From Ireland to St. Louis. Adverse Childhood Experiences. Impact upon physical health. Prevalence of ACEs in the original study
|
|
- Bonnie Wiggins
- 5 years ago
- Views:
Transcription
1 A project supported by the European Union s INTERREG VA Programme, managed by the Special EU Programmes Body From Ireland to St. Louis Adverse Childhood Experiences -Working together to address an epidemic Trevor Spratt Professor in Childhood Research Trinity Research in Childhood Centre Trinity College Dublin Adverse Childhood Experiences 10 item questionnaire on areas of abuse and family dysfunction experienced in the first 18 years of life. A majority of the population have an ACE score of 1 or more. The higher the score, so increases an individuals probability of experiencing a range of poorer than average health and social outcomes over their lifecourse. The mechanisms for translation include physiological embedding of trauma, distorted psychological processing, risk taking behaviours and detrimental health choices. Prevalence of ACEs in the original study Impact upon physical health ACE Score 0 48% 1 25% 2 13% 3 7% 4 or more 7% Prevalence Compared to those who have an ACE score of zero, those with a score of 4 or more are: 4 times more likely to develop type 2 diabetes 3 times more likely to develop respiratory disease 3 times more likely to develop heart disease With an ACE score of 7, life expectancy is 60 years 1
2 ACEs and mental health A universal research finding In all cases the pattern has been the same the greater the number of adverse experiences in childhood, the greater the likelihood of health problems in later life. Center on the Developing Child at Harvard University A project supported by the European Union s INTERREG VA Programme, managed by the Special EU Programmes Body ACEs and poverty Child mental wellbeing & income Source: Scottish Health Survey 2
3 In rich and relatively equal societies like Sweden there are still ACEs Children who witness domestic violence and then lose a parent double their chances of developing a drug use disorder in later life. Numbers of ACEs progressively increase the odds of receiving a disability pension in early midlife (males with ACE 4+ = 7 fold odds). The greater the number of ACEs the more likely women will report higher pain intensity and larger pain distributions in late pregnancy. adults who had previously been in care homes: Those with ACE scores of 4+ were 2.5 times more likely to receive means tested social assistance in early adulthood, compared to with those with a score of zero. Relationship between poverty and ACEs We find higher ACE scores in the poorest communities there are a number of explanations: ACE scores influence economic outcomes at an individual level Poverty creates stresses that lead to changes in adult behaviours bequeathing ACEs to children But poverty in and of itself is not an ACE and income inequality is an important consideration A project supported by the European Union s INTERREG VA Programme, managed by the Special EU Programmes Body 3
4 A public health approach to teenage pregnancy There has been a 41% reduction in the under 18 conception rate in England between 1998 and 2012 This is the lowest rate since 1969 when data collection began Both maternity and abortion rates are declining but the overall reduction in births is steeper at 46%. Two ways to address a public health disaster Emergency Response: Frank Pantridge designed and fitted the first portable defibrillator in an ambulance in Obituary: it was only after years of scepticism that a defibrillator was fitted in every ambulance. Preventative Response: Deaths by heart attack have fallen by 40% since the early 1970s. Researchers conclude that 58% of the mortality decline is attributable to reductions in the major risk factors, principally smoking. Questions Could taking a public health approach to ACEs result in a similar reduction to that of teenage pregnancies? How is our system presently calibrated to prioritise emergency response to incidents, or to prevent longer term damage individuals experiencing multiple adversities? What would a public health approach to ACEs look like? It would have to have regard to the following: The ACE footprint of the country The level of income inequality Is there universal access to health and social care? Is there an all of government ACE approach to policy? Do services agree an ACE philosophy and conjoin services? Are communities ACE aware? Research to produce an evidence base of what works in ACE prevention and amelioration. ACE footprint in Wales 4+ 14% 2-3 Ace 13% 1 Ace 20% 0 Ace 53% Ace footprint in Saudi Arabia % 2-3 Ace 27.4% 1 Ace 23.6% 0 Ace 20.3% 4
5 ACEs in young adults in 8 eastern European countries: Bellis et al Physical abuse: 6.9% Rep of Macedonia to 41% Albania Sexual abuse: 3.5% Lithuania to 19.1% Albania Emotional abuse: 2.9% Russian Federation to 26.5% Albania Emotional neglect: 7.4% Montenegro to 18.4% Russian Federation Domestic violence towards mother: 1.4% Rep of Macedonia to 30% Albania Problematic use of alcohol by household member: 6.4% Turkey to 30.3% Latvia Parents separated or divorced: 3.8% Rep of Macedonia to 42.3% Latvia Depressed or suicidal household member: 5.6% Montenegro to 18.8% Latvia Household member incarcerated: 2.3% Romania to 8.3% Latvia/Turkey Drug abuse by household member: 1.4% Russia to 4.8% Latvia The MACE research group Members: Lisa Bunting, Delores Carroll, John Devaney, Gavin Davidson, David Hayes, Stan Houston, Ann Lazenbatt, Lian McGavock and Marlene McGibbon What do studies on this Island tell us about ACEs? Prevalence of ACEs in a university population: Associations with Social Services contact McGavock and Spratt 765 respondents. Those with 4+ ACEs were over 23 times more likely than peers with 0 ACEs to have had social services contact Ace Score Number % Witnessing Domestic Violence and ACE scores Following a pilot study an additional question on male directed abuse was added, 25 students reported this (3.3%), with 43 reporting female directed (5.7%). Of the 68 (9%) students who reported witnessing domestic violence, 92% report at least two additional ACEs and 82% report at least three additional ACEs (score of 4 or more). Forty two percent also reported contact with social services. In a UK study Stanley and colleagues found that in 83% of cases referred because of DV, the family either received a letter only or no further action. ACEs in cases of teenage suicide Devaney et al. ACEs and suicide attempts in childhood & adulthood Mean Person 1 Person 2 Person 3 Person 4 Person 5 Person 6 Person 7 Person 8 5
6 Caring for a parent with a mental illness signifies higher ACE scores McGibbon et al. carers caring for parents with mental illness presented clusters of ACEs that were not a feature for those caring for parents with physical disabilities. This helps us to identify those children experiencing multiple adversities within a previously undifferentiated population. Children referred by Standard Report Form to Social Workers by DoCs - Dolores Carroll Of the 36 cases surveyed, only 8 children scored below 4. The large majority of these children had ACE scores at what we might term clinical levels. In population studies only around 15% have scores of 4+; for this group of children their mean ACE score was Incredibly, almost half the children (49%), had scores at the very highest levels of 8+ ACE profile of mothers with children subject to SRFs Intergenerational transmission of ACEs These data demonstrate that an incident leading to referral to social workers needs to be analysed to discern both the causes (child's ACE score) and the causes of the causes (parent s ACE score). Such profound intergenerational damage is unlikely to be ameliorated and halted without the provision of long term therapeutic help. Transmission: Wales compared with people with 0 ACEs, those with 4+ were: 4 times more likely to be a high risk drinker 6 times more likely to have had or caused a teenage pregnancy 6 times more likely to smoke tobacco or E cigs 11 times more likely to have smoked cannabis 14 times more likely to be a violence victim in last 12 months 15 times more likely to have committed violence in last 12 months 16 times more likely to have used crack cocaine or heroin 20 times more likely to have been incarcerated Preventing intergenerational transmission 6
7 Routine enquiry for history of ACEs in the adult patient population in a general practice setting 2018 Coping with ACEs Mark Bellis Childhood adversity was more prevalent among younger patients and those currently living in more deprived areas but did not differ by gender or ethnicity. A positive relationship was found between ACEs and certain lifestyle factors (smoking and unhealthy weight) and ACEs and long-term health conditions. Patients with 2 ACEs were over two and a half times more likely to suffer from asthma and almost three times more likely to have complex health needs and be living with multiple long-term conditions, compared with those with 0-1 ACEs. Feel you can overcome hardship and guide your destiny Equipped to manage your behaviour and emotions Grounded in cultural traditions connected One or more stable, caring child-adult relationships ACE awareness in Spokane High School Challenge: One third of the class had ACE scores of 4+. Best predictor of health, attendance and behaviour. Education success related more to ACE score than family income. Intervention: Staff informed about the impact of ACEs and they helped pupils focus on building resiliency and developmental skills, promoted relationships with care-givers (attachment) and encouraged self regulation by sharing emotional experiences. Results: 75% less fights, 83% drop in suspensions (from 798 to 135) and improved graduation rates. Buffering effect for high ACE score: One positive and sustained relationship with an adult Question for adults with ACE scores of 4+. As a child was there an adult you trusted and could talk to about your problems? Of those who responded always 8% reported problem drinking, 12% use of cocaine and heroin and 12% had been imprisoned. Of those who responded never 21% reported problem drinking, 21% use of cocaine and heroin and 41% had been imprisoned. ACE Resilience Survey 2017, Mark Bellis et al. How well are social workers (or any profession) positioned to provide services to those with high ACE scores? Social workers are neither well placed to provide specialist services to families with multiple needs where the risks are intergenerational in nature because of their narrow concentration on child protection issues in the present, nor are they likely to meet the needs of a broader range of referred families where the problems are identified at a much earlier stage, because such families do not reach child protection thresholds. (Hayes and Spratt, 2009) Triage systems have limited child safety goals and use their own measures As a result of implementing Differential Response, Family Involvement Strategies and the Signs of Safety approach in Minnesota there were: Fewer investigations Less repeat child maltreatment Less court ordered involvement Less children in placement Fewer days of foster care More family involvement 7
8 Interventions in populations with challenges more akin to chronic disease than immediate harm Are brief interventions essentially providing effective short term symptom management? Do we need to develop new services that recognise the long term consequences of adversities experienced in childhood? What would such services look like? Systems are not presently calibrated to respond to a public health disaster This public health disaster has been hidden from view. Our society has treated the abuse, maltreatment, violence, and chaotic experiences of our children as an oddity that is adequately dealt with by emergency response systems... they are a dressing on a greater wound...these children vanish from view and randomly reappear as if they are new entities in... adulthood as clients with behavioral, learning, social, criminal, and chronic health problems... Robert Anda The big goal 46 Mobilizing action for resilient communities Adverse Professional Experiences (APES) My professional identity serves to make me different from professionals from other disciplines. Y/N My professional status helps distance me from the experiences of my clients. Y/N I think more about proximal causes than the connections between ACEs and later life difficulties. Y/N Nobody ever told me about ACEs when I trained. Y/N I m a doctor/teacher/nurse/psychologist not a social worker so it s not my job. Y/N I m a social worker and it s not my job to be interested in much more than immediate child safety. Y/N 8
9 Adverse Professional Experiences (APES) I change jobs very often and I don t really build up lasting relationships with my clients. Y/N My first preference is for short term interventions. Y/N I have a high ACE score and haven t ever thought of it s impact upon my life or the lives of others. Y/N I have a low ACE score and think the impact of ACEs is overstated. Y/N Lower scores indicate potential for successful preventative and ameliorative interventions, higher scores increase the probability of poor outcomes for clients Our assessment practices are often like those of Cypriot businessmen, whose.. eyes see sharply, but not very far. Colin Thubron So it s important to consider the causes of causes Sir Michael Marmot Words of warning ACE score composites An ACE score is probabilistic, not deterministic: Individuals with higher ACE scores may have a higher mountain to climb but many do successfully climb that mountain Individual scores mask different composites: this means that services should not be one size fits all Our knowledge base in relation to what works in terms of effective interventions is not very far advanced. CHILD A Physical abuse Sexual abuse Psychological abuse Physical neglect Emotional neglect CHILD B Parent substance abuse Loss of parent Parent with poor mental health Domestic violence against mother Parent in prison Two questions from David Finkelhor 1. What are the effective interventions and responses we need to have in place for effective ACE screening? Is it ethical and justified to screen for conditions when proper treatment cannot be assured? 2. What are the potential negative outcomes and costs to screening that need to be buffered in any effective screening regime? For example, an increase in referrals to social workers resulting in more investigations, flooding the system and not resulting in provision of effective services? Test criterion David Finkelhor The initial criteria for deciding among screening approaches should be the degree to which differently screened groups get access to, complete and derive any benefit from the intervention. 9
10 Examples of evidence supported intervention programmes There are a few evidentially supported preventative interventions: The Family Foundations programme (during pregnancy) has been found to reduce couple conflict, with improvements in children's behaviour noted at ages 3 and 7 The Lieberman model of Infant-Parent Psychotherapy has been found to reduce symptoms of trauma. It is delivered in weekly one-hour sessions over a year ( by therapist or SW). The Early Intervention Foundation There are no simple solutions: No single intervention is sufficient, we require a range of interventions to address multiple needs. Addressing adversity for high-risk cases requires longterm, individualised support. Evidence based programmes are not an easy fix: They need to be carefully delivered according to programme requirements. Effective interventions require a suitably qualified workforce: Interventions can either provide benefit or cause harm. The Philadelphia ACE Task Force Strengthen networks among professionals addressing ACEs Enhance research strategies to better understand the challenges we face and their possible solutions Partner with communities affected by trauma to better understand and identify related concerns and build awareness about ACEs and trauma, develop advocates, and co-create solutions Educate policymakers and advocate for systems change to better support trauma-informed approaches. Key take home messages We don t know what the island of Irelands ACE footprint looks like a population study would address this As with Wales and Scotland, the results could inform an all of government(s) policy approach to ACE prevention and amelioration We can act now in the following areas: Petitioning professional regulatory bodies to direct education providers to include ACE training in professional qualifying programmes (with post qualifying requirements too) Developing and taking forward initiatives such as the CAWT, building inter-professional alliances and raising community awareness. And promoting Warm relationships! 10
Adverse childhood experiences and the life course. Dr Helen Lowey, Consultant in Public Health Blackburn with Darwen Borough Council
Adverse childhood experiences and the life course Dr Helen Lowey, Consultant in Public Health Blackburn with Darwen Borough Council Adverse Childhood Experiences and the Life Course Dr Helen L Lowey Consultant
More informationSIGNIFICANT EU INVESTMENT TO HELP TRANSFORM THE LIVES OF VULNERABLE FAMILIES
Press Release Date: 28 th September 2018 SIGNIFICANT EU INVESTMENT TO HELP TRANSFORM THE LIVES OF VULNERABLE FAMILIES Cross border conference highlights the costs of Adverse Childhood Experiences (ACEs)
More informationACEs in Wales and preliminary findings from a review into routine enquiry. Dr Kat Ford, Bangor University
ACEs in Wales and preliminary findings from a review into routine enquiry Dr Kat Ford, Bangor University The Public Health Research, Evaluation and Development Hot House Funded by Public Health Wales Dedicated
More informationParallel Session 12: Interpersonal Violence
Parallel Session 12: Interpersonal Violence How can progress on SDGs 4, 5 and 16 be accelerated by strengthening good governance for health through ac?on across government sectors? Moderator: Professor
More informationAdverse childhood experiences, mental illness and the protective effects of resilience in Wales. Karen Hughes, Public Health Wales
Adverse childhood experiences, mental illness and the protective effects of resilience in Wales Karen Hughes, Public Health Wales Adverse Childhood Experiences (ACEs) Stressful events occurring in childhood
More informationViolence Prevention A Strategy for Reducing Health Inequalities
Violence Prevention A Strategy for Reducing Health Inequalities Professor Mark A Bellis Centre for Public Health Liverpool John Moores University WHO Collaborating Centre for Violence Prevention Overview
More informationMental Health Strategy. Easy Read
Mental Health Strategy Easy Read Mental Health Strategy Easy Read The Scottish Government, Edinburgh 2012 Crown copyright 2012 You may re-use this information (excluding logos and images) free of charge
More informationThe Adverse Childhood Experiences (ACE) Study
The Adverse Childhood Experiences (ACE) Study The largest study of its kind ever to examine over the lifespan the medical, social, and economic consequences in adults of adverse childhood experiences.
More informationThe Relationship of Adverse Childhood Experiences to Adult Health Status
The Relationship of Adverse Childhood Experiences to Adult Health Status Presentation to MCAH Committee December2, 21 Edwin Ferran Director of Learning and Innovation Community Action Partnership of Sonoma
More informationADVERSE CHILDHOOD EXPERIENCES AND BEHAVIORAL HEALTH
1 ADVERSE CHILDHOOD EXPERIENCES AND BEHAVIORAL HEALTH Presentation to the State Epidemiological Outcomes Workgroup By Aileen Fink, Ph.D. aileen.fink@state.de.us December 16, 2016 2 ACKNOWLEDGEMENTS The
More informationWhy do people use drugs? Why do so many people use drugs? What should we do?
Why do people use drugs? Why do so many people use drugs? What should we do? David Labby MD PhD Health Share of Oregon -- May 17, 2018 Learning Objectives 1. To increase understanding of societal determinants
More informationChildren and Young People s Emotional Wellbeing and Mental Health. Transformation Plan
Children and Young People s Emotional Wellbeing and Mental Health Transformation Plan 2015-2020 2 Summary The Government is making the mental health and emotional wellbeing of children and young people
More informationSetting Direction in the South Eastern Outcomes Area to improve the lives and children, young people and families
Setting Direction in the South Eastern Outcomes Area to improve the lives and children, young people and families The CYPSP is the multi-agency strategic partnership consisting of the leadership of all
More informationTrauma Addiction & Criminal Justice. Introduction. Overview of Presentation 9/15/14. Diagnosis & Treatment. ! Winford Amos, LPC, LAC, CCS
Trauma Addiction & Criminal Justice Diagnosis & Treatment Introduction! Winford Amos, LPC, LAC, CCS! Owner: Kingdom Source Counseling & Training! 15 th JDC Adult Drug Court Provider! 15 th JDC Zone Area
More informationAdverse Childhood Experiences. Dr Michael Smith, Associate Medical Director, Mental Health & Addictions, NHS Greater Glasgow & Clyde
Adverse Childhood Experiences Dr Michael Smith, Associate Medical Director, Mental Health & Addictions, NHS Greater Glasgow & Clyde A story of Childhood Adversity Some ACE science ACE reduction in practice
More informationThe Aboriginal Mental Health & Wellbeing Workforce Forum 2017 HOW CAN WE REDUCE THE RATES OF SUICIDE IN THE ABORIGINAL COMMUMITIES?
The Aboriginal Mental Health & Wellbeing Workforce Forum 2017 HOW CAN WE REDUCE THE RATES OF SUICIDE IN THE ABORIGINAL COMMUMITIES? The rate of suicide among young Indigenous men is the highest in the
More informationACES: Adverse Childhood Experiences
ACES: Adverse Childhood Experiences Melissa L. Hoffmann, Ph.D UT Division of Child & Adolescent Psychiatry UT Center of Excellence for Children in State Custody University of Tennessee Health Sciences
More informationAdverse Childhood Experiences
Welsh Adverse Childhood Experiences (ACE) Study Adverse Childhood Experiences and their impact on health-harming behaviours in the Welsh adult population ALCOHOL USE, DRUG USE, VIOLENCE, SEXUAL BEHAVIOUR,
More informationCommunity based services for children and adults with learning disabilities
Community based services for children and adults with learning disabilities Circle of support and Accountability: A trauma-based approach which addresses harmful sexual behaviour Lorenzo Picco Respond
More informationBROMLEY JOINT STRATEGIC NEEDS ASSESSMENT Substance misuse is the harmful use of substances (such as drugs and alcohol) for non-medical purposes.
13. Substance Misuse Introduction Substance misuse is the harmful use of substances (such as drugs and alcohol) for non-medical purposes. The term substance misuse often refers to illegal drugs, but, some
More informationUnique Experience of the World
Unique Experience of the World Preparing for Anticipated World Dangerous BIOLOGY OF STRESS CHARACTERISTICS Brawn over Brains Focused: Fight, Flight or Freeze OUTCOME Individual & species survive the worst
More informationExploring the connection between early trauma and later negative life events among Cork Simon service users.
Adverse Childhood Experiences ACEs at Cork Simon: Exploring the connection between early trauma and later negative life events among Cork Simon service users. Extracted and elaborated information from
More information(Much of our health improvement activity is noted in individual Planning Frameworks. This section should be read in conjunction with them.
17. HEALTH IMPROVEMENT FRAMEWORK (Much of our health improvement activity is noted in individual Planning Frameworks. This section should be read in conjunction with them.) 17.1 Analysis of Local Position
More informationBriefing Sessions on Adverse Childhood Experiences (ACEs)
Briefing Sessions on Adverse Childhood Experiences (ACEs) Hosted by the Regional ACE Reference Group @safeguardingni @cypsp @publichealthni @westernhsctrust #ACESNI Overview What you will hear about: What
More informationAlcohol, Harm and Health Inequalities in Scotland
Alcohol, Harm and Health Inequalities in Scotland Penny Rogers August 2017 Abstract: In Scotland alcohol-related harm follows a social gradient, meaning that deprived communities often experience more
More informationChange That Lasts Impact Briefing 2
Change That Lasts Impact Briefing 2 Disclosure and conversation tracking for the Ask Me and Trusted Professional schemes, August 2017 to April 2018. The Change That Lasts model, which is generously funded
More informationCommunity Health Priority: Alcohol & Other Drug Misuse and Abuse
Alcohol & Other Drug Misuse and Abuse Melissa Dotter, MS Drug Free Communities Coordinator 715.261.1962 melissa.dotter@co.marathon.wi.us Creating a culture in communities where alcohol is used responsibly
More informationSafety Individual Choice - Empowerment
Safety Individual Choice - Empowerment Diane M. Gruen-Kidd, LCSW Department for Behavioral Health, Developmental and Intellectual Disabilities Diane.Gruen-Kidd@ky.gov Please Be Aware There are parts of
More informationWhat Works in Violence Prevention A Global Overview
What Works in Violence Prevention A Global Overview Professor Mark A. Bellis OBE Centre for Public Health World Health Organization Collaborating Centre for Violence Prevention Categories of Violence Interpersonal
More informationAdverse Childhood Experiences Conference (ACE) 13 November 2017
Adverse Childhood Experiences Conference (ACE) 13 November 2017 Follow the ACE conversation - #ACESNI2017 Welcome Chair John Devaney Queens University Belfast Opening Remarks Sean Holland Department of
More informationSupport for couples and separated co-parents
Support for couples and separated co-parents www.luton.gov.uk Support for couples and separated co-parents Conflict between parents is a normal part of relationships. However, there is a large body of
More informationViolence, abuse and mental health in England
October 2015 Violence, abuse and mental health in England Population patterns Responding effectively to violence and abuse (REVA project) Briefing 1 Summary New analysis of national survey data shows that
More informationAdverse Childhood Experiences: How Faith Based & Community Organizations Can Promote Resiliency
Early Adverse Experiences : How Faith Based & Community Organizations Can Promote Resiliency are the pipeline to a multitude of societal problems. Dr. Mimi Graham, Director FSU Center for Prevention &
More informationNorfolk and Suffolk NHS Foundation Trust. Suicide Prevention Strategy,
Norfolk and Suffolk NHS Foundation Trust Suicide Prevention Strategy, 2017-2022 Foreword It is likely that we will know someone, directly or indirectly, who has died by suicide. It may also be possible
More informationDr Lisa Bunting (Lecturer in Social Work, QUB) Mairead Lavery (title, SEHSCT) Nov 2017
Dr Lisa Bunting (Lecturer in Social Work, QUB) Mairead Lavery (title, SEHSCT) Nov 2017 STRUCTURE Defining Trauma and Adversity The Prevalence and Impact of Multiple Adversities How adversity causes poor
More informationDRAFT DRAFT. Camden s Joint Health and Wellbeing Strategy : Living well, working together
Camden s Joint Health and Wellbeing Strategy 2016-18: Living well, working together October 2015 Content Executive summary 4 Introduction 6 Achieving our vision 8 Our priorities 10 1 Healthy weight, healthy
More informationTHREE STEPS TO CHANGE LIVES. How we can act effectively to reduce suicide in Ireland
THREE STEPS TO CHANGE LIVES How we can act effectively to reduce suicide in Ireland THREE STEPS TO CHANGE LIVES HOW WE CAN ACT EFFECTIVELY TO REDUCE SUICIDE IN IRELAND More than 450 people die by suicide
More informationPROCEDURES AND GUIDANCE
PROCEDURES AND GUIDANCE Working with Substance Misusing Parents and those who come into Regular Contact with Children and Young People Date of original document July 2009 Date document reviewed April 2016
More informationAdverse Childhood Experiences and their Relationship to Adult Well-being and Disease :
Adverse Childhood Experiences and their Relationship to Adult Well-being and Disease : Turning gold into lead A collaborative effort between Kaiser Permanente and the Centers for Disease Control Loma Linda
More informationAttachment A Brighton & Hove City Council
Attachment A Brighton & Hove City Council Young people and smoking cessation: a pack for community pharmacies providing smoking cessation to under 16 year olds in Brighton and Hove Susan Stewart 11/25/2016
More informationUnderstanding Adverse Childhood Experiences(ACEs) The Impact on Health, Wellness & Education
Understanding Adverse Childhood Experiences(ACEs) The Impact on Health, Wellness & Education Initiated in 1995-1997 ACES: THE ORIGINAL STUDY ACEs: the Original Study Facts Collaboration between the CDC
More informationHelen Bader School of Social Welfare
Helen Bader School of Social Welfare Improving lives and strengthening communities through research, education and community partnerships Criminal Justice Social Work Childhood Trauma & Effective Trauma
More informationUnderstanding Adverse Childhood Experiences(ACEs) The Impact on Health, Wellness & Education
Understanding Adverse Childhood Experiences(ACEs) The Impact on Health, Wellness & Education Summer Initiated in 1995-1997 ACES: THE ORIGINAL STUDY ACEs: the Original Study Facts Collaboration between
More informationTTC Evidence Brief: Evidence for Maternal Mental Health within World Vision Core Health Model Timed and Targeted Counselling (ttc)
TTC Evidence Brief: Evidence for Maternal Mental Health within World Vision Core Health Model Timed and Targeted Counselling (ttc) Introduction Megan McGrath, World Vision Australia Polly Walker, World
More informationService Specification: Bristol and South Gloucestershire Specialist Substance Misuse Treatment Service January 2016
This specification is an annex to the Service Specification for the provision of Child and Adolescent Mental Health Services. It must be read along with the overarching specification which applies to all
More informationDrug using mothers: retaining care of their children
Drug using mothers: factors associated with retaining care of their children Gail Gilchrist 1 and Avril Taylor 2 1 L'Institut Municipal d'investigació Mèdica, Barcelona, Spain p g,, p 2 University of the
More informationTrauma/ACEs 101. Tom Bradach IL Chapter, American Academy of Pediatrics
Trauma/ACEs 101 Tom Bradach IL Chapter, American Academy of Pediatrics Providing pediatrician and interprofessional education, resources, and technical assistance Working on policy, advocacy, and systems
More informationWhat can NHS Health Scotland do to reduce health inequalities? Questions for applying the Health Inequalities Action Framework
What can NHS Health Scotland do to reduce health inequalities? Questions for applying the Health Inequalities Action Framework Introduction Definition: health inequalities are the differences in health
More informationTrauma-Informed Florida
Trauma-Informed Florida Individuals and families being provided the opportunity to live with more hope than fear. Rick Scott, Governor Trauma The experience of violence and victimization including sexual
More informationKEY QUESTIONS What outcome do you want to achieve for mental health in Scotland? What specific steps can be taken to achieve change?
SCOTTISH GOVERNMENT: NEXT MENTAL HEALTH STRATEGY Background The current Mental Health Strategy covers the period 2012 to 2015. We are working on the development of the next strategy for Mental Health.
More informationCreating A Trauma Informed System. Al Killen-Harvey,LCSW The Harvey Institute
Creating A Trauma Informed System Al Killen-Harvey,LCSW The Harvey Institute Al@theharveyinstitute.com 619-977-8569 Goals and Objectives 1.Describe the attributes of the various forms of trauma 2.Delineate
More informationLearning objectives: 2/21/18. Children s Research Triangle Wendy Kovacs Cortes, Ph.D., LMFT
Wendy Kovacs Cortes, Ph.D., LMFT Learning objectives: Biological and relational components of intergenerational trauma. Epigenetics and ACES. How relational trauma is transmitted intergenerationally. How
More informationAdverse Childhood Experiences (ACE) Research: Extension, Integration & Implications
Adverse Childhood Experiences (ACE) Research: Extension, Integration & Implications Heather Larkin, PhD, LCSW-R Assistant Professor, University at Albany The Adverse Childhood Experiences Study The largest
More informationAlcohol, Domestic Abuse & Sexual Assault
Alcohol, Domestic Abuse & Sexual Assault Key Points Between 25% and 50% of those who perpetrate domestic abuse have been drinking. In some studies the figure is as high as 73%. Cases involving severe violence
More informationWhat is Trauma and Why Must We Address It?
Creating Trauma Informed Systems of Care for Human Service Settings What is Trauma and Why Must We Address It? Joan Gillece, PhD National Technical Assistance Center, NASMHPD What is Trauma? Definition
More information5 Public Health Challenges
5 Public Health Challenges The most recent Mecklenburg County Community Health Assessment (CHA) prioritized the prevention of premature death and disability from chronic disease as the number one public
More informationAdverse Childhood Experiences
Adverse Childhood Experiences Adam Zolotor, MD, DrPH Associate Professor of Family Medicine University of North Carolina at Chapel Hill Interim President, North Carolina Institute of Medicine Presentation
More informationThe ABC s of Trauma- Informed Care
The ABC s of Trauma- Informed Care AGENDA What do we mean by trauma? How does trauma affect people? What can we learn from listening to the voices of people who have experienced trauma? Why is understanding
More informationExecutive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services
United Nations DP/FPA/CPD/BRA/5 Executive Board of the United Nations Development Programme, the United Nations Population Fund the United Nations Office for Project Services Distr.: General 26 September
More informationTrauma-informed Care: A Call to Arms
Trauma-informed Care: A Call to Arms During every incarceration, every institutionalization, every court-ordered drug treatment program, it was always the same: I was always treated like a hopeless case.
More informationWhat nurses need to know about Trauma-Informed Care
What nurses need to know about Trauma-Informed Care Define trauma-informed care Identify how to assess for trauma Tap in to resources for these patients and their families Kaiser Permanente,1995-1997
More informationFuture Vision for Children s Services. Shropshire Safeguarding Children Board/Shropshire Children s Trust Conference 9 October 2012
Future Vision for Children s Services Shropshire Safeguarding Children Board/Shropshire Children s Trust Conference 9 October 2012 Future Vision for Children s Services Context Time of uncertainty Great
More information1.2. Please refer to our submission dated 27 February for further background information about NDCS.
Educational Attainment Gap The role of parents and guardians NDCS response to call for written evidence The National Deaf Children s Society (NDCS) welcomes the opportunity to contribute to this call for
More informationBrain Research: Early Experiences Matter. Opening Minds, 2016
Brain Research: Early Experiences Matter Opening Minds, 2016 Disclosure I declare that neither I, or my immediate family, have a financial interest or other relationship with any manufacturer/s of a commercial
More informationTherese s Family of Origin Issues. Protective Factors. Trauma and Addicted Family Systems: A Multi-dimensional Perspective
Trauma and Addicted Family Systems: A Multi-dimensional Perspective with Claudia Black, MSW, Ph.D. and Shelley Uram, M.D. Senior Fellows The Meadows Protective Factors Had a special relationship with an
More informationSmoking in Pregnancy. Policy Context. Chris Tudor-Smith Health Improvement Division Welsh Government
Smoking in Pregnancy Policy Context Chris Tudor-Smith Health Improvement Division Welsh Government Harms from smoking remain In Wales: Causes around 5,450 deaths each year in 35 year olds and over Major
More informationTRAUMA INFORMED CARE: THE IMPORTANCE OF THE WORKING ALLIANCE
TRAUMA INFORMED CARE: THE IMPORTANCE OF THE WORKING ALLIANCE Justin Watts PhD. NCC, CRC Assistant Professor, Rehabilitation Health Services The University of North Texas Objectives Upon completion of this
More informationACEs IN OKLAHOMA. Oklahoma State Department of Health September 2017
ACEs IN OKLAHOMA Oklahoma State Department of Health September 2017 ACEs in Oklahoma 2014 Behavioral Risk Factor Surveillance System (BRFSS) Survey Data 16.2% 21.6% 40.4% 0 ACE events 1 ACE event 2-3 ACE
More informationST GILES TRUST SUPPORTING EX-OFFENDERS WITH HIDDEN DISABILITIES
ST GILES TRUST SUPPORTING EX-OFFENDERS WITH HIDDEN DISABILITIES Case study of a Clinks member August 2016 Case study of Children North East: Supporting families in crisis About Children North East Children
More information5/12/2016. Adverse Childhood Experiences and the Impact of Toxic Stress/Trauma 50,000
Adverse Childhood Experiences and the Impact of Toxic Stress/Trauma 1875 50,000 1 358 FTE Top Referral Sources COMMUNITY WELL-BEING CHILD WELL-BEING FINANCIAL STABILITY RECOVERY Reduces Need for Services
More informationDrugs Policy. Drugs are substances which alter the way the mind or body functions.
Drugs Policy The School places the utmost importance on its responsibility for ensuring the health and safety of its pupils. The DfE has evidence to support the view that the age of 13 years is a threshold
More informationThe Magnitude of the Solution. Building Self-Healing Communities
The Magnitude of the Solution Building Self-Healing Communities Beyond Resilience Flourish To Flourish: To Prosper with Sustained, Continuous, Steady, Strong Growing Well Bing & Miriam Webster Dictionaries
More informationFPA Sri Lanka Policy: Men and Sexual and Reproductive Health
FPA Sri Lanka Policy: Men and Sexual and Reproductive Health Introduction 1. FPA Sri Lanka is committed to working with men and boys as clients, partners and agents of change in our efforts to meet the
More informationAdolescent Substance Misuse in Ireland: From an Ireland of Craic to an Island of Crack?
Adolescent Substance Misuse in Ireland: From an Ireland of Craic to an Island of Crack? Paper Presented by:- Dr Bobby Smyth 19 th October 2004 Paper Presented as part of:- The Drug Treatment Centre Board
More informationSonoma County Violence Profile
VIOLENCE IS A PUBLIC HEALTH ISSUE Sonoma County Violence Profile Significant problem in the U.S. from infants to elderly, it affects people in all stages of life. Contributes to poor health outcomes, particularly
More informationA response to. Improving Health within Criminal Justice. Department of Health / Department of Justice
A response to Improving Health within Criminal Justice Department of Health / Department of Justice Women s Aid Federation Northern Ireland 129 University Street BELFAST BT7 1HP Tel: 02890 249041 Fax:
More informationHSC Statistical Brief No. 30 Adverse Childhood Experiences
HSC Statistical Brief No. 30 Adverse Childhood Experiences Adverse Childhood Experiences, or ACE, have been extensively researched and found to be associated with poor health and well-being during adulthood.
More informationNHS Health Scotland Early Years: Scottish Qualifications Authority Learning Resource Support- Update Report December 2016
NHS Health Scotland Early Years: Scottish Qualifications Authority Learning Resource Support- Update Report December 2016 SVQ Social Services and healthcare SVQ Social Services HNC Social Services HNC
More informationHertfordshire Young People s Substance Misuse Strategic Plan
Hertfordshire Young People s Substance Misuse Strategic Plan 2014 15 1 1. Introduction and context Young people misusing substances can cause harm to our communities through crime and antisocial behaviour,
More informationUSEFUL RESPONSES TO ROUTINE ENQUIRY DOUBTERS
1 USEFUL RESPONSES TO ROUTINE ENQUIRY DOUBTERS (Adapted from DH Mental Health Policy Research Unit publication 2006) Purpose of this paper Sometimes it is frustrating dealing with doubting or reluctant
More information11 Indicators on Thai Health and the Sustainable Development Goals
11 11 Indicators on Thai Health and the Sustainable Development Goals 11 Indicators on Thai Health and the Sustainable Development Goals The Post -2015 Development Agenda began upon completion of the monitoring
More informationMental health and Aboriginal people and communities
Mental health and Aboriginal people and communities 10-year mental health plan technical paper Contents Background...1 Aboriginal communities and the experience of poor mental health...2 Policy and program
More informationNEW FOR Children - Vulnerable Adults - Families. E-Learning Child Neglect Managing Allegations Adult investigator training and much much more...
Blackburn with Darwen 2012-13 Multi-Agency Safeguarding Learning and Development Programme Children - Vulnerable Adults - Families NEW FOR 2012 Book now to avoid disappointment! E-Learning Child Neglect
More informationThe Evidence. Why children affected by parental mental illness must be seen and heard
The Evidence Why children affected by parental mental illness must be seen and heard October 2018 1 Introduction In October 2018, we launched Being Seen and Heard Our Time s campaign to give a voice to
More informationItem 4. Sexual Health and Blood Borne Virus Strategy Strategy for Sexual Health and Blood Borne Viruses. Background
Item 4 Strategy for Sexual Health and Blood Borne Viruses Background 1. In August 2011 the Scottish Government launched a joint Sexual Health and Blood Borne Virus Framework. This brought four policy areas
More informationMain Grants Strategy 2017
Main Grants Strategy 2017 Introduction The Henry Smith Charity was established in 1628 by Henry Smith, a businessman working in the City of London. Since then, the charity has honoured the spirit of Henry
More informationA Guide for Welfare Officers and Support Workers
A Guide for Welfare Officers and Support Workers The Aged Veterans Counselling service provides free counselling to any UK veteran born before 1 st January 1950. We also support carers and relatives of
More informationMentoring Aid. GreenHouse Mentoring
Mentoring Aid GreenHouse Mentoring 14/03/2014 1. Introduction GreenHouse Mentoring (GHM), a project of Stopsley Baptist Church, is a locally focussed, Luton based organisation, established in 2002. GreenHouse
More informationDumfries and Galloway Alcohol and Drug Partnership. Strategy
Dumfries and Galloway Alcohol and Drug Partnership Strategy 2017 2020 1 Contents Foreword...3 1. Introduction... 4 1.1 Background... 4 1.2 Aim... 4 1.3 National Context... 4 2. Strategic Priorities...
More informationThe ABCs of Trauma-Informed Care
The ABCs of Trauma-Informed Care Trauma-Informed Care Agenda What do we mean by trauma? How does trauma affect people? What can we learn from listening to the voices of people who have experienced trauma?
More informationEqualities Analysis. Tobacco Control Plan for England Towards a Smokefree Generation
Equalities Analysis Tobacco Control Plan for England Towards a Smokefree Generation July 2017 Contents 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. Introduction... 3 Engagement and Involvement... 3 Policy
More informationNot sure if a talking therapy is for you?
South Tyneside NHS Foundation Trust Primary Care Mental Health Service Not sure if a talking therapy is for you? Take a look at the different types of therapy we have available to find out more about them.
More informationRevised Standards. S 1a: The service routinely collects data on age, gender and ethnicity for each person referred for psychological therapy.
Revised Standards S 1a: The service routinely collects data on age, gender and ethnicity for each person referred for psychological therapy. S1b: People starting treatment with psychological therapy are
More informationCYPSP Ards and North Down Locality Planning Group
CYPSP Ards and North Down Locality Planning Group How are children and young people doing in this area? CYPSP Ards and North Down LPG Webpage link: http://www.cy psp.org/localit y-planninggroups/ardsand-northdown-localityplanninggroup/
More informationHEALTH. Sexual and Reproductive Health (SRH)
HEALTH The changes in global population health over the last two decades are striking in two ways in the dramatic aggregate shifts in the composition of the global health burden towards non-communicable
More informationThe Impact of the Opioid Crisis on Children
The Impact of the Opioid Crisis on Children Guided Notes for Online Learning Name: Date: 1 Table of Contents Section 1: The Opioid Crisis Page 3 Section 2: Addiction Page 4 Section 3: Trauma Informed Care
More informationReferral Form. Emmaus
Referral Form All information provided will be treated with respect and will be held in strictest confidence, subject to the Data Protection Act 1998 and the Emmaus Data Protection Policy (available on
More informationAttending to the Whole Population
Attending to the Whole Population a population health roundtable June 29, 2016 WHO definition of health Health is a state of complete physical, mental and social well-being and not merely the absence
More informationWorkforce Analysis: Children and Young People s Mental Health and Wellbeing Wider system
Workforce Analysis: Children and Young People s Mental Health and Wellbeing Wider system This questionnaire is aimed at any member of the workforce supporting the mental health and wellbeing for children
More information