foggy green trees

2021 Project Update

2020 and 2021 have brought new challenges and opportunities for the organizations within Creating Community Resilience.  As each organization adjusts to their “new normal” they have all found ways to ensure trauma informed care remains a pillar of their work.  Not only have our core organizations continued their agency services, but they have also kept the goals and forward momentum of CCR in focus.

In this unprecedented time, Creating Community Resilience has supported several significant projects that help align efforts to better support the health and well-being of our community.  Whether it’s supporting youth, addressing the ever-changing needs of the pandemic, or offering training to the community, CCR keeps resilience at the center of all efforts.

CCR Addresses Youth:

In Douglas County, more than 20% of our teenage youth are not attending school or working.  This is significant because this lack of engagement leads to generational cycles of under-education, under-employment, and negative health and social outcomes.  Several of our core agencies serve this important population and CCR’s goal is to support alignment and strengthen connections so that youth in our community have access to services and supports that meet their needs.

This year, CCR received funding from the State of Oregon’s Youth Development Division (YDD) to help connect and explore our community programming and resources dedicated to Opportunity Youth. YDD grants support efforts to reduce disparities in educational success, improve graduation and completion rates, reduce youth disconnection, increase attendance and readiness, and remove barriers engagement, achievement, and success.

Research indicates that intervening to keep young people engaged – and reengaging those who are disconnected or pushed out of school – not only improves future outcomes for these individuals, but offers a significant return on investment to communities, by reducing the risk of justice system involvement, lowering social service costs, and increasing economic productivity and income tax revenue.  All great ways to Create Community Resilience!

Together with our community partners, we held several work groups with representatives across the county to talk about the issues facing youth in our communities, identify areas of success and challenge, and explore ways we might want to work together.  After all our work sessions were completed, we put together a comprehensive report of our findings to help shape the work to come. You can find this report here.

CCR Addresses COVID-19:

The Oregon Health Authority funded Creating Community Resilience as a community based organization to support education and outreach efforts addressing COVID-19.  These funds were shared between our core organizations to help promote up-to-date information about the virus, personal and community safety, testing and vaccination with clients and community members in ways that were culturally and linguistically appropriate.  These dollars also helped fund vaccine events around the community.

In collaboration with OHA and DPHN, we have been working to identify the most vulnerable populations in need of education and outreach.  For example, Peace at Home led outreach to our Spanish-speaking community members while the Douglas ESD supported information & vaccine clinics for educators, staff, and families with school-aged children.  Family Development Center, Douglas CARES, Phoenix School, and Roseburg Public Schools have all been supporting outreach and education around COVID health and safety.

We will soon be launching a new campaign with our partners to help community members hear from local experts on how we can work together to beat COVID 19.  This campaign will center on promoting messages on COVID safety, holding events where people can ask questions and learn about the vaccine, and support testing and vaccination events.

As we continue to move through these uncertain times of the pandemic, we are proud to support the health and wellness of our community in this way.

ACE Interface:

We are excited to partner with Southern Oregon Success and South Coast Together, both regional collaboratives like CCR that are addressing ACE Awareness and Trauma Informed Care capacity in Southwest Oregon. Recently, we worked together to train community members  in ACE Interface, an evidence-based curriculum that helps us understand what’s happening with NEAR Science, ACES, and Resilience Building.  CCR supported 15 community members and staff from our core organizations to participate in this training.  

The ACE Interface curriculum addresses breakthroughs in research on the impacts of toxic stress and trauma on brain development, health, and social skills.  This training covers the latest science related to the progressive impact of adversity and the life long effect of  adverse childhood experiences. It provides an overview of the neuroscience, a bit on epigenetics,  information about the Adverse Childhood Experiences study, ideas on how to build resilience, and an understanding of trauma-informed care in plain language, tied to the experience of the audience. The  training was developed by Dr. Robert Anda, the co-principal investigator and designer for the ACE study, and  Laura Porter of ACE Interface, and has been reviewed and approved by known experts in the field for its scientific content. 

Our team in Douglas County represents a wide range of interests and expertise and all members are passionate about the issues of ACES and Resilience.

If you’d like to request a training for your group, you can follow this link to get started.


woman on bed holding plastic cup

Health Care Utilization and Costs Associated with Childhood Abuse


Physical and sexual childhood abuse is associated with poor health across the lifespan. However, the association between these types of abuse and actual health care use and costs over the long run has not been documented.


To examine long-term health care utilization and costs associated with physical, sexual, or both physical and sexual childhood abuse.


white One Touch at 6.7 remote

Relationship Between Abuse and Neglect in Childhood and Diabetes in Adulthood

Introduction Few studies have investigated links between child abuse and neglect and diabetes mellitus in nationally representative samples, and none have explored the role of obesity in the relationship. We sought to determine whether child abuse and neglect were associated with diabetes and if so, whether obesity mediated this relationship in a population-representative sample of young adults.

Methods We used data from 14,493 participants aged 24 to 34 years from Wave IV of the National Longitudinal Study of Adolescent Health to study associations between self-reported child abuse (sexual, physical, or emotional abuse) and neglect as children and diabetes or prediabetes in young adulthood. We conducted sex-stratified logistic regression analyses to evaluate associations in models before and after the addition of body mass index (BMI) as a covariate.


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A Sheriff And A Doctor Team Up To Map Childhood Trauma

The University of Florida’s Dr. Nancy Hardt has an unusual double specialty: She’s both a pathologist and an OB-GYN. For the first half of her career, she brought babies into the world. Then she switched — to doing autopsies on people after they die.

“I want to prevent what I’m seeing on the autopsy table. … A lot of times, I’m standing there going, ‘I don’t think this person had a very nice early childhood.’ ”

Dr. Nancy Hardt, pathologist, University of Florida

It makes perfect sense to her.

“Birth, and death. It’s the life course,” Hardt explains.

A few years ago, Hardt says, she learned about some research that changed her view of how exactly that life course — health or illness — unfolds.


doctor holding red stethoscope

Dear Doctor: What you didn’t ask

Dear Doctor: What you didn’t ask, and what I didn’t tell you

I am your patient. We have known one another for a long time, and I want to thank you for healing me so many times.

At present, you know me only from annual checkups as a healthy 58-year-old, divorced, Caucasian female; 120 lbs, 5’6″; two adult children; parents and all four siblings living; family history of diabetes, epilepsy, alcoholism, bowel cancer, and heart disease; no medications.

You met me first in 1943 in Pennsylvania. I was a normal 5 lb 6 oz infant, born under general anesthesia. My mother nursed me for eight months, and I grew normally. You were surprised and concerned when I returned in six weeks for a well-baby check and immunizations. I had developed an extremely loud heart murmur, but you assured my worried mother no surgery was needed.


man and two women standing near linked-chain fence

Youth Trauma and Adverse Childhood Experiences

The Alternative Schools Network (ASN) Youth Resilience Project is an initiative that grew from the collective desire to develop and provide additional clinical resources for nonprofit and alternative schools in the ASN Network.  The Youth Resilience Project is dedicated to the cause of bringing knowledge, awareness, and support to schools around issues associated with youth trauma.

Spreading the knowledge of trauma and its impacts on youth development became a mission of ASN’s Clinical Team after witnessing firsthand how it could help improve relationships, interventions, and overall programming among some of the hardest to reach youth in the alternative schools.



red apple fruit on four pyle books

ACEs Community School Models

For the past five years, the Hayward Unified School District has been focusing on its lowest-income neighborhoods, transitioning to a “community schools” approach that provides health, social and other services to students and their families.

The East Bay Area district south of Oakland offers a case study in the potential of an approach whose goal is to transform schools into hubs for the entire community by offering a range of services, such as mental health counseling, health clinics, after-school programs and classes for parents.



person sitting on chair in front of table

What Happens When a “Behaviorist” has Dinner with a “Trauma-Informist”

Let me tell you, dinner with a behaviorist is an experience, a somatic experience.  Lily (name changed to protect her 😉 ) and I shared Indian food two nights ago in Keene, NH.

As I shuffled into the restaurant ten minutes late (typical me), I rounded the corner and saw her sitting at a table for two. I beamed; I knew I was in for some rich discussion and a total “nerding out” session.

Lily and I are former colleagues. We worked together for only a year, but it was my first year in a new school. Lily was there — someone safe whom I could confide in. She is a school psychologist by training, but a self-proclaimed hard core “behaviorist.” She even holds that title in her current job.


man standing near white wall inside room

Urban Teens Propose Violence Prevention Strategies

When urban teens were asked to identify solutions for reducing violence in their New Haven, Connecticut community, their recommendations were loud and clear: They hoped for better employment opportunities, more after-school activities, and a cleaner city environment.

The teens’ suggestions are the culmination of a unique project called Youth Haven in which 12 youth ambassadors between the ages of 16 and 18 were recruited from city public schools for their interest in violence prevention.

As part of the project, the teens held a citywide Youth Congress in an effort to hear and discuss other teens’ ideas on how to reduce community violence. Each group was led by a youth ambassador and facilitated by adult academic and community partners. Among teens attending the conference, 61 percent reported having a family member who had been killed by an act of violence, and 81 percent said a family member had been hurt by an act of violence.