1 The Need to Address Childhood TraumaImplications for Child Welfare and Education Congressional Briefing July 26, 2017 Honorary Co-Hosts: Representative Danny Davis (IL-7) Congressional Foster Youth Caucus Moderator, Wendy R. Ellis, DrPH (c) The George Washington University

2 The Many Facets of Childhood AdversityAbuse/Neglect Homelessness Community Violence Substance Abuse Foster Care

3 Vulnerability & Adversity: Root Cause of Long Term DisparitiesDepression High Blood Pressure Alcohol, Illicit & Prescription Drug Abuse Diabetes Risky Sexual Behaviors Obesity Poverty Violence Homelessness Household Instability Maternal Depression

4 Violent Crime & School PerformanceUp to 40% U.S. youth exposed to community violence develop post-traumatic stress disorder (Berman, 1996) PTSD symptoms impact behavioral and emotional development (Carrion, 2002) School violence mirrors community violence Underperforming schools are in areas of concentrated community violence ACEs in the classroom: Stress/Anxiety Inability to Concentrate Easy to Anger Withdrawn, Disengaged with Peers & Faculty (Freeman, 2014) What has happened to Jill & Johnny?

5 Opioids: Multiple Levels of AdversityIllinois In 2014, opioid overdoses killed more people than those who died due to all gun-related causes including homicide, suicide, and accidental shootings. Illinois Department of Health Ohio 4,149 Opioid related deaths in 2016 (#1 Nationally) Montgomery Co. (Dayton) “Mass casualty event” 70% of infants placed in foster care are children of parents with opioid addiction Ohio Department of Health

6 Childhood Adversity & Opioid CrisisFive-fold increase infants born drug dependent Hardest Hit States Deaths by Opioids: “Epidemic Proportions” West Virginia Ohio Kentucky Rhode Island New Hampshire States with Significant Increases Connecticut Florida Illinois Louisiana Maine Maryland Michigan New Jersey New York North Carolina Tennessee Washington Source: CDC

7 Crisis in Foster Care Increase # Children in State Systems Maine 45%20% increase in foster care demand since 2009 7K placements, 14K waiting Hamilton County (Cincinnati) 50% increase in children needing adoption since opioid crisis began Increase # Children in State Systems Maine % Massachusetts % North Dakota % Since 2011

8 Traumatic Impact of Foster CarePost-Traumatic Stress rate at twice the rate of war veterans 54% at least 1 mental health disorder 66% change schools at least 7 times < 2% earn a college degree by age 25 22% experience homelessness 33% live below poverty line

9 Drug Addicted NewbornsWitness to Parental Drug Abuse & Death Foster Care Crisis

10 Associated Outcomes: Developmental Delays Learning DisordersIncreased likelihood of Juvenile Delinquency Lower graduation rates Higher rates of depression, mood disorders Anda, Felliti, et al

11 Building Community Resilience Collaborative: A Strengths-Based Approach to Addressing Childhood Adversity

12 What we’ve Learned Collaboration across sectors Data SharingSharing resources, blend funding streams Education, foster care, child welfare, juvenile justice, public health & health care as critical partners

13 HR 1757 Trauma-Informed Care for Children & Families Act of 2017 Sponsors: Representative Danny Davis (D-IL) Foster Collaboration across Sectors and Community Coordination Improve Coordination across Federal Programs Support a Trauma-Informed Workforce Support Innovation in Trauma-Informed Prevention and Care Incentivize Working Smarter, Leverage Existing Resources Companion Bill S. 774 Senators Heidi Heitkamp (D-ND), Dick Durbin (D-IL), and Al Franken (D-MN)

14 Speakers Olga Acosta Price, PhD, Associate Professor, The George Washington University National Center for Health and Health Care in Schools Kathryn Larin, Director, Education, Workforce and Security Team Government Accountability Office (GAO) Monica Battle, Principal College Hill Fundamental Academy, Cincinnati Public Schools Whitney Gilliard Former Foster Youth

15 For more information: Wendy Ellis, Project Director Building Community Resilience Jeff Hild, Policy Director Redstone Global Center for Prevention & Wellness