ACE ACE Hyb Cymorth - NHS Health Scotland

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ACE ACE Hyb Cymorth - NHS Health Scotland
Hyrwyddo a
             Hyb            Herio dros       ACE
                             Newid
         Cymorth           Champion &
                                            Support
             ACE            Challenge        Hub
                           for Change

Adverse Childhood Experiences (ACE) and
Communities in Wales

Joanne Hopkins, Director, ACE Support Hub
ACE ACE Hyb Cymorth - NHS Health Scotland
What’s the purpose of the Hub?

       5 Goals                       Spread
                                  information
                                  about ACEs

        Drive change and                                 Share evidence
             system                                      to prevent and
         transformation                                   mitigate ACEs

                  Take learning                    Develop
                from others and                 knowledge and
                     share it                       skills

   Hyrwyddo a                                                      Champion & Challenge
   Herio dros Newid                                                for Change
ACE ACE Hyb Cymorth - NHS Health Scotland
How many adults reported each
ACE in 2017?

Hyrwyddo a                 Champion & Challenge
Herio dros Newid           for Change
ACE ACE Hyb Cymorth - NHS Health Scotland
Sources of Resilience –
Mental Health

Hyrwyddo a                Champion & Challenge
Herio dros Newid          for Change
ACE ACE Hyb Cymorth - NHS Health Scotland
ACEs and Resilience
 Culturally                                                                                                                             Always
                                                                           Always
 Connected                                                                Available                 Getting                           Available
                                                    I had                  Adult
                                                                                                                                         Adult
                                                                                                       an
                                                  people I                                         education
                                                   looked                                             was
                              I enjoyed             up to                                          important                My
                                  my                                                                 to me                parents,
                             community’s                                                                                 caregivers
                               cultures                                                                                  knew a lot
                                 and
                                                                                                                         about me
                              traditions

                I had
           opportunities                                                                                                                I tried
            to develop                                                                                                                 to finish
           skills to help
            me succeed
                                                                                                                                       activities
               in life                                                                                                                   that I
                                                                                                                                        started
                                                                                                                       I was able
                               I was                                                                                    to solve
                              treated                                                                                   problems
                              fairly in                                                                                  without
                                 my                                                                                     harming
                             community                                                                                 myself or
                                                  My family                                          I knew              others
                                                    would
                                                  stand by
                                                                                                    where to
                                                                                                    go in my                      Guide your
Manage your                                       me during
                                                  difficult                I felt I
                                                                                                   community
                                                                                                     to get                      destiny and
                                                                           belonged
behaviour and
                                                    times                                             help
                                                                            in my
                                                                            school
                                                                                                                                   overcome
emotions                                                                                                                           Hardship
The Resilience Research Centre Adult Resilience Measure (RRC-ARM), Wales, 2017The Resilience Research Centre Adult Resilience Measure (RRC-ARM), Wales, 2017
ACE ACE Hyb Cymorth - NHS Health Scotland
Case study: police
   In one area of South Wales
                                         11% (167)
between 4th June 2015 and 18th           Public
  November 2015 (24 weeks)               Protection
     1,484 Public Protection
 Notifications were received by          Notifications
 social services from the police         progressed

                                                                                  Sexual
                                                                                  abuse

  89%                                                                                      Physical
  (1,317)                                                                                   Abuse

  Public                                                           Domestic
                                                                   Violence
  Protection
  Notifications
                                                  Mental                          Drug
  logged and                                      Health                          Use
  closed

                                   Separation                          Incarceration
                                                         Alcohol
                                                         Abuse

                          Verbal
Hyrwyddo a                                                                      Champion & Challenge
                          Abuse
Herio dros Newid                                                                for Change
ACE ACE Hyb Cymorth - NHS Health Scotland
Challenging Assumptions

ACE Enquiry in Health Visiting – Anglesey Pilot
   “After the first training session I was a bit negative about it to be
   honest. I was thinking ‘oh great, more work’. But I just think it has
   evolved, as the process has gone along. The more you talk about it,
   our clients see how it affects peoples’ lives and they see how
   important the caregiver is. It inspires you, as a whole project. I was
   negative in the beginning but now I’m sold. I can see how useful this
   could be in all health settings.”
Systems Approach
Breaking the cycle
                    What can we all do?

Spread the word - ACE
informed Professionals, Politicians
and Public

Identify ACEs, promote protective factors,
increase resilience

Address the root causes not the
symptoms

 Hyrwyddo a                                  Champion & Challenge
 Herio dros Newid                            for Change
Phase 1 – Ace Aware Sectors
                 Education
                                                  Housing and Homelessness
Phase 1 – we have trained
                                               PATH training (Prevention, ACES,
Consortia – 309 Ace Ambassadors,
                                                    Trauma, Homelessness)
teachers and schools leads
                                            660 trained in Psychologically Informed
140 Estyn inspectors and challenge
                                                 Environment (PIE) foundation
advisors
                                                        299 three day PIE
95 Train the Trainers
                                              PIE for Leaders and Commissioners
3 secondary schools for pilot
Phase 2
60 Ambassadors
                                           Sport
               Youth Service               Trained Sport Wales Mid and West Wales
Ace Aware Youth Work training delivered    managers
to 100                                     Co-produced training with Street Games
120 Train the Trainers                     Developing a National Event with the
Development of a level 2 module for all    WRU
new youth workers to be included in 2020
 Hyrwyddo a                                                            Champion & Challenge
 Herio dros Newid                                                      for Change
Phase 1 -ACE Aware Organisations and
              People
 Skills and Knowledge                     Communications

 Tools                                    Tools
 Organisational Readiness Toolkit         Website www.aceawarewales.com
 Skills and Knowledge Framework           Social media
 e-learning, presentation ACE Awareness   Good practice short films
 and ACE Informed Practice training       Newsletter
 packages

 In development 19/20                     In development 19/20
 ACE Informed Organisations               Baseline Survey of Professionals
 Implementation / Becoming ACE-           Public Awareness Campaign
 Informed Toolkit                         Round Table events across Wales
 Quality Mark/Award to embed ACEs         More sophisticated website with
 knowledge and skills are embedded        pathways for organisations/public
 within professional qualifications.
 Sector specific frameworks
  Hyrwyddo a                                                         Champion & Challenge
  Herio dros Newid                                                   for Change
Phase 2 – Sustainably Trauma Informed

                                                       Future
                                                  Generations Act
                                                  priority for PSBs
                                                                       Embed in WG
                                 Train the                             strategies and
                               Trainer model                             legislation/
                                                                        curriculums

                       Resources -
                      Funding for an
                     essential core of
                     policy, research
                                            Sustainability                       Professional
                                                                                 qualifications
                       and support

                                 Accredited and
                                  kite-marked
                                 organisational                         Cross Party
                                   toolkit and                        political support
                                  training and
                                  frameworks
                                                    Societal and
                                                  systems change

  Hyrwyddo a                                                                                      Champion & Challenge
  Herio dros Newid                                                                                for Change
Step Change

                                        Institutional change
                                        to maximise impact
                                        and make a
                 Organisations,         difference – process,
                 partners and           policy, delivery =
                 communities identify   trauma informed and
ACE awareness    what needs to change   responsive services
                 linking to shared
                 purposes and govt
                 strategy
ACE-Informed Organisations

                        • Principles for ACE-Informed
      Culture and         Organisations
      leadership        • Readiness Toolkit
                                          • ACE Skills and Knowledge
                                            Framework
                            Clarity and   • Skills Audit / LNA Tools
                            confidence    • Training / Professional
                                            Learning
                                                            • Training / Professional
                                             Recognition      Learning
                                            and response
                                                            • Implementation Action Plan

                                                              Follow up    • Peer review,
                                                                 and         monitoring and
                                                              monitoring     review
         Champion & Challenge
         for Change
Key Messages

Everybody and every
organisation in Wales has a
part to play.

•   There is a role for all of us, challenging ourselves to
    think ‘What can I do differently?’, and recognising what
    we’re already doing.
•   Little steps make big changes, we can change the
    narrative.
•   Creating an ACE informed Wales will bring benefits for
    everyone.

         Hyrwyddo a                          Champion & Challenge
         Herio dros Newid                    for Change
Key Messages

It’s about “what happened to
you”, rather than “what’s
‘wrong with you.”

•   We need to take time to understand what has happened to
    people, rather them blaming them for their behaviour.

            Hyrwyddo a                         Champion & Challenge
            Herio dros Newid                   for Change
Find out more

                      @acehubwales

Hyrwyddo a            www.facebook.com/acehubwales/
 Herio dros
  Newid

Champion &            ACE@wales.nhs.uk
 Challenge
for Change

   Hyrwyddo a                                  Champion & Challenge
   Herio dros Newid                            for Change
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