Addressing and Preventing Community Trauma: Exploring a Whole Community Approach

Transcription

1 Photo: Dept. of Education, MBK - Creative Commons Addressing and Preventing Community Trauma: Exploring a Whole Community Approach Sheila Savannah, MA Prevention Institute 30 th Annual Research & Policy Conference on Child, Adolescent and Young Adult Behavioral Health March 6, 2017 Tampa, Florida Photo: 401 st Army Field Support Brigade - Creative Commons

2

3 What s Mental Health Got to do with It? How the Environment Affects Mental Wellbeing

4 Florence, South Carolina

5 Image source: Image source:

6 Chicago, Illinois

7

8 EXPOSURES ENVIRONMENT HEALTH & SAFETY

9 EXPOSURES ENVIRONMENT HEALTH & SAFETY BEHAVIOR & EMOTIONAL EXPERIENCE

10 It is unreasonable to expect that people will change their behavior easily when so many forces in the social, cultural and physical environment conspire against such change. Institute of Medicine

11 It is unreasonable to expect that people will change their behavior easily when so many forces in the social, cultural and physical environment conspire against such change. Institute of Medicine

12 Interface between Physical, Mental and Behavioral Health

13

14 Overarching Findings There is growing understanding about trauma, particularly its prevalence and impact. The predominant approach to dealing with trauma is screening and treatment, consistent with a medical model. Trauma manifests at the community-level. There are emerging practices to address trauma at the community-level.

15 The Community Environment Equitable Opportunity People Place

16 THRIVE Clusters and Factors EQUITABLE OPPORTUNITY Education Living wages & local Wealth THE PEOPLE Social networks & trust Participation & willingness to act for the common good THE PLACE What s sold & how it s promoted Look, feel & safety Parks & open space Getting around/ Transportation Housing Air, water, & soil Arts & culture Norms and culture

17 Symptoms of Community-Level Trauma

18 Simultaneous Community Solutions

19 Making Connections for Mental Health and Wellbeing Among Men and Boys The Community of Practice is inclusive of 16 sites, with diversity in geography, organizational leadership, and population

20 Social-Cultural Environment Opportunity PEOPLE Place People I ve been in juvenile (justice system) since I was 10 years old. It s a constant feeling, you never know whether it s your day or not. Like you can walk out the street, minding your own business...and the next thing you now, you gone.

21 Developing Social Networks Boston Image source: Boston.com, greenhouse Oklahoma City Photo courtesy of Kendra Souligne Kankakee Denver

22 Community-Driven Planning San Diego, California Young men from the community, identifying priorities and leading solutions

23 Physical/Built Environment Opportunity People I don t know, like, I don t know man for real Its home, but it don t feel like home. It feel like a prison with no walls. Some people don t have transportation.

24 Physical/Built Environment Opportunity People I can t even drive on the street without hitting no #*^* pothole how the hell we gonna grow as a community and as a people if we still got #*^%-up streets.

25 Voicing Collective Emotion

26 Engaging in Place Making

27 Reclaiming Community Institutions Photos by Chris Simmons and New Orleans Health Department

28 Reclaiming Public Spaces AFTER BEFORE Photo credit: Adams IV. TheodorAkis for News

29 Economic/Educational Environment Opportunity Place EQUITABLE People OPPORTUNITY I don t feel like they (my teachers) that they want me to do better. It s the lack of jobs, not having jobs for us.

30 Bridging School to Job Success Houston Photo courtesy of Fifth Ward Enrichment Program Tacoma Boston Photo credit: Nuestra Comun idad Photo credit: Carmetrus Parker

31 Development without Displacement

32 Small Business Development Image source: Essence Magazine New Orleans

33 No epidemic has ever been resolved by paying attention to the treatment of the affected individual. George W. Albee

34 The ideas of one generation become the instincts of the next. cc Elvert Barnes D.H. Lawrence

35 Sheila Savannah Director, Prevention Institute Special thanks to Khalilah Collins Making Connections Coordinator New Orleans 221 Oak Street Oakland, CA 94607