1. Agenda Setting Input and Status Agenda Setting Input and Status

2. Method #1: Collective Insight Delphi Process Give Us Your E-Mail to Participate in an Online Collective Insight/Delphi Process (sign up sheet; email us at info@cahmi.org or here or go to CAHMI/Data Resource Center Exhibit)info@cahmi.org Using an online tool (CoDigital) and through various stakeholder meetings (like this), we are collecting feedback on research and policy priorities in addressing ACEs Key audiences: pediatric providers, family leaders, fed/state policymakers, private/public sector payers, health systems, researchers

3. Phase I Collective Insight Questions Question 1: What should the specific goals of our community be related to ACEs and resilience? (e.g. the child health services research and policy community? Question 2: What research and policy domains and questions are highest priority? Questions 3: What are the research questions, policy actions and existing efforts to consider as priorities in an agenda?

4. Emerging Scope of Agenda Organization and financing of health systems and services Access & coordination and services and resources Practitioner & family engagement, communication & behavior Measurement, informatics and clinical decision making Clinical evaluation and outcomes research Health professions work force capacity, training and support Six Fundamental Health Services and Policy Research Domains (embedded in larger community systems required to achieve impact)

5. Emerging Agenda Components Three interlocking components comprise the emerging research and action agenda: Component #1: Functions and Types of Research Component #2: Priority Topics and Focal Areas Component #3: Short Term Collaborative Actions

6. Component #1: Functions and Types of Research Design & Develop: synthesize existing knowledge and design and develop new translational knowledge, methods, and tools Implement & Evaluate: adapt, implement, and evaluate existing and emerging strategies to prevent and buffer impact of ACEs to promote well-being Educate & Communicate: assess existing awareness and contribute to public, provider and stakeholder education and awareness, knowledge and action. Disseminate & Support: develop methods and capacity to scale, spread and support effective prevention, intervention, and training models in the field

7. Component #2: Priority Topics and Focal Areas Meanings and Measures: Advance standardization of definitions, measures, Core Science: Promote research to address gaps in science especially pertinent to policy and practice Public Health: Understand public health impact and opportunities for translation of knowledge into public health practice Communities: Know what a healthy community is and how to address ACEs through community based collaborations and efforts Economics: Define and measure economic impact of ACEs and return on investment through effectively addressing ACEs

8. Component #3: Short Term Collaborative Actions Move the Game Board: Define a conceptual map and model to clarify definitions and foster shifts in mindset and norms to facilitate collective action Continuous Translation and Improvement: Synthesis, dissemination, translation, and ongoing assessment of existing models, methods, and practices Training and Capacity Building: Provider, community, and family education and training Policy Platform and Demonstration: Define recommendations to align health reform and systems design with needs and health improvement opportunities

9. Questions to Consider Today What should be the goals of the pediatric community be related to ACEs and resilience and positive health development? What research questions, program and policy actions and current programs should be considered as priorities in an agenda? Why is now a good time for a broader focus on ACES in health policy? What will it take for the pediatrics community and health care system to respond to ACES? What do health policymakers, program leaders, pediatricians and the public need to know about ACES? What are the most significant barriers to an improved policy response to ACES? If there is one thing you could change in health policy to make progress on ACES, what would it be?

10. Connect with Us to Join the Conversation! Email us: – Lisa.Simpson@academyhealth.org Lisa.Simpson@academyhealth.org – cbethell@cahmi.org cbethell@cahmi.org – info@cahmi.org info@cahmi.org Visit the CAHMI/Data Resources Center Booth at PAS # 427 http://www.academyhealth.org/aces http://www.cahmi.org/projects/adverse-childhood-experiences-aces

11. Additional Slides

13. AcademyHealth AcademyHealth is a leading national organization serving the fields of health services and policy research and the professionals who produce and use this important work. Together with our members, we offer programs and services that support the development and use of rigorous, relevant and timely evidence to: 1. Increase the quality, accessibility and value of health care, 2. Reduce disparities, and 3. Improve health. A trusted broker of information, AcademyHealth brings stakeholders together to address the current and future needs of an evolving health system, inform health policy, and translate evidence into action.

15. “Skills for Social Progress: The Power of Social and Emotional Skills” OECD, March 10, 2015 “Social and emotional skills—also known as non-cognitive skills, soft skills or character skills-are the kind of skills involved in achieving goals, working with other and managing emotions. As such they manifest themselves in countless everyday life situations.”

16. We are the medicine

18. “The free market is not very good at distributing compassion, nor is it particularly good at deciding whose suffering deserves recognition” Gary Greenberg The Book of Woe: The DSM and the Unmaking of Psychiatry (May, 2015)

19. There is no greater agony than bearing an untold story inside you Maya Angelou 5/13/13 Christina Bethell, PhD, MPH. ACES & Resilience CAHMI AH Project Overview 19

20. Healing is Upon Us! When our science, lived experience and policies meet 20 We Are the Medicine