1. Health Departments’ Evolving Perspective: Adverse Childhood Experiences (ACEs), Trauma Informed Principals & Resilience
Health Officers Association of California & MCAH Action
Continuing Medical Education
May 10-11, 2018
Lake Natomas Inn
Folsom, California
Ron Chapman, MD,, MPH
Public Health Officer
Yolo County HHSA
Anna Sutton, RN, PHN, MSN
MCAH Director/DPHN
Yolo County HHSA

2. A partnership between Health Officers and MCAH
CCLHO CME May 10-11, 2018
A partnership between Health Officers and MCAH
Biggest public health issues on both ends of the LifeCourse (Maternal Mortality, Perinatal Substance Use, Child Abuse & Neglect, Adolescent Suicide – Mental Health, Opioids, Homelessness, Suicide)
End goal is to build Resilience against adversity.
We cannot prevent all adversity
Today’s biggest public health issues are simply symptoms of a more deeply rooted core problem – ACEs, which Dr. Stephenson will be going into deeply
“Resilience Trumps ACEs” and “The Root of the Root” – Dr. Nadine Burke Harris
Can optimize efforts to address health and wellness across the entire
LIFECOURSE
and combat today’s greatest public health crisis.

3. Making sense of this all…
CCLHO CME May 10-11, 2018
Making sense of this all…
ACEs + Trauma Informed Practices = RESILIENCE
Write this equation down
What you will be hearing in the next 1.5 days – A proposal on how to link three major themes
As you hear these terms, ASK yourself?
Where are you stuck?
What do you totally get?
What does it mean to you?
What is your role?
Defining the terms….getting us all on the same page.
ACEs (WHAT)
Foundational knowledge to help us understand the drivers of some of the greatest public health issues today.
Neurobiology connects
Once you understand it, it changes the lens you see the world
(HOW):Trauma Informed Practices– SAMHSA’s 6 principals
WHY: we want to promote RESILIENCE. Resilient individuals, families, communities and systems. But that also means resilient leaders, staff and agencies. So what’s next?
The what, how and why…

4. leadership staff clients
CCLHO CME May 10-11, 2018
RESILIENCE = goal
Relationships
Trust
Connections
Resilience is our goal because we cannot prevent every adversity…
We want to promote resilient communities, families, individuals
And how about the systems that serve them?
And what about the people that work in the systems?
So perhaps this work starts with us as individuals.
leadership staff clients

5. Trauma Informed Care 6 Guiding Principals Safety
CCLHO CME May 10-11, 2018
Trauma Informed Care
6 Guiding Principals
Safety
Trustworthiness & Transparency
Peer Support & Mutual Self Help
Collaboration & Mutuality
Empowerment, Voice & Choice
Cultural, historical and Gender Issues
Use this as a guide to begin seeing interactions differently
A lot of what we do relies on relationships
Relationships require TRUST
TRUST requires RELATIONSHIPS

6. CCLHO CME May 10-11, 2018
“It’s your reaction to adversity, not adversity itself that determines how your life’s story will develop.” –Dieter F. Uchtdorf