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PHC 6534: Depressive Disorders Prevention Program Using a Trauma Informed Resilience based Public Health Intervention

Adverse childhood experience (ACE’s) are associated with depressive disorders. Many children who are placed in the foster care system, have had experiences with ACE and as a result are diagnosed with depressive disorders. This program is aimed to provide support to children who are currently in foster care, who have a history of experiencing ACE. The goal is to provide on-going support services to children who have the goals of a goal of reunification with their parents, adoption or independent living and assist them in learning about the negative effect of ACE.  The program is designed to prevent or reduce the prevalence of depressive disorders, and to also prevent to re-occurrence of ACE post foster care placement.

There is a detailed discussed on the trauma informed principles for example, the principle of acknowledgement of power structure will ensure that funders are able to see how the implementation of this project will bridge the gap for children who are in foster care, and the improved outcome of individuals who are at risk of re-occurrence of ACE. Diversity, Equity, and Inclusion will be addressed as there will be employment of peer specialists, family advocates, and crisis intervention specialists as they are a voice who have experienced ACE, and able to provide support to participants. 

This project will focus on the micro-systems level of Bronfenbrenner’s Social Ecological Model. The level that we are focused on during this project is the micro level, as the individuals will be able to develop skills, and knowledge to improve their overall well-being.  Focusing in improving level level, will empower the individual to work on goals to improve their lives as well as other persons in their lives. 

In the the public health framework this project is focused on all levels (primary, secondary, and tertiary) of prevention., For primary prevention, parents and adoptive parents will be provided with training on children abuse and maltreatment, parental involvement, psycho-education about depression and other depressive disorder, and the impact of ACE.Secondary methods will be used is designed that all staff who are assigned the participants will screen for ACE, as well as complete Patient Health Question-9 (depression) scale with all participants. Tertiary prevention will include ongoing weekly and bi-weekly sessions by the staff, as well as crisis intervention provided via phone if needed to participants.

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