1. Putting the pieces together: RISing community collaboratives for ACE-informed programs & communities
Heather Larkin, PhD, LCSW-R Beth Gerlach, PhD, LCSW Amanda Barczyk, PhD, MSW

2. Goals Brief ACE overview RIS model Cross-sector ACE Response
Whole person approach: programs, community
Cross-sector ACE Response
HEARTS Initiative case example
ACE-informed pediatric healthcare
Austin needs assessment
Next steps – locally

3. Source: http://www. rwjf

4. ACEs and Negative Outcomes
Source:

7. Managing activating material
Self-Care
Managing activating material

8. Implications: Preventing ACE consequences
Connection to self-care: ACE backgrounds of providers, community leaders
Promoting community resilience
Fragmented service silos vs. comprehensive, integrated services
ACE research as policy advocacy tool
BRFSS

9. Implications (continued): Preventing ACE consequences
ACE-informed programs & communities
Identify ACEs
Integrate resilience & recovery knowledge
Transform systems
Empower people
Whole person approach

10. Whole person approach:
Body / mind / spirit
Self / community / nature
Breaking the trajectory: people more than the sum of their problems

11. Intergenerational & Community perspectives
Comprehensive, “whole family” approach
Address ACEs in parents, prevent ACEs in children
Integrated services enhanced through social networks
Involves the whole community

12. The Integral Quadrants
Individual
Thoughts
Feelings
Strengths/
capacities
Behaviors
Physical health
Physical characteristics
Larger culture
Sub-culture
Family culture
(includes
cultural values)
Family & other relational systems
Service systems
Work, economic system
John, top first person (UL is first person subjective, UR is first person objective, LL is collective intersubjective, LR is collective interobjective)
Collective

13. Integral Perspective: Causes of Trauma
Individual
Perception of trauma
Impact on developing self
(overwhelming feelings and activation of defense mechanisms)
Physical Injury
Health risk behaviors
Medical problems (both short and long term)
Changes in developing brain
Family meanings
Social networks
Cultural values
Rugged individualism
Social taboos
Victim blaming
Adverse interactions or events
Social Violence
Natural disasters
Service Access
Policies
Heather, looking this and applying to ACEs
Collective

14. Restorative Integral Support
Individual
Support strengths
Mobilize resilience & recovery
Enhance coping skills
Resolve trauma
Restore development
Build other life skills
“Evidence-based behavioral practices” (i.e. CBT)
Medical model
Body-oriented interventions
Physical exercise
Social networks
Therapeutic milieu
Peer supports
Culture of Recovery and Transformation
Policies and procedures
Infrastructure
Recovery-oriented systems of care
Systems Transformation
Collective

15. The HEARTS Initiative a coalition of Capital Region service providers
strengthening social networks within and across agencies
building community capacity
workforce development
Policy advocacy
Educational presentations
Website:

16. Mobilizing Action for Resilient Communities (MARC) Project
Health Federation of Philadelphia
Robert Wood Johnson Foundation
& California Endowment
One of 14 communities
nationally
Collective Impact
ACEs and resilience

19. Recovery & Transformation
“Some of the healthiest people I know are those who have had to heal from the most challenging situations, and in the process, have gained insight and wisdom far beyond what a ‘comfortable’ life would ordinarily provoke.”
- Joan Borysenko, Fire in the Soul
John, Heather adds

20. Next Steps in Travis County

21. The Pediatric Trauma-Informed Research and Care Collaborative
Needs Assessment
Assess the familiarity and experience of healthcare providers with Adverse Childhood Experiences (ACE) informed care.
Assess the value and feasibility of implementing ACE-informed care.
Assess the comfort and confidence of healthcare providers exploring ACEs with patients and their families.

22. Graphic Source: The Kirwan Institute for the Study of Race and Ethnicity

25. Discussion Questions
What actions can you take to raise awareness of ACE consequences and the potential for recovery?
What are some ways to expand your ACE Response community?
What resources would support you and others contributing to healthy social networks?
How can systems be brought together for comprehensive ACE Response?
Reference: