HOPE Summit

积极和消极的经历都会影响成年人的健康结果。当我们的健康结果从积极的 经验（希望）框架显示，考虑到积极经验的作用的研究证据， 在儿童发展允许发展一个以家庭为中心，力量为基础，和反种族主义的方法 to work with families家庭.不良的童年经历（ACE）与成年后的精神和身体状况有关。 健康成果。ACE与毒性应激的发展有关，这是一种生物学上的应激反应。 这是对报告患有ACE的成年人中出现的更差健康结果的解释。积极的童年 经验（PCE）也影响长期成人健康。在最近的一项研究中，七个问题涉及具体的 PCE被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的剂量反应相关性 心理健康，无论个人叙述的ACE数量如何，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），基于在护理的所有阶段包括PCE。HOPE以四栋建筑为中心 街区：与成人和其他儿童的关系;安全、稳定和公平的生活、学习和 游戏;社会/公民参与;以及社会/情感发展的机会。HOPE框架 在现有的基于风险的筛查、评估和转诊模式的基础上， 考虑促进最佳发展和复原力的具体PCE。在实践中，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，并坚持家庭机构和专业知识，导致调整的 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 有助于预防ACE的评估方法、工作流程和干预措施， ACE和毒性压力，并改善健康结果。希望国家资源中心支持国家 通过培训、技术培训和培训，在临床和社区环境中采用希望框架， 援助，翻译研究和评估。这次拟议的峰会将支持日益增长的势头， 从单纯强调风险和问题的视角转变为积极寻求 优势，庆祝成功，创造积极体验的机会，并解决 公平和边缘化，产生于完全自上而下，基于风险的护理方法， 个体进行系统性操作。第一届年度希望峰会的目标：抓住时机- 将希望从理念转移到转变，是为了催化当前护理模式的转变。

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.