Investing in cross-sector networks to build a trauma-informed region

Participants at a Pottstown Trauma Informed Community Connection community meeting, which typically draw between 75 and 130 people. Courtesy of Valerie Jackson/PTICC.

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When Suzanne O’Connor first joined the Philadelphia ACE Task Force (PATF)—a group then composed mostly of pediatricians who wanted to put ACE science into practice—she did more listening than talking.

“I wasn’t a doctor, I wasn’t a clinician, but a teacher trying to integrate trauma-informed care into early childhood education,” she says. “What struck me the most was what educators didn’t know about social services, mental health and even physical health. We didn’t have language for what we were seeing with kids who were particularly challenging.”

ACEs gave O’Connor that language. She became a passionate advocate for trauma training for early childhood and K-12 teachers. Now, as director of education for United Way of Greater Philadelphia and Southern New Jersey, O’Connor is helping trauma-informed practice to ripple across the region.

United Way, which recently honed its mission to focus on ending intergenerational poverty, funds and supports cross-sector networks in Philadelphia, surrounding counties and the borough of Pottstown, all part of United Way’s effort to “build a trauma-informed region.”

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Radical Inquiry: Research Practices for Healing and Liberation

Radical Inquiry

RYSE Center in Richmond, CA, was born of out of young people of color (YPOC) organizing to shift the conditions of violence, distress, and dehumanization in which they suffer, survive, succeed, dream, and die.  We center the lived experiences of YPOC, we lead with love and sacred rage to cultivate healing and build movement, and we take risks as an essential part of transformation and justice, of liberation. We do this in a physical space that feels safe, welcoming, and affirming; that is vibrant with aesthetics created by and for YPOC, and in which members feel ownership, agency, and responsibility.  We do this through cultivating a staff team and organizational culture that is reflective of and responsive to our members, and which engages in ongoing learning, healing, and movement-building.

A third of our current staff started at RYSE as members, half of our staff are under the age 27, and over 90% are people of color. RYSE runs programs across areas of community health; education and justice; youth organizing and leadership; and media, arts, and culture. All programs serve as platforms to cultivate connection, healing, love, and resistance.

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Kaiser family medicine clinic launches 4-question ACE survey pilot for adults

In July, medical residents in family medicine at Kaiser Permanente in San Jose, CA, began screening adult patients for adverse childhood experiences (ACEs). But it’s an ACE survey with a twist: it’s shorter, not the  10-question survey of the original CDC-Kaiser Permanente ACE Study, according to Dr. Kathryn Ridout who is leading the pilot along with Dr. Francis Chu and Dr. Alec Uy.

Why a shorter ACE survey?

KRidout headshot2

“When we were doing our initial discussions with stakeholders in the clinical setting, one of the barriers was the perception of the amount of time it takes to do a screening,” says Ridout. So, she and her colleagues developed a shorter ACE survey of four questions. The questions were adapted from the original ACEs screen of 10 questions as well as expanded ACE surveys that include statements about experiencing bullying or racism, living in a war zone, or in a violent neighborhood. (Since the four-question survey is currently being piloted, it’s not yet available for public release, according to Ridout.)

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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.

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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.

Bymaster
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

Aimmigrants
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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