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1 !"#$%&'()*+,-#$(.$/+)01$2)+3,$4#5#0('&#,*6 $%,$!"#$%&'()"#*%+,+%-.! "#$%&'(&)*+,-./0&123!! D.-E9/>&F.-&G9$7H&I#9A$9/>&BE9AA7!

2 !"#$7(8,9+*3(,:$(.$;3.#0(,<$=8--#::$+)#6 2830*$3,$/+)01$>"309"((9!

3 Concerns about Dwindling Productivity and Economy The accident of birth is the greatest source of inequality.

4 lower reading skills lower math skills smaller vocabulary antisocial behavior lower attention

5 tobacco use school drop out rates drug use alcohol petty crime serious crimes teen pregnancy

6 unemployment addiction incarceration mental health issues homelessness

7

8 Who pays the bill for this gap?

9 More Teachers Standardized Testing Career Advisors Job Training Therapy

10

11 Anger Management Reading Programs Art Programs Math Programs Music Programs Standardized Testing

12 Fragmented solutions don t work Learning how experiences shape brain development is a more comprehensive strategy.

13 Four Core Concepts of Development Can 4 Resilience Brain Architecture Is Established Early in Life and Supports Lifelong Learning, Behavior, and Health Stable, Caring Relationships and Serve and Return Interaction Shape Brain Architecture Toxic Stress in the Early Years of Life (ACE s) Derail Healthy Development can be Built through Serve and Return Relationships, improving Self-Regulation, and Executive Functions, and Giving Children a Sense of Mastery.!

14 TM Working for Kids: Building Skills MOTHER S SPEECH AND CHILD VOCABULARY Source: Huttenlocher et al., Developmental Psychology 27: , Vocabulary Size (Words) High level of Mother s Speech Medium level of Mother s Speech Low level of Mother s Speech Age in Months

15 Experience Shapes Brain Architecture by Over-Production Followed by Pruning!!!!!!!!!!!!!!"#$%&!!!!!!!!!!!!!!!!!!!!!!!!!!!'!()*$+!!!!!!!!!!!!!!!!!!!!!!!!!!!,-!()*$+!

16 Neural Circuits are Wired in a Bottom-Up Sequence!./00!+(1*2+)+!34$5)6!2)$!+)7416!#1!%&)!)*$8(!()*$+9!! Sensory Pathways (Vision, Hearing) Language Higher Cognitive Function Birth FIRST YEAR Birth (Months) (Years) Source: C. Nelson (2000)

17

18 Stable, caring relationships play a key role in building brains

19 =#)5#$A$B#*8),$B#0+*3(,:"3':$28C#)$*"#$ 4#5#0('3,<$2)+3,! "#$%&&'()(*+$,-./",*'0"12)12'0('3&,-'(40$"$&2(5+32/(5&63*76(',1&),'(+5&8"2((9/+2(9/+-/($85&:21,-912/",8(/832(&!!

20 Working for Kids: Building Skills TM SUPPORTIVE ENVIRONMENTS FOR BRAIN DEVELOPMENT CARE Engagement Self-Confidence Interest SUPPORT ENCOURAGE

21 Working for Kids: Building Skills TM SUPPORTIVE ENVIRONMENTS FOR BRAIN DEVELOPMENT CARE NEGLECT Engagement Self-Confidence ANGER ABUSE Interest SUPPORT ENCOURAGE

22 /+)01$;3.#$=*)#::$%&'+-*:$;3.#D0(,<$ E#+0*"!

23 Sources of Toxic Stress in Young Children U.S. Children Ages 2-5 (per 1,000) Maltreatment Source: Finkelhor et al. (2005) Postpartum Depression Source: O-Hara & Swain (1996) Parental Substance Abuse Source: SAMHSA (2009) NEGLECT

24 /01%$+)#$*"#$;(,<D*#)&$%&'+-*:$(.$6!(?3-$=*)#::$3,$/+)01$;3.#F$!

25 Significant Adversity Impairs Development in the First Three Years Children with Developmental Delays 100% 80% 60% 40% 20% Number of Risk Factors Source: Barth, et al. (2008)

26 Risk Factors for Adult Substance Abuse Are Embedded in Adverse Childhood Experiences Self-Report: Alcoholism Self-Report: Illicit Drugs % % ACEs Source: Dube et al. (2002) Source: Dube et al. (2003)

27 Risk Factors for Adult Depression are Embedded in Adverse Childhood Experiences 5 Odds Ratio ACEs Source: Chapman et al. (2004)

28 How does neglect impact the brain? Stress 4 Early Brain Architecture Is Shaped by Early Life Stresses Gene Expression in the Brain Changes in Response to Stress Exposure Hormone Secretion Changes in Response to Exposure Stresses Change the Way You See the World

29 Adverse Early Life Experiences Change How You See the World Source: Pollak & Kistler (2002)

30 !(?3-$=*)#::$4#)+30:$E#+0*"1$4#5#0('&#,*! Toxic Stress Derails Healthy Development!

31 >+,$G#$'(2,23%$;(,<D*#)&$E#+0*"$6 %&'+-*:$(.$/+)01$;3.#$6 =*)#::$+,9$H#<0#-*F$!

32 Current Conceptual Framework Significant Adversity Healthy Developmental Trajectory Impaired Health and Development Parenting Education, Sound Nutrition, Stimulating Experiences, and Health-Promoting Environments

33 Protective Interventions Can Improve Life-long Health Significant Adversity New Protective Interventions Healthy Developmental Trajectory Parenting Education, Sound Nutrition, Stimulating Experiences, and Health-Promoting Environments

34 Capabilities that help with stress management Focusing Attention Problem Solving Planning Ahead Behavior Regulation Controlling Impulses Adjusting to New Circumstances Executive Function and Self Regulation

35 Games Posters E4$F#1G!H4$!I#6+J!?K#86#1G!AF#88+ ;<! Activities

36

2017 Texas Symposium on DeafBlindness The Impact of Stress on Brain Architecture and Resilience Friday, Keynote March 3-4, 2017

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