What nurses need to know about Trauma-Informed Care

Size: px
Start display at page:

Download "What nurses need to know about Trauma-Informed Care"

Transcription

1 What nurses need to know about Trauma-Informed Care

2 Define trauma-informed care Identify how to assess for trauma Tap in to resources for these patients and their families

3

4 Kaiser Permanente, Over 17,000 adults Exposure to ACEs Physical, emotional, sexual abuse Felt unloved Not enough to eat, dirty clothes, felt unprotected/unsafe Exposure to mental illness/suicide Incarcerated household member Witness to domestic violence Lived with alcohol or drug use Lost a parent through divorce, abandonment, other CDC, 2018; Robert Wood Johnson Foundation, 2013

5 63.5% reported at least 1 ACE 12% reported 4 or more Used to assess cumulative childhood stress 76 studies (CINAHL Plus) Findings consistently reveal a doseresponse relationship between ACEs and negative health and well-being outcomes across the life course CDC, 2018

6 Ischemic heart disease Cancer Stroke Chronic bronchitis or emphysema Diabetes Smoking Obesity Depression Suicide attempts Illicit drug use STDs Alcoholism and abuse COPD Liver disease Poor work performance Health-related quality of life Risk for Intimate Partner Violence Multiple sexual partners Unintended pregnancies Early initiation of smoking Early initiation of sexual activity Adolescent pregnancy Risk for sexual violence Poor academic achievement Fetal death Intergenerational risk for physical & emotional health problems Felitti, 1998; CDC, 2018

7 Infant Mental Health began in 1970s More recent 2018 study from Canada N = 1994 Mother-infant dyads Found association between maternal ACE scores and infant developmental outcomes at 12 months Mothers with higher ACEs infants born with more health risks and poorer developmental outcomes Prenatal stress infant development Racine et al, 2018

8 Mother-infant dyads N = 501 Biomedical risk factors Maternal diabetes, hypertension, thyroid, loss of fetal movement, injury to abdomen Infant NICU stay, oxygen/ventilation, transfer to specialized hospital, low birth weight (<2500), short gestation (<37 weeks) Psychosocial risk factors Single or teen parent, low family income, low maternal education, maternal depression, marital conflict At 18 months, child s emotional and physical health problems assessed Findings ~ Dose response - more maternal ACEs were indirectly associated with: Increased risk of infant physical health problems Increased risk of infant emotional problems Madigan et al, 2018

9 Nadine Burke Harris, MD, MPH Center for Youth Wellness (CYW) National representative samples showing at least one ACE in children One-third to one-half of the pediatric population Children at high-risk for maltreatment - rate as high as 91% In children, morbidity correlations continue: Fair or poor general health Illness requiring a doctor Fair or poor dental health Asthma ADHD Autism Overweight or obese Learning difficulties Violent behavior in adolescence (delinquent behavior, bullying, physical fighting, dating violence, weapons) Harris & Renschler, 2015

10

11 Toxic stress disrupts developing architecture Leads to functional differences in learning, memory, and aspects of executive functioning Associated with hypertrophy and overactivity in amygdala and orbitofrontal cortex Loss of neurons and neural connections in hippocampus and medial prefrontal cortex Increased cortisol levels De Bellis, 2005 & 2013

12

13 1. Realizes the widespread impact of trauma 2. Recognizes the signs and symptoms of trauma in clients, families, staff, and others; 3. Responds by fully integrating knowledge about trauma into policies, procedures, and practices; and 4. Seeks to actively resist re-traumatization Trauma-informed care embraces a perspective that highlights adaptation over symptoms and resilience over pathology. (Elliot, Bjelejac, Fallott, Markoff, & Reed, 2005) SAMHSA, 2018

14 1. Safety 2. Trustworthiness and Transparency 3. Peer support 4. Collaboration and mutuality 5. Empowerment, voice and choice 6. Cultural, Historical, and Gender Issues Ask What happened to you? instead of What s wrong with you? SAMHSA, 2018

15 Continued

16 Understand the prevalence and impact of trauma Pursue the person s strength, choice and autonomy Providers must earn trust Healing happens in relationships Provide holistic care Share power Communicate with compassion Promote safety Embrace diversity Respect human rights

17 Routine Screening Relevant Symptomatology CYW ACE-Q Score 0-3 without symptomatology Anticipatory guidance CYW ACE-Q Score 1-3 with symptomatology or 4 ACE score Refer to treatment Sleep disturbance Failure to thrive Constipation Poor control of chronic disease Aggression Frequent crying High risk behavior in adolescents Depression Interpersonal conflict Weight gain or loss Enuresis/encopresis Hair loss Developmental regression Poor impulse control Restricted affect or numbing Unexplained somatic complaints Anxiety Harris & Renschler, 2015

18 Integrates: Primary health care Mental health and wellness Research Policy Education Community and family support services Promising Interventions Regular exercise Good nutrition Sleep Mental health Mindfulness practice Supportive relationships Harris & Renschler, 2015

19 A possible end

Surviving and Thriving: Trauma and Resilience

Surviving and Thriving: Trauma and Resilience Guiding our community s children through life s critical moments with trauma-informed mental health and child development services. Surviving and Thriving: Trauma and Resilience John Richardson-Lauve,

More information

Trauma/ACEs 101. Tom Bradach IL Chapter, American Academy of Pediatrics

Trauma/ACEs 101. Tom Bradach IL Chapter, American Academy of Pediatrics Trauma/ACEs 101 Tom Bradach IL Chapter, American Academy of Pediatrics Providing pediatrician and interprofessional education, resources, and technical assistance Working on policy, advocacy, and systems

More information

Describe the Adverse Childhood Experiences study (ACES) and the core principles of trauma informed care

Describe the Adverse Childhood Experiences study (ACES) and the core principles of trauma informed care Detail basic human development Describe the Adverse Childhood Experiences study (ACES) and the core principles of trauma informed care Detail the correlations of trauma incidents and ACES to behavioral

More information

Brain Research: Early Experiences Matter. Opening Minds, 2016

Brain Research: Early Experiences Matter. Opening Minds, 2016 Brain Research: Early Experiences Matter Opening Minds, 2016 Disclosure I declare that neither I, or my immediate family, have a financial interest or other relationship with any manufacturer/s of a commercial

More information

Trauma & Trauma Informed Service Approach

Trauma & Trauma Informed Service Approach Trauma & Trauma Informed Service Approach I. Introductions II. Understanding trauma and the impact of trauma III. Concepts of trauma-informed care IV. Being and creating a trauma- informed provider and

More information

Adverse Childhood Experiences

Adverse Childhood Experiences Adverse Childhood Experiences Adam Zolotor, MD, DrPH Associate Professor of Family Medicine University of North Carolina at Chapel Hill Interim President, North Carolina Institute of Medicine Presentation

More information

The Relationship of Adverse Childhood Experiences to Adult Health Status

The Relationship of Adverse Childhood Experiences to Adult Health Status The Relationship of Adverse Childhood Experiences to Adult Health Status Presentation to MCAH Committee December2, 21 Edwin Ferran Director of Learning and Innovation Community Action Partnership of Sonoma

More information

5/12/2016. Adverse Childhood Experiences and the Impact of Toxic Stress/Trauma 50,000

5/12/2016. Adverse Childhood Experiences and the Impact of Toxic Stress/Trauma 50,000 Adverse Childhood Experiences and the Impact of Toxic Stress/Trauma 1875 50,000 1 358 FTE Top Referral Sources COMMUNITY WELL-BEING CHILD WELL-BEING FINANCIAL STABILITY RECOVERY Reduces Need for Services

More information

Unique Experience of the World

Unique Experience of the World Unique Experience of the World Preparing for Anticipated World Dangerous BIOLOGY OF STRESS CHARACTERISTICS Brawn over Brains Focused: Fight, Flight or Freeze OUTCOME Individual & species survive the worst

More information

Both Sides of the Desk: Trauma-Informed Services in the Child Support Program

Both Sides of the Desk: Trauma-Informed Services in the Child Support Program Both Sides of the Desk: Trauma-Informed Services in the Child Support Program Rebecca Sharp, MPA, LMSW Katie Morgan, SC IV-D Director Both Sides of the Desk: Trauma-Informed Services in the Child Support

More information

Compassionate Culture

Compassionate Culture Compassionate Culture Orientation to the Neurobiology of Trauma Presented by: Molly Ticknor, MA, ATR, LPC Resilience Incubator 1 Why are We Here? Define trauma and describe its systemic impact Identify

More information

DRAFT THE HIGH COST OF ADVERSE CHILDHOOD EXPERIENCES

DRAFT THE HIGH COST OF ADVERSE CHILDHOOD EXPERIENCES THE HIGH COST OF ADVERSE CHILDHOOD EXPERIENCES 2007 Family Policy Council Please do not reproduce in part or in full without permission BRAIN RESEARCH See for example: Teicher, M et al. Neurobiological

More information

ACES: Adverse Childhood Experiences

ACES: Adverse Childhood Experiences ACES: Adverse Childhood Experiences Melissa L. Hoffmann, Ph.D UT Division of Child & Adolescent Psychiatry UT Center of Excellence for Children in State Custody University of Tennessee Health Sciences

More information

6/8/2018. What do you think of when you hear the word trauma? What type of events are traumatic?

6/8/2018. What do you think of when you hear the word trauma? What type of events are traumatic? Tyler Sliker, LMFT & Lori DiCaprio-Lee Vera House, Inc. What is trauma & how it affects individuals What is trauma informed care Impacts on practice What do you think of when you hear the word trauma?

More information

THE IMPACT OF CHILDHOOD TRAUMA

THE IMPACT OF CHILDHOOD TRAUMA THE IMPACT OF CHILDHOOD TRAUMA Prepared for the NCCADV Children and ACEs Pre-conference Meghan Shanahan, PhD, MPH Maternal and Child Health Department Injury Prevention Research Center May 17 th, 2016

More information

Things to Remember. Healing happens. Underlying question = Symptoms = What happened to you? Adaptations to traumatic events. In relationships.

Things to Remember. Healing happens. Underlying question = Symptoms = What happened to you? Adaptations to traumatic events. In relationships. Disclaimer The views, opinions, and content expressed in this presentation do not necessarily reflect the views, opinions, or policies of the Center for Mental Health Services (CMHS) or the Center for

More information

Workshop ACEs. Adverse Childhood Experiences and how knowing about them can inform our (clinical) practice

Workshop ACEs. Adverse Childhood Experiences and how knowing about them can inform our (clinical) practice Workshop ACEs Adverse Childhood Experiences and how knowing about them can inform our (clinical) practice! Dr Sara Ketteley Consultant Psychiatrist at Great Chapel Street Adverse Childhood Experiences

More information

TRAUMA-INFORMED CARE. Mary Mueller, LMSW Michigan Department of Health and Human Services

TRAUMA-INFORMED CARE. Mary Mueller, LMSW Michigan Department of Health and Human Services TRAUMA-INFORMED CARE Mary Mueller, LMSW Michigan Department of Health and Human Services Agenda Describe trauma, its impact and prevalence Discuss trauma-informed approaches in family planning services

More information

The Magnitude of the Solution. Building Self-Healing Communities

The Magnitude of the Solution. Building Self-Healing Communities The Magnitude of the Solution Building Self-Healing Communities Beyond Resilience Flourish To Flourish: To Prosper with Sustained, Continuous, Steady, Strong Growing Well Bing & Miriam Webster Dictionaries

More information

Everyone deserves a suitable, affordable home!

Everyone deserves a suitable, affordable home! Case Management Series: A Trauma-Informed Approach Amanda Rosado Technical Advisor Florida Housing Coalition rosado@flhousing.org Sponsored by the Department of Economic Opportunity Everyone deserves a

More information

Adverse Childhood Experiences and Toxic Stress Among Agricultural Worker Families: The Role of Primary Care & Promotores(as)

Adverse Childhood Experiences and Toxic Stress Among Agricultural Worker Families: The Role of Primary Care & Promotores(as) Adverse Childhood Experiences and Toxic Stress Among Agricultural Worker Families: The Role of Primary Care & Promotores(as) ELENA REYES, PHD, CENTER DIRECTOR JAVIER ROSADO, PHD DIRECTOR CLINICAL RESEARCH

More information

The Effects of Trauma. And How to Facilitate Recovery!

The Effects of Trauma. And How to Facilitate Recovery! The Effects of Trauma And How to Facilitate Recovery! Adverse Childhood Experiences (ACEs). 17,000 Surveyed 63% experienced at least 1 of the following categories: 11% experienced emotional abuse. 28%

More information

The Impact of the Opioid Crisis on Children

The Impact of the Opioid Crisis on Children The Impact of the Opioid Crisis on Children Guided Notes for Online Learning Name: Date: 1 Table of Contents Section 1: The Opioid Crisis Page 3 Section 2: Addiction Page 4 Section 3: Trauma Informed Care

More information

Safety Individual Choice - Empowerment

Safety Individual Choice - Empowerment Safety Individual Choice - Empowerment Diane M. Gruen-Kidd, LCSW Department for Behavioral Health, Developmental and Intellectual Disabilities Diane.Gruen-Kidd@ky.gov Please Be Aware There are parts of

More information

From Opioid Overdose Prevention to Community Resilience CAPT Jeffrey Coady, Psy.D., ABPP SAMHSA Regional Administrator (Region 5)

From Opioid Overdose Prevention to Community Resilience CAPT Jeffrey Coady, Psy.D., ABPP SAMHSA Regional Administrator (Region 5) From Opioid Overdose Prevention to Community Resilience CAPT Jeffrey Coady, Psy.D., ABPP SAMHSA Regional Administrator (Region 5) Region 5 Fatherhood Initiative October 24, 2017 Today s Presentation Public

More information

WHATEVER IT TAKES! UNDERSTANDING ADVERSE CHILD EXPERIENCES. Nadine Burke Harris, MD, MPH CEO, Center for Youth Wellness March 1, 2013

WHATEVER IT TAKES! UNDERSTANDING ADVERSE CHILD EXPERIENCES. Nadine Burke Harris, MD, MPH CEO, Center for Youth Wellness March 1, 2013 WHATEVER IT TAKES! UNDERSTANDING ADVERSE CHILD EXPERIENCES Nadine Burke Harris, MD, MPH CEO, Center for Youth Wellness March 1, 2013 Effect of ACEs on Health, Learning & Behavior Background Brief overview

More information

Prevent, Screen and Heal: Addressing ACEs and Toxic Stress through Policy

Prevent, Screen and Heal: Addressing ACEs and Toxic Stress through Policy Prevent, Screen and Heal: Addressing ACEs and Toxic Stress through Policy Jabeen Yusuf & Sara Silverio Marques Center for Youth Wellness October 3, 2017 Adverse Childhood Experiences Image courtesy of

More information

Creating A Trauma Informed System. Al Killen-Harvey,LCSW The Harvey Institute

Creating A Trauma Informed System. Al Killen-Harvey,LCSW The Harvey Institute Creating A Trauma Informed System Al Killen-Harvey,LCSW The Harvey Institute Al@theharveyinstitute.com 619-977-8569 Goals and Objectives 1.Describe the attributes of the various forms of trauma 2.Delineate

More information

2017 National Association of Social Workers. All Rights Reserved.

2017 National Association of Social Workers. All Rights Reserved. 2017 National Association of Social Workers. All Rights Reserved. 1 Trauma-Informed Practice with Older Adults Sandra A. López, LCSW, ACSW Diplomate in Clinical Social Work 5311 Kirby Drive, Suite 112

More information

Understanding and addressing trauma in the lives of those we serve..

Understanding and addressing trauma in the lives of those we serve.. Understanding and addressing trauma in the lives of those we serve.. Presented By: Joan Gillece, Ph.D. SAMHSA Promoting Alternatives to Seclusion and Restraint through Trauma-Informed Practices Important

More information

Jesse Kuendig, LICSW Helen Kim, MD

Jesse Kuendig, LICSW Helen Kim, MD Jesse Kuendig, LICSW Jessica.Kuendig@hcmed.org Helen Kim, MD Agenda Mental Health and Pregnancy Impact of Historical Trauma, Racism, Implicit Bias Trauma-Informed Care Mother-Baby Program African-American

More information

Therese s Family of Origin Issues. Protective Factors. Trauma and Addicted Family Systems: A Multi-dimensional Perspective

Therese s Family of Origin Issues. Protective Factors. Trauma and Addicted Family Systems: A Multi-dimensional Perspective Trauma and Addicted Family Systems: A Multi-dimensional Perspective with Claudia Black, MSW, Ph.D. and Shelley Uram, M.D. Senior Fellows The Meadows Protective Factors Had a special relationship with an

More information

THE BRAIN IS THE BOSS

THE BRAIN IS THE BOSS W I N G S O F S H E L T E R I N T L, I N C. TOGETHER, WE CAN MAKE A DIFFERENCE! 239-340-2980 WINGSOFSHELTER.ORG U n d e r s t a n d i n g C o m p l e x T r a u m a THE BRAIN IS THE BOSS Presenter: Hillary

More information

Trauma-Informed Approaches to Substance Abuse Treatment in Criminal Justice Settings. Darby Penney Advocates for Human Potential July 8, 2015

Trauma-Informed Approaches to Substance Abuse Treatment in Criminal Justice Settings. Darby Penney Advocates for Human Potential July 8, 2015 Trauma-Informed Approaches to Substance Abuse Treatment in Criminal Justice Settings Darby Penney Advocates for Human Potential July 8, 2015 2 Goals of the Presentation: Define trauma and discuss its impact

More information

Perinatal Substance Use: Evidence for Current Practice. Karen Clemmer, MCAH Coordinator, Sonoma County

Perinatal Substance Use: Evidence for Current Practice. Karen Clemmer, MCAH Coordinator, Sonoma County Perinatal Substance Use: Evidence for Current Practice Karen Clemmer, MCAH Coordinator, Sonoma County The impact of perinatal marijuana use on pregnancy outcomes & lactation Learning Objectives Influence

More information

Community Health Priority: Alcohol & Other Drug Misuse and Abuse

Community Health Priority: Alcohol & Other Drug Misuse and Abuse Alcohol & Other Drug Misuse and Abuse Melissa Dotter, MS Drug Free Communities Coordinator 715.261.1962 melissa.dotter@co.marathon.wi.us Creating a culture in communities where alcohol is used responsibly

More information

Understanding Adverse Childhood Experiences(ACEs) The Impact on Health, Wellness & Education

Understanding Adverse Childhood Experiences(ACEs) The Impact on Health, Wellness & Education Understanding Adverse Childhood Experiences(ACEs) The Impact on Health, Wellness & Education Initiated in 1995-1997 ACES: THE ORIGINAL STUDY ACEs: the Original Study Facts Collaboration between the CDC

More information

The Resilient Revolution takes on

The Resilient Revolution takes on The Resilient Revolution takes on Attachment, Adverse Childhood Experiences(ACEs) and Neuroscience A Tale of Pathologies? Dr Derek Blincow Blackpool 2018 Grand Theory in Adversity and Child Development

More information

ADVERSE CHILDHOOD EXPERIENCES AND BEHAVIORAL HEALTH

ADVERSE CHILDHOOD EXPERIENCES AND BEHAVIORAL HEALTH 1 ADVERSE CHILDHOOD EXPERIENCES AND BEHAVIORAL HEALTH Presentation to the State Epidemiological Outcomes Workgroup By Aileen Fink, Ph.D. aileen.fink@state.de.us December 16, 2016 2 ACKNOWLEDGEMENTS The

More information

Violence Prevention A Strategy for Reducing Health Inequalities

Violence Prevention A Strategy for Reducing Health Inequalities Violence Prevention A Strategy for Reducing Health Inequalities Professor Mark A Bellis Centre for Public Health Liverpool John Moores University WHO Collaborating Centre for Violence Prevention Overview

More information

Across the Lifespan 5/22/2016 PUBLIC HEALTH & JUSTICE. Behavioral Problems Emotional Dysregulation. Trauma & Loss. Adverse Childhood Experiences

Across the Lifespan 5/22/2016 PUBLIC HEALTH & JUSTICE. Behavioral Problems Emotional Dysregulation. Trauma & Loss. Adverse Childhood Experiences PUBLIC HEALTH & JUSTICE Sandra L. Bloom, M.D. Dornsife School of Public Health, Drexel University DEVELOPMENT: THE PART WE DON T SEE Across the Lifespan Behavioral Problems Emotional Dysregulation Trauma

More information

The Magnitude of the Solution. Building Self-Healing Communities

The Magnitude of the Solution. Building Self-Healing Communities The Magnitude of the Solution Building Self-Healing Communities Disclosure The content of this activity does not relate to any product of a commercial interest as defined by the ACCME; therefore, there

More information

Understanding Adverse Childhood Experiences(ACEs) The Impact on Health, Wellness & Education

Understanding Adverse Childhood Experiences(ACEs) The Impact on Health, Wellness & Education Understanding Adverse Childhood Experiences(ACEs) The Impact on Health, Wellness & Education Summer Initiated in 1995-1997 ACES: THE ORIGINAL STUDY ACEs: the Original Study Facts Collaboration between

More information

Introduction to the Trauma Informed Approach to Services

Introduction to the Trauma Informed Approach to Services December 1, 2016 Introduction to the Trauma Informed Approach to Services Health Profession Opportunity Grant Program Arlington, Va. Kath Schilling MEd, CAS, LADC I Trauma Integration Specialist WWW. HEALTHRECOVERY.

More information

Recognizing the Signs and Defining Best Practice for Patient Care

Recognizing the Signs and Defining Best Practice for Patient Care TRAUMA-INFORMED CARE Recognizing the Signs and Defining Best Practice for Patient Care A nonprofit independent licensee of the Blue Cross Blue Shield Association TRAUMA-INFORMED CARE Learning Objectives:

More information

The Impact of Traumatic Events on Children and Adults Hearing a Voice of a Survivor

The Impact of Traumatic Events on Children and Adults Hearing a Voice of a Survivor The Impact of Traumatic Events on Children and Adults Hearing a Voice of a Survivor Dr. Allison Sampson-Jackson CEO Integration Solutions Engaging the Whole Brain 0-10 0-10 Oscillation every 90 minutes

More information

ACES 101 Intro to the Health Impact of Trauma on the Child. M. Reddam, LMFT, Trauma Transformed, & SFDPH

ACES 101 Intro to the Health Impact of Trauma on the Child. M. Reddam, LMFT, Trauma Transformed, & SFDPH ACES 101 Intro to the Health Impact of Trauma on the Child M. Reddam, LMFT, Trauma Transformed, & SFDPH Stress and Trauma Are Public Health Issues Stress linked to 6 leading causes of death Heart disease,

More information

Learning objectives: 2/21/18. Children s Research Triangle Wendy Kovacs Cortes, Ph.D., LMFT

Learning objectives: 2/21/18. Children s Research Triangle Wendy Kovacs Cortes, Ph.D., LMFT Wendy Kovacs Cortes, Ph.D., LMFT Learning objectives: Biological and relational components of intergenerational trauma. Epigenetics and ACES. How relational trauma is transmitted intergenerationally. How

More information

Deconstructing Connecting with Patients. November 2018 Christopher Lillis, MD FACP UC Davis Health Medical Director PCMH

Deconstructing Connecting with Patients. November 2018 Christopher Lillis, MD FACP UC Davis Health Medical Director PCMH Deconstructing Connecting with Patients November 2018 Christopher Lillis, MD FACP UC Davis Health Medical Director PCMH Disclosures I do not own any healthcare stocks, I accept no speaking fees, I do not

More information

Understanding Adverse Childhood Experiences. Building Self-Healing Communities

Understanding Adverse Childhood Experiences. Building Self-Healing Communities Understanding Adverse Childhood Experiences Building Self-Healing Communities Robert Anda, MD, MS Co-Founder ACE Interface 2013 www.aceinterface.com Building Self-Healing Communities Health Care Child

More information

Trauma Informed Excellence

Trauma Informed Excellence Trauma Informed Excellence Introduction of Presenter(s) Matt Bennett, MBA, MA Five Modules to Understand Trauma and How to Support Our Patients Five Module Trauma Series Trauma Rollercoaster 1 Impact of

More information

The Impact of Adverse Childhood Experiences Across The Life Course

The Impact of Adverse Childhood Experiences Across The Life Course The Impact of Adverse Childhood Experiences Across The Life Course Robert Anda, MD, MS ACE Study Concepts www.robertandamd.com www.cdc.gov/ace www.acestudy.org In the brain, as in the economy, getting

More information

HSC Statistical Brief No. 30 Adverse Childhood Experiences

HSC Statistical Brief No. 30 Adverse Childhood Experiences HSC Statistical Brief No. 30 Adverse Childhood Experiences Adverse Childhood Experiences, or ACE, have been extensively researched and found to be associated with poor health and well-being during adulthood.

More information

TRAUMA/ACES 101. Matt Buckman, Ph D Egyptian Public and Mental Health

TRAUMA/ACES 101. Matt Buckman, Ph D Egyptian Public and Mental Health TRAUMA/ACES 101 Matt Buckman, Ph D Egyptian Public and Mental Health What will be covered Overview of Child Trauma Overview of the Adverse Childhood Experiences (ACE) Study. Effects of Trauma on the Brain

More information

CHILDHOOD TRAUMA: THE PSYCHOLOGICAL IMPACT. Gabrielle A. Roberts, Ph.D. Licensed Clinical Psychologist Advocate Children s Hospital

CHILDHOOD TRAUMA: THE PSYCHOLOGICAL IMPACT. Gabrielle A. Roberts, Ph.D. Licensed Clinical Psychologist Advocate Children s Hospital CHILDHOOD TRAUMA: THE PSYCHOLOGICAL IMPACT Gabrielle A. Roberts, Ph.D. Licensed Clinical Psychologist Advocate Children s Hospital What is a Trauma? Traumatic event: Witnessing or experiencing a frightening,

More information

Toward Trauma-Informed Home Visiting: Addressing Depression and Social Support

Toward Trauma-Informed Home Visiting: Addressing Depression and Social Support Toward Trauma-Informed Home Visiting: Addressing Depression and Social Support Robert T. Ammerman, PhD 1,2 Alonzo T. Folger, PhD 1,2 1 Cincinnati Children s Hospital Medical Center, University of Cincinnati

More information

Innovations and Trends in Organizational Responses to Trauma

Innovations and Trends in Organizational Responses to Trauma 2018 Travelers Aid International Conference z Kathryn Bocanegra, LCSW, ABD, AM, MA Innovations and Trends in Organizational Responses to Trauma z Introduction Recovery following traumatic loss Child and

More information

5/12/2014. Trauma definitions & stats Trauma and impact on development Interventions Trauma-Informed Care Consortium of Central Texas Questions

5/12/2014. Trauma definitions & stats Trauma and impact on development Interventions Trauma-Informed Care Consortium of Central Texas Questions Austin Child Guidance Center Trauma definitions & stats Trauma and impact on development Interventions Trauma-Informed Care Consortium of Central Texas Questions 1 Community Impact of Trauma Child Abuse

More information

Adverse Childhood Experiences Predictor s of Future Health In my end is my beginning T.S. Eliot Four quartets

Adverse Childhood Experiences Predictor s of Future Health In my end is my beginning T.S. Eliot Four quartets Adverse Childhood Experiences Predictor s of Future Health In my end is my beginning T.S. Eliot Four quartets Steve Wolfe, M.D. Professor Emeritus University of Iowa Department of Family Medicine Learning

More information

ACEs and Homelessness. Trauma-Informed Care awareness training Erica Smith, MA, MPH October 2018

ACEs and Homelessness. Trauma-Informed Care awareness training Erica Smith, MA, MPH October 2018 ACEs and Homelessness Trauma-Informed Care awareness training Erica Smith, MA, MPH October 2018 What is trauma? Trauma is an event (or a series of events) that are experienced by an individual. The event

More information

Wanda D. Filer, MD MBA FAAFP

Wanda D. Filer, MD MBA FAAFP Wanda D. Filer, MD MBA FAAFP Incidence and Prevalence National Sexual Violence Resource Center 1 in 3-4 women 1 in 5-6 men Before age 18 6.1% in any given year: Finkelhor 2009 44% of women patients in

More information

Adverse Childhood Experiences: How Faith Based & Community Organizations Can Promote Resiliency

Adverse Childhood Experiences: How Faith Based & Community Organizations Can Promote Resiliency Early Adverse Experiences : How Faith Based & Community Organizations Can Promote Resiliency are the pipeline to a multitude of societal problems. Dr. Mimi Graham, Director FSU Center for Prevention &

More information

Attending to the Whole Population

Attending to the Whole Population Attending to the Whole Population a population health roundtable June 29, 2016 WHO definition of health Health is a state of complete physical, mental and social well-being and not merely the absence

More information

From ACEs to Assets. Fostering Resilience to Improve Outcomes. Best Practice Seminar

From ACEs to Assets. Fostering Resilience to Improve Outcomes. Best Practice Seminar From ACEs to Assets Fostering Resilience to Improve Outcomes Best Practice Seminar 4 19 18 Objectives By the end of our session we will be able to: Cite the three essential Building Blocks of Resilience

More information

Disclosure. Wanda D. Filer, MD MBA FAAFP

Disclosure. Wanda D. Filer, MD MBA FAAFP Wanda D. Filer, MD MBA FAAFP Disclosure Dr. Filer has no conflict of interest, financial agreement, or working affiliation with any group or organization. Incidence and Prevalence National Sexual Violence

More information

Mobilizing a Community to Address the Impact of Childhood Trauma.

Mobilizing a Community to Address the Impact of Childhood Trauma. Mobilizing a Community to Address the Impact of Childhood Trauma 1 Teri Barilla Is coordinator of the Walla Walla County Community Network, part of the Washington State Family Policy Council system. Building

More information

Trauma History and Extensive Service Use: Strategies for Treatment and Prevention

Trauma History and Extensive Service Use: Strategies for Treatment and Prevention Trauma History and Extensive Service Use: Strategies for Treatment and Prevention February 15, 2017 Introduction: Framing the Issue David Shern, Ph.D. Senior Public Health Advisor NASMHPD February 15,

More information

I Was Wired This Way

I Was Wired This Way I Was Wired This Way The Effects of Negative Life Events on Brain Development Negative life experiences in childhood can be a significant source of stress. Children and youth are especially sensitive to

More information

2/19/2015. The Adverse Childhood Experiences (ACE) Study. Learning Objectives. The Adverse Childhood Experiences (ACE) Study.

2/19/2015. The Adverse Childhood Experiences (ACE) Study. Learning Objectives. The Adverse Childhood Experiences (ACE) Study. /9/5 Learning Objectives The Adverse Childhood Experiences (ACE) Study Participants of this training will: Recognize and identify adverse childhood events Describe three results of the ACE Study Explain

More information

THE IMPACT OF TRAUMA ON SUBSTANCE ABUSE. Agnes Ward, PhD, LP, CAADC

THE IMPACT OF TRAUMA ON SUBSTANCE ABUSE. Agnes Ward, PhD, LP, CAADC THE IMPACT OF TRAUMA ON SUBSTANCE ABUSE Agnes Ward, PhD, LP, CAADC Event that includes physical, psychological, and sexual abuse, terrorism and war, domestic violence, witnessing violence against others,

More information

Partnering for Resilience: Learn,

Partnering for Resilience: Learn, Partnering for Resilience: Learn, Empower, and Connect to Address Toxic Stress American Academy of Pediatrics Section on Pediatric Trainees 2016 2017 Learning objectives 1) Review vicarious trauma 2) Discuss

More information

Understanding Mental Wellness

Understanding Mental Wellness Understanding Mental Wellness Facilitator Dr. Nannette S. Funderburk 1 2 1 3 4 MENTAL WELLNESS OVERVIEW Mental wellness includes our biological, psychological, and social well-being. It affects how we

More information

Health Care in Appalachia. Foundations of Modern Health Care, Lecture 12 Anya K. Cope, DO

Health Care in Appalachia. Foundations of Modern Health Care, Lecture 12 Anya K. Cope, DO Health Care in Appalachia Foundations of Modern Health Care, Lecture 12 Anya K. Cope, DO Learning Objectives: At the completion of this exercise, learners should be able to: Discuss the mortality rates

More information

Testimony to the California State Assembly Select Committee on Delinquency Prevention and Youth Development, Los Angeles CA, April 4, 2014

Testimony to the California State Assembly Select Committee on Delinquency Prevention and Youth Development, Los Angeles CA, April 4, 2014 Steve Wirtz, Ph.D., Chief, Injury Surveillance and Epidemiology Section Safe and Active Communities Branch, California Department of Public Health (CDPH) Testimony to the California State Assembly Select

More information

Trauma-Informed Responses

Trauma-Informed Responses Trauma-Informed Responses October 28, 2016 The Center for Disaster Mental Health 4 th Annual Conference Disaster and Trauma: Planning, Response, Recovery Su-Ann Newport RN, MSN, APRN, LICDC-CS PH: (937)

More information

Executive Summary 2013 BRFSS Adverse Childhood Experiences among Alaska Native People

Executive Summary 2013 BRFSS Adverse Childhood Experiences among Alaska Native People Executive Summary 2013 BRFSS Adverse Childhood Experiences among Alaska Native People An adverse childhood event (ACE) describes a traumatic experience in a person s life occurring before the age of 18

More information

Trauma Informed Care: Improving the Way We Look at Caring for Kids & Families

Trauma Informed Care: Improving the Way We Look at Caring for Kids & Families Trauma Informed Care: Improving the Way We Look at Caring for Kids & Families Patty Davis, MSW, LSCSW, LCSW Department of Social Work Children s Mercy April 2016 1 The Children's The Children's Mercy Mercy

More information

Limits of Understanding. by Paul Klee ( )

Limits of Understanding. by Paul Klee ( ) Limits of Understanding by Paul Klee (1879-1940) When I approach a child, he inspires in me two sentiments; tenderness for what he is, and respect for what he may become. --Louis Pasteur-- March Madness

More information

Adverse Childhood Experiences, Behavioral Health and the Connection to Asthma in School Age Children

Adverse Childhood Experiences, Behavioral Health and the Connection to Asthma in School Age Children Adverse Childhood Experiences, Behavioral Health and the Connection to Asthma in School Age Children Elliott Attisha DO FAAP Henry Ford Health System Childhood Asthma Most Common Chronic Disease of Childhood

More information

Trauma Informed Practice

Trauma Informed Practice Trauma Informed Practice 10 th Shared Learning in Clinical Practice Symposium Dr Kath Moores Senior Clinical Psychologist Outer South Community Mental Health Service Karyn O Keefe Lived Experience Educator

More information

HELPING TEENS COPE WITH GRIEF AND LOSS RESPONDING TO SUICIDE

HELPING TEENS COPE WITH GRIEF AND LOSS RESPONDING TO SUICIDE HELPING TEENS COPE WITH GRIEF AND LOSS RESPONDING TO SUICIDE HOW TEENS COPE WITH LOSS & GRIEVE Grief is personal There is no right or wrong way to grieve Influenced by developmental level, cultural traditions,

More information

THE HIGH COST OF ADVERSE CHILDHOOD EXPERIENCES

THE HIGH COST OF ADVERSE CHILDHOOD EXPERIENCES THE HIGH COST OF ADVERSE CHILDHOOD EXPERIENCES Washington State FAMILY POLICY COUNCIL A Family, Community, State Partnership www.fpc.wa.gov 360-902-7880 Educational Service District 105 Susan.martin@esd105.org

More information

Gender Sensitive Factors in Girls Delinquency

Gender Sensitive Factors in Girls Delinquency Gender Sensitive Factors in Girls Delinquency Diana Fishbein, Ph.D. Research Triangle Institute Transdisciplinary Behavioral Science Program Shari Miller-Johnson, Ph.D. Duke University Center for Child

More information

The Impact of Trauma in Treatment Courts: Understanding Neurobiology, and the Brain and Healing. Steve Hanson

The Impact of Trauma in Treatment Courts: Understanding Neurobiology, and the Brain and Healing. Steve Hanson The Impact of Trauma in Treatment Courts: Understanding Neurobiology, and the Brain and Healing Steve Hanson Substance Abuse Trauma 55 year old incarcerated male My father was drunk all the time and would

More information

Trauma-Informed Courtrooms

Trauma-Informed Courtrooms Trauma-Informed Courtrooms Lisa Callahan, PhD October 14, 2017 SAMSHA s Definition of Trauma Individual trauma results from an event, series of events, or a set of circumstances that is experienced by

More information

ADVERSE CHILDHOOD EXPERIENCES

ADVERSE CHILDHOOD EXPERIENCES ADVERSE CHILDHOOD EXPERIENCES Steven Kairys MD MPH The ACE Study Adverse Childhood Experiences Lead Authors: Dr.s Vincent Felitti and Robert Anda. Initial publication May 1998 in AJPM Ongoing study examining

More information

Why do people use drugs? Why do so many people use drugs? What should we do?

Why do people use drugs? Why do so many people use drugs? What should we do? Why do people use drugs? Why do so many people use drugs? What should we do? David Labby MD PhD Health Share of Oregon -- May 17, 2018 Learning Objectives 1. To increase understanding of societal determinants

More information

Advanced Issues In Trauma- Informed Care

Advanced Issues In Trauma- Informed Care Advanced Issues In Trauma- Informed Care Looking at the Connection between Trauma and Opioid Addiction DISCLOSURE OF COMMERCIAL SUPPORT This program has not received financial support This program has

More information

Dr Lisa Bunting (Lecturer in Social Work, QUB) Mairead Lavery (title, SEHSCT) Nov 2017

Dr Lisa Bunting (Lecturer in Social Work, QUB) Mairead Lavery (title, SEHSCT) Nov 2017 Dr Lisa Bunting (Lecturer in Social Work, QUB) Mairead Lavery (title, SEHSCT) Nov 2017 STRUCTURE Defining Trauma and Adversity The Prevalence and Impact of Multiple Adversities How adversity causes poor

More information

The ABC s of Trauma- Informed Care

The ABC s of Trauma- Informed Care The ABC s of Trauma- Informed Care AGENDA What do we mean by trauma? How does trauma affect people? What can we learn from listening to the voices of people who have experienced trauma? Why is understanding

More information

Healing from Trauma Young Adult and Family Perspectives and Recommendations December 18, 2014 Georgetown National Webinar Series

Healing from Trauma Young Adult and Family Perspectives and Recommendations December 18, 2014 Georgetown National Webinar Series Healing from Trauma Young Adult and Family Perspectives and Recommendations December 18, 2014 Georgetown National Webinar Series FOLLOW UP OPEN DISCUSSION CALL TO BE HELD ON JANUARY 7, 2015 AT 1 PM ET

More information

Trauma Addiction & Criminal Justice. Introduction. Overview of Presentation 9/15/14. Diagnosis & Treatment. ! Winford Amos, LPC, LAC, CCS

Trauma Addiction & Criminal Justice. Introduction. Overview of Presentation 9/15/14. Diagnosis & Treatment. ! Winford Amos, LPC, LAC, CCS Trauma Addiction & Criminal Justice Diagnosis & Treatment Introduction! Winford Amos, LPC, LAC, CCS! Owner: Kingdom Source Counseling & Training! 15 th JDC Adult Drug Court Provider! 15 th JDC Zone Area

More information

Exploring the connection between early trauma and later negative life events among Cork Simon service users.

Exploring the connection between early trauma and later negative life events among Cork Simon service users. Adverse Childhood Experiences ACEs at Cork Simon: Exploring the connection between early trauma and later negative life events among Cork Simon service users. Extracted and elaborated information from

More information

NARM NEUROAFFECTIVE RELATIONAL MODEL. a complete theoretical approach & clinical model for treating complex trauma. HEALING DEVELOPMENTAL TRAUMA

NARM NEUROAFFECTIVE RELATIONAL MODEL. a complete theoretical approach & clinical model for treating complex trauma. HEALING DEVELOPMENTAL TRAUMA NEUROAFFECTIVE RELATIONAL MODEL HEALING DEVELOPMENTAL TRAUMA WHAT IS NARM? The NeuroAffective Relational Model (NARM ) is a non-regressive theoretical approach and clinical model that addresses the complexities

More information

Early Life Roots of Health. Ann Bullock, MD Director Division of Diabetes Treatment and Prevention Indian Health Service

Early Life Roots of Health. Ann Bullock, MD Director Division of Diabetes Treatment and Prevention Indian Health Service Early Life Roots of Health Ann Bullock, MD Director Division of Diabetes Treatment and Prevention Indian Health Service What Happens Early Affects the Rest of Our Lives many adult diseases should be viewed

More information

The child-parent relationship is core to a child s development

The child-parent relationship is core to a child s development M. C O N N I E A L M E I D A, P H D The child-parent relationship is core to a child s development ATTACHMENT The central theme of attachment theory is that mothers / fathers who are available and responsive

More information

Neil W Boris, MD Irving Harris Training Director, Florida State University Center for Prevention and Early Intervention Policy

Neil W Boris, MD Irving Harris Training Director, Florida State University Center for Prevention and Early Intervention Policy Neil W Boris, MD Irving Harris Training Director, Florida State University Center for Prevention and Early Intervention Policy Professor (Public Health and Medicine), Researcher Focus on Early Childhood

More information

HUNGER S IMPACT ON HEALTH AND WELL-BEING

HUNGER S IMPACT ON HEALTH AND WELL-BEING HUNGER S IMPACT ON HEALTH AND WELL-BEING Hungers Impact on Health & Well-being Sandra Hoyt Stenmark M.D. Sarah Van Scoy M.D. Agenda Hunger is prevalent Hunger impacts diet quality Hunger impacts health

More information

Ron Luce, President Ohio Recovery Housing Kim Kehl, TIC Project Coordinator OhioMHAS

Ron Luce, President Ohio Recovery Housing Kim Kehl, TIC Project Coordinator OhioMHAS 1 B Ron Luce, President Ohio Recovery Housing Kim Kehl, TIC Project Coordinator OhioMHAS 2 All behavior has meaning and purpose Symptoms are ADAPTATIONS Responses should be about comfort not control We

More information