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人的健康结果。HOPE 框架提供了一种新颖的方法。 创伤知情护理 (TIC) 方法，基于考虑积极的童年经历 我们的年度峰会加快了人们对这一新框架的认识，并形成了一个新的框架。 HOPE 国家资源中心传播战略的关键部分。 经验（ACE）与成人心理和身体健康状况不佳有关，PCE 也会影响长期 在 2019 年的一项研究中，威斯康星州添加了有关特定 PCE 的经过验证的调查项目。 行为危险因素监测系统（BRFSS）调查存在反剂量依赖性。 报告的 PCE 数量与成人抑郁症或心理健康状况不佳的可能性之间的关联 无论个人叙述的 ACE 数量如何，证明 PCE 可以预防和缓解 HOPE 框架以四个组成部分为中心：与成人的关系和 其他儿童；安全、稳定和公平的生活、学习和娱乐环境； 社会/情感发展的机会 该框架的实际实施建立在 通过添加对促进最佳发展和复原力的特定 PCE 的考虑，现有 TIC 技能。 HOPE 提倡一种基于关系的方法，改变提供者和家长之间的互动， 关注家族的资产和优势，维护家族机构和专业知识，从而实现一致 基于 HOPE 的评估和干预措施抵制自上而下的机构目标和家庭优先事项。 给家庭贴上破碎的标签，强调某些问题的系统性，并重视共同权力 该框架提供了一个将反种族主义方法付诸实践的改进。 平衡的评估方法、工作流程和干预措施可能有助于预防 ACE、打破联系 ACE 与成人健康之间的关系，并改善健康结果 HOPE 国家资源中心提供支持。 通过培训、技术，全国在临床和社区环境中采用 HOPE 框架 我们的年度峰会战略推动了传播。 我们的 2021 年全国峰会“传播希望”重点关注提高意识和 了解 HOPE 框架，支持更广泛的创新者社区， 受到 NICHD R13 奖项的支持，重点关注“成长的希望”，并强调了两者之间的相互作用 家庭和社区的复原力，其中包括由 Dr. 的主题演讲“建设复原力社区” 我们还采用了新颖的 HOPE 周形式，并开发了多种工具来培养。 2023 年峰会“实用希望”将重点关注早期采用者。 为期一周的活动将带来新信息，突出新实施。 资源，展示创新实践。