San Diego’s stop-and-go progress to becoming a trauma-informed community

At Teralta Park, Arturo Soriano (l) with his wife, Gabby, holding baby Joshua, and their kids Daniella (between them) and Adrian (kneeling), spend time with Kenneth (arms folded), Claudia Ruiz and her mother, Michelle Massett. Behind them, Coach, wearing red gloves, comes to the park to spar with the youth.

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It’s a warm spring afternoon and Arturo Soriano is in his old stomping grounds—at Teralta Park, a small urban park atop a sunken freeway in San Diego’s City Heights neighborhood. As a teenage gang member in the 1980s, Soriano roamed the park and the surrounding streets before spending the better part of two decades in prison. Now 40, he has returned with a different mission.

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Comprehensive legislation introduced in U.S. Senate and House to address trauma

Sen. Heitkamp, Sen. Durbin, Christinia Bethel & Joe Barnhart (Left to right)

Senators Heidi Heitkamp (D-ND) and Dick Durbin (D-IL) at the Dec. 1, 2016 congressional briefing on addressing childhood trauma

The “Trauma-Informed Care for Children and Families Act” (S. 774H.R. 1757) was introduced on March 29 in the Senate by Sen. Heidi Heitkamp (D-ND) with co-sponsors Dick Durbin (D-IL), Al Franken (D-MN), and Cory Booker (D-NJ), and, for the first time in the House of Representatives, by Chicago Rep. Danny K. Davis (D-IL7). A version of the bill was introduced in the Senate in the final days of the last Congress. The bill’s sponsors were not successful in their efforts to gain bipartisan support in advance of its introduction.

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Utah Gov. Gary Herbert signs resolution to encourage state policies and programs based on ACEs science

Utah Governor Gary Herbert

Utah Governor Gary Herbert speaks to press at the monthly conference in March

Utah Governor Gary Herbert signed into law on March 22 a resolution (H.C.R. 10) to encourage state policy and programs to incorporate the science of adverse childhood experiences to address “severe emotional trauma and other adverse childhood experiences” in children and adults and implement evidence-based interventions to increase resiliency. The resolution was approved unanimously on March 7 by the Republican-dominated legislature.

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How facing ACEs makes us happier, healthier and more hopeful

Ahappy

Won’t it depress people?

Isn’t it triggering?

Aren’t the topics troubling?

Won’t it make people sad or upset?

Fear is what I often fight when talking about ACEs — adverse childhood experiences. It’s not my fear though. It’s the fear others have about all things ACEs. Adversity. Abuse. Addiction. Abandonment. Neglect. Dsyfunction.

I don’t think this fear actually belongs to those of us who have lived with ACEs, who have lived through ACEs, who live with the aftermath of ACEs as adults.

When I found out about ACEs I was overwhelmed with joy. I felt radical relief. What I experienced was a profound sense of validation. It was epic.

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The practice of ACEs science in the time of Trump

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As with any remarkable change, the 2016 presidential election, a swirl of intense acrimony that foreshadowed current events, actually produced a couple of major opportunities. It stripped away the ragged bandage covering a deep, festering wound of classism, racism, and economic inequality. This wound burst painfully, but it’s now open to the air and sunlight, the first step toward real healing. The second opportunity is how the election and its aftermath are engaging more Americans from many different walks of life. The election brought out people who hadn’t voted in years; its aftermath has engaged people who’d counted on someone else to do their citizenship work for them. All these people — all of us — now have an opportunity to work together to solve our most intractable problems. That knowledge is embodied in the science of adverse childhood experiences (ACEs).

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Putting resilience and resilience surveys under the microscope

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“Resilience is a message of hope,” says Debbie Alleyne, a child welfare specialist at the Center for Resilient Children at Devereux Advanced Behavioral Health, located in Villanova, PA.“It is important for everyone to know that no matter their experience, there is always hope for a positive outcome. Risk does not define destiny.”

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The most important thing I didn’t learn about in medical school: Adverse childhood experiences

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Dr. Nancy Hardt

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The most important thing I didn’t learn in medical school is about adverse childhood experiences, also known as ACEs.

To be sure, if I had understood them then the way I do now, I would have been a better and more compassionate physician. Importantly, I would have avoided lots of mistakes.

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