Establishing the Permanency of Hope: Affecting Meaningful Change for Homeless Children and Families Using a Trauma-Informed Statewide Integrated Approach Michael Davis, PhD Kisha Ledlow, MA Director, Housing & Homeless Services Project Director, Youth & Young Adult Initiatives Neru Gobin, BS Jessica Mullins, LMSW Assistant Director, Housing & Homeless Services Project Director, Training & Technical Assistance Center January 11, 2018

Agenda Introduction of panel Brief overview of housing and homeless services in Tennessee Building Strong Brains: Tennessee ACEs Initiative Tennessee Crisis Services for children, youth, and young adults TDMHSAS Youth & Young Adult Initiatives

Tennessee Housing & Homeless Services Creating Homes Initiative Tennessee Interagency Council on Homelessness

Building Strong Brains Tennessee Adverse Childhood Experiences (ACEs) Stressful or traumatic experiences, such as abuse, neglect and family dysfunction that disrupt the safe, stable, nurturing environments that children need to thrive.

Building Strong Brains Tennessee Healthy Child Development Brain Architecture Serve & Return Air Traffic Control Toxic Stress

Experience Alters Brain Development Healthy vs. Neglected Brain Early Brain Development: What Matters? 11/12/2014 Experience Alters Brain Development Healthy vs. Neglected Brain Sources: Felitti, 2011; Nelson et al., 2007 Patti van Eys, PhD

Building Strong Brains Tennessee History Public-private partnership Mission Work to change the culture of Tennessee so that the state’s overarching philosophy, policies, programs and practices for children, youth and young adults utilize the latest brain science to prevent and mitigate the impact of adverse childhood experiences.

Building Strong Brains Tennessee Goals Increase potential that every child born in Tennessee has the opportunity to lead a healthy, productive life. Raise public knowledge about ACEs. Impact public policy in Tennessee to support prevention of ACEs and to reduce community conditions that contribute to them. Support innovative local and state projects that offer fresh thinking and precise measurement of impact in addressing ACEs and toxic stress in children. Seek sustainable funding to ensure the state maintains a long-term commitment to reduce the impact of adverse childhood experiences. Embrace open, responsive governance through statewide planning groups and the Three Branches Institute.

Building Strong Brains Tennessee Statewide focus on ACEs and Trauma-Informed Care: Public Health/Prevention Approach Tennessee Commission on Children & Youth TN Department of Children’s Services TN Department of Health TN Department of Human Services TN Department of Education Office of Criminal Justice Programs TN Department of Mental Health & Substance Abuse Services

Professional Practice Juvenile and Adult Justice Health Care Services and Financing Human Services Faith Based Communities Education and Early Care Media Mental Health & Substance Abuse Services Philanthropy Child Welfare Businesses and Corporations Professional Practice Programs and Services Policies and Funding Philosophy and Approach

Why a Prevention Approach? Source: Centers for Disease Control and Prevention, 2016

Crisis Statistics National Statistics Suicide is the 2nd leading cause of death for ages 15-24 Tennessee Statistics Fiscal Year 2016 and 2017 Ages 0-17 - 62% of phone calls to crisis services resulted in face-to-face assessment. Ages 18-24 - 81% of phone calls to crisis services resulted in face-to-face assessment. Source: Centers for Disease Control and Prevention, 2014

Tennessee Crisis Services Crisis model for children & youth - in the home Enhancements to walk-in centers Standardized crisis assessment Trauma-informed addendum Crisis management plan

Youth & Young Adult Initiative Goals Assist Tennessee youth and young adults (Y/YA) with or at risk of developing a serious mental health condition or co-occurring disorder in improving their health and wellness, leading self-directed lives, and reaching their full potential.

Youth & Young Adult Initiative Principles Youth-driven Recovery-oriented and holistic Strengths-based Assist in self-discovery process Empower through informed decision-making Cultural competence

State Infrastructure State Transition Team Statewide Young Adult Leadership Council Young Adult Peer Specialist Program Youth and Young Adult Coordinator

Local Infrastructure TN Healthy Transitions Initiative OnTrackTN Intradepartmental Collaboration Emerging Adults Supported Employment and Education

YOUR TURN!

Contact Information Michael Davis, PhD Michael.J.Davis@tn.gov 615-253-8401 Jessica Mullins, LMSW Jessica.Mullins@tn.gov 615-253-4545 Neru Gobin, BS Neru.Gobin@tn.gov 615-741-9259 Kisha Ledlow, MA Kisha.Ledlow@tn.gov 615-770-0460