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Healing CommunitiesHero’s Journey
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Archetypal Story: Heroes Journey
4.33 min
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SEPARATION
DESCENT
INITIATION
RETURN
12. STATUS QUO
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THE HERO WITH A THOUSAND FACES
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Kitsap Strong
Kody Russell
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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
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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
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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
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Collective Impact• What is it and how do we do it?
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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
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The Fellowship Emerges…
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Ask the Community…
Five Conditions for Collective Impact
Common Agenda
Shared Measurement
Mutually Reinforcing Activities
Continuous Communication
Backbone Organizations
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“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
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An Unlikely Hero Emerges…• 0 ACEs• White• Male• Heterosexual• Able-bodied• Cisgender• Middle Class
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Know Your Why…
My why…• Family• It takes a
community
Adverse Childhood Experience Pyramid
Neuro
biolog
y & Ep
igene
tics Intergenerational Transmission
“Keep solutions as complex as the problems you seek to solve.” Michael Unger
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Theory of Change: “There is nothing as practical as a good theory.” Carol
Weiss
• 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!
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TraditionalProblem Solving
Colonialism
Fear
Competition
Distrust
Ego
Mental Models
Ownership & Responsibility
Racism
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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…
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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
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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
92%
Begin building stronger relationships, collaborations, & partnerships through an improved knowledge of community resources
96%
Inspire new ideas/strategies 88%
Challenge participant’s “mental model”, way of thinking, and encourage deep thinking about their work through a "NEAR lens"
81%
(“Percent of agencies” - determined through a content analysis of each report)
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Kitsap Strong
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The Longest Journey…
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Integrating ACEs in a Community through Resilience
Teri Barila
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Journey with no road map
CRI (2009-present) scaffolded on previous 12 year (1997-2009) community history
20042004
1999
19991999
1998
2009
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
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“With this information comes the responsibility to use it”
Anda et al 2010 Report to WA State
Second-- and repetitive--Call to Adventure (Action)
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“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.”
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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
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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.
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Mental Models
Study of “duh”
Traditional practices
Fear- basedresponses
Status quo
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Goal 1. Create a community conversant in ACEs and Resilience
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Goal 2. Embed principles into practice
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Our Champions
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From 0% to 40% recognition of terms in 2 yrs
Multiple Exposure!
Multiple Exposure!
Persistence!Persistence!
Multiple media
Patience
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Our system’s leaders, mentors, cheerleaders, colleagues, friends and “glue”, ends abruptly
Washington State Legislature defundsFamily Policy Council in June 2012
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leadershipreflection
faithfocusperseverancepersistence
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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
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“Growing the movement”
Our champions
10 ACE Mom heals
Resilience Art/Media Festivals
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Building a thriving community
Students tell their story
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“Nothing is quite the same…”
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Communities as Heroes
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Telling the Heroes Journey Story
4 min 7 sec
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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
31%
31%
51%
15%
17%
69%41%
78%
54%
14%20%
25%43%
61%
Incarceration
of adults
67%
65%
Interrupted activities ≥15 of 30
days
IV drug use
Fell ≥3 x in 3 mo.
Drinking & driving
22%
“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
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• 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
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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
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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
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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
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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?
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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
for
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.
ACEs
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
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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.”
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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.
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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
5
10
15
20
25
30
35
40
45Poor Mental Health More Than Half Last Month With Support & Hope
Low Support & Hope High Support & Hope
% o
f Pop
ulati
on
Foundation for Healthy Generations 2014
Mental Health & Support
0 ACE 1-3 ACEs 4-8 ACEs0
5
10
15
20
25
30
35
40
45Poor Mental Health More Than Half Last Month With Support & Hope
Low Support & Hope High Support & Hope
% o
f Pop
ulati
on
Foundation for Healthy Generations 2014
ACEs & Poor Health
0 ACE 1-3 ACEs 4-8 ACEs0
5
10
15
20
25
30Poor Physical Health More Than Half Last Month With Support & Hope
Low Support & Hope High Support & Hope
% o
f Pop
ulati
on
Foundation for Healthy Generations 2014
Poor Health & Support
0 ACE 1-3 ACEs 4-8 ACEs0
5
10
15
20
25
30Poor Physical Health More Than Half Last Month With Support & Hope
Low Support & Hope High Support & Hope
% o
f Pop
ulati
on
Foundation for Healthy Generations 2014
ACEs & Ability to Work
0 ACE 1-3 ACEs 4-8 ACEs0
5
10
15
20
25Unable to Work With Support & Hope
Low Support & Hope High Support & Hope
% o
f Pop
ulati
on
Foundation for Healthy Generations 2014
Ability to Work & Support
0 ACE 1-3 ACEs 4-8 ACEs0
5
10
15
20
25Unable to Work With Support & Hope
Low Support & Hope High Support & Hope
% o
f Pop
ulati
on
Foundation for Healthy Generations 2014
Help
Having two or more people who give concrete help when needed
0 ACE 1-3 ACEs 4-8 ACEs0
5
10
15
20
25
30
35
40Hungry: Not Enough Money With Help
Low Help High Help
% o
f Pop
ulati
on
ACEs & Hunger
Foundation for Healthy Generations 2014
Hunger & Help
0 ACE 1-3 ACEs 4-8 ACEs0
5
10
15
20
25
30
35
40Hungry: Not Enough Money With Help
Low Help High Help
% o
f Pop
ulati
on
Foundation for Healthy Generations 2014
ACEs & Diabetes
0 ACE 1-3 ACEs 4-8 ACEs0
2
4
6
8
10
12
14
16Diabetes With Help
Low Help High Help
% o
f Pop
ulati
on
Foundation for Healthy Generations 2014
Diabetes & Help
0 ACE 1-3 ACEs 4-8 ACEs0
2
4
6
8
10
12
14
16Diabetes With Help
Low Help High Help
% o
f Pop
ulati
on
Foundation for Healthy Generations 2014
ACEs & Depression
0 ACE 1-3 ACEs 4-8 ACEs0
2
4
6
8
10
12
14Depressed All or Most of Last Month With Help
Low Help High Help
% o
f Pop
ulati
on
Foundation for Healthy Generations 2014
Depression & Help
0 ACE 1-3 ACEs 4-8 ACEs0
2
4
6
8
10
12
14Depressed All or Most of Last Month With Help
Low Help High Help
% o
f Pop
ulati
on
Foundation for Healthy Generations 2014
ACEs & Mental Illness Symptoms
0 ACE 1-3 ACEs 4-8 ACEs0
5
10
15
20
25
30
35
40
45
Moderate-Serious Mental Illness With Help
Low Help High Help
% o
f Pop
ulati
on
Foundation for Healthy Generations 2014
Mental Illness Symptoms & Help
0 ACE 1-3 ACEs 4-8 ACEs0
5
10
15
20
25
30
35
40
45Moderate-Serious Mental Illness With Help
Low Help High Help
% o
f Pop
ulati
on
Foundation for Healthy Generations 2014
ACEs & Poor Health
0 ACE 1-3 ACEs 4-8 ACEs0
5
10
15
20
25
30
35
40
45Fair or Poor Health With Help
Low Help High Help
% o
f Pop
ulati
on
Foundation for Healthy Generations 2014
Poor Health & Help
0 ACE 1-3 ACEs 4-8 ACEs0
5
10
15
20
25
30
35
40
45Fair or Poor Health With Help
Low Help High Help
% o
f Pop
ulati
on
Foundation for Healthy Generations 2014
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
152
Population
Affectedby ACEs
CommunityServices
Education
System
Other Special Service
s
Building Self-Healing Communities
© 2013
Justice
System