1 Adverse Childhood Experiences and State Health Indicators Prepared by the Community Service Council of Greater Tulsa, supported by the Metro Human Services Commission, June 2009

2 Prepared by the Community Service Council of Greater Tulsa The Council is supported in data and information efforts by the Metropolitan Human Services Commission in Tulsa, partners include: City of Tulsa Tulsa CountyTulsa Public Schools Union Public Schools,Tulsa Health DepartmentTulsa Community College Tulsa Area United WayOklahoma Department of Human Services Ad Hoc members include the Metro Tulsa Chamber, and Tulsa Metropolitan Ministry. ____________________________________________________________________________________________________________ Community Service Council of Greater Tulsa (a United Way member agency) 16 East 16 th Street, Suite 202. Tulsa, OK File:OK Cos Undr PopRcHspncOrgn Jun03 09.ppt

3 The Adverse Childhood Experiences (ACE) Study Pyramid Source: The Adverse Childhood Experiences Study website: “About the Adverse Childhood Experiences Study.”

4 Adverse Childhood Experiences… Recurrent physical abuse Recurrent emotional abuse Sexual abuse An alcohol or drug abuser An incarcerated household member Growing up in a household with: Someone who is chronically depressed, suicidal, institutionalized or mentally ill Mother being treated violently One or no parents Emotional or physical neglect Source: The Adverse Childhood Experiences Study website: “What are Adverse Childhood Experiences (ACE’s).”

5 Smoking Overeating Physical inactivity Heavy alcohol use Drug use Promiscuity Source: The Adverse Childhood Experiences Study website: Lead to Health-Risk Behaviors…

6 Which Cause Disease, Disability and = Social Problems in Adolescents Sexually transmitted diseases Behavioral disorder Aggressive behavior Delinquency Learning disabilities School disruption School failure Nicotine addiction Alcoholism Drug addiction Obesity Depression Suicide Injuries Unintentional pregnancy Source: Felitti, Vincent J., “The Relationship of Adverse Childhood Experiences to Adult Health: Turning gold into lead;” CDC Media Relations, May 14, 1998, “Adult Health Problems Linked to Traumatic Childhood Experiences.”

7 Which Cause Disease, Disability and = Social Problems in Adulthood Heart disease Cancer Chronic lung and liver disease Stroke Diabetes Sexually transmitted diseases Nicotine addiction Alcoholism Drug addiction Obesity Depression Suicide Injuries Unintentional pregnancy Source: Felitti, Vincent J., “The Relationship of Adverse Childhood Experiences to Adult Health: Turning gold into lead;” CDC Media Relations, May 14, 1998, “Adult Health Problems Linked to Traumatic Childhood Experiences.”

8 Infant Indicators

9 Elementary Children in Special Education

10 Child Indicators by County and State Rankings

11 Child Indicators Adolescent Health Indicators

12 Adolescent Health Indicators

13 Adult Health Indicators

14 Adult Health Indicators

15 Interventions Across the Lifespan Women’s health and prenatal care Weight management Nutrition and exercise Acute care management (infections, STI) Chronic disease management (diabetes, hypertension) Behavioral health management (alcohol, substance use, depression, family violence) Health education Infancy (Birth-1 yr) Developmental monitoring (physical, language, cognitive, social-emotional) Immunizations Acute care management Genetic and familial counseling for special needs Parent education and support

16 Interventions Across the Lifespan Early childhood (1-8 yrs) Developmental monitoring (physical, language, cognitive, social-emotional) Immunizations Acute care management Chronic disease management (asthma) Address learning disabilities Parent education and support Childhood (9-12 yrs) Developmental monitoring (physical, language, cognitive, social-emotional) Immunizations Acute care management Chronic disease management (asthma and hypertension) Address learning disabilities Parent education and support

17 Interventions Across the Lifespan Adolescences (13-18 yrs) Developmental monitoring (physical, language, cognitive, social-emotional) Hep A and B, HPV vaccinations Acute care management Chronic disease management Address learning disabilities Parent education and support Behavioral health care -drug and alcohol -suicide ideation -violence tendencies -onset of schizophrenia -dating violence -anger management Sexuality and early childbearing Life skills education

18 Interventions Across the Lifespan Young adulthood (18-23 yrs) Developmental monitoring (physical, language, cognitive, social-emotional) Hep B Acute care management Chronic disease management (hypertension onset) Employment skills Parent education and support Mental health monitoring -drug and alcohol -suicide ideation -violence tendencies -onset of schizophrenia -dating violence -anger management Sexuality and childbearing Parenting education Life skills education

19 Current Indicators Resonate the Tremendous Health Implications for Adverse Childhood Experiences by Oklahoma’s Children

20 Prepared by the Community Service Council of Greater Tulsa We are available to provide a great amount of additional data and information on this topic and many others. The Community Service Council's Census Information Center (CIC) is provided in cooperation with the U.S. Census Bureau to make census data more accessible for use in planning to meet the needs of people in Oklahoma. Census Information Center (CIC) Please visit our website for a variety of presentations and sets of data for your use in planning and development of the State of Oklahoma. Go to Click on “Data” and “U.S. Census CIC.” The Council is supported in data and information efforts by the Metropolitan Human Services Commission in Tulsa, a partnership, including City of Tulsa, Tulsa County, Tulsa Public Schools, Union Public Schools, Tulsa Health Department, Tulsa Community College, Tulsa Area United WayOklahoma Department of Human Services Ad Hoc members include the Metro Tulsa Chamber, and Tulsa Metropolitan Ministry. ____________________________________________________________________________________________________________ Community Service Council of Greater Tulsa (a United Way member agency) 16 East 16 th Street, Suite 202. Tulsa, OK Contact: Dan Arthrell, Jan Figart, File:OK Cos Undr PopRcHspncOrgn Jun03 09.ppt

21 Adolescent Weight, Dietary Behaviors & Physical Activity

22 Child Indicators Adolescent Sexual Behaviors

23 Adolescent Unintentional Injuries & Violence

24 Adolescent Alcohol & Other Drug Use

25 Adolescent Tobacco Use