1. My Partner For Learning Solutions Student Support Services: Impacting student achievement by addressing non-academic barriers to learning 1

2. Healthy Students Make Better Learners Students need to: be in school be in class have the social and emotional skills to engage in learning, and be ready to learn My Partner For Learning Solutions 2 Overview Dilley Report ACES StudySummary

3. My Partner For Learning Solutions 3 Overview Dilley Report ACES StudySummary

4. My Partner For Learning Solutions 4 Dilley Report Overview ACES StudySummary Academic Achievement and Health Research Review: School-based Health Interventions and Academic Achievement www.healthyschoolswa.org

5. My Partner For Learning Solutions 5 Dilley Report Overview ACES StudySummary Unlucky 13 Severe asthma Obesity Cigarette smoking Feeling unsafe at school Drinking soda pop Marijuana use Insufficient exercise Feeling depressed Excess TV watching Alcohol use No breakfast Insufficient sleep Insufficient fruit/vegetables

6. My Partner For Learning Solutions 6 Dilley Report Overview ACES StudySummary Healthy Students Learn Better

7. My Partner For Learning Solutions 7 Dilley Report Overview ACES StudySummary Healthy Students Learn Better

8. My Partner For Learning Solutions 8 Dilley Report Overview ACES StudySummary Key Findings Health and Education are linked Every health risk can affect academic success Interventions can narrow disparities Health interventions can improve learning and health Comprehensive programs are better Learn more at www.HealthySchoolsWA.org

9. My Partner For Learning Solutions 9 Dilley Report Overview ACES StudySummary Adverse Childhood Experiences Study: Physical, Mental & Behavioral Health Built by Experience

10. My Partner For Learning Solutions 10 Dilley Report Overview ACES StudySummary Adverse Childhood Experiences (ACEs) 1.Child physical abuse 2.Child sexual abuse 3.Child emotional abuse 4.Neglect 5.Mentally ill, depressed or suicidal person in the home 6.Drug addicted or alcoholic family member 7.Witnessing domestic violence against the mother 8.Divorce or parental separation 9.Incarceration of any member of the household

11. My Partner For Learning Solutions 11 Dilley Report Overview ACES StudySummary Dose-Response Relationship: More ACEs = More Disease Dose gets bigger Response gets bigger

12. My Partner For Learning Solutions 12 Dilley Report Overview ACES StudySummary More ACEs = More Disease Life-long Physical, Mental & Behavioral Health Outcomes Linked to ACEs Alcohol, tobacco & other drug addiction Auto-immune disease Chronic obstructive pulmonary disease & ischemic heart disease Depression, anxiety & other mental illness Diabetes Multiple divorces Fetal death High risk sexual activity, STDs & unintended pregnancy

13. My Partner For Learning Solutions 13 Dilley Report Overview ACES StudySummary More ACEs = More Disease Life-long Physical, Mental & Behavioral Health Outcomes Linked to ACEs Intimate partner violence—perpetration & victimization Liver disease Lung cancer Obesity Self-regulation & anger management problems Skeletal fractures Suicide attempts Work problems—including absenteeism, productivity & on-the- job injury

14. My Partner For Learning Solutions 14 Dilley Report Overview ACES StudySummary COGNITIVE: CONSEQUENCES OF COMPLEX TRAUMA ON CHILD DEVELOPMENT Slowed language development Attention problems (ADD/ADHD) Speech delay Poor verbal memory/recall Loss of brain matter/IQ

15. My Partner For Learning Solutions 15 Dilley Report Overview ACES StudySummary Social: CONSEQUENCES OF COMPLEX TRAUMA ON CHILD DEVELOPMENT Aggression & violent outbursts Poor self-control of emotion Can’t modify behavior in response to social cues Social isolation—can’t navigate friendship

16. My Partner For Learning Solutions 16 Dilley Report Overview ACES StudySummary Mental Health: CONSEQUENCES OF COMPLEX TRAUMA ON CHILD DEVELOPMENT Poor social/emotional development Alcohol, tobacco & other drug abuse— vulnerable to early initiation Adolescent & adult mental health disorders— especially depression, suicide, dissociative disorder, borderline personality disorder, PTSD

17. My Partner For Learning Solutions 17 Dilley Report Overview ACES StudySummary

18. My Partner For Learning Solutions 18 Dilley Report Overview ACES StudySummary Students with ACEs… Why is this important? o Are 2 ½ times more likely to fail a grade o Score lower on standardized tests o Have language difficulties o Are suspended or expelled more o Are designated to special education more frequently o Have poorer health

19. My Partner For Learning Solutions 19 Dilley Report Overview ACES StudySummary Relevancy to Educators Children’s behavior and emotional adjustment facilitates or hinders academic success Behaviors can impact their own learning but also the school systems as their behaviors affects their classmates and teachers How school staff succeed with traumatized children’s needs is essential to the success of all students in the school

20. My Partner For Learning Solutions 20 Dilley Report Overview ACES StudySummary Identify Issues Identify Useful Data Data Capacity Vision for Data Use The Cycle of Inquiry and Action Getting Ready Identify Issues Under- stand the Issue Diagnose Causes Plan and Take Action Evaluate Results Formulate Initial Questions

21. My Partner For Learning Solutions 21 Dilley Report Overview ACES StudySummary How Can We Support You? ESD Student Support Initiatives Center for Research and Data Analysis Data Coaching Compassionate Schools & CLEAR Project Dropout Prevention/Intervention/Reengagement Education Advocates School/Community Consortium for Student Success School Nurse Corps

22. My Partner For Learning Solutions 22 Dilley Report Overview ACES StudySummary How Can We Support You? ESD Student Support Initiatives Nurse Case Management True North Student Assistance Licensed Mental Health services Supplemental Education Services After School and Extended Day programs Youth Employment & Training Cultural Competency