Culturally Informed Approaches to Trauma (Core Competencies: 1.4; 1.5; 1.7; 1.11; 2.2; 2.6; 2.7; 2.9; 2.10; 3.5; 3.7; 4.6; 4.11; 4.18) The original adverse childhood experiences study relies on data predominantly collected from white people classified as middle class or upper middle class, with a focus on experiences within the home. It falls short in understanding the depth and breadth of the impact of trauma on communities of people who experience various levels of systemic marginalization. According to the Behavioral Risk Factor Surveillance System, individuals of different races in Wisconsin experienced adverse childhood experiences from 2011 to 2016 as follows: • 77% of Indigenous communities have experienced an adverse childhood experience. • 76% of multiracial and Black individuals have experienced an adverse childhood experience. • 66% of Hispanic and Latino individuals experienced an adverse childhood experience. • 55% of white individuals experienced an adverse childhood experience. • 39% of Asian individuals experienced an adverse childhood experience. The 2019 Wisconsin Behavioral Health System Gaps Report, a report compiled by the UW Population Health Institute at the request of the Wisconsin Department of Health Services, identified the impact of historical and emergent community-level trauma on those who live at the intersection of many systemically marginalized identities in addition to the barriers that individuals face when engaging in mental health or substance use treatment. “As one respondent articulated, “People fear the system. They fear losing their jobs, children, and their integrity. They fear the ‘state’ or the ‘system’ will lock them up, or chapter them for using services. They may have always been involved within the system therefore will not seek help for treatment due to retaliation from law enforcement/court systems.” The 2019 Wisconsin Behavioral Health System Gaps Report is available on the UW Population Health Institute’s website.
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