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Strong Communities Raise Strong Kids. Adverse Childhood Experiences: Impetus for Community Action . Regional Child Abuse Prevention Councils 2011. “The solution of all adult problems tomorrow depends in large measure upon the way our children grow up today.”

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Strong communities raise strong kids l.jpg

Strong Communities Raise Strong Kids

Adverse Childhood Experiences: Impetus for Community Action

Regional Child Abuse Prevention Councils 2011


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

- Margaret Mead, Anthropologist

Regional Child Abuse Prevention Councils 2011


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What Are ACEs? large measure upon the way our children grow up today.”Adverse Childhood Experiences

  • Sometimes referred to as toxic stress or childhood trauma.

ACEs are experiences in childhood that are unhappy, unpleasant, hurtful.

Regional Child Abuse Prevention Councils 2011


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ACEs Often Last a Lifetime . . . large measure upon the way our children grow up today.” But They Don’t Have To

  • Healing can occur

  • The cycle can be broken

  • Safe, stable, nurturing relationships heal parent and child.

Regional Child Abuse Prevention Councils 2011


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Complete ACE Questionnaire large measure upon the way our children grow up today.”

  • What does it make you think about?

  • Keep in mind your thoughts as we present the ACE Study

Regional Child Abuse Prevention Councils 2011


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What are Adverse Childhood Experiences (ACEs)? large measure upon the way our children grow up today.”

Growing up (prior to age 18) in a household with:

Recurrent physical abuse.

Recurrent emotional abuse.

Sexual abuse.

Emotional or physical neglect.

Regional Child Abuse Prevention Councils 2011


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Growing up (prior to age 18) in a household with (cont): large measure upon the way our children grow up today.”

An alcohol or drug abuser

An incarcerated household member.

Someone who is chronically depressed, suicidal, institutionalized or mentally ill.

Mother being treated violently.

One or no parents.

Regional Child Abuse Prevention Councils 2011


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Why is This Important? large measure upon the way our children grow up today.”

Because ACEs are:

  • Surprisingly common

  • Occur in clusters

  • The basis for many common public health

    problems

  • Strong predictors of later social functioning,

    well-being, health risks, disease, and death

Regional Child Abuse Prevention Councils 2011


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ACE Scores large measure upon the way our children grow up today.”

1/3 of adults have an ACE score of 0

The majority of adults with an ACE score of 0 have few, if any, risk factors for diseases that are common causes of death in the US.

Regional Child Abuse Prevention Councils 2011


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ACE’s are Highly Interrelated large measure upon the way our children grow up today.”

Alcohol Abuse in the Home and the Risk of Other Household Exposures During Childhood

Regional Child Abuse Prevention Councils 2011


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Regional Child Abuse Prevention Councils 2011


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Top 10 risk factors for death in the USA factors for these diseases or the disease themselves.

smoking,

severe obesity,

physical inactivity,

depression,

suicide attempt,

alcoholism,

illicit drug use,

injected drug use,

50+ sexual partners,

history of STD

Regional Child Abuse Prevention Councils 2011


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Evidence Suggests: factors for these diseases or the disease themselves.

Many chronic diseases in adults are determined decades earlier, by experiences in childhood

Risk factors/behaviors for these diseases are initiated during childhood or adolescence and continue into adult life.

Regional Child Abuse Prevention Councils 2011


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Seeking to Cope factors for these diseases or the disease themselves.

The risk factors/behaviors underlying these adult diseases are actually effective coping devices.

What is viewed as a problem is actually a solution to bad experiences.

Dismissing these coping devices as “bad habits” or “self destructive behavior” misses their functionality.

Regional Child Abuse Prevention Councils 2011


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Family Centered Practice, June 8, 2007 factors for these diseases or the disease themselves.

Regional Child Abuse Prevention Councils 2011


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Behavior is Predictable factors for these diseases or the disease themselves.

All behavior has meaning - both good behavior and bad behavior

We need to look closely

at what preceded the

behavior - What happened

first that is causing this

behavior?

Regional Child Abuse Prevention Councils 2011


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Life in a Tough World factors for these diseases or the disease themselves.

If trauma/toxic stress occurs early in life, the brain becomes wired to survive it.

Regional Child Abuse Prevention Councils 2011


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Early Brain Development factors for these diseases or the disease themselves.

  • Nurturing, responsive, and individualized interactions from birth build healthy brain structure.

  • Healthy brain architecture is the necessary foundation required for optimal future learning, behavior and health.

Regional Child Abuse Prevention Councils 2011


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Stress and the Brain factors for these diseases or the disease themselves.

  • Excessive and repeated stress:

    • Neglect, violence

    • Chaos, unpredictability

    • Hostility, rejection

  • Causes disruption of brain architecture:

    • Impairs cell growth

    • Interferes with healthy neural circuits

Regional Child Abuse Prevention Councils 2011


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Regional Child Abuse Prevention Councils 2011 factors for these diseases or the disease themselves.


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What Does This Look Like? factors for these diseases or the disease themselves.

Teen that is:

  • Edgy, hot tempered

  • Impulsive

  • Hyper-vigilant

Regional Child Abuse Prevention Councils 2011


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By adolescence, children seek relief through: factors for these diseases or the disease themselves.

Drinking alcohol

Smoking tobacco

Sexual promiscuity

Using drugs

Overeating/eating disorders

Delinquent behavior

Regional Child Abuse Prevention Councils 2011


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High Risk Teen Behaviors factors for these diseases or the disease themselves.

  • May not be the core problem

  • They may be the coping devices

  • A way to feel safe or just feel better

Regional Child Abuse Prevention Councils 2011


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Adverse Childhood Experiences factors for these diseases or the disease themselves. vs. Smoking as an Adult

Regional Child Abuse Prevention Councils 2011


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Adverse Childhood Experiences factors for these diseases or the disease themselves. vs. Adult Alcoholism

Regional Child Abuse Prevention Councils 2011


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ACE Score vs. factors for these diseases or the disease themselves. Intravenous Drug Use

Regional Child Abuse Prevention Councils 2011


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Adverse Childhood Experiences vs. Likelihood of > 50 Sexual Partners

Regional Child Abuse Prevention Councils 2011


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ACE Score vs. Unintended Sexual PartnersPregnancy or Elective Abortion

Regional Child Abuse Prevention Councils 2011


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Childhood Experiences Sexual PartnersUnderlie Chronic Depression

Regional Child Abuse Prevention Councils 2011


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Childhood Experiences Sexual PartnersUnderlie Later Suicide

Regional Child Abuse Prevention Councils 2011


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ACE Score vs. Sexual PartnersSerious Job Problems

Regional Child Abuse Prevention Councils 2011


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Health Care Costs Sexual Partners

US Health Care Spending was $7,600 per person for total of $2.3 Trillion (2007)

75% nations health spending was for chronic diseases (heart disease, cancer, stroke, and diabetes)

2.8 million cases of 7 most common chronic diseases reported in Arizona costing 4.2 billion (2003)

Regional Child Abuse Prevention Councils 2011


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Reducing Costs Sexual Partners

Research shows that just asking about ACEs – significantly decreases doctor office visits and costs.

Regional Child Abuse Prevention Councils 2011


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Pay Now or Pay Later Sexual Partners

  • Pay now for programs that have been proven to buffer the stress, or pay later in rising health costs.

  • “Early childhood investments of high quality have a lasting effect.”

    “$10 return on investment

    for every $1 spent.”

    (James Heckman, Noble Laureate, Economics)

Regional Child Abuse Prevention Councils 2011


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Our Challenge Sexual Partners

We can and must “immunize” kids against the effects of ACEs.

We can and must reduce the numbers of ACEs for all children!

Regional Child Abuse Prevention Councils 2011


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How Do Sexual PartnersWe Meet theChallenge?

Regional Child Abuse Prevention Councils 2011


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It Starts With You! Sexual Partners

  • Identify and understand the importance of protective factors

  • Utilizing protective factors in your own life

  • Empower others by educating and encouraging them to use protective factors

Regional Child Abuse Prevention Councils 2011


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Caring Communities Sexual PartnersCan Help Reduce ACEs

Regional Child Abuse Prevention Councils 2011


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Protective Factors Sexual Partners

  • Are conditions that increase health and well being

  • Are critical for everyone regardless of age, sex, ethnicity or racial heritage, economic status, special needs, or the dynamics of the family unit

  • Are buffers that provide support and coping strategies

Regional Child Abuse Prevention Councils 2011


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Protective Factors that Strengthen Families and Communities Sexual Partners

  • Nurturing and Positive Relationships

  • Knowledge of Parenting and Child Development

  • Parental Resilience

  • Social Connections

  • Concrete Support in Time of Need

Regional Child Abuse Prevention Councils 2011


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#1 = Nurturing and Positive Relationships…… Sexual Partners

are the key to mentally healthy children and adolescents

Regional Child Abuse Prevention Councils 2011


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Safe, Stable, Nurturing Relationships Sexual Partners

SAFE = free from harm

STABLE = a high degree of consistency

NURTURING = compassionate, responsive caregiver(s)

Regional Child Abuse Prevention Councils 2011


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What does it look like? Sexual Partners

Someone you turn to:

  • Who?

  • How you feel?

  • What she or he does?

Regional Child Abuse Prevention Councils 2011


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Building Supportive Relationsh Sexual Partnersips

It Starts with Modeling

  • Asking questions and wondering

  • Becoming an active listener

  • Pointing out the positive

  • Being empathetic

Regional Child Abuse Prevention Councils 2011


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Building Nurturing and Attachment Sexual Partners

Observe, attend and listen to children

Provide safe and stable home life

Model caring behavior

Respond to child’s needs

Use positive discipline

Notice and reinforce child’s strengths

Regional Child Abuse Prevention Councils 2011


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  • Set up activities that promote Sexual Partners

    bonding and attachment

  • Acknowledge nurturing behavior

  • Provide information on related

    topics:

    • early secure attachments

    • responding to cries

    • shaken baby

    • how father’s nurture, etc.

  • Be a caring adult or mentor a child

Regional Child Abuse Prevention Councils 2011


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#2 - Knowledge of Parenting and Child Development Sexual Partners

Why Important?

Parenting is not static

Don’t understand behavior tend to interrupt it as negative

Normal challenges can lead to frustrations and harsh discipline

Regional Child Abuse Prevention Councils 2011


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Increasing Knowledge ………… Sexual Partners

Begin where parents are at:

  • discuss hopes and dreams for their children

  • identify strengths and build on them

  • set up a time or place where parents can discuss and get information

  • provide educational materials, websites

Regional Child Abuse Prevention Councils 2011


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  • Educate parents on what to expect next Sexual Partners

  • Model and teach positive ways to manage challenging behaviors: routines, limits, redirection, logic consequences

  • Attend or set up parenting classes

  • Learn about or educate others on the signs and symptoms of child abuse

  • Provide education on ACE’s

Regional Child Abuse Prevention Councils 2011


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#3 – Parental Sexual PartnersResilience

Good outcomes in spite of

serious threats, toxic stress

Resilient people:

  • are prepared to be

    effective in the world

  • can adapt to challenges

  • are mentally healthy


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Resilience is … Sexual Partners

Feeling connected to caring family and community

Self-regulation skills

Positive view of self

Motivation to be effective in your environment

Regional Child Abuse Prevention Councils 2011


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Begin with yourself Sexual Partners

  • Take care of own mental health

  • Develop healthy coping devices (regular exercise, reading, listening to music, etc.)

  • Seek out healthy family/friends for support

  • Use community supports (counseling, substance abuse treatment, self-help programs, etc.)

Regional Child Abuse Prevention Councils 2011


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Building Resilience Sexual Partners

  • Recognize early signs of stress and connect people to resources

  • Develop a trusting relationship and provide support

  • Be a good neighbor

  • Look for and point out inner strengths

Regional Child Abuse Prevention Councils 2011


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Teach the Seven C’s Sexual Partners

You didn’t CAUSE it

You can’t CURE it

You can’t CONTROL it

You can help take CARE of yourself

By COMMUNICATING your feelings,

Making health CHOICES, and

CELEBRATING being yourself

Regional Child Abuse Prevention Councils 2011


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  • Teach skills to youth Sexual Partners

  • Plan activities that focuses on nutrition, exercising or relaxation techniques

  • Help children develop healthy relationships

Regional Child Abuse Prevention Councils 2011


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Regional Child Abuse Prevention Councils 2011


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#4 - Social Connections Sexual Partners

Network of emotionally supportive friends, family and neighbors

Important because:

Ease burden of parenting

Decrease isolation

Children have a broader access to supportive adults and positive role model

- Provide opportunities to help

Regional Child Abuse Prevention Councils 2011


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Building Social Connections Sexual Partners

  • Identify what parents already have in place and build upon it

  • Provide opportunities for parents to get together – use parents skills, abilities and interest

  • Look for community opportunities – faith based, schools, community centers, support groups

  • Provide encouragement and support to try new groups

  • Teach social skills

Regional Child Abuse Prevention Councils 2011


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#5 Concrete Supports in Time of Need Sexual Partners

Food, shelter, basic services critical to child well-being

Link caregivers to community resources and extended family

Work on sustainability

Regional Child Abuse Prevention Councils 2011


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7 Strategies to Build Strong Communities Sexual Partners

Regional Child Abuse Prevention Councils 2011


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1. Provide Information Sexual Partners

Educational workshops

Radio announcements

Community meetings

Web-based

Written material

Conversations

Regional Child Abuse Prevention Councils 2011


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2. Enhance Skills Sexual Partners

Workshops or activities that are designed to increase the skills of participant

  • Training

  • Classes

  • Consultation

  • Counseling

  • Team sport, scouting, 4H

Regional Child Abuse Prevention Councils 2011


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Provide Support Sexual Partners

  • Be a good neighbor

  • Offering mentoring or support groups

  • Offering to help

  • Spend quality and quantity time with a child; read a book, share a meal

Regional Child Abuse Prevention Councils 2011


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4. Enhance Access and Sexual Partners Reduce Barriers

  • Seek grants, build local collaborations

  • Offer food, shelter, seek professional help if needed

  • Link clients to effective faith based activities, recreation, parenting classes, domestic violence shelters/education

Regional Child Abuse Prevention Councils 2011


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5. Change Consequences Sexual Partners

Thank someone for their hard work

Publicly recognize a community group that strengthens families

Publish an article in a newspaper highlighting someone in the community

Give rewards to individuals or businesses for helping in the community

Regional Child Abuse Prevention Councils 2011


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6. Change the Physical Design Sexual Partners

  • Lead or participate in a clean up effort

  • Initiate a change making your community safer

  • Set up a place where parents can gather and get information

  • Volunteer to paint a home

  • Support your Child Abuse Prevention Council

Regional Child Abuse Prevention Councils 2011


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7. Modify/Change Policy Sexual Partners

  • Talk to legislators and philanthropists about supporting effective programs

  • Contribute to child abuse prevention programs via a tax check off

  • Support positive parenting programs, and services for domestic violence and mental health education

Regional Child Abuse Prevention Councils 2011


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If our Sexual Partnerssociety is to prosper in the future, we will need to make sure that all children have the opportunity to develop intellectually, socially and emotionally.

Regional Child Abuse Prevention Councils 2011


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To Get Involved Sexual PartnersContact

Marcia Stanton, Child Abuse Prevention Coordinator, Phoenix Children’s Hospital

[email protected]

Mary Warren, New Parent Resource Coordinator, Prevent Child Abuse Arizona

[email protected]

Regional Child Abuse Prevention Councils 2011


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Parenting Resources Sexual Partners

  • 1-877-705-KIDS (5437)

    Birth to Five Parenting Questions Helpline

  • 1-800-4-A-CHILD (422-4453)

    Crisis Line for emotional needs and information about child abuse and neglect. Also go to www.childhelp.org

  • www.azpbs.org/strongkids

  • www.apa.org/books

  • www.pbs.org/parents/childdevelopment

  • www.cdc.gov/parents

Regional Child Abuse Prevention Councils 2011


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Information & Resources Sexual Partners

  • ACE Study findings and information

    - www.acestudy.org or www.cdc.gov

  • National Scientific Council on the Developing Child at Harvard University

    - www.developingchild.net

  • Academy of Pediatrics

    - www.brightfutures.aap.org

Regional Child Abuse Prevention Councils 2011


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More Information & Resources Sexual Partners

National Center for Trauma-Informed Care – www.mentalhealth.samhsa.gov/nctic

National Child Traumatic Stress Network – www.nctsnet.org

Center for the Study of Social Policy -Information on Strengthening Families and Protective Factors – www.cssp.org

Center for Injury Prevention and Control – www.cdc.gov/violenceprevention

Regional Child Abuse Prevention Councils 2011


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