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CUPS
& THE SCIENCE OF BUILDING
BRAINS AND RESILIENCY
PRESENTATION AT:
CACHC 2017 CONFERENCE TOUR
SEPTEMBER 26, 2017
OUTLINE OF PRESENTATION
Overview of CUPS
CUPS before vs CUPS today
Introduction to the science of building
brains and resiliency
Play the brain game
WORKING AS A NON-PROFIT
 Established 1989
 Serves low-income Calgarians
 $14 Million Operating Budget (60% private/40%
Government)
 Programs & services across health, education & housing
 10,000 unique participants and growing
 300+ partnerships
 22 Research Projects
 2 Facilities + satellites
PROFILE OF CUPS PARTICIPANTS
 59% did not graduate high school
 44% of these failed to graduate middle school
 44% were abused as a child
 42% have symptoms of depression or mental
illness
 62% of family incomes under $24,000/year
 36% fall between $12,000 - $24,000/year
 26% under $12,000/year
 Multi-ethnic
 36% Aboriginal
 33% Caucasian
 13% African/Caribbean
 18% other
5
Team: Insert new TOC diagram
6
Resilience Domain Subdomain In-Crisis Vulnerable Stable
Self-
Sufficient
Thriving
Economic
Housing & Living Conditions
Income & Finances
Education, Job Skills & Training
Food
Social-
Emotional
Community Involvement & Social
Relations
Family Relations
Executive Function & Self-
regulation
Substance Use
Legal & Justice
Health
Physical Health
Mental Health
Access to Health Care
Developmental
Early Years Development (0-
6 years)
Black = before services Green = after services
RESILIENCY MATRIX
A SPECTRUM OF RESILIENCE FORMS THE FRAMEWORK FOR OUR THEORY
OF CHANGE Resilience1
1Resilience: The ability for individuals to cope with change and flexibly respond to challenges to maintain positive functioning. (Bomke, Kendall-Taylor & Cawthorpe, 2014)
CUPS BEFORE VS TODAY
CUPS TodayCUPS Before
• Professional
• Strategic
• Supports continuous
improvement
• Results-oriented
• Implemented evidence-
based practice
• Small health clinic
• Basic need referral services
• Grass roots
• Reactive
• Crisis-oriented
WHAT INSTIGATED THE SHIFT
 Even with all the work that goes on, poverty is still not
changing
 Change for participants was not sustainable or as effective
as originally thought – participants returned to CUPS
when crisis occurred
 Improved access to research and evidence bridged by
AFWI’s work
 Core story of building brains and resiliency
 Adverse childhood experiences (ACEs)
INTRODUCTION TO THE SCIENCE OF
BUILDING BRAINS AND RESILIENCY
 Early experiences build brains
 Positive experiences build sturdy brain
architecture (serve and return)
 Executive function and self-regulation
 Toxic stress disrupts brain architecture
Adverse Childhood Experiences affect
health outcomes later in life
NEXT UP
The Brain Architecture Game
https://dev.thebrainarchitecturegame.com/

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CUPS presentation 1 from Sept 2017 CACHC conference

  • 1. CUPS & THE SCIENCE OF BUILDING BRAINS AND RESILIENCY PRESENTATION AT: CACHC 2017 CONFERENCE TOUR SEPTEMBER 26, 2017
  • 2. OUTLINE OF PRESENTATION Overview of CUPS CUPS before vs CUPS today Introduction to the science of building brains and resiliency Play the brain game
  • 3. WORKING AS A NON-PROFIT  Established 1989  Serves low-income Calgarians  $14 Million Operating Budget (60% private/40% Government)  Programs & services across health, education & housing  10,000 unique participants and growing  300+ partnerships  22 Research Projects  2 Facilities + satellites
  • 4. PROFILE OF CUPS PARTICIPANTS  59% did not graduate high school  44% of these failed to graduate middle school  44% were abused as a child  42% have symptoms of depression or mental illness  62% of family incomes under $24,000/year  36% fall between $12,000 - $24,000/year  26% under $12,000/year  Multi-ethnic  36% Aboriginal  33% Caucasian  13% African/Caribbean  18% other
  • 5. 5 Team: Insert new TOC diagram
  • 6. 6 Resilience Domain Subdomain In-Crisis Vulnerable Stable Self- Sufficient Thriving Economic Housing & Living Conditions Income & Finances Education, Job Skills & Training Food Social- Emotional Community Involvement & Social Relations Family Relations Executive Function & Self- regulation Substance Use Legal & Justice Health Physical Health Mental Health Access to Health Care Developmental Early Years Development (0- 6 years) Black = before services Green = after services RESILIENCY MATRIX A SPECTRUM OF RESILIENCE FORMS THE FRAMEWORK FOR OUR THEORY OF CHANGE Resilience1 1Resilience: The ability for individuals to cope with change and flexibly respond to challenges to maintain positive functioning. (Bomke, Kendall-Taylor & Cawthorpe, 2014)
  • 7. CUPS BEFORE VS TODAY CUPS TodayCUPS Before • Professional • Strategic • Supports continuous improvement • Results-oriented • Implemented evidence- based practice • Small health clinic • Basic need referral services • Grass roots • Reactive • Crisis-oriented
  • 8. WHAT INSTIGATED THE SHIFT  Even with all the work that goes on, poverty is still not changing  Change for participants was not sustainable or as effective as originally thought – participants returned to CUPS when crisis occurred  Improved access to research and evidence bridged by AFWI’s work  Core story of building brains and resiliency  Adverse childhood experiences (ACEs)
  • 9. INTRODUCTION TO THE SCIENCE OF BUILDING BRAINS AND RESILIENCY  Early experiences build brains  Positive experiences build sturdy brain architecture (serve and return)  Executive function and self-regulation  Toxic stress disrupts brain architecture Adverse Childhood Experiences affect health outcomes later in life
  • 10. NEXT UP The Brain Architecture Game https://dev.thebrainarchitecturegame.com/

Editor's Notes

  1. Data here is gathered through our Family Development Centre These statistics serve to represent the individuals that CUPS’ serves
  2. 5 Points about the theory of change: 1) Spectrum of resilience   We believe people progress (and retreat) along a spectrum of resilience.   2) Success is self-sufficiency on multiple dimensions   Our intent is to support adults and families living with the adversity of poverty and traumatic events to advance towards increasing levels of resilience, with the goal of ensuring that, by 2021, a high portion of them is self-sufficient.     3) Integrated Health, Education and Housing services delivered by CUPS and partners   To ensure that the adults and families we serve advance towards increasing levels of resilience, we will deliver an integrated set of Health, Education and Housing services. These services will be delivered through our own activities and the activities of a select set of other agencies with whom we will work in close partnership.    Because our participants’ ability to achieve self-sufficiency relies on services provided by partners, we will focus and strengthen our relationships with a select set of those agencies. We will classify our partnerships into three categories: Primary partners (Intimate relationships) – Those that we will collaborate with on outcome-focused program planning and data sharing. Secondary partners (Collaborative relationships) – Those that we will work together with to advance participants towards common goals (not necessarily sharing data). Tertiary partners (Transactional relationships) –Those that we will refer to and from (no data sharing). 4) Applying, and contributing to, the science of building brains and resiliency   The science of building brains and resiliency is essential to the work of helping adults and families overcome poverty and trauma and achieve self-sufficiency. It needs to be applied in all of our practice.   We will align our programs with current research as refinements occur, and coach and mentor our staff to ensure they understand the science and how to apply it into practice. We will also prioritize Primary partnerships with agencies that apply this research themselves.   Beyond applying the research in our practice, we will contribute to the ongoing advancement of the science of building brains and resiliency. We will document findings about the impact of applying this science in our practice, to enhance the evolving body of knowledge for training and development of practitioners.   5) Advocating to reduce barriers to services among those we serve   Adults and families in Calgary living with the adversity of poverty and traumatic events face barriers in accessing services that can support them in achieving self-sufficiency.   Through our own advocacy efforts, and in collaboration with partners, we will work to reduce barriers such as: Funding criteria that currently do not support inter-disciplinary working; Regulatory and training bodies’ collective challenge regarding interdependence and inter-professional working; Privacy legislation that prevents information sharing within and across social service agencies and health agencies; and Insufficient focus and funding by the Government of Alberta for early years initiatives.
  3. Now we support a fully functioning health clinic, housing and education programs Over 15 years the Palix Foundation has supported CUPS in its transition to become the professional organization we are today. This support has included capital start up dollars, operating funds to get projects off the ground, capacity building supports for staff to take programming to the next level as well as professional expertise, access to conferences and training, and other supports a grassroots NFP would typically not have access to. It would take hours to detail exactly how deeply Palix’s support has impacted CUPS growth and development, but want to show a couple examples from pre-AFWI in depth to illustrate the domino effect that having the right supports in the right place at the right time has had on our organization and ultimately CUPS participants Two examples: One World Medical Clinic
  4. OPTIONAL: Play AFWI video https://www.youtube.com/watch?v=23jDxNOdDCk