My city is funding a trauma coalition and I have the following issues to try to figure out, anyone have ideas?:

1) The city wants to do just healthcare messaging (preach the gospel of ACES). How do I gently tell them, "The info is great, but the solutions are what's needed, we must move beyond just info"??

2) My city has a very high population of immigrants and refugees. Does anyone have programs related to Burmese/ Hmong people, Latino/as, and African refugees from Senegal or Ethiopia?  

3) Has anyone used Asset-Based community development or Network Weaving approaches instead of Collective Impact? Anyone have pros/ cons on those. 

4) Do you know of trauma projects that have done a good job of engaging Recovery Movement advocates? Where are those projects and what do they look like? 

5) Does anyone have trauma projects related to intergenerational poverty? This city has been low-income for a long long time. 

6) Are there projects related to systematic oppression? In our city there is a history of pollution in low-income neighborhoods, city grants being diverted, low inclusion of marginalized communities in governance, low civic engagement, abuse of advocates, public officials using public property for private gain, and federal funds being designated for our city being moved out into our wider metro area. All these are systematic injustice issues that are keeping poor people poor. 

7) Does anyone address the nonprofit sector as a whole? - ie in our city the big nonprofits often take money with little action, while other nonprofits do good work with good money, and other nonprofits repeatedly struggle for recognition despite doing excellent work. 

8) Low-income high rise buildings / senior housing - there are at least 15 of those in town and residents often barely leave the building once they get in.  Anyone familiar with that setting or various trauma-related interventions?

9) Other funding streams for trauma work?? - like digital inclusion (Our city has Google Fiber), our city has a big sewer project coming worth billions, the opoid funds, etc, workforce development, Mediciad billing, what are some other creative strategies being used to fund trauma projects? 

10) What are the questions I should have asked that I didn't think of?

11) How do YOU stay healthy doing this work?7 P3 MH System Map


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Have you looked at the Self-Healing Communities Article done via Robert Wood Johnson Foundation?  We are working on some of the same things in our community and I just completed a white paper like document that included a lot of information from here. It is at

Best wishes, Ellen

I ache... I ache to hear these questions asked in my corner of the world. They are deep. 

1- ACEs cannot name all the very real, lifelong traumas we’ve faced. Things like adoption and congenital disability are just two examples of “things” that produce trauma, yet get no ownership in a world  that largely is just starting to see color and sex. The ACEs people need to see that life wounds us in disparate ways over time, rather than preach everything from ACEs.

Disability Rights Washington has an incredible “equity” statement on its website that honors the diversity we really have. While it’s not based on trauma, it infers there is enormous diversity - something ACEs doesn’t yet see.

4- This is what is needed. But there’s institutional betrayal at work, for agencies don’t want to either give away their power or look for anyone that has it. Maybe institutional betrayal is bigger than ACEs.

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