C hildren’s R esilience I nitiative One Community’s Response to

1. Children’s Resilience Initiative Children’sResilienceInitiative One Community’s Response to Adverse Childhood Experiences: ACEs Generously supported by the Gates Foundation

3. Children’s Resilience Project Children’s Resilience Initiative

5. ADVERSE CHILDHOOD EXPERIENCE Children’s Resilience Initiative A community response to AdverseChildhood Experiences • Broad-based CRI Team • Raise awareness of ACEs • Foster resilience • Embed principles in the practice of organizations • and programs

6. ADVERSE CHILDHOOD EXPERIENCE Children’s Resilience Initiative • Goal: • To create a community conversant • in ACEs and Resilience through: • Community education • Parent awareness • Learning tools: -Interactive website -Deck of Cards -Parent Handbook -Coloring Book

7. Iceberg Metaphor

8. ADVERSE CHILDHOOD EXPERIENCE Children’s Resilience Initiative ADVERSE CHILDHOOD EXPERIENCES STUDY Centers for Disease Control and Kaiser Permanente in San Diego, CA. 17,100 Adults Tracked health outcomes based on childhood ACEs

9. ADVERSE CHILDHOOD EXPERIENCE Children’s Resilience Initiative ADVERSE CHILDHOOD EXPERIENCES • Child physical abuse • Child sexual abuse • Child emotional abuse • Physical neglect • Emotional neglect • Mentally ill, depressed or suicidal person in the home • Drug addicted or alcoholic family member • Witnessing domestic violence against the mother • Loss of a parent to death or abandonment, including abandonment by divorce • Incarceration of any family member

10. ADVERSE CHILDHOOD EXPERIENCE Children’s Resilience Initiative INTEGRATING BRAIN & EPIDEMIOLOGY RESEARCH Epidemiology Findings Brain Research Findings Maltreatment, trauma & Adverse Childhood Experiences Poor health & excessive use of healthcare systems Cognitive, social, behavioral & health outcomes (Brain Research & Epidemiological Findings) Predictable adaptation during brain development cause cognitive, social, & behavioral traits Early Death Resilience is the key to countering this scenario!

11. Children’s Resilience Initiative Survival Mode Response • Respond • Learn or • Process effectively • Allow time to de-escalate Stressed Brains Can’t:

12. ADVERSE CHILDHOOD EXPERIENCE Children’s Resilience Initiative CONSEQUENCES OF BIOLOGICAL OUTCOMES • COGNITIVE • Slowed language development • Attention problems (ADD/ADHD) • Speech delay • Poor verbal memory/recall • Loss of brain matter/IQ • SOCIAL • Aggression & violent outbursts • Poor self-control of emotion • Can’t modify behavior in response to social cues • Social isolation—can’t navigate friendship • MENTAL HEALTH • Poor social/emotional development • Alcohol, tobacco & other drug abuse—vulnerable to early initiation • Adolescent & adult mental health disorders—especially depression, suicide, dissociative disorder, borderline personality disorder, PTSD

13. Children’s Resilience Initiative • A significant portion of Health Issues across the population is ACE-RELATED • 54% of depression • 58% of suicide attempts • 39% of ever smoking • 26% of current smoking • 65% of alcoholism • 50% of drug abuse • 78% of IV drug use • 48% of promiscuity (having more than 50 sexual partners) • …are attributable to ACEs

14. Children’s Resilience Initiative ADVERSE CHILDHOOD EXPERIENCE A CLASSIC CAUSAL RELATIONSHIP MORE ACEs = MORE HEALTH PROBLEMS Increasing health issues Dose-response is adirect measure of cause & effect. The “response”—in this case the occurrence of the health condition—is caused directly by the size of the “dose”—in this case, the number of ACEs. Increasing ACE score

15. ADVERSE CHILDHOOD EXPERIENCE Children’s Resilience Initiative LIFE LONG PHYSICAL, MENTAL & BEHAVIORAL OUTCOMES OF ACEs • Alcoholism & alcohol abuse • Chronic obstructive pulmonary disease & ischemic heart disease • Depression • Fetal death • High risk sexual activity • Illicit drug use • Intimate partner violence • Liver disease • Obesity • Sexually transmitted disease • Smoking • Suicide attempts • Unintended pregnancy The higher the ACE Score, the greater the incidence of co-occurring conditions from this list.

16. Children’s Resilience Initiative

17. ADVERSE CHILDHOOD EXPERIENCE Children’s Resilience Initiative • What we see in this research… • ACEs drive: • Health outcomes & healthcare costs • Special education needs • Rates of school failure • Intergenerational patterns of high-cost social problems • Caseloads for the highest-cost social problems We also see that we can prevent and protect children from ACEs. We have the power to reduce ACEs in the next generation, and the privilege of helping people with many ACEs to live joyful and fulfilling lives.

18. Website Landing Page www.resiliencetrumpsaces.org

19. Children’s Resilience Initiative • PARENT TOOLS: • Parent PowerPoints • CRI Website www.resiliencetrumpsaces.org • facebook with weekly feature/blogs • Deck of Cards and Parent Handbook • Coloring Book • Parent Tips • New Baby Packet

20. “Through the lens of ACEs” with circle of services Resilience is the “heart” of the circle

22. Five Road Signs: Strengthening Families Framework

23. Children’s Resilience Initiative ADVERSE CHILDHOOD EXPERIENCE DRAFT Children’s Resilience Project What is RESILIENCE? Adapted from the research of Masten; Brooks & Goldstein; Boss Ph.D The ability to recover from or adjust to change • How? • Give choices • Give chores/affirmation • Give opportunity for mastering skills • Give sense of connecting to the world

24. Children’s Resilience Initiative Three basic building blocks to success: Adapted from the research of Dr. Margaret Blaustein Attachment - feeling connected, loved, valued, a part of family, community, world Regulation - learning about emotions and feelings and how to express them in a healthy way Competence -acting rather than reacting, accepting oneself and making good choices

25. Children’s Resilience Initiative SKILL BUILDING Think: lack of skill not intentional misbehavior Think: building missing skills not shaming for lack of skills Think: nurture not criticize Think: teach not blame Think: discipline not punishment

26. Children’s Resilience Initiative One strategy for helping child identify emotional state Stress Zone Learning Zone Comfort Zone Great for role modeling too!

27. Website Landing Page www.resiliencetrumpsaces.org

28. Children’s Resilience Initiative

29. Children’s Resilience Initiative From the individual to the collective: lessons being learned • Community mental models → emphasize understanding and sensitivity → trauma history • Providers, parents, community → shame and blame → positive healing →social support →positive change • A community can come together to work collectively to build resilience into the daily life experience of a child

30. Children’s Resilience Initiative One Woman’s Response to ACEs

31. Children’s Resilience Initiative Empowering community understanding of the forces that shape us and our children: For further information, please contact: Teri Barila, Walla Walla Community Network (509) 386-5855 Mark Brown, Friends of Children of Walla Walla (509) 527-4745

32. Children’s Resilience Initiative Children’sResilienceInitiative Website: www.resiliencetrumpsaces.org Thank You! Generously supported by the Gates Foundation