Back by popular demand: Group managers' workshop May 10! (Save the date!!)

That's a good point, Grace. Thanks for the suggestion!!

The agenda looks good to me.  For the first item, sharing successes and challenges, I would like it to be a little more mapped out with some direction before we get there - so people can be thoughtful and know how much time they have to share and how much time will be allocated for questions.  Maybe some specific questions or a power point template we could complete and e-mail back to you before hand.  It would just keep things from wandering off.....

Forgot to ask: Has NACCHO had presentations about ACEs at its conferences, or is it integrating the science of human development into its work?

Also, re economics....Economist James Heckman has done a LOT of work in this area -- he and Felitti know each other. Check out his web site.

The Ella Baker Center did an analysis of the cost of incarceration on families. The federal government is starting to study the health benefits and screening and linking to social services.  Here's an article that refers to Washington State's calculation of savings by addressing childhood trauma. Oregon calculated what one year of child abuse -- all the cases in 2011 -- would cost the state over a lifetime -- $2.5 billion. Here's a report that an organization in Australia put together that shows a savings if $9.1 billion annually by addressing the impacts of unresolved childhood trauma and abuse in adults. Alaska calculated the cost for alcoholism and other drug abuse.

And there's this, from an article I wrote in 2012:

Case in point: Let’s look at only the children who were abused in the U.S. in 2008. Add up the total lifetime economic burden resulting from their maltreatment. It’s a whopping $124 billion. Include all the people who were abused each year even for just the last 10 years, and begin including every year from 2012, and the number rolls into the trillions.

The CDC’s National Center for Injury Prevention and Control, which did those calculations, broke down that unfathomably large number into this:

The lifetime cost for one child who was a victim of maltreatment is $210,012 in 2010 dollars. This includes:

$32,648 in childhood health care costs;
$10,530 in adult medical costs;
$144,360 in productivity losses;
$7,728 in child welfare costs;
$6,747 in criminal justice costs;
$7,999 in special education costs.

To your point, Karen, what do you think if one of the "asks" by counties for the state would be a county-by-county breakdown of lifetime costs of the impacts of unresolved childhood trauma, and the cost savings if addressed?

Thanks for the feedback, Karen. This will really help us craft the agenda.
One question: Because the state is so much newer to this than local communities, what do you think about some local communities getting together and crafting a set of desired ACEs outcomes for people at the state level to consider?

This is an exciting opportunity - and the timing is perfect!

We need state funding priorities to be clearly defined in terms of trauma informed practices & ACES -then at the local level we can align and design our efforts to fully support the larger statewide ACES movement.  Even better, CDPH etc could offer specific desired ACES related outcomes for their various programs - which are implemented at a local level. 

Ideally, NACCHO -the organization for local health departments -would also be knowledgable of the impact of ACES across the life course, and the human and fiscal benefits of prevention.

Could a Health Economist help us better articulate the ROI of preventing / healing / treating ACES across the life course?  For example, children who experince ACES today, will become adults, and eventually elderly.  IF we prevented the ACES in kids today, what might be the lifetime cost savings?  IF we do NOT intervene, what are the lifetime costs?  Making a business case for ACES might be one way to engage key leaders such as Chamber of Commerce, Rotary, key business sectors and even elected officials. 

Meeting breakouts at the workshop need to be designed to prevent silos - health, criminal justice, etc.  The amazing power of ACES is the ability to bring multisectorial groups together around a common vision!  This synergy is powerful!  

At a local level, it would be great if a facilitator were available to support our forming / storming / norming.  Ideally, participants would come away from the day with a clearer idea of priorities, volunteer leaders, timelines & next steps.  The investment of a facilitated planning day could early serve to accelerate and broaden our local process and efforts. 

ACES Connection has been instrumental in our successes to date - I can't wait to see where we are in another year!! 

Thank you ACES Connection team!