preparing for new information this presentation may change how you view the world or make sense of...
TRANSCRIPT
Preparing for New Information
This presentation may change how you view the world or make sense of past experiences. We encourage you to seek support and care for yourself if you become upset.
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Story
What gives you strength?
A new look at addictions and unhealthy behaviors
“What’s wrong
with these
people?
Don’t they
know any
better?”
Adverse Childhood Experiences • Abuse: physical, sexual, psychological• Neglect: emotional, physical• Exposure to other traumatic stressors:
substance abuse, divorce, mental illness, battered mother, criminal behavior
Study Overview
Study method
17,421 members of the Kaiser Health Plan in San Diego County from 1995-1997
Confidential survey asking questions about childhood trauma and current health status and behaviors combined with physical examination
Demographics: • primary care setting • educated• middle class• predominantly white
Childhood experiences can be powerful determinants of who we become as adults.
General finding
What it found
What it found
Adverse Childhood Experience tend to occur in clusters
Number of ACEs Those surveyed
0 36%
1 26%
2 16%
3 9.5%
4 or more 12.5%
Chronic depression
0
10
20
30
40
50
60
70
80
% W
ith a
Life
time
Hist
ory
of
Depr
essio
n
0 1 2 3 >=4ACE Score
Women
Men
Prevalence of heart disease in women
0
1
2
3
4
5
6
0 1 2 3 >=4
ACE Score
Perc
ent
Early mortality
Age Group
0
10
20
30
40
50
60
Perc
ent i
n Ag
e G
roup
0 2 4
ACE Score
19-34
35-49
50-64
>=65
What does this mean for Iowa?
Prevalence of ACEs in Iowa
Co-occurence of ACEs in Iowa
Where do Iowans with ACEs live now?
Impact on Iowan’s lifelong health
ACEs and Poor overall Health ACE-Related Number of Bad Health Days in Last Month
*Iowa median household income in 2012 was $50,957.
How can ACEs impact someone long-term?
The framework
National Center for Chronic Disease Prevention and Health Promotion
A child’s brain
Experiences build brain architecture
Impact of ACEs
Toxic Stress Derails Health Development
Center on the Developing Child, Harvard University
Impact on education
Discussion
What are your reactions to this research? What information resonates most with you? How does this study relate to your field or areas of interest?
Now what?
Childhood experiences can be powerful determinants of our health and well-being as adults….
BUT THEY DO NOT HAVE TO.
What happened to you?
vs. What’s wrong
with you?
Trauma-Informed Care
Iowa’s response
Opportunities to respond
Take Action Build communities in which people feel a sense of responsibility and
care for one another Integrate a trauma-informed approach across child- and family-
serving systems and organizations Advocate for services that help families build resilience, social
connections, parenting knowledge, nurturing and attachment, and access to needed resources
Opportunities to respond
Share the Knowledge Online Learning Modules Increase awareness of trauma and its impact with family and friends
Join the Discussion ACEs Connection-Iowa Action Group
• How might the information shared today affect you and your work?
• What can be done to address ACEs in your organization or community?
• What opportunities do you see for using Iowa’s data next year?
• Who should be involved in the effort to address ACEs?• What is missing from this conversation? • What questions do you still have?
Discussion
Resources
ACEs Too High acestoohigh.com
Centers for Disease Control and Prevention www.cdc.gov/ace
Harvard Center on the Developing Child developingchild.harvard.edu
Iowa ACEs 360 www.iowaaces360.org
Zero to Three www.zerotothree.org