Curiosity and reciprocity: Engaging community in the ACE & resilience movement

In an all-day workshop that Laura Porter was leading with community organizers and parents, she told the story of a woman from the Congo who had to leave her homeland. Before the woman left, she had a dream about living in the United States.

The woman said she imagined opening her door, letting her children run free, hearing them laugh and play. She envisioned people asking one another, “How are you?” without any compulsion to evade by answering, “Fine. I’m fine.” And, she added, “I could go with my children to the store and not have to be afraid that they would be arrested for being black.”

Porter was struck by the woman’s words—a vision of safety and belonging that is rarely voiced out loud. “As we’re engaging people, that dream is just under the surface,” says Porter. “When we touch on that, we touch on something very powerful: the core values…that go beyond political strife or individual experience. We can touch an aspirational world.”

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Trauma and ACEs missing in response to opioid crisis, says national organization

 

A policy brief issued in July by the Campaign for Trauma-Informed Policy and Practice (CTIPP) forcefully develops the case for trauma-informed approaches to address the opioid crisis—to prevent and treat addiction—based on strong evidence that adverse childhood experiences (ACEs) are at the root of the crisis. CTIPP is a national organization that advocates for trauma-informed prevention and treatment programs at the federal, state and local levels.

Successful strategies to attack the opioid epidemic must recognize the powerful correlation between ACEs and substance abuse demonstrated by the CDC-Kaiser Permanente Adverse Childhood Experiences Study (ACE Study), according to CTIPP. While recognizing the complexity of addiction pathways and contributing factors such as job loss, CTIPP argues that understanding the role of ACEs and trauma in addiction is essential in developing effective strategies to prevent addiction and treat those already addicted.

The brief, “Trauma-Informed Approaches Need to be Part of a Comprehensive Strategy for Addressing the Opioid Epidemic“, describes the evidence showing a correlation between traumatic experiences, including the ACE Study and more recent studies that, for example, “demonstrate a clear dose response relationship between the number of trauma experiences and increased risk of prescription drug misuse in adults.”

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Putting Alaska Native hopes, voices at center of state’s ACEs movement

Lisa Wade is the Health, Education, and Social Services Director, tribal court judge, and elected tribal council member for the Alaska Native Village of Chickaloon.

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Before the Alaska Resilience Initiative could push forward on any of its goals—to grow a sustainable statewide network; to educate all Alaskans on brain development, adverse childhood experiences, and resilience-building; and to support organizational, policy and practice change to address trauma—its leaders had to start by listening.

Specifically, they had to listen to Alaska Native people.

Alaska Native people comprise nearly one-fifth of the state’s population, but historically their voices have been largely excluded from decision-making about social services, education and behavioral health.

That’s why Laura Norton-Cruz, program director of the Alaska Resilience Initiative, partnered with First Alaskans Institute and the Chickaloon Village Traditional Council in a May 2016 gathering that put Native perspectives, customs, history and hopes at the center.

That gathering of about 30 people “was setting a tone for the whole state that the voices of Alaska Native people matter in this process,” Norton-Cruz said. The goal was to seek input that could guide the Alaska Resilience Initiative, shape the curriculum for ACE/resilience trainers and frame a more inclusive and equitable approach to the work.

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Providers hope trauma legislation will help native children in foster care

By Jeremy Loudenback

Recent federal legislation put forward by Sens. Dick Durbin (D-IL), Al Franken (D-MN) and Heidi Heitkamp (D-ND) proposes to address the issue of childhood trauma through the creation of a federal trauma task force.

The Trauma-Informed Care for Children and Families Act would gather federal officials and members of tribal agencies to create a set of best practices and training to help create a better way to identify and support children and families that have experienced trauma.

In North Dakota, the home state for co-sponsor Heitkamp, advocates are hoping that the bill can have an impact on addressing the needs of Native American children who disproportionately enter the state’s foster care system. According to one report, Native American youth deal with post-traumatic stress disorder at a rate of 22 percent, three times the national average and at the same level as Iraq and Afghanistan war veterans.

At PATH North Dakota, a non-profit child and family services agency, a trauma-informed approach means helping Native American children address historical trauma, as well as contemporary adverse experiences faced by children in foster care.

Jodi Duttenhefer and Heather Simonich, operations directors at PATH, recently talked with The Chronicle of Social Change about the new legislation, the importance of collecting data on the adverse childhood experiences of youth in its treatment foster care program and how the tribal community at Standing Rock is thinking about child trauma.

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Addiction doc says: It’s not the drugs. It’s the ACEs – adverse childhood experiences.

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He says: Addiction shouldn’t be called “addiction”. It should be called “ritualized compulsive comfort-seeking”.

He says: Ritualized compulsive comfort-seeking (what traditionalists call addiction) is a normal response to the adversity experienced in childhood, just like bleeding is a normal response to being stabbed.

He says: The solution to changing the illegal or unhealthy ritualized compulsive comfort-seeking behavior of opioid addiction is to address a person’s adverse childhood experiences (ACEs) individually and in group therapy; treat people with respect; provide medication assistance in the form of buprenorphine, an opioid used to treat opioid addiction; and help them find a ritualized compulsive comfort-seeking behavior that won’t kill them or put them in jail.

This “he” isn’t some hippy-dippy new age dreamer. He is Dr. Daniel Sumrok, director of the Center for Addiction Sciences at the University of Tennessee Health Science Center’s College of Medicine. The center is the first to receive the Center of Excellence designation from the Addiction Medicine Foundation, a national organization that accredits physician training in addiction medicine. Sumrok is also one of the first 106 physicians in the U.S. to become board-certified in addiction medicine by the American Board of Medical Specialties.

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England and Wales produce new animation about ACEs & resilience

Here’s a new ACE animation that was posted last week by Dr. Helen Lowey and Prof. Mark A. Bellis at Public Health Wales.

Lowey, consultant in public health, Blackburn with Darwen Borough Council in Northwest England, sent this information with the animation:

Adverse Childhood Experiences (ACEs) are those that directly harm a child; such as physical, verbal and sexual abuse or physical or emotional neglect – as well as those that affect the environment where they grow up; including parental separation, domestic violence, mental illness, alcohol abuse, drug use or incarceration.

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Pediatrician develops whole-child assessment tool that includes ACEs questions

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Over the last dozen years or so, many pediatricians, astounded by the ramifications of the science of adverse childhood experiences (ACEs) on the children they care for, began integrating this science into their practices. The most common approach has been to ask parents about ACEs using a questionnaire, and to use this information to counsel parents and identify resources for the family. Different practices have been using different questionnaires: Some ask parents for their ACE scores along with their children’s; others also add a resilience survey.

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