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The Effects of Generational Trauma in Milwaukee

          John Schmid of the Milwaukee Journal Sentinel in his piece “A Time to Heal”, explores generational trauma in Milwaukee, the nation’s third most impoverished big city. The article consolidates information from local, state, and national data on Adverse Childhood Experiences (ACEs), interviews, U.S. Census data, and statistical consultation.

          In 1970, Milwaukee was an upcoming industrial city with a low poverty rate. However, industrial decline and a population decrease increased the poverty rate to 20% in many areas by 2014- a rate at which experts say that other side effects begin to rise such as crime and the drop-out rate. Milwaukee also has lower upward mobility than any developed country for which there is data, according to a 2014 study. As the city began to decline, so did the lives of the residents. High stress, poverty, unemployment, and social ills plagued the city and eventually expanded to the suburbs.

          One resident of the city, Belinda Pittman-McGee, experienced these effects first-hand and founded a transitional housing program for homeless women and children to work on the major challenge facing the city today- an epidemic of trauma passed down through generations and across neighborhoods. Trauma researchers confirm that the beginning of the city’s trauma epidemic started when today’s adults were children and are being passed down to the next upcoming generation. Traumatic experiences such as neglect and abuse have shown to change the brain’s biochemical composition in children which can develop into Post-Traumatic Stress Disorder.

          The city is turning to ACE surveys to measure childhood trauma. In Milwaukee, high ACE scores of 4 or more are more common than lower scores. For African Americans and Latinos, one in three carried an ACE score of four or more. A local residential program for sex trafficking victims show that 70% of children have a four-plus score and 0% have no ACEs. Larry Davis, a Milwaukeean with an ACE score of 9 out of 10 is now finishing a master’s degree in public health policy and works with the city’s top ACE researchers. He describes a tendency to try to repress the trauma which has become a collective silence around the city. Psychologist Yael Danieli calls this “social denial”- hiding behind stigma, pain, and shame.

          Data from the CDC shows economic costs of trauma as well; estimates show that the child abuse and neglect costs the United States $124 billion and are a major contributor to incarceration and child welfare costs. Jennifer Jones of the Alliance for Strong Families and Communities points to preventative programs to save on these costs. These programs help to reduce toxic stress levels in the community and start to break the cycle of trauma by enhancing resiliency through clinical interventions. A common intervention to create resilience in individuals and communities is through “rescripting”- creating a different narrative of the lives of individuals and mapping out a healthy future that will have positive impacts on personal, community, and economic outcomes.

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Having been born and lived in Milwaukee all of my life, I would agree with some of the statements in this piece, but disagree with the notion that trauma started with the decline in good jobs.  The trauma has always been in Milwaukee for the African American community in Milwaukee.  What was lost was the level of resilience for future generations due the loss of jobs, home ownership, and a stable social environment.  It is not just enough to provide clinical interventions that do not recognize the impact of historical trauma, racism and segregation that has always and continues to be a issue in Milwaukee.  Ninety-nine percent (99%) of the clinical providers in Milwaukee are white and have little understanding of how to work with this population for long term positive impact. White Milwaukee leaders have never shown the political will to address these issues.  

There is a article in the paper today that talks about the increase in African American elected officials in Ferguson, Missouri in the last 3 years since Michael Brown the shot.  Milwaukee has a similar increase  in African American elected officials, but very little evidence that it has resulted in an increase in community empowerment and/or community capacity building. In fact the opposite has occurred with the lost both black business and black non profits over the last decade.  The Greater Milwaukee Foundation commissioned a study of the use of Community Development Block Grant funding last year which stated many of the issues I have spoken about.  Resources that are available, are either coveted within the city or county governments or they are given to large white businesses and/or non profits who continue to be funded because they can prove they developed the internal capacity, but have not improved  outcomes.   If money were directed to black agencies, more black citizens would at least have jobs whether the outcomes improved or not.  I believe, however, that building community empowerment and capacity would lead to better outcomes.  It would take longer because these communities have been neglected so long.

I would encourage others reading this blog and elsewhere to begin to look at the long view of building communities from a peer led model rather than the usual plantation model run by those who refuse to believe that they are not the best people to effect change.  Lately there has been more commentary on the fact the "Collective Impact" in poor communities of color has continued to fail because the "backbone agencies" were to assist the communities with what they felt is right for their communities and not dictate what should be done.  

I do not mean to appear hostile or negative . As an agency that has been working with the African American community for over 40 years, it is frustrating to continue to always see the behavioral dysfunction of members of a community being highlighted without a commitment to addressing the social determinants that cause many of the problems.  You can not sustain healthy people in a sick community.  Both must be done with the community and not for the community.

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