Jennifer Jones Interim Executive Director Wisconsin Children’s Trust Fund

1. Jennifer Jones Interim Executive Director Wisconsin Children’s Trust Fund jennifera.jones@wisconsin.gov

2. July 2008 – Present: Wisconsin Statewide Trauma-Informed Advisory Committee • September 2009: Inclusion of the ACE module in the 2010 Wisconsin Behavioral Risk Factor Survey (BRFS) • January 2012: Release report “Adverse Childhood Experiences in Wisconsin: Findings from the 2010 Behavioral Risk Factor Survey” • 2009 – Present: Convene ACE & Trauma Workgroup to advance strategic recommendations based on the ACE findings.

3. ACEs are common • ACEs are interrelated • ACEs are associated with: • Mental Health Outcomes • Health Risk Behaviors • Physical Health Outcomes • Socioeconomic Status • Medicaid/Badger Care Enrollment • Quality of Life

4. 2011-2012 ACE Findings: • Over 60% reported at least one ACE, compared to 56% in 2010. • Respondents with 4 or more ACEs were more likely to be nonwhite, young, have children, and be unmarried. • Respondents with 4 or more ACEs tend to have less education, and are more likely to be currently unemployed or disabled, and to be low-income. • Nearly a third of black respondents reported 4 or more ACEs, compared with 14% of whites. • Low-income respondents with 4 or more ACEs had an increased risk of chronic/severe illness than higher income respondents with 4 or more ACEs.

8. Wisconsin’s Four Key Priority Areas: • Increase public awareness; • Address co-occurrence of ACEs among children of incarcerated parents; • Expand the knowledge and use of ACE data within Medicaid/BadgerCare; and • Enhance ACE related data in Wisconsin.

9. Transforming Prevention • Target prevention efforts and messages based on Wisconsin ACE findings. • Implement Positive Community Norms model to address societal norms as they relate to safe, stable, nurturing environments and relationships for children.

10. Partnering with Corrections • ACE module with poverty & neglect questions into Corrections data system • Piloting Sesame Street educational materials • Policy brief on ACEs and incarceration • Identifying strategies that address ACEs among children currently growing up with a household member who is incarcerated

11. Wisconsin ACE Data Enhancements • 2013: 1. Translate the Wisconsin Behavioral Risk Factor Survey into Spanish 2. Oversample geographic regions in the state with higher populations of Native Americans • 2014: 1. Include questions in the BRFS related to neglect and poverty

12. Draft Poverty & Neglect Survey Questions • Food/Hunger • Homelessness • Health care access • Clothing • Feeling safe and protected • Number of caring adults • Parental education • Single parenthood

13. First Lady of Wisconsin’s Fostering Futures Initiative. • National Governor’s Association 3-Branch Initiative. • Commitment to create trauma-informed state agencies. • Continue to utilize ACE data to create systems-level change and transform societal norms.

14. http://wichildrenstrustfund.org http://www.chw.org/display/PPF/DocID/44975/router.asp http://dhs.wisconsin.gov http://dcf.wisconsin.gov