Last month, I had the pleasure of attending the annual National Council for Behavioral Health Conference. I have been to my fair share of conferences but #NatCon19 was one of the best. First, I'm biased. It took place in my city, Nashville, TN . And the venue was the world renowned Opryland Hotel's Gaylord Convention Center . And, I love, love, love the Opryland Hotel ! As any seasoned conference goer, I had a strategy when it came to which sessions and events I wanted to attend. My game...

Tufts University medical professor Dr. Robert Sege directs the Center for Community-Engaged Medicine and is nationally known for his research on effective health systems approaches that address social determinants of health. He is also the principal investigator for the HOPE framework (Healthy Outcomes from Positive Experiences).The HOPE framework is based on research that shows how positive childhood experiences can mitigate the effects of adverse childhood experiences. Sege and colleagues...

Tufts University medical professor Dr. Robert Sege directs the Center for Community-Engaged Medicine and is nationally known for his research on effective health systems approaches that address social determinants of health. He is also the principal investigator for the HOPE framework (Healthy Outcomes from Positive Experiences).The HOPE framework is based on research that shows how positive childhood experiences can mitigate the effects of adverse childhood experiences. Sege and colleagues...

Words like trauma-informed and resiliency get thrown around a lot these days. And for many, the visions they call up are a bit too glossy. You see resiliency and trauma-informed aren’t always pretty. Resiliency can look like closing the bathroom door and collapsing in tears… but then washing your face and going back into the world, carrying the belief that you can survive and the hope that things will get better. It looks like begrudgingly going on that walk with a friend, when the little...

Business is the toughest door to get in when it comes to ACEs work, but chambers of commerce hold (some) of the keys to government when it comes to shaping the local civic space. If you're inclined to leverage the profit world, this brief can serve as a sign post to find the sweet spot between ethical responsibility and economic prosperity. The Future of Work Begins with a City's Youngest Residents

Join the National Academy of Medicine (NAM) on November 29 as it hosts the first webinar in its Culture of Health Webinar Series. Date/Time : November 29, 2018, 4:00 – 5:00 pm EST The National Academies report Communities in Action: Pathways to Health Equity identified 9 social determinants of health and how these determinants impact our health and the health of our communities. The report also defined health equity as the state in which everyone has the opportunity to attain full health...

Here in California, many people think that it’s only liberal Democrats who have a corner on championing the science of adverse childhood experiences (ACEs) and putting it into practice. That might be because people who use ACEs science don’t expel or suspend students, even if they’re throwing chairs and hurling expletives at the teacher. They ask "What happened to you?" rather than "What's wrong with you?" as a frame when they create juvenile detention centers where kids don’t fight, reduce...

The two biggest myths about ACEs science are: MYTH #1 — That it’s just about the 10 ACEs in the ACE Study — the CDC-Kaiser Permanente Adverse Childhood Experiences Study . It’s about sooooo much more than that. MYTH #2 — And that it’s just about ACEs…adverse childhood experiences. These two myths are intertwined. The ACE Study issued the first of its 70+ publications in 1998, and for many people it was the lightning bolt, the grand “aha” moment, the unexpected doorway into a blazing new...

In search of insight into the country’s stark cultural divides in preparation for a week of potentially difficult conversations in Kentucky where I’d be attending family reunion and 50-year high school reunion, I dove into “Hillbilly Elegy: A Memoir of a Family and Culture in Crisis” by J.D. Vance . Throughout this mesmerizing, painful, and hilarious memoir, I kept wondering if the author might know about the ACE study. The answer was found on page 226 when “ACEs” jumps out at me and...

With graduation season upon us, I have been thinking a lot about one of my favorite graduation speeches. It’s the speech that Shonda Rhimes, creator of Grey’s Anatomy, gave in 2014 at Dartmouth College. She references the typical expected advice from a graduation speech: “Follow your dreams. Listen to your spirit. Change the world. Make your mark. Find your inner voice and make it sing. Embrace failure. Dream. Dream and dream big..." And then she says, “I think that’s crap.”

Drive west from downtown Cincinnati, over the railroad tracks that snake beneath the 8th Street Viaduct, and you’ll find a little slice of Appalachia, nestled between the Ohio River and the steep slopes of Price Hill. When coal mining jobs in...

Patients would carry soda into Dr. Gerard Clancy’s office, with cigarettes tucked away for after therapy. Often victims of abuse or violent crime, they would seek soothing but risky behaviors to cope. Overweight. Chronic pain. Chronic obstructive pulmonary disease. Type II diabetes. His former patients will die younger than they should, he said. Clancy conducted therapy sessions until he became president of the University of Tulsa in 2016. At his psychiatry clinic, he saw firsthand how a...

#WARonSlavery

Karen Clemmer, the Northwest community facilitator with ACEs Connection, was already deeply interested in the CDC/Kaiser Permanente Adverse Childhood Experiences Study when she and a colleague from the Child Parent Institute were invited to lunch by ACEs Connection founder and publisher Jane Stevens in 2012. But that lunch meeting changed everything. Karen Clemmer “Jane helped us see a bigger world,” says Clemmer. “She came with a much wider lens. She didn’t look only at Sonoma County, she...

The Dibble Institute is pleased to present an introductory webinar by Rev. Dr. Bryant T. Marks Sr. of the National Training Institute on Race and Equity , which will provide foundational information on implicit bias. It will focus at the individual level and discuss how implicit bias affects everyone. Strategies to reduce or manage implicit bias will be discussed. Broadly speaking, group-based bias involves varying degrees of stereotyping (exaggerated beliefs about others), prejudice...

One of the biggest questions that Andi and I get whenever we talk about a trauma-informed approach is something along the lines of “Ok I get ACEs and toxic stress, but what can I do about it in my organization?” We get it–this approach can seem overwhelming because it is literally a lens through which you see everything. We often say that a trauma-informed approach is less about what you do and more about how you do it. So how in the world do we even begin the work of operationalizing our unders