+ Qualitative Inventory for a Collective Impact: Maximizing Prevention and Intervention Services Hannah Brown Community 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 The Damaging Consequences of Violence and Trauma (see and Trauma and Recovery (J Herman). Cost data: 2007 Economic Impact Study (PCAA). Chart created by Ann Jennings, PhD.

+ 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 Perspective

+ 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

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

+ Impact of ACEs on Life Expectancy years

+ Impact of Aces on Economy 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 Findings SUMMARY

+ ACEs Addressed by Organizations

+ How Organizations Address ACEs

+ Youth Risky Behaviors Addressed by Organizations

+ How Organizations Address Youth Risky Behaviors

+ Additional Findings Demographic populations served Languages provided Geographic service locations Referral Sources

+ Referral Systems A Safety Net for the Safety Net

+ Challenges Trauma 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 Assistant Community Advancement Network (903)