Adverse Childhood Experiences What are ACEs? The Adverse Childhood - - PowerPoint PPT Presentation

Adverse Childhood Experiences

What are ACEs?

The Adverse Childhood Experiences (ACE) Study

• The largest study ever done that looks at the

health and social effects of adverse childhood experiences over a lifespan.

The ACE Study

Source: Centers for Disease Control and Prevention Credit: Robert Wood Johnson Foundation

Total number of categories of ACEs that each participant reported

The ACE Score

Source: Robert Wood Johnson Foundation

In Oregon, 64% reported one or more ACEs

BRFSS ACE Prevalence

36% 24% 13% 10% 18%

2011 BRFSS ACEs in Oregon

0 ACEs 1 ACE 2 ACEs 3 ACEs 4+ ACEs

Data from Oregon Health Authority, 2011 & 2013

Household Substance Abuse Verbal Abuse Parents Separated or Divorced Physical Abuse Household Mental Illness Parents Violent Toward Each Other Sexual Abuse Incarcerated Household Member Prevalence 31% 31% 31% 21% 20% 16% 14% 8% 0% 5% 10% 15% 20% 25% 30% 35%

ACEs in Oregon

Data from Oregon Health Authority, 2011 & 2013

How Many Oregonian Children Have Been Exposed?

Total number of ACEs % of NSCH respondents Population Estimate Zero ACEs 48.7% 413,489 One ACE 24.1% 204,865 Two or more ACEs 27.2% 230, 711

Data from National Survey of Children's Health, 2011/12

Adverse Childhood Experiences National Prevalence Oregon Prevalence Child had one or more Adverse Child or Family Experiences 47.9 % 51.3 % Child had two or more Adverse Child or Family Experiences 22.6 % 27.2 % Socioeconomic hardship 25.7 % 28.8 % Divorce/separation of parent 20.1 % 23.0 % Death of parent 3.1 % 2.8 % Parent served time in jail 6.9 % 7.9 % Witness to domestic violence 7.3 % 7.4 % Victim or witness of neighborhood violence 8.6 % 8.3 % Lived with someone who was mentally ill or suicidal 8.6 % 13.5 % Lived with someone with alcohol/drug problem 10.7 % 16.8 %

ACEs in Oregon Children

• We know that ACEs are linked to negative health
• utcomes in adulthood, but what about in

children?

• Children with ACEs are

– More likely to:

• Miss school days
• Repeat grades

– Less likely to:

• Be engaged in school
• Receive care in a medical home

Impact of ACEs on Children

The Impact of ACEs Across the Lifespan

We can help children and families in Washington County by:

• Promoting awareness of ACEs
• Providing safe, stable, nurturing relationships and environments
• Becoming trauma-sensitive or providing trauma-informed services.

Experiencing trauma during childhood is NOT a death sentence.

Washington County ACEs Initiative

Will help build a foundation for healthier lives in Washington County by:

• Raising awareness of the life-long impact of childhood trauma
• Mobilizing comprehensive responses to ACEs across the lifespan
• Supporting efforts to build resilience in families and communities
• Supporting efforts to create safe, stable, nurturing relationships and

environments (SSNRs) for children.

• Increasing efforts to integrate a trauma-informed approach into

practice, programs and policies.

Resources

http://www.co.washington.or.us/HHS/ http://www.preventionlane.org/adverse-childhood-experiences-trauma http://cdc.gov/ace http://www.acestudy.org/ http://www.acestoohigh.com http://www.cdc.gov/brfss/index.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5949a1.htm http://www.oregon.gov/oha/Transformation-Center/Resources/ACEs-Brief-2014.pdf http://public.health.oregon.gov/HealthyPeopleFamilies/DataReports/Documents/OregonACEsReport.pdf http://www.rwjf.org/en/about-rwjf/newsroom/infographics/the-truth-about-aces.html http://www.childhealthdata.org

For more information about the ACEs Initiative, please contact Octavia Chambers at octavia_chambers@co.washington.or.us or 503-846-3637