|Adverse Childhood Experiences||
Adverse childhood experiences, or ACEs, are potentially traumatic events that occur in childhood (birth – 18 years). Such events include family focused issues as identified in the original ACE Study but also adversity experienced in the local community as well as climate and natural disasters. Events related to generational and historical trauma can be experienced as ACEs in subsequent generations.
|Behavioral Risk Factor Surveillance System||
Health survey that collects data in all 50 states regarding health-related risk behaviors, chronic health conditions, and use of preventive services.
A process where various community organizations come together to collectively focus their expertise and resources on a complex issue of importance to a community they serve.
The representation of different and unique identities, characteristics, experiences, and perspectives.
Ensuring programs offer individuals the resources they need to succeed by increasing access, providing appropriate services, and opportunities for all; especially for those who are underrepresented and have been historically underserved and marginalized
(Adapted from University of Washington, Human Resources Department)
Cumulative emotional and psychological wounding over the lifespan and across generations.
(Adapted from Yellow-Horse BraveHeart, 1995)
A welcoming culture in which differences are celebrated and everyone is valued, respected, and able to reach their full potential. (University of Washington, Human Resources Dept.)
May result from an event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or life threatening and that has lasting adverse effects on the individual’s functioning and mental, physical, social, emotional, or spiritual well-being. (Substance Abuse and Mental Health Service Administration, 2014)
|Intimate Partner Violence||
Physical, sexual, stalking, and/or psychological harm by a current or former partner or spouse.
|Positive Childhood Experiences||
Supportive factors experienced during childhood that serve as protective factors against the impacts of adverse childhood experiences. Examples of PCE include factors such as: parent-child attachment, positive parenting (eg,parental warmth, responsiveness, and support), family health, and positive relationships with adult mentors, friends, in school, and in the community.
(Adapted from: Bethell C, Jones J, Gombojav N, Linkenbach J, Sege R. Positive Childhood Experiences and Adult Mental and Relational Health in a Statewide Sample: Associations Across Adverse Childhood Experiences Levels. JAMA Pediatr. 2019;173(11):e193007. doi:10.1001/jamapediatrics.2019.3007)
Primary Prevention focuses on efforts to prevent individuals and population groups from getting a disease or condition. Secondary Prevention is directed towards detecting a disease or condition early and preventing it from getting worse. Tertiary Prevention seeks to improve the quality of life and reduce the symptoms of a disease or condition among those who already have the condition.
(Adapted from Centers for Disease Control and Prevention)
|Protective Factor Framework||
Protective factors are characteristics or strengths of individuals, families, communities or societies that act to mitigate risks and promote positive well-being and healthy development.
Resilience is a combination of protective factors that enable people to adapt in the face of serious hardship, and is essential to ensuring that children who experience adversity can still become healthy, productive citizens.
(Center on the Developing Child, Harvard University)
|Social Determinants of Health||
Conditions in the environments where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks. The five categories of social determinants of health include: Economic Stability; Education Access and Quality; Health Care Access and Quality; Neighborhood and Built Environment; and Social and Community Context.
(Adapted from Office of Disease Prevention and Health Promotion)
An effort designed for and extending throughout Utah, including the Confederated Tribes of Goshute Indians, Navajo Nation, Northern Ute Tribe, Northwestern Band of Shoshone, Paiute Indian Tribe of Utah, San Juan Southern Paiute, Skull Valley Band of Goshute, and White Mesa Band of the Ute Mountain Ute, that can be customized to maintain the same impact when used in frontier, rural and urban communities, populations, and demographics.
Toxic stress response can occur when a child experiences strong, frequent, and/or prolonged adversity—such as physical or emotional abuse, chronic neglect, caregiver substance abuse or mental illness, exposure to violence, and/or the accumulated burdens of family economic hardship—without adequate adult support. This kind of prolonged activation of the stress response systems can disrupt the development of brain architecture and other organ systems, and increase the risk for stress-related disease and cognitive impairment, well into the adult years.
(Center for the Developing Child, Harvard University)
|Trauma-Informed Approach in Organizations||
A program, organization, or system that is trauma-informed realizes the widespread impact of trauma and understands potential paths for recovery; recognizes the signs and symptoms of trauma in clients, families, staff, and others involved with the system; and responds by fully integrating knowledge about trauma into policies, procedures, and practices, and seeks to actively resist re-traumatization.
Referred to variably as “trauma-informed care” or “trauma-informed (organization)” this difference in terms refers to the context and nature of service delivery.
An organization that intentionally strives to consistently implement the trauma-informed approach based on the 10 implementation domains of the organization and the 6 key principles. (SAMHSA, 2014).
10 Implementation Domains
1. Governance and Leadership
6 Key Principles