Handle with Care: Ohio

Ohio Handle With Care

Ohio Handle With Care is a trauma-informed, cross-systems, collaborative program aimed at ensuring that children who are exposed to adverse events receive appropriate interventions and have opportunities to build resilience through positive relationships with teachers and first responders. Ohio Handle With Care is supported by a partnership between Hopewell Health Centers and the Ohio Department of Mental Health and Addiction Services. As of January 2024, 20 Ohio counties have Active HWC programs and another 39 are in development. Ohio Handle With Care aims to promote safe and supportive schools, homes and communities that protect children, and communities that help traumatized children heal and thrive. Connect with Ohio Handle With Care to learn how you can support (or begin) the program in your community!

A recent national survey of the incidence and prevalence of children’s exposure to violence and trauma revealed that 60% of American children have been exposed to violence, crime or abuse. Forty percent were direct victims of two or more violent acts. Prolonged exposure to violence and trauma can seriously undermine children’s ability to focus, behave appropriately, and learn. It often leads to school failure, truancy, suspension or expulsion, dropping out, or involvement in the juvenile justice system.

Model Handle With Care (“HWC”) programs promote safe and supportive homes, schools and communities that protect children, and help traumatized children heal and thrive. HWC promotes school-community partnerships aimed at ensuring that children who are exposed to trauma in their home, school or community receive appropriate interventions to help them achieve academically at their highest levels despite whatever traumatic circumstances they may have endured. The ultimate goal of HWC is to help students to succeed in school. Regardless of the source of trauma, the common thread for effective intervention is the school or child care agency. Research now shows that trauma can undermine children’s ability to learn, form relationships, and function appropriately in the classroom. HWC programs support children exposed to trauma and violence through improved communication and collaboration between law enforcement, schools/child care agencies and mental health providers, and connects families, schools and communities to mental health services.

Teachers have been trained on the impact of trauma on learning, and are incorporating many interventions to mitigate the negative impact of trauma for identified students, including: sending students to the clinic to rest (when a HWC has been received and the child is having trouble staying awake or focusing); re-teaching lessons; postponing testing; small group counseling by school counselors; and referrals to counseling, social service or advocacy programs. Schools also implement “Ways to Handle With Care” and many school-wide interventions to help create a trauma sensitive school.

"Handle with Care" provides the school or child care agency with a “heads up” when a child has been identified at the scene of a traumatic event. It could be a meth lab explosion, a domestic violence situation, a shooting in the neighborhood, witnessing a malicious wounding, a drug raid at the home, a house fire, car accident, etc. Police and other first responders are trained to identify children at the scene, find out where they go to school or daycare and send the school/agency a confidential email or fax that simply says . . . “Handle Johnny with care”. That’s it. No other details.

In addition to providing notice, all first responders also build positive relationships with students by visiting schools on a regular basis. They visit classrooms, stop by for lunch, attend class parties, school assemblies, and simply chat with students to help promote positive relationships and perceptions of officers.

When identified students exhibit continued behavioral or emotional problems in the classroom, the counselor or principal refers the parent to a counseling agency which provides trauma-focused therapy. Once the counseling agency has received a referral and parental consent, students can receive on-site counseling while at school.

The counseling is provided to children and families at times which are least disruptive for the student. Counselors provide assessments of the child’s need, psychological testing, treatment recommendations, accommodation recommendations, and status updates to key school personnel as authorized by the child’s parent or guardian.

Ohio Handle With Care is the result of a collaborative effort between the Ohio Department of Mental Health & Addiction Services and Hopewell Health Centers. Robyn Venoy, of Hopewell Health Centers serves as Ohio Handle With Care Lead, working along with James Trevino, OMHAS Prevention Administrator. OhioHWC maintains a partnership with WVHWC and Andrea Darr of the West Virginia Center for Children’s Justice to ensure the program is implemented with fidelity across Ohio. More information about the history of the Handle With Care program as developed by the WV Center for Children’s justice can be found below.

The West Virginia Defending Childhood Initiative, commonly referred to as “Handle With Care,” is tailored to reflect the needs and issues affecting children in West Virginia. The Initiative, a result of a collaborative effort of key stakeholders and partners, builds upon the success of proven programs throughout the country. The goal of the Initiative is to prevent children’s exposure to trauma and violence, mitigate negative affects experienced by children’s exposure to trauma, and to increase knowledge and awareness of this issue.

“Handle with Care” was an initiative piloted at Mary C. Snow West Side Elementary School in Charleston, WV in 2013. The school, located in an urban area of the city plagued by drug and violent crime, housed approximately 500 students. Ninety-Three percent of the students came from low-income families. The school ranked 398 out of 404 elementary schools in West Virginia for poor performance. In conjunction with “Handle With Care,” the United States Attorney’s Office launched a Drug Market Intervention in the area to address high level drug and street crime.

Components of this program were developed with guidance and technical assistance from the Massachusetts Advocates for Children: Trauma and Learning Policy Initiative, in collaboration with Harvard Law School and the Task Force on Children Affected by Domestic Violence. Special thanks to Joe Ristuccia, Ed.M., co-author of Helping Traumatized Children Learn, Edward Jacoubs with the Plymouth County District Attorney’s Office in Brockton, MA, and Huntington, WV community activist and volunteer Leon White.