5/12/2016. Adverse Childhood Experiences and the Impact of Toxic Stress/Trauma 50,000

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1 Adverse Childhood Experiences and the Impact of Toxic Stress/Trauma ,000 1

2 358 FTE Top Referral Sources COMMUNITY WELL-BEING CHILD WELL-BEING FINANCIAL STABILITY RECOVERY Reduces Need for Services Over Time SAFETY HOUSING 2

3 Focus Areas Counseling & Prevention Addictions 3

4 Mental Health Housing & Financial Stability Domestic Violence 4

5 Poverty/Homelessness Children & Family Child Abuse 5

6 Early Childhood Juvenile Delinquency Neighborhood Enrichment 6

7 Adverse Childhood Experiences (ACE) Study 17,337 ADVERSE CHILDHOOD EXPERIENCES STUDY Contact Sexual Abuse 7

8 ADVERSE CHILDHOOD EXPERIENCES STUDY Recurrent Physical or Emotional Abuse ADVERSE CHILDHOOD EXPERIENCES STUDY Alcohol or Drug Abuser in Household ADVERSE CHILDHOOD EXPERIENCES STUDY Incarcerated Household Member 8

9 ADVERSE CHILDHOOD EXPERIENCES STUDY Mother Treated Violently ADVERSE CHILDHOOD EXPERIENCES STUDY Household Member with Mental Illness ADVERSE CHILDHOOD EXPERIENCES STUDY Emotional or Physical Neglect 9

10 ADVERSE CHILDHOOD EXPERIENCES STUDY Only One or No Parents 10

11 No Amygdala? No Fear. Fight vs. Flight Early Death Disease, Disability, and Social Problems Adoption of Health Risk Behaviors Social, Emotional, and Cognitive Impairment THE MORE, THE MORE LIKELY YOU ARE TO... Develop Any One of the 10 Leading Causes of Death 11

12 THE MORE, THE MORE LIKELY YOU ARE TO... Use Tobacco THE MORE, THE MORE LIKELY YOU ARE TO... Abuse Alcohol and/or Elicit Drugs THE MORE, THE MORE LIKELY YOU ARE TO... Suffer from Major Depression 12

13 THE MORE, THE MORE LIKELY YOU ARE TO... Attempt or Commit Suicide THE MORE, THE MORE LIKELY YOU ARE TO... Have an Unintended Pregnancy THE MORE, THE MORE LIKELY YOU ARE TO... Acquire a Sexually Transmitted Disease 13

14 THE MORE, THE MORE LIKELY YOU ARE TO... Use Violence Response Dose 14

15 15

16 16

17 17

18 POPULATION ATTRIBUTABLE RISKS Hopelessness Other Factors POPULATION ATTRIBUTABLE RISKS Suicide Other Factors POPULATION ATTRIBUTABLE RISKS Drug Abuse Other Factors 18

19 POPULATION ATTRIBUTABLE RISKS Alcoholism Other Factors POPULATION ATTRIBUTABLE RISKS I.V. Drug Use Other Factors POPULATION ATTRIBUTABLE RISKS Domestic Violence Other Factors 19

20 POPULATION ATTRIBUTABLE RISKS Disability Days (ADLs) Other Factors What Does It Mean? What Can Be Done? 20

21 Hope Caring Adult Thinking Emotional Active Our Three Brains 21

22 Trauma more trauma homelessness unsafe behaviors substance abuse unsafe relationships domestic violence unsafe thoughts suicide physical pain illness/early death Safety more safety self-leadership safe behaviors self-regulation safe relationships safe boundaries safe thoughts alive, survive, thrive self-care wellbeing UNIVERSAL PRIMARY PREVENTIONS Decrease stress. Build skills. Build Resiliency. TARGETED INTERVENTIONS Identify risks. Provide EBIs. EVIDENCE-BASED TREATMENTS Identify symptoms. Provide EBTs. Trustworthiness Collaboration Safety Empowerment Choice T 22

23 What s wrong with you? What happened to you? Tonier Neen Cain 83 arrests 66 convictions 23

24 Healing Neen Where there s breath there s hope! Thank You! 24

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