1. GOVERNOR’S BIRTH TO 8 SUMMIT: FIRST 3,000 DAYS IN THE FIRST STATE #BIRTHTO8DE

2. Building Blocks for School Success Social-Emotional Competence, Toxic Stress and Resilience February 10, 2016 Paulina Gyan, MS, MPH Division of Public Health Early Childhood Comprehensive Systems Program

3. Adverse Child/Family Experiences ( ACES) items Wilmington N=17,005 Delaware N= 204,543 National N=73,708,179 Extreme economic hardship34%24.8%25.7% Family Divorce or separation20.1%20.6%20.1% Lived with someone with drug/alcohol problem 9.0%11.1%10.7% Victim/Witness to neighborhood violence 11.9%11.6%8.6% Lived with someone mentally ill/suicidal 7.0%9.1%8.6% Witnessed domestic violence in home 8.5%8.0%7.3% Parent served time in jail9.2%7.5% Treated or judged unfairly due to race/ethnicity 6.7%5.7%4.1% Death of parent5.2%3.5%3.1% Child had ≥1 ACEs (1/more of above items) 60.5%50.4%47.9% Adverse Childhood Experiences Wilmington & Delaware’s Children Children: (Age 0-17 Years) 2011/12 National Survey of Children’s Health

4. Target Population: Birth to 3 years, Early Childhood Providers, Parents of young children Early Childhood Comprehensive Systems Grant Building Health through Integration 2013-2016 -$420K GOALS EducationMitigating Toxic Stress Mitigating Domestic Violence Screening for ACES Networking & Systems Support ACTIVITIES Training Resilience building Training Screens using ACES Participation on statewide level PARTNERS Prevent Child Abuse DE Children & Families First/DPBHS Delaware Coalition Against Domestic Violence Westside Health, La Red Health Trauma Matters Delaware RESULTS 7/2015 53 ECE Providers 11 Families 110 ECE Providers La Red: 156 Screens Westside: 42 3 Trauma Matters Events

5. Addressing trauma as public health problem- enhances prevention and early intervention. More success in administering ACEs with parent and provider education. Commitment of leadership Funding Lessons Learned

6. Multiple programs across state- fragmented and lacks cohesive vision embedding TIC. Dept of Services for Children Youth and their Families Division of Public Health, Division of Substance Abuse & Mental Health Dept of Education, Division of Developmental Disability Westside Health, La Red Health Truancy Court, Family Court, Admin Offices of the Court Children & Families First, People’s Place DE Coalition Against Domestic Violence, Jewish Family Services Delaware’s landscape

7. How do we align today’s outcomes with other work going on in the state? Moving from being trauma aware to trauma sensitive to trauma responsive. Trauma Matters Delaware – Theory of Change: Education &Training; Outreach & communication; Direct Services; Organizational change and Systems change More voices promoting prevention and early intervention. Opportunities for Growth?

8. Building Blocks for School Success: Social-Emotional Competence, Toxic Stress and Resilience Strategies What strategies would you most like to see implemented in the next three years that you think will have the greatest impact on building family, teacher, and community capacity to support young children’s healthy social-emotional development in Delaware? GOVERNOR’S BIRTH TO 8 SUMMIT ACTION PLANNING