Impact of Childhood Trauma on Health Allison Jackson, Ph.D., LCSW - - PDF document

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Impact of Childhood Trauma on Health Allison Jackson, Ph.D., LCSW - - PDF document

Aug 12, 2023 345 likes •416 views

9/5/2015 Impact of Childhood Trauma on Health Allison Jackson, Ph.D., LCSW Trauma Informed Care Operations Manager Richmond Department of Social Services Healthy Living/Health Services Subcommittee September 9, 2015 2 1 9/5/2015 3 Brains

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Impact of Childhood Trauma on Health

Allison Jackson, Ph.D., LCSW Trauma Informed Care Operations Manager Richmond Department of Social Services

Healthy Living/Health Services Subcommittee September 9, 2015

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Brains Impacted by Lived Experience

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A large portion of many health, safety and prosperity conditions is attributable to Adverse Childhood Experience. ACE reduction reliably predicts a decrease in all

  • f

these conditions simultaneously.

POPULATION ATTRIBUTABLE RISK

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NEUTRAL START

OUTCOME Individual & species survive the worst conditions. INDIVIDUAL

  • Edgy
  • Hot temper
  • Impulsive
  • Hyper vigilant
  • “Brawn over

brains”

TRAUMATIC STRESS

OUTCOME Individual & species live peacefully in good times; vulnerable in poor conditions INDIVIDUAL

  • Laid back
  • Relationship‐
  • riented
  • Thinks things

through

  • “Process over

power” BRAIN Hormones, chemicals & cellular systems prepare for a tough life in an evil world BRAIN Hormones, chemicals & cellular systems prepare for life in a benevolent world

ACEs INFLUENCE VIA BIOLOGIC IMPACT ON NEURODEVELOPMENT

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SOLUTIONS ACROSS THE CONTINUUM

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Add CDC’s ACE optional module to Virginia’s Health Indicator Data Behavioral

Risk Factor Surveillance System (BRFSS)

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ACE REDUCTION IS A WINNABLE ISSUE

9.8% 23.6% 31.8% 35.2% 38.4% 15.1% 25.9% 33.8% 37.9% 29.6% 65+ 55-64 45-54 35-44 18-34 In Crisis & Persistent Thriving

Low capacity

Youngest Age Cohort

(n=1,537,995) (n=1,255,900)

HIGH CAPACITY COMMUNITIES REDUCE PERCENT OF YOUNG ADULTS WITH ≥ 3 ACEs

10874 3727 1264 3845 1065 1004 2828 2128 5767 1888 Smoking Binge Drinking HIV Mental Illness (MI) Missed work due to MI Heart Disease Cancer Asthma Limited Activity (due to disability) Lack of Social Support

POSITIVE ACE TREND MEANS REDUCED CASES:

High capacity

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Early Screening and Intervention in Schools and Primary Care

  • Reaching youth and families on the early end of

the continuum provides better quality of life and lowers healthcare costs Schools – Cognitive Behavioral Intervention for Trauma in Schools (screening and 10 week group, parent involvement, teacher involvement) Primary Care ‐ Pediatric Symptom Checklist completed by parents to assess child functioning

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TennCare Focus

FOCUS AREA: Assuring that youth who could be treated in the community for behavioral health needs had access to high quality behavioral health services in the community

  • Improve behavioral health of youth served
  • Reduce reimbursement rates across the state

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TennCare Project

  • Determine youth who could be served in

– Home Based Treatment (HBT) – Mental Health Care Coordination

Instead of RTC placement

  • Work with MCOs to define terms, policies, and

reimbursement rates

  • Put out RFP to behavioral health providers to

participate

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