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.

积极和消极的经历都会影响成人的健康结果。正如我们的健康成果来自积极的 经验（HOPE）框架显示，考虑到积极经验作用的研究证据 儿童发展允许发展以家庭为中心、基于力量和反种族主义的方法 与家人一起工作。不良童年经历（ACE）与成年后心理和身体状况不佳有关 健康结果。 ACE 与毒性应激的发展有关，这提供了一种生物 对自称患有 ACE 的成年人健康状况较差的解释。积极的童年 经历（PCE）也会影响成人的长期健康。在最近的一项研究中，涉及具体的七个问题 PCE 已添加到威斯康星州行为风险因素监测系统 (BRFSS) 调查中。有 报告的 PCE 数量与成人抑郁症或贫困的可能性之间存在剂量反应关系 心理健康，无论一个人叙述了多少 ACE，这表明 PCE 可以 预防和减轻 ACES 和毒性应激的影响。 HOPE 框架提供了一种新颖的方法 创伤知情护理 (TIC)，基于将 PCE 纳入护理的所有阶段。 HOPE以四栋建筑为中心 障碍：与成人和其他儿童的关系；安全、稳定、公平的生活、学习和生活环境 玩;社会/公民参与；以及社交/情感发展的机会。希望框架 建立在现有的基于风险的筛选、评估和转诊范式的基础上，添加了 考虑促进最佳发展和复原力的具体 PCE。在实践中，HOPE 提倡 基于关系的方法改变了提供者和家长之间的互动，重点关注 家族的资产和优势，并维护家族机构和专业知识，从而实现家族的协调一致 机构的目标和家庭的优先事项。基于 HOPE 的评估和干预措施抵制自上而下的做法 给家庭贴上破碎的标签，强调某些问题的系统性，并重视在家庭问题上的共同权力 决策，将固有的反种族主义观点付诸实践。该框架提供了一个平衡的 评估方法、工作流程和干预措施可能有助于预防 ACE、打破之间的联系 ACE 和毒性应激，并改善健康结果。 HOPE 国家资源中心支持国家 通过培训、技术在临床和社区环境中采用 HOPE 框架 协助、转化研究和评估。此次拟议的峰会将支持不断增长的势头 从仅仅强调风险和问题的角度转变为积极寻找问题的角度 优势，庆祝成功，创造积极经历的机会，并解决以下问题 完全自上而下、基于风险的护理方法所产生的公平和边缘化，这归咎于 个人遭受系统性压迫。首届年度 HOPE 峰会的目标：抓住时机 – 将 HOPE 从理念转向转型，是为了促进当前护理范式的转变。