Adverse Childhood Experiences (ACEs) and Drug-Endangered Children How Law Enforcement, Child Protection Agencies and Schools Can Help

Transcription

1 Adverse Childhood Experiences (ACEs) and Drug-Endangered Children How Law Enforcement, Child Protection Agencies and Schools Can Help Office of Plymouth County District Attorney Timothy J. Cruz Patrick Nevins

2 Drug Free Communities Moving Beyond Traditional Prevention

3 Drug Free Communities Moving Beyond Traditional Prevention Primary

4 Traditional Prevention

5 HELPING TRAUMATIZED CHILDREN LEARN MODEL

6 Helping Traumatized Children Learn Model Precipitating Incident Data Collection Search for Best Practices - Boston Medical Center - OJJDP Safe Start - Yale/New Haven PD Police/Social Worker Home Visits Trauma and Learning Policy Initiative

7 Ages of Children Who Witness Violence 40% 35% 30% 25% 20% 15% 10% 5% 0% 20% 22% 14% 18% 36% Under 1 Ages 1-4 Ages 5-8 Ages 9-12 Ages % 0% Ages % Ages 21+ Unknown

8

9

10

11

12

13 Trauma and Learning Policy Initiative s Helping Traumatized Children Learn Supportive school environments for children traumatized by family violence helping_traumatized_children_ learn

14 Blueprint for School Action Case Study: Louis Angelo Elementary School Brockton, MA Local student s father was incarcerated over the weekend. Student showed no outwards signs of trauma or stress. Student was found rummaging through other students lunch boxes looking for money and food to bring back to his mother.

15 Success From , the three trauma-sensitive schools experienced: 80 percent decrease in suspendable issues and 43 percent fewer office referrals.

16 Massachusetts Dept. of Public Health Rate of Opioid Related Deaths

17

18 What Kids Witness at Home

19

20

21 The ACEs Study Adverse Childhood Experiences Study - The largest investigation on the links between childhood maltreatment and later life health and well-being - Premise- The more adverse (unfavorable) experiences encountered as a child, the more likely an early death.

22 7 ACE Categories Psychological - Swear, insult, put-down - Afraid of being physically hurt Physical - Pushed, grabbed, shoved, slapped - Bruises, marks Sexual - Been touched, fondled - Asked to touch - Attempt or receive oral, anal or vaginal intercourse Mental Illness in of family member Depressed, mentally ill Attempted suicide Substance Abuse within family Problem drinker, alcoholic Mother treated badly hit, grabbed, slapped, kicked, threatened Criminal behavior of family member Prison time

23 2010 Massachusetts Advocates for Children ACE Study Felitti, et al. (2006) Abuse Psychological abuse Physical abuse Sexual abuse Household dysfunction Substance abuse Mental illness Mother treated violently Criminal behavior in household 10.7% 28.3% 20.7% 26.9% 19.4% 12.7% 4.7% n = 17,337 1,855 4,906 3,589 4,664 3,363 2,

24 ACE Study 1 ACE 2 ACEs 3 ACEs 4 ACEs 24.9% 12.5% 6.9% 6.2% Felitti, et al. (1998) 2010 Massachusetts Advocates for Children

25

26 MRI Cerebellum Control (Teicher et al) Copyright 2015 TLPI

27 MRI Cerebellum Trauma (Teicher et al) Copyright 2015 TLPI

28 What Is Trauma? Trauma is a response to adversity where one s ability to cope is overwhelmed not the event itself. Trauma can impact children s neurobiological development

29 Common Behaviors: Aggression, anti-social behaviors Depression Defiance Perfectionism Hyperactivity Social Withdrawal Rapid and unexpected emotional shifts Prejudice Common Thread: Student s sense of safety is a key driver to their behavior 29

30 Child victims are at a greater risk of Offending Obesity Smoking Suicide Diabetes Cancer Depression No physical activity Alcohol use Drug Use Sexually Transmitted Diseases Financial Management Challenges, Homelessness, Poverty 30

31 ACEs and Addiction ACE Score of 6 = 46X more likely to be an injection drug user later in life Vincent J. Felitti, MD, The Origins of Addiction: Evidence from the Adverse Childhood Experiences Study, Department of Preventive Medicine: Kaiser Permanente Medical Care Program, February 16, 2004, %20OriginsofAddiction.pdf.

32 More children than ever are coming to school having experienced ACEs. Study expanded definition of adversity than previously thought. Educators WON T know which students are affected by ACEs in any given classroom 32

33 School and Law Enforcement Collaboration 1. Collect community ACE data 2. Create communication protocol to identify students with ACEs 3. Train Law Enforcement and School staff 4. Add ACEs into your prevention framework

34 Collect ACE Data DA Office, PD - # of child victims/witnesses - # of child abuse cases - # of overdoses with child present - # of overdoses involving a parent - Crime mapping Where are the schools? Where are the neighborhoods? Child Protection Agencies - # of youth in foster care - # of child custody cases

35 Police/School Communication

36

37

38 Enhancing Community Responses to the Opioid Crisis: Serving Our Youngest Crime Victims Create DEC Subcommittee within Task Force Bring awareness on DEC to agencies in contact with DEC Help agencies identify DEC Provide DEC with Direct Services Assist DEC in navigating systems

39 Trauma Sensitive Overdose Response Train Police PCO Home Visit Handle with Care Family Resource Center

40 Add ACEs to Prevention Framework Objective: Reduce past 30 day use of heroin to 0 amongst youth ages 18 and under by 9/29/20 - Strategy 1: Identifying children with adverse childhood experiences (ACEs) and training adolescent professionals on how to provide the proper trauma sensitive care Train law enforcement and schools within the coalition on the Handle with Care model Distribute copies of the Helping Traumatized Children Learn best practice book authored by the Trauma and Learning Policy Initiative

41 Office of Plymouth County District Attorney Timothy J. Cruz Patrick Nevins Contact Information