2 ACE Study

Information about 2 ACE Study

Published on October 27, 2014

Author: CPEIP

Source: authorstream.com

Content

PowerPoint Presentation: The Lifetime Effects of Early Adversity & Trauma Applying the ACE Study to Florida’s Most Vulnerable Children to Help Them Thrive Adverse Childhood Experiences: Scientific findings from research in neurobiology, medicine, and public health has converged into a “ science of adversity” that presents compelling data linking early adverse experiences with a life-long trajectory of costly health and social problems . Adverse Childhood Experiences 2 Adverse Childhood Experiences Study (ACE) : Adverse Childhood Experiences Study (ACE) The study is a collaboration between the Centers for Disease Control and Prevention and Kaiser Permanente's Health Appraisal Clinic in San Diego with more than 70 published scientific articles. http://www.cdc.gov/ace/index.htm ACE Study: ACE Study Largest Investigations Ever Conducted to Assess the Relationship of Early Adversity and Adult Health Adverse Childhood Experiences (ACE) Study. Information available at http://www.cdc.gov/ace/index.htm Learning About The ACE Study: Learning About The ACE Study The ACE Study was conducted in 1998, followed by a second study in 2009. Participants in both studies completed a confidential survey containing questions about maltreatment in childhood and family dysfunction, as well as items describing their current health status and behaviors. The resulting ACE scores were combined with data collected from the participant’s health records. 5 The Study of Early Adversity : Physical Health Problems Mental Health Problems Crime & Delinquency Addictions Poor Parenting Capacity Academic & School Problems revealed a significant linkage between early adversity and a lifetime of physical and mental health problems. The Study of Early Adversity 6 What Is An ACE Score?: What Is An ACE Score? The ACE Score is a self-reported count of adverse experiences that occurred during the first 18 years of life and encompasses abuses and household dysfunction. In the original 1998 ACE Study, the first seven categories (listed below) were included on the ACE questionnaire. Subsequent studies added three more categories . Physical Abuse Emotional Abuse Sexual Abuse Domestic Violence (mother treated violently) Mental Illness or Mental Health Disorder Substance Use Disorder Incarceration (family member in prison) Parental Separation or Divorce Emotional Neglect Physical Neglect 7 To download the ACE questionnaire, visit: http://acestudy.org/ ace_score ACE Study Findings: ACE Study Findings The prevalence of adverse childhood experiences is widespread. Of 17,000 respondents, two-thirds had at least one early adverse experience. Short- and long-term outcomes include a multitude of health and social problems. As the number of ACEs increases, the risk for serious health and social problems substantially increases . Household dysfunction Substance abuse 27 % Parental separation/ divorce 23 % Mental illness 17 % Battered mother 13 % Incarcerated family member 6 % Abuse Psychological 11 % Physical 28 % Sexual 21% Neglect Emotional 15 % Physical 10 % 8 High ACE Scores Linked to Health Problems: High ACE Scores Linked to Health Problems 9 7x more likely to be alcoholics 6x more likely to be sexually active before age 15 Twice as likely to be smokers Twice as likely to have cancer or heart disease People with 4+ ACEs High ACE Scores Linked to Serious Mental Health Issues: Depressive disorders Anxiety Hallucinations Panic reactions Sleep disturbances Memory disturbances Poor anger control, and Risk of perpetrating or being a victim of domestic violence. 10 High ACE Scores Linked to Serious Mental Health Issues Problems Attributable to Childhood Adversity: Source: Family Policy Council, 2012 11 P roblems Attributable to Childhood Adversity Lifetime Effects from ACEs: Chronic Disease Alcohol, Tobacco, Drugs Psychiatric Disorders Risky Sex Impaired Cognition Work/School Attendance, Behavior, Performance Genetics Experience triggers gene expression (Epigenetics) Critical & Sensitive Developmental Periods Adverse Childhood Experience MORE CATEGORIES – GREATER IMPACT Physical Abuse, Sexual Abuse Emotional Abuse, Neglect Witnessing Domestic Violence Depression/Mental Illness in Home Incarcerated Family Member Substance Abuse in Home Loss of a Parent Brain Development Electrical, Chemical, Cellular Mass Crime Obesity Poverty Intergenerational Transmission, Disparity Source: Family Policy Council, 2012 Adaptation Hard-Wired Into Biology 12 Lifetime Effects from ACEs ACEs Increase Odds for Academic & Health Problems: # of ACEs Increase in Academic Failure Increase in Attendance Problems Increase in Severe School Behavior Concerns Increased Frequency of Reported Poor Health 3 or More ACEs N =248 3x 5x 6x 4x 2 ACEs N=213 2.5x 2.5x 4x 2.5x 1 ACE N=476 1.5x 2x 2.5x 2x No Known ACEs N=1,164 1.0x 1.0x 1.0x 1.0x 13 ACEs Increase Odds for Academic & Health Problems Source: Blodgett, C. (2012). WSU ACEs Linked to Problems in Learning & Behavior: 14 Source: National Child Traumatic Stress Network http://www.nctsn.org/ 1 of 4 School children are exposed to a traumatic event. ACEs Linked to Problems in Learning & Behavior Massachusetts Student Survey: Massachusetts Student Survey In June 2005, Massachusetts’ Department of Education surveyed 450 students attending alternative education programs in 11 school districts. Results indicated that 90 % of the students reported histories of trauma exposure. Florida State University | Center for Prevention & Early Intervention Policy | www.cpeip.fsu.edu 15 Lifespan Effects of ACEs to Health & Well-Being: Lifespan Effects of ACEs to Health & Well-Being http://www.cdc.gov/violenceprevention/acestudy/pyramid.html 16 ACEs Predict the 10 Leading Causes of Death & Disability: Felitti , V. J., Anda , R. F., Nordenberg , D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M.P., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The adverse childhood experiences (ACE) study. American Journal of Preventive Medicine, 14(4), 245-258. Heart disease Cancer Chronic lower respiratory diseases Stroke Unintentional injuries Alzheimer's disease Diabetes Kidney disease Influenza and pneumonia Suicide 17 ACEs Predict the 10 Leading Causes of Death & Disability National Survey of ACEs in Young Children: Rate of ACES Almost D ouble for C hildren in Poverty High Rates of ACES in Children 0-5 Years Old 18 National Survey of ACEs in Young Children SOURCE: National Survey of Children's Health. NSCH 2011/12. Retrieved [10/09/14] from www.childhealthdata.org . High ACEs in Head Start Sample: High ACEs in Head Start Sample 60% exposed to violence when <age 4 Mean ACE was >3 Mean ACE of their parent’s score was >5 2/3 of children with positive ACE screen had one report of social-emotional development concerns, as determined by teacher and parent DECA 19 Source: C. Blodgett, 2012 Head Start Children (N=50 ) Unhealed Early Adversity Only Exacerbates Over the Lifespan: National Survey of Children's Health. NSCH 2011/12. Data Resource Center for Child and Adolescent Health website. Retrieved 10/9/2014 from www.childhealthdata.org. Unhealed Early Adversity Only Exacerbates Over the Lifespan 20 Untreated Early Childhood Events Only Exacerbate Over Time: Untreated Early Childhood Events Only Exacerbate Over Time 21 Childhood ACEs Adolescent ACEs Adulthood ACEs Witnesses Domestic Violence Developmental Delays Expulsion Delinquency Mental Health Issues Sexual Activity Drugs & Alcohol Violence Psychiatric Problems Battles Addictions Alcohol Crime Children in Poverty Have 3x the ACEs as Higher Income Children: National Survey of Children's Health. NSCH 2011/12. Data Resource Center for Child and Adolescent Health website. Retrieved 10/9/2014 from www.childhealthdata.org. Children in Poverty Have 3x the ACEs as Higher Income Children 22 Emotional & Behavioral Disorders are the Most Costly of all Chronic Illnesses in Youth: Soni , A. The Five Most Costly Children's Conditions, 2011: Estimates for U.S. Civilian Noninstitutionalized Children, Ages 0–17. Statistical Brief #434. April 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.meps.ahrq.gov/mepsweb/data_files/publications/st434/stat434. shtml Emotional & Behavioral Disorders are the Most C ostly of all Chronic Illnesses in Youth 23 Trauma in Florida’s DJJ Population: Youth reporting no ACEs 1,793 Youth reporting one or more ACEs 62,536 Data shows very high adverse childhood experiences 24 Sample Size 64,329 Baglivio , M., Epps, N., Swartz, K., Huq , M. S., Sheer, A. & Hardt , N. (2014). The prevalence of adverse childhood experiences (ACE) in the lives of juvenile offenders. Journal of Juvenile Justice , (3)2. ACE Score Florida’s DJJ 0 2.8% 1 10% 2 16% 3 21% 4 + 50% Trauma in Florida’s DJJ Population “It’s the most important opportunity for the prevention of health and social problems and disease and disability that has ever been seen.”: “ It’s the most important opportunity for the prevention of health and social problems and disease and disability that has ever been seen. ” 25 - Dr. Vince Fellitti , Author, ACE Study http://youtu.be/ v3A_HexLxDY ACE Study Summary: The landmark ACE study provides substantial and compelling evidence of the long-term trajectory of toxicity triggered by early adversity. Findings support fundamental shifts in policy and practice across systems: Prevention of ACEs and trauma-induced toxic stress is the most effective and cost beneficial solution. Evidence-based interventions offer opportunities for effectively mitigating the effects of ACEs in both children and adults . 26 ACE Study Summary To learn more about the ACE Study, visit: http ://www.cdc.gov/violenceprevention/acestudy /

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