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V City Net <br />2023 Santa Ana SMART <br />Scope of Work <br />trauma symptoms, acknowledge the role that trauma has played in clients' lives, and better understand and <br />address the needs of those with trauma histories. The goal of this approach is to avoid retraumatization and <br />exacerbation of trauma symptoms. <br />This change in understanding can be illustrated by the difference between the questions "What's wrong <br />with you?" vs. "What has happened to you?" While the terms violence, trauma, abuse, and post -traumatic <br />stress disorder (PTSD) are frequently used interchangeably, it is useful to think of trauma as a response to <br />violence or other overpowering negative experience such as abuse. Trauma refers to both the event and the <br />particular response to an event. PTSD is one type of disorder resulting from trauma. Becoming <br />"traumatized" varies greatly among individuals, and not everyone exposed to a potential traumatic event <br />will be traumatized. Trauma begins with an event or experience that overwhelms normal coping <br />mechanisms. There are physical and psychological reactions —which are normal —in response. <br />Retraumatization refers to the psychological and/or physiological experience of being "triggered," i.e., when <br />an environmental cue related to the trauma —such as a smell or a sound —triggers a full fight -or -flight <br />response. Although environmental triggers cannot be eliminated, City Net seeks to create an environment — <br />both a physical environment, and a framework of compassionate understanding in which the trauma <br />survivor feels safe. <br />Motivational Interviewing <br />City Net employs Motivational Interviewing (MI) techniques in its programs. MI is a counseling method that <br />helps people resolve ambivalent feelings and insecurities to find the internal motivation they need to <br />change their behavior. It is a practical, empathetic, and short-term process that takes into consideration <br />how difficult it is to make life changes. <br />The core components of MI are to: <br />• Express and show empathy towards clients <br />• Support and articulate discrepancies between clients' goals and choices that take them away from <br />goals <br />• Deal with resistance without confrontation <br />• Support self -efficacy <br />• Support client autonomy <br />Continuum of Care Participation <br />Since the inception of our work in Santa Ana in 2016 (when we were contracted to offer meals, <br />supportive services and case management at the Courtyard in a county contract), City Net has been a <br />full participant in the Orange County Continuum of Care (CoC). <br />City Net staff are regular participants in CoC Coordinated Entry System (CES) case conferencing <br />meetings, data committee meetings, street outreach and engagement committee meetings, among <br />City Net — Local Field Office: 611 W. Civic Center Drive, Suite 400, Santa Ana, CA 92705 <br />