laura porter's power point.pdf

7/28/2019 Laura Porter's Power Point.pdf

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IOWA COMMUNITIES

UNITE FOR

THE MAGNITUDE OF THE SOLUTION


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Whats predictable is preventable.Dr. Robert Anda

How do we move

from prediction to prevention?


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Dr John Snow

1854

Cholera Death is

Caused by Miasmas

1. New Way of

Thinking

2. Shoe Leather

Epidemiology

3. Lives Saved


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Increasing

Probability of

Lasting Change

When We AddressUnderlying Issues

Unseen

Values/Principles

Mental Models

Structures

Patterns

Events
http://frozenfly.edublogs.org/2010/11/07/icebergs-vs-glaciers/http://frozenfly.edublogs.org/2010/11/07/icebergs-vs-glaciers/http://frozenfly.edublogs.org/2010/11/07/icebergs-vs-glaciers/http://frozenfly.edublogs.org/2010/11/07/icebergs-vs-glaciers/http://frozenfly.edublogs.org/2010/11/07/icebergs-vs-glaciers/http://frozenfly.edublogs.org/2010/11/07/icebergs-vs-glaciers/


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Core ValuesFundamental Respect for the Wisdom in Every Person

Realize Health Through a Long Term Commitment with Uncommon Partners

Strengths

ApproachHope Filled

Action

Transformational Improvement


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Develop Compassion that Shapes & Sustains New Ways

Motivate; Deliver Stunning Success

Empower Individual and Collective Action

Illuminate High Leverage Solutions

Foundations for Change & Transformation


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T RA

UM A

TR AU

M A

For Transformational Change:

See Through New Lens

ACEs are Common, Interrelated, Highly Impactful

ACE Effects are Biologic Response to Toxic Stress; Plus:ACEs Set Up a Cascade of Experience

ACEs Have Population, Lifespan & Intergenerational Effects

People Unite Through the Language of ACEs & Resilience


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Neuroscience : Develop Compassion; Shape Solutions

ACE Science Motivates & Delivers Reliable Outcomes

Resilience Science Lets Us Know Our Actions Matter

Systems Science Shows High Leverage Solutions

The Science Fuels Change & Transformation


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Brain Development

for Safe World

Brain Development

for Dangerous World

BRAIN

Hormones, chemicals& cellular systems

prepare for

anticipated world

OUTCOME

Individual &species survive

the worst

conditions

INDIVIDUAL

Edgy

Single focus

No Social CuesQuick to act

Hyper vigilant

Hyper reactive

Numb

Detatched

TOXIC STRESS

OUTCOME

Individual &species survive

in good times;

vulnerable in

poor conditions

INDIVIDUAL

Laid back

Relationship-

oriented

Thinks things

through

Process over

power

Multi-Focus

HARDWIRED FOR ANTICIPATED WORLD

Normal BiologicalResponse Bumps Up

Against Social Expectations

Adapted from the research of Martin Teicher, MD, Ph.D

By Washington Family Policy Council

NEUTRAL

START


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Toxic Stress & Sequential Development

Prenatal

Early

Childhood

Middle

Childhood

Puberty-

Adolescence

Premature birth

Maternal depression

Attachment problems

Emotional dis-regulation

Ability to be soothed

Emotional Reactivity

Verbal, Spacial, Working Memory

Self Awareness/MonitoringMotivation

Judgment

Stress set-point

Right-left brain communicationPerception of social cues

Insight learning

Movement

Language & math integration

Visual memory/meaning making

AttentionLong term memory

Mental health

Movement through environment

Awareness of peripheral happenings

Goal oriented behavior and persistence


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Each Person; A Unique Experience of the World


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Examples How Neurobiology Informs Change

Perception of Threat: Safe harbor

Verbal memory: Corrections Officer Training

Relationship/social cues: Okanogan Mini Grants


13/322013


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How might we

systematically build onthe strengths of people

affected by ACEs?

How might we engage

communities where a

large portion of the

population have 6-8ACEs?

Competitive

or Aggressive?

Decisive or

Impulsive?

Irritable or Passionate?

Independent or Detached?

Lacking Empathyor Rational and

Clear Headed?

Protecting

Interests

or Hyper vigilant?


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HISTORIC TRAUMA

CHRONIC DISEASE

EARLY &

PROBLEM

ALCOHOL,

TOBACCO,

DRUGS

PSYCHIATRIC

DISORDERS

RISKY SEX

DISREGULATED

EMOTION

UNEMPLOYMENT

EPIGENETICS

CRITICAL

& SENSITIVE

DEVELOPMENTAL

PERIODS

ADVERSE

CHILDHOODEXPERIENCE

CRIME

SOCIAL ISOLATION

POVERTY

INTERGENERATIONAL

TRANSMISSION

HOMELESSNESS

DISABILITY

LEARNING &

MEMORY

PROBLEMS

JOB INJURY

RELATIONSHIP

PROBLEMS

ACEs Set-Up a Cascade of Often Co-Occurring Effects

ADAPTATION


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Elementary

ChildrenGreatest single predictor

for health, attendance,

behaviorSecond strongest

predictor for academic

failure (after Spec. Ed.)

Court Involved

YouthHigher ACE Scores; among those

with 4

51% of Kids Special Ed (vs 33% 0-1)

74% Below 2.0 GPA (58%)

64% 4+ Suspensions (43%)

85% Began to be suspended in 2nd

grade (71%)

33% have felony re-offense in two

years (13%)

Adults

Adult AdversityHomelessness

Incarceration

Disability

Victim of IPV

Poverty

Health Limits ActivityDrug/Alcohol Problems

UnemploymentMental Illness

On-the-job injuryDivorce

Work-related illness

Parenting

Adultswith 5 ACE

14 TIMESmore likely to have

2 or more

conditions that

make ACEs for Kids


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Understanding Adverse ChildhoodExperiences isnt to know ones life

path.

It is to open doors for the future you

would like for yourself and for future

generations.

Dr. Ronald Voorhees, MD PhD

Chief Office of Epidemiology & Biostatistics

Allegheny County Health Department


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Examples Using Ace Info for Change

Transitions from Preschool to Kindergarten

Better Treatment Fit for Adjudicated Youth

ACEs are Common Work in Universal Systems

High ACE Parents Become Powerful Leaders ofNext Generation ACE Reduction


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RESILIENCE

Individual

Family

National,Global,Ecosystem

RESILIENCE

OCCURS AT

ALL LEVELS

The natural human capacity to navigate life well.(HeavyRunner & Marshall, 2003)

Community


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CAPABILITY

ATTACHMENT &BELONGING

COMMUNITY,CULTURE,

SPIRITUALITY

KEY SYSTEMS FOR RESILIENCE


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CAPABILITY

Intellectual &

Employable Skills Self regulation self

control, executive

function, flexible

thinking

Ability to direct andcontrol attention,

emotion, behavior,

Positive self view

Efficacy

Capabilities can be

impacted by trauma.As we relate to one

another, its

important to strike a

balance betweenknowing that

individuals efforts

are valuable, and

accepting that some

things are beyond

our control.


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Cultivating a Positive View; Making Meaning

What Helps?

1. Naming the problem

2. Doing small good works

3. Engaging in rituals

4. Forgiveness

5. Religion and spirituality

6. Hearing and telling stories

7. Seeking justice8. Living into hope


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CAPABILITY

Intellectual &


control, executive

function, flexible

thinking

Ability to direct and

control attention,

emotion, behavior,

Positive self view

Efficacy


Bonds with parents

and/or caregivers Positive relationships

with competent and

nurturing adults

Friends or romantic

partners who provide asense of security / help

with emotion coaching

Social/Emotional

Support

Our capabilities

and attachments

are interrelated.

One Community

Network in WA

found that

projects that help

youth develop

capabilities that

are highly desired

by adults like

animal care or

search and rescue

naturally andsystematically

improved healthy

belonging in the

community.


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Attachment, Belonging, Social-Emotional Support

What Helps?

1. Developing ceremonies or rituals

2. Including others in therapeutic and health-

promoting activities3. Engaging in multiple family or whole

community/workplace dialogues

4. Setting up mutual support or helping

systems

5. Creating art, movement, rhythm, music

6. Learning together


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CAPABILITY

Intellectual &


control, executive

function, flexible

thinking

Ability to direct and

control attention,

emotion, behavior,

Positive self view

Efficacy


Bonds with parents

and/or caregivers Positive relationships

with competent and

nurturing adults

Friends or romantic

partners who

provide sense of

security / help with

emotion coaching

Social/Emotional

support

COMMUNITY,

CULTURE,SPIRITUALITY

Faith, hope, meaning

Engagement witheffective orgs schools,

work, pro-social groups

Network of

supports/services &

opportunity to help

others

Cultures providing

positive standards,

expectations, rituals,

relationships & supports


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Efficacious Community

What Helps?

1. Opportunities for Everyone to Help to Co-Lead

2. Coming Together to Understand Matters of Importance

3. Learning Together Reciprocity

4. Results-Based Decisions Acting from Desired Future


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Examples:

Resilience & ACE Education for All Hospital Nursing Staff

Roosevelt Neighborhood: A Great Place to Live

Take Back the Light

Boosting Employment among People with Disabilities


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A communitys capacity to respondto the needs of ALL children is

reflected in the coherence and

alignment of its beliefs - not just in

public policies and procedures, but in

daily decisions made by community

members and our leaders.

Walla Walla Childrens Forum, 2013


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Keys to Success

SafetyPhysical, Emotional, Social, Moral

Continuous Learning

Emerging Science, Innovation-Evaluation Cycles

Celebrate Success

Movement, music, artistic expression, culturaltraditions, building efficacy, shared identity


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ACE reduction

reliably predicts

simultaneous

decrease in all ofthese conditions.

Population

attributable risk

MAGNITUDE OF THE SOLUTION

laura porter's power point.pdf

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