Impact of ACEs

Information about Impact of ACEs

Published on July 25, 2014

Author: CPEIP

Source: authorstream.com

Content

PowerPoint Presentation: 1.Impact of early childhood adverse experiences on later health and development ACE Study: ACE Study Physical abuse Emotional abuse Sexual abuse An alcohol and/or drug abuser in the household Someone who is chronically depressed, mentally, ill, institutionalized, or suicidal One or no parents Emotional or physical neglect ACEs Questionnaire The Relationship of Adverse Childhood Experiences & Adult Health Source: CDC. (2014). Injury prevention and control: Adverse Childhood Experiences study . http://www.cdc.gov/violenceprevention/acestudy/ Adverse Childhood Experiences : Adverse Childhood Experiences Physical, emotional or sexual abuse ( 25% beaten as a child ) Emotional or physical neglect Growing up with family members who had mental illness, alcoholism or drug problems ( 25 %) Family violence Incarcerated family member One or no parents Parental divorce Adverse Childhood Experiences (ACE) Study. Information available at http://www.cdc.gov/ace/index.htm Of 17,000 respondents, two-thirds had at least 1 adverse childhood event. Widespread Prevalence of Adverse Childhood Experiences : Source: V. Felitti , 2005 Widespread Prevalence of Adverse Childhood Experiences Substance abuse 27% Parental separation/divorce 23% Mental illness 17% Battered mother 13% Incarcerated family member 6% Household dysfunction Psychological 11% Physical 28% Sexual 21% Emotional 15% Physical 10% Abuse Neglect Of 17,000 respondents , 2/3s had at least 1 ACE . Adverse Childhood Experiences (ACE) Study. Information available at http://www.cdc.gov/ace/index.htm Impact of Toxic Stress Over Lifetime: Impact of Toxic Stress Over Lifetime ACE Study Shows an indisputable relationship b etween Adverse Childhood Experiences & Adult Health Source: CDC. (2014). Injury prevention and control: Adverse Childhood Experiences study . http://www.cdc.gov/violenceprevention/acestudy/ ACE Scores Linked to Physical & Mental Health Problems: ACE Scores Linked to Physical & Mental Health Problems One in six people had 4 or more ACEs. People with 4 or more ACEs were: Twice as likely to be smokers . Seven times as likely to be alcoholics . Men with 6 or more ACEs were 46 times as likely to inject drugs. Adverse Childhood Experiences (ACE) Study. Information available at http://www.cdc.gov/ace/index.htm ACE Scores Linked to Physical & Mental Health Problems: ACE Scores Linked to Physical & Mental Health Problems People with 4+ ACEs were likely to: Be sexually active before age 15: 6x Have cancer or heart disease: 2x Attempt suicide: 12x People with 7+ ACEs had: A 360% higher risk for heart disease, even if they did not smoke, drink, or carry extra weight Adverse Childhood Experiences (ACE) Study. Information available at http://www.cdc.gov/ace/index.htm Early Adverse Experiences: Early Adverse Experiences Physical Health Problems Mental Health Problems Crime & Delinquency Addictions Poor Parenting Capacity Academic & School Problems …lead to a multitude of societal p roblems: Many Societal Problems Attributable to Childhood Adversity: Source: Family Policy Council, 2012 Many Societal Problems Attributable to Childhood Adversity ACEs Predict the 10 Leading Causes of Adult Death/Disability: Heart disease Cancer Chronic lower respiratory diseases Stroke Unintentional injuries Alzheimer's disease Diabetes Kidney disease Influenza and pneumonia S uicide Source: ACE Study, Felitti et al. 1998 ACEs Predict the 10 Leading Causes of Adult Death/Disability Lifespan Impacts of ACEs: Chronic Disease Alcohol, Tobacco, Drugs Psychiatric Disorders Risky Sex Impaired Cognition Work/School Attendance , Behavior, Performance Genetics E xperience 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 11 Lifespan Impacts of ACEs Adaptation Hard -Wired Into Biology Adverse Childhood Events (ACE) : Adverse Childhood Events (ACE) Source: Video Clips from Felitti , Vincent J. MD. The Relationship of Adverse Childhood Experiences to Adult Health Status. Untreated Adverse Early Childhood Events Only Exacerbate Over Time : Untreated Adverse Early Childhood Events Only Exacerbate Over Time Source: Adverse Childhood Experiences (ACE) Study. Information available at http://www.cdc.gov/ace/index.htm High ACEs in Florida’s DJJ Population : High ACEs in Florida’s DJJ Population Sample Size: 64,329 Youth reporting no ACEs 1,793 Youth reporting one or more ACEs 62,536 ACE Score Florida’s DJJ ACE Study 0 2.8% 36.1% 1 10% 26% 2 16% 15.9% 3 21% 9.5% 4 + 50% 12.5% Sources: Baglivio , M.T., Epps, N., Swartz, K., Huq , M.S., Sheer, A., & Hardt , N.S. (2014). The prevalence of Adverse Childhood Experiences in the lives of juvenile offenders. Journal of Juvenile Justice, 3 (2). The ACE Study data source is prevalence for insured adults based the entire ACE Study sample (n=17,337) as posted by the CDC available at http://www.cdc.gov/ace/prevalence.htm. High ACEs in Head Start Sample: High ACEs in Head Start Sample Source: C . Blodgett, 2012 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 Head Start Children (N=50) ACEs Among Young Children: SOURCE: National Survey of Children's Health. NSCH 2011/12 All Children 0-5 Years Old In Households Between 0%-100% of Family Poverty Level All Children 0-5 Years Old ACEs Among Young Children ACEs Linked to Problems in Learning & Behavior: ACEs Linked to Problems in Learning & Behavior 17 Source: National Child Traumatic Stress Network 1 of 4 School children are exposed to a traumatic event. ACEs Increase Odds for Academic & Health Problems: Academic Failure Severe Attendance Problems Severe School Behavior Concerns Frequent Reported Poor Health 3 or More ACEs N =248 3 5 6 4 2 ACEs N=213 2.5 2.5 4 2.5 1 ACE N=476 1.5 2 2.5 2 No Known ACEs N=1,164 1.0 1.0 1.0 1.0 Source: C. Blodgett. (2012). Adopting ACEs screening and assessment in child serving systems. Working paper. ACEs Increase Odds for Academic & Health Problems Correlates of Early Adversity in Florida: Correlates of Early Adversity in Florida 19 Total ACE Score Prevalence Estimates for Children Age 0-19, Florida, 2012, 2020, 2030, 2040: Total ACE Score Prevalence Estimates for Children Age 0-19, Florida, 2012, 2020, 2030, 2040 Source: Gilbert, L.K. (2013, March). Behavioral Risk Factor Surveillance System Adverse Childhood Experiences study —results from 10 U.S. States and the District of Columbia, 2010: Do adverse childhood experiences add up to poor adult health? [PowerPoint slides]. Retrieved from http://www.brfss2013.com/index.php/documents-4/document/mental-health-do-adverse-childhood-experiences-add-up-to-poor-adult-health-leah-gilbert PowerPoint Presentation: 1.Impact of early childhood adverse experiences on later health and development ACE Study: ACE Study Physical abuse Emotional abuse Sexual abuse An alcohol and/or drug abuser in the household Someone who is chronically depressed, mentally, ill, institutionalized, or suicidal One or no parents Emotional or physical neglect ACEs Questionnaire The Relationship of Adverse Childhood Experiences & Adult Health Source: CDC. (2014). Injury prevention and control: Adverse Childhood Experiences study . http://www.cdc.gov/violenceprevention/acestudy/ Adverse Childhood Experiences : Adverse Childhood Experiences Physical, emotional or sexual abuse ( 25% beaten as a child ) Emotional or physical neglect Growing up with family members who had mental illness, alcoholism or drug problems ( 25 %) Family violence Incarcerated family member One or no parents Parental divorce Adverse Childhood Experiences (ACE) Study. Information available at http://www.cdc.gov/ace/index.htm Of 17,000 respondents, two-thirds had at least 1 adverse childhood event. Widespread Prevalence of Adverse Childhood Experiences : Source: V. Felitti , 2005 Widespread Prevalence of Adverse Childhood Experiences Substance abuse 27% Parental separation/divorce 23% Mental illness 17% Battered mother 13% Incarcerated family member 6% Household dysfunction Psychological 11% Physical 28% Sexual 21% Emotional 15% Physical 10% Abuse Neglect Of 17,000 respondents , 2/3s had at least 1 ACE . Adverse Childhood Experiences (ACE) Study. Information available at http://www.cdc.gov/ace/index.htm Impact of Toxic Stress Over Lifetime: Impact of Toxic Stress Over Lifetime ACE Study Shows an indisputable relationship b etween Adverse Childhood Experiences & Adult Health Source: CDC. (2014). Injury prevention and control: Adverse Childhood Experiences study . http://www.cdc.gov/violenceprevention/acestudy/ ACE Scores Linked to Physical & Mental Health Problems: ACE Scores Linked to Physical & Mental Health Problems One in six people had 4 or more ACEs. People with 4 or more ACEs were: Twice as likely to be smokers . Seven times as likely to be alcoholics . Men with 6 or more ACEs were 46 times as likely to inject drugs. Adverse Childhood Experiences (ACE) Study. Information available at http://www.cdc.gov/ace/index.htm ACE Scores Linked to Physical & Mental Health Problems: ACE Scores Linked to Physical & Mental Health Problems People with 4+ ACEs were likely to: Be sexually active before age 15: 6x Have cancer or heart disease: 2x Attempt suicide: 12x People with 7+ ACEs had: A 360% higher risk for heart disease, even if they did not smoke, drink, or carry extra weight Adverse Childhood Experiences (ACE) Study. Information available at http://www.cdc.gov/ace/index.htm Early Adverse Experiences: Early Adverse Experiences Physical Health Problems Mental Health Problems Crime & Delinquency Addictions Poor Parenting Capacity Academic & School Problems …lead to a multitude of societal p roblems: Many Societal Problems Attributable to Childhood Adversity: Source: Family Policy Council, 2012 Many Societal Problems Attributable to Childhood Adversity ACEs Predict the 10 Leading Causes of Adult Death/Disability: Heart disease Cancer Chronic lower respiratory diseases Stroke Unintentional injuries Alzheimer's disease Diabetes Kidney disease Influenza and pneumonia S uicide Source: ACE Study, Felitti et al. 1998 ACEs Predict the 10 Leading Causes of Adult Death/Disability Lifespan Impacts of ACEs: Chronic Disease Alcohol, Tobacco, Drugs Psychiatric Disorders Risky Sex Impaired Cognition Work/School Attendance , Behavior, Performance Genetics E xperience 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 31 Lifespan Impacts of ACEs Adaptation Hard -Wired Into Biology Adverse Childhood Events (ACE) : Adverse Childhood Events (ACE) Source: Video Clips from Felitti , Vincent J. MD. The Relationship of Adverse Childhood Experiences to Adult Health Status. Untreated Adverse Early Childhood Events Only Exacerbate Over Time : Untreated Adverse Early Childhood Events Only Exacerbate Over Time Source: Adverse Childhood Experiences (ACE) Study. Information available at http://www.cdc.gov/ace/index.htm High ACEs in Florida’s DJJ Population : High ACEs in Florida’s DJJ Population Sample Size: 64,329 Youth reporting no ACEs 1,793 Youth reporting one or more ACEs 62,536 ACE Score Florida’s DJJ ACE Study 0 2.8% 36.1% 1 10% 26% 2 16% 15.9% 3 21% 9.5% 4 + 50% 12.5% Sources: Baglivio , M.T., Epps, N., Swartz, K., Huq , M.S., Sheer, A., & Hardt , N.S. (2014). The prevalence of Adverse Childhood Experiences in the lives of juvenile offenders. Journal of Juvenile Justice, 3 (2). The ACE Study data source is prevalence for insured adults based the entire ACE Study sample (n=17,337) as posted by the CDC available at http://www.cdc.gov/ace/prevalence.htm. High ACEs in Head Start Sample: High ACEs in Head Start Sample Source: C . Blodgett, 2012 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 Head Start Children (N=50) ACEs Among Young Children: SOURCE: National Survey of Children's Health. NSCH 2011/12 All Children 0-5 Years Old In Households Between 0%-100% of Family Poverty Level All Children 0-5 Years Old ACEs Among Young Children ACEs Linked to Problems in Learning & Behavior: ACEs Linked to Problems in Learning & Behavior 37 Source: National Child Traumatic Stress Network 1 of 4 School children are exposed to a traumatic event. ACEs Increase Odds for Academic & Health Problems: Academic Failure Severe Attendance Problems Severe School Behavior Concerns Frequent Reported Poor Health 3 or More ACEs N =248 3 5 6 4 2 ACEs N=213 2.5 2.5 4 2.5 1 ACE N=476 1.5 2 2.5 2 No Known ACEs N=1,164 1.0 1.0 1.0 1.0 Source: C. Blodgett. (2012). Adopting ACEs screening and assessment in child serving systems. Working paper. ACEs Increase Odds for Academic & Health Problems Correlates of Early Adversity in Florida: Correlates of Early Adversity in Florida 39 Total ACE Score Prevalence Estimates for Children Age 0-19, Florida, 2012, 2020, 2030, 2040: Total ACE Score Prevalence Estimates for Children Age 0-19, Florida, 2012, 2020, 2030, 2040 Source: Gilbert, L.K. (2013, March). Behavioral Risk Factor Surveillance System Adverse Childhood Experiences study —results from 10 U.S. States and the District of Columbia, 2010: Do adverse childhood experiences add up to poor adult health? [PowerPoint slides]. Retrieved from http://www.brfss2013.com/index.php/documents-4/document/mental-health-do-adverse-childhood-experiences-add-up-to-poor-adult-health-leah-gilbert

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