1. Adverse Childhood Experiences and Resiliency Learning Collaborative
April 4, 2019
Hilton Garden Inn Boise Spectrum Hotel
Holly Whitworth, Eastern Idaho Public Health

2. I have no personal financial relationships in any commercial interest related to this CME. I do not plan to reference off label/unapproved uses of drugs or devices.

3. Learning Targets
Become Familiar with the MEICHV Home Visiting Programs across Idaho
Explore ACES data and how it relates to data from Idaho
Understand what protective factors mitigate the impact of ACES
Plan how to use everyday actions to promote the protective factors in children and families

6. MEICHV Home Visiting Programs Across Idaho
Panhandle Health District- Nurse- Family Partnership
Idaho North Central District- Parents as Teachers
Southwest District Health-Nurse- Family Partnership
Central District Health Department-Parents as Teachers
South Central Public Health- Parents as Teachers
Southeastern Idaho Public Health- Parents as Teachers
Eastern Idaho Public Health- Parents as Teachers

7. ACEs in Idaho-2016 50.9% of Idaho children Age 0-17 have had at least
one ACE which is
significantly higher
than the national average
The National Survey of Children’s Health was in the field again in Note that the national average for having at least one ACE is 4.5% lower than the number of Idaho’s children who have at least one ACE and this is statistically significant.

8. ACEs in Idaho-2016 Children 5 and under in Idaho have experienced ACEs
at a level higher than
the national average
(38.5% v. 35%)

9. IDAHO KIDS ARE HIGHER THAN U.S. IN ALL BUT ONE CATEGORY

10. What is the Connection Between Home Visiting and Mitigating the Effect of ACES?
Given this data, researchers have asked how can our experiences in childhood have such a long-lasting impact. We’ll now look at the science that shows how this link is possible. 10

11. Childhood experiences can be powerful determinants of our health
and
well being as adults…….
BUT THEY DO NOT HAVE TO.
What trumps ACEs
Just one caring and stable relationship can make a difference n a child’s life.
Support parents in their most important role as nurturers of children.
Social and emotional interaction with children is vital.
Our past does not determine our future!
Show video of Amanda’s Story 11

12. Prevention
Prevention focuses on building “protective factors” in families. These characteristics in a family tend to reduce the risk of child abuse:
Nurturing and attachment
Knowledge of parenting and child development
Parental resilience
Social connections
Concrete supports
Prevention focuses on services that educate and support families. Building these 5 “protective factors” in a family has been shown to reduce the likelihood of abuse and neglect:
Nurturing and Attachment: Developing a close bond helps parents relate, respond and communicate with their child.
Knowledge of Parenting and Child Development: Understanding child development can be calming for parents and help parents respond appropriately to a child’s behavior.
Parental Resilience: Recognizing the signs of stress and enhancing problem-solving skills can improve parents’ capacity to cope.
Social Connections: Identifying a network of family, friends, and neighbors provides parents support in times of need
Concrete Supports: Offering parents access to financial, housing, medical, and other resources and services help parents meet their basic needs, so they can focus on their role as parents. 12

14. Positive experiences can help moderate the effects of ACES
(Balancing ACEs with Hope)

15. Factors That Moderate the Effects of More Than 3 ACEs on Adult Health
2011/12 data
(Balancing ACEs with Hope)

16. HOPE Conquers ACES
Explore the interplay of Adverse Childhood Experiences, human development and the power of positive relationships.
Welcome to Hope Conquers ACES, an exploration of the interplay of Adverse Childhood Experiences, human development and the power of positive relationships.
Note: Tailor the introduction to the audience. Get a sense of who is in the room and how much they know about ACES, the Protective Factor Framework, HOPE.

17. Questions and Comments
Now what?
Questions and Comments
We now know that ACEs are much more common among the general public than we ever realized and that they have a huge impact on lifelong physical and behavioral health. They are linked to many of today’s most costly medical, psychiatric and social problems. As a community, we need to begin to think differently about how we understand our problems. We need to consider the root causes of interconnected issues involving health, education, economic development, corrections, social services and more.
Although the ACE Study highlights a major problem, it doesn’t provide a solution. It has been up to professionals and community members to find ways that they can address this problem within their own spheres and also as a collective group.
We will now look at interventions that are working to prevent and mitigate ACEs and their effects. These interventions are a central part of the work we do in the Parents as Teachers home visiting program. 17

18. Citations and Acknowledgments
HOPE – Health Outcomes of Positive Experiences – a framework that studies and promotes positive child and family well-being (Sege and Brown, 2017)
National Survey of Children’s Health (NSCH)
CDC Essentials for Childhood Program (EfC) and Prevent Child Abuse America
(PCAA)
Roger Sherman, Executive Director, Idaho Children’s Trust Fund