In 2012, the Tennessee Department of Health included the Adverse Childhood Experiences (ACEs) module in the Behavioral Risk Factor Surveillance System (BRFSS), a telephone survey conducted by the Centers for Disease Control and Prevention, to analyze how ACEs affect the State’s general population. This report summarizes the findings from the analysis that indicate ACEs are widespread, common, and prevalent in Tennessee. Overall, 52% of the statewide population had at least one ACE, while 21% had three or more ACEs. Emotional abuse and parental separation or divorce rank as the most common…
The McSilver Institute for Poverty Policy and Research at New York University Silver School of Social Work recently partnered with the National Council for Behavioral Health to facilitate a yearlong Learning Community (LC), a promising methodology for helping organizations adopt and sustain practices and principles of Trauma-Informed Care (TIC). A total of 32 behavioral health organizations were enrolled in the LC, 92% of which reported having implemented trauma-informed care in at least six of the National Council’s seven TIC domains by the end of the LC, and 100% of which reported improving…
Brief
This brief explains families affected by co-occurring intimate partner violence (IPV) and substance use face unique and interconnected needs and identifies promising practices and programs to meet the needs of these women and children. It begins by discussing the prevalence of IPV and substance abuse and the consequences of IPV, including health concerns and mental health concerns. Links between IPV and substance abuse are explored, and the impacts of IPV and parental substance use on children are then described. The following part of the brief outlines best practices for assessing…
This report provides a framework for developing a comprehensive and integrated trauma-informed system of care for children and is intended to help child serving systems advance trauma-informed care in order to provide more effective and cost-efficient services that results in better outcomes for all children. The framework builds upon the Substance Abuse and Mental Health Services Administration’s (SAMHSA) definition of a trauma-informed approach to define four key elements of a trauma-informed system. These components, Workforce Development, Trauma Screening, Practice Changes and Use of…
Presents information from a review of current research linking protective factors to well-being for children and youth in and transitioning out of foster care. Topics include individual skills and capacities that can improve the well-being of children and youth in foster care, creating a community that supports the well-being of children and youth in care, strategies for practitioners, and resources for more information. This factsheet is part of a series of five factsheets for practitioners exploring the importance of protective factors in working with in-risk populations served by the…
In this report, the Trust for America’s Health (TFAH) examines how to increase the public health approachto child development by looking at national, State and local strategies, policies and programs that have a high impact for improving health and well-being across a range of sectors, and how to better bring those sectors together to develop partnerships that have a better chance of achieving common goals. It begins by reviewing the impact of negative experiences on the physical health and brain development of a child, and the need to reduce risks and build protective factors that help…
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Journal Article Caregivers who provide services to trauma survivors are at high risk of developing secondary traumatic stress and burnout. Researchers and practitioners in the field of traumatology emphasize the role organizational culture has on individuals who provide services to trauma survivor’s well-being. Although there is a considerable amount of theoretical literature on organizational culture and its effects on trauma workers’ well-being, there is a lack of empirical research. The purpose of this exploratory study was to identify what organizational characteristics influence trauma caregivers’…
Brief
This brief explains the Neurosequential Model of Therapeutics (NMT) is a developmentally sensitive, neurobiology- informed approach to clinical problem solving, NMT is not a specific therapeutic technique or intervention, and NMT is an approach that integrates core principles of neurodevelopment and traumatology to inform work with children, families, and the communities in which they live. The three key components of the Neurosequential Approach are reviewed and include training/capacity building, assessment, and the specific recommendations for the selection and sequencing of therapeutic,…