The Neurocognitive and Psychosocial Impacts of Violence and Trauma: A Workshop July 31 August 1, 2017

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A WORKSHOP OF THE FORUM ON GLOBAL VIOLENCE PREVENTION: The Neurocognitive and Psychosocial Impacts of Violence and Trauma: A Workshop July 31 August 1, 2017 National Academies Building 2101 Constitution Ave, NW Washington DC, 20418 AGENDA About the Workshop: Building upon the growing evidence-base surrounding adverse childhood experiences, this workshop will take a systems-based approach to exploring the ways in which this science can be moved from bench into practice through the integration of trauma-informed approaches across the systems children exposed to trauma are likely to interact with, including: education, healthcare, and juvenile justice. Workshop participants will have the opportunity to learn about these issues from a broad range of perspectives, including voices from survivors of trauma, researchers, and practitioners who will help illuminate best practices and ways forward in building resilient children and communities, as well as communities of practice that are prepared to respond effectively to victims of trauma across systems and sectors There will be ample time for discussion throughout this 2-day program, and participants are invited to fully engage with speakers, Forum Members, and other invited guests within those discussion periods and during networking breaks. This workshop has been planned with the help of an ad-hoc planning committee, and is supported by the Oak Foundation, the Education Development Center, the Archstone Foundation, the National Institutes of Health (NIAAA; NICHD), the Department of Health and Human Services (CDC; OWH); USAID, Kaiser Permanente, and Catholic Health Initiatives About the Forum: The Forum on Global Violence Prevention is a 25-member convening body of the National Academies of Sciences whose primary goal is to foster an increasingly energized and diverse global community of agents for action who are informed by cutting-edge scientific evidence on how to advance integrated approaches to violence prevention in communities of research, practice, and policy making. The Forum takes advantage of the unique credibility of the National Academy of Sciences, a congressionally chartered, scientific, evidence-based, impartial, independent body that consistently convenes the most eminent scientists from around the world to illuminate pressing issues. 1

DAY 1 July 31, 2017 8:15A Registration 8:45A Welcome Julie Pavlin Director Board on Global Health 8:50A Introduction to the Workshop Sheldon Greenberg Professor Johns Hopkins University Chair Forum on Global Violence Prevention I. Keynote Address: The Lived Experience of Trauma In this opening panel session, workshop participants will be oriented to the workshop s content and overarching message regarding the impacts of trauma on individuals, as well as our abilities to prevent, intervene, and respond to trauma exposure in meaningful ways to reduce the negative outcomes of such exposure through the use of a lived experience. Participants will hear the experience of Adam Swanson, a survivor of trauma who now uses both his lived experience and content expertise to advocate on behalf of others. 9:00A 9:30A 9:00A The Lived Experience of Trauma Adam Swanson, M.P.P Senior Prevention Specialist Education Development Center II. Context of the Problem: The Public Health and Brain Development Overview During this panel session, participants will be oriented to the scope and nature of exposure to trauma and violence in childhood from public health, brain development, and child development perspectives. This session will lay the foundational groundwork for subsequent panel sessions designed to explore these issues from systems-based perspectives. Workshop 2

participants should gain a broad understanding of the context of exposure to violence and trauma both in terms of prevalence and outcomes. 9:30A 11A 9:30A Introduction 9:35A The Public Health Context of Exposure to Trauma and Violence Melissa Merrick, Ph.D. Behavioral Scientist, Surveillance Branch Division of Violence Prevention CDC 9:55A The Impacts of Exposure to Trauma on Development in Young Children Charles Zeanah, Jr., M.D. Vice Chair, Child and Adolescent Psychiatry Tulane University 10:15A The Impacts of Exposure to Trauma on Development in Older Children and Youth Jay Giedd, M.D. Director, Child and Adolescent Psychiatry University of California, San Diego 10:35A Discussion 11A BREAK AND NETWORKING III. Trauma-informed Gaps in the Systems Children Interact With This panel session will introduce the systems-based framework that the remainder of Workshop Day 1 will utilize. In order to bring the science of adverse childhood experiences and trauma-exposure further into the world of practice, this and subsequent panel sessions will explore these issues through the perspectives of the education, juvenile justice, and healthcare systems and settings, in order to better understand how these critical systems and the people who work within them can better incorporate trauma-informed approaches and knowledge into their practices and programs. This initial systems-based session will provide broad overview examples of situations where trauma-informed approaches are not taken and their negative outcomes as well as examples of positive integration of these approaches and their outcomes. 11:10A 12:40P 3

11:10A Introduction 11:15A Trauma-informed Approached in the Education System Dana Charles-McCoy, Ph.D. Assistant Professor Harvard Graduate School of Education 11:35A Trauma and the Juvenile Justice System from a Lived Experience Perspective Hernan Carvente Program Analyst, Youth Justice Vera Institute 11:55A Trauma-informed approaches within the Healthcare System Terri deroon-cassini, M.D. Associate Professor in the Department of Surgery Division of Trauma & Critical Care Medical College of Wisconsin 12:15P Open Discussion 12:40P BREAK FOR LUNCH AND NETWORKING IV. Incorporating Trauma-Informed Approaches into Identified Systems In this next systems-based panel session, participants will learn about the ways in which these systems can incorporate trauma-informed approaches and best practices into their institutions and policies, as well as highlighting possible opportunities to collaborate across sectors and systems in order to produce more robust outcomes in reducing the negative impacts of traumaexposure, while reducing the risk of re-traumatizing already exposed children. 1:40P 3:10P 1:40P Introduction 1:45P Collaboration for Trauma-informed responses from the Education-Sector- Out David Jacobson, Ph.D., M.A. Senior Project Director, Teaching and Learning EDC 4

2:05P Opportunities for Trauma-informed Reform in the Juvenile Justice System Jane Halladay-Goldman, Ph.D. Service Systems Director UCLA Neuropsychiatric Institute National Center for Child Traumatic Stress 2:25P Bringing Trauma-Informed Care into Primary-Care Settings Larke N. Huang, Ph.D. Director of the Office of Behavioral Health Equity SAMHSA 2:45P Open Discussion 3:15P BREAK AND NETWORKING V. Prevention and Intervention Approaches to Strengthen Responses to Exposure to Trauma in Childhood This panel session will move into an exploration of practical examples of programming designed to prevent exposure, or to intervene in cases of exposure to trauma in childhood, as well as an example of a campaign designed to empower parents, caregivers, community members, and those working directly with children to identify possible cases of trauma exposure and how to respond effectively to mitigate the possible negative developmental outcomes. 3:35P 5:15P 3:35P Introduction 3:40P Utilizing Trauma-informed Approaches to Redirect At-risk Youth: Youth Guidance, Becoming a Man Phillip Cusic Program Manager Youth Guidance: Becoming a Man 4P Changing Minds: The Campaign to End Childhood Trauma Brian O Connor Director, Public Education Campaigns & Programs Futures Without Violence 5

4:20P Open Discussion 4:50P Wrap-Up and Adjournment of Day 1 5:15P End of Day One NOTE: There will be a reception held in the West Court to include open bar and light appetizers immediately following the adjournment of Workshop Day 1, please join us! 6

DAY 2 August 1, 2017 8:30A Registration 9A 9:10A Welcome/Recap of Day 1 I. Impacts of Trauma Across the Life-course and Across Settings After utilizing a systems-based approach focused on childhood in Day 1, Workshop Day 2 will explore issues of trauma and trauma-exposure from new perspectives across the life-course. During this panel session, participants will learn more about the mental health impacts of trauma-exposure, how trauma affects entire communities and what can be done to build resilient, trauma-informed communities, and how aging populations are also affected by trauma. 9:10A 10:45A 9:10A Introduction 9:15A Mental Health Outcomes Across the Life-course Maria A. Oquendo, M.D., Ph.D. Immediate Past President of the American Psychiatric Association 9:35A The Aging Brain and Trauma Vijeth Iyengar, Ph.D. Presidential Management Fellow Administration on Community Living U.S. Department of Health and Human Services 9:55A Impacts of and Responses to Community-based Trauma Andrew Masters, M.Ed. Project Director ReCAST West Baltimore 10:15A Open Discussion 7

10:45A BREAK AND NETWORKING II. Situations of Acute and Prolonged Trauma Exposure This final content-focused panel session will allow participants to explore trauma in the context of episodes of mass trauma as well as the ways in which first responders and combatants are impacted by trauma in their day-to-day work. Speakers in this session will highlight both the unique ways in which trauma-exposure uniquely impacts these groups as well as the ways in which we can and should respond to that trauma exposure. 11A 12:25P 11A Introduction 11:05A First Responders and the Trauma Experienced in the Line of Duty Henry Stawinski Police Chief Prince George s County Police Department 11:25A Returning Combatants and the Trauma of War Greg Goldstein Army Soldier/Reservist Deputy Director Center for Substance Abuse Prevention SAMHSA 11:55A Open Discussion 12:25P BREAK FOR LUNCH AND NETWORKING III. Breakouts to Discuss Ways Forward During this final session, participants, speakers, Forum Members, and invited guests will be asked to work together in small groups to synthesize the prior two days of discussions and presentations in order to identify their key takeaways and the ways in which they hope to bring this information to their home organizations and institutions, as well as to discuss innovative and promising approaches that could be utilized to better incorporate trauma-informed approaches and resiliency across systems, sectors, and programming, and how funding streams could be leveraged to make the outcomes a reality. 8

1:25 3:30P s: Academies staff/forum Members 1:25 Move to Break-out Areas 1:30 Discuss Breakout Topics Among Small Groups 2:30 Report Back and Discussion 3:20 Workshop Wrap-up 3:30 Workshop Adjournment 9