laura porter's presentation from the regional summit on adverse childhood experiences on march...
TRANSCRIPT
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Shifting the Future
of Health, Safety & Prosperity
Preventing Adverse Childhood Experiences
We’re All AboutThe Magnitude of the Solution
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Promote Virtuous Cycle of Health
Moderate ACE Effects, Improve Wellbeing
Among Parenting Adults
2
Prevent High ACE Scores
among Children
Mutually Reinforcing
8 7
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Parenting May Be More Difficult for Some
Relationships
Physical Mental Health
Cognition
Behavior
Crisis
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Very High ACE Scores Among Parenting-Age Adults in Washington
AGE 18-34 with ≥5 ACEs AGE 35-54 with ≥5 ACEs
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Adult Adversity Compounds Effects
0
10
20
30
40
50
60
0 1 2 3
% w
ith 1
5-30
D
isab
ility
-Int
erru
pted
Day
s a
Mon
th
Number of Major Stress Categories In AdulthoodAdded to ACE Score of ≥3
Adults with 3 ACEs
Plus
Major Stress Categories:
1. Homelessness
2. Incarceration
3. Chronic illness
4. Separation/Divorce
5. Severe Depression
6. Work-related Injury/ Illness
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1. Employ a Dual Generation Approach
2. Engage the Citizenry to Shift Cultural Norms
3. Shift Practice in ACE-Driven Cost Centers
4. Systematically Learn: What Works for Whom, In What Conditions
Policy Implications
ACE Score Reduction Reliably Predicts Savings:Health, Justice, Social, Education, Workforce, Happiness, Lifespan
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ACEs Driven Cost Centers
WorkforceHealthCorrectionsHousing & ShelterBehavioral HealthDisability ServicesLabor & IndustriesChild Welfare
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First Responders
Interrupting Intergenerational Transmission
• ACEs in Home Visiting• Community: People We Can
Count On • TANF Parent Ed “Counts”• Youth Development as “Pre-
Parent Skill-Building”• Train the Trainer • Action Oriented Workshops
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Expand Leadership
Come Together – Talk about
What Matters
Learn Together
Decisions for Results &
Shared Identity
Emergence: Create both Path & Destination
Appreciative Action: Finds Strengths and Acts Upon Them
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Social/Emotional Support-Resilience Factor
7.50%
10.40%
15.70%
7.00%
9.10%
8.20%
5.70%
7.20%
1.40%
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
14.00%
16.00%
18.00%
Cardiovascular Diabetes Receive Treatment for Mental Illness
Rarely/Never Sometimes Always/Usually Have Support
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Support, Positive View & Hope Improve Housing Stability
19
2.6
0
2
4
6
8
10
12
14
16
18
20
Low Resiliency High Resiliency
Pe
rce
nt
Wh
o M
ove
d ≥
4 T
ime
s in
Pas
t Y
ear
Resiliency Score: Social-Emotional Support, Positive View/Narrative, Hope
Moved ≥ 4 Times in Past Year
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8% 8% 7%
10% 10%
12%
17%16%
17%
25%23%
35%
0%
5%
10%
15%
20%
25%
30%
35%
40%
0 ACE 1 ACE 2ACE 3 ACE 4-5 ACE 6-8 ACE
Perc
en
t U
nem
plo
yed
PEOPLE WITH SUPPORT & HOPE ARE MORE LIKELY TO BE EMPLOYED
High Resilience Score Low Resilience ScoreSOCIAL & EMOTIONAL SUPPORT; POSITIVE VIEW; HOPE
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Higher Community CapacityFewer Adverse Childhood Experiences (ACEs) among Young Adults
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Keys to Success
Take a learning systems approach Form long-term partnership with community leaders Structure staff for both short and long term needs Develop an education framework that unites people
across professional disciplines, class lines, sectors, etc. Hold a fundamental respect for the wisdom of every
person – their culture, experience, capabilities, and aspirations
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Community
Services
EducationSystem
Other Special
Services
Building Self-Healing Communities
© 2013
JusticeSystem