VISION: By 2025, a multidisciplinary community will design curricula of academic medicine and health science training programs to include core concepts of how adverse experiences and trauma affect neurodevelopment, lifelong health and health equity, as well as strategies for prevention, mitigation and treatment of consequences of trauma.
In Chicago and across the country, community violence, poverty, and widespread and long-standing discrimination are forcing us to examine our existing paradigms and find new formulas for healing and transformation. Recent rapid advances in basic science are making important inroads to uncover interactions between a person’s experiences (both positive and negative), brain function, and coordination of the neurologic, immune and endocrine systems. We are learning how disruption of these systems can result in acute and chronic illness, adoption of health risk behaviors as antidotes to suffering, and even early death. Highlights of this research include:
- Evolving recognition that the central nervous system, immune, and endocrine systems are in fact one system, continuously communicating through signal crosstalk.
- Clear substantiation that Adverse Childhood Experiences (ACEs) may disrupt early caregiver-child attachment and derail optimal physiologic development. These challenges are compounded by Adverse Community Experiences (including mass incarceration) with resulting toxic stress and act as a root cause of our most pressing physical health, mental health and social problems.
- Growing confirmation that the experiences of racial, gender and ethnic discrimination are likely major contributing factors to disease and health disparity in past, current and subsequent generations.
- Neurobiological evidence that the brain and nervous system can change (neuroplasticity), making it possible to identify negative impacts on the brain from traumatic experience and providing hope that these processes can be reversed, leading to clinical, cognitive and functional improvement.
- Promising affirmations that positive relationships, foundational health practices, self-regulation activities, creation of safe and supportive environments, and fully meeting basic individual and collective human needs can prevent, mitigate and treat the short and long-term health consequences of household and community adversity.
Despite the rapid growth of this compelling research and its vast health and social impacts, the topics of trauma, the potential physiologic basis of health disparity, and complex neurobiological function play a limited role in most academic curricula and are not currently seen as a core competency for clinicians.
To create a Center of Excellence, based in Chicago, as an Educational Program of the Hektoen Institute which:
- Develops and disseminates model curricula for medical and health professional training that include core concepts of trauma, health equity, and neurobiology as well as practice recommendations
- Promotes collaborative, interdisciplinary learning, innovation, and clinical and basic science research
- Develops a curated and annotated bibliography of high impact science articles from related fields
- Sponsors local journal club/webinars and presentations three times per year
- Holds a biennial science symposium open to the public
- Coordinates interdisciplinary summer health professional student projects and faculty development seminars
- Joins with others to provide translation of science exploring adversity, trauma, resilience and flourishing into personal and community health conversations/actions.