+

Qualitative Inventory for a Collective Impact: Maximizing Prevention and Intervention Services

Hannah BrownCommunity Advancement Network

Austin, TX

+

CAN is a partnership of governmental, nonprofit, private and faith-based organizations which leverage mutual resources to collectively improve social, health, educational and economic

opportunities in Central Texas.

+CAN Community Dashboard

We are safe, just,

& engaged

Our basic needs are

met

We are healthy

We achieve our full

potential

+Prevention and Intervention Inventory

Identify current prevention and intervention efforts for children and youth facing adverse experiences in Travis County

Identify existing partnerships/connections among these efforts

Identify gaps in services for preventing and intervening in adverse childhood experiences and youth risky behaviors

Prompt action to improve prevention and intervention efforts for children and youth in our community

Adverse Childhood Experiences & Youth Risky Behaviors

+Inventory Partners

Community Advancement Network (CAN)

Children & Youth Mental Health Planning Partnership (CYMHPP)

Children’s Optimal Health

Ready by 21 Central Texas

Texans Care for Children

Trauma Informed Care Consortium of Central Texas (TICC)

Travis County Youth Substance Abuse Prevention Coalition (YSAPC)

+

Abuse of Child Emotional abuse Physical abuse Contact sexual abuse

Trauma in Child’s Household Environment Alcohol or drug user by household member Chronically depressed, emotionally disturbed, or suicidal household

member Caregiver treated violently Imprisoned household member Not raised by both biological parents (loss of parent by separation or

divorce, natural death, suicide, abandonment, removal from custody, etc.)

Neglect of Child Physical neglect Emotional neglect

Adverse Childhood Experiences

Sources: Adverse Childhood Experiences Study (CDC and Kaiser Permanente, see http:// www.ACEstudy.org) The Damaging Consequences of Violence and Trauma (see http://www.NASMHPD.org) and Trauma and Recovery (J Herman). Cost data: 2007 Economic Impact Study (PCAA). Chart created by Ann Jennings, PhD. http://www.TheAnnaInstitute.org

+

Zero36%

One26%

Two16%

Three9%

Four or More12%

% of Study Re-spondents Report-

ing # OF ACEs

Substance AbusePhysical Abuse

Parent SeparationSexual AbuseMental Illness

Emotional NeglectCaregiver Treated Violently

Incarcerated RelativeEmotional AbusePhysical Neglect

0% 20% 40%

Types of ACEs Reported

How common are ACEs?

Source: Center for Disease Control and Prevention

+ Early Death

Disease, Disability, & Social Problems

Adoption of Health-risk Behaviors

Social, Emotional & Cognitive Impairment

Disrupted Neurodevelopment

Adverse Childhood Experiences

The ACE Pyramid

Source: Center for Disease Control and Prevention

Death

Conception

Whole

Life P

ers

pect

ive

+

Alcoholism and alcohol abuse

Chronic obstructive pulmonary disease (COPD)

Depression

Fetal death

Health-related quality of life

Illicit drug use

Ischemic heart disease (IHD)

Liver disease

Risk for intimate partner violence

Multiple sexual partners

Sexually transmitted diseases (STDs)

Smoking

Suicide attempts

Unintended pregnancies

Early initiation of smoking

Early initiation of sexual activity

Adolescent pregnancy

Increased Risk of Health Problems

Source: Center for Disease Control and Prevention

+

12.2 times more likely to attempt suicide

7.4 times more likely to consider themselves an alcoholic

5.5 times more likely to miss work due to mental illness

4.7 times more likely to use illicit drugs

4.6 times more likely to report feeling depressed

2.5 times more likely to have an STD

2.4 times more likely to have a stroke

Those with an ACE Score of 4+

Source: Center for Disease Control and Prevention

+

Zero ACEs

6+ ACEs

0 10 20 30 40 50 60 70 80

80

60

Life Expectancy

years

Source: Center for Disease Control and Prevention

Impact of ACEs on Life Expectancy

years

+

Impact of Aces on Economy

Productivity Loss

$83.5 billion

Health Care$25 billion

Special Educa-

tion$4.6 bil-

lion

Child Welfare$4.4 billion

Criminal Justice$3.9 billion

The Centers for Disease Control and Prevention (CDC) estimates that

the lifetime costs associated

with child maltreatment at $124

billion.

Source: Center for Disease Control and Prevention

+Inventory FindingsSUMMARY

+

Child Abuse

Parent Separation

Domestic Violence

Child Poverty

Racism

Armed Forces

0 5 10 15 20 25 30 35

Number of Organizations Listing ACE as a Primary Focus

ACEs Addressed by Organizations

+

Intervention & Treatment

Universal Prevention

Community Coalitions

Training for Providers

Targeted Prevention

Screening

Outcomes Measured

Policy & Planning

0 5 10 15 20 25

Number of Organizations Utilizing Method to Address ACEs

How Organizations Address ACEs

+

Interpersonal violenceSubstance use

TruancySelf-injury

SuicideSmokingObesity

Eating disordersRisky sex

0 5 10 15 20 25 30 35 40

Number of Organizations Listing Behavior as a Primary Focus

Youth Risky Behaviors Addressed by Organizations

+

Targeted Prevention

Intervention & Treatment

Universal Prevention

Screening

Training for Providers

Community Coalitions

Outcomes Measured

Policy & Planning

0 5 10 15 20 25 30

Number of Organizations Utilizing Method to Address Behaviors

How Organizations Address Youth Risky Behaviors

+Additional Findings

Demographic populations served

Languages provided

Geographic service locations

Referral Sources

+

Referral SystemsA Safety Net for the Safety Net

+

ChallengesTrauma Informed | Diversifying Community

Suburbanization of Poverty | Population Growth

School & Community

Complex Referral System

Prevention vs. Intervention

Service Capacity

Areas Needing Our Collective Attention and Action

+How the Community is Translating the Inventory into Action Trauma-Informed Care Consortium of Central Texas

Ready by 21 Central Texas

School Readiness Action Plan

Project HOPES

Children’s Mental Health Plan

Regional Efforts

+

Hannah Brown, MSW, Research AssistantCommunity Advancement Networkhannah.brown2@austinisd.org(903)948-9646www.canatx.org