2. Who We Are… Kids Oneida Upstate Cerebral Palsy
Oneida County Planning; DSS; Health/Mental Health
SUNYIT
Utica College
Family Nurturing Center
Dr. Lark Eschelman- Patterson & Bob Patterson
Peg Zimmerman
Honorable Ralph Eannce
Robin O’Brien – USCare
Gina Ashmore – Hospice

3. What do we mean by Adverse Childhood Experiences?
The Adverse Childhood Experiences (ACE) Study
Examines the health and social effects of ACEs
throughout the lifespan among 17,421 members
of the Kaiser Health Plan in San Diego County
What do we mean by Adverse Childhood Experiences?
- childhood abuse and neglect
growing up with domestic violence, substance abuse
or mental illness in the home, parental discord, crime

4. Goals Of The Local Efforts:
Reinforce awareness
Linking ACES to physical and mental health
To ascertain perceived needs in the community and collect information on who professionals are referring to now
To solicit help and recommitment for the vulnerable youth in Oneida County

5. What Are ACES (Adverse Childhood Experiences)
Emotional/Physical Abuse
Sexual Abuse
Emotional/Physical Neglect
Domestic Violence – Battered Mother
Single Parent Homes – Due to Separation/ Divorce/Death
Substance Abuse - One or Both Parents
Incarcerated Parent(s)
Parent(s) Suffering From Mental Illness
Parent(s) Suffering From Chronic Illness

6. Adverse Childhood Experiences Are Common
Household dysfunction:
Substance abuse %
Parental sep/divorce %
Mental illness %
Battered mother %
Criminal behavior %
Abuse:
Emotional %
Physical 28%
Sexual 21%
Neglect:
Emotional %
Physical %

7. Health-risk Behaviors Adverse Childhood Experiences
Death
Early
Death
Disease, Disability
and Social Problems
Scientific
gaps
Adoption of
Health-risk Behaviors
Social, Emotional, &
Cognitive Impairment
Adverse Childhood Experiences
Conception
What We Know

8. ACEs tend to come in groups…
Additional ACEs (%)
>5
If you had:
A battered mother

9. Adverse Childhood Experiences Score
Trauma “Dose”
Number of individual types of adverse childhood experiences were summed…
ACE score Prevalence % % % %
4 or more 16%

10. Frequency of witnessing
Prevalence of Childhood Abuse by Frequency of Witnessing Domestic Violence
100
Frequency of witnessing
domestic violence 80
Never
Once,Twice
Sometimes
Often 60
Very often
Percent (%) 40 20
Emotional
Physical
Sexual
Childhood Abuse

11. ACEs, Smoking, and Lung Disease

12. ACE Score and HIV Risks Ever Had an Had 50 or More Ever Injected STD
Drugs
Had 50 or More
Intercourse Partners

13. The ACE Score and the Prevalence of Severe Obesity
Percent obese (%)
ACE Score

14. The ACE Score and the Prevalence of Liver Disease (Hepatitis/Jaundice)
Percent (%)
ACE Score

15. The ACE Score and the Prevalence of Attempted Suicide
Percent atempted (%)
ACE Score

16. The ACE Score and a Lifetime History of Depression
Percent depressed (%)
ACE Score

17. ACE Score and the Risk of Being a Victim of Domestic Violence
Women
Men 15 10
Risk of Victimization (%) 5
>5
>5
ACE Score

18. ACE Score and Rates of Antidepressant Prescriptions
(per 100 person-years)
Prescription rate
>=5
ACE Score

19. ACE Score and Rates of Prescribed Antidepressant Medications by Age, 1997-2004
Relative rates are adjusted for age, sex, race/ethnicity, and education. Adults with an ACE Score of 0 are the referent.
ACE Score
45-64 yrs
18-44 yrs
65-89 yrs

21. Adverse Childhood Experiences As a National Health and Economic Issue
ACEs have a strong influence on:
-adolescent health
-reproductive health
-smoking
-alcohol abuse
-illicit drug abuse
-sexual behavior
mental health
risk of revictimization
stability of relationships, homelessness
performance in the workforce

22. Adverse Childhood Experiences As a National Health Issue
ACEs increase the risk of:
Heart disease
Chronic Lung disease
Liver disease
Suicide
- Injuries
HIV and STDs
and other risks for the leading
causes of death

23. The Adverse Childhood Experiences (ACE) Study
- These strength of these findings indicate that:
Adverse Childhood Experiences are a leading
determinant of health and social well-being
of from adolescence to late adulthood
ACE Study website

24. Adverse Childhood Experiences Rarely
Occur in Isolation…
They come in groups.

25. Domestic Violence
and the Risk of Other ACEs...

26. ACEs and Prescriptions for Antidepressant Medication

27. ACEs and the Risk of Domestic
Violence as an Adult..
A Cycle…

28. Study on Adverse Childhood Experiences 9/07
Kids Oneida
Study on Adverse Childhood Experiences 9/07

29. *3 or less indicators: 28%
*4 or more indicators: 72%

30. *3 or less indicators: 30%
*4 or more indicators: 70%

31. *3 or less indicators: 21%
*4 or more indicators: 79%

32. Number of Open Cases 9/07 = 120 Studied

33. Of Interest:
* ACE Study 14% had 4 or more ACE Indicators
*ACE Study : 1 in 10 had 5 or more ACE’s
*More common for indicators to occur in groups
*Higher ACE score leads to health risks:
-more alcohol abuse/alcohol related health issues
-more tobacco-related health issues
-higher risk of illicit sexual behavior and STD’s
-higher risk of suicidal ideation/depression
- Huge increases in cost over a a life time

34. Body Stress System

35. Stress Illness Relationships
Taken from Taylor, 2006

36. Stress Illness Relationships
Taken from Taylor, 2006