laura porter's power point.pdf
TRANSCRIPT
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IOWA COMMUNITIES
UNITE FOR
THE MAGNITUDE OF THE SOLUTION
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Whats predictable is preventable.Dr. Robert Anda
How do we move
from prediction to prevention?
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Dr John Snow
1854
Cholera Death is
Caused by Miasmas
1. New Way of
Thinking
2. Shoe Leather
Epidemiology
3. Lives Saved
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Increasing
Probability of
Lasting Change
When We AddressUnderlying Issues
Unseen
Values/Principles
Mental Models
Structures
Patterns
Events
http://frozenfly.edublogs.org/2010/11/07/icebergs-vs-glaciers/http://frozenfly.edublogs.org/2010/11/07/icebergs-vs-glaciers/http://frozenfly.edublogs.org/2010/11/07/icebergs-vs-glaciers/http://frozenfly.edublogs.org/2010/11/07/icebergs-vs-glaciers/http://frozenfly.edublogs.org/2010/11/07/icebergs-vs-glaciers/http://frozenfly.edublogs.org/2010/11/07/icebergs-vs-glaciers/ -
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Core ValuesFundamental Respect for the Wisdom in Every Person
Realize Health Through a Long Term Commitment with Uncommon Partners
Strengths
ApproachHope Filled
Action
Transformational Improvement
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Develop Compassion that Shapes & Sustains New Ways
Motivate; Deliver Stunning Success
Empower Individual and Collective Action
Illuminate High Leverage Solutions
Foundations for Change & Transformation
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T RA
UM A
TR AU
M A
For Transformational Change:
See Through New Lens
ACEs are Common, Interrelated, Highly Impactful
ACE Effects are Biologic Response to Toxic Stress; Plus:ACEs Set Up a Cascade of Experience
ACEs Have Population, Lifespan & Intergenerational Effects
People Unite Through the Language of ACEs & Resilience
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Neuroscience : Develop Compassion; Shape Solutions
ACE Science Motivates & Delivers Reliable Outcomes
Resilience Science Lets Us Know Our Actions Matter
Systems Science Shows High Leverage Solutions
The Science Fuels Change & Transformation
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Brain Development
for Safe World
Brain Development
for Dangerous World
BRAIN
Hormones, chemicals& cellular systems
prepare for
anticipated world
OUTCOME
Individual &species survive
the worst
conditions
INDIVIDUAL
Edgy
Single focus
No Social CuesQuick to act
Hyper vigilant
Hyper reactive
Numb
Detatched
TOXIC STRESS
OUTCOME
Individual &species survive
in good times;
vulnerable in
poor conditions
INDIVIDUAL
Laid back
Relationship-
oriented
Thinks things
through
Process over
power
Multi-Focus
HARDWIRED FOR ANTICIPATED WORLD
Normal BiologicalResponse Bumps Up
Against Social Expectations
Adapted from the research of Martin Teicher, MD, Ph.D
By Washington Family Policy Council
NEUTRAL
START
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Toxic Stress & Sequential Development
Prenatal
Early
Childhood
Middle
Childhood
Puberty-
Adolescence
Premature birth
Maternal depression
Attachment problems
Emotional dis-regulation
Ability to be soothed
Emotional Reactivity
Verbal, Spacial, Working Memory
Self Awareness/MonitoringMotivation
Judgment
Stress set-point
Right-left brain communicationPerception of social cues
Insight learning
Movement
Language & math integration
Visual memory/meaning making
AttentionLong term memory
Mental health
Movement through environment
Awareness of peripheral happenings
Goal oriented behavior and persistence
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Each Person; A Unique Experience of the World
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Examples How Neurobiology Informs Change
Perception of Threat: Safe harbor
Verbal memory: Corrections Officer Training
Relationship/social cues: Okanogan Mini Grants
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How might we
systematically build onthe strengths of people
affected by ACEs?
How might we engage
communities where a
large portion of the
population have 6-8ACEs?
Competitive
or Aggressive?
Decisive or
Impulsive?
Irritable or Passionate?
Independent or Detached?
Lacking Empathyor Rational and
Clear Headed?
Protecting
Interests
or Hyper vigilant?
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Neuroscience : Develop Compassion; Shape Solutions
ACE Science Motivates & Delivers Reliable Outcomes
Resilience Science Lets Us Know Our Actions Matter
Systems Science Shows High Leverage Solutions
The Science Fuels Change & Transformation
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HISTORIC TRAUMA
CHRONIC DISEASE
EARLY &
PROBLEM
ALCOHOL,
TOBACCO,
DRUGS
PSYCHIATRIC
DISORDERS
RISKY SEX
DISREGULATED
EMOTION
UNEMPLOYMENT
EPIGENETICS
CRITICAL
& SENSITIVE
DEVELOPMENTAL
PERIODS
ADVERSE
CHILDHOODEXPERIENCE
CRIME
SOCIAL ISOLATION
POVERTY
INTERGENERATIONAL
TRANSMISSION
HOMELESSNESS
DISABILITY
LEARNING &
MEMORY
PROBLEMS
JOB INJURY
RELATIONSHIP
PROBLEMS
ACEs Set-Up a Cascade of Often Co-Occurring Effects
ADAPTATION
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Elementary
ChildrenGreatest single predictor
for health, attendance,
behaviorSecond strongest
predictor for academic
failure (after Spec. Ed.)
Court Involved
YouthHigher ACE Scores; among those
with 4
51% of Kids Special Ed (vs 33% 0-1)
74% Below 2.0 GPA (58%)
64% 4+ Suspensions (43%)
85% Began to be suspended in 2nd
grade (71%)
33% have felony re-offense in two
years (13%)
Adults
Adult AdversityHomelessness
Incarceration
Disability
Victim of IPV
Poverty
Health Limits ActivityDrug/Alcohol Problems
UnemploymentMental Illness
On-the-job injuryDivorce
Work-related illness
Parenting
Adultswith 5 ACE
14 TIMESmore likely to have
2 or more
conditions that
make ACEs for Kids
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Understanding Adverse ChildhoodExperiences isnt to know ones life
path.
It is to open doors for the future you
would like for yourself and for future
generations.
Dr. Ronald Voorhees, MD PhD
Chief Office of Epidemiology & Biostatistics
Allegheny County Health Department
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Examples Using Ace Info for Change
Transitions from Preschool to Kindergarten
Better Treatment Fit for Adjudicated Youth
ACEs are Common Work in Universal Systems
High ACE Parents Become Powerful Leaders ofNext Generation ACE Reduction
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Neuroscience : Develop Compassion; Shape Solutions
ACE Science Motivates & Delivers Reliable Outcomes
Resilience Science Lets Us Know Our Actions Matter
Systems Science Shows High Leverage Solutions
The Science Fuels Change & Transformation
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RESILIENCE
Individual
Family
National,Global,Ecosystem
RESILIENCE
OCCURS AT
ALL LEVELS
The natural human capacity to navigate life well.(HeavyRunner & Marshall, 2003)
Community
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CAPABILITY
ATTACHMENT &BELONGING
COMMUNITY,CULTURE,
SPIRITUALITY
KEY SYSTEMS FOR RESILIENCE
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CAPABILITY
Intellectual &
Employable Skills Self regulation self
control, executive
function, flexible
thinking
Ability to direct andcontrol attention,
emotion, behavior,
Positive self view
Efficacy
Capabilities can be
impacted by trauma.As we relate to one
another, its
important to strike a
balance betweenknowing that
individuals efforts
are valuable, and
accepting that some
things are beyond
our control.
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Cultivating a Positive View; Making Meaning
What Helps?
1. Naming the problem
2. Doing small good works
3. Engaging in rituals
4. Forgiveness
5. Religion and spirituality
6. Hearing and telling stories
7. Seeking justice8. Living into hope
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CAPABILITY
Intellectual &
Employable Skills Self regulation self
control, executive
function, flexible
thinking
Ability to direct and
control attention,
emotion, behavior,
Positive self view
Efficacy
ATTACHMENT &BELONGING
Bonds with parents
and/or caregivers Positive relationships
with competent and
nurturing adults
Friends or romantic
partners who provide asense of security / help
with emotion coaching
Social/Emotional
Support
Our capabilities
and attachments
are interrelated.
One Community
Network in WA
found that
projects that help
youth develop
capabilities that
are highly desired
by adults like
animal care or
search and rescue
naturally andsystematically
improved healthy
belonging in the
community.
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Attachment, Belonging, Social-Emotional Support
What Helps?
1. Developing ceremonies or rituals
2. Including others in therapeutic and health-
promoting activities3. Engaging in multiple family or whole
community/workplace dialogues
4. Setting up mutual support or helping
systems
5. Creating art, movement, rhythm, music
6. Learning together
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CAPABILITY
Intellectual &
Employable Skills Self regulation self
control, executive
function, flexible
thinking
Ability to direct and
control attention,
emotion, behavior,
Positive self view
Efficacy
ATTACHMENT &BELONGING
Bonds with parents
and/or caregivers Positive relationships
with competent and
nurturing adults
Friends or romantic
partners who
provide sense of
security / help with
emotion coaching
Social/Emotional
support
COMMUNITY,
CULTURE,SPIRITUALITY
Faith, hope, meaning
Engagement witheffective orgs schools,
work, pro-social groups
Network of
supports/services &
opportunity to help
others
Cultures providing
positive standards,
expectations, rituals,
relationships & supports
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Efficacious Community
What Helps?
1. Opportunities for Everyone to Help to Co-Lead
2. Coming Together to Understand Matters of Importance
3. Learning Together Reciprocity
4. Results-Based Decisions Acting from Desired Future
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Examples:
Resilience & ACE Education for All Hospital Nursing Staff
Roosevelt Neighborhood: A Great Place to Live
Take Back the Light
Boosting Employment among People with Disabilities
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A communitys capacity to respondto the needs of ALL children is
reflected in the coherence and
alignment of its beliefs - not just in
public policies and procedures, but in
daily decisions made by community
members and our leaders.
Walla Walla Childrens Forum, 2013
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Keys to Success
SafetyPhysical, Emotional, Social, Moral
Continuous Learning
Emerging Science, Innovation-Evaluation Cycles
Celebrate Success
Movement, music, artistic expression, culturaltraditions, building efficacy, shared identity
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ACE reduction
reliably predicts
simultaneous
decrease in all ofthese conditions.
Population
attributable risk
MAGNITUDE OF THE SOLUTION