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1 Building Strong Brains Tennessee Richard Kennedy, Associate Director Tennessee Commission on Children and Youth

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Building Strong BrainsTennessee

Richard Kennedy, Associate DirectorTennessee Commission on Children and Youth

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Building Strong Brains: Why Now?

Investments in childhood can produce long-term improvements in the cognitive and social development of children. This investment is important to building healthy, strong future generations and citizens.

Building Strong Brains’ goal is to make sure all Tennessee children have what they need to thrive.

The future prosperity of Tennessee depends on building strong brain architecture in early years has crystalized—in a way and at a time—that makes it imperative to act.

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Building Strong Brains Mission

Building Strong Brains Tennesseeworks to change the culture of Tennessee

so the state’s overarchingphilosophy, policies, programs and practices for

children, youth and young adultsutilize the latest brain science to

prevent and mitigate the impact ofadverse childhood experiences.

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BSB Intentions: Transform the “4 Ps”

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Building Strong Brains Tennessee Goals

1 Increase the potential that every child born in Tennessee has theopportunity to lead a healthy, productive life.

2 Raise public knowledge about ACEs.3 Impact public policy in Tennessee to support prevention of ACEs

and to reduce community conditions that contribute to them.4 Support innovative local and state projects that offer fresh thinking

and precise measurement of impact in addressing ACEs and toxic stress in children.

5 Seek sustainable funding to ensure the state maintains a long-term commitment to reduce the impact of adverse childhood experiences.

6 Embrace open, responsive governance through the Three Branches Institute (3BI) and statewide planning groups.

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ACEs Summit: A Call to Action

November 2015 by invitation of Governor Bill and First Lady Crissy Haslam and Deputy Governor Jim Henryand Pat Henry

Attended by Leaders of Government, Communities, Philanthropy, Academia, Faith Organizations & Providers

Structured around the “Two Sciences”: Brain Science and Communication Science

Presentation of the “Brain Architecture Game”

Concluded with Tennessee ACEs panel and Call To Action.

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Result: Front Page News!!

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3BI Current Primary Agenda

Follow through/oversight for the ACEs Initiative

Accountable to the public for stewardship of $1.25M appropriation for FY17 and FY18 FY17: 13 Community-based Innovations FY18: Continuation of 8 FY17 Innovations

Award of 8 new Innovations T4T for over 500 people statewide

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The Inception of Building Strong Brains—Three Key Factors

Consensus that ACEs prevention and mitigation must be community-based and community-developed

Proposal from FrameWorks Institute for Knowledge Mobilization

Deputy Governor’s directive for all child-serving agencies to identify two leaders each with the authority to help guide the project. This became the Public Sector Steering Group.

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Infrastructure Already in Place

Tennessee Commission on Children and Youth

Department of Health focus on ACEs

The Children’s Cabinet co-chaired by the Governor and First Lady

Increasingly Trauma-informed Service Systems

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Building Strong BrainsPublic Private Partnerships

• Public Sector Steering Group

Balanced by

• Private Sector Steering Group

Supported by

• Foundations and In-kind ResourcesTennessee State Government

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The Knowledge Mobilization Path

TCCY and Training For Trainers Trained all staff and Commission members Two-day intensive training provided by TCCY staff to over 535

people statewide Prepared participants to speak knowledgably about early

child development and ACEs at length if given the opportunity or for as little as a few minutes

Even with low reporting, Training for Trainers trainees have reported training more than 9,000 individuals through October 2017

Leading ACEs public awareness efforts

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The Knowledge Mobilization Path Building Strong Brains—Department of Health

Continued assessment of ACEs in Tennessee through BRFSS Recognized ACEs as a primary factor in public health

outcomes underlying other major health concerns Requiring all staff statewide to be trained Committed substantial federal funding to moving Building

Strong Brains forward – printing, planning, staffing

Building Strong Brains—Department of Education Conditions for Learning Forums, September 2016 and 2017 Developed three-day Training for Trainers for education

personnel Strategies for Educators Training for over 5000 educators

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The Knowledge Mobilization Path Building Strong Brains—TennCare

Training TennCare staff about ACEs MCOs integrating ACEs awareness/impact into MCO culture MCOs provided ACEs training for all care teams and patient

engagement staff focusing especially on clinical staff, case managers, and pediatric support teams

MCOs providing reimbursement for ACEs-related services

Building Strong Brains—Dept. of Human Services Implementing two-generation strategies to prevent and

mitigate ACEs Training DHS case managers Revised child care licensing standards to include requirement

for ACEs training for all child care staff

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The Knowledge Mobilization Path

Building Strong Brains—Office of Criminal Justice Programs Funding for ACEs Public Awareness Campaign Grant Announcement: Serving Youth and Young Adults with

Trauma

Building Strong Brains—Dept. of Children’s Services Coordinating overall Building Strong Brains Tennessee Administering ACEs Innovation Grants ($1.25 M each in FY

2017 and 2018) Coordinates Three Branches Institute ACEs oversight Providing ACEs training for all new staff, planning to train all

staff

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Community InnovationsFunds support Innovations in these sectors

Medical Baptist Memorial Health Care ETSU Department of Pediatrics Frontier Health VU Medical Center Pediatrics

Education Gibson County Special School District Metro Nashville Public Schools Murfreesboro City Schools

Justice/Courts Davidson County Infant Court

Early Childhood/Childcare UT Extension Services

Community ACE Nashville ETSU/Boys and Girls Clubs Grundy County Discover Together UT Health Sciences Center United Way of Greater

Chattanooga WCTE Upper Cumberland

Academia Belmont University MTSU College of Education TSU Center of Excellence in

Learning Science

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The Knowledge Mobilization Path Building Strong Brains—Department of Correction

Exploring implementation of ACEs survey for inmates in certain treatment programs to use in the evaluation of effectiveness/recidivism

Building Strong Brains—TDMHSAS Presentation(s) regarding ACEs to Policy and Planning Council BSB presentation for a group of central office staff by TCCY Exploring use of BSB training for training of Peer Recovery

Specialists within TDOC Asking about BSB ACEs in contract monitoring in FY 2018 Will include BSB ACEs requirements in scope of services in

contracts in FY 2019

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What Comes Next?

UT College of Social Work Office of Research and Public Service [SWORPS] has evaluated entire Initiative, funded by ACEAF in recognition of Deputy Governor Jim Henry’s leadership as a champion of Tennessee’s ACEs work

Strategies will be implemented to: Engage affinity groups that are often difficult to reach; Increase and embed resources in the budget for ACEs

activities; Sustain the Initiative as the usual conduct of business; Change the culture in Tennessee.

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OTHER STRATEGIES TO WHICH BSB RELATES

2G for Tennessee! Creating Cycles of Success: A2 Generation Approach for Children and Families

Healthier Tennessee: The Governor’s Foundation’ for Health & Wellness Initiative

Tennessee Young Child Wellness Council

kidcentral tn: A Dynamic Website for Parents

Single Team/Single Plan

Project 95

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Conclusion

The Initiative has the benefit of many assets– The Governor, First Lady and Deputy Governor

as Champions– 3BI as conduit for agenda– Motivated, visible Community Leadership– Active, organized Project Management infrastructure– Relationship with FrameWorks Institute– Good publicity and public relations

There is a long way to go—It is not a sprint.It is a marathon.

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Conclusion

With this Initiative, there is Confidence in Ability to Change the Culture

fromWhat is wrong with you?

toWhat happened to you?

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Thank you!

Building Strong Brains TennesseeMary Rolando, Health Advocacy Director

Tennessee Department of Children’s [email protected]

Linda O’Neal, Executive DirectorTennessee Commission on Children and Youth

[email protected]

Richard Kennedy, Associate DirectorTennessee Commission on Children and Youth

[email protected]

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A Look Back at 30 Years of Children’s Advocacy Days

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1st Children’s Advocacy Days 1989

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A Look Forward….