trauma and health - california state university, sacramento
TRANSCRIPT
10th Annual Childhood Obesity Conference
J uly 16, 20191
Trauma and Health:Unpacking Community Approaches
to Building Resilience
Healing Centered Community Engagement
Uzuri Pease-GreeneCommunity Awareness Resources Entity
(CARE)
Jessica Wolin Health Equity Institute
San Francisco State University July 2019
HOPE SF
Bridge Housing – Potrero Terrace & Annex
SFDPH, SF Foundation & SF StatePeer-to-peer health Mental health of children and their familiesYouth wellnessArt & healingOnsite health & wellness services
Background
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Trauma results from an event, series of events, or set of circumstances experienced as physically or
emotionally harmful or life -threatening with lasting adverse effects on functioning and mental, physical, social, emotional or spiritual well -being.
- modified from SAMHSA.gov
Trauma
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Adverse Community Experiences:Symptoms & Impact of Community Trauma
Economic &educational
environment
Physical/built environment
Social-culturalenvironment
R. Davis, H. Pinderhughes, M. Williams “Adverse Community Experiences and Resilience” 2016.5
Community trauma is more than a collection
of individuals who experience trauma.
Communities as a whole experience trauma.
• Domestic violence
• Sexual exploitation
• Community violence
• Social Identity & stereotype threat
Causes of Community Trauma
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• Economic, social institutions & policies that oppress, damage
• Systemic racism & relations of power, privilege and inequity
• Damage narratives
• Erasure of culture, communities
-- based on R. Davis, H. Pinderhughes, M. Williams, 2016 & based on Levels of Trauma, RYSE, 2014
Interpersonal Violence Structural & Historic Harms
Trauma Challenges to Community Engagement
Engagement Trauma ChallengesBuild social networks Lack of trust Community divisions
Engage residents in planning & implementation
Lack of reliability and consistency
Difficult to vision a different future
Immediate needs overwhelm
Leverage community capacity
Lack of a sense of ownership
Individual trauma and needs; High rates of disability and illness
Collaborate with systems & orgs
Ongoing structural violence and harm undermines positive change
Organizational & systems trauma
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Trauma Informed and Healing Approaches
Instead of asking “What is wrong withthis community?”
ask “What happened to this community?” and then ask “What is right with
this community?”- adapted from S. Ginwright
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What is “Right” with Communitiesthat Strengthens Engagement
Engagement Community StrengthsBuild social networks Relationships Informal networks Culture
Engage residents in planning & implementation
Ideas grounded in what can actually work
Knowledge of community history
Creativity
Leverage community capacity
Resilience Skills and wisdom
Collaborate with systems & orgs
Commitment to address community needs and build on assets
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Structural/Social JusticeDo No HarmAcceptance
Community Power
Sustainability
Healing Centered Engagement Principleswhat guides our work
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Healing Centered Engagement Strategiesthe work we do
Grief work, mindful practices, emotional support & restorative justice
Peer-to-Peer approaches
Creative expression & placekeeping/making
Community driven research and knowledge creation
Community organizing
Healing Centered Engagement Practices how we do the work
Ensure safety Honor history & celebrate culture
Acknowledge harm done, promote consciousness, accept responsibility Foster “community care”
Ensure consistency and do not overpromise
Support meaningful engagement structures
Remove participation barriers Engage in reflective process
Provide compensation for past harms and work done
Make community growth accomplishments visible
Special Thanks To… You
Residents & staff of HOPE SF communities
HEI Staff
Urban Institute
City of San Francisco and SF Foundation
BRIDGE Housing, Inc.
Annie E. Casey Foundation
Acknowledgements
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Reframing
• C aregiving/giving love
• F eeling loved
• S eeking protection and safety
• P redictability and security
• Asserting autonomy
• Dysregulated hunger and satiety s ignals
• Altered neurochemical and metabolic pathways
• overfeeding
• overeating
• hoarding
• food addiction
• poor “will power”
• eating disorders
• weight gain
• high salt, fat, sugar intake
• Unreliability and unpredictability of meals
• Loss of autonomy around food choices
• Shame, bias, stigma of food assistance
• Restriction and control
• Fat shaming
• Manipulation, punishment or rewarding with food
• Loss of food culture
• Food as a tool of oppression
Food & Feeding Can Result in Trauma
• Trauma of any kind can cause disruption in a healthy relationship with food
• Food itself can be a source of trauma, which begins or exacerbates an unhealthy relationship with food
• Therefore, the relationship between food, individuals, families, and communities must be treated with care and a holistic perspective
Two Perspectives