The town of The Dalles, OR, remakes itself as a trauma-sensitive sanctuary

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Tucked into a curve of the Columbia River, which marks the watery border between Washington and Oregon, lies the small town of The Dalles. Its claims to fame include being a major Indian trading site for 10,000 years, a camping spot for Lewis and Clark in 1805, and the terminus of the Oregon Trail.

Now The Dalles is seeking a different kind of notoriety. This city of 13,000 is the first in the nation to seek certification from the Sanctuary Institute—a model of organizational change that challenges every part of the community to examine and remake itself through a trauma-informed lens.

Dalles (pronounced “dahl,” with a silent “s”) is a French word for “slabs” of rock around and over which the Columbia once roared.  The population of this rural community, 70 miles east of Portland, is mostly white, 30% Hispanic, and less than 10% other ethnicities. “It’s small enough that I’m able to call the chief of police and go out for coffee,” says Trudy Townsend, assistant to the superintendent of the North Wasco County School District 21.

The community is no different from others its size: If people don’t know you, they know someone who knows you. That intimacy provides a sense of belonging and connection that is hard to find in larger cities. But if you had told any leader—or citizen—in The Dalles in 2008 that deepening those connections and becoming a trauma-informed community was on the horizon, they would not have believed it.

That was the year when the U.S. Substance Abuse Mental Health Services Administration (SAMHSA) awarded the community a five-year, $2.7 million Safe Schools/Healthy Students grant. It specified that law enforcement, mental health, juvenile justice and education agencies work together to make schools safer and students healthier. “We added the Department of Human Services,” says Townsend, who was hired as project director. “One of SAMHSA’s hopes for an outcome was that communities would build better relationships and systems.”

Many communities that received the grants hired school resource officers. The Dalles did something different. With the exception of the school district, which was the grantee, the partners on the core team did not receive any direct funding. They wanted to focus on sustainable change, so they combed the agencies’ data for specific problems and asked how each partner could help resolve them. For example, when data showed significant behavioral issues at the middle school among a group of students, the director of  juvenile justice volunteered to greet those students at school every morning, and a targeted intervention for boys was put into place.

The core team opted to put resources into after-school programs, mental health and crisis intervention for students in the Adallescommunity’s three

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Most Californians have experienced childhood trauma; early adversity a direct link to adult onset of chronic disease, depression, violence

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Nearly two-thirds of California adults have experienced at least one type of major childhood trauma, such as physical, verbal or sexual abuse, or living with a family member who abuses alcohol or is depressed, according to a report released today.

The report – “Hidden Crisis: Findings on Adverse Childhood Experiences in California” (HiddenCrisis_Report_1014) – also reveals the effects of those early adversities: a startling and large increased risk of the adult onset of chronic disease, such as heart disease and cancer, mental illness and violence or being a victim of violence.

Ten types of childhood trauma were measured. They include physical, sexual and verbal abuse, and physical and emotional neglect. Five family dysfunctions were also measured: a family member diagnosed with mental illness, addicted to alcohol or other drug, or who has been incarcerated; witnessing a mother being abused, an losing a parent to separation, divorce or other reason.

Each type of trauma counts as an ACE (adverse childhood experience) score of one. The more ACEs a person has, the higher the risk of facing physical, mental and social problems.

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For example, Californians who have an ACE score of 4 or more are nearly twice as likely to have asthma, 2.4 times as likely to have chronic obstructive pulmonary disease, 1.7 times as likely to have kidney disease, and 1.5 times as likely to have a stroke. They’re five times more likely to be depressed and four times more likely to develop dementia or Alzheimer’s. Those with an ACE score of 4 or more are approximately three times more likely to smoke, binge drink and engage in risky sexual behavior. They’re nearly 12 times more likely to be the victim of sexual violence after they’re 18 years old.

One in six Californians – 16.7% — has an ACE score of 4 or higher. (Got Your ACE Score?)

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Arizona ACE Consortium spreads awareness, influences prevention of childhood trauma

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Not long after Marcia Stanton stumbled across the original article from the CDC’s Adverse Childhood Experiences Study, she heard a conference presentation by Dr. Vincent Felitti, one of the study’s co-authors. She invited Felitti to do grand rounds with 100 pediatricians at Phoenix Children’s Hospital, where she works.

“I thought they’d be all over this,” says Stanton, a social worker in the hospital’s Injury Prevention Center, where she coordinates child abuse prevention programs and promotes primary prevention. After all, the study revealed a direct link between 10 types of childhood adversity and the adult onset of chronic disease (cancer, heart disease, diabetes, autoimmune diseases, etc.), mental illness, violence and being a victim of violence. It showed that childhood trauma

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State data fuels the ACEs conversation in Iowa

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Most Iowans didn’t learn about the Centers for Disease Control’s ACE Study until early 2011. But in the three years since then, the state has completed two ACE surveys, one of them published, with a third survey underway and a fourth scheduled for 2015. Iowa has hosted three ACEs summits; two statewide summits in 2014 focus on ACEs in early childhood, and education and juvenile justice. And nearly every sector—including health care, education, social services and corrections—is busy answering the question: How do we integrate this knowledge into what we do?

“To this day, I can’t find out who knew to bring him here,” says Suzanne Mineck, president of the Mid Iowa Health Foundation, referring to physician

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Children’s Resilience Initiative in Walla Walla, WA, draws spotlight to trauma-sensitive school

RRocksbannerIn Walla Walla, Washington, the journey to implement ACEs research has been akin to a wild ride on a transformer roller coaster that arbitrarily changes its careening turns, mountainous ascents, and hair-raising plunges. And sometimes the ride just screeches to a frustrating halt.

The odyssey began in October 2007, when Teri Barila, Walla Walla County Community Network coordinator, heard Dr. Robert Anda, co-investigator

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How the NFL can stop abuse AND keep its players on the field

A young fan wears an Adrian Peterson jersey.  [Photo: Ann Heisenfelt/AP]

A young fan wears an Adrian Peterson jersey. [Photo: Ann Heisenfelt/AP]

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Many people are happy that the Vikings kicked Adrian Peterson off the team and that Ray Rice can no longer play for the Ravens. Their off-field violence has cascaded into harm and loss for everyone involved – spouses, children, team, league and fans — all because of the consequences of their childhood trauma. And the only way the NFL can stop further abuse, harm and loss is…well…to deal with its players’ childhood trauma.

The severe and toxic stresses in Peterson’s past – or what we in the trauma-informed community count on a scale from one to 10 as adverse childhood experiences or ACEs – aren’t minor. As a child, he lost his father to prison, suffered through his parents’ divorce, saw his brother killed by a drunk driver, and was beaten by his stepfather. Repeating the pattern, he whipped his own four-year-old son with a switch so harshly that he raised welts on the child’s body. And if Peterson is convicted and goes to prison, his son can add another ACE to his trauma-filled life.

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Tarpon Springs, FL, first trauma-informed city, embraces messy path toward peace

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Tarpon Springs, Florida, once known as the nation’s sponge-fishing capital, today boasts a new designation: the first city in the country to declare itself a trauma-informed community.

It isn’t that the 24,000 residents of the scenic Gulf Coast town know more than the rest of us about emergency room techniques, spend their time crunching spreadsheets of violence data or watch more episodes of “America’s Most Wanted.”

Being a trauma-informed community means that Tarpon Spring has made a commitment to engage people from all sectors—education, juvenile justice, faith, housing, health care and business—in common goals. The first is to understand how personal adversity affects the community’s well being. The second is to institute resilience-building practices so that people, organizations and systems no longer traumatize already traumatized people and instead contribute to building a healthy community.

Beginnings: a goal to stop violence

The journey officially began in February 2011, when the Tarpon Springs City Council signed a memorandum of understanding to marshal the community to address and prevent childhood and adult trauma.

The results have been profound. Trauma-informed practices have been implemented in small and large ways in a variety of organizations, including an elementary school, an ex-offender re-entry program and the local housing authority. The Pinellas County Department of Health recently decided to incorporate in its Community Health Improvement Plan a goal of providing trauma-informed information in all of its county health facilities.

“Once you bring the community into it, you just don’t know how it’s going to grow,” says local artist Robin Saenger.

But the unofficial journey began in the middle of 2010. Saenger, who was Tarpon Springs’ commissioner and vice-mayor from 2005 to 2011, wanted to figure out a way to reduce the increasing levels of violence in her community. She talked with a friend, Andrea Blanch, a senior consultant at the National Center for Trauma-Informed Care, about her goal.

“She listened,” says Saenger, “and then said: ‘You’re talking about a trauma-informed community.’” Blanch explained how many of the issues facing Tarpon Springs—homelessness, domestic violence and substance abuse—stemmed from childhood adversity. And the Peace4Tarpon Trauma-Informed Community Initiative was born.

“My belief is that trauma is universal,” says Saenger. “Everyone’s experienced trauma in one form or another, and usually does on a regular basis throughout the course of a lifetime,” whether that stems from being in a car accident, witnessing domestic violence or having a loved one with substance abuse problems. And everyone is affected

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