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, LCSWElizabeth.Hudson@wi.gov

WI Office of Children’s Mental HealthCoordinating and Integrating Services Across State Agencies

WI Office of Children’s Mental HealthCoordinating and Integrating Services Across State Agencies

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

Safe, Stable, Nurturing, Informed FamiliesKnowledgeable 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

Colle

ctive

Impa

ct Collective Impact

SHIFTfrom a primarily Clinical Approach to a Public Health Approach

SHIFTfrom a primarily Clinical Approach to a Public Health Approach

Student Support Services

Skilled Child Serving Workforce

SHIFTfrom Families as Receivers to Families as Leaders

SHIFTfrom Families as Receivers to Families as Leaders

Develop an infrastructure to ensure meaningful parent and youth involvement in state agency activities

SHIFTfrom a Programs Approach to a Systems Approach

SHIFTfrom Mental Illness to Adaptation

SHIFTfrom 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).

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

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

Toxic Stress Derails Healthy Development

http://developingchild.harvard.edu/resources/toxic-stress-derails-healthy-development/

11http://www.acestudy.org/

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.

How Brains are Built: The Core Story of Brain Development

http://www.albertafamilywellness.org/resources/video/how-brains-are-built-core-story-brain-development

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/

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/

Free Hugs

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

Thank youWI Office of Children’s Mental Health

Elizabeth Hudson, LCSWElizabeth.Hudson@wi.gov