National Governor’s Association Recommendations for States

Publication Year: 2017
Patient Need Addressed: Behavioral health, Trauma
Population Focus: Low income, Vulnerable/disadvantaged
Demographic Group: Child
Type of Literature: Grey


Insights Results

Overview of resource

  • This article proposes 5 recommendations for states to better identify, address, and prevent childhood experiences in the context of adverse community environments based on learnings from 5 sites in the Building Community Resilience collaborative


      The 5 recommendations are:
      1) Make your state trauma-informed – incorporate the science of adverse childhood experiences and trauma into state policy and programs (e.g., train and educate state officers, designate an agency to coordinate efforts across state agencies and make recommendations to state offices regarding trauma-informed care); 2) Create incentives for the provision of trauma-informed care in healthcare (e.g., payment for validated screening tools to determine social determinant needs) for the provision of trauma-informed care in healthcare; 3) Address substance use disorders, particularly the opioid epidemic (e.g., expand Medicaid, utilize the State Targeted Response to the Opioid Crisis Grants to build and fund comprehensive systems of care to respond to opioid misuse and associated problems); 4) Invest in and improve services for socially and emotionally vulnerable children, particularly education and early childhood development (e.g., increase state evidence in evidence-based home visiting models to better leverage federal investments, expand parent engagement efforts, adopt or design specific professional development tracks for Early Childhood educators); and 5) Facilitate cross-sector collaboration (e.g., develop a state-wide interoperability plan, collect and share uniform data for cities and districts to pinpoint gaps in services, improve coordination of the early care and education system with data)

    Key takeaways/implications

    • Medicaid and CHIP are specifically identified as resources for providing trauma-informed care and addressing SDOH. In particular, 1115 waivers, State Plan amendments, CMMI Models for Accountable Health, and CHIP Services Initiatives are identified platforms