1. Adverse Childhood Experiences
How ACEs affects people throughout their lives
-Introduce Butte County Coalition with new name

2. What are ACEs?
Traumatic experiences during childhood that have an affect on future health
There are 10 types of recognized ACEs in three categories:
Abuse
Neglect
Household Dysfunction
What is Trauma: An event, series of events or circumstances that is experienced by an individual as physically or emotionally harmful or life threatening and has lasting adverse effects on individual’s functioning and mental, physical, social, emotional, or spiritual well-being
ACE’s can be experienced by everyone

3. The Initial Study
Roughly 2 of 3 people had experienced at least one ACE
1 out of every 8 had experienced 4 or more ACEs
Surveyed 17,000 adults
74.8% were Caucasian
75.2% had obtained college-level education
Completed in 1998 by physicians at Kaiser Permanente Medical Center in San Diego, California
The higher that ACE score, the higher the risks of poor health and negative health views
The ACE survey tells us:
Who
How many
And with what consequences
Toxic stress effects on the brain
Toxic stress on the body
Toxic stress passed from generation to generation
Resilience research

4. What were the top three most commonly reported ACEs?
According to 2014 data collected by the U.S. Department of Health and Human Services, roughly 702,000 children were victims of maltreatment of one type or another.
75% of cases were of neglect
17% of cases were of physical abuse
6.8% of cases were classified as other abuse
¼ of children will experience some form of child maltreatment in their lifetime
(U.S. Department of Health and Human Services et al, 2012
Lifetime economic burden of new cases of fatal and non-fatal child maltreatment―$124 billion
(Fang, Brown, Florence, & Mercy, 2012)

5. ACEs doesn’t discriminate
They impact everyone regardless of their race and ethnicity
There is correlation of higher ACE scores and a person’s poverty, education, and employment
A person with 4 or more ACES is:
21% more likely to be below 250 percent of the Federal Poverty Level (FPL)
27% more likely to have less than a college degree
39% more likely to be unemployed

6. Health Impacts of Adults with 4 or more ACEs
Physical Health
Asthma
COPD
Kidney Disease
Mental Health
5 times more likely to suffer from depression
4 times more likely to be eventually diagnosed with Alzheimer’s or dementia
Self-Rated Health
1 or more poor physical and/or mental health days within a month
Poor health prevented them from their usual activities
Health Behavior
About 3 times more likely to:
Be a current smoker
Engage in binge drinking
Engage in risky sexual behavior

8. ACEs Pyramid How do ACE’s cause negative health outcomes?
Prolonged stress can:
disrupt the normal brain development during critical periods in childhood as well as the development of other organ systems.
cause an increased risk for development of stress-related diseases and cognitive impairment.
account for the correlation between increased frequency of ACEs and increased risk for disease or dysfunction during adulthood.
to a pregnant woman can cause stress to the perinatal environment causing changes in the brain development of the fetus.

9. ACEs effect on Parenting Abilities
Adults who experienced ACEs as children are:
More likely to subject their children to ACEs
Increased risk for difficulty dealing with stressors
More likely to project stress to children
People with ACEs are...
Less likely to have health insurance or a regular doctor
Almost 13 times more likely to be removed from their home as a child
Women with at least 3 violent ACEs are more likely to be a victim of intimate partner violence
Men with at least 3 violent ACEs are more likely to perpetrate intimate partner violence

10. Through protective factors there is hope
Parental resilience
Social connections
Concrete supports in times of need
Knowledge of parenting & child development
Social & emotional competence of children
Parental Resilience: the ability to handle everyday stress and bounce back from challenges including crisis
Social Connections: trusted and caring family and friends who provide support to parents in facing everyday challenges of raising a family
Concrete Supports in Times of Need: basic needs such as housing, food, clothing transportation and healthcare
Knowledge of Parenting & Child Development: accurate information about raining children, appropriate expectations, and behavior management
Social & Emotional Competence of Children: a child's ability to interact positively with others, control their behavior and communicate their feelings effectively

11. Let’s take a look at your ACEs score
Above, is an example of a Butte County survey you can take to calculate your ACEs score
ACE score: 0
Reports no exposure to any of the categories of trauma listed
ACE score: 4
Likelihood of diseases, social and emotional problems increase
ACE score: 10
Reports exposure to all of the categories, answered yes to all questions, risk of disease, social, and emotional problems has increased greatly

12. What can you do? Mental illness and substance abuse treatment
Home visiting to pregnant women and families with newborns
Parenting training programs
Increase awareness about ACEs and their impact on health and wellness
Support efforts to identify evidence-based practices to identify and respond to ACEs
Advance efforts to integrate behavioral and physical health care practices
YOU are assuming the parent/caregiver role to build resilience they need protective factors that YOU provide

13. The Goal
The entire community integrates trauma-informed/resilience-building practices based on ACEs science
The process: Educate, Engage, Activate, Celebrate
ACEs You Tube Video UK
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14. Strengthening Families
Learn more about ACEs:
Local Resources:
Butte 211
Other Resources:
ACEs Connection
ACEs Too High
Strengthening Families
Resilience
Child Trauma
All resources above are hyperlinked to website

15. Any Questions?

16. References:
Chamberlain, L., Ph.D. MPH, Hard Times and Healing Toolkit, A Resilience Framework for Domestic Violence (DV) and Adverse Childhood Experiences (ACEs)
Stevens, J. ACEs & the Unified Science of Human Development. ACEs Connection Foundation, 2016