the ace study the tragic consequences of unaddressed childhood trauma n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
The “ACE” Study The Tragic Consequences of Unaddressed Childhood Trauma PowerPoint Presentation
Download Presentation
The “ACE” Study The Tragic Consequences of Unaddressed Childhood Trauma

Loading in 2 Seconds...

play fullscreen
1 / 44

The “ACE” Study The Tragic Consequences of Unaddressed Childhood Trauma - PowerPoint PPT Presentation


  • 472 Views
  • Uploaded on

The “ACE” Study The Tragic Consequences of Unaddressed Childhood Trauma. Presented by Ann Jennings Ph.D Federal Roundtable on Women and Trauma April 29, 2010. Anna’s Story. This is Anna at age one and a half. This is Anna years later – in a mental institution. What happened?.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'The “ACE” Study The Tragic Consequences of Unaddressed Childhood Trauma' - emery-kaufman


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
the ace study the tragic consequences of unaddressed childhood trauma

The “ACE” StudyThe Tragic Consequences of Unaddressed Childhood Trauma

Presented by Ann Jennings Ph.D

Federal Roundtable on Women and Trauma

April 29, 2010

slide3

This is Anna at age one and a half

This is Anna years later – in a mental institution

What happened?

slide5
The Adverse Childhood Experiences Study

(ACE Study)

“In my beginning is my end.”

T.S. Eliot, Four Quartets

what is the adverse childhood experiences ace study
What is the Adverse Childhood Experiences (ACE) Study?
  • CDC and Kaiser Permanente Collaboration
  • Over decade long. 17,000 people involved.
  • Looked at effects of adverse childhood experiences over the lifespan.
  • Largest study ever done on this subject.
ace study findings
ACE Study Findings
  • Childhood experiences are powerful determinants of who we become as adults
hmo members in ace study
HMO Members in ACE Study
  • 80% White, including Hispanic
  • 10% Black
  • 10% Asian
  • About 50% men, 50% women
  • 74% had attended college
  • 62% age 50 or older
adverse childhood experiences are common
Adverse Childhood Experiences are Common

Of the 17,000 HMO Members:

  • 1 in 4 exposed to 2 categories of ACEs
  • 1 in 16 was exposed to 4 categories.
  • 22% were sexually abused as children.
  • 66% of the women experienced abuse, violence or family strife in childhood.
  • Women were 50% more likely than men to have experienced 5 or more ACEs
slide11

The higher the ACE Score, the greater the likelihood of :

  • Severe and persistent emotional problems
  • Health risk behaviors
  • Serious social problems
  • Adult disease and disability
  • High health, behavioral health, correctional and social service costs
  • Poor life expectancy

For example:

slide15

2/3rd (67%) of all suicide attempts

  • 64% of adult suicide attempts
  • 80% of child/adolescent suicide attempts

Are Attributable to

Childhood Adverse Experiences

Women are 3 times as likely as men to attempt suicide over the lifespan.

childhood sexual abuse is strongest most independent risk factor for suicidality
Childhood sexual abuse is strongest most independent risk factor for suicidality
  • As many as 42% of girls are sexually abused before age 18
  • 79.8% of American Indian Alaskan Native (AIAN) girls experience sexual abuse in early childhood.
  • Young AIAN women are over 3 ½ times more likely to commit suicide than females in the general population
slide18

Are We Misdiagnosing?

ACE Score and Hallucinations

Abused

Alcohol

or Drugs

Ever Hallucinated* (%)

ACE Score

*Adjusted for age, sex, race, and education.

ace score and indicators of impaired worker performance
ACE Score and Indicators of Impaired Worker Performance

Prevalence of Impaired Performance (%)

slide30

Higher ACE Score = significant rise in chronic health conditions:

  • Sexually Transmitted Disease
  • Liver Disease
  • COPD
  • Ischemic Heart Disease
  • Autoimmune Disease
  • Lung Cancer
effect of aces on mortality
Effect of ACEs on Mortality

Age Group

0 ACE 60% live to 65 4 ACE less than 3% live to 65

the costs are high 1992 analysis of cost of anna s care
The Costs Are High1992 Analysis of Cost of Anna’s Care
  • Over 17 years, Anna was hospitalized a total of 4,124 days. At $648 a day the cost was $2,639,360.
  • Other costs – entitlements, residential treatment, case management, legal, medical – were estimated to be over $1,000,000, bringing total cost to nearly $4,000,000.
  • Adjusted for inflation (2005) total cost = $5,417,032
1992 analysis of cost of anna s care
1992 Analysis of Cost of Anna’s Care
  • Intensive trauma based psychotherapy, figured at $150 a session, 2 sessions a week, for 17 years, would have cost a total of $265,200 - (compared to $2,639,360)
  • Had trauma been recognized and treated at age 3, costs would have been significantly less.
  • If parents had been trauma-informed, the abuse may not have occurred.
the financial burden to society of childhood abuse and trauma is staggering
The financial burden to society of childhood abuse and trauma is staggering.
  • Annual Direct Costs: Hospitalization, Mental Health Care System, Child Welfare Service System and Law Enforcement = $33,101,302,133.00
  • Annual Indirect Costs: Special Education, Juvenile Delinquency, Mental Health and Health Care, Adult Criminal Justice System, Lost productivity to Society = $70,652,715,359.00
  • Total Annual Cost: $103,754,017,492.00 (Over $184 million dollars a day)

Economic Impact Study. (September, 2007). Prevent Child Abuse America

slide38

“The solution of adult problems tomorrow depends in large measure upon the way our children grow up today.

Margaret Mead

handouts
Handouts
  • Chart of Adverse Childhood Experiences Study
  • Finding Your ACE Score: A Questionnaire
  • ACE Publications on Major findings by Health Outcomes
  • “The Hidden Epidemic: The Impact of Early Life Trauma on Health and Disease”
sources
Sources
  • ACE Publications: For comprehensive list see CDC ACE Study website: Publications on Major Findings By Health Outcomes: This site was updated (March 1, 2010) and links to related articles on all subjects.

http://www.cdc.gov/nccdphp/ACE/outcomes.htm

  • The Damaging Consequences of Violence and Trauma: See Trauma-Informed Resources :

www.TheAnnaInstitute.Org

  • Documents and articles on women and trauma: Presentation Bibliography in preparation. Available upon request: Ann Jennings, afj@gwi.net
slide42

ACE Study slides are from:

  • Robert F. Anda MD at the Center for Disease Control and Prevention (CDC)
  • September 2003 Presentation by Vincent Felitti MD “Snowbird Conference” of the Child Trauma Treatment Network of the Intermountain West
  • “The Relationship of Adverse Childhood Experiences to Adult Medical Disease, Psychiatric Disorders, and Sexual Behavior: Implications for Healthcare” Book Chapter for “The Hidden Epidemic: The Impact of Early Life Trauma on Health and Disease” Lanius & Vermetten, Ed)
presentation artwork
Presentation Artwork
  • All artwork in this presentation was created by Anna Caroline Jennings. Although she had no formal training, her work is stark, sophisticated and haunting. It has been exhibited at conferences across the country.
  • Through her paintings and drawings she vividly and poignantly expresses her abuse at the hands of perpetrators and within the mental health system.
  • Her work and story are displayed on the website: www.TheAnnaInstitute.org.
trauma informed resources
Trauma Informed Resources
  • http://mentalhealth.samhsa.gov/nctic/default.asp

SAMHSA National Center for Trauma-Informed Care

  • www.TheAnnaInstitute.org: The Anna Institute Inc:
    • ACE Study Section: Powerpoint presentation slides and notes; 41 full downloadable ACE Study articles; related materials; collection of ACE Study powerpoint slides
    • Annotated list of Trauma Websites
    • Models for Developing Trauma-Informed Behavioral Health Systems and Trauma-Specific Services, 2008
    • Downloadable trauma-informed articles, powerpoints, educational materials; links; Anna’s story and art exhibit.