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Story

What gives you strength?

A new look at addictions and unhealthy behaviors “What’s wrong with these people? Don’t they know any better?”

Adverse Childhood Experiences Abuse: physical, sexual, psychological Neglect: emotional, physical Exposure to other traumatic stressors: substance abuse, divorce, mental illness, battered mother, criminal behavior Study Overview

Study method 17,421 members of the Kaiser Health Plan in San Diego County from Confidential survey asking questions about childhood trauma and current health status and behaviors combined with physical examination Demographics: primary care setting educated middle class predominantly white

Childhood experiences can be powerful determinants of who we become as adults. General finding

What it found

Adverse Childhood Experience tend to occur in clusters Number of ACEsThose surveyed 0 36% 1 26% 2 16% 3 9.5% 4 or more 12.5%

Chronic depression

Prevalence of heart disease in women ACE Score Percent

Early mortality Age Group

What does this mean for Iowa?

Prevalence of ACEs in Iowa

Co-occurence of ACEs in Iowa

Where do Iowans with ACEs live now?

Impact on Iowan’s lifelong health ACEs and Poor overall Health ACE-Related Number of Bad Health Days in Last Month

*Iowa median household income in 2012 was $50,957.

How can ACEs impact someone long-term?

The framework National Center for Chronic Disease Prevention and Health Promotion

A child’s brain Experiences build brain architecture

Impact of ACEs

Toxic Stress Derails Health Development Center on the Developing Child, Harvard University

Impact on education

Discussion  What are your reactions to this research?  What information resonates most with you?  How does this study relate to your field or areas of interest?

Now what?

Childhood experiences can be powerful determinants of our health and well-being as adults…. BUT THEY DO NOT HAVE TO.

What happened to you? vs. What’s wrong with you? Trauma-Informed Care

Iowa’s response

Opportunities to respond Take Action  Build communities in which people feel a sense of responsibility and care for one another  Integrate a trauma-informed approach across child- and family- serving systems and organizations  Advocate for services that help families build resilience, social connections, parenting knowledge, nurturing and attachment, and access to needed resources

Opportunities to respond Share the Knowledge  Online Learning Modules  Increase awareness of trauma and its impact with family and friends Join the Discussion  ACEs Connection-Iowa Action Group

How might the information shared today affect you and your work? What can be done to address ACEs in your organization or community? What opportunities do you see for using Iowa’s data next year? Who should be involved in the effort to address ACEs? What is missing from this conversation? What questions do you still have? Discussion

Resources ACEs Too High acestoohigh.com Centers for Disease Control and Prevention Harvard Center on the Developing Child developingchild.harvard.edu Iowa ACEs Zero to Three