Part 1: Understanding What Challenges Await Us
The first concepts represent the “what,” meaning what challenges do our county residents face Instead of one challenge, there are many that collide in a variety of ways. Some challenges for the 100% New Mexico initiative to address appear inside the home while others greet people as they step outside their front door.
Concept 1: Social Adversity
Social adversity are the challenges a person, of any age, faces when they step out their front door. These challenges are rooted in access to the ten vital services for surviving and thriving. Lack of access and reasons for disparities are a focus as we discuss social adversity.
DISCUSSION QUESTIONS
- Describe examples of social adversity facing residents
- Summarize hypothesis guiding course and initiative, related to social adversity
- Describe root causes of social adversity
- Describe various forms of poverty, noting distinction between situational and others forms
- Describe how local leaders, either by action or inaction, allow social adversity to exist
GETTING ANSWERS AND INSIGHTS
STEP 1: Watch
STEP 2: Consider
Three headed-headed hydras create the social adversity that can crush us.
STEP 3: Read
100% Community: Chapter 3
Concept 2: Five Services for Surviving
“Five surviving services,” coined in the book 100% Community as the five services for surviving, are medical care, mental health care, food security programs, housing security programs and transportation. These are the services that none of us can do without, as they provide the foundation for health, safety, resilience and clarity of mind.
DISCUSSION QUESTIONS
- Describe the five services coined “the five services for surviving”
- Describe the types of local organizations who deliver the services for surviving
- Describe how local leaders, either by action or inaction, impact access to each of the five services for surviving
GETTING ANSWERS AND INSIGHTS
STEP 1: Watch
STEP 2: Consider
Why would a three-headed hydra oppose anyone’s access to five services for surviving? Reasons!
STEP 3: Read
100% Community: Part 4: Chapters 41-45
Concept 3: Five Services for Thriving
Five thriving services, coined in the book 100% Community as the five services for thriving, which are parent supports, early childhood learning programs, fully-resourced community schools with health centers, youth mentors and job training aligned with future job markets.
Without access to the survival services there is no way we can dream of thriving. Each one of the ten local services in your county have their own histories, research and political relationships associated with them. The reason these two concepts — surviving and thriving services are key to understanding our initiative, is that without such services people struggle.
This has been illustrated the most effectively through Maslow’s Hierarchy of Needs. We will revisit the importance of ensuring vital services throughout the course. Fundamentally, with Maslow, people must have their basic needs met before anything else. Education, enlightenment and actualization are entirely possible for all of us, but only if we have stable shelter, food and the basics.
Without basic services, a wide variety of challenges emerge that include substance misuse, mental health challenges, poor school achievement, lack of job readiness, and adverse childhood experiences (ACES) which include various forms of child abuse and neglect that can lead to trauma and poor health outcomes.
DISCUSSION QUESTIONS
- Describe the five services coined “the five services for thriving”
- Describe the types of local organizations who deliver the services for thriving
- Describe how local leaders, either by action or inaction, impact access to each of the five services for thriving
GETTING ANSWERS AND INSIGHTS
STEP 1: Watch
STEP 2: Consider
Five services for thriving? “Yes,” says the three-headed hydra, “but only if you deserve them.”
STEP 3: Read
100% Community: Part 5: Chapters 46-50
Concept 4: Social Determinants of Health
The social determinants of health is a field of study that explores how a person’s community environment can impact their physical and emotional health and opportunities with learning, work and wealth. The social determinants of health are the services and technology people have access to in order to improve their lives.
DISCUSSION QUESTIONS
- Describe the social determinants of health
- Describe the types of services that could be considered components of the social determinants of health
- Describe how technology might be considered a component of the social determinants of health
- Describe which local government agencies can or could monitor the social determinants of health
- Describe how local leaders, either by action or inaction, impact the social determinants of health in all the communities within your county’s borders
GETTING ANSWERS AND INSIGHTS
STEP 1: Watch
STEP 2: Consider
What are the social determinants of health? The three-headed hydras would prefer you not ask.
STEP 3: Read
100% Community: Chapter 3
Concept 5: Historical Disparities and Historical Trauma
Historical disparities and historical trauma are fields of study documenting centuries of social injustice and all the “-isms” (such as racism) you’re familiar with to describe the unfair treatment of people. When we talk about community environments and who does or doesn’t have easy access to vital services, we will be talking about how one’s zip code can determine to a large degree one’s destiny. Disparities based on geographic location is something written about in Anna, Age Eight: “Chapter 7: Why your zip code should not determine your destiny.” Historical Trauma is written about in 100% Community and details why each 100% New Mexico initiative has a Task Force on Historical Trauma and Historical Resilience. We explore how challenging it can be to address and discuss these concepts.
DISCUSSION QUESTIONS
- Describe historical disparities
- Describe historical trauma
- Describe how historical trauma impacts people in your region
- List the causes of historical trauma
- Describe challenges and opportunities discussing historical trauma in a public setting
- Describe how local leaders, either by action or inaction, impact the capacity of people to address historical disparities and historical trauma
GETTING ANSWERS AND INSIGHTS
STEP 1: Watch
STEP 2: Consider
People who endure historical disparities and historical trauma now face a new pandemic and economic free fall. How do we help?
STEP 3: Read
100% Community: Chapter 33
Concept 6: Adverse Childhood Experiences (ACEs)
This concept focuses on the complex world of adverse childhood experiences (ACEs). This is a field of study that came into public awareness in 1998 with the publication of the ACEs Study by Drs. Felitti and Andra, working in collaboration with the US Centers for Disease Control. ACEs are ten forms of abuse and neglect that children endure in their homes, controlled by parents and other adults. ACEs can lead to being in a state of fight or flight 24/7. ACEs and the trauma that may result from ten forms of abuse and neglect does not necessarily end in childhood. ACEs may impact an adult’s physical and emotional health, capacity to learn, ability to be job ready and keep a job, and be a caring parent. During a public health crisis or economic disruption, people with high ACEs scores may feel especially insecure and destabilized.
DISCUSSION QUESTIONS
- Describe ten adverse childhood experiences (ACEs)
- Describe consequences of ACEs and trauma on physical and emotional health
- Describe consequences of ACEs and trauma on students and learning
- Describe consequences of ACEs and trauma on a person’s capacity to parent and how ACEs-related behaviors can be passed down generation to generation
- Describe consequences of ACEs and trauma on job readiness and workplace performance
- Describe the physical and emotional response to trauma (which might include ‘flight or fight” response)
- Describe what “trauma-informed” means and how it is does or does not impact rates of ACEs and services for prevention and treatment
- Describe how leaders in government allow, by action or inaction, allow the community environments (including lack of vital services) that allow ACEs to exist