Trauma Training for Delaware’s Legislators

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What is Trauma?

People of all ages, races, and socio-economic status are likely to experience trauma at some point in their lives. While we often think of trauma as associated with violence, it could also refer to natural disasters, personal losses, and other life changing events. It is important to understand the difference between occasional, everyday stressors and significant experiences with the potential for long lasting negative impacts.

The 3 E’s of Trauma: 

 

  • Exposure to an event, series of events, or set of circumstances
  • The event(s) is experienced as physically or emotionally harmful or life threatening
  • Exposure frequently results in lasting effects on health and wellbeing

It is important to recognize that trauma happens at the community and societal levels and these also must be addressed.

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Examples of these adverse conditions include:

  • Poverty and lack of economic opportunities
  • Racism and other forms of historical trauma
  • Structural injustice
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How Does Trauma Impact People?

Although an individual’s experience of trauma is unique, exposure to trauma is related to higher risk of physical and mental health problems across the lifespan. Trauma during childhood can have especially significant impacts because they occur while the brain, body, psychology, and social relationships are under development. The ability to recover from trauma depends upon strengths, resilience, and a caring and supportive environment. For some, counseling or other professional treatment may be needed in order to heal.

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What is the Cost of Trauma?

A meta-analysis published in Lancet Public Health reveals that in North America, 23.4% of individuals have experienced one adverse childhood experience (ACE) and 35.0% of individuals have experienced two or more ACEs. The findings suggest that in North America, the costs of the effects of ACEs on health outcomes are $748 billion, or 3.55% of the nation’s gross domestic product. Moreover, reducing the prevalence of adverse childhood experiences by 10% could equate to a savings of $56 billion annually. A reduction in ACEs is possible with the many intervention and prevention programs offered across the nation. Re-allocating spending to creating safe, healthy and healing communities could benefit the nation economically, and would reduce pressures that our healthcare systems are currently facing.

Bellis, M.A., Hughes, K., Ford, K., Ramos Rodriguez, G., Sethi, Dinesh., & Passmore, J. (2019). Life course health consequences and associated annual costs of adverse childhood experiences across Europe and North America: a systematic review and meta-analysis. Lancet Public Health, 4. https://doi.org/10.1016/S2468-2667(19)30245-8


Break Line (this text will not be visible when viewing the page)A meta-analysis published in Lancet Public Health reveals that in North America, 23.4% of individuals have experienced one adverse childhood experience (ACE) and 35.0% of individuals have experienced two or more ACEs. The findings suggest that in North America, the costs of the effects of ACEs on health outcomes are $748 billion, or 3.55% of the nation’s gross domestic product. Moreover, reducing the prevalence of adverse childhood experiences by 10% could equate to a savings of $56 billion annually. A reduction in ACEs is possible with the many intervention and prevention programs offered across the nation. Re-allocating spending to creating safe, healthy and healing communities could benefit the nation economically, and would reduce pressures that our healthcare systems are currently facing.

Video: Trailer of the Film “Resilience”

Watch this short video that introduces the basics of trauma, how it impacts people and the benefits of adopting a trauma-informed approach.

Interest-Specific Resources for Learning More

Healthcare

Healthcare settings have been identified as pivotal systems to address adverse childhood experiences.

Education

Trauma-informed approaches in education help create safe, trusting, and healing environments.

Corrections and Public Safety

The Prison Policy Initiative asserts that incarceration in the United States costs federal and state governments and impacted families is $182 billion each year.

Veterans Affairs

In 2017, a study of United States veterans found that 12.9% of veterans had been diagnosed with Post Traumatic Stress Disorder (PTSD), compared to 6.8% of their non-veteran counterparts.

Workforce Development

It is crucial that workforce development programs and workforce pathways understand the impact that trauma may have on those they serve.

Number Story

ACEs are Adverse Childhood Experiences. Our ACE history counts experiences of abuse, neglect and household challenges that happened to us as children.

Additional Resources to Continue Your Learning

Articles 

Mapping Trauma-Informed Legislation

Delaware’s Trauma Blueprint

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Books

The Body Keeps the Score by Bessel van der Kolk

What Happened to You?: Conversations on Trauma, Resilience, and Healing by Oprah Winfery and Bruce D. Perry

Childhood Disrupted: How Your Biography Becomes Your Biology, and How You Can Heal by Donna Jackson Nakazawa

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Podcasts

The Role of Resilience in the Face of Covid

Brene with Oprah Winfrey and Dr. Bruce D. Perry on Trauma, Resilience and Healing

Videos

The Film “Resilience”

The Film “Caregivers”

Self Care

Self Care Toolkit: Aboritional Health & Medical Research Council of NSW

Infographic: 7 Pillars of Self-Care