Adverse Childhood Experiences How ACEs affects people throughout their lives -Introduce Butte County Coalition with new name

What are ACEs? Traumatic experiences during childhood that have an affect on future health There are 10 types of recognized ACEs in three categories: Abuse Neglect Household Dysfunction What is Trauma: An event, series of events or circumstances that is experienced by an individual as physically or emotionally harmful or life threatening and has lasting adverse effects on individual’s functioning and mental, physical, social, emotional, or spiritual well-being ACE’s can be experienced by everyone

The Initial Study Roughly 2 of 3 people had experienced at least one ACE 1 out of every 8 had experienced 4 or more ACEs Surveyed 17,000 adults 74.8% were Caucasian 75.2% had obtained college-level education Completed in 1998 by physicians at Kaiser Permanente Medical Center in San Diego, California The higher that ACE score, the higher the risks of poor health and negative health views The ACE survey tells us: Who How many And with what consequences Toxic stress effects on the brain Toxic stress on the body Toxic stress passed from generation to generation Resilience research

What were the top three most commonly reported ACEs? According to 2014 data collected by the U.S. Department of Health and Human Services, roughly 702,000 children were victims of maltreatment of one type or another. 75% of cases were of neglect 17% of cases were of physical abuse 6.8% of cases were classified as other abuse ¼ of children will experience some form of child maltreatment in their lifetime (U.S. Department of Health and Human Services et al, 2012 Lifetime economic burden of new cases of fatal and non-fatal child maltreatment―$124 billion (Fang, Brown, Florence, & Mercy, 2012)

ACEs doesn’t discriminate They impact everyone regardless of their race and ethnicity There is correlation of higher ACE scores and a person’s poverty, education, and employment A person with 4 or more ACES is: 21% more likely to be below 250 percent of the Federal Poverty Level (FPL) 27% more likely to have less than a college degree 39% more likely to be unemployed

Health Impacts of Adults with 4 or more ACEs Physical Health Asthma COPD Kidney Disease Mental Health 5 times more likely to suffer from depression 4 times more likely to be eventually diagnosed with Alzheimer’s or dementia Self-Rated Health 1 or more poor physical and/or mental health days within a month Poor health prevented them from their usual activities Health Behavior About 3 times more likely to: Be a current smoker Engage in binge drinking Engage in risky sexual behavior

ACEs Pyramid How do ACE’s cause negative health outcomes? Prolonged stress can: disrupt the normal brain development during critical periods in childhood as well as the development of other organ systems. cause an increased risk for development of stress-related diseases and cognitive impairment. account for the correlation between increased frequency of ACEs and increased risk for disease or dysfunction during adulthood. to a pregnant woman can cause stress to the perinatal environment causing changes in the brain development of the fetus.

ACEs effect on Parenting Abilities Adults who experienced ACEs as children are: More likely to subject their children to ACEs Increased risk for difficulty dealing with stressors More likely to project stress to children People with ACEs are... Less likely to have health insurance or a regular doctor Almost 13 times more likely to be removed from their home as a child Women with at least 3 violent ACEs are more likely to be a victim of intimate partner violence Men with at least 3 violent ACEs are more likely to perpetrate intimate partner violence

Through protective factors there is hope Parental resilience Social connections Concrete supports in times of need Knowledge of parenting & child development Social & emotional competence of children Parental Resilience: the ability to handle everyday stress and bounce back from challenges including crisis Social Connections: trusted and caring family and friends who provide support to parents in facing everyday challenges of raising a family Concrete Supports in Times of Need: basic needs such as housing, food, clothing transportation and healthcare Knowledge of Parenting & Child Development: accurate information about raining children, appropriate expectations, and behavior management Social & Emotional Competence of Children: a child's ability to interact positively with others, control their behavior and communicate their feelings effectively

Let’s take a look at your ACEs score Above, is an example of a Butte County survey you can take to calculate your ACEs score ACE score: 0 Reports no exposure to any of the categories of trauma listed ACE score: 4 Likelihood of diseases, social and emotional problems increase ACE score: 10 Reports exposure to all of the categories, answered yes to all questions, risk of disease, social, and emotional problems has increased greatly

What can you do? Mental illness and substance abuse treatment Home visiting to pregnant women and families with newborns Parenting training programs Increase awareness about ACEs and their impact on health and wellness Support efforts to identify evidence-based practices to identify and respond to ACEs Advance efforts to integrate behavioral and physical health care practices YOU are assuming the parent/caregiver role to build resilience they need protective factors that YOU provide

The Goal The entire community integrates trauma-informed/resilience-building practices based on ACEs science The process: Educate, Engage, Activate, Celebrate ACEs You Tube Video UK ttps://www.youtube.com/watch?v=KbUkoAWTVzw

Strengthening Families Learn more about ACEs: Local Resources: Butte 211 Other Resources: ACEs Connection ACEs Too High Strengthening Families Resilience Child Trauma All resources above are hyperlinked to website

Any Questions?

References: Chamberlain, L., Ph.D. MPH, Hard Times and Healing Toolkit, A Resilience Framework for Domestic Violence (DV) and Adverse Childhood Experiences (ACEs) Stevens, J. ACEs & the Unified Science of Human Development. ACEs Connection Foundation, 2016