,,iii #aaeth ,,congress #ast ,session ,s4 ,,res4 #cdf ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,december #a1 #bjag,mr4 ,johnson 7for himself1 ,ms4 ,heitkamp1 ,mr4 ,boozman1 and ,ms4 ,baldwin7 submitted the following resolution2 which was referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,,resolution ,recognizing the importance and effectiveness of trauma-informed care4 ,whereas traumatic experiences affect millions of individuals in the ,united ,states and can affect the mental1 emotional1 physical1 spiritual1 economic1 and social well-being of an individual2 ,whereas adverse childhood experiences 7in this preamble referred to as ,a,c,es7 can be traumatizing and1 if not recognized1 can affect health across the lifespan of an individual and1 in some cases1 result in a shortened lifespan2 ,whereas ,a,c,es are recognized as a proxy for toxic stress1 which can affect brain development and can cause a lifetime of physical1 mental1 and social challenges2 ,whereas ,a,c,es and trauma are determinants of public health problems in the ,united ,states such as obesity1 addiction1 and serious mental illness2 ,whereas trauma-informed care is an approach that can bring greater understanding and more effective ways to support and serve children1 adults1 families1 and communities affected by trauma2 ,whereas trauma-informed care is not a therapy or an intervention1 but a principle-based1 culture-change process aimed at recognizing strengths and resiliency as well as helping people who have experienced trauma to overcome those issues in order to lead healthy and positive lives2 ,whereas adopting trauma-informed approaches in workplaces1 communities1 and government programs can aid in preventing mental1 emotional1 physical1 and social issues for people impacted by toxic stress or trauma2 ,whereas trauma-informed care has been promoted and established in communities across the ,united ,states1 including many different uses of trauma-informed care being utilized by various types of entities1 such as-- 7#a7 the ,state of ,wisconsin1 which established ,fostering ,futures1 a statewide initiative-- 7,a7 under which the ,state partnered with ,indian tribes1 ,state agencies1 county governments1 and nonprofit organizations to make ,wisconsin the first trauma-informed ,state2 and 7,b7 the goal of which is to reduce toxic stress and improve life-long health and well-being for all ,wisconsinites2 7#b7 the ,menominee ,tribe in ,wisconsin1 which improved educational and public health outcomes by increasing understanding of historical trauma and childhood adversity and by developing culturally relevant1 trauma-informed practices2 7#c7 schools of medicine that provide critical trauma-informed care in ,chicago1 ,illinois1 including-- 7,a7 the ,university of ,illinois at ,chicago ,comprehensive ,assessment and ,response ,training ,system1 which improves the quality of psychiatric services provided to youth in foster care2 and 7,b7 the ,university of ,chicago ,recovery and ,empowerment ,after ,community ,trauma ,program1 which helps residents who are coping with community violence2 7#d7 service providers1 academics1 and local artists in ,philadelphia1 ,pennsylvania1 that use art to engage communities to educate and involve citizens in trauma-informed care activities2 7#e7 the ,department of ,public ,health of ,san ,francisco1 ,california1 which aligned its workforce to create a trauma-informed system2 7#f7 schools in ,kansas ,city1 ,missouri1 that-- 7,a7 worked to become trauma-informed by encouraging teachers and children to create self-care plans to manage stress2 and 7,b7 have implemented broad community-wide1 trauma-informed culture changes2 7#g7 the city of ,tarpon ,springs1 ,florida1 which crafted a community effort to gather city officials1 professionals1 and residents to coordinate multiple trauma-informed activities1 including a community education day2 7#h7 community members in ,worcester1 ,massachusetts1 who worked with the ,massachusetts ,department of ,mental ,health to create a venue with peer-to-peer support to better engage individuals dealing with trauma and extreme emotional distress2 7#i7 the city of ,walla ,walla1 ,washington1 which1 together with community members1 launched the ,children's ,resilience ,initiative to mobilize neighborhoods and ,washington ,state agencies to tackle ,a,c,es2 7#aj7 the ,state of ,oregon1 which passed the first ,state law in the ,united ,states to promote-- 7,a7 trauma-informed approaches in order to decrease rates of school absenteeism and increase understanding of ,a,c,es and trauma2 and 7,b7 best practices to leverage community resources to support youth2 7#aa7 the ,commonwealth of ,massachusetts1 which passed a law to promote whole-school efforts to implement trauma-informed care approaches to support the social1 emotional1 and academic well-being of all students1 including both preventive and intensive services and support depending on the needs of students2 and 7#ab7 the ,state of ,washington1 which implemented the ,a,c,es ,public-,private ,initiative1 a collaboration among private1 public1 and community organizations to research and inform policies to prevent childhood trauma and reduce the negative emotional1 social1 and health effects of childhood trauma2 ,whereas the ,substance ,abuse and ,mental ,health ,services ,administration provides substantial resources to better engage individuals and communities across the ,united ,states to implement trauma-informed care2 ,whereas numerous ,federal agencies have integrated trauma-informed approaches into programs and grants that those agencies administer1 and those agencies could benefit from closer collaboration2 and ,whereas national recognition through a trauma-focused awareness month would help to deepen the understanding of the nature and impact of trauma1 the importance of prevention1 the impact that ,a,c,es can have on brain development1 and the benefits of trauma-informed care3 ,now1 therefore1 be it ,that the ,senate-- 7#a7 recognizes the importance1 effectiveness1 and need for trauma-informed care among existing programs and agencies at the ,federal level2 7#b7 encourages the use and practice of trauma-informed care within the ,federal ,government1 including within the executive branch agencies and ,congress2 and 7#c7 supports the designation of ,may #bjah as ,national ,trauma ,awareness ,month and ,may #bb1 #bjah1 as ,national ,trauma-,informed ,awareness ,day in order to highlight community resilience through trauma-informed change4