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Visualizing our Restoration to Health Process

July 13, 2010

Humans are complex. Our motivations, habits, activities, beliefs, customs, traditions and resistance to change make some initiatives difficult to visualize. That is true for our Restoration to Health initiative. We are trying to find a way to help our clients counteract some long entrenched behaviors. If you accept our premise that Adverse Childhood Experiences cause trauma that generates neurobiological changes that if unresolved, lead to health issues later in life, then it is logical that we need to resolve that trauma. To do so with adults is difficult and complex. To recognize trauma in children and deal with it quickly is no less complex or difficult. As I struggled with trying to see how we develop a programmatic response to dealing with unresolved childhood trauma, I thought about developing a process map. I asked Kert to sit with me and use this Lean tool to identify a future state that helped us define where we need to go. Here is the result: Restoration to Health Initiative Flowchart

We then thought about the different service groups that would be working with our clients, and how the client would be moving through the services in the future state. I asked Kert if he thought a swim lane might provide an appropriate approximation of client movement through the services. He thought so, and developed a swim lane that seems to define how we coordinate different teams of professionals to work together in helping our clients work to improve those parts of their lives that they are motivated to improve.

A major part of our theory is that by using appropriate behavioral counseling methods (EMDR, Dialectical Behavioral Therapy, Cognitive Behavioral Therapy, TARGET (Trauma Affect Regulation: Guidelines for Education & Therapy), ARC (Attachment, Self Regulation & Competency)among others), our patients can return to a happier state of life where they can then moderate the use of risky coping behaviors such as smoking, substance abuse, over eating, depression, anger and violence and others. Removing trauma inspired risky behaviors will, we hope, improve the health of our clients and provide them with a happier life. Even more so, we hope that our clients will learn to prevent passing their traumas on to their children, or intervene more quickly when those traumas are identified to resolve them.

Process mapping is one Lean tool that is helping us to understand the systems involved in restoring a patient to good health, and how to coordinate those systems into a holistic approach.

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