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Values Match: ACE Response and Professional and Personal Beliefs

As I read through all of the blogs on this site, I have struggled with trying to figure out what I could possibly contribute to the discussion. When stories discuss the work of Dr. Nadine Burke Harris and studies by the NIH, I have been finding it hard to feel like anything I could say might matter, and yet I have been drawn to trying to ad to the conversation. I am not a neuro-biologist, nor do I have extensive experience working with traumatized youth or adults. I am the Program Assessment and Effectiveness Research Specialist at a small child welfare and multi- service agency in upstate New York. I spend more time with data than I do with people, but the ACE Response movement has had a tremendous impact on how I view my work. And that's when I realized I could talk about how the ACE response movement resonates so well with myself and my co-workers and with our work to address vicarious trauma and toxic stress and strengthen our ACE-informed services, programs and training. It is not a stretch to note that ACE response aligns perfectly with my own values and with the mission of my agency, and I suspect that is the case for many who read this blog.

Through the many conversations I have had both as a trainer and presenter and with my family, friends, and the taxi drivers who are silly enough to ask me why I am visiting any given town, the impact of ACEs "makes sense," and it's easy for people to understand a large scale response to reduce traumatic experiences for children, and seek to build programs and services and communities that foster recovery and build resiliency.

As a child welfare agency whose mission and vision is dedicated to helping those in need achieve lasting stability, the prevention and mitigation of ACEs and building resilience fits perfectly with how we see ourselves and our work. Beyond being a child welfare agency, we are also a Lasallian agency, and trauma informed practice aligns perfectly with the teachings of our founder, St. John Baptist De La Salle and his commitment to the underprivileged. I don't believe we are the only agency who feels this kind of value match, and I think that is where the ACE response movement gains considerable power in comparison to other movements that have gone the way of other "fads."

So I suppose the purpose of this post is to put it to the readers: Is ACE response/ trauma informed care a value match with you and/or your agency? Do you think the power of this movement is strengthened by this match?

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There are some very evolved trauma-informed organizations that include clients in the decision-making processes for obtaining resources that they can use to heal themselves. These are organizations that have gone through the rigorous introspection and changes inspired by participating in the trauma-informed learning collaboratives that the National Council on Behavioral Health offers, as well as the Sanctuary model.

ACEs science includes the epidemiology of ACE studies (the original 10-question and the expanded surveys), the neurobiology of toxic stress, the long-term physical health consequences of toxic stress, the generational consequences of toxic stress, and resilience research. If you just focus on resilience, you're not acknowledging people's history, and you're not empowering them with the critical knowledge that they are not responsible for what happened to them as children, and that they can change.

David Dooley posted:

The value of the Adverse Childhood Experiences Study will go the way of other fads unless people recognize that the greatest of its lessons is not mitigation, intervention, healing, rehab, treatment, and recovery, but primary prevention.  It is my hope that the ACE Study ushers in the era of passive/public parenting education.  Visit advancingparenting.org to learn about PPPE and read why we do it, and our plans for the future.

I agree that primary prevention is key, which is why I was very pleased when a representative from one of our largest children's hospitals joined our 5 county collaborative.  I will definitely check out the website, thank you. 

I agree that most of us are probably not conducting cutting-edge research on trauma, but that doesn't mean that we have nothing to contribute to ACEs Connections. I have looked at the site as something akin to a newspaper: most of it is reporting on newsworthy happenings, but it should also feature editorials, opinion pieces, letters to the editor, and perhaps even a funny page! (Goodness knows we could all use something to laugh about right now.)

I don't really care that your agency's values agree with trauma-informed practice, but I would love to read practical examples of what you or your agency actually does to be more trauma-informed. How do you live those values? That would be a good story.

The value of the Adverse Childhood Experiences Study will go the way of other fads unless people recognize that the greatest of its lessons is not mitigation, intervention, healing, rehab, treatment, and recovery, but primary prevention.  It is my hope that the ACE Study ushers in the era of passive/public parenting education.  Visit advancingparenting.org to learn about PPPE and read why we do it, and our plans for the future.

It's not a value match for my organization. For instance, trauma is universal so making a response for certain people is weird. It also defines people by their damage instead of their strengths. As a community response, it's about "reducing trauma" vs. building recovery / resilience / wellness / whole health. Why reduce the negative instead of build the positive?

When people say, "My agency is trauma-informed," I cringe. There's no such thing. People in institutional settings will always exert control over each other. Trying to reduce it is good, but it's never going to be gone. Saying an agency is trauma-informed is like saying, "We are Christians just like Jesus." Yeah, you may aspire to that, but in practicality there are plenty of errors still, no matter how hard you try.

How about, "My agency is recovery-oriented."  See tools here for how to do this: http://www.samhsa.gov/recovery-to-practice

How about, "My agency works to build resilience on an individual and a community level."  https://www.mind.org.uk/media/...ient_communities.pdf

How about, "My agency builds whole person wellness...."   Or strengths-based, or community integrating, or other things that don't rely on negative framing.

Dr. Steinke,

Absolutely there is a match with my work. I am a teacher trainer. When I share the ACES study with my teachers within the context of their concerns about the number of students with "out of control" behaviors and the importance of building caring and compassionate relationships there is a pause. When I talk about John Hattie's research and the Effect Size of student and teacher relationships being .72 they get it. Instantly they see why their methods of disciplining may need to change or why their tone of voice can be a trigger. This work fascinates me and I am thankful for this connection. I want to learn more so I can be a continuous support to the teachers in this ever changing landscape of the classroom. 

Dr. Geri Keskeys

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