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RESILIENCE: POSITIVE ADAPTATION Strengths, Health, & Thriving.

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Presentation on theme: "RESILIENCE: POSITIVE ADAPTATION Strengths, Health, & Thriving."— Presentation transcript:

1 RESILIENCE: POSITIVE ADAPTATION Strengths, Health, & Thriving

2 FACTORS THAT INFLUENCE HEALTH Source: USDHEW, PHS, CDC. “Ten Leading Causes of Death in US 1975, Georgia Bureau of State Services, Health Analysis and Planning for Preventive Services, p. 35, 1978

3 ACE REDUCTION: A POWERFUL FRAMEWORK FOR THRIVING

4 WHAT IS RESILIENCE? The capacity to absorb disturbance and re- organize while undergoing change, yet still retain essentially the same function, structure, identity, feedbacks. (Walker et al., 2002) The ability of an individual, system or organization to meet challenges, survive, and do well despite adversity. (Kirmayer, 2009) RESILIENCE OCCURS AT ALL LEVELS: The natural human capacity to navigate life well. (HeavyRunner & Marshall, 2003) Community Individual Family National, Global, Ecosystem

5 PHASES IN RESILIENCE RESEARCH Descriptive – What do resilient individuals have in common? Predictive – How questions: identify and understand processes that might lead to resilience, including risk and protective factors. Contextual –Why ages, stages, personal and family history, community context matter for promotion of resilience. Integrative – Encompasses rapid advances in the study of genes, developmental neurobiology, neural plasticity, and the conditions, contexts, and processes that affect positive adaptation throughout the lifespan. “Resilience rests, fundamentally, on relationships”. Suniya Luthar; Resilience in development: A synthesis of research across five decades; 2006, p. 780

6 RESILIENCE AS A DEVELOPMENTAL PROCESS None of us is perfect—we’ll all have moments when we don’t appear to be very well adapted to the conditions we’re facing. Resilience is complex; it is possible to be resilient in one setting and pathological in another. We develop competencies & characteristics that prepare us to be effective in the world we’re growing into. We develop the capacity to adapt in the face of challenges.

7 Developmental Framework for Resilience Age Related Patterns of Competence Multiple Contexts Age- Appropriate Social Behavior (Developmental Tasks) Interactions Among Biology, Psychology, Social Factors

8 Developmental Framework for Resilience Age Related Patterns of Competence Multiple Contexts Age- Appropriate Social Behavior (Developmental Tasks) Interactions Among Biology, Psychology, Social Factors Growth Nourishment Protection Wholeness

9 FINDING MEANING TEMPERING MASTERY RECONSTRUC TING IDENTITY NORMALIZIN G AMBIVALENC E REVISING ATTACHMENT & BELONGING HOPE RELATIONAL EXPERIENCE From: Loss, Trauma, and Resilience; Therapeutic Work with Ambiguous Loss; Dr. Pauline Boss; 2006

10 THREE CORE PROTECTIVE SYSTEMS 1.Community, Spiritual & Cultural Life 2.Attachment & Belonging 3.Capabilities “Nurturing the healthy development of these protective systems affords the most important preparation or ‘inoculation’ for overcoming potential threats and adversities in human development. Similarly, damage or destruction of these systems has dire consequences for the positive adaptive capacity of individuals.” Ann Masten, 2009

11 CAPABILITY Intellectual & employable skills Self regulation – self control, executive function, flexible thinking Ability to direct & control attention, emotion, behavior Positive self view, efficacy ATTACHMENT & BELONGING Bonds with parents and/or caregivers Positive relationships with competent and nurturing adults Friends or romantic partners who provide a sense of security & belonging COMMUNITY, CULTURE, SPIRITUALITY Faith, hope, sense of meaning Engagement with effective orgs – schools, work, pro-social groups Network of supports/services & opportunity to help others Cultures providing positive standards, expectations, rituals, relationships & supports KEY SYSTEMS FOR RESILIENCE Nourishment Protection Growth Wholeness

12 COMMUNITY, CULTURE, SPIRITUAL LIFE PRENATAL – INFANCYPRE-SCHOOLMIDDLE CHILDHOOD PRE-TEEN & TEEN YEARS COMMUNITY, CULTURE, SPIRITUAL RITUALS & TRADITIONS IN CHILDHOOD Spiritual engagement that demands active participation in a community of faith Structure, rules, & responsibility to contribute to family and community Parents/Family has: Spiritual engagement demands active participation in a community of faith Rituals & traditions supporting connection with the land (for some people) Value systems that include notions of personhood, ethics, religion or spirituality Cultural knowledge and practices supporting coherence and a source of stability & support PRE-CONCEPTIONPREGNANCY WITH YOUNG CHILDREN MOVING TOWARD MID-LIFE ADULT PROTECTIVE COMMUNITY, CULTURE, SPIRITUAL RITUALS & TRADITIONS Spiritual engagement that demands active participation in a community of faith Rituals & traditions supporting connection with the land (for some people) Value systems that include notions of personhood, ethics, religion or spirituality Cultural knowledge and practices supporting coherence and a source of stability & support

13 SUPPORTING ATTACHMENT & BELONGING PRENATAL – INFANCYPRE-SCHOOLMIDDLE CHILDHOOD PRE-TEEN & TEEN YEARS ATTACHMENT & BELONGING IN CHILDHOOD Four or fewer children; 2+ years between siblings Maternal competence: proportion of positive interactions with child Close bond with caregiver Parents have circle of people they can count on for help and support Emotional support from friends and family Caregiver sensitivity and responsiveness to infant needs No prolonged separation from parent in first year Sources of support that increase competencies, efficacy, opportunity to develop strengths, gifts and interests, and decrease stressful life PRE-CONCEPTIONPREGNANCY WITH YOUNG CHILDREN MOVING TOWARD MID-LIFE ADULT ATTACHMENT & BELONGING Number of stressful life events reported in childhood, adolescence Establish relationship with helper (doula, visitor, etc.) opens door to whole program of help, improves quality in relating with child Find ecological Niche for child – support in family, social network Number of persons the individual turned to in times of crisis Help seeking; social network building (which also helps to mitigate the negative effects of poverty) Rewarded with repeated promotions contributes to sense of pride

14 NURTURING CAPABILITY PRENATAL – INFANCYPRE-SCHOOLMIDDLE CHILDHOOD PRE-TEEN & TEEN YEARS CAPABILITY IN CHILDHOOD Developmentally appropriate physical activity Parental involvement in, promotion of, learning Good health & nutrition; Safety Ability to seek comfort, support or inspiration from others Stimulation – sound, sight, touch Play, laughter, exploration Scholastic competence Autonomy, social maturity, self efficacy, mastery motivation PRE-CONCEPTIONPREGNANCY WITH YOUNG CHILDREN MOVING TOWARD MID-LIFE PARENTAL CAPABILITY Exercise, e.g. walking at 60% of vital capacity Identifying and using one’s core gifts Good health; Safety Ability to seek comfort, support or inspiration from others Resourceful and realistic in educational and vocational plans Imagine self as mother, dream interaction with child; redefine self Continuing education: academic and vocational skills acquired Practice of seizing opportunities Opening of opportunities Successful adaptation at midlife

15 RISK & PROTECTION INTERACT IN A CULTURAL CONTEXT Wholeness Protection Nourishment Growth Compensatory Individuals Protective Challenge Caring, Cohesion, Belief in Each Child Belonging with Peers, School, Circle of Success Family & Community Non-punitive Provisions and Resources to Assist Belief in Societal Values Spirituality Traditional Activities Cultural Traditional Languages Traditional healing Elders

16 Before Neighbors Unite To Build Community Park WALLA WALLA COMMITMENT TO COMMUNITY

17 EXAMPLES OF PROGRAM & POLICY ACTIONS Safe Harbor Crisis Nursery in the Tri-Cities has incorporated ACEs and trauma into its day-to-day strategies and case management resulting in improved outcomes for families. Children of Incarcerated Parents; the Legislature has mandated the executive branch to engage in an initiative to address the needs of children of incarcerated parents. The initiative and its processes are framed to address the likelihood that these children have more than this one ACE. With the help of the Mental Health Transformation Grant and the Office of the Superintendent of Public Instruction (OSPI), Spokane is exploring the creation/implementation of trauma sensitive practices in public schools. OSPI introduced the Compassionate Schools initiative, which supports local school districts in reducing the non-academic barriers to schools success that are created by trauma (2008). (http://www.k12.wa.us/CompassionateSchools/default.aspx)http://www.k12.wa.us/CompassionateSchools/default.aspx Parent Trust for Washington Children has incorporated the ACE questions into their work with addicted parents facing court action (DV, termination of parental rights) resulting in: 1) improved outcomes in parenting classes and 2) reduced relapse among parents with 4 or more ACEs.

18 PORT GAMBLE S’KLALLAM TRIBE – CHI-E-CHEE (THE WORKERS) NETWORK

19 ADVERSE CHILDHOOD EXPERIENCE DRAFT We Can All Help 1.Build Capacity To Reduce Adverse Childhood Experience 2.Promote Resilience

20 1.Expectation for Thriving Despite Oppression 2.Strength Based ≠ Solutions 3.Attending to Characteristics & Factors that Promote Resilience – Only Part of the Story CAUTIONS ABOUT THE RESILIENCE APPROACH

21 PARAMETERS FOR INTERVENTION 3.Enhance the relationship between person & context. 4.Embed interventions in familiar to social setting/community contexts. 5.Attend to possibilities for lasting impact & enduring change. 1.Pay attention to critical periods and cultural context. 2.Understand resilience as both how we engage with other people and how we interact with our environment.

22 ENHANCING COMMUNITY CAPACITY A DYNAMIC PROCESS OF CONNECTION

23 GENERAL COMMUNITY CAPACITY DEVELOPMENT MODEL FAMILY POLICY COUNCIL General Community Capacity is: capacity to not only sustain programs, but also to identify new community problems as they arise, and develop ways of addressing them. General Capacity Development is a dynamic process that enhances the infrastructure, skills, and motivation of a community – changing the way we live with one another day-to-day. Literature strongly supports the importance of general capacity building in the process of promoting effective prevention. (Livet, 2008)

24

25 This model is powerful because success in one phase propels success in the next. It is a virtuous cycle that has the power to improve population health.

26 VIRTUOUS REINFORCING CAPACITY BUILDING - SUSTAINABLE THRIVING This model is powerful because success in one phase propels success in the next. It is a virtuous cycle that has the power to improve population health.

27

28

29 CAPACITY BUILDING HAS POWERFUL EFFECTS Foundations for Healthy Development Improve Five or more different problem rates come down (http://www.fpc.wa.gov/publications/technicalpaper-ver3.pdf)http://www.fpc.wa.gov/publications/technicalpaper-ver3.pdf ACE Score Is Reduced from One Generation to the Next The average ACE score of youth transitioning into adulthood and parenthood is reduced in high capacity communities. Fewer people have 3 or more ACEs, thus preventing many health problems (http://www.fpc.wa.gov/publications/Relationship%20between%20ACEs%20and%20%20BH%20and%2 0PH%20%206%2024%2010.FINAL.pdf)http://www.fpc.wa.gov/publications/Relationship%20between%20ACEs%20and%20%20BH%20and%2 0PH%20%206%2024%2010.FINAL.pdf Improved Social Responses to High ACE People Result in Better Life Course In high capacity communities, youth who have experienced Adverse Childhood Experiences are much less likely to use alcohol, marijuana and tobacco; thereby dramatically reducing their risk for disease, disability and problems at work, home and community (http://www.fpc.wa.gov/publications/FPC_High%20Risk%20Protect%20Youth_Nov%2009.pdf & Normative%20High%20Risk%20High%20Capacity_Dec%2009.pdf)http://www.fpc.wa.gov/publications/FPC_High%20Risk%20Protect%20Youth_Nov%2009.pdf Normative%20High%20Risk%20High%20Capacity_Dec%2009.pdf

30 CAPABILITY ATTACHMENT & BELONGING One question in BRFSS indicates attachment & belonging, and gives clues about community capacity: How often do you get your social/emotional needs met? COMMUNITY, CULTURE, SPIRITUALITY Family Policy Council Community Capacity Dynamics model + decade of measurement quantify neighborhood/community transformation outcomes FAMILY POLICY COUNCIL RESILIENCE MEASURES MEASURES 1.Focus 2.Learning 3.Leadership 4.Results

31 Before Neighbors Unite To Build Community Park WALLA WALLA COMMITMENT TO COMMUNITY

32 EXAMPLES OF PROGRAM & POLICY ACTIONS Safe Harbor Crisis Nursery in the Tri-Cities has incorporated ACEs and trauma into its day-to-day strategies and case management resulting in improved outcomes for families. Children of Incarcerated Parents; the Legislature has mandated the executive branch to engage in an initiative to address the needs of children of incarcerated parents. The initiative and its processes are framed to address the likelihood that these children have more than this one ACE. With the help of the Mental Health Transformation Grant and the Office of the Superintendent of Public Instruction (OSPI), Spokane is exploring the creation/implementation of trauma sensitive practices in public schools. OSPI introduced the Compassionate Schools initiative, which supports local school districts in reducing the non-academic barriers to schools success that are created by trauma (2008). (http://www.k12.wa.us/CompassionateSchools/default.aspx)http://www.k12.wa.us/CompassionateSchools/default.aspx Parent Trust for Washington Children has incorporated the ACE questions into their work with addicted parents facing court action (DV, termination of parental rights) resulting in: 1) improved outcomes in parenting classes and 2) reduced relapse among parents with 4 or more ACEs.

33 PORT GAMBLE S’KLALLAM TRIBE – CHI-E-CHEE (THE WORKERS) NETWORK

34 ADVERSE CHILDHOOD EXPERIENCE DRAFT We Can All Help 1.Build Capacity To Reduce Adverse Childhood Experience 2.Promote Resilience

35 1.Expectation for Thriving Despite Oppression 2.Strength Based ≠ Solutions 3.Attending to Characteristics & Factors that Promote Resilience – Only Part of the Story CAUTIONS ABOUT THE RESILIENCE APPROACH

36 PARAMETERS FOR INTERVENTION 3.Enhance the relationship between person & context. 4.Embed interventions in familiar to social setting/community contexts. 5.Attend to possibilities for lasting impact & enduring change. 1.Pay attention to critical periods and cultural context. 2.Understand resilience as both how we engage with other people and how we interact with our environment.

37 ENHANCING COMMUNITY CAPACITY A DYNAMIC PROCESS OF CONNECTION

38 GENERAL COMMUNITY CAPACITY DEVELOPMENT MODEL FAMILY POLICY COUNCIL General Community Capacity is: capacity to not only sustain programs, but also to identify new community problems as they arise, and develop ways of addressing them. General Capacity Development is a dynamic process that enhances the infrastructure, skills, and motivation of a community – changing the way we live with one another day-to-day. Literature strongly supports the importance of general capacity building in the process of promoting effective prevention. (Livet, 2008)

39

40 This model is powerful because success in one phase propels success in the next. It is a virtuous cycle that has the power to improve population health.

41 VIRTUOUS REINFORCING CAPACITY BUILDING - SUSTAINABLE THRIVING This model is powerful because success in one phase propels success in the next. It is a virtuous cycle that has the power to improve population health.

42

43

44 CAPACITY BUILDING HAS POWERFUL EFFECTS Foundations for Healthy Development Improve Five or more different problem rates come down (http://www.fpc.wa.gov/publications/technicalpaper-ver3.pdf)http://www.fpc.wa.gov/publications/technicalpaper-ver3.pdf ACE Score Is Reduced from One Generation to the Next The average ACE score of youth transitioning into adulthood and parenthood is reduced in high capacity communities. Fewer people have 3 or more ACEs, thus preventing many health problems (http://www.fpc.wa.gov/publications/Relationship%20between%20ACEs%20and%20%20BH%20and%2 0PH%20%206%2024%2010.FINAL.pdf)http://www.fpc.wa.gov/publications/Relationship%20between%20ACEs%20and%20%20BH%20and%2 0PH%20%206%2024%2010.FINAL.pdf Improved Social Responses to High ACE People Result in Better Life Course In high capacity communities, youth who have experienced Adverse Childhood Experiences are much less likely to use alcohol, marijuana and tobacco; thereby dramatically reducing their risk for disease, disability and problems at work, home and community (http://www.fpc.wa.gov/publications/FPC_High%20Risk%20Protect%20Youth_Nov%2009.pdf & Normative%20High%20Risk%20High%20Capacity_Dec%2009.pdf)http://www.fpc.wa.gov/publications/FPC_High%20Risk%20Protect%20Youth_Nov%2009.pdf Normative%20High%20Risk%20High%20Capacity_Dec%2009.pdf

45 CAPABILITY ATTACHMENT & BELONGING One question in BRFSS indicates attachment & belonging, and gives clues about community capacity: How often do you get your social/emotional needs met? COMMUNITY, CULTURE, SPIRITUALITY Family Policy Council Community Capacity Dynamics model + decade of measurement quantify neighborhood/community transformation outcomes FAMILY POLICY COUNCIL RESILIENCE MEASURES MEASURES 1.Focus 2.Learning 3.Leadership 4.Results


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