In this episode, Dr. Robert Sege and Dr. Baraka Floyd are joined by Dr. Jason Deen, a pediatrician and founder of the University of Washington Center for Indigenous Health. The conversation explores how Indigenous families provide positive childhood experiences (PCEs) by deeply connecting youth to their culture and traditions. Dr. Deen discusses the healing power of cultural socialization, such as participating in powwows and traditional activities, as a "decolonizing concept" that builds self-worth, community health, and resilience against historical trauma. The hosts also highlight Dr. Deen's inspiring work in creating pathway programs that introduce Native youth to medical careers, normalizing the experience of being an Indigenous healthcare professional.

For more on the HOPE framework, visit positiveexperience.org.

In this episode, Dr. Robert Sege and Dr. Baraka Floyd welcome back Dr. Javiera Brierley Vera and Flavia Maccio to dive deeper into the practical applications of HOPE en Español. Shifting the focus to the early childhood workforce, Flavia shares a powerful success story from Michigan, where implementing the HOPE framework helped dramatically reduce staff turnover, combat burnout, and create a strength-based environment for professionals serving Spanish-speaking immigrant families. The conversation also explores the growing collective impact of HOPE across Latin America, with Dr. Brierley Vera revealing an "audacious goal" to see every Spanish-speaking government promoting positive childhood experiences.

For more on the HOPE framework, visit positiveexperience.org.

In this episode, Dr. Robert Sege and Dr. Baraka Floyd are joined by Dr. Javiera Brierley Vera and early childhood specialist Flavia Maccio to take the HOPE framework on a cross-cultural journey. Our guests share their insights on adapting positive childhood experiences (PCEs) for Spanish-speaking communities across the globe. The conversation highlights that while the Four Building Blocks of HOPE are universal, culturally responsive care requires listening deeply, honoring family structures, and moving at the "speed of trust." The episode serves as a powerful reminder that shifting from a trauma-only focus to a strength-based approach empowers families to define thriving on their own terms.

For more on the HOPE framework, visit positiveexperience.org.

In this episode, Dr. Robert Sege and Dr. Baraka Floyd welcome back Dr. Nadine Burke Harris for a powerful conversation on transforming systems to support children and families. Building on the science of toxic stress, Dr. Burke Harris discusses how to scale positive childhood experiences (PCEs) from the clinic to statewide policy. She shares insights from her time as California's Surgeon General, highlighting the economic cost of adverse childhood experiences (ACEs) and the groundbreaking policy shift that allowed Medicaid to fund buffering care based on risk rather than waiting for a clinical diagnosis. Finally, the hosts explore the realities of vicarious trauma and the importance of building personal support networks to sustain this critical work.

For more on the HOPE framework, visit positiveexperience.org.

In this episode, Dr. Robert Sege and Dr. Baraka Floyd are joined by Dr. Nadine Burke Harris, California's first-ever Surgeon General. The conversation explores the profound impact of adverse childhood experiences (ACEs) and toxic stress, alongside the biological healing power of positive childhood experiences (PCEs). Through a compelling patient story, Dr. Burke Harris illustrates how buffering care—like child-parent psychotherapy—can reverse the effects of trauma and promote healthy growth. The hosts also discuss the importance of recognizing discrimination as a risk factor for toxic stress and emphasize that positive childhood experiences are essential for all children.

For more on the HOPE framework, visit positiveexperience.org.

Continuing their conversation, Dr. Robert Sege, Dr. Baraka Floyd, and guest Dr. Bruce Perry discuss using the HOPE framework in practical, everyday ways to interact with children. They highlight how brief, in-person moments of connection can calm stress responses and support healthy development. Practical takeaways include the four P's (present, parallel, patient, persistent), the power of proximity and social contagion, simple activities, and the "bubble of effectiveness" strategy to combat burnout and maximize impact, even in short encounters.

For more on the HOPE framework, visit positiveexperience.org.