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The Impact of Trauma on Women and Girls Across the Lifespan. Healthy Women, Healthy Hoosiers: Healthcare Practice Across the Lifecourse October 7, 2011.
Healthy Women, Healthy Hoosiers: Healthcare Practice Across the LifecourseOctober 7, 2011
Michelle Hoersch, MSOffice on Women’s Health - Region VU.S. Department of Health and Human ServicesIllinois, Indiana, Michigan, Minnesota, Ohio and Wisconsin
All women and girls are healthier and have a better sense of well-being.
Provide leadership to promote health equity for women and girls through sex/gender-specific approaches
Violence against women is so pervasive that the United Nations has addressed and defined violence against women as “any act of gender-based violence that results in, or is likely to result in, physical, sexual or psychological harm or suffering to women, including threats of such acts, coercion or arbitrary deprivations of liberty, whether occurring in public or private life.”
(United Nations General Assembly, 1993).
Trauma occurs when an external threat overwhelms a person’s internal and external positive coping resources.
Bloom & Fallot, 2009
Sources: The American Psychiatric Association’s Diagnostic and Statistical Manual (DSM-IV) and SAMHSA-National Center for Trauma Informed Care
Traumatic experiences come in many forms, and can leave
survivors with overwhelming feelings of loss, danger, and
• Unexpected loss of a loved one
• School violence
• Community violence
• Domestic violence
• Physical abuse
• Sexual abuse
• Man-made and natural disasters
What is the ACE Study?
Growing up experiencing any of the following conditions in the household prior to age 18
1. Kaiser Permanente Press Release, Kaiser Permanente Research: Gender And Sexual Abuse Female Perpetrators More Common than Known Previously; Boys Abused Almost as Often as Girls. July 6, 2005.
2. Fellitte, Vincent J. MD, FACP, Robert F. Anda MD, MS, Dale Nordenberg, MD, David F. Williamson, MS, PhD, Alison M. Spitz, MS, MPH, Valerie Edwards, BA, Mary P. Koss, PhD, James S. Marks, MD, MPH, “Relationship of Childhood Abuse and Household Dysfunction to Mnay of the Leading Causes of Death in Adults” Am J Prev Med 1998;14(4).
3. Felitti, MD., Vincent J., The Permanente Journal Winter 2002/Vol. 6, No.1
Graph shows relation between Adverse Childhood Experiences (ACE) Score and smoking status.
Felitti, MD., Vincent J., The Permanente Journal Winter 2002/Vol. 6, No.1
a male child with an ACE score of 6 has a 4600% increase in the likelihood of later using intravenous drugs
Graph shows relation between ACE Score and illicit use of injected drugs.
Felitti, MD., Vincent J., The Permanente Journal Winter 2002/Vol. 6, No.1 http://xnet.kp.org/permanentejournal/winter02/goldtolead.html
Vision: To equip every health and social service provider and institution with the knowledge, resources, and support to provide services that are gender responsive and trauma informed so as to provide the best possible care for trauma-affected individuals.
Goal: To equip every health and social service provider and institution with the knowledge, resources, and support to provide services that are gender-responsive and trauma-informed.
The impact of violence, abuse, neglect, disaster, war, and other harmful experiences continues long after the traumatic event has ended.
These are services that are provided for problems other than trauma but require knowledge about violence against women and the impact of trauma thereby increasing their effectiveness.
“Presume that every person in a
treatment setting has been exposed to
abuse, violence, neglect or other
-Framework of Recommendations
Purpose: Raise awareness and expand the common knowledge base among Federal Partners and collaborators regarding the prevalence and behavioral impacts of trauma on the lives of women and girls
233 N Michigan Ave, Suite 1300Chicago, IL 60601312-353-8122Michelle.Hoersch@hhs.gov