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ACE study

ACE study. Adverse Childhood Experiences (ACEs ). ACEs are Common. Abuse and Neglect. Household Dysfunction. BRFSS (2010 ). Emotional Neglect. Physical Neglect. Mental Illness. Incarceration. Domestic Violence. Alcohol / Drugs. Physical. Divorce. Sexual. Emotional.

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ACE study

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  1. ACE study

  2. Adverse Childhood Experiences (ACEs)

  3. ACEs are Common Abuse and Neglect Household Dysfunction BRFSS (2010) Emotional Neglect Physical Neglect Mental Illness Incarceration Domestic Violence Alcohol/ Drugs Physical Divorce Sexual Emotional

  4. Social Context Matters Total ACEs Score by Income in California, 2011-2013 34% % residents with at least one ACE

  5. ACEs Cluster Given exposure to one ACE, there is an 80% likelihood of exposure to another ACE

  6. ACEs and Chronic Diseases

  7. “Trauma is to Mental Health as Smoking is to Cancer!” Steven Sharfstein, President American Psychiatric Association Suicide 12x Alcoholism 7x Drug use 5x Depression 4x

  8. ACEs and School Outcomes

  9. ACEs and Social Outcomes A person with 4 or more ACEs is • 27% more likely to have less than a college degree • 39% more likely to be unemployed • 21% more likely to be below 250% of the Federal Poverty Level • At least 59% more likely to have a juvenile arrest, and 30% more likely to commit a violent crime Data from https://letsgethealthy.ca.gov/goals/healthy-beginnings/adverse-childhood-experiences/and http://www.acesconnection.com/g/aces-in-criminal-justice/blog/pipeline-to-prison-may-start-with-childhood-trauma

  10. ACEs Disrupt Attachment • Relationships are developed through the emotional bond between the child & primary caregiver. It is through this relationship we learn to: • Regulate emotions - “self soothe” • Develop trust in others • Freely explore our environment • Understand ourselves & others • Understand that we can impact the world around us

  11. ACEs can cause toxic stress if not countered by protective factors Based upon work by Drs Bruce McEwen and Jack Shonkoff

  12. Neuron growth and organization develops over time Social environment impacts brain development

  13. Potential impact on brain activity Source: Dr. Harry Chugani M.D., Chief, Division of Pediatric Neurology, Director, Positron Emission Tomography(PET) Center, Children's Hospital of Michigan

  14. What part of brain is in control? Courtesy of James Soward

  15. ACEs Primer - 5 minutes

  16. Adversity is not destiny “All the world is full of suffering. It is also full of overcoming.”- Helen Keller

  17. Individual • Family • Organizational • Community • Public Policy • = the capability to recover quickly from difficulties, toughness Not just

  18. Child Protective Factors • Genetics • Intelligence • Self-regulation • Executive function

  19. Parent-Child Protective Factors • Responsive parenting • Warm • Supportive • Control/discipline • Appropriate • Positive

  20. Community Protective Factors • Safe neighborhoods • High quality child care • Supportive schools • Structured extracurriculars • Positive peer relationships • Supportive mentors

  21. Public Policy Policies and Practices that: • Support responsive relationships for children and adults. • Strengthen core life skills - Self-regulation, executive function, goal-setting • Reduce sources of stress in the lives of children and families (Center on the Developing Child, 2017)

  22. Sesame Street in Communities - 2 minutes

  23. Self-Healing Community ModelCowlitz County, Washington - Take Back the Light- Over 10 years Building Resilient Communities • Births to teen mothers down 62% • Infant mortality down 43% • Youth suicide/attempts down 98% • Youth arrests for violence down 53% • High school dropout rates down 47% https://www.rwjf.org/en/library/research/2016/06/self-healing-communities.html

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