1. Poverty Matters! October 2015 SHIFTING Our Perspective: Innovating, Integrating and Improving Children’s Service and Supports WI Office of Children’s Mental Health Elizabeth Hudson, LCSW Elizabeth.Hudson@wi.gov

2. WI Office of Children’s Mental Health Coordinating and Integrating Services Across State Agencies

3. SHIFT Our Perspective From primarily a clinical approach to a public health approach From families as receivers to families as leaders From a programs approach to a systems approach From illness to adaptation

4. Safe, Stable, Nurturing, Informed Families Knowledgeable Lawmakers Consistent Media Messaging Trauma-Informed Care Understand basic trauma & ACEs information Recognize triggers Recognize signs of emotional dysregulation Learn basic self- regulation and de- escalation skills Approach others from a frame of cultural competence Shift your perspective from “what’s wrong with that person?” to “what might have happened to that person?” Mental Health Providers Mental Health Coaches and Organizational Consultants Youth and Parent Peer Specialists Raise Awareness: High youth psychiatric hospitalization rates High youth suicide rates High youth depression rates Child/youth psychotropic medication prescribing patterns Collective Impact SHIFT from a primarily Clinical Approach to a Public Health Approach Student Support Services Skilled Child Serving Workforce

5. SHIFT from Families as Receivers to Families as Leaders Develop an infrastructure to ensure meaningful parent and youth involvement in state agency activities

6. Children’s Social and Emotional Development Children’s Trust Fund Other Stakeholders Youth and Parents with Lived Experience Department of Public Instruction Department of Corrections Department of Children and Families Department of Health Office of Children’s Mental Health SHIFT from a Programs Approach to a Systems Approach

7. SHIFT from Mental Illness to Adaptation “Early experiences are biologically embedded in the development of the brain and other organ systems leaving a lifelong impact on learning, behavior and both physical and mental health.” Harvard Center for the Developing Child PET scans show marked differences in the brain architec­ ture of a nurtured brain (left) and an abused brain (right).

8. Wisconsin Data Themes What is the prevalence of children’s mental health issues? What are some of the risk factors that contribute to mental health difficulties? Using the available data, where do we see serious concerns? Where do we have opportunities to shift our perspective? What kind of disparities do we see? What strengths can we build on? Please see the 2014 OCMH Report to the Legislature for detailed information: http://legis.wisconsin.gov/lfb/jfc/reports/Documents/2015_01_02_OCMH.pdf http://legis.wisconsin.gov/lfb/jfc/reports/Documents/2015_01_02_OCMH.pdf

9. Trauma and Adversity: So Many Concepts, So Little Time! Adversity Toxic Stress Acute Stress Disorder Post Traumatic Stress Disorder Trauma & Attachment Polyvictimization Vicarious Trauma Sanctuary Trauma Historical Trauma 9

10. Toxic Stress Derails Healthy Development http://developingchild.harvard.edu/resources/toxic- stress-derails-healthy-development/

11. 11 http://www.acestudy.org/

14. Impact on Worldview Belief in a predictable and benevolent world Positive self worth Hopeful and optimistic about the future Empowered People want to hurt me I am not safe I am in danger, no one will help I am not good enough / smart enough / worthy enough for people to care about me It will never get better Typical Development Developmental Trauma vs.

15. How Brains are Built: The Core Story of Brain Development http://www.albertafamilywellness.org/resources/video/ how-brains-are-built-core-story-brain-development

16. Trauma-Informed Communities Alberta, Canada Arizona Camden, New Jersey San Francisco, California Tarpon Springs, Florida Walla Walla, Washington Wisconsin (Waupaca County, Menominee Reservation, MARC project) http://communityresiliencecookbook.org/tastes-of-success/

17. Building Adult Capabilities to Improve Child Outcomes: A Theory of Change http://developingchild.harvard.edu/resources/building- adult-capabilities-to-improve-child-outcomes-a-theory- of-change/

18. Free Hugs https://www.youtube.com/watch?v=scHfgnJqhCg

19. Thank you WI Office of Children’s Mental Health Elizabeth Hudson, LCSW Elizabeth.Hudson@wi.gov