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Our New Year Goal: Data-driven ACEs prevention in every county by 2020

 

Every student should have the opportunity to learn and succeed. But adverse childhood experiences — or ACEs — get in the way of this goal.

As our readers know, there are ten ACEs that include physical and emotional neglect; physical, emotional and sexual abuse; and living in households where adults misuse substances, have mental health challenges, are violent to partners, parents are separated, or a family member is incarcerated.

ACEs can impact students’ capacity to learn, leading to poor academic achievement and high rates of drop out.

In some classrooms, as many as half to two thirds of our students endure three or more ACEs.  Instead of thinking about math, many of our students live with trauma. They worry about what may happen in their home as their family members struggle to create a safe household.

NEW YEAR=NEW STRATEGIES

It’s time for new strategies that will lead to real solutions. We can and must end ACEs to ensure healthy families, successful students and trauma-free communities.

To accomplish this, we propose using a data-driven and cross-sector prevention strategy focused on increasing the services shown to strengthen families and reduce abuse and neglect. Our hypothesis is simple: If families have access to ten vital services that support surviving and thriving, we can reduce ACEs and cases of maltreatment seen by child welfare.

ESTABLISHING A COUNTY BASE FOR PREVENTION

Each county requires a mechanism (government-based, campus-based or non-profit-based organization)  to coordinate prevention and treatment activities and work in alignment with city government, county government and school boards. Using technology, each county can create a network of providers who communicate regularly on plans and progress.

We propose five inter-related strategies as the key to preventing ACEs.

Strategy 1: Promote local awareness of ACEs and the costly impact of trauma on children, families, schools and the workforce. This requires ongoing education with our mayors, city managers, city council members, county commissioners and school board members and superintendents. Dialogue with local child welfare and state lawmakers will also be required and very helpful.

Strategy 2: Promote public and private partnerships, creating incubators that use "entrepreneurial thinking" to strengthen local systems of trauma-informed care and all the services families need to succeed. This means that we work so that all families will gain easy access to five "survival services": behavioral health care, medical care, food programs, stable housing, and transport to vital services.

Strategy 3: Support school districts, colleges and universities in developing the resources, programs and policies to address the needs of students who may struggle with learning due to trauma. This will require school and campus-based trauma-informed behavioral health care serving students and their family members.

Strategy 4: Promote health equity, ensure all our cities, towns and communities are places where every child can thrive. This means working so that families can access the five "services for thriving": early childhood learning programs, home visitation programs, youth mentors, family-focused schools with behavioral health care, and job training programs.

Strategy 5:  Train all community agency leaders in the four-step framework of continuous quality improvement (CQI)—assessment, planning, action and evaluation—to help organizations use data to identify the challenges families confront, implement evidence-based solutions, and focus on achieving measurable and meaningful results.

CLEAR GOALS AND BOLD VISION

With data-driven ACEs prevention we can strengthen community systems and lifelong learning to create:

  • Safe Childhoods
  • Successful Students
  • Resilient and Trauma-Free Families
  • Healthy Community Systems of Care
  • Economically Thriving Local Economies

 

Cities like Las Cruces, New Mexico and Owensboro, Kentucky are demonstrating how to achieve success with data-driven ACEs prevention. You are invited to learn from them and share your success stories as the national network of result-focused ACEs prevention projects grows.

Onward and upward to 2020--the year every county in the nation has a robust ACEs prevention project working to ensure safe childhoods.

 

For more information on data-driven ACEs prevention you can explore the book Anna, Age Eight: The data-driven prevention of childhood trauma and maltreatment by Katherine Ortega Courtney, PhD and Dominic Cappello. You can download the book free-of-charge here: www.AnnaAgeEight.org.

 

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Thanks for your helpful response Becky. I am a complex trauma survivor [sent off to boarding school at 6], writer, researcher and advocate for an ACEs approach to toxic trauma. Currently working with a small group [including WAVE] to see if we can organise an ACE-Awareness raising conference for Greater London in 2019, based on the very successful event held for Scotland in September 2018 - 2,500 attendees!

Am aware of Warren, but didn't know he was Clinical Lead at the Dept of Health England [health provision now devolved]. Will follow that up. He does interesting work.

There is now a great deal of ACEs activity in Scotland, Wales, Republic of Ireland, Northern Ireland, and north of England, but not so well organised in London and south east - yet! We are hoping to change that.

The Greater London Authority and the Mayor have just launched a London Violence Reduction Unit based on Glasgow's public health model - more info here

https://www.london.gov.uk/city...tackle-violent-crime

I can be contacted directly at: simonpartridge846@btinternet.com

It's good to know we're now part of a global movement.

Warm wishes to you.

Simon

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Simon Partridge posted:

Interesting information Becky Haas. I am based in London and follow the developments of ACEs pretty closely in the British Isles and can tell you that the 70/30 campaign was originally developed by the WAVE Trust in London - https://www.wavetrust.org/Page...s/Category/endorsers

I was also interested to read of a clinical director of Public Health in the UK [perhaps you mean England - public health is now devolved] on ACEs Awareness. I would  be grateful if you could provide a contact name for this doctor, because his work looks very interesting. Thank you.

Thank you for your response Simon.  I'd be most interested how you are involved in the British Isles with ACEs work.  Here's the report where I learned of 70/30:  https://www.nhshighland.scot.n...-Annual-Report-2018_(web-version).pdf  My apologies if I misstated who was responsible for it...I think it's a remarkable effort and will be learning more about it.

Dr. Warren Larkin is who has reached out to me on several occasions to learn of our work in Johnson City, Tennessee.  Are you familiar with him and his work?  https://www.warrenlarkinassociates.co.uk/  He is the Clinical Lead for the Department of Health Adverse Childhood Experiences.  I've enjoyed immensely connecting with him in this work!  My best to you ~

Interesting information Becky Haas. I am based in London and follow the developments of ACEs pretty closely in the British Isles and can tell you that the 70/30 campaign was originally developed by the WAVE Trust in London - https://www.wavetrust.org/Page...s/Category/endorsers

I was also interested to read of a clinical director of Public Health in the UK [perhaps you mean England - public health is now devolved] on ACEs Awareness. I would  be grateful if you could provide a contact name for this doctor, because his work looks very interesting. Thank you.

Thanks for sharing!  I've downloaded the book.  I read a health report recently from Scotland where they have a program called 70/30 with goals to reduce childhood trauma by 70% by 2030.  A data-driven approach is a must as well as setting goals to do it.  As more and more communities are sharing the ACEs message and exciting programming being developed, we must harvest lessons learned by capturing it with data.  Since 2015, I've been partnering with Dr. Andi Clements (East TN State University Psychology) to develop a trauma informed system of care.  In Sept. of 2018, officials from SAMHSA visited Johnson City and to our amazement told us we'd created a model other cities should consider.  Within a short time after that, I was approached by Ballad Health to join their staff and develop a much larger system of care that will cover the 22 counties of 2 states they serve.  Here's a link to an article about our work prior to my joining Ballad.  https://www.pacesconnection.com...trauma-informed-care

Ballad Health merged with another health system last year and part of the merger requires a generous sum spent over 10 years on community benefit and Trauma Informed Care is one of 4 topics they've selected.  We are ramping up to engage in research as we hope to develop more resilient communities with rural Appalachia that has been hit hard by the opioid epidemic.  Recently I was being interviewed by a doctor who is the clinical director of Public Health in the UK on ACEs Awareness.  He's started a podcast series and wanted to start by including our story.  He was very encouraged to hear what is going on here and across parts of America and your article further strengthens the need for data to validate the urgent need for change!  Thank you for your leadership in this work.  Happy New Year

Last edited by Becky Haas
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