Note: This funding opportunity is being posted as it appeared on theSubstance Abuse and Mental Health Services Administration (SAMSHA) Website.
Short Title
ReCAST
Initial AnnouncementNotice of Funding Opportunity (NOFO)
NOFO Number
SM-22-019
Posted on Grants.gov
Thursday, September 1, 2022
Application Due Date
Monday, October 17, 2022
Catalog of Federal Domestic Assistance (CFDA) Number
93.243
Intergovernmental Review (E.O. 12372)
Applicants must comply with E.O. 12372 if their state(s) participates. Review process recommendations from the State Single Point of Contact (SPOC) are due no later than 60 days after application deadline.
Public Health System Impact Statement (PHSIS) / Single State Agency Coordination
Applicants must send the PHSIS to appropriate State and local health agencies by application deadline. Comments from Single State Agency are due no later than 60 days after application deadline.Description
The purpose of this program is to promote resilience, trauma-informed approaches, and equity in communities that have recently faced civil unrest, community violence, and/or collective trauma within the past 24 months; and assist high-risk youth and families through the implementation of evidence-based violence prevention, and community youth engagement programs. SAMHSA expects ReCAST to be guided by a community-based coalition of residents, non-profit organizations, and other entities (e.g., health and human service providers, schools, institutions of higher education, faith-based organizations, businesses, state and local government, law enforcement, and employment, housing, and transportation services agencies).Eligibility
Eligible entities are States, political subdivisions of States, local municipalities (e.g., counties, cities, and local governments), public or private non-profit community-based organizations, Indian tribes, or tribal organizations (as defined in section 5304 of title 25), that have faced civil unrest, community violence and/or collective trauma.Award Information
Funding Mechanism
Grant
Anticipated Total Available Funding
$10,000,000
Anticipated Number of Awards
10
Anticipated Award Amount
$1,000,000 per year
Length of Project
Up to 4 years
Cost Sharing/Match Required?
No
Proposed budgets cannot exceed $1,000,000 in total costs (direct and indirect) in any year of the proposed project. Annual continuation awards will depend on the availability of funds, grantee progress in meeting project goals and objectives, timely submission of required data and reports, and compliance with all terms and conditions of award.
This program is being funded from the Bipartisan Safer Communities Act. SAMHSA has shortened the application submission period to less than 60 days to ensure the awards are issued consistent with the funding provisions within the law.Contact InformationProgram Issues
Jennifer Treger Center for Mental Health Services Substance Abuse and Mental Health Services Administration RECASTNOFOMHPB@samhsa.hhs.govGrants Management and Budget Issues
Office of Financial Resources, Division of Grants Management Substance Abuse and Mental Health Services Administration (240) 276-1400 FOACMHS@samhsa.hhs.gov
“Girls on the Brink: Helping Our Daughters Thrive in an Era of Increased Anxiety, Depression, and Social Media”, published today, is available at a pre-launch discount of up to $1.96 (from the $28 cover price to $26.04) via independent bookstores.
The book is the seventh by Donna Jackson Nakazawa, acclaimed author, science journalist, international speaker and longtime friend of PACEs Connection.
Jackson will join PACEs Connection for our second “Connecting Communities One Book at a Time” book study webinar to discuss the book, why she wrote, it, and why it is so vitally important. The webinar is on October 12, 3-4:30 p.m. ET. Register for the webinar here, now!
To preorder the book and support local independent bookstores, use this link. The book is also available on Amazon Kindle for just $13.
PACEs Connection’s “Connecting Communities One Book at a Time initiative” brings communities together around books that help us have critical conversations about positive and adverse childhood experiences, racism, inequity, and how communities can prevent and heal trauma and create resiliency.
Praise for “Girls on the Brink”
“This is a brave and important book; the challenging stories—both personal and scientific—will make you think, and, hopefully, act.”
—Bruce D. Perry, MD, PhD, New York Times bestselling co-author of “What Happened to You?”
“Some books translate science into understandable language; some offer advice in the form of actionable steps; and some weave stories that grab you by the heart. This one—miraculously—does all three.”—Cara Natterson, MD, bestselling author of “The Care and Keeping of You 2” and “Decoding Boys”.
“A perceptive, informative examination of the problems young American girls face and how to change them . . . All of the author’s advice is sound, and her insights into how to start the process of change make this an important book for parents of girls.”—Kirkus Reviews
“The smart analysis and wealth of neuroscientific and psychological research adds nuance to public discourse around girls’ mental health. . . . Timely and incisive, this issues an acute warning that the kids are not alright.”—Publishers Weekly
From the book cover:
Anyone caring for girls today knows that our daughters, students, and girls next door are more anxious and more prone to depression and self-harming than ever before. The question that no one has yet been able to credibly answer is “Why?”
Now we have answers. As award-winning writer Donna Jackson Nakazawa deftly explains in Girls on the Brink, new findings reveal that the crisis facing today’s girls is a biologically rooted phenomenon: The earlier onset of puberty mixes badly with the unchecked bloom of social media and cultural misogyny. When this toxic clash occurs during the critical neurodevelopmental window of adolescence, it can alter the female stress-immune response in ways that derail healthy emotional development.
About the author:
Donna Jackson Nakazawa is an award-winning science journalist and author of seven books. Her work explores the intersection of neuroscience, immunology, and human emotion; her mission is to explore the science of the mind-body connection and harness it for healing.
Nakazawa’s other books include “The Angel and the Assassin: The Tiny Brain Cell That Changed the Course of Medicine” named one of the best books of 2020 by Wired magazine; “Childhood Disrupted”, a finalist for the Books for a Better Life Award; and “The Last Best Cure”.
Her writing has appeared in magazines and newspapers including Wired, The Boston Globe, Stat, The Washington Post and Health Affairs. She has appeared on The Today Show and National Public Radio, and is a regular speaker at universities, including the Harvard Division of Science Library Series, Rutgers University, the Andrew Weil Center for Integrative Medicine at the University of Arizona, the Peace & Justice Institute, Learning and the Brain, and Johns Hopkins University.
Nakazawa is also the creator and founder of the narrative writing-to-heal program, “Your Healing Narrative”, which uses a process called Neural Re-Narrating™ to help participants recognize and override their brain’s old thought patterns and internalized stories to create a new, more powerful, inner healing narrative that calms the body, brain, and nervous system.
By Kurtis Lee, Photograph: Adam Perez for The New York Times, The Washington Post, September 10, 2022
Since 2020, four dozen pilot programs have started, with Los Angeles running one of the largest to provide cash assistance.
Early in the pandemic, Alondra Barajas had a temporary job for the Census Bureau, doing phone work from the two-bedroom apartment she shared with her mother and four younger siblings. When that job ended in late 2020, she struggled to find employment.
But Ms. Barajas learned from an ad on Instagram that she might qualify for an unusual form of assistance: monthly payments of $1,000 for a year.
Since she started receiving the funds this year — while caring for her newborn, searching for a job and looking for a new place to stay — her outlook has seemed brighter.
“It’s helped me from hitting rock bottom,” she said.
By David Gelles, Photograph: Natalie Behring for The New York Times, The New York Times, September 14, 2022
A half century after founding the outdoor apparel maker Patagonia, Yvon Chouinard, the eccentric rock climber who became a reluctant billionaire with his unconventional spin on capitalism, has given the company away.
Rather than selling the company or taking it public, Mr. Chouinard, his wife and two adult children have transferred their ownership of Patagonia, valued at about $3 billion, to a specially designed trust and a nonprofit organization. They were created to preserve the company’s independence and ensure that all of its profits — some $100 million a year — are used to combat climate change and protect undeveloped land around the globe.
The unusual move comes at a moment of growing scrutiny for billionaires and corporations, whose rhetoric about making the world a better place is often overshadowed by their contributions to the very problems they claim to want to solve.
At the same time, Mr. Chouinard’s relinquishment of the family fortune is in keeping with his longstanding disregard for business norms, and his lifelong love for the environment.
By Matt Vasilogambros, Photograph: Wong Maye-E The Associated Press, PEW, September 14, 2022
Editor’s note: The story has been updated to say a federal judge limited a state court’s decision.
Paralyzed from the neck down, downtown Milwaukee resident Martha Chambers has difficulty voting.
She can use a mouth stick to mark her ballot and sign her name on an absentee ballot, but she has no way of folding the ballot, slipping it back in the envelope or returning it to the mailbox.
Driven by its conservative majority, the Wisconsin Supreme Court in July outlawed assistance in the absentee voting process. After that decision, Chambers worried that her caregiver — who also gets her out of bed in the morning, brushes her teeth and puts her clothes on for her — could become a criminal for ensuring she can participate in the democratic process. Chambers said she was effectively disenfranchised.
By Elaine Miller-Karas MSW, LCSW Building Resiliency to Trauma Psychology Today, September 30, 2022 Mental health can suffer after extreme climate events.
KEY POINTS
Mental health conditions exacerbated by natural disasters include post-traumatic stress disorder, depression, and anxiety.
After a disaster, the number of people needing assistance from the mental health systems strains or exceeds community capacity.
There are simple strategies helpers can use to help survivors restore well-being after climate events.
In September 2022, Puerto Rico, Cuba, and Florida are experiencing devastation from hurricanes. Extreme weather events — floods, hurricanes, and natural disasters like wildfires — are linked to a broad range of adverse mental health outcomes. The most reported mental health conditions in the aftermath of extreme weather events and natural disasters are post-traumatic stress disorder (PTSD) along with depression, anxiety, suicide, and substance abuse disorders (Cianconi et al., 2020).
Mental Health Systems Are Strained After Wide-Scale Disasters
Those impacted by the recent climate events are just beginning their journey. Emergency response mental health workers will be present in the initial days. However, the lasting impact for a community devastated by natural disasters lingers for weeks, months, or years. There is a strain on mental health systems as the number of people needing assistance exceeds a community’s capacity.
Suggestions for Helpers
For those assisting individuals during and after a disaster, the following suggestions reflect lessons learned by the Trauma Resource Institute as we have been invited to help communities after human-made and natural disasters:
1. Be careful not to interrupt the work of emergency response workers. Rescuing survivors and stabilizing infrastructure, such as restoring electricity, are priorities.
2. Help identify where survivors can acquire concrete services: water, food, shelter, hygiene products, and bathrooms. Direct survivors to where governmental groups like FEMA have established temporary locations. The elderly may need assistance with completing documents to receive benefits. As a result of the destruction, people with disabilities may have difficulty maneuvering to sites to receive services. Organizations like the Red Cross, local disaster response units, FEMA, Save the Children, and faith-based groups can help network support for community members.
3. Communication systems may be down because of power outages. There can be increased anxiety in not knowing the well-being of family members, friends, and pets and whether homes are still standing. Try to provide as much information about when providers may restore communication systems.
4. You may assume that people need to talk about what happened during the disaster to heal. We have found that this is not necessarily true for every person. Inviting choices to share or not to share about what happened is essential. Questions like, “I am here to provide support. If you would like, we can talk about what happened if that would be helpful. You can share with me as little or as much of what happened to you as you would like.”
Ask Strength-Based Questions to Remind Survivors of Encouraging Elements of Their Experience
5. Questions highlighting strengths can help survivors remember what else may be true now. Often when asking questions in this way, it broadens the perspective of the trauma to include other elements of the experience that were more positive. Questions can include:
“When did help first arrive?’
“When did you know you and your family were going to get to a safer place?”
“What or who is helping you the most right now?
If a person is agitated or sad, ask respectfully, “When challenging events have happened to you in the past, and what or who helped you get through?
Help Now! Strategies Can Be Simple and Effective Ways to Help
6. Another way to help calm a person who is distressed are the “Help Now!” strategies from the Community Resiliency Model set of wellness skills. They may appear simple, yet they can help people calm down and feel more like themselves. The following invitations can help children and adults experience a greater sense of well-being:
Would it be helpful to go for a walk together?
Sometimes, it helps to get the energy of anxiousness out by pushing against the wall with our hands or our back against it. Do you want to do it with me?
Can I get you a drink of water?
If I am anxious, sometimes it helps me to count down from 20. Would you like to try it with me?
If I am feeling a lot of tension in a part of my body, I try to find a part of my body that is less tense. Then, I bring my attention to the parts that feel better. Do you want to try doing this?
I found this app called iChill, and I listen to it when I am down or too anxious. You might want to consider using it when you are stressed or down.
Identify Community Mental Health Clinics and Alcohol and Drug Treatment Programs
7. It is a complex process to lose one’s home, livelihood, and surrounding community. The journey of recovering and rebuilding can exacerbate mental health conditions and also lead to increases in alcohol and drug use. Helping survivors identify community mental health clinics and drug and alcohol treatment programs can lead them to essential safety nets.
How to Learn More
To help to gain more information about how to build more resilient communities to prepare your community for climate events, contact the International Transformational Resilience Coalition (ITRC), inspired by the work of climate change advocate Bob Doppelt. The ITRC elaborates upon how society can invest in effective responses that can address the mental health challenges that invariably will result from climate events. The coalition has a wide range of experienced professionals working on a dynamic steering committee to guide its projects, policies, and advocacy, including representatives from the National Association of Social Workers, the American Psychiatric Association, the American Psychological Association, the American Public Health Association, the Alliance of Nurses for Healthy Environments, and more. As a founding member, my organization, the Trauma Resource Institute, has worked in collaboration with the ITRC to help communities prepare and respond to climate events.
References
Cianconi, P., Betro, S., & Janiri, L. (2020), The Impact of Climate Change on Mental Health: A Systematic Descriptive Review, Frontiers in Psychiatry, March 6, 2020, | https://doi.org/10.3389/fpsyt.2020.00074
Elaine Miller-Karas, LCSW, is an author, lecturer, consultant, radio show host, trauma therapist, and social entrepreneur. She is a co-founder and the Director of Innovation of the Trauma Resource Institute and a founding member of the International Transformational Resilience Coalition. She is the author of Building Resiliency to Trauma: The Trauma and Community Resiliency Models® (2015). Her models have been introduced in over 75 countries. She has presented at the Skoll World Forum, Resiliency 2020 and 2021, and the United Nations. Her book was selected by the United Nations and Taylor and Francis’ curated online library as one of the innovations helping to meet the United Nations’ Sustainable Development Goals. She is also a Senior Consultant to Emory University’s SEE Learning program, inspired, and launched by His Holiness the Dalai Lama, and she is consulting with the Medgar and Myrlie Evers Foundation to help create a virtual curriculum of the U.S. Civil Rights Movement. Her radio talk show, Resiliency Within: Building Resiliency during Unprecedented Times, is on VoiceAmerica.
Register now to join our conversation with Nakazawa and be sure to invite your friends so we can all learn how to support our daughters, sisters, nieces, students, and friends in this stressful and toxic time for girls. You can also learn how to lead your own book study.
PACEs Connection’s Connecting Communities One Book at a Time initiative brings communities together around books that help us have critical conversations about positive and adverse childhood experiences, racism, inequity, and how communities can prevent and heal trauma and create resiliency.
Praise for “Girls on the Brink”
“This is a brave and important book; the challenging stories—both personal and scientific—will make you think, and, hopefully, act.”
—Bruce D. Perry, MD, PhD, New York Times bestselling co-author of “What Happened to You?”
“Some books translate science into understandable language; some offer advice in the form of actionable steps; and some weave stories that grab you by the heart. This one—miraculously—does all three.”—Cara Natterson, MD, bestselling author of “The Care and Keeping of You 2” and “Decoding Boys”.
“A perceptive, informative examination of the problems young American girls face and how to change them . . . All of the author’s advice is sound, and her insights into how to start the process of change make this an important book for parents of girls.”—Kirkus Reviews
“The smart analysis and wealth of neuroscientific and psychological research adds nuance to public discourse around girls’ mental health. . . . Timely and incisive, this issues an acute warning that the kids are not alright.”—Publishers Weekly
From the book cover:
Anyone caring for girls today knows that our daughters, students, and girls next door are more anxious and more prone to depression and self-harming than ever before. The question that no one has yet been able to credibly answer is “Why?”
Now we have answers. As award-winning writer Donna Jackson Nakazawa deftly explains in Girls on the Brink, new findings reveal that the crisis facing today’s girls is a biologically rooted phenomenon: The earlier onset of puberty mixes badly with the unchecked bloom of social media and cultural misogyny. When this toxic clash occurs during the critical neurodevelopmental window of adolescence, it can alter the female stress-immune response in ways that derail healthy emotional development.
About the author:
Donna Jackson Nakazawa is an award-winning science journalist and author of seven books. Her work explores the intersection of neuroscience, immunology, and human emotion; her mission is to explore the science of the mind-body connection and harness it for healing.
Nakazawa’s other books include “The Angel and the Assassin: The Tiny Brain Cell That Changed the Course of Medicine”, named one of the best books of 2020 by Wired magazine; “Childhood Disrupted”, a finalist for the Books for a Better Life Award; and “The Last Best Cure”.
Her writing has appeared in magazines and newspapers including Wired, The Boston Globe, Stat, The Washington Post and Health Affairs. She has appeared on The Today Show and National Public Radio, and is a regular speaker at universities, including the Harvard Division of Science Library Series, Rutgers University, the Andrew Weil Center for Integrative Medicine at the University of Arizona, the Peace & Justice Institute, Learning and the Brain, and Johns Hopkins University.
Nakazawa is also the creator and founder of the narrative writing-to-heal program, “Your Healing Narrative”, which uses a process called Neural Re-Narrating™ to help participants recognize and override their brain’s old thought patterns and internalized stories to create a new, more powerful, inner healing narrative that calms the body, brain, and nervous system.
For more information about the Connecting Communities One Book at a Time initiative, please contact Carey Sipp, PACEs Connection’s director of strategic partnerships at csipp@pacesconnection.com
Registration for this Zoom webinar is through eventbrite.
Yunetta Smith, one of the few African American EMDR-certified therapists in the nation, will talk this week with History. Culture. Trauma. podcast hosts Ingrid Cockhren, CEO of PACEs Connection, and Mathew Portell, director of communities. The podcast airs on Thursday, Oct. 6, at 1 p.m. PT; 4 p.m. ET.
Smith describes herself as “a thriving therapreneur—a therapist + entrepreneur. She is the CEO and founder of Spring Forth Counseling and Ground Breakers Coaching and Consulting of Clarkesville, Tennessee. She specializes in helping Black and Brown clients navigate childhood trauma.
EMDR, which stands for “eye motion desensitization and reprocessing”, is a psychotherapy treatment that was originally designed to alleviate the distress associated with traumatic memories, according to the EMDR Institute. It is a well-studied and highly effective treatment for those who have experienced trauma or have been diagnosed with post traumatic stress disorder.
Smith is a Licensed Professional Clinical Counselor (LPCC) in three states— Tennessee, Kentucky and Indiana. She is also a nationally certified counselor, clinical trauma professional, and EMDR therapist/approved consultant.
She specializes in helping people work through childhood trauma that manifests in adulthood. Her clientele comprises public figures, professionals, pastors, and practitioners. She also works to raise awareness about childhood trauma and the effectiveness of EMDR as a healing modality through various media platforms including the weekly “Talk it out Tuesday” segment on the Rickey Smiley Morning Show, co-hosting the Deeper than the Diet Podcast, and self-publishing her self-care workbook, “Take the Struggle out of Self Care”.
Calling herself a groundbreaker, a stigma breaker, and a cycle breaker, Smith says she “cultivates spaces for healing, wholeness, compassion, and change,” in hopes that her clients will be better able to “stand in their truth.”
This week’s episode airs on Thursday, October 6 at 1 p.m. PT; 4 p.m. ET, and can be heard at by clicking this link.
To hear prior episodes via your favorite podcast service, use the links below.
Yunetta Smith, one of the few African American EMDR-certified therapists in the nation, will talk this week with History. Culture. Trauma. podcast hosts Ingrid Cockhren, CEO of PACEs Connection, and Mathew Portell, director of communities. The podcast airs on Thursday, Oct. 6, at 1 p.m. PT; 4 p.m. ET.
Smith describes herself as “a thriving therapreneur—a therapist + entrepreneur. She is the CEO and founder of Spring Forth Counseling and Ground Breakers Coaching and Consulting of Clarkesville, Tennessee. She specializes in helping Black and Brown clients navigate childhood trauma.
EMDR, which stands for “eye motion desensitization and reprocessing”, is a psychotherapy treatment that was originally designed to alleviate the distress associated with traumatic memories, according to the EMDR Institute. It is a well-studied and highly effective treatment for those who have experienced trauma or have been diagnosed with post traumatic stress disorder.
Smith is a Licensed Professional Clinical Counselor (LPCC) in three states— Tennessee, Kentucky and Indiana. She is also a nationally certified counselor, clinical trauma professional, and EMDR therapist/approved consultant.
She specializes in helping people work through childhood trauma that manifests in adulthood. Her clientele comprises public figures, professionals, pastors, and practitioners. She also works to raise awareness about childhood trauma and the effectiveness of EMDR as a healing modality through various media platforms including the weekly “Talk it out Tuesday” segment on the Rickey Smiley Morning Show, co-hosting the Deeper than the Diet Podcast, and self-publishing her self-care workbook, “Take the Struggle out of Self Care”.
Calling herself a groundbreaker, a stigma breaker, and a cycle breaker, Smith says she “cultivates spaces for healing, wholeness, compassion, and change,” in hopes that her clients will be better able to “stand in their truth.”
This week’s episode airs on Thursday, October 6 at 1 p.m. PT; 4 p.m. ET, and can be heard at by clicking this link.
To hear prior episodes via your favorite podcast service, use the links below.
Note – We’re reposting this PACEs Science Champion feature by Laurie Udesky, from November 16, 2021, to share more about the life and work of Dan Press, who died yesterday. He was our remarkable friend and partner in preventing and healing adverse childhood experiences (ACEs) and promoting healthier, more compassionate, more resilient communities. Please see this post by Jesse Kohler for more information about Press, his life and legacy.
In 1964, Dan Press was in his first year of law school and was not liking it; he wanted a way out. He applied for a volunteer spot with AmeriCorps VISTA, the domestic version of the Peace Corps, and was intrigued by a position on an Indian reservation.
Dan Press
“I knew nothing about Indians, but it sounded like a good opportunity,” says Press, who was raised in Flushing, in the Queens borough of New York City. “So, I signed up and the next thing I knew I was on a plane to Montana,” he says.
It was a move that changed the course of his life.
Press, an attorney and now 78 years old, has spent his entire working life fighting on behalf of Indian tribes. He helped found the Tribal Employment Rights Office in 1977, which now has 300 offices around the country. His first legal battles involved pushing for enforcement of laws passed a half a century earlier to give Native Americans preference in hiring for employment on Indian lands brought by outside agencies and firms, but until Press challenged practices and won, those laws were largely ignored.
During his long legal career from working for The Navajo-Hopi Legal Services Program for the Navajo Nation in Arizona to his work at Van Ness Feldman, a law firm in Washington, D.C., he’s also counseled Indian tribes in advancing legislation that’s resulted in hundreds of millions of dollars in land settlements and the procurement of new health facilities. He helped found the first intertribal bank in the nation. Press has also been a champion of promoting trauma-informed initiatives, which in 2018 earned him a Public Advocacy award from the International Society for Traumatic Stress Studies for “Outstanding and Fundamental Contributions to Advancing the Social Understanding of Trauma.” In addition, he is the author of “A How-To Handbook on Creating Comprehensive, Integrated Trauma-Informed Initiatives in Native American Communities.”
Press is the general and legislative counsel for the Campaign for Trauma-Informed Policy and Practice (CTIPP), which helps local, county and state initiatives advocate for legislation to expand trauma-informed practices across the country. He also served as general counsel for The Roundtable on Native American Trauma-informed Initiatives. Both organizations are pro bono clients of his law firm. He has taught classes on tribal government at Columbia University, including “The Holocaust and Genocide in America”, in which students looked at common themes that arose in the genocides of Native Americans and of Jews.
On his first foray into Indian land in Montana, Press tutored children and coached basketball on the Crow Indian Reservation in the southern part of the state. While there, he was approached by Joseph Medicine Crow, the last living war chief of the Crow tribe, an oral historian and writer, who chronicled the living stories of the Crow. Medicine Crow asked Press to translate Crow treaties with the federal government into everyday language. (Medicine Crow, who won a Presidential Medal of Freedom for his war time service during WW II and for his work chronicling Crow history, died in 2016). The project was a turning point for Press. “It made me interested in Indian law,” he recalls.
Fortuitously, a couple he met in Montana who had just graduated from Yale Law School, which had coursework focused on law and society, helped him transfer from Columbia Law School to Yale, where he finished law school two years later in 1968. He then headed to the Navajo Indian Reservation in Window Rock, Arizona to take a job with The Navajo-Hopi Legal Services Program. He shed his urban roots enough to buy a horse, help friends herd cattle in his spare time, and he also attended native ceremonies.
strolling with horses
That experience with the legal services program gave Press a window into the lives of the people he was representing. “We knew there was a lot of beauty out there; there were a lot of beautiful traditions and wonderful people who weren’t reaching their full potential,” he says. Press got involved in employment law, “because I thought if people had jobs, that would help them overcome some of the problems like alcoholism and suicide and other major problems that people suffered on the reservation.”
That employment work, pushing for Indians to have preference in employment over non-Indians for jobs brought into the reservation, led to the establishment of the first Tribal Employment Rights Office in Window Rock. Although there were laws to give that preference, explains Press, “nobody every enforced them.”
When Press moved to Washington, eventually taking a job at the law firm Van Ness Feldman where he spent more than three decades, he continued to fight for Indian preference in employment.
“We had battles with federal agencies who said, ‘You can’t tell our federal contractors or grantees what to do.’ Now we had to show that tribal sovereign authority was stronger than any of those federal regulations. And that tribes could tell federal contractors they have to comply with Indian preference requirements of the tribe. So, a lot of it was fighting to assert tribal sovereignty, which at that point, was still a very new concept.”
As a result of Press’s efforts to push and maintain enforcement of Indian preference law, some 300 Tribal Employment Rights Offices have sprung up around the country.
Despite these victories, Press was beginning to understand that improving employment rights among native people did not mean—as he had hoped—that the societal problems on Indian reservations would go away.
“By around 2010, I started getting very disillusioned. I noticed that 40 years after I’d left the Navajo reservation, the problems that I thought would gradually dissipate were still as bad as ever—the alcoholism and the suicide and all of the other health and social problems that the tribes lead the country in,” he recalls.
He took the problem to his Columbia University students in the first course he taught on Indian tribal government.
“The issue I put before the students is how do we explain all of this dysfunctionality that we see on reservations? Why haven’t those problems decreased? We’ve seen an increase in college graduates, we’ve seen an increase in economic status, but we still have huge unemployment problems, huge substance use problems, huge suicide problems, high school dropout problems,” he says.
It was his students, says Press, who first introduced him to the concept of intergenerational and historical trauma in 2011. They had worked with professors in the university’s psychology department who were investigating how trauma from stress caused changes in genes in mice that were passed down from one generation to the next. (For an example of research around generational trauma and epigenetics, see this study. For research on Holocaust survivors and epigenetics, see this study.)
“It was after that class that I became persuaded that historical trauma was by far the most viable explanation for all for a lot of the problems that you see on reservations,” Press says.
Around the same time as the class, Press’ wife emailed him a study that she thought he should read. It was the landmark Centers for Disease Control and Prevention/Kaiser Permanente Adverse Childhood Experience Study (ACE Study) that tied 10 types of childhood trauma, such as living with a family member who’s addicted to alcohol or is depressed, with chronic disease in adulthood. The ACE Study and subsequent research also showed links between childhood trauma and alcohol and drug abuse in adulthood.
“So, I read it and thought, ‘It really connects the dots between historical trauma and these other forms of trauma’,” says Press. “I began studying more about it and I became a convert, and thought it was one of the most important studies out there.”
In 2014, a phone call with a former client would send Press on his current path. The call was with Native American psychologist, Dr. Tami DeCoteau, whom he describes as his “guru on trauma,” who called Press up one day and said, “I never mentioned it, but I used to babysit for Senator Heidi Heitkamp from North Dakota, and she just called me and said: ‘Let’s have coffee. I want to just pick your brain on what issues I should be dealing with.’”
Press suggested that DeCoteau ask Heitkamp to hold a roundtable discussion on historical trauma in Indian country. Heitkamp, who said it was consistent with her interest in issues affecting children, agreed.
Press and DeCoteau brought together about 25 people in 2014 to speak, including PACEs Connection’s Elizabeth Prewitt, who described the ACE Study. DeCoteau spoke about the experience of trauma on Indian reservations, and representatives from the Menominee tribe in Wisconsin talked about their cross-sector work in implementing trauma-informed practices. (See this PACEs Connection storyfor more on this meeting.)
Heitkamp stayed put for a full hour of the three-hour roundtable, recalls Press. “Getting a senator to sit the whole hour was amazing… But as she walked out, she said, ‘I’ve walked out of this hearing room for the Senate Committee on Indian Affairs depressed so many times because of all the problems people have described. This is the first time I’m walking out optimistic that maybe we have a solution!’”
That meeting gave rise to The Roundtable on Native American Trauma-informed Initiatives in 2016. While the group, led by leaders volunteering their time, including Press, is no longer active, it held meetings to inform government officials about the merits of trauma-informed programs. It also organized conferences for Native Americans, including one entitled: Calling Upon the Warrior Spirit to Heal Historical Trauma Conference and Ceremony in 2018.
In 2017, Heitkamp, along with Illinois Senator Dick Durbin, introduced the Trauma-Informed Care for Children and Families Act of 2017. Provisions of the legislation were later included in legislation signed into law in 2018 to address the nation’s burgeoning opioid epidemic. Until she lost her reelection bid to the Senate in 2019, Press says that Heitkamp remained a staunch supporter of legislation to advance trauma-informed policy.
Around the same time, Press was introduced to Dr. Sandra Bloom, a psychiatrist who was among a group of clinicians who developed a trauma-informed practices protocol known as the Sanctuary model, which has been widely disseminated around the country in schools and organizations, and Dr. Andrea Blanch, the president and director of the Center for Religious Tolerance, who trains service agencies and communities in trauma-informed practices. The two told Press of their interest in forming a national organization with leaders from across sectors to spread the word about trauma-informed practices. They just needed a place large enough to hold the meeting. Press offered up a room at his law firm.
That conversation sparked the formation of the Campaign for Trauma-Informed Policy and Practice, and Press, who was winding down his legal practice, jumped in. CTIPP focuses on advocating for legislation that incorporates the science of positive and adverse childhood experiences (PACEs science) into federal programs and serves as a forum for trauma-informed coalitions to share ideas and resources. In February 2020, just before the COVID-19 pandemic took hold, CTIPP launched the National Trauma Campaign, which is focused on recruiting advocates for trauma-informed legislation in every Congressional district. (See the attached slide deck to learn more about the work of CTIPP.)
That effort has already produced results. “When we first started, there was really just Senator Durbin and Senator Heitkamp. Now there are probably a half dozen senators who have introduced trauma-informed legislation,” says Press. In June, Senators Durbin and Shelley Capito of West Virginia, and others introduced the Rise from Trauma Act, which would infuse trauma-informed policies into federal programs. The bill would also provide funding for community-level work on trauma-informed practices. That bill hasn’t moved yet, says Press. But he has hopes about the reconciliation bill (a.k.a. Build Back Better, click here for PACEs Connection story), which is before the House of Representatives for a vote, and includes $2.5 billion in funding, which could go towards trauma-informed community coalitions.
If that happens, he says, “we’ll achieve one of our most important goals, which is to get funding to these local coalitions because they’re springing up all over the country and you see them on PACEs Connection. But the thing they all struggle with is funding. We have a lot of great volunteers, but we don’t have funding to hire full-time staff. So as the reconciliation bill passes with the Senate for the first time, there’ll be a funding source for local trauma-informed coalitions, and that would be a huge, huge, huge win.”
Press points to the appropriations bill report that just came out of the U.S. House of Representatives as another sign of progress. It included 30 different items in which funding was provided for trauma-informed related programs.
Reflecting next steps, Press says, it’s really all about education. “We know how to help people who have suffered trauma. We know how to prevent trauma. It’s really the education piece that is the biggest barrier. If we get in front of every state legislator, every congressperson, every governor for a half an hour, and go through the [positive and adverse childhood experiences] science, I think all of the barriers would just fall like crazy.”
By Catherine Rampell, Photo: Craig Mithelldyer/AP, The Washington Post, October 13, 2022
How about getting some of that sweet, sweet industrial policy for an industry that really needs it?
Not manufacturing plants. Not the tech sector. I’m talking about the “care” industry — the sector that’s needed to grease the wheelswhen it comes to the rest of the economy but one that Congress has largely ignored.
The U.S. economy has more than recovered all the jobs lost in the pandemic. But there are a few sectors that are not close to recovering all the workers they lost or laid off early in 2020. Among them: child-care providers (whose ranks have begun shrinking again in recent months) as well as nursing and residential care facilities.