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SOCIAL EMOTIONAL<br />

LEARNING AND TRAUMA<br />

RESPONSE IN SCHOOLS: AN<br />

INTRODUCTION TO THE ARC<br />

MODEL TRAINING<br />

Christopher Blodgett, Ph.D.<br />

Area Health Education Center<br />

Washington State University


Plan for the discussion<br />

<strong>Social</strong> <strong>Emotional</strong> <strong>Learning</strong> in educational practice<br />

Dealing with complex trauma as the missing piece in<br />

successful social emotional learning<br />

Why knowing a little about brain development <strong>and</strong><br />

stress matters<br />

Education as the business of brain development<br />

Introduction to complex trauma<br />

Local research evidence<br />

Risk <strong>and</strong> exposure is not destiny- many reasons for hope<br />

The ARC Model as a common framework for a<br />

continuum of response


You can’t teach if they can’t learn.<br />

“In college I was taught how to teach.<br />

I wasn’t taught how children learn.”<br />

An elementary school teacher introduced to trauma <strong>and</strong> its effects<br />

on students.<br />

Copyright 2010 <strong>WSU</strong> Area Health Education Center


Why P-12 education has a fundamental<br />

stake in addressing trauma<br />

4<br />

<br />

<br />

<br />

<br />

<br />

Schools have to educate all students<br />

An estimated 20 percent of children suffer from a<br />

psychological disorder<br />

Included in this 20%, 7-10% of the general population of<br />

children suffer from Serious <strong>Emotional</strong> Disturbance conditions<br />

Annually only 10-20 percent of SED children receive<br />

specialized mental health services<br />

The service access disparity for younger children is particularly acute.<br />

“Only 1 to 2 percent of preschoolers used any services; the average rates<br />

increased in older children—6 to 8 percent of children ages 6 to 11, <strong>and</strong> 8 to 9<br />

percent of adolescents ages 12 to 17.” (National Workgroup, 2001; p 34).<br />

Schools are the principal provider of mental health services to<br />

children in the United States<br />

Copyright <strong>WSU</strong> AHEC 2010


Why this is relevant to you as<br />

5<br />

educational leaders<br />

Children’s behavior <strong>and</strong> emotional adjustment<br />

facilitates or hinders their own academic success.<br />

What children bring to school not only challenges<br />

their own learning but also create burden for<br />

schools as systems because their behaviors affect<br />

other students <strong>and</strong> teachers.<br />

How classroom teachers succeed with traumatized<br />

children’s needs is foundational to the success of all<br />

children in the class


5 proposals for consideration<br />

1. Relationship is the evidence-based<br />

practice.<br />

2. How we feel defines how we learn.<br />

3. <strong>Social</strong> emotional learning is an essential<br />

condition for academic success.<br />

4. <strong>Trauma</strong> is what places learning at risk.<br />

5. <strong>Trauma</strong> is an existential threat to schools.<br />

Copyright <strong>WSU</strong> AHEC, 2010


7<br />

Still Face Experiment <strong>and</strong> Relationship<br />

as the Foundation for Development<br />

http://www.youtube.com/watch?v=apzXGEbZht0


9<br />

Complex trauma as new framework for<br />

underst<strong>and</strong>ing a continuum of risk<br />

Both the process of exposure <strong>and</strong> the process of adjustment to<br />

terrible stress<br />

As a common defining concern, complex trauma originates in the<br />

child’s family<br />

But, community violence, racism, <strong>and</strong> the profound stressors of<br />

poverty also contribute to the complexity of trauma<br />

Often occurs early in the child’s life<br />

Occurs at most rapid period of development<br />

Occurs when thought <strong>and</strong> action by the child aren’t options<br />

<strong>Trauma</strong> effects the basic biology of responding to stress<br />

The experience of traumatic events often involves chronic exposure<br />

to trauma<br />

Exposure to multiple trauma types is common.<br />

Exposure to one trauma type is a marker for risk of exposure to<br />

others<br />

<br />

<br />

<br />

<br />

Copyright <strong>WSU</strong> AHEC 2010


10<br />

Complex <strong>Trauma</strong> is<br />

Intimate <strong>Trauma</strong><br />

<br />

<br />

<br />

Involves a range of acts resulting in physical trauma,<br />

psychological trauma, <strong>and</strong> the disruption of basic conditions<br />

of health <strong>and</strong> wellbeing.<br />

Persists over time.<br />

◦ While intimate trauma exposure may be limited to a single or shortterm<br />

set of events, this is the exception.<br />

<strong>Trauma</strong> exposure is typically persistent but episodic.<br />

◦ The victim endures high levels of unpredictability <strong>and</strong> recurrent<br />

exposure to risk.<br />

◦ Disruption of the quality <strong>and</strong> consistency of the intimate environment<br />

which supports development<br />

<strong>WSU</strong> Area Health Education Center Copyright 2008


Principal trauma behavior domains<br />

11<br />

Attachment<br />

<strong>Social</strong> emotional development<br />

Self-concept<br />

<strong>Emotional</strong> regulation<br />

Impulse control <strong>and</strong> aggression<br />

Cognition <strong>and</strong> language<br />

<strong>WSU</strong> Area Health Education Center Copyright 2008


<strong>Social</strong> emotional development<br />

12<br />

Developmental dimensions to social emotional<br />

mastery<br />

Awareness <strong>and</strong> use of emotions in relationships<br />

Unfolding of social communication<br />

Valuing of intimate connections<br />

Progressive autonomy <strong>and</strong> initiative without sacrificing connection<br />

Capacity to negotiate relationships with empathy, compassion, <strong>and</strong><br />

respect<br />

Sense of self-efficacy<br />

<strong>Trauma</strong> impacts<br />

Developmentally immature behavior<br />

Failure to master key domains effectively<br />

<strong>WSU</strong> Area Health Education Center Copyright 2008


Self concept <strong>and</strong> trauma<br />

13<br />

Feel incapable of having a positive impact on the<br />

outside world<br />

Hopelessness<br />

Difficulty in initiating play or having safety with<br />

imagination <strong>and</strong> exploration<br />

Low self-esteem--diminished sense of self worth<br />

Disturbances of body image<br />

Shame <strong>and</strong> guilt; self blame<br />

Unsure of own needs <strong>and</strong> often lack capacity to get<br />

needs met<br />

<strong>WSU</strong> Area Health Education Center Copyright 2008


14<br />

<strong>Emotional</strong> regulation<br />

Emotions organize thought <strong>and</strong> prepare our bodies<br />

for action<br />

Relationship is first built in reading <strong>and</strong> interpreting<br />

emotions<br />

Well-being involves accurately reading our internal<br />

emotional state <strong>and</strong> accurately perceiving the<br />

emotions of others<br />

Mastery involves impulse control in service of<br />

planning<br />

Empathy critical to planning <strong>and</strong> creation of range<br />

of responses<br />

<strong>WSU</strong> Area Health Education Center Copyright 2008


<strong>Emotional</strong> regulation <strong>and</strong> trauma<br />

15<br />

<strong>Trauma</strong> impairs emotional learning.<br />

<strong>Trauma</strong> constricts the range of feelings <strong>and</strong><br />

behaviors options we have in managing<br />

ourselves <strong>and</strong> our relationships with others.<br />

Survival trumps exploration <strong>and</strong> growth<br />

Dysregulation<br />

Dissociation, numbing, <strong>and</strong> withdrawal<br />

<strong>WSU</strong> Area Health Education Center Copyright 2008


Cognitive Development<br />

16<br />

Progressive development through young adulthood<br />

from concrete to abstract thought<br />

◦ Executive function- ability to plan, anticipate, value, <strong>and</strong> be<br />

goal-directed in behavior<br />

Progressive ability to use imagination in planning<br />

Progressive ability to use language to create<br />

meaning (expressive <strong>and</strong> receptive language)<br />

Progressive integration of a moral sense into<br />

reasoning <strong>and</strong> choice<br />

Progressive capacity to sustain attention in organizing<br />

behavior<br />

<strong>WSU</strong> Area Health Education Center Copyright 2008


How Complex <strong>Trauma</strong> Can/May Disrupt<br />

Cognition:<br />

<br />

<br />

<br />

<br />

<br />

Difficulty in their ability to<br />

learn <strong>and</strong> process verbal<br />

information<br />

Harder to use language as<br />

a vehicle for communication<br />

Difficulty in organizing <strong>and</strong><br />

remembering new<br />

information<br />

Difficulty underst<strong>and</strong>ing<br />

cause <strong>and</strong> effect<br />

Tend to have poor problem<br />

solving skills<br />

<br />

<br />

<br />

<br />

Difficulty focusing on<br />

tasks at h<strong>and</strong><br />

Difficulty planning <strong>and</strong><br />

anticipating<br />

Problems with orientation<br />

in time <strong>and</strong> space<br />

Difficulty focusing on <strong>and</strong><br />

completing tasks<br />

17<br />

<strong>WSU</strong> Area Health Education Center Copyright 2008


How trauma may change how students<br />

succeed in classrooms<br />

<strong>Trauma</strong> leads children to appraise many situations as<br />

threats<br />

Limited age-appropriate negotiation skills<br />

Relate through their biological reactions<br />

Not as open to realistic appraisal of the situation <strong>and</strong> to new<br />

learning<br />

Their interpretations do not fit our expectations <strong>and</strong> our lack<br />

of underst<strong>and</strong>ing results in us misperceiving the purpose <strong>and</strong><br />

meaning of the child’s behavior<br />

They act inappropriately <strong>and</strong> violate our own sense of<br />

comfort, safety, <strong>and</strong> expectations<br />

• Triggers for rejection, isolation, re-traumatizing actions<br />

• You can’t teach or care effectively when you are angry<br />

Copyright 2010 <strong>WSU</strong> Area Health Education Center


Copyright 2010 <strong>WSU</strong> Area Health Education Center


Adult research on trauma impact<br />

20<br />

The Adverse Childhood Experiences (ACE) Study<br />

A decade-long, ongoing study conducted collaboratively with the<br />

Centers for Disease Control (CDC) <strong>and</strong> the Kaiser Health Plan.<br />

17,000 members of the Kaiser Permanente Medical Care<br />

Program in San Diego.<br />

Self-report tied to medical records.<br />

Stressful or traumatic childhood experiences are a<br />

common pathway to social, emotional, <strong>and</strong> cognitive<br />

impairments<br />

These trauma experiences are predictive of increased risk<br />

of disease, physical <strong>and</strong> mental disability, social<br />

problems, <strong>and</strong> premature mortality<br />

Copyright <strong>WSU</strong> AHEC 2010


21<br />

ACE predict long term health <strong>and</strong> social<br />

outcomes<br />

<br />

<br />

ACE exposure<br />

With four or more categories<br />

of childhood exposure,<br />

compared to adults with no<br />

ACEs<br />

4 to 12-fold increased<br />

alcoholism, drug abuse,<br />

depression, <strong>and</strong> suicide attempt<br />

2 to 4-fold increase in poor<br />

self-rated health<br />

3 to 4-fold increase in chronic<br />

illness (heart disease, liver<br />

disease)<br />

(ACE<br />

Score)<br />

Women<br />

%<br />

Men<br />

%<br />

Total<br />

%<br />

0 34.5 38 36.1<br />

1 24.5 27.9 26<br />

2 15.5 16.4 15.9<br />

3 10.3 8.6 9.5<br />

4 or<br />

more 15.2 9.2 12.5<br />

Copyright <strong>WSU</strong> AHEC 2010


Relationship is the<br />

evidence-based practice.<br />

‘Placebo’ as a powerful intervention<br />

The real <strong>and</strong> meaningful value-added of specific<br />

curricula <strong>and</strong> interventions as EBPs<br />

The universal benefits of<br />

Positive regard<br />

Genuineness<br />

Warmth<br />

Positive reinforcement<br />

Attachment as foundational to all we do<br />

Copyright <strong>WSU</strong> AHEC, 2010


How we feel defines how we learn.<br />

Neurodevelopment has to guide how we teach <strong>and</strong> how<br />

we support children.<br />

Recalibrating our expectations of children based on<br />

knowledge of neurodevelopment.<br />

<strong>Trauma</strong> can interfere with maturation<br />

Under stress, we respond from more basic areas of the<br />

brain<br />

<strong>Social</strong> emotional development <strong>and</strong> learning is the<br />

smooth integration of feelings <strong>and</strong> thought.<br />

<strong>Trauma</strong> challenges this smooth integration by disrupting<br />

what has been learned <strong>and</strong> compromising new learning.<br />

Copyright <strong>WSU</strong> AHEC, 2010


Key Principles of Brain Function<br />

Principle 1: Brain function is hierarchical. Our first<br />

responses are based in non-conscious, reflexive, <strong>and</strong><br />

conditioned responses.<br />

Principle 2: The brain develops in a sequential fashion.<br />

Principle 3: The brain develops most rapidly early in life.<br />

Principle 4: Brain systems change with use throughout life.<br />

Principle 5: Our brains are designed to benefit from rich<br />

<strong>and</strong> supportive intimate social relationships.<br />

Principle 6: We feel <strong>and</strong> then we think.<br />

Principle 7: Neural systems can be changed, but some<br />

systems are easier to change than others.<br />

Principle 8: Stress can change brain development.<br />

Adapted from Perry (2006)<br />

Copyright 2010 <strong>WSU</strong> Area Health Education Center


25<br />

<strong>Trauma</strong>’s potential pathways of influence<br />

on brain development 1<br />

1. Access to adequate stimulation at key times that<br />

organizes brain structure <strong>and</strong> function<br />

2. Elevated stress hormone levels (particularly adrenaline<br />

<strong>and</strong> cortisol) may impact brain structural development<br />

<br />

<br />

Sustained stress hormones correlated with reductions in brain<br />

development <strong>and</strong> function<br />

Memory, emotional regulation, <strong>and</strong> stress regulation<br />

<br />

Verbal skills, memory, <strong>and</strong> problem solving<br />

<br />

Focus for new learning <strong>and</strong> modification through teaching<br />

Copyright 2010 <strong>WSU</strong> Area Health Education Center


Nervous system development <strong>and</strong><br />

specialization- What stress can interrupt<br />

De Bellis, 2005<br />

Copyright 2010 <strong>WSU</strong> Area Health Education Center


The Threat-Arousal System <strong>Response</strong> Continuum<br />

Adapted from Dr. Bruce Perry<br />

Perceived<br />

Threat<br />

Level<br />

Low<br />

High<br />

Adaptive<br />

<strong>Response</strong><br />

Regulating<br />

Brain<br />

Region<br />

Receptive<br />

Ready to<br />

Learn<br />

Cortex<br />

Vigilance<br />

Cortex/<br />

Limbic<br />

Freeze/<br />

Withdrawal<br />

Limbic/<br />

Midbrain<br />

Midbrain/<br />

Brain<br />

Stem<br />

Flight/<br />

Fight<br />

Brain<br />

Stem<br />

Cognition Abstract Concrete <strong>Emotional</strong> Reactive Reflexive<br />

Physical<br />

State<br />

Calm<br />

Arousal/<br />

Attention<br />

Alarm Fear Terror<br />

Copyright 2010 <strong>WSU</strong> Area Health<br />

Education Center


28<br />

<strong>Trauma</strong>’s potential pathways of influence<br />

on brain development 2<br />

3. Immaturity of the threat-arousal management system<br />

<br />

<br />

<br />

<br />

<br />

<br />

<strong>Trauma</strong> responses primarily regulated by biological<br />

systems beneath language <strong>and</strong> reasoning<br />

What defines threat becomes disordered<br />

• Not having learned to be safe makes most situations unsafe<br />

Brain development follows use- risk of the dominating<br />

use of more primitive responses<br />

Survival trumps new learning<br />

Smooth integration of reasoning, emotional response,<br />

<strong>and</strong> basic biological response to threat compromised<br />

Threat-arousal can be managed in our relationships<br />

Copyright 2010 <strong>WSU</strong> Area Health Education Center


Implications of impaired threat-arousal response<br />

We need to calibrate our relationship <strong>and</strong> goals to<br />

the arousal level of the child<br />

New learning can not occur effectively in high states of<br />

painful arousal<br />

<strong>Response</strong> options available to children reflect their<br />

level of present arousal <strong>and</strong> their range of skills <strong>and</strong><br />

learning<br />

Arousal level can be re-regulated to permit students<br />

to access higher levels of thought <strong>and</strong> new learning<br />

Don’t personalize the trauma response<br />

Copyright 2010 <strong>WSU</strong> Area Health Education Center


How we manage stress is<br />

how we manage learning<br />

<br />

<br />

<br />

<br />

<br />

Brain <strong>and</strong> hormonal systems are a single unified system<br />

Central nervous system appraisal of threat <strong>and</strong> triggering<br />

of threat response<br />

Direct neural <strong>and</strong> hormonal responses to prepare fight/flight<br />

survival responses<br />

Conscious thought is where we may get but it is not where<br />

we start.<br />

Reasoning follows emotion<br />

How well we integrate emotion <strong>and</strong> thought predicts how flexibly<br />

we adjust <strong>and</strong> learn.<br />

If we manage our stress, we manage our potential to learn.<br />

As adults, we often misinterpret threat reactions as<br />

intentional challenges to us. We are usually wrong.<br />

Copyright 2010 <strong>WSU</strong> Area Health Education Center


<strong>Trauma</strong>, Teaching, <strong>and</strong> <strong>Social</strong> <strong>Emotional</strong> <strong>Response</strong><br />

<br />

<br />

Students<br />

Poor skills in managing relationships<br />

May misinterpret behavior because of hyper-vigilance <strong>and</strong><br />

misperception of engagement as threat.<br />

<strong>Trauma</strong>tized children’s impulsive behaviors, poor affective<br />

management (including withdrawal <strong>and</strong> aggression), <strong>and</strong> poor<br />

social skills challenge the teacher’s intention to help <strong>and</strong> support.<br />

Teachers<br />

Teachers’ emotions <strong>and</strong> beliefs define expectations of <strong>and</strong><br />

engagement with students.<br />

Critical to setting the conditions for success.<br />

Teachers engage traumatized children through the lens of their<br />

own trauma histories.<br />

Dealing with trauma can change us.<br />

Copyright 2010 <strong>WSU</strong> Area Health Education Center


Relationship is the evidence-based<br />

practice.<br />

Effective relationships manage stress responses.<br />

‘Placebo’ as a powerful intervention<br />

The real <strong>and</strong> meaningful value-added of specific<br />

curricula <strong>and</strong> interventions as EBPs<br />

The universal benefits of<br />

Positive regard<br />

Genuineness<br />

Warmth<br />

Positive reinforcement<br />

Attachment as foundational to all we do<br />

Copyright <strong>WSU</strong> AHEC, 2010


<strong>Social</strong> emotional learning is an essential condition for<br />

academic success.<br />

Several hundred well-designed studies<br />

Practical, reliable gains with SEL interventions<br />

Reduced behavioral concerns in schools<br />

Improved adjustment in key stress symptoms<br />

Increased school connectedness<br />

Increased academic performance<br />

Tested curricula aligned to routine academic practice<br />

Quality of SEL implementation matters<br />

Teachers have to be the leads.<br />

SAFE- Sequenced, Active, Focused, Explicit skill<br />

development<br />

Copyright <strong>WSU</strong> AHEC, 2010


<strong>Social</strong> emotional learning aligns with effective<br />

classroom management- trauma challenges application<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

Clear <strong>and</strong> effective rules <strong>and</strong> procedures<br />

Effective discipline <strong>and</strong> accountability practices support<br />

learning<br />

Role appropriate high quality teacher-student relationships<br />

Teachers’ ‘Mindfulness’ in assessing, anticipating, <strong>and</strong> acting to<br />

support learning <strong>and</strong> behavior<br />

Instruction <strong>and</strong> management practices that support student<br />

responsibility for learning<br />

Parent engagement <strong>and</strong> inclusion in learning supports<br />

Intentional use of physical <strong>and</strong> social environment to support<br />

learning.<br />

Copyright <strong>WSU</strong> AHEC, 2010


<strong>Social</strong> <strong>Emotional</strong> <strong>Learning</strong>’s Key<br />

Domains 1<br />

Self-Awareness: Knowing what we are feeling in the<br />

moment<br />

Having a realistic assessment of our own abilities <strong>and</strong> a wellgrounded<br />

sense of self confidence<br />

<strong>Social</strong> Awareness: Reading what others are feeling<br />

Being able to take their perspective; appreciating <strong>and</strong><br />

Interacting positively with a range of people<br />

Self-Management: H<strong>and</strong>ling our emotions so they<br />

facilitate rather than interfere with the task at h<strong>and</strong><br />

Being conscientious <strong>and</strong> delaying gratification to pursue goals<br />

Persevering in the face of setbacks <strong>and</strong> frustrations


<strong>Social</strong> <strong>Emotional</strong> <strong>Learning</strong>’s Key<br />

Domains 2<br />

<br />

<br />

Relationship Skills: H<strong>and</strong>ling emotions in relationships<br />

effectively<br />

Establishing <strong>and</strong> maintaining healthy relationships based on<br />

cooperation<br />

Resistance to inappropriate social pressure<br />

Negotiating solutions to conflict<br />

Seeking help when needed<br />

Responsible Decision-Making<br />

Accurately assessing risks<br />

Making decisions based on a consideration of all relevant factors <strong>and</strong><br />

the likely consequences of alternative courses of action<br />

Respecting others (empathy)<br />

Taking personal responsibility for one’s decisions


37<br />

Spokane ACEs <strong>and</strong> School Success<br />

Study Summary<br />

• De-identified data collection<br />

• 10 elementary buildings in four districts (5 Title I)<br />

• Students in Grades K-6<br />

• Reviews of 2,101 r<strong>and</strong>omly selected students<br />

• Teachers reported factually what they knew about ACEs<br />

exposure, academic challenges, <strong>and</strong> chronic health concerns.<br />

Suspicions were not reported.<br />

• Academic problems were:<br />

– Failing to meet grade expectations in one or more core subjects<br />

– Attendance problems severe enough to interfere with academic success<br />

– School behaviors severe enough to interfere with academic success<br />

Copyright <strong>WSU</strong> AHEC 2010


Half of the children already are<br />

38<br />

struggling to succeed in school<br />

Specific Concerns<br />

Academic failure- 35%<br />

Serious attendance problems- 13%<br />

Serious behavior concerns- 27%<br />

Combination of Concerns<br />

None 52%<br />

One 26%<br />

Two 17%<br />

Three 5%<br />

Copyright <strong>WSU</strong> AHEC 2010


ACEs Exposure<br />

39<br />

Lifetime Past 12 months<br />

Parents Divorced/Separated 36% 6%<br />

Residential Instability 9% 6%<br />

Domestic Violence Witness 9% 5%<br />

CPS Involved 9% 4%<br />

Jailed Family Member 9% 4%<br />

Substance Abuse in Family Member 7% 3%<br />

Basic Needs 7% 4%<br />

Mental Health Disorder in Family Member 5% 3%<br />

Physical Disability in Family Member 3% 1%<br />

Community Violence Exposure 3% 1%<br />

Parent/Caregiver Death 2% 1%<br />

Copyright <strong>WSU</strong> AHEC 2010


Complex <strong>Trauma</strong> Risk<br />

40<br />

Lifetime<br />

ACE Exposure<br />

Past 12 Month<br />

ACE Exposure<br />

None<br />

One<br />

Two<br />

Three<br />

Four<br />

Five<br />

More than Five<br />

55% 81%<br />

22% 12%<br />

10% 4%<br />

5% 2%<br />

3% 1%<br />

2% 0%<br />

1% 0%<br />

Copyright <strong>WSU</strong> AHEC 2010


ACEs Exposure <strong>and</strong> Student<br />

41<br />

Characteristics<br />

ACE exposure is significantly related to:<br />

Poverty (FRM status)<br />

Race Ethnicity<br />

Special Education enrollment<br />

As a result, the level of exposure to ACEs for<br />

school’s students reflects the students enrolled<br />

Copyright <strong>WSU</strong> AHEC 2010


42<br />

Odds Ratios for Problems with<br />

Increasing ACEs<br />

Academic<br />

Failure<br />

Severe<br />

Attendance<br />

Problems<br />

Severe<br />

School<br />

Behavior<br />

Concerns<br />

Frequent<br />

Reported<br />

Poor<br />

Health<br />

Three or More 2.9 4.9 6.1 3.9<br />

ACEs<br />

Two ACEs 2.5 2.6 4.3 2.4<br />

One ACE 1.5 2.2 2.4 2.3<br />

No Known<br />

ACEs<br />

1.0 1.0 1.0 1.0<br />

Copyright <strong>WSU</strong> AHEC 2010


Percent of Students with One or More Academic Concerns by ACE<br />

Exposure<br />

100%<br />

90%<br />

80%<br />

Percent of Students with Academic Problems<br />

70%<br />

60%<br />

50%<br />

40%<br />

30%<br />

20%<br />

10%<br />

0%<br />

No Known Adverse Events<br />

One Reported Adverse<br />

Event<br />

Two Reported Adverse<br />

Events<br />

Three or more Adverse<br />

Events<br />

One or More Academic Concerns 34% 56% 71% 80%<br />

43<br />

Copyright <strong>WSU</strong> AHEC 2010


Summary on risk in schools<br />

44<br />

One in five children in Spokane exposed to multiple<br />

ACEs<br />

An estimated 15,000 students in Spokane County K-12<br />

ACE exposure has a dose effect in young children<br />

where exposure directly predicts developmental<br />

risk <strong>and</strong> poor health experiences<br />

ACE exposure is the most powerful predictor of<br />

childhood risk among the student characteristics<br />

examined with the exception of SPED<br />

Copyright <strong>WSU</strong> AHEC 2010


What schools can do to change the impact<br />

of trauma<br />

Six basic goals to guide school improvement strategies<br />

1. Build meaningful relationships<br />

• Preparation to learn <strong>and</strong> grow<br />

• Engagement to parents where <strong>and</strong> when possible <strong>and</strong> safe<br />

2. Create safety <strong>and</strong> predictability<br />

3. Promote skill development from where students are<br />

• Accountability as an essential survival skill<br />

4. Meaning-making (reasoning <strong>and</strong> problem-solving)<br />

5. Enhance resiliency<br />

6. Add targeted supports when support is needed<br />

Copyright 2010 <strong>WSU</strong> Area Health Education Center


46<br />

A framework for trauma-sensitive<br />

school response<br />

<strong>Response</strong> to Intervention as planning framework<br />

integrate social emotional learning in curriculum<br />

Reduce triggers of trauma responses<br />

Professional development in social emotional learning <strong>and</strong> traumainformed<br />

practice<br />

Classroom management <strong>and</strong> building teams<br />

Effective assessment <strong>and</strong> management of risk<br />

Targeted use of brief, effective interventions<br />

Integration of care planning with building classroom success<br />

More sustained remedial care where needed<br />

Coordination of care <strong>and</strong> supports in the community when<br />

possible


What ARC Can Offer<br />

A common vocabulary for responses from<br />

classrooms to individualized services<br />

Having intervention concepts aligned with our universal<br />

education goals<br />

Linking social emotional growth with trauma recovery<br />

Adapting trauma knowledge <strong>and</strong> language into<br />

classroom management<br />

A specific intervention that can be delivered in school<br />

settings

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