Oakland, CA, trying out model used in Baltimore to reduce trauma, increase resilience

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Baltimore BSC faculty and planning team

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When a group of community organizations in Baltimore came together in 2015, they already knew trauma figured large in many lives. There was violence in the community, in schools, and in community members’ homes. Police brutality occurred. Many suffered the loss of loved ones to incarceration or death. There were house fires and homelessness. Much of the dysfunction was systemic and rooted in racism, according to a report on a collaborative effort to restructure city organizations and agencies. The goal was to build community resilience.

In 17 months of development — trying out, modifying and putting plans into action — the Baltimore Breakthrough Series Collaborative (BSC) brought together nine different teams, trained and educated 928 people about trauma and resilience, screened 638 people for trauma, referred 321 people for mental health care, expanded connections into 50 new collaborations, created 27 “trauma-free” zones, relied on a “it’s not for us if it’s not by us” concept of families and community members defining what needed to change and how, and each developed their own way to measure growing resilience. And now the model is being put into place in Oakland, California.

The nine Baltimore-based teams were: Advanced Therapeutic Connections; Bon Secours Behavioral Health; Communities United; ED Pride Program at Baltimore City Schools;The Family Tree; House of Ruth, Maryland; KidzStuff Childcare Center/Sage Wellness Group; New Lens; and Pressley Ridge. The teams are a mix of grassroots community and youth social justice organizations; organizations that provide mental health, child abuse prevention, and child care services; as well as agencies that serve foster youth and families who have experienced domestic violence.

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Francesca Osuna

For the Oakland participants, the BSC model was a good fit, says Francesca Osuna, the trauma-informed implementation and evaluation coordinator for the East Bay Agency for Children. “We thought it was a good opportunity to bring together agencies that don’t usually work directly together and have them share and learn with each other,” says  Osuna, who is coordinating the program planning in the Oakland BSC.  “It’s a good opportunity for them to share their wisdom.”

How did it work in Baltimore? Rochell Barksdale can see the fruits of that training first hand. The mother of two, who lives in Baltimore, took what she learned from the collaborative, and started a trauma-support group in 2016 in the public housing complex where she lives. And it’s been growing ever since.

“It started in my home, and when my home got too small, we moved to a church,” says Barksdale, who is a member of the grassroots group Communities United, one of the BSC teams. The trauma-support group, which meets monthly, now gathers at a center at her son’s elementary school. As many as 16 people attend the meetings.

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Study shows most pregnant women and their docs like ACEs screening

Would pregnant women participate in surveys from their doctors asking them about whether they had experienced trauma in their childhood? In surveying moms-to-be at two Northern California Kaiser sites, clinicians discovered that the women were receptive to filling out an adverse childhood experiences (ACE) survey, according to a study that was published earlier this year in the Journal of Women’s Health.

In fact, researchers found out that the vast majority of pregnant women — 91 percent of the 375 women— were “very or somewhat comfortable,” filling out the ACE survey. Even more, 93 percent, said that they were comfortable talking about the results with their doctors. The women were surveyed from March through June 2016 at Kaiser Permanente clinics in Antioch and Richmond, CA.

ACE refers to the groundbreaking CDC/Kaiser Permanente Adverse Childhood Experiences Study that tied 10 types of childhood trauma, including living with an alcoholic family member or experiencing verbal abuse from a parent, to a host of health consequences. (Got Your ACE Score?)

The higher the number of ACEs that people have, researchers learned, markedly increases their risk for poor health outcomes, as well as social and economic consequences. Having four ACEs, for example, nearly doubles a person’s risk for heart disease and cancer, raises the risk of attempted suicides by 1200 percent and alcoholism by 700 percent.

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Study unearths patterns in ACE scores in San Jose, CA, homeless population

It was around 2010 that Dr. Angela Bymaster was seeing a disturbing pattern in the histories of her adult patients. She already knew that patients who saw her at the Valley Homeless Health Care Program in San Jose, CA, where she worked at the time, were homeless or recently homeless. What was most troubling to Bymaster was knowing that their current precarious existence could have been prevented.

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Dr. Angela Bymaster

“Over and over and over again I was hearing the same stories of abuse in childhood and neglect, incarceration, moving around a lot, a lot of trauma for them as children,” said Bymaster, who as a family physician always took her adult patients’ in depth pediatric histories. She now works for the Washington Neighborhood Health Clinic, a school health clinic in San Jose that’s part of a non-profit School Health Clinics of Santa Clara County.

Bymaster became aware of the landmark CDC/Kaiser Permanente Adverse Childhood Experiences Study in 2007. The study showed a link between 10 types of childhood trauma and adult onset of chronic disease, violence and being a victim of violence, among other outcomes.

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Those who separate immigrant children from parents might as well be beating them with truncheons

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Central American asylum seekers, including a Honduran girl, 2, and her mother, are taken into custody near the U.S.-Mexico border in June in McAllen, Texas.

They all agree. Physicians for Human Rights. American Medical Association. American Academy of Pediatrics. American Psychiatric Association. National Association of Pediatric Nurse Practitioners. 

Separating children from their parents or caregivers hurts children. Between April 19 and May 31, nearly 2,000 children were separated from their parents. As Celeste Fremon reported in WitnessLa,  that number has now passed 2,300 children (and is increasing by more than 60/day), with another 11,000 locked up in everything from large cages to a converted Walmart. 

“To pretend that separated children do not grow up with the shrapnel of this traumatic experience embedded in their minds is to disregard everything we know about child development, the brain, and trauma,” says a petition signed by more than 9,000 mental health professionals and 172 organizations.

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Tonier Cain Deserves an Evidence-Based Apology

Tonier Cain. Photo: Yi-Chin Lee/USA TODAY NETWORK-Wisconsin

Editor’s note: Over 15 years, Tonier Cain was arrested 83 times, and convicted 66 times. She was addicted to crack. She was a prostitute. She had four children and lost them to child protective services. Remarkably, she didn’t give up hope, and one day, she found someone in the system who knew about trauma and who didn’t give up on her. Cain now advocates for trauma-informed care in prisons and mental health facilities. She gives speeches around the country and the world. Cissy White was fortunate to attend a conference in North Carolina where Cain gave a presentation. This is Cissy’s reaction.
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When Tonier Cain gave a keynote presentation at the Benchmarks’ Partnering for Excellence conference in North Carolina, it took me months to recover from her speech.
Seriously. It was hard to stand after she spoke. When I did, I went right to a yoga mat in the self-care calm room for a while. I took off my high heels and curled up in a ball for a bit.
I’m still digesting her words. It’s not that the content was intense and heavy, though it was. It wasn’t that she talked about a ton of traumatic experiences she had survived – though she did.

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Oprah learns about ACEs and trauma-informed care

Oprah on 60 minutes

Oprah interviews Dr. Bruce Perry

“Don’t ask ‘What’s wrong with you?’ Ask, ‘What happened to you?'” 

I watched the Oprah segment with my mother, Dr. Louise Hart, who heard Dr. Vincent Felitti speak about the CDC-Kaiser Permanente Adverse Childhood Experiences Study years ago.

At that time, she asked him, “What is being done with this incredible information?” And he replied, “not much.” It inspired her to come out of retirement and write another parenting book, which turned into The Bullying Antidote. Published in 2013, this was the first book (and still may be the only one) that shows how bullying relates to ACEs—and how parents can prevent it using positive psychology. Bullying—the use of dominance to create harm—is at the root of many of our social ills, and is one of the main vehicles for perpetuating trauma.

And now, Oprah has learned about ACEs science and how organizations are applying a wide range of ACE-informed approaches, including trauma-informed care. “It blew my mind,” she said. “It changed my life.”

And when Oprah talks about something, the world gets it.

Watch the full episode of “Oprah Winfrey discusses childhood trauma on 60 Minutes”, a CBSN video on CBSNews.com. View more CBSN videos and watch CBSN, a live news stream featuring original CBS News reporting.

Source: Oprah Winfrey discusses childhood trauma on 60 Minutes – CBSN Live Video – CBS News

Oprah Winfrey addresses the long-term effects of trauma on CBS’s 60 Minutes

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UPDATE:  Click here to view the segment (approximately 14 minutes) and the 60 Minutes Overtime interview with Oprah (about 5 minutes).
Oprah Winfrey addresses the long-term effects of childhood trauma this Sunday, March 11 on 60 Minutes (tune in on CBS at 7:00 p.m. ET). The word is spreading quickly about the potential impact of this 60 Minutes segment. One ACEs Connection member said “The cause now has an iconic “champion of champions.” This could be a significant game changer.” Another said we should all be prepared to respond afterwards with opeds and letters to the editors to local papers, meetings with legislators etc.

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