10.644 --> 00:31:17.844
I think sometimes with, especially with trauma survivors and especially with folks with id'd, we're afraid to tell them the.

190 "Jaime Suvak" (1037440512)
00:31:18.029 --> 00:31:20.664
Truth we're afraid to tell them the realities,

191 "Jaime Suvak" (1037440512)
00:31:20.664 --> 00:31:34.734
we're afraid to give them the decision making opportunities and those things are are detrimental to the trauma informed approach and the trauma informed care that we all want to give pure support.

192 "Jaime Suvak" (1037440512)
00:31:34.734 --> 00:31:47.844
This is something I am a huge advocate for and I've seen the magic of it over and over again, because it really does do a few things. It, it really does create this idea of.

193 "Jaime Suvak" (1037440512)
00:31:48.029 --> 00:32:00.954
Defiance, you know, I am in the room with you, I am a survivor. This is not something to be ashamed of, and we can work on this together and also in this idea of strength dealing that I'm going to share with you.

194 "Jaime Suvak" (1037440512)
00:32:00.954 --> 00:32:09.504
Some of the things that I have done in my community in my life that I understand where you're coming from and I can share my strength with you.

195 "Jaime Suvak" (1037440512)
00:32:11.094 --> 00:32:25.194
Collaboration and mutuality this really is a broader concept. It's about not just moving in a multidisciplinary fashion, but really transcending that into a new way of being together.

196 "kecia" (590238464)
00:32:25.404 --> 00:32:27.714
That's not only our hard.

197 "Jaime Suvak" (1037440512)
00:32:28.134 --> 00:32:32.574
Our own disciplines, empowerment, voice and choice.

198 "Jaime Suvak" (1037440512)
00:32:32.574 --> 00:32:42.924
We will hear a ton about this today and so, and then really thinking about communities and people as part of a larger culture as a lot of a part of our,

199 "Jaime Suvak" (1037440512)
00:32:42.954 --> 00:32:57.894
our own society and all of the different ways in which different communities and marginalized populations have been affected, not just by having a disability and having an active sexual violence, but in everyday life for other reasons.

200 "Jaime Suvak" (1037440512)
00:32:57.989 --> 00:33:03.239
The intersectionality of life is really what we're talking about next slide please.

201 "Jaime Suvak" (1037440512)
00:33:04.224 --> 00:33:19.224
So 1 of the things that I noticed in this chat today is that everybody did an amazing job with talking about that 1 on 1 interaction. How do you work with somebody who has experienced trauma, Anna trauma, informed way and you have.

202 "Jaime Suvak" (1037440512)
00:33:19.559 --> 00:33:22.949
Written all of those things down in this chat.

203 "Jaime Suvak" (1037440512)
00:33:22.949 --> 00:33:35.904
But the 1 thing that I would challenge you to do is say, where do those behaviors come from in our work. They come from our policies and our procedures of our agencies, the things that rule how we do our work.

204 "Jaime Suvak" (1037440512)
00:33:35.904 --> 00:33:45.234
So, if you're great 1 on 1 and you need, you know, what you need to do those things need to go right up that chain and they need to be put into procedure and put into policy.

205 "Jaime Suvak" (1037440512)
00:33:45.384 --> 00:33:52.824
So that it's standardized, it's consistent, and it's insured by that happening. You can then train all staff.

206 "Jaime Suvak" (1037440512)
00:33:52.949 --> 00:34:03.954
Existing and folks that are coming in new on the trauma informed care that is so desperately needed some other things that are really important are screening for trauma.

207 "Jaime Suvak" (1037440512)
00:34:04.134 --> 00:34:15.234
We heard some and talk about the statistics earlier in this webinar. This is a huge epidemic. We need to understand that this is happening to people with id'd at astonishing rates.

208 "Jaime Suvak" (1037440512)
00:34:15.264 --> 00:34:22.584
And so it's something that should be in our everyday language and how we're working with people in our in our.

209 "Jaime Suvak" (1037440512)
00:34:22.949 --> 00:34:29.879
externalism and our intakes, it should be part of our repertoire. It should it be part of our conversations all the time.

210 "Jaime Suvak" (1037440512)
00:34:32.364 --> 00:34:46.074
We need to build relationships so it's a lot of the folks on this chat said, in the beginning, what would be the continuity of care and they talked about follow up warm handoff to social workers on trauma,

211 "Jaime Suvak" (1037440512)
00:34:46.074 --> 00:34:59.874
informed care and therapy. Those things can't happen in this in this world without relationships I have been in the field of mental health for a number of years, and I can tell you, especially right now people.

212 "Jaime Suvak" (1037440512)
00:35:00.264 --> 00:35:13.914
Professionals are over loaded, so we need to really think about who, and how we can work with our communities so that we can make sure that there is someone to do a warm handoff to that.

213 "Jaime Suvak" (1037440512)
00:35:13.914 --> 00:35:20.634
There is somebody that we trust and that we, that we can say this is a good person to work with and they will help you.

214 "Jaime Suvak" (1037440512)
00:35:22.644 --> 00:35:36.624
And then, I think 1 of the biggest things that I want to talk about is engaging trauma survivors and all aspects of the work and as leaders. And I think that's a very different perspective than as participants.

215 "Jaime Suvak" (1037440512)
00:35:37.739 --> 00:35:45.714
What I have experienced personally, and professionally over the last few years, is that it is imperative. It is essential.

216 "Jaime Suvak" (1037440512)
00:35:45.714 --> 00:35:53.993
It is necessary for the folks who have experienced sexual violence who have a disability to be.

217 "Jaime Suvak" (1037440512)
00:35:54.329 --> 00:36:05.394
Telling us how to fix this, how to move forward and how to do a better job, because that is where we get the best information and can create the best change.

218 "Jaime Suvak" (1037440512)
00:36:05.664 --> 00:36:11.934
So that is what we are going to move on to next, which is actually hearing from Patty and kiesha.

219 "Jaime Suvak" (1037440512)
00:36:12.239 --> 00:36:16.859
About their experiences and how we can all do better.

220 "Jaime Suvak" (1037440512)
00:36:16.859 --> 00:36:21.989
So, and the next part here.

221 "Jaime Suvak" (1037440512)
00:36:21.989 --> 00:36:35.664
I just want to remind folks. I know I said at once, but it's so important for everybody to truly understand that these are all these are all cases thoughts. They're all what she wanted to talk to about today.

222 "Jaime Suvak" (1037440512)
00:36:35.874 --> 00:36:50.724
And if you hear me prompting, it's something we've already talked about and discussed and how we want to work together and I had my list of notes. So I'm ready to interview you about your experiences.

223 "Jaime Suvak" (1037440512)
00:36:50.724 --> 00:36:51.414
Are you ready?

224 "Jaime Suvak" (1037440512)
00:36:55.409 --> 00:37:07.199
I didn't hear you. Are you on mute? Yeah, I'm definitely ready. Okay. So, can you 1st, start by.

225 "Jaime Suvak" (1037440512)
00:37:07.199 --> 00:37:11.429
Talking a little bit about the doctor's appointment that was described.

226 "kecia" (590238464)
00:37:12.444 --> 00:37:27.324
Yes, in the case scenario, 11 of the things that the doctor nurse did for me was they, they had cones in the void and so they weren't high pitch or low pitch.

227 "kecia" (590238464)
00:37:27.324 --> 00:37:34.674
They, they were gentle tone today. They also make eye contact with me. me

228 "kecia" (590238464)
00:37:34.919 --> 00:37:42.629
Which I really appreciate, because they're saying to me lucky, I value you as a person.

229 "kecia" (590238464)
00:37:42.629 --> 00:37:46.049
And, um, and they have they thought capacity.

230 "kecia" (590238464)
00:37:46.049 --> 00:37:53.939
Towards me both the doctor nurse about my, about the poodle, my arm and my infection.

231 "kecia" (590238464)
00:37:53.939 --> 00:38:01.709
And in addition, I really like the fact that they also use every day.

232 "kecia" (590238464)
00:38:01.709 --> 00:38:14.010
They, they don't like, if I have like, your urinary tract infection, they didn't say to me. Well, let's hear about your right now.

233 "kecia" (590238464)
00:38:14.010 --> 00:38:17.280
They, they played everything.

234 "kecia" (590238464)
00:38:17.280 --> 00:38:21.240
And this is great and.

235 "kecia" (590238464)
00:38:21.240 --> 00:38:30.930
And I just want to say that, in terms of plain language in everyday language are the sexual violence.

236 "kecia" (590238464)
00:38:30.930 --> 00:38:37.290
Well, I, I still have a language webinar where I talk about.

237 "kecia" (590238464)
00:38:37.290 --> 00:38:41.910
How how important it is? You ping language.

238 "Jaime Suvak" (1037440512)
00:38:43.320 --> 00:38:46.980
And have you found.

239 "Jaime Suvak" (1037440512)
00:38:46.980 --> 00:38:52.410
That that's not like a regular thing with doctors using plain language.

240 "kecia" (590238464)
00:38:52.410 --> 00:38:58.500
No, definitely no, because I have even even when I go to my.

241 "kecia" (590238464)
00:38:58.500 --> 00:39:07.260
With a doctor for something else, except for besides sexual assault. I often I often here.

242 "kecia" (590238464)
00:39:07.260 --> 00:39:10.770
So, I thought from my from my peers.

243 "kecia" (590238464)
00:39:10.770 --> 00:39:22.380
I don't see what saying that they don't understand that exactly saying well, because they used to sit back and they doubtful.

244 "kecia" (590238464)
00:39:22.380 --> 00:39:30.270
For, um, for all health care providers to use every day language for us, when we go through their platelets.

245 "Jaime Suvak" (1037440512)
00:39:31.645 --> 00:39:41.455
And I have to tell you keisha that I learned that from you in doing this work in so much that I had my own doctor's appointment this week.

246 "Jaime Suvak" (1037440512)
00:39:41.815 --> 00:39:54.145
And I actually said to my doctor, because I've heard you say this advocated for myself. And I said, can you show me it was about my spine so I said, can you show me a picture of what you're talking about? Can you tell me what those words mean?

247 "Jaime Suvak" (1037440512)
00:39:54.450 --> 00:40:00.150
And I was, I was thinking about you at the time because it's something that I learned from, you.

248 "kecia" (590238464)
00:40:00.150 --> 00:40:12.420
Right, exactly like like a macro appointment. I, um, I just dropped my zone and I and I had my, my doctor.

249 "kecia" (590238464)
00:40:12.420 --> 00:40:19.470
Tell me that X, Ray, my f*** bone. So I understood what the break wise.

250 "Jaime Suvak" (1037440512)
00:40:19.470 --> 00:40:25.080
Yeah, exactly so the video that you made, you.

251 "Jaime Suvak" (1037440512)
00:40:25.080 --> 00:40:33.570
Talk about the things that that the professionals did well, and what stood out and what made you feel cared for um.

252 "Jaime Suvak" (1037440512)
00:40:33.570 --> 00:40:36.570
What was your real life doctor's appointment? Like.

253 "kecia" (590238464)
00:40:37.860 --> 00:40:50.250
1 of my, my, my doctor appointment was a step contact to the video doctor's appointment. Like, um.

254 "kecia" (590238464)
00:40:50.250 --> 00:40:56.370
Like, for example, my, my real facts is of what appointment.

255 "kecia" (590238464)
00:40:56.370 --> 00:40:59.940
He kept me back the questions.

256 "kecia" (590238464)
00:41:00.960 --> 00:41:15.750
And he felt nervous to talk to me about the sexual assault and he kept on something is what I saw 1 of the main things that really disturbs me.

257 "kecia" (590238464)
00:41:15.750 --> 00:41:30.240
It made me feel invisible and very comfortable is that when we push enter the room, he was addressing all his questions about what happened to me to my support staff.

258 "kecia" (590238464)
00:41:30.240 --> 00:41:40.590
And that so that toy me invisible. It made me feel more anxious. It was so disappointing.

259 "kecia" (590238464)
00:41:40.590 --> 00:41:47.880
Tell me when he did that and other thing is that, um.

260 "kecia" (590238464)
00:41:48.205 --> 00:42:00.055
Is that what I was talking to him? He felt he was his non verbal communication told me that he didn't believe me that.

261 "kecia" (590238464)
00:42:00.055 --> 00:42:04.585
So I had actually been sexually assaulted and, um.

262 "kecia" (590238464)
00:42:06.660 --> 00:42:12.630
And a lot of good questions he was asking me, I can't understand.

263 "kecia" (590238464)
00:42:12.630 --> 00:42:16.260
Because he was talking everyday language.

264 "Jaime Suvak" (1037440512)
00:42:17.490 --> 00:42:22.170
So, when you think about.

265 "Jaime Suvak" (1037440512)
00:42:22.170 --> 00:42:25.170
The video that you made on the.

266 "Jaime Suvak" (1037440512)
00:42:25.170 --> 00:42:34.890
What I would say was a ideal appointment things that they did really well and the appointment that you actually had in real life.

267 "kecia" (590238464)
00:42:34.890 --> 00:42:42.720
What was the difference? The difference the cost of contrast.

268 "kecia" (590238464)
00:42:43.315 --> 00:42:57.175
What we're thinking, because the contrast between the 2, like the doctor episode, we compassion about what I was going to he understood the central.

269 "kecia" (590238464)
00:42:58.500 --> 00:43:13.230
My real daughter, he can't, I can't pick up any emphasis or your passion to help. He was telling me he was he was pretty me, like, a less less human, being.

270 "kecia" (590238464)
00:43:13.230 --> 00:43:18.150
My my real doctor was to be like, I was not killing.

271 "kecia" (590238464)
00:43:18.150 --> 00:43:24.960
But the video doctor was telling me as I was a human being, showing me compassion.

272 "kecia" (590238464)
00:43:24.960 --> 00:43:28.170
And is it, you.

273 "kecia" (590238464)
00:43:28.170 --> 00:43:32.550
A picture to help me articulate.

274 "kecia" (590238464)
00:43:32.550 --> 00:43:36.330
What I what I have been abused.

275 "kecia" (590238464)
00:43:36.330 --> 00:43:40.620
Like, in the, in the video.

276 "kecia" (590238464)
00:43:40.620 --> 00:43:43.920
Scenario I often told him.

277 "kecia" (590238464)
00:43:43.920 --> 00:43:58.380
But Tanya, because I was raised in my arm because it was approved and in my my real life doctor, he didn't do that at all. And I, and I couldn't articulate.

278 "kecia" (590238464)
00:43:58.380 --> 00:44:02.460
Why I had, um.

279 "kecia" (590238464)
00:44:02.460 --> 00:44:06.390
Well, I had been abused because of the trauma.

280 "Jaime Suvak" (1037440512)
00:44:07.950 --> 00:44:14.010
So, it prevented you from being able to tell somebody what happened.

281 "kecia" (590238464)
00:44:14.010 --> 00:44:17.430
Exactly, exactly. That's how that's very true.

282 "Jaime Suvak" (1037440512)
00:44:18.510 --> 00:44:26.640
Okay, um, so I'm getting a note that there's 5 minutes left. Okay. So.

283 "Jaime Suvak" (1037440512)
00:44:26.640 --> 00:44:38.010
Yes, that went very quickly. So I think I'm going to move on to to Patty so we can get Patty a little bit of time. But thank you so much. Jamie.

284 "Patricia Quatieri" (793402112)
00:44:38.010 --> 00:44:46.680
Thank you. So, Patty yeah, we talk a little bit about what it was like, when you reported the abuse to your doctor.

285 "Patricia Quatieri" (793402112)
00:44:46.680 --> 00:44:50.790
I went to the doctors by Michelle.

286 "Patricia Quatieri" (793402112)
00:44:51.810 --> 00:44:57.390
I like my daughter and he lives and.

287 "Patricia Quatieri" (793402112)
00:44:57.390 --> 00:45:04.110
In fact, to me, I was a little bit in go home.

288 "Patricia Quatieri" (793402112)
00:45:04.110 --> 00:45:08.010
I would drop off and I was.

289 "Patricia Quatieri" (793402112)
00:45:08.010 --> 00:45:13.350
In the room didn't tell my daughter everything.

290 "Patricia Quatieri" (793402112)
00:45:13.350 --> 00:45:16.500
That happened, I was scared.

291 "Patricia Quatieri" (793402112)
00:45:17.700 --> 00:45:22.080
Nothing change. I went to work.

292 "Patricia Quatieri" (793402112)
00:45:22.080 --> 00:45:25.290
I went to Derby, she helped me.

293 "Jaime Suvak" (1037440512)
00:45:27.690 --> 00:45:34.230
And do you feel like you were treated in a different way because of your disabilities.

294 "Patricia Quatieri" (793402112)
00:45:36.720 --> 00:45:41.580
Profession did not know what to do with me.

295 "Patricia Quatieri" (793402112)
00:45:41.580 --> 00:45:45.990
They got my anger and flash back.

296 "Patricia Quatieri" (793402112)
00:45:45.990 --> 00:45:50.430
When we call of my disability.

297 "Patricia Quatieri" (793402112)
00:45:50.430 --> 00:45:57.660
Not Chroma they don't I could not understand what happened.

298 "Patricia Quatieri" (793402112)
00:45:58.680 --> 00:46:03.030
They do not use every day.

299 "Patricia Quatieri" (793402112)
00:46:03.030 --> 00:46:06.840
Maybe people do not believe me.

300 "Patricia Quatieri" (793402112)
00:46:07.920 --> 00:46:11.700
I feel it really alone.

301 "Patricia Quatieri" (793402112)
00:46:12.750 --> 00:46:18.360
And then what happened after your appointment? 1 day I had a back back.

302 "Patricia Quatieri" (793402112)
00:46:18.360 --> 00:46:23.220
My thought I came through, I.

303 "Patricia Quatieri" (793402112)
00:46:23.220 --> 00:46:26.940
I would write to the hospital for 5 months.

304 "Patricia Quatieri" (793402112)
00:46:26.940 --> 00:46:30.630
They do not know how could you help me.

305 "Patricia Quatieri" (793402112)
00:46:30.630 --> 00:46:35.340
Well, I'll train my own.

306 "Patricia Quatieri" (793402112)
00:46:35.340 --> 00:46:40.800
I was angry and I angry.

307 "Patricia Quatieri" (793402112)
00:46:42.600 --> 00:46:47.910
They put me in a Google home, not paying attention.

308 "Patricia Quatieri" (793402112)
00:46:47.910 --> 00:46:52.290
Drama funny I stood up.

309 "Patricia Quatieri" (793402112)
00:46:52.290 --> 00:46:56.970
For myself, and I got my own place.

310 "Jaime Suvak" (1037440512)
00:46:56.970 --> 00:47:00.930
I love that part. Thank you. Um.

311 "Patricia Quatieri" (793402112)
00:47:00.930 --> 00:47:05.700
Did you get the help that you needed? Not right away.

312 "Patricia Quatieri" (793402112)
00:47:05.700 --> 00:47:08.790
Didn't didn't drama.

313 "Patricia Quatieri" (793402112)
00:47:08.790 --> 00:47:13.260
And do not know that we know that I need.

314 "Patricia Quatieri" (793402112)
00:47:17.850 --> 00:47:22.590
I got resources because the court.

315 "Jaime Suvak" (1037440512)
00:47:22.590 --> 00:47:29.130
Was in, thank you, Patty. Well, thank you for sharing that.

316 "Jaime Suvak" (1037440512)
00:47:29.130 --> 00:47:35.880
So, in the interest of time, we're going to move back to.

317 "Jaime Suvak" (1037440512)
00:47:35.880 --> 00:47:47.760
Looking at what recommendations that Patty and kiesha have based on their experiences both for themselves and then as peer peer advocates.

318 "Jaime Suvak" (1037440512)
00:47:47.760 --> 00:47:51.390
So, kiesha, what would you advocate for?

319 "kecia" (590238464)
00:47:51.390 --> 00:48:00.510
I would definitely I would definitely advocate for using informed practices.

320 "kecia" (590238464)
00:48:00.510 --> 00:48:06.600
Training for health care underneath before disabilities.

321 "kecia" (590238464)
00:48:06.600 --> 00:48:13.320
I need more time what the survivor definitely, because that's very important.

322 "kecia" (590238464)
00:48:14.400 --> 00:48:21.840
Being patient about being patient, because it's hard to talk about sexual assault.

323 "kecia" (590238464)
00:48:21.840 --> 00:48:26.310
Especially before the survivor who has.

324 "kecia" (590238464)
00:48:26.310 --> 00:48:32.850
Having resources available that are easy to understand for this Viber.

325 "kecia" (590238464)
00:48:32.850 --> 00:48:36.870
And you see kids back at the end of the appointment.

326 "kecia" (590238464)
00:48:37.980 --> 00:48:42.360
Kicks back is basically went the health care provider.

327 "kecia" (590238464)
00:48:42.360 --> 00:48:50.610
The survivor what do you understand what we just discussed in this appointment?

328 "kecia" (590238464)
00:48:50.610 --> 00:49:00.390
This is a virus Jane will paraphrase what has happened in the appointment in the healthcare provider will say yes.

329 "kecia" (590238464)
00:49:00.390 --> 00:49:06.750
That's correct. We need to work as a place where you have a better understanding.

330 "Jaime Suvak" (1037440512)
00:49:11.550 --> 00:49:15.720
Excellent. And, uh, Patty.

331 "Jaime Suvak" (1037440512)
00:49:15.720 --> 00:49:19.710
What is better now?

332 "Patricia Quatieri" (793402112)
00:49:19.710 --> 00:49:24.690
But the virus pick up.

333 "Patricia Quatieri" (793402112)
00:49:24.690 --> 00:49:33.300
We were we bringing we've got a national network.

334 "Patricia Quatieri" (793402112)
00:49:33.300 --> 00:49:40.920
Hello, this is in an more train on the doctors.

335 "Patricia Quatieri" (793402112)
00:49:40.920 --> 00:49:44.340
More common from Derby.

336 "Patricia Quatieri" (793402112)
00:49:44.340 --> 00:49:48.000
Yes, they are worried about.

337 "Patricia Quatieri" (793402112)
00:49:48.000 --> 00:49:58.980
How to work with us for more information is in the news.

338 "Patricia Quatieri" (793402112)
00:49:58.980 --> 00:50:02.190
Often is happens.

339 "Jaime Suvak" (1037440512)
00:50:03.420 --> 00:50:10.020
Thank you next slide please. And the next side please.

340 "Jaime Suvak" (1037440512)
00:50:11.940 --> 00:50:19.380
Okay um, so let's start with your ways. Health care can improve. What do you what do you think.

341 "kecia" (590238464)
00:50:19.380 --> 00:50:23.730
Oh, so I'm, I'm passionate about this topic.

342 "kecia" (590238464)
00:50:23.730 --> 00:50:29.040
The 1st thing is lesson listen to the survivor and big patient.

343 "kecia" (590238464)
00:50:29.040 --> 00:50:37.170
But what is blame them because most most people.

344 "kecia" (590238464)
00:50:37.645 --> 00:50:45.175
They they know that when they bias says if the person has a disability,

345 "kecia" (590238464)
00:50:45.205 --> 00:50:59.815
they don't believe that they've been sexually assaulted also remind the patient what is important to do before they leave the appointment, which goes back to the teeth back.

346 "Jaime Suvak" (1037440512)
00:51:02.280 --> 00:51:05.550
Thank you. And Patty.

347 "Patricia Quatieri" (793402112)
00:51:05.550 --> 00:51:10.140
My mom from classes.

348 "Patricia Quatieri" (793402112)
00:51:10.140 --> 00:51:15.930
And use them as if the person feels safe.

349 "Patricia Quatieri" (793402112)
00:51:15.930 --> 00:51:19.050
Before the appointment.

350 "Jaime Suvak" (1037440512)
00:51:20.280 --> 00:51:23.610
Thank you. Well, so.

351 "Jaime Suvak" (1037440512)
00:51:23.610 --> 00:51:27.330
Now, we're going to move to question Patty in case. I mean, I can.

352 "Jaime Suvak" (1037440512)
00:51:27.330 --> 00:51:34.255
Here you talk about this all day. I always learn something new. So thank you for doing this with, with me today.

353 "Jaime Suvak" (1037440512)
00:51:34.645 --> 00:51:43.855
Um, and what I really here in this part of your presentation, is that how people interact with you is.

354 "Jaime Suvak" (1037440512)
00:51:44.190 --> 00:51:56.185
Is just as important then as what they're doing the, how is just as important as the watch and that's something that I think we can all take away today from your experiences.

355 "Jaime Suvak" (1037440512)
00:51:56.605 --> 00:52:00.835
Um, and as well as taking the time to really.

356 "Jaime Suvak" (1037440512)
00:52:01.315 --> 00:52:15.985
Make sure that you understand what they're saying, and they understand what you're saying and that's just good practice to make sure that you've been able to tell what you need to tell and you understand what the professional has told you.

357 "Jaime Suvak" (1037440512)
00:52:16.555 --> 00:52:30.985
Um, so I think that those are some big things that that I took away, and as a trauma informed approach, those are things that prevent re, victimization, which you both talk about being re, victimized by a system after being.

358 "Jaime Suvak" (1037440512)
00:52:31.170 --> 00:52:44.095
Customized by a perpetrator and that's really what we want to avoid because that created a lot more problems for you and prevented you from healing after the assault and after the violence.

359 "Jaime Suvak" (1037440512)
00:52:44.395 --> 00:52:52.645
So thank you so much for sharing that with all of us today. And we do have a couple minutes if there are some questions.

360 "Jasmina Sisirak" (3966624256)
00:52:56.845 --> 00:53:04.735
Thank you so much kiesha Patty and Jamie we will take I'm getting some questions in a chat.

361 "Jasmina Sisirak" (3966624256)
00:53:04.825 --> 00:53:17.125
Um, 1 of the things that I actually noticed that it came as a comment in the beginning of that presentation was someone said I feel like trauma informed is often said, but not as often,

362 "Jasmina Sisirak" (3966624256)
00:53:17.125 --> 00:53:23.395
fully defined or described how you operationalize it. And I think a lot of the questions.

363 "Jasmina Sisirak" (3966624256)
00:53:23.460 --> 00:53:31.165
They're coming through are actually, how are we going to operationalize what we are covering today and hopefully webinar,

364 "Jasmina Sisirak" (3966624256)
00:53:31.165 --> 00:53:40.405
23 and 4 are going to come into into the play and talk about operationalize what we are just starting to mention and talk about today.

365 "Jasmina Sisirak" (3966624256)
00:53:40.435 --> 00:53:53.455
So, do you do any of you care to comment on that or? I can even start kind of asking some of these questions even further. Do you have any best practice example? example

366 "Jasmina Sisirak" (3966624256)
00:53:53.460 --> 00:53:59.580
Goals of health education materials that work well, for people with intellectual disabilities, for example.

367 "Jaime Suvak" (1037440512)
00:53:59.580 --> 00:54:06.600
Patty or do you have any examples.

368 "Jaime Suvak" (1037440512)
00:54:06.600 --> 00:54:11.220
That you like.

369 "kecia" (590238464)
00:54:11.220 --> 00:54:15.420
Examples of what Jamie.

370 "Jaime Suvak" (1037440512)
00:54:15.420 --> 00:54:23.850
Health education or any kind of education for about relationships healthy relationships.

371 "kecia" (590238464)
00:54:25.920 --> 00:54:30.870
Well, in terms of, in terms of the health education.

372 "kecia" (590238464)
00:54:30.870 --> 00:54:43.260
I am, I do know that it will be beneficial for, um, for, for students to get to get this up.

373 "kecia" (590238464)
00:54:43.260 --> 00:54:49.470
To help them has to be informed and there may be.

374 "kecia" (590238464)
00:54:49.975 --> 00:54:55.405
And asking how to work with people with disabilities in the 1st place,

375 "kecia" (590238464)
00:54:55.795 --> 00:55:07.435
because I know I know from experience that medical schools don't offer that they get education in different diseases or stuff like that.

376 "kecia" (590238464)
00:55:07.705 --> 00:55:19.315
But when it comes to talking with people with disabilities, many many doctors, don't even know how to push the subject. So, I think that we need medical.

377 "kecia" (590238464)
00:55:19.470 --> 00:55:23.010
So Chromium to to touch on this.

378 "Jaime Suvak" (1037440512)
00:55:23.010 --> 00:55:33.510
Yeah, that's a great point. I do know that there are some resources and maybe that's something we can put together and send out.

379 "Jaime Suvak" (1037440512)
00:55:33.510 --> 00:55:38.940
In an email later, because I do I know some local ones, but I'm sure we could.

380 "Leigh Ann" (1149416960)
00:55:38.940 --> 00:55:43.440
We can get something across the board Jamie. Oh.

381 "Leigh Ann" (1149416960)
00:55:43.440 --> 00:55:49.650
I wanted to just pipe in and say in Arizona where we've been working, they have, um.

382 "Leigh Ann" (1149416960)
00:55:51.385 --> 00:56:05.395
Started an online support group for folks and it's for people nationally. So it's not just in their state and I'm thinking that might be another way to help people and to find peers and to really kind of build that.

383 "Leigh Ann" (1149416960)
00:56:05.395 --> 00:56:20.365
And, of course, the national, peer support project as well as a good resource. But, um, I'm just gonna put I just put their website in the chat. Um, and this is fairly new what they're doing there to provide that online support group. So that's another possibility.

384 "Jasmina Sisirak" (3966624256)
00:56:25.165 --> 00:56:37.555
Thanks Leanne. Couple of other questions that have come through. Do you have any words of encouragement to assist support staff in advocating to the legal guardian on behalf of the individual?

385 "Jasmina Sisirak" (3966624256)
00:56:37.555 --> 00:56:40.374
If the individual is not able to be heard.

386 "Jasmina Sisirak" (3966624256)
00:56:41.035 --> 00:56:55.075
I have crossed many experiences where the individual wants to process their trauma and heal from it and the Guardian may decline to listen to the survivor and believe their truth and support the resources. The individual needs.

387 "Jaime Suvak" (1037440512)
00:56:56.845 --> 00:57:10.975
Um, so, at the sexual assault response unit, we came across this a lot and really what we found was attending to the needs of the Guardian and finding out more about.

388 "Jaime Suvak" (1037440512)
00:57:11.280 --> 00:57:23.280
What was going on for them really did help open the pathway to then allow to help the survivor and really having them understand what.

389 "Jaime Suvak" (1037440512)
00:57:23.280 --> 00:57:37.105
What the plan was, and what it wasn't as far as looking at trauma or healing from trauma. Because I do think people have an idea in their mind of what what it would look like and it's not always the case.

390 "Jaime Suvak" (1037440512)
00:57:37.465 --> 00:57:48.535
So really walking them through that. And using practical and simple language to help them understand it is a huge thing. And then I think the other piece of it is some education around.

391 "Jaime Suvak" (1037440512)
00:57:50.070 --> 00:57:57.480
Ways in which healing can help that person, maybe prevent some behaviors that they are doing that.

392 "Jaime Suvak" (1037440512)
00:57:57.480 --> 00:58:09.960
Seem unhealthy, because I think that's in, in working with folks with disabilities. A lot of times the language is around behavior. So, using language that people know, makes a big difference.

393 "Jasmina Sisirak" (3966624256)
00:58:14.335 --> 00:58:27.775
Thank you 1 of the comments 1, other thing I found so important in the video was to how the doctor open and guided a conversation, I presume this is important trauma informed in response to the training.

394 "Jasmina Sisirak" (3966624256)
00:58:27.955 --> 00:58:39.955
So important to have this presentation today. I greatly appreciate this panel of experts in the preparation. You all took to share this, this important information. Thank you. Maria. I'm.

395 "Jasmina Sisirak" (3966624256)
00:58:39.960 --> 00:58:48.745
Hope we're really hoping that some of these operationalize in trauma, informed care and then being able to describe healthcare provider roles,

396 "Jasmina Sisirak" (3966624256)
00:58:49.285 --> 00:59:01.675
talk about signs and symptoms of abuse and neglect and exploitation in other trauma will be covered on March 8th. Webinar. So, I hope everyone can join if not we are recording that webinar too.

397 "Jasmina Sisirak" (3966624256)
00:59:01.885 --> 00:59:06.415
You can register still and we will email you once that webinar has been.

398 "Jasmina Sisirak" (3966624256)
00:59:06.720 --> 00:59:15.690
Recorded we are at the hour Thank you so much for attending today's webinar.

399 "Jasmina Sisirak" (3966624256)
00:59:15.690 --> 00:59:28.465
Um, like I said, all the PowerPoint, all the resources that we've mentioned today, and the recording will be made available and you will be emailed, um, thank you, thank you to do all the presenters for sharing.

400 "Jasmina Sisirak" (3966624256)
00:59:28.495 --> 00:59:36.385
Um, and and presenting on today's webinar have a great day. Uh, the rest Thank you so much.

401 "Jasmina Sisirak" (3966624256)
00:59:37.350 --> 00:59:42.144
Goodbye.