HOPE Summit

希望峰会

• 批准号: 10247207
• 负责人: ROBERT D SEGE
• 金额: $ 4.8万
• 依托单位: TUFTS MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-04 至 2022-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10247207
• 关键词: Address; Adoption; Adult; Affect; Behavioral Risk Factor Surveillance System; Biological; Caring; Child; Child Development; Childhood; Clinical; Communities; Decision Making; Development; Dose; Emotional; Environment; Evaluation; Family; Feeling; Friends; Goals; Health; Home; Individual; Intervention; Knowledge; Label; Lead; Learning; Link; Measures; Mental Depression; Mental Health; Nature; Organizational Objectives; Organizational Policy; Outcome; Parents; Participant; Phase; Play; Policies; Policy Maker; Provider; Published Comment; Publishing; Reporting; Research; Resources; Respondent; Risk; Role; Schools; Stress; Structural Racism; Surveys; Time; Training; Translational Research; Trauma; Wisconsin; Youth; adverse childhood events; anti-racism; base; cohort; experience; high school; implicit bias; improved; interest; negative affect; novel strategies; physical conditioning; prevent; resilience; response; routine screening; screening; service providers; social; social exclusion; success; symposium; tool

Experiences, both positive and negative, affect adult health outcomes. As our Healthy Outcomes from Positive Experiences (HOPE) framework has shown, considering research evidence on the role of positive experiences in child development allows for the development of a family-centered, strength-based, and anti-racist approach to working with families. Adverse childhood experiences (ACEs) are linked to poor adult mental and physical health outcomes. ACEs have been implicated in the development of toxic stress, which presents a biologic explanation for the worse health outcomes seen in adults who report having ACEs. Positive childhood experiences (PCEs) also affect long-term adult health. In a recent study, seven questions concerning specific PCEs were added to the Wisconsin Behavioral Risk Factor Surveillance System (BRFSS) survey. There was a dose-response association between the number of PCEs reported and likelihood of adult depression or poor mental health, regardless of the number of ACEs an individual recounted, demonstrating that PCEs can prevent and mitigate the effects of ACES and toxic stress. The HOPE framework offers a novel approach to trauma-informed care (TIC), based on including PCEs in all phases of care. HOPE is centered on four building blocks: relationships with adults and other children; safe, stable and equitable environments to live, learn and play; social/civic engagement; and opportunities for social/emotional development. The HOPE framework builds on the existing risk-based based paradigm of screening, assessment, and referral by adding consideration of specific PCEs that promote optimal development and resilience. In practice, HOPE promotes a relationship-based approach which transforms interactions between providers and parents, focuses on a family's assets and strengths, and upholds family agency and expertise, leading to an alignment of the agency's goals and family's priorities. Assessments and interventions based on HOPE resist a top-down labeling of families as broken, highlight the systemic nature of certain problems, and value shared power in decision-making, bringing an inherently anti-racist viewpoint into practice. This framework provides a balanced approach to assessment, workflow, and interventions that may help prevent ACEs, break the link between ACEs and toxic stress, and improve health outcomes. The HOPE National Resource Center supports national adoption of the HOPE framework in clinical and community-based settings through a training, technical assistance, translational research, and evaluation. This proposed summit will support the growing momentum for a shift in perspective from one that solely emphasizes risks and problems, to one that actively seeks out strengths, celebrates successes, creates opportunities for positive experiences, and addresses issues of equity and marginalization that arise from exclusively top-down, risk-based approaches to care, which blame individuals for systemic oppressions. The goal of the First Annual HOPE Summit: Seizing the Moment – Moving HOPE from Idea to Transformation, is to catalyze the transformation of the current care paradigm.

正面和负面的经验都会影响成人健康结果。作为积极的健康结果 经验（希望）框架已经表明，考虑了有关积极经验作用的研究证据 在儿童发展中，可以发展以家庭为中心，基于力量和反种族主义的方法 与家人合作。不良的童年经历（ACE）与成人精神和身体不佳有关 健康结果。在毒性胁迫的发展中暗示了ACE，这表明了生物学 在报告有王牌的成年人中看到的健康状况较差的解释。积极的童年 经验（PCE）也会影响长期的成人健康。在最近的一项研究中，有关特定的七个问题 将PCE添加到威斯康星州的行为风险因素监视系统（BRFSS）调查中。有 报告的PCE数量与成人抑郁症或差的可能性之间的剂量反应关联 心理健康，无论个人记录的ACE数量如何，证明PCE都可以 预防和减轻ACE和有毒应激的影响。希望框架提供了一种新颖的方法 创伤信息护理（TIC），基于所有护理阶段的PCE。希望以四个建筑物为中心 块：与成年人和其他孩子的关系；安全，稳定和公平的生活，学习和学习 玩;社交/公民参与；和社会/情感发展的机会。希望框架 建立在现有的基于风险的基于基于风险的筛查，评估和推荐范式的基础上 考虑促进最佳发展和弹性的特定PCE。实际上，希望促进 一种基于关系的方法改变了提供者和父母之间的互动，重点是 家庭的资产和优势，并坚持家庭代理和专业知识，导致一致 代理商的目标和家庭的优先事项。基于希望的评估和干预措施抵制自上而下 将家庭标记为破碎，突出某些问题的系统性，并重视共享权力 决策，将固有的反种族主义观点付诸实践。这个框架提供了平衡 评估，工作流程和干预措施的方法可能有助于防止ACE，打破之间的联系 ACE和有毒压力，并改善健康结果。希望国家资源中心支持国家 通过培训，技术，在临床和社区设置中采用希望框架 协助，翻译研究和评估。拟议的峰会将支持增长的势头 为了将视角从仅强调风险和问题的观点转变为积极寻找风险和问题的观点 优势，名人的成功，为积极经验创造机会，并解决 公平和边缘化是由自上而下的基于风险的护理方法引起的，这种方法模糊不清 个人意见。第一次年度希望峰会的目标：抓住时刻 - 从想法到转变的希望是催化当前护理范式的转变。