Can One Story Change Everything? ADR Symposium. May 15, 2018

Transcription

1 Can One Story Change Everything? ADR Symposium May 15, 2018

2 Palix Foundation Private foundation in Alberta working in the related areas of childhood development, addiction, and mental health The Palix Foundation created the Alberta Family Wellness Initiative (AFWI) to improve global health by mobilizing science in these areas Offices in Edmonton and Calgary

3 Alberta Family Wellness Initiative Created in 2007 Neuroscience framework with three core concepts 1. Connection between early brain development & addiction and mental health 2. Addiction is more than drugs, alcohol and gambling 3. Brains can change

4 Vision The Alberta Family Wellness Initiative is a catalyst for concrete action and change to advance the understanding and approach to childhood development and its life-long impact on addiction and other negative health outcomes.

5 AFWI Advisory Council Judy Cameron PhD Professor of Psychiatry and the Clinical Translational Science Institute, University of Pittsburgh David Dodge PhD Senior Advisor, Canada and International Economic Advisor, Bennett Jones Ottawa Shoo K. Lee MBBS FRCPC, PhD Scientific Director, Institute of Human Development, Child and Youth Health, Canadian Institutes of Health Research, Mount Sinai Hospital Anthony Phillips PhD Scientific Director, Institute of Neurosciences Mental Health and Addiction, Canadian Institutes of Health Research George F. Koob PhD Director, National Institute on Alcohol Abuse and Alcoholism, National Institute of Health Thomas McLellan PhD Founder and Chairman of the Board of Directors, Treatment Research Institute

6 The Core Story of Brain Development

7 The National Scientific Council on the Developing Child

8 The FrameWorks Institute

9 Harvard Working Papers

10 Testing Scientific Literacy in Alberta:

11 Testing Scientific Literacy in Alberta: What matters in child development? Parents DNA Character What is Addiction? Anything In the substance Control / Need Children s Mental Health Children are little adults Can t distinguish between mental health and mental illness Don t connect mental health to the brain What causes Addiction? Underlying issues Chemical imbalance Genetic Lack of will power

12 Testing Scientific Literacy in Alberta: Children s Mental Health

13 The Mask You Live In- Documentary

14 Brain Story Metaphors- Core Concepts

15 The Core Story of Brain Development

16 Building Brains is Child Play

17 Life Coach Visit AddictionBrainStory.org

18 Adverse Childhood Experiences (ACEs)

19 Adverse Childhood Experience (ACE) Questionnaire

20 The Adverse Childhood Experiences Alberta (ACEs-A) Primary Care Study A collaborative research project to screen an adult population of Albertans for ACEs (Dennis Pusch and Keith Dobson) Objectives: Phase 1: Development and validation of a short ACE screening tool suitable for use in primary care settings in Alberta Phase 2: Replication of ACE Study results in an Albertan population Phase 3: Development of an intervention(s) suitable for individuals with elevated ACE scores that can be administered in a primary care setting Phase 4: Prospective RCT of the intervention(s)

21 Traumatized Adults in Primary Care: The Challenge of ACEs Lauren Allan Cynthia Clark Dennis Pusch Thomas Burton

22 Phase 2 Population Demographics Adverse Childhood Experiences Alberta (ACEs A) n=1175 WOMEN Mean (range) MEN Mean (range) OTHER Mean (range) N Age 38.4 (18-90) 44.5 (18-92) 22.0 (20-25) 80.1% of par, cipants indicated that English was their first language.

23 Phase 2 Population Demographics Adverse Childhood Experiences Alberta (ACEs A) No High School Some High School Education Education No High High School School Grad Some Some College High School or University College High University Some College Masters School Diploma College Degree Diploma or PhD Grad or University Employment Employment Status Status Full time Part Full time time Not employed Part time Not Retired employed outside home outside home University Degree Masters 0 or PhD Married 0 Retired Marital Status Marital Status Living with Married Widowed Living Divorced with Widowed Separated Divorced Never Separated Never Partner Partner Married Married Household Household Income Income 0 <20,000 20,000 <20,000-40,000 20, ,999 59,999 39,999 60,000 40, ,000 60, ,999 59,999 79,999 80,000 + n=1175

24 Phase 2 Population Demographics Adverse Childhood Experiences Alberta (ACEs A) Ethnicity % Caucasian African American/Black Asian South Asian First Nations Other

25 Phase 2 Population Demographics ACE Score n=1175

26 In Other Words Over 69% of people in the sample have experience one or more ACEs One out of four people has an ACE score of 3 or more

27 ACEs Reported by Participants Household Mental Illness- 43.4% Household Substance Abuse- 36.7% Sexually Abused*- 33.6% Emotionally Neglected- 28.6% Parental Divorce- 25.9% Caregiver Violence- 20.0% Emotionally Abused- 18.5% Physically Abused- 13.9% Household Criminal Behavior- 10.6% *Sexually abused drops to 21% in 4000 participant study

28 ACEs and Physical Health Adverse Childhood Experiences Alberta (ACEs A) Diabetes Baseline (0) ACE 1-2 ACE 3+ Baseline (0) ACE 1-2 ACE Respiratory Conditions Baseline (0) ACE 1-2 ACE 3+ Baseline (0) ACE 1-2 ACE Allergies Allergies Baseline (0) ACE 1-2 ACE 3+ Baseline (0) ACE 1-2 ACE Back Back Problems Problems Baseline (0) ACE 1-2 ACE 3+ Baseline (0) ACE 1-2 ACE 3+

29 ACEs and Physical Health Adverse Childhood Experiences Alberta (ACEs A) Autoimmune Disorders Disorders Gastrointestinal Disorders Disorders Baseline Baseline (0) ACE (0) 1-2 ACE 1-2 ACE 3+ ACE 3+ Baseline Baseline (0) (0) ACE 1-2 ACE 1-2 ACE 3+ ACE 3+ Migraine Migraine Cardiovascular Disease Disease Migraine Migraine Baseline Baseline (0) (0) ACE 1-2 ACE 1-2 ACE 3+ ACE Baseline Baseline (0) (0) ACE 1-2 ACE 1-2 ACE 3+ ACE 3+

30 ACEs and Mental Health Adverse Childhood Experiences Alberta (ACEs A) Anxiety (GAD-7) Addiction Baseline (0) ACE 1-2 ACE 3+ Baseline (0) ACE 1-2 ACE 3+

31 ACEs and Mental Health Adverse Childhood Experiences Alberta (ACEs A) Depression PHQ-9 Thoughts of Self-Harm or Suicide Baseline (0) ACE 1-2 ACE 3+ Baseline (0) ACE 1-2 ACE 3+

32 Some Conclusions from the Data: More ACEs correlates to more physical and/or mental health and addiction problems; and likely more interaction with the health and human serving systems Since ACEs are transmitted intergenerationally, it is important to help adults with high ACE scores so they can engage in higher quality serve and return interactions with the children they care for

33 Can One Story Change Everything?

34 Developmental Evaluation

35 The Foundation Review: AFWI Theory of Philanthropy

36 Alignment of Theory of Philanthropy and Theory of Change

37 Individual Change Some Change Significant Change Individual Change Organizational Change Systems Change

38 Symposia Series Held in Banff, Edmonton and Calgary Over 473 participants from Canada, Great Britain and Germany 150 organizations within: Research Policy Practice Focused on early brain development, children s mental health and addiction prevention treatment and recovery Key objective to create positive change and outcomes for children by mobilizing knowledge about the intergenerational impact of addictions and toxic stress on the developing brain

39 Innovation Teams From Across Alberta

40 AFWI Symposia Summary Video

41 Organizational Change Some Change Significant Change Individual Change Organizational Change Systems Change

42 Change in Mind Collaboration with Alliance for Strong Families & Communities and the Robert Wood Johnson Foundation Alberta sites: 1-Sheldon Kennedy Child Advocacy Centre - Calgary 2-Big Brothers, Big Sisters of Calgary & Area 3-Boyle McCauley Health Centre - Edmonton 4-CASA Child, Adolescent & Family Mental Health - Edmonton 5-CUPS Health, Education, Housing - Calgary 42

43 Building the Continuum of Care Multiple organizations developing competencies Sharing competencies with other organizations Create connections to comprehensively serve individuals and families Full continuum of services for children, youth and families Prevention Early Intervention Treatment Recovery

44 Systems Change Some Change Significant Change Individual Change Organizati onal Change Systems Change

45 Government of Alberta- Policy Documents Health Let s Talk about the Early Years Creating Connections: Alberta s Addiction and Mental Health Strategy

46 Government of Alberta- Policy Document Health

47 Government of Alberta- Policy Documents Children s Services Together We Raise Tomorrow Alberta s Social Policy Framework

48 Government of Alberta- Policy Document Children s Services Contract

49 Government of Alberta- Policy Document Children s Services Contract

50 Government of Alberta- Policy Document Education Working Together to Support Mental Health in Alberta Schools

51 Reforming Family Justice System

52 Janis Pritchard

53 Nancy Flatters

54 Course Testimonial- Diana Lowe

55 Brain Story Certification Course

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58 Curriculum Committee Judy Cameron PhD Professor of Psychiatry and the Clinical Translational Science Institute, University of Pittsburgh Glenda M. MacQueen PhD, MD, FRCPC Vice Dean, Cumming School of Medicine, University of Calgary Shoo K. Lee MBBS FRCPC, PhD Scientific Director, Institute of Human Development, Child and Youth Health, Canadian Institutes of Health Research, Mount Sinai Hospital Anthony Phillips PhD Scientific Director, Institute of Neurosciences Mental Health and Addiction, Canadian Institutes of Health Research George F. Koob PhD Director, National Institute on Alcohol Abuse and Alcoholism, National Institute of Health Thomas McLellan PhD Founder and Chairman of the Board of Directors, Treatment Research Institute

59 Brain Story Certification Course Brain Story Certification is an in-depth course for professionals and the public interested in the scientific underpinnings of the Brain Story The course offers: Videos of over 30 leading experts in neurobiology, mental health and addiction Approximately 30 hours of instruction time Certification in Brain story science The AFWI is providing the course at no cost to learners

60 Certification and Accreditation Certification: Upon completing the course students will receive a certificate in Brain Story science Accreditation: To foster professional development the AFWI has sought, and continues to seek accreditation provisions from professional bodies in Alberta The Royal College of Physicians and Surgeons of Canada Psychologists Association of Alberta Alberta College of Social Work Alberta College of Family Physicians Alberta College of Pharmacists

61 To Learn More Visit the Alberta Family Wellness Initiative website and click

62 Course Testimonial- Roger Chaffin

63 12, , ENROLLMENT BY COUNTRY 15,343 Enrolled 2,031 Certified As of May 14,

64 CANADA TOTAL ENROLLMENT 1, , UNITED STATES TOTAL ENROLLMENT 1,153 12, Nunavut WYOMING 3 IDAHO 2 SOUTH DAKOTA NEVADA 2

65 Alberta Data As of May 14, 2018

66 SYMPOSIUM PARTICIPANTS IN ALBERTA CERTIFIED 370

67 CHANGE IN MIND Alberta Sites CERTIFIED 14

68 Brain Story Certification Course TOTAL ENROLLMENT IN ALBERTA 10,

69 Professional Background- Alberta 9,623 Alberta Participants Answered Question Student 6% Childcare/Early Childhood Education 11% Social Work 21% Research/Academic 1% Education 19% Government/Policy 3% Other 14% I am an interested citizen 1% Justice 3% I am a parent 1% Health Care 20%

70 Alberta Health Services 1,669 AHS Employees Enrolled in the Course These people include but not exclusively: Registered Nurses Addictions Counselors Dietitians Social Workers Occupational Therapists Psychologists Physicians

71 Alberta Participants- Education 2,112 Enrolled from an Education Institution Organizations taking the course as a group Note: There are other education institutions in Alberta with fewer than 16 people enrolled

72 Advanced Education- Alberta

73 Community Organizations Wood's Home Calgary Police Services The Family Centre CUPS CASA Catholic Social Services Canadian Mental Health Association YWCA Children's Cottage YMCA Discovery House Family Violence Prevention Society McMan Youth Family And Community Services Big Brothers Big Sisters Calgary and Area Simon House Boys and Girls Club Alberta Aspen Family & Community Network Society Covenant Health Central Alberta Women's Outreach Centre Catholic Family Services Calgary John Howard Society Fresh Start Recovery Centre Terra Centre Boyle McCauley Health Centre Family Service of Central Alberta Providence Children's Centre Bridges Family Program Unlimited Potential Big Brothers Big Sisters Changes for Hope The Alex Sheldon Kennedy Child Advocacy Centre Alberta Parenting for the Future Association E4C Hull Services KARA Family Resource Centre Family Centre Lethbridge Kepler Academy Organizations taking the course as a group 261

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75 Course Testimonial- Dr. Teresa Killam

76 Course Testimonial- Charlton Weasel Head

77 Course Testimonial- Fresh Start Recovery Centre

78 WHERE SCIENCE MEETS REAL LIFE.