2023 HOPE Summit

经历，无论是积极的还是消极的，都会影响成年人的健康结果。希望框架提供了一种新颖的 创伤知情护理(TIC)的方法，基于对积极童年经历的考虑 (PCES)在护理的所有阶段。我们的年度峰会加速了对这一新框架的认识，并形成了 希望国家资源中心传播战略的关键部分。尽管不良的童年生活 经历(ACE)与成人心理和身体健康不良有关，PCE也会影响长期 健康。在2019年的一项研究中，威斯康星州增加了关于特定PCE的经验证的调查项目 行为危险因素监测系统(BRFSS)调查。存在反向的剂量依赖关系。 报告的PCE数量与成人抑郁或精神健康不良的可能性之间的关系 无论个人叙述了多少A，证明PCE可以预防和缓解 王牌的效果。希望框架以四个组成部分为中心：与成年人的关系和 其他儿童；安全、稳定和公平的生活、学习和玩耍环境；社会/公民参与；以及 社交/情感发展的机会。该框架在实践中的实现建立在 通过增加对促进最佳发展和复原力的具体PCE的考虑，提高现有的TIC技能。 希望推动一种基于关系的方法，改变提供者和父母之间的互动， 专注于家族的资产和优势，并支持家族代理和专业知识，导致 该机构的目标和家庭的优先事项。基于希望的评估和干预抵制自上而下的 给家庭贴上破碎的标签，强调某些问题的系统性，并重视分享权力 决策，将反种族主义的做法付诸实践，加以改进。该框架提供了一种 平衡的评估、工作流程和干预方法，可能有助于防止ACE、中断链接 ACES和成人健康之间的关系，并改善健康结果。希望国家资源中心支持 通过培训、技术和培训，在临床和社区环境中全国采用希望框架 协助、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年国家峰会，重点是提高认识和 理解希望框架，支持更广泛的创新者社区。我们的第二次峰会， 由NICHD颁发的R13奖项支持，专注于不断增长的希望，并突出了 家庭和社区复原力，主旨演讲“建设复原力社区”。 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度。2023年的峰会“践行希望”将聚焦于早期采用者。 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，并展示创新实践。

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.