2023 HOPE Summit

2023年希望峰会

• 批准号: 10608745
• 负责人: ROBERT D SEGE
• 金额: $ 1万
• 依托单位: TUFTS MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-01-01 至 2023-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10608745
• 关键词: Acceleration; Address; Adoption; Adult; Affect; American Public Health Association; Australia; Award; Awareness; Behavioral Risk Factor Surveillance System; Biological; Caring; Child; Child Development; Childhood; Clinical; Collaborations; Communities; Contracts; Data; Decision Making; Development; Diffusion of Innovation; Dose; Educational workshop; Emotional; Environment; Equity; Evaluation; Event; Family; Fostering; Generations; Goals; Health; Individual; Intake; Intervention; Knowledge; Label; Learning; Link; Longitudinal Studies; Measures; Mental Depression; Mental Health; Modeling; National Institute of Child Health and Human Development; Nature; Organizational Change; Outcome; Parents; Participant; Phase; Play; Process Assessment; Provider; Published Comment; Publishing; Reporting; Research; Resources; Review Literature; Risk; Role; Stress; Surveys; Training; Translational Research; Trauma; Update; Wisconsin; Work; Youth; adverse childhood events; anti-racism; dissemination strategy; experience; implementation framework; improved; innovation; novel; novel strategies; physical conditioning; poor health outcome; prevent; promote resilience; resilience; skills; social; symposium; systematic review; tool; web site

Experiences, both positive and negative, affect adult health outcomes. The HOPE framework offers a novel approach to trauma-informed care (TIC), based on including consideration of positive childhood experiences (PCEs) in all phases of care. Our annual summit accelerates awareness of this new framework, and forms a key part of the HOPE National Resource Center’s strategy for dissemination. Although adverse childhood experiences (ACEs) are associated with poor adult mental and physical health, PCEs also affect long-term health. In a 2019 study, validated survey items concerning specific PCEs were added to the Wisconsin Behavioral Risk Factor Surveillance System (BRFSS) survey. There was an inverse dose-dependent 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. The HOPE framework 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. Implementation of this framework in practice builds on the existing TIC skills by adding consideration of specific PCEs that promote optimal development and resilience. 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 anti-racist approaches into practice improvement. This framework provides a balanced approach to assessment, workflow, and interventions that may help prevent ACEs, break the link between ACEs and adult health, and improve health outcomes. The HOPE National Resource Center supports national adoption of the HOPE framework in clinical and community-based settings through training, technical assistance, translational research, and evaluation. Our annual summit strategies power the diffusion of innovation model. “Spreading HOPE,” our 2021 national summit, focused on increasing awareness and understanding of the HOPE framework, supporting a broader community of innovators. Our second summit, supported by an R13 award from NICHD, focused on Growing HOPE, and spotlighted the interplay between family and community resilience, featuring a keynote address on “Building Resilient Communities” by Dr. Wendy Ellis. We also moved to a novel week of HOPE format, and developed multiple tools to foster engagement among summit participants. The 2023 Summit, “Practicing HOPE,” will focus on early adopters of HOPE-informed care. The week-long event will bring out new information, highlight new implementation resources, and showcase innovative practices.

积极和消极的经历都会影响成年人的健康结果。HOPE框架提供了一种新颖的 创伤知情护理（TIC）方法，基于对积极童年经历的考虑 （PCE）在护理的各个阶段。我们的年度峰会加速了对这一新框架的认识，并形成了一个 希望国家资源中心传播战略的关键部分。尽管童年时期不顺利 经验（ACE）与成人精神和身体健康状况不佳有关，PCE也影响长期 健康在2019年的一项研究中，威斯康星州增加了关于特定PCE的验证调查项目。 行为风险因素监测系统（BRFSS）调查。有一个反剂量依赖性 报告的PCE数量与成人抑郁症或精神健康状况不佳的可能性之间的关联 无论个人重新叙述的ACE数量如何，这表明PCE可以预防和减轻 ACE的影响。HOPE框架以四个组成部分为中心：与成年人的关系， 其他儿童;安全、稳定和公平的生活、学习和游戏环境;社会/公民参与;以及 社会/情感发展的机会。在实践中实施这一框架的基础是 通过增加对促进最佳发展和复原力的具体PCE的考虑，提高现有TIC技能。 HOPE提倡一种基于关系的方法，这种方法改变了提供者和父母之间的互动， 专注于家族的资产和优势，并维护家族的代理权和专业知识， 机构的目标和家庭的优先事项基于HOPE的评估和干预抵制自上而下的 给家庭贴上破裂的标签，突出了某些问题的系统性， 决策，将反种族主义方法付诸实践改进。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， ACE和成人健康之间的关系，并改善健康结果。HOPE国家资源中心支持 通过培训、技术培训和培训，使全国在临床和社区环境中采用HOPE框架， 援助，翻译研究和评估。我们的年度峰会战略推动了 创新模式“传播希望”，我们的2021年全国峰会，重点是提高认识， 理解HOPE框架，支持更广泛的创新者社区。我们的第二次峰会， 由NICHD的R13奖支持，专注于增长的希望，并突出了 家庭及社区的复原力，并由梁博士以“建立具复原力的社区”为题发表主题演讲。 温迪·埃利斯我们还采用了一种新颖的“希望周”形式，并开发了多种工具来促进 首脑会议与会者的参与。2023年峰会“实践希望”将重点关注早期采用者， 希望知情的护理。为期一周的活动将带来新的信息，突出新的实施 资源，展示创新实践。