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Poverty Matters!
October 2015
SHIFTING Our Perspective:
Innovating, Integrating and Improving Children’s
Service and Supports
WI Office of Children’s Mental Health
Elizabeth Hudson, [email protected]
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WI Office of Children’s Mental HealthCoordinating and Integrating Services Across State Agencies
WI Office of Children’s Mental HealthCoordinating and Integrating Services Across State Agencies
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SHIFT Our Perspective
• From primarily a clinical approach to a public health approach
• From families as receivers to families as leaders
• From a programs approach to a systems approach
• From illness to adaptation
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Safe, Stable, Nurturing, Informed FamiliesKnowledgeable Lawmakers
Consistent Media Messaging
Trauma-Informed Care
•Understand basic trauma & ACEs information•Recognize triggers•Recognize signs of emotional dysregulation •Learn basic self-regulation and de-escalation skills•Approach others from a frame of cultural competence•Shift your perspective from “what’s wrong with that person?” to “what might have happened to that person?”
Mental Health Providers
Mental Health Coaches and Organizational Consultants
Youth and Parent Peer Specialists
Raise Awareness:•High youth psychiatric hospitalization rates•High youth suicide rates•High youth depression rates•Child/youth psychotropic medication prescribing patterns
Colle
ctive
Impa
ct Collective Impact
SHIFTfrom a primarily Clinical Approach to a Public Health Approach
SHIFTfrom a primarily Clinical Approach to a Public Health Approach
Student Support Services
Skilled Child Serving Workforce
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SHIFTfrom Families as Receivers to Families as Leaders
SHIFTfrom Families as Receivers to Families as Leaders
Develop an infrastructure to ensure meaningful parent and youth involvement in state agency activities
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SHIFTfrom a Programs Approach to a Systems Approach
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SHIFTfrom Mental Illness to Adaptation
SHIFTfrom Mental Illness to Adaptation
“Early experiences are biologically embedded in the development of the brain and other organ systems leaving a lifelong impact on learning, behavior and both physical and mental health.”
Harvard Center for the Developing Child
PET scans show marked differences in the brain architec ture of a nurtured brain (left) and an abused brain (right).
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Wisconsin Data Themes• What is the prevalence of children’s mental health issues?
• What are some of the risk factors that contribute to mental health difficulties?
• Using the available data, where do we see serious concerns?
• Where do we have opportunities to shift our perspective?
• What kind of disparities do we see?
• What strengths can we build on?
Please see the 2014 OCMH Report to the Legislature for detailed information: http://legis.wisconsin.gov/lfb/jfc/reports/Documents/2015_01_02_OCMH.pdf
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Trauma and Adversity: So Many Concepts, So Little Time!
• Adversity• Toxic Stress• Acute Stress Disorder• Post Traumatic Stress Disorder• Trauma & Attachment• Polyvictimization• Vicarious Trauma• Sanctuary Trauma• Historical Trauma
9
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Toxic Stress Derails Healthy Development
http://developingchild.harvard.edu/resources/toxic-stress-derails-healthy-development/
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11http://www.acestudy.org/
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Impact on Worldview
• Belief in a predictable and benevolent world
• Positive self worth• Hopeful and optimistic
about the future• Empowered
• People want to hurt me• I am not safe• I am in danger, no one will
help• I am not good enough /
smart enough / worthy enough for people to care about me
• It will never get better
Typical Development
Developmental Trauma
vs.
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How Brains are Built: The Core Story of Brain Development
http://www.albertafamilywellness.org/resources/video/how-brains-are-built-core-story-brain-development
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Trauma-Informed Communities• Alberta, Canada• Arizona• Camden, New Jersey• San Francisco, California• Tarpon Springs, Florida• Walla Walla, Washington• Wisconsin (Waupaca County, Menominee Reservation, MARC project)
http://communityresiliencecookbook.org/tastes-of-success/
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Building Adult Capabilities to Improve Child Outcomes: A Theory of Change
http://developingchild.harvard.edu/resources/building-adult-capabilities-to-improve-child-outcomes-a-theory-of-change/
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Free Hugs
https://www.youtube.com/watch?v=scHfgnJqhCg