Getting Ahead Overview

Getting Ahead OKC 2018

GettingAheadOKCgmailcom

1

Getting Ahead ProgramATrauma-informed amp Healing-Centered Peer Support Group that

Builds Resilience through Protective Relationships

February 82019

by Adrienne B Elder MPHBridges Out of Poverty Trainer amp Getting Ahead Facilitator

Getting Ahead OKC Collaborative Co-Founder



2

Resilience Film Trailer Video (2 min) httpsvimeocom137282528

Local Showings httpok25by25orgour-programsresilience1511293786997-e2c54878-11c7wwwyoutubecomwatchv=We2BqmjHN0k

The Pair of ACEs(Adverse Childhood Experiences amp Adverse Community Environments)

Source Academy of Pediatrics

httpswwwcdcgovviolencepreventionacestudyindexhtml

httpswwwtraumamatterskcorgwhat-can-i-dohtml

What is the

root cause of

complex

adversity

4

Toxic Stress

Prolonged activation of

stress response systems

in the absence of

protective relationships

Sources

httpsdevelopingchildharvardedusciencekey-conceptstoxic-stress


httpok25by25orgour-programsresilience

Research shows that it is hellip



5

Opportunities to improve Community

Supports and development of Personal

Resources

Systemic Approach to Prevent Generational PovertyChaos

Created by OKC Getting Ahead Investigators (Spring 2016)

Systemic Poverty = Scarcity or Fixed Mindset

Individual Institution CommunityState

Lives paycheck to paycheck Operates grant to grant Operates annual budget to annual budget

Passes up education Cuts professional development

Cuts research and development

Pawns valuables Gives up valuable programs Leases assets prisons highways etc

Skimps on food neglect health

Neglects maintenance and upgrades

Neglects infrastructure

Works two or more jobs Cuts staff reduces salariesbenefits

Cuts staff restructures

Works under the table Reduces staff and increase caseload

Reduces programs and services

Competes for fewer well-paying jobs

Competes for grants Competes with other citiesstates

Uses government assistance

Uses bankruptcy system Uses bailout system

Source Mullainathan Sendhil Scarcity (2013)



6



7

Bridges Key Concept Essential to Use a Systemic Approach to Decrease

Chaos and Increase Stability by using

ldquoThe Triple Lensrdquo (by Phil DeVol)

Name the Barrier

Work one barrier

at a time

Individual

Behavior

Human and Social

Capital

in the Community

Exploitation

Political

Economic

Structures

Individual

Action

Organizational

Action

Community

Action

Policy

Community Sustainability GridA Comprehensive Planning Tool for Bridges Steering Committees



8

Why Are We Waiting

Windows of Opportunity to Increase ldquoProtective Relationshipsrdquo- Engagement Opportunities to Connect amp Build Trust with Children Youth Families amp Staff

- Offer ldquoMenu of empowering resourcesrdquo Support Groups Treatment amp Counseling Provide ldquowarm hand-offrdquo to servicesBusiness

Community

Financial Child Care

Head Start

Education

School

HealthDental Senior

Care

Law

Enforcement

Behavioral

Indicators of

Human

Instability

amp Toxic Stress

18-65 years

Chronic

Unexcused

absences from

work

Delinquent bills

(utility rent

auto etc)

Accessing

predatory

lenders

0-5 years

Chronic

Unexcused

Absences

amp Suspensions

5-18 years

Chronic

Unexcused

Absences

amp Suspensions

Frequent visits to

Urgent Care

or

Emergency

Room

Or emergency

dental

65+ years

Isolation

911 calls

Domestic

violence

Illegal activity

Frontline

Staff ndash

Opportunity

for Trauma-

training amp

develop

process for

Referral

Supervisor

Human Resource

Coordinator

Landlords

Utility companies

Lending

institutions

Unemployment

offices

Child Care

Teacher

Teachers

Parent Liaisons

Truancy Division

NurseCounselor

Nurse

Physicians

Nurse

Geriatrician

First Responders

Police

Fire

EMSA

Continuum of

Stabilizing amp

Supportive

Resources

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

EAP Programs

Counseling

Substance Use

Treatment

Volunteer

Resource amp

Referral

Coaching

Federal Credit

Union programs

Support Groups

Counseling

Substance Use

Treatment

Volunteer

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

Home-Visiting

Nurse-Family

Partnership

Counseling

Treatment

Volunteer

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

Counseling

Substance Use

Treatment

Volunteer

Resource

Coordinator

Coaching

(Patient

Navigator)

Support Groups

Counseling

Substance Use

Treatment

Parenting Skills

Financial Advice

Volunteer

Resource amp

Referral

Coaching

Support Groups

Senior Centers

near Child Care

Centers

Volunteer

Mentor

Opportunities

ldquoHandle With

Carerdquo

Resource

Coordinator

Coaching

Support Groups

Treatment

Counseling etc

Last resort

PrisonJail

10

Resource Poster to post on back of Bathroom Stall Doors



11

How do we buildfoster

long-term

ldquoprotective relationshipsrdquo

Peer Support Groups

Building ldquoProtective Relationshipsrdquo and removing barriers

through Peer Support Groups

bull 8-12 people experiencing instability

bull 2 Trauma-informed Facilitators who co-create a

Culture of Respect amp Understanding

bull Free Transportation

bull Free Childcare

bull Free Family Meal

bull Monetary StipendRespite Voucher

bull Meet weekly for first 16 weeks to stabilize (then monthly)

bull Referral amp Access to individual trauma-specific services for

staff children youth and families

12

Resource httpswwwnasmhpdorgsitesdefaultfilesPeerEngagementGuide_Color_REVISED_10_2012pdf

Getting Ahead Classes directly

builds ldquoprotective relationshipsrdquo and empowers each

individual to be a resource to each other as they

increase stability amp decrease barriers

For more information andor to become a trained Facilitator visit

httpswwwahaprocesscomsolutionscommunitygetting-ahead



13

Program Details

bull For individuals that feel trapped in the cycle of chaos and

isolated from positive support systems

bull 16-18 classes for 8-12 individuals with two co-facilitators

bull Group meets for 2-3 hours once a week to investigate patterns of

chaos within their personal lives relationships and within their

community

bull Barriers are removed by providing

warm family meal transportation childcare and stipend of $25class



14

15

Visual AidMental Model Opportunity to Increase Stability

(list two warning signs on the left and two positive action steps on the righthellip)

Motivation

for Change

Source of Chaos _______________________Adapted by

Adrienne Elder

16

Learning

amp

Practicing

Coping Skills

Together

Source

httpswwwpinterestcompin94

364554676474717lp=true

Getting Ahead Outcomes



17

3930 30

4236 36

2721 24

3339

0102030405060708090

100

Increased Stability by Graduates



18



Increase Stability

amp

Build Personal and

Community Resources

Employment

with livable

wages

Safe and sober

affordable

housing

Positive

two-generation mental

health supports

Access to reproductive

health care

Parent training

Treatment for

addictions

Quality high-school

education and skills

training

Quality post-grad


training

Quality youth


training

Healthy activities

in community

Promote positive coping skillsHealthy family activities

in community

Opportunities for Community Support and

Development of Personal Resources

Method to create a Sustainable Community



19

Steps to become certified as a

Getting Ahead Facilitator

Ideal for Community Health Workers Community

Outreach Coordinators Social Workers Case Managers

Family Support Providers Community

VolunteersAdvocates etc

Register and attend a free Bridges Out of Poverty

pre-requisite training in Norman

(httpseventsoucpmorgbridges ) held monthly

Register and attend Getting Ahead Facilitator Training

Online training $299person

httpswwwahaprocesscomsolutionscommunityget

ting-aheadlaunching-getting-aheadtraining-

facilitators



20



21

ldquoPassionate people

collapse timeframesrdquo

- Deyonka Geeter Oklahoma City

Contact Info for Local ldquoGetting Ahead OKC Collaborativerdquo

Adrienne Elder

Email GettingAheadOKCgmailcom

Call 405-426-5431

Website httpsgettingaheadokccom



22

Email DeborahPriceBridgeTheGapOKgmailcom

Call 405-585-1550

Contact Info for Statewide ldquoBridge The Gaprdquo

Contact Info for Getting Ahead Trainings

Website httpswwwahaprocesscomsolutionscommunitygetting-aheadlaunching-getting-aheadtraining-facilitators

23

Additional Resources Upon Request

updated February 5 2019

Questions andor Technical Assistance Please contact

Adrienne B Elder MPH CHES

Trainer Facilitator amp Grant Writer for Coalitions

ebConsultingOKCgmailcom

405-426-5431



2

Resilience Film Trailer Video (2 min) httpsvimeocom137282528

Local Showings httpok25by25orgour-programsresilience1511293786997-e2c54878-11c7wwwyoutubecomwatchv=We2BqmjHN0k





What is the

root cause of

complex

adversity

4

Toxic Stress



in the absence of


Sources







5



Resources























6



7




Name the Barrier

Work one barrier

at a time

Individual

Behavior

Human and Social

Capital

in the Community

Exploitation

Political

Economic

Structures

Individual

Action

Organizational

Action

Community

Action

Policy




8

Why Are We Waiting



Community


Head Start

Education

School

HealthDental Senior

Care

Law

Enforcement

Behavioral

Indicators of

Human

Instability

amp Toxic Stress

18-65 years

Chronic

Unexcused

absences from

work

Delinquent bills

(utility rent

auto etc)

Accessing

predatory

lenders

0-5 years

Chronic

Unexcused

Absences

amp Suspensions

5-18 years

Chronic

Unexcused

Absences

amp Suspensions

Frequent visits to

Urgent Care

or

Emergency

Room

Or emergency

dental

65+ years

Isolation

911 calls

Domestic

violence

Illegal activity

Frontline

Staff ndash

Opportunity

for Trauma-

training amp

develop

process for

Referral

Supervisor

Human Resource

Coordinator

Landlords

Utility companies

Lending

institutions

Unemployment

offices

Child Care

Teacher

Teachers

Parent Liaisons

Truancy Division

NurseCounselor

Nurse

Physicians

Nurse

Geriatrician

First Responders

Police

Fire

EMSA

Continuum of

Stabilizing amp

Supportive

Resources

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

EAP Programs

Counseling

Substance Use

Treatment

Volunteer

Resource amp

Referral

Coaching

Federal Credit

Union programs

Support Groups

Counseling

Substance Use

Treatment

Volunteer

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

Home-Visiting

Nurse-Family

Partnership

Counseling

Treatment

Volunteer

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

Counseling

Substance Use

Treatment

Volunteer

Resource

Coordinator

Coaching

(Patient

Navigator)

Support Groups

Counseling

Substance Use

Treatment

Parenting Skills

Financial Advice

Volunteer

Resource amp

Referral

Coaching

Support Groups

Senior Centers

near Child Care

Centers

Volunteer

Mentor

Opportunities

ldquoHandle With

Carerdquo

Resource

Coordinator

Coaching

Support Groups

Treatment

Counseling etc

Last resort

PrisonJail

10




11


long-term


Peer Support Groups







bull Free Childcare






12










13

Program Details






community





14

15



Motivation

for Change


Adrienne Elder

16

Learning

amp

Practicing

Coping Skills

Together

Source


364554676474717lp=true




17

3930 30

4236 36

2721 24

3339

0102030405060708090

100




18



Increase Stability

amp

Build Personal and

Community Resources

Employment

with livable

wages

Safe and sober

affordable

housing

Positive


health supports


health care

Parent training

Treatment for

addictions

Quality high-school


training

Quality post-grad


training

Quality youth


training

Healthy activities

in community


in community






19














facilitators



20



21





Adrienne Elder


Call 405-426-5431




22


Call 405-585-1550




23







405-426-5431





What is the

root cause of

complex

adversity

4

Toxic Stress



in the absence of


Sources







5



Resources























6



7




Name the Barrier

Work one barrier

at a time

Individual

Behavior

Human and Social

Capital

in the Community

Exploitation

Political

Economic

Structures

Individual

Action

Organizational

Action

Community

Action

Policy




8

Why Are We Waiting



Community


Head Start

Education

School

HealthDental Senior

Care

Law

Enforcement

Behavioral

Indicators of

Human

Instability

amp Toxic Stress

18-65 years

Chronic

Unexcused

absences from

work

Delinquent bills

(utility rent

auto etc)

Accessing

predatory

lenders

0-5 years

Chronic

Unexcused

Absences

amp Suspensions

5-18 years

Chronic

Unexcused

Absences

amp Suspensions

Frequent visits to

Urgent Care

or

Emergency

Room

Or emergency

dental

65+ years

Isolation

911 calls

Domestic

violence

Illegal activity

Frontline

Staff ndash

Opportunity

for Trauma-

training amp

develop

process for

Referral

Supervisor

Human Resource

Coordinator

Landlords

Utility companies

Lending

institutions

Unemployment

offices

Child Care

Teacher

Teachers

Parent Liaisons

Truancy Division

NurseCounselor

Nurse

Physicians

Nurse

Geriatrician

First Responders

Police

Fire

EMSA

Continuum of

Stabilizing amp

Supportive

Resources

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

EAP Programs

Counseling

Substance Use

Treatment

Volunteer

Resource amp

Referral

Coaching

Federal Credit

Union programs

Support Groups

Counseling

Substance Use

Treatment

Volunteer

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

Home-Visiting

Nurse-Family

Partnership

Counseling

Treatment

Volunteer

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

Counseling

Substance Use

Treatment

Volunteer

Resource

Coordinator

Coaching

(Patient

Navigator)

Support Groups

Counseling

Substance Use

Treatment

Parenting Skills

Financial Advice

Volunteer

Resource amp

Referral

Coaching

Support Groups

Senior Centers

near Child Care

Centers

Volunteer

Mentor

Opportunities

ldquoHandle With

Carerdquo

Resource

Coordinator

Coaching

Support Groups

Treatment

Counseling etc

Last resort

PrisonJail

10




11


long-term


Peer Support Groups







bull Free Childcare






12










13

Program Details






community





14

15



Motivation

for Change


Adrienne Elder

16

Learning

amp

Practicing

Coping Skills

Together

Source


364554676474717lp=true




17

3930 30

4236 36

2721 24

3339

0102030405060708090

100




18



Increase Stability

amp

Build Personal and

Community Resources

Employment

with livable

wages

Safe and sober

affordable

housing

Positive


health supports


health care

Parent training

Treatment for

addictions

Quality high-school


training

Quality post-grad


training

Quality youth


training

Healthy activities

in community


in community






19














facilitators



20



21





Adrienne Elder


Call 405-426-5431




22


Call 405-585-1550




23







405-426-5431

What is the

root cause of

complex

adversity

4

Toxic Stress



in the absence of


Sources







5



Resources























6



7




Name the Barrier

Work one barrier

at a time

Individual

Behavior

Human and Social

Capital

in the Community

Exploitation

Political

Economic

Structures

Individual

Action

Organizational

Action

Community

Action

Policy




8

Why Are We Waiting



Community


Head Start

Education

School

HealthDental Senior

Care

Law

Enforcement

Behavioral

Indicators of

Human

Instability

amp Toxic Stress

18-65 years

Chronic

Unexcused

absences from

work

Delinquent bills

(utility rent

auto etc)

Accessing

predatory

lenders

0-5 years

Chronic

Unexcused

Absences

amp Suspensions

5-18 years

Chronic

Unexcused

Absences

amp Suspensions

Frequent visits to

Urgent Care

or

Emergency

Room

Or emergency

dental

65+ years

Isolation

911 calls

Domestic

violence

Illegal activity

Frontline

Staff ndash

Opportunity

for Trauma-

training amp

develop

process for

Referral

Supervisor

Human Resource

Coordinator

Landlords

Utility companies

Lending

institutions

Unemployment

offices

Child Care

Teacher

Teachers

Parent Liaisons

Truancy Division

NurseCounselor

Nurse

Physicians

Nurse

Geriatrician

First Responders

Police

Fire

EMSA

Continuum of

Stabilizing amp

Supportive

Resources

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

EAP Programs

Counseling

Substance Use

Treatment

Volunteer

Resource amp

Referral

Coaching

Federal Credit

Union programs

Support Groups

Counseling

Substance Use

Treatment

Volunteer

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

Home-Visiting

Nurse-Family

Partnership

Counseling

Treatment

Volunteer

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

Counseling

Substance Use

Treatment

Volunteer

Resource

Coordinator

Coaching

(Patient

Navigator)

Support Groups

Counseling

Substance Use

Treatment

Parenting Skills

Financial Advice

Volunteer

Resource amp

Referral

Coaching

Support Groups

Senior Centers

near Child Care

Centers

Volunteer

Mentor

Opportunities

ldquoHandle With

Carerdquo

Resource

Coordinator

Coaching

Support Groups

Treatment

Counseling etc

Last resort

PrisonJail

10




11


long-term


Peer Support Groups







bull Free Childcare






12










13

Program Details






community





14

15



Motivation

for Change


Adrienne Elder

16

Learning

amp

Practicing

Coping Skills

Together

Source


364554676474717lp=true




17

3930 30

4236 36

2721 24

3339

0102030405060708090

100




18



Increase Stability

amp

Build Personal and

Community Resources

Employment

with livable

wages

Safe and sober

affordable

housing

Positive


health supports


health care

Parent training

Treatment for

addictions

Quality high-school


training

Quality post-grad


training

Quality youth


training

Healthy activities

in community


in community






19














facilitators



20



21





Adrienne Elder


Call 405-426-5431




22


Call 405-585-1550




23







405-426-5431



5



Resources























6



7




Name the Barrier

Work one barrier

at a time

Individual

Behavior

Human and Social

Capital

in the Community

Exploitation

Political

Economic

Structures

Individual

Action

Organizational

Action

Community

Action

Policy




8

Why Are We Waiting



Community


Head Start

Education

School

HealthDental Senior

Care

Law

Enforcement

Behavioral

Indicators of

Human

Instability

amp Toxic Stress

18-65 years

Chronic

Unexcused

absences from

work

Delinquent bills

(utility rent

auto etc)

Accessing

predatory

lenders

0-5 years

Chronic

Unexcused

Absences

amp Suspensions

5-18 years

Chronic

Unexcused

Absences

amp Suspensions

Frequent visits to

Urgent Care

or

Emergency

Room

Or emergency

dental

65+ years

Isolation

911 calls

Domestic

violence

Illegal activity

Frontline

Staff ndash

Opportunity

for Trauma-

training amp

develop

process for

Referral

Supervisor

Human Resource

Coordinator

Landlords

Utility companies

Lending

institutions

Unemployment

offices

Child Care

Teacher

Teachers

Parent Liaisons

Truancy Division

NurseCounselor

Nurse

Physicians

Nurse

Geriatrician

First Responders

Police

Fire

EMSA

Continuum of

Stabilizing amp

Supportive

Resources

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

EAP Programs

Counseling

Substance Use

Treatment

Volunteer

Resource amp

Referral

Coaching

Federal Credit

Union programs

Support Groups

Counseling

Substance Use

Treatment

Volunteer

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

Home-Visiting

Nurse-Family

Partnership

Counseling

Treatment

Volunteer

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

Counseling

Substance Use

Treatment

Volunteer

Resource

Coordinator

Coaching

(Patient

Navigator)

Support Groups

Counseling

Substance Use

Treatment

Parenting Skills

Financial Advice

Volunteer

Resource amp

Referral

Coaching

Support Groups

Senior Centers

near Child Care

Centers

Volunteer

Mentor

Opportunities

ldquoHandle With

Carerdquo

Resource

Coordinator

Coaching

Support Groups

Treatment

Counseling etc

Last resort

PrisonJail

10




11


long-term


Peer Support Groups







bull Free Childcare






12










13

Program Details






community





14

15



Motivation

for Change


Adrienne Elder

16

Learning

amp

Practicing

Coping Skills

Together

Source


364554676474717lp=true




17

3930 30

4236 36

2721 24

3339

0102030405060708090

100




18



Increase Stability

amp

Build Personal and

Community Resources

Employment

with livable

wages

Safe and sober

affordable

housing

Positive


health supports


health care

Parent training

Treatment for

addictions

Quality high-school


training

Quality post-grad


training

Quality youth


training

Healthy activities

in community


in community






19














facilitators



20



21





Adrienne Elder


Call 405-426-5431




22


Call 405-585-1550




23







405-426-5431





















6



7




Name the Barrier

Work one barrier

at a time

Individual

Behavior

Human and Social

Capital

in the Community

Exploitation

Political

Economic

Structures

Individual

Action

Organizational

Action

Community

Action

Policy




8

Why Are We Waiting



Community


Head Start

Education

School

HealthDental Senior

Care

Law

Enforcement

Behavioral

Indicators of

Human

Instability

amp Toxic Stress

18-65 years

Chronic

Unexcused

absences from

work

Delinquent bills

(utility rent

auto etc)

Accessing

predatory

lenders

0-5 years

Chronic

Unexcused

Absences

amp Suspensions

5-18 years

Chronic

Unexcused

Absences

amp Suspensions

Frequent visits to

Urgent Care

or

Emergency

Room

Or emergency

dental

65+ years

Isolation

911 calls

Domestic

violence

Illegal activity

Frontline

Staff ndash

Opportunity

for Trauma-

training amp

develop

process for

Referral

Supervisor

Human Resource

Coordinator

Landlords

Utility companies

Lending

institutions

Unemployment

offices

Child Care

Teacher

Teachers

Parent Liaisons

Truancy Division

NurseCounselor

Nurse

Physicians

Nurse

Geriatrician

First Responders

Police

Fire

EMSA

Continuum of

Stabilizing amp

Supportive

Resources

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

EAP Programs

Counseling

Substance Use

Treatment

Volunteer

Resource amp

Referral

Coaching

Federal Credit

Union programs

Support Groups

Counseling

Substance Use

Treatment

Volunteer

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

Home-Visiting

Nurse-Family

Partnership

Counseling

Treatment

Volunteer

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

Counseling

Substance Use

Treatment

Volunteer

Resource

Coordinator

Coaching

(Patient

Navigator)

Support Groups

Counseling

Substance Use

Treatment

Parenting Skills

Financial Advice

Volunteer

Resource amp

Referral

Coaching

Support Groups

Senior Centers

near Child Care

Centers

Volunteer

Mentor

Opportunities

ldquoHandle With

Carerdquo

Resource

Coordinator

Coaching

Support Groups

Treatment

Counseling etc

Last resort

PrisonJail

10




11


long-term


Peer Support Groups







bull Free Childcare






12










13

Program Details






community





14

15



Motivation

for Change


Adrienne Elder

16

Learning

amp

Practicing

Coping Skills

Together

Source


364554676474717lp=true




17

3930 30

4236 36

2721 24

3339

0102030405060708090

100




18



Increase Stability

amp

Build Personal and

Community Resources

Employment

with livable

wages

Safe and sober

affordable

housing

Positive


health supports


health care

Parent training

Treatment for

addictions

Quality high-school


training

Quality post-grad


training

Quality youth


training

Healthy activities

in community


in community






19














facilitators



20



21





Adrienne Elder


Call 405-426-5431




22


Call 405-585-1550




23







405-426-5431



7




Name the Barrier

Work one barrier

at a time

Individual

Behavior

Human and Social

Capital

in the Community

Exploitation

Political

Economic

Structures

Individual

Action

Organizational

Action

Community

Action

Policy




8

Why Are We Waiting



Community


Head Start

Education

School

HealthDental Senior

Care

Law

Enforcement

Behavioral

Indicators of

Human

Instability

amp Toxic Stress

18-65 years

Chronic

Unexcused

absences from

work

Delinquent bills

(utility rent

auto etc)

Accessing

predatory

lenders

0-5 years

Chronic

Unexcused

Absences

amp Suspensions

5-18 years

Chronic

Unexcused

Absences

amp Suspensions

Frequent visits to

Urgent Care

or

Emergency

Room

Or emergency

dental

65+ years

Isolation

911 calls

Domestic

violence

Illegal activity

Frontline

Staff ndash

Opportunity

for Trauma-

training amp

develop

process for

Referral

Supervisor

Human Resource

Coordinator

Landlords

Utility companies

Lending

institutions

Unemployment

offices

Child Care

Teacher

Teachers

Parent Liaisons

Truancy Division

NurseCounselor

Nurse

Physicians

Nurse

Geriatrician

First Responders

Police

Fire

EMSA

Continuum of

Stabilizing amp

Supportive

Resources

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

EAP Programs

Counseling

Substance Use

Treatment

Volunteer

Resource amp

Referral

Coaching

Federal Credit

Union programs

Support Groups

Counseling

Substance Use

Treatment

Volunteer

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

Home-Visiting

Nurse-Family

Partnership

Counseling

Treatment

Volunteer

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

Counseling

Substance Use

Treatment

Volunteer

Resource

Coordinator

Coaching

(Patient

Navigator)

Support Groups

Counseling

Substance Use

Treatment

Parenting Skills

Financial Advice

Volunteer

Resource amp

Referral

Coaching

Support Groups

Senior Centers

near Child Care

Centers

Volunteer

Mentor

Opportunities

ldquoHandle With

Carerdquo

Resource

Coordinator

Coaching

Support Groups

Treatment

Counseling etc

Last resort

PrisonJail

10




11


long-term


Peer Support Groups







bull Free Childcare






12










13

Program Details






community





14

15



Motivation

for Change


Adrienne Elder

16

Learning

amp

Practicing

Coping Skills

Together

Source


364554676474717lp=true




17

3930 30

4236 36

2721 24

3339

0102030405060708090

100




18



Increase Stability

amp

Build Personal and

Community Resources

Employment

with livable

wages

Safe and sober

affordable

housing

Positive


health supports


health care

Parent training

Treatment for

addictions

Quality high-school


training

Quality post-grad


training

Quality youth


training

Healthy activities

in community


in community






19














facilitators



20



21





Adrienne Elder


Call 405-426-5431




22


Call 405-585-1550




23







405-426-5431

Name the Barrier

Work one barrier

at a time

Individual

Behavior

Human and Social

Capital

in the Community

Exploitation

Political

Economic

Structures

Individual

Action

Organizational

Action

Community

Action

Policy




8

Why Are We Waiting



Community


Head Start

Education

School

HealthDental Senior

Care

Law

Enforcement

Behavioral

Indicators of

Human

Instability

amp Toxic Stress

18-65 years

Chronic

Unexcused

absences from

work

Delinquent bills

(utility rent

auto etc)

Accessing

predatory

lenders

0-5 years

Chronic

Unexcused

Absences

amp Suspensions

5-18 years

Chronic

Unexcused

Absences

amp Suspensions

Frequent visits to

Urgent Care

or

Emergency

Room

Or emergency

dental

65+ years

Isolation

911 calls

Domestic

violence

Illegal activity

Frontline

Staff ndash

Opportunity

for Trauma-

training amp

develop

process for

Referral

Supervisor

Human Resource

Coordinator

Landlords

Utility companies

Lending

institutions

Unemployment

offices

Child Care

Teacher

Teachers

Parent Liaisons

Truancy Division

NurseCounselor

Nurse

Physicians

Nurse

Geriatrician

First Responders

Police

Fire

EMSA

Continuum of

Stabilizing amp

Supportive

Resources

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

EAP Programs

Counseling

Substance Use

Treatment

Volunteer

Resource amp

Referral

Coaching

Federal Credit

Union programs

Support Groups

Counseling

Substance Use

Treatment

Volunteer

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

Home-Visiting

Nurse-Family

Partnership

Counseling

Treatment

Volunteer

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

Counseling

Substance Use

Treatment

Volunteer

Resource

Coordinator

Coaching

(Patient

Navigator)

Support Groups

Counseling

Substance Use

Treatment

Parenting Skills

Financial Advice

Volunteer

Resource amp

Referral

Coaching

Support Groups

Senior Centers

near Child Care

Centers

Volunteer

Mentor

Opportunities

ldquoHandle With

Carerdquo

Resource

Coordinator

Coaching

Support Groups

Treatment

Counseling etc

Last resort

PrisonJail

10




11


long-term


Peer Support Groups







bull Free Childcare






12










13

Program Details






community





14

15



Motivation

for Change


Adrienne Elder

16

Learning

amp

Practicing

Coping Skills

Together

Source


364554676474717lp=true




17

3930 30

4236 36

2721 24

3339

0102030405060708090

100




18



Increase Stability

amp

Build Personal and

Community Resources

Employment

with livable

wages

Safe and sober

affordable

housing

Positive


health supports


health care

Parent training

Treatment for

addictions

Quality high-school


training

Quality post-grad


training

Quality youth


training

Healthy activities

in community


in community






19














facilitators



20



21





Adrienne Elder


Call 405-426-5431




22


Call 405-585-1550




23







405-426-5431

Why Are We Waiting



Community


Head Start

Education

School

HealthDental Senior

Care

Law

Enforcement

Behavioral

Indicators of

Human

Instability

amp Toxic Stress

18-65 years

Chronic

Unexcused

absences from

work

Delinquent bills

(utility rent

auto etc)

Accessing

predatory

lenders

0-5 years

Chronic

Unexcused

Absences

amp Suspensions

5-18 years

Chronic

Unexcused

Absences

amp Suspensions

Frequent visits to

Urgent Care

or

Emergency

Room

Or emergency

dental

65+ years

Isolation

911 calls

Domestic

violence

Illegal activity

Frontline

Staff ndash

Opportunity

for Trauma-

training amp

develop

process for

Referral

Supervisor

Human Resource

Coordinator

Landlords

Utility companies

Lending

institutions

Unemployment

offices

Child Care

Teacher

Teachers

Parent Liaisons

Truancy Division

NurseCounselor

Nurse

Physicians

Nurse

Geriatrician

First Responders

Police

Fire

EMSA

Continuum of

Stabilizing amp

Supportive

Resources

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

EAP Programs

Counseling

Substance Use

Treatment

Volunteer

Resource amp

Referral

Coaching

Federal Credit

Union programs

Support Groups

Counseling

Substance Use

Treatment

Volunteer

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

Home-Visiting

Nurse-Family

Partnership

Counseling

Treatment

Volunteer

Resource amp

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

Counseling

Substance Use

Treatment

Volunteer

Resource

Coordinator

Coaching

(Patient

Navigator)

Support Groups

Counseling

Substance Use

Treatment

Parenting Skills

Financial Advice

Volunteer

Resource amp

Referral

Coaching

Support Groups

Senior Centers

near Child Care

Centers

Volunteer

Mentor

Opportunities

ldquoHandle With

Carerdquo

Resource

Coordinator

Coaching

Support Groups

Treatment

Counseling etc

Last resort

PrisonJail

10




11


long-term


Peer Support Groups







bull Free Childcare






12










13

Program Details






community





14

15



Motivation

for Change


Adrienne Elder

16

Learning

amp

Practicing

Coping Skills

Together

Source


364554676474717lp=true




17

3930 30

4236 36

2721 24

3339

0102030405060708090

100




18



Increase Stability

amp

Build Personal and

Community Resources

Employment

with livable

wages

Safe and sober

affordable

housing

Positive


health supports


health care

Parent training

Treatment for

addictions

Quality high-school


training

Quality post-grad


training

Quality youth


training

Healthy activities

in community


in community






19














facilitators



20



21





Adrienne Elder


Call 405-426-5431




22


Call 405-585-1550




23







405-426-5431

10




11


long-term


Peer Support Groups







bull Free Childcare






12










13

Program Details






community





14

15



Motivation

for Change


Adrienne Elder

16

Learning

amp

Practicing

Coping Skills

Together

Source


364554676474717lp=true




17

3930 30

4236 36

2721 24

3339

0102030405060708090

100




18



Increase Stability

amp

Build Personal and

Community Resources

Employment

with livable

wages

Safe and sober

affordable

housing

Positive


health supports


health care

Parent training

Treatment for

addictions

Quality high-school


training

Quality post-grad


training

Quality youth


training

Healthy activities

in community


in community






19














facilitators



20



21





Adrienne Elder


Call 405-426-5431




22


Call 405-585-1550




23







405-426-5431



11


long-term


Peer Support Groups







bull Free Childcare






12










13

Program Details






community





14

15



Motivation

for Change


Adrienne Elder

16

Learning

amp

Practicing

Coping Skills

Together

Source


364554676474717lp=true




17

3930 30

4236 36

2721 24

3339

0102030405060708090

100




18



Increase Stability

amp

Build Personal and

Community Resources

Employment

with livable

wages

Safe and sober

affordable

housing

Positive


health supports


health care

Parent training

Treatment for

addictions

Quality high-school


training

Quality post-grad


training

Quality youth


training

Healthy activities

in community


in community






19














facilitators



20



21





Adrienne Elder


Call 405-426-5431




22


Call 405-585-1550




23







405-426-5431







bull Free Childcare






12










13

Program Details






community





14

15



Motivation

for Change


Adrienne Elder

16

Learning

amp

Practicing

Coping Skills

Together

Source


364554676474717lp=true




17

3930 30

4236 36

2721 24

3339

0102030405060708090

100




18



Increase Stability

amp

Build Personal and

Community Resources

Employment

with livable

wages

Safe and sober

affordable

housing

Positive


health supports


health care

Parent training

Treatment for

addictions

Quality high-school


training

Quality post-grad


training

Quality youth


training

Healthy activities

in community


in community






19














facilitators



20



21





Adrienne Elder


Call 405-426-5431




22


Call 405-585-1550




23







405-426-5431









13

Program Details






community





14

15



Motivation

for Change


Adrienne Elder

16

Learning

amp

Practicing

Coping Skills

Together

Source


364554676474717lp=true




17

3930 30

4236 36

2721 24

3339

0102030405060708090

100




18



Increase Stability

amp

Build Personal and

Community Resources

Employment

with livable

wages

Safe and sober

affordable

housing

Positive


health supports


health care

Parent training

Treatment for

addictions

Quality high-school


training

Quality post-grad


training

Quality youth


training

Healthy activities

in community


in community






19














facilitators



20



21





Adrienne Elder


Call 405-426-5431




22


Call 405-585-1550




23







405-426-5431

Program Details






community





14

15



Motivation

for Change


Adrienne Elder

16

Learning

amp

Practicing

Coping Skills

Together

Source


364554676474717lp=true




17

3930 30

4236 36

2721 24

3339

0102030405060708090

100




18



Increase Stability

amp

Build Personal and

Community Resources

Employment

with livable

wages

Safe and sober

affordable

housing

Positive


health supports


health care

Parent training

Treatment for

addictions

Quality high-school


training

Quality post-grad


training

Quality youth


training

Healthy activities

in community


in community






19














facilitators



20



21





Adrienne Elder


Call 405-426-5431




22


Call 405-585-1550




23







405-426-5431

15



Motivation

for Change


Adrienne Elder

16

Learning

amp

Practicing

Coping Skills

Together

Source


364554676474717lp=true




17

3930 30

4236 36

2721 24

3339

0102030405060708090

100




18



Increase Stability

amp

Build Personal and

Community Resources

Employment

with livable

wages

Safe and sober

affordable

housing

Positive


health supports


health care

Parent training

Treatment for

addictions

Quality high-school


training

Quality post-grad


training

Quality youth


training

Healthy activities

in community


in community






19














facilitators



20



21





Adrienne Elder


Call 405-426-5431




22


Call 405-585-1550




23







405-426-5431

16

Learning

amp

Practicing

Coping Skills

Together

Source


364554676474717lp=true




17

3930 30

4236 36

2721 24

3339

0102030405060708090

100




18



Increase Stability

amp

Build Personal and

Community Resources

Employment

with livable

wages

Safe and sober

affordable

housing

Positive


health supports


health care

Parent training

Treatment for

addictions

Quality high-school


training

Quality post-grad


training

Quality youth


training

Healthy activities

in community


in community






19














facilitators



20



21





Adrienne Elder


Call 405-426-5431




22


Call 405-585-1550




23







405-426-5431




17

3930 30

4236 36

2721 24

3339

0102030405060708090

100




18



Increase Stability

amp

Build Personal and

Community Resources

Employment

with livable

wages

Safe and sober

affordable

housing

Positive


health supports


health care

Parent training

Treatment for

addictions

Quality high-school


training

Quality post-grad


training

Quality youth


training

Healthy activities

in community


in community






19














facilitators



20



21





Adrienne Elder


Call 405-426-5431




22


Call 405-585-1550




23







405-426-5431



18



Increase Stability

amp

Build Personal and

Community Resources

Employment

with livable

wages

Safe and sober

affordable

housing

Positive


health supports


health care

Parent training

Treatment for

addictions

Quality high-school


training

Quality post-grad


training

Quality youth


training

Healthy activities

in community


in community






19














facilitators



20



21





Adrienne Elder


Call 405-426-5431




22


Call 405-585-1550




23







405-426-5431




19














facilitators



20



21





Adrienne Elder


Call 405-426-5431




22


Call 405-585-1550




23







405-426-5431














facilitators



20



21





Adrienne Elder


Call 405-426-5431




22


Call 405-585-1550




23







405-426-5431



21





Adrienne Elder


Call 405-426-5431




22


Call 405-585-1550




23







405-426-5431


Adrienne Elder


Call 405-426-5431




22


Call 405-585-1550




23







405-426-5431

23







405-426-5431

Documents

Getting Ahead Overview