Healing Communities: Hero's Journey

Healing CommunitiesHero’s Journey

Archetypal Story: Heroes Journey

4.33 min

SEPARATION

DESCENT

INITIATION

RETURN

12. STATUS QUO

THE HERO WITH A THOUSAND FACES

Kitsap Strong

Kody Russell

Fellowship of the “Dream”

Kody: Social WorkerKatie: Public Health Nurse

Kol: Attorney

Robin: Suquamish Tribal Member

Gay: County Human Services

Rochelle: Mental Health

Kirsten: Housing

Pastor Larry

Everyday Heroes & Heroines…•Given the right circumstances, from no more than dreams, determination, and the liberty to try, quite ordinary people consistently do extraordinary things.• Dee Hock – Founder of VISA

Each of us answered a different call...• Kirsten - End Homelessness• Robin - Prevent Intergenerational Poverty• Katie - Promote Health/Prevent Disease• Gay & Rochelle - Prevent Mental Health & Substance Abuse Issues• Alyson - Improve Education• Pastor Larry & Cheryl - End Racism• Kol - Build Community Philanthropy

Kol Medina, Executive DirectorKitsap Community Foundation

• Stanford Law School; Corporate Lawyer• Call to Adventure: Rescue a struggling community

foundation…• Create a foundation that can respond to the needs of

the community• Vision: Become a philanthropic partner in lasting

social change

Collective Impact• What is it and how do we do it?

A funding opportunityBill & Melinda Gate’s Foundation Grant…• $350,000 over 4 years to address Intergenerational

Poverty & Build Community Philanthropy • Combined 1 million dollars – United Way & Suquamish

Tribe• Develop/Support Community Gatherings – Kitsap Public

Health• Ensure the community members most impacted had a voice in

change efforts!• All Goals/Strategies must be Community Driven

The Fellowship Emerges…

Ask the Community…

Five Conditions for Collective Impact

Common Agenda

Shared Measurement

Mutually Reinforcing Activities

Continuous Communication

Backbone Organizations

“Successful” Backbone Organizations

• Have a high level of credibility within the community• Serve as neutral conveners• Have a dedicated staff• Build key relationships across members of the initiative• Focus people’s attention and create a sense of urgency• Frame issues to present opportunities and difficulties• Use evaluation as a tool for learning and progress• Ensure coordination and accountability• Stay “behind the scenes” to establish collective ownership

An Unlikely Hero Emerges…• 0 ACEs• White• Male• Heterosexual• Able-bodied• Cisgender• Middle Class

Know Your Why…

My why…• Family• It takes a

community

Adverse Childhood Experience Pyramid

biolog

y & Ep

tics Intergenerational Transmission

“Keep solutions as complex as the problems you seek to solve.” Michael Unger

Theory of Change: “There is nothing as practical as a good theory.” Carol

• Communities engaged in ambitious transformation efforts must recognize:

1. Change takes time2. Successes are not always recognized when they occur3. It is difficult to communicate to others exactly what you are trying

to accomplish and how you will know that you are making progress

• These challenges are compounded when partners in the change effort have different viewpoints about what difference they are trying to make and which methods and strategies to use!

TraditionalProblem Solving

Colonialism

Competition

Distrust

Mental Models

Ownership & Responsibility

Racism

Improve the well-being and educational attainment of Kitsap residents, through a focus on empowerment and equity, the prevention of ACEs, and the building of resilience.

Kitsap Strong’s Dream…

Many large & small wins…Building Philanthropy:• Suquamish Tribe!• Great Give: Raised more than 1.5 million last year!

Collaborative Learning Academy (CLA):• Learning Community for 26 Nonprofits • $6,000 grants to learn NEAR sciences and develop

innovative solutions

Collaborative Learning Academy (CLA)First Year Highlights…

Develop a shared knowledge & language of the NEAR sciences 96%

Build support for a Collective Impact Approach to the “problems” in our community Develop an increased understanding of the connection between various social issues in our

community

Begin building stronger relationships, collaborations, & partnerships through an improved knowledge of community resources

Inspire new ideas/strategies 88%

Challenge participant’s “mental model”, way of thinking, and encourage deep thinking about their work through a "NEAR lens"

(“Percent of agencies” - determined through a content analysis of each report)

Kitsap Strong

The Longest Journey…

Integrating ACEs in a Community through Resilience

Teri Barila

Journey with no road map

CRI (2009-present) scaffolded on previous 12 year (1997-2009) community history

20042004

19991999

All “seeded”,nowongoingcommunityprograms

Let’s practice!

Resilience

Community-wide

Scaffolding RESILIENCE Community-Wide

Problem Solving Optimism Connectedness

Mutual Support Mentoring Place

Relationship

TrustSafety

Community Capacity Building

Domains:-Individual-Family -School-Community

Hawkins & CatalanoCommunities that Care model

And How Are the Children?

Connecting with kids

Place for teens to call their own

Mentor programShelter

Connecting with neighborhoods

Children’s project

Newplayspace

Outdoor stage& plaza

New park, playground, central hub

Connecting with parents

Strengthening Families Framework ,CSSP

From Children’s Bureau/ACYF/DSG Inc. 55

“With this information comes the responsibility to use it”

Anda et al 2010 Report to WA State

Second-- and repetitive--Call to Adventure (Action)

“I just found out I have all 10 ACEs. I heard Dr. Anda say,‘Your childhood and the way you were raised was not your fault.’

I am not the bad person I was made to believe I was.”

Why didn’t I know this sooner?

Being witnessed and valued

Strengthening the human spirit

•Liberating- leave behind the shame and blame• I thought it was my fault•Now I know why I’m on my 4th marriage•This saved my life• I understand better now why my mother parented the way she did, but I will break the cycle

• I will be intentional in building resilience•Hope and healing; I’m not alone•Why haven’t I heard about this before?•This explains so much, in me, my staff, my family

I am only the messenger of this news.

THESE ARE MY CHAMPIONSand true Heroines and Heroes

Thank you to all the others who stepped forward to share their

vulnerability.

Mental Models

Study of “duh”

Traditional practices

Fear- basedresponses

Status quo

Goal 1. Create a community conversant in ACEs and Resilience

Goal 2. Embed principles into practice

Our Champions

From 0% to 40% recognition of terms in 2 yrs

Multiple Exposure!

Persistence!Persistence!

Multiple media

Patience

Our system’s leaders, mentors, cheerleaders, colleagues, friends and “glue”, ends abruptly

Washington State Legislature defundsFamily Policy Council in June 2012

leadershipreflection

faithfocusperseverancepersistence

Other Paper Tigers…Court AppointedSpecial Advocate

Public Library

Superior Court JudgeEarly Learning Coalition

Evaluation Efforts

Parent groupsTrain the facilitator

All nursing staff trained Learning Lab for Businesses

Teaching tools, website, trainings

Police Dept. training

“Growing the movement”

Our champions

10 ACE Mom heals

Resilience Art/Media Festivals

Building a thriving community

Students tell their story

“Nothing is quite the same…”

Communities as Heroes

Telling the Heroes Journey Story

4 min 7 sec

Current smoking

Insulin dia-betes

High risk HIV

Asthma

Mental IllnessChronic De-

pression

Suicide attempt

Alcoholism

Painkillers to get high

Not grad. college or tech

Out of work ≥1 year

Job injury -medical

69%41%

14%20%

25%43%

Incarceration

of adults

Interrupted activities ≥15 of 30

IV drug use

Fell ≥3 x in 3 mo.

Drinking & driving

“Resilience is the result not only of biologically given traits, but also of people’s embeddedness in complex and dynamic social contexts, contexts that are themselves more or less vulnerable to harm, more or less amenable to change, and apt focal points for intervention.”

-Mary Harvey, Towards an Ecological Understanding of

Resilience in Trauma Survivors

• I’ll do whatever necessary to get money; minimum requirements• What we do now is leading edge – we don’t need new information• Reducing the rates of problems is too hard; we can’t be accountable• Don’t ask such hard reporting questions – give us yes/no bubble sheets• Our people just won’t get involved – we’re different• We don’t trust government or our own leaders• We are just the kind of community with tragic problems, insufficient $

REFUSAL OF THE CALL

“Each Call and Refusal must escalate the stakes, until the Hero has no choice but to accept the Call.”

Christopher Vogler

Coordinator & Core Team:1. Call the values & legacy questions2. Take a holistic bird’s-eye view of systems, people 3. Continuously watch for and act upon ideas and

resources that might make a difference4. Keep community members engaged; knit

together social networks that complement hierarchical power structures

5. Keep shared vision & purpose of change in focus6. Keep their own emotional reactivity in check

Crossing the threshold – watch for the moment when action is non-negotiable.

Adams County

Help other people cross with you…

94In Adams County…

“People need to know their ideas are worthy of action.”

Teri Barila

The Hero (Community)

• Faces tests

• Encounters allies

• Confronts greatest fears

• Learns the rules of the Special World

• Builds skills needed to master

challenges Our greatest fear may be that someone will notice we’ve been turning our backs

Invite uncommon leaders to helpPractice learning togetherInvest in new lines of communicationEstablish a rhythm of engagementNotice, listen… What wants to emerge?Celebrate

Prepare for the heart of the journey…

Invite(Invitatio)

Old French,

Latinmid-15c., treat, entertain," "be pleasant toward,"

1610: To go after something, pursue with vigor

Current: • The requesting of a

person’s company.• Allurement, enticement• A line intentionally left

open to encourage another to come in

Faculties of the Mind

ReasonCan easily be overwhelmed by

memory & imagination

Memory Imagination

ShameFear

Hopelessness

Fixed PatternFear & CopingHopelessness

New UnderstandingReason

Memory ImaginationAdapted

FunctionalNot my fault

Not aloneI am good

HopeMeaningPurpose

I seek truth, loveI will leave a legacy

Supported by Memory & Imagination

“Self regulation depends on having a friendly relationship with your body. Without it you have to rely on external regulation – from medication, drugs like alcohol, constant reassurance, or compulsive compliance with the wishes of others.”

Van der Kolk, 2014, The Body Keeps the Score, p. 99

Activate Social Engagement:1. Healing Power of Community Expressed in Music,

Rhythm, Theatre2. Exercise & Play3. Practicing Connection

Calm Physical Tensions in Body:4.Massage, Movement, Breathing5.Mindfulness, Reflection, Yoga6.Tapping Acupressure Points7.Biofeedback, Neurofeedback8.Eye Movement Desensitization & Reprocessing

What Helps Individuals Self-regulate?

The ACE Study concepts seriously challenge the

paradigm guiding complex systems: social, health,

education, justice, workforce development …

Change brings loss - • Categorical thinking• Categorical funding• Challenge to roles and

identity• Shifts in the power of

professionals and clients

What is a Paradigm?

A set of dogmas involvingassumptions and methodologies

These are never doubted…as long as they work well

Direct Service Programs, Necessary but Not Sufficient to:

Create shared identity among community residents

Offer rituals of reflection: purpose, meaning, aspirations

Remove societal barriers to freedoms and functioning necessary for people to act on their values and aspirations

CULTURE MATTERS: “Direct service programs can't solve widespread,

complex, intergenerational social problems. Culture-change can, and at a fraction of the cost.”

Dr. Kim Martin, in Building Self-Healing Communities, RWJF, 2016

CULTURECulture is the abstract, learned, shared rules/standards/patterns for understanding experience and generating behavior.

Culture frequently acts as a kind of autopilot for everyday life.

Culture is co-created by the individual members of a group as they interact in daily life.

Culture change is also co-created by members of a group when they perceive that new ways will be better ways.

• Common Language• New lines of communication • Peer support systems• Self-organizing networks • Community of practice

To augment the formal service-delivery system and generate an infrastructure for change.

Foster Capabilities

Each placehas unique resources &

cultural patterns.

We are the ones we have been waiting

We promote healing when we intentionally use culture, social structure, & interactions to improve intergenerational well-being and equity.

Scale-Free NetworksWhen we come together, we can find strengths and act upon them.

Strengthen social networks: invite people one step removed from familiar.

Conversations that matter build social networks. Social networks promote health & safety.

ComplexInterrelatedPlace-based

Successful JourneyChild Safety

Photo credit: Håkan Axelsson

In this place:• History of natural disasters• History of assault on way of life• Historical trauma affects large

portion of population• High ACE prevalence – bi-modal

split in scores• Stunning success for a small

investment

In this Community

WAITAll of us know…

Planning, Purchased Services,

Coordination

+ Public Education, Professional

Development, Population-Specific

Strategy

+ Cross-training for Relationship-Based

Pros, Discipline- Specific Strategy, Parent Leaders; Neighborhood

Specific Efforts in High 911 Call Areas

+Networking Café, Learning Field Trips, Business/Community ‘Together We Can’ Events, Time Bank,

Transportation Collaborative,

Listening Dialogues

Strategy Layering Over Time

RETURN WITH ELIXIR

Turning Point“Improve parent skills so parents can give sound advice and be good mentors to their children, and, in turn will gain skills and relationships to give sound advice to the community – and that advice will make a better system of help for them and for other families.”

Investing in the people with the most at stake – create conditions for them to: • Contribute their core gifts, • Experience belonging, and • Intentionally shape the future they

would like for next generations.

COMMUNITY, CULTURE,

SPIRITUALITY

Building Community Capacity

Community Capacity Development is a public health approach to solving interrelated problems by improving people’s connections, their shared responsibility, and the collective impacts of their efforts.

SEPARATION

DESCENT

INITIATION

RETURN

12. STATUS QUO

THE SELF-HEALING COMMUNITIESJOURNEY

Three elements characterize the journey to Self-Healing for communities:

1. SELF-HEALING PARTNERSHIPS2. SELF-HEALING PROCESSES3. SELF-HEA:ING PRINCIPLES

Broader, Deeper EngagementNumber Engaged:

“Funders, subject matter experts, service providers and community members are partners who work in concert to support culture change.”

Porter, Martin, & Anda (2015) Self Healing Communities, A Transformational Process Model for Improving Intergenerational Health; In Press, Robert Wood Johnson Foundation

Partnerships

“In Self-Healing Communities, services are delivered in ways that also build community and social networks that will remain in the lives of clients after formal services have ended.”

HealthSafety

Prosperity

Porter, Martin, & Anda (2015) Self Healing Communities, A Transformational Process Model for Improving Intergenerational Health; In Press, Robert Wood Johnson Foundation

1. Inclusive Leadership – Expand Invitation: include all sectors, classes, cultural groups, professional disciplines

2. Focus – Agree to discuss and act on matters of real and local significance

3. Learn Together – Develop opportunities to learn, deepen understanding and reciprocity

4. Reflect for Results – Make decisions for continuous, steady, strong growing well – the legacy of Self Healing Communities

5. LEARNING & RECIPROCITY

6. RESULTS-BASED DECISIONS

Rhythm of Engagement Builds Capacity

Leadership

FocusLearning

Results

VIRTUOUS REINFORCING CYCLE; SUCCESS IN ONE PHASE INVITES SUCCESS IN THE NEXT.

Principal Centered Work1. NEAR informed engagement (Neuroscience,

Epigenetics, ACEs, Resilience.)2. Inclusive leadership with downward responsibility.3. Learning communities.4. Emergent capabilities.5. Right-fit solutions given available resources.6. Hope and efficacy.

“Social support is the most powerful protection against becoming overwhelmed by stress and trauma. The critical issue is reciprocity: being truly heard and seen by the people around us, feeling that we are held in someone else’s mind and heart.”

Van der Kolk, 2014, The Body Keeps the Score,

Help that Helps1. Support: Feeling socially and emotionally

supported and hopeful2. Help: Having two or more people who give

concrete help when needed3. Community Reciprocity: watching out for

children, intervening when they are in trouble, and doing favors for one another

4. Social Bridging: reaching outside one’s immediate circle of friends to recruit help for someone inside that circle.

Feeling socially and emotionally supported and hopeful

… Always or Usually(vs Rarely or Never)

Support

ACEs & Poor Mental Health

0 ACE 1-3 ACEs 4-8 ACEs0

45Poor Mental Health More Than Half Last Month With Support & Hope

Low Support & Hope High Support & Hope

Foundation for Healthy Generations 2014

Mental Health & Support

45Poor Mental Health More Than Half Last Month With Support & Hope

ACEs & Poor Health

30Poor Physical Health More Than Half Last Month With Support & Hope

Poor Health & Support

30Poor Physical Health More Than Half Last Month With Support & Hope

ACEs & Ability to Work

25Unable to Work With Support & Hope

Ability to Work & Support

25Unable to Work With Support & Hope

Having two or more people who give concrete help when needed

40Hungry: Not Enough Money With Help

Low Help High Help

ACEs & Hunger

Hunger & Help

40Hungry: Not Enough Money With Help

Low Help High Help

ACEs & Diabetes

16Diabetes With Help

Low Help High Help

Diabetes & Help

16Diabetes With Help

Low Help High Help

ACEs & Depression

14Depressed All or Most of Last Month With Help

Low Help High Help

Depression & Help

14Depressed All or Most of Last Month With Help

Low Help High Help

ACEs & Mental Illness Symptoms

Moderate-Serious Mental Illness With Help

Low Help High Help

Mental Illness Symptoms & Help

45Moderate-Serious Mental Illness With Help

Low Help High Help

ACEs & Poor Health

45Fair or Poor Health With Help

Low Help High Help

Poor Health & Help

45Fair or Poor Health With Help

Low Help High Help

Reciprocity & Bridging: Two Generation BenefitsBetter Child Well-Being:

School PerformanceMental Health (depression, suicide)

Physical Health (asthma, diabetes, obesity)

Drug UseAlcohol UseLess Physical Fights

Youth wellbeing & contextual resilience (2015) Preliminary analysis of WA BRFSS & Youth Survey, S. Reed & D. Longhi

ACE Interface, 2016

Adults: Better Health & Health Behaviors:ObesityMental Illness SymptomsAlcohol Consumption among WomenPhysical ActivityHappinessWorry about Money for RentHaving A Primary Care PhysicianExperiencing Housing InstabilityBeing Hungry Because of No MoneyAdult wellbeing & contextual resilience (2015) Preliminary analysis of WA BRFSS, A. Reeves

Population

Affectedby ACEs

CommunityServices

Education

System

Other Special Service

Building Self-Healing Communities

Justice

System

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