Client and staff experiences assessing adverse childhood experiences in a clinical setting: Results from the First Nations ACE Study

The Adverse Childhood Experiences (ACE) Study provided compelling evidence that abuse, neglect, and other ACEs are the most potent risk factors for the development of health, mental health, and substance use problems. Such negative health-related outcomes parallel the cumulative exposure of the developing brain to the stress response, with resulting impairment in multiple brain structures and functions. Collectively, these sequelae can manifest during childhood, adolescence, or adulthood. We and others have posited that counseling and other psychotherapeutic interventions need to address the individual's multilayered ecology (i.e., biological, psychological, social, cultural/contextual). Neurocounseling can provide a heuristic framework to more effectively assess, conceptualize, and counsel people with a history of ACEs. We provide an update of the clinical neuroscience of ACEs and its implications for counseling, including how contemporary interventions (e.g., mindfulness) can potentially have positive benefits for such individuals.

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Risk Factors for Disease Risk Factors and Attributable Risk Calculations: Are There Mathematical Limits?

The Open Epidemiology Journal ◽

10.2174/1874297101003010001 ◽

2010 ◽

Vol 3 (1) ◽

pp. 1-2

Author(s):

David W. Brown ◽

Robert F. Anda

Keyword(s):

Risk Factors ◽

Adverse Childhood Experiences ◽

Disease Risk ◽

Subsequent Development ◽

Premature Death ◽

Health Risk Behaviors ◽

Kaiser Permanente ◽

Childhood Experiences ◽

Ace Study ◽

Adverse Childhood

The Adverse Childhood Experiences (ACE) Study, a collaborative effort between Kaiser Permanente (San Diego, CA) and the Centers for Disease Control and Prevention (Atlanta, GA), was designed to examine the long-term relationship between adverse childhood experiences (ACEs) and a variety of health behaviors and outcomes in adulthood [1]. ACEs include childhood emotional, physical, or sexual abuse and household dysfunction during childhood. The ACE Study, based on chronic disease prevention and control models, proposes that ACEs influence social, emotional, and cognitive impairments which in turn increase the probability of adopting health risk behaviors that have been documented to influence the subsequent development of disease, disability, social problems, and ultimately premature death. We use the ACE pyramid to depict this concept (see www.cdc.gov/nccdphp/ace/pyramid.htm).

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The Relationship of Adulthood Chronic Disease and Adverse Childhood Experiences (ACEs): Implications Regarding Prevention and Promotion in International Health

Contemporary Developments and Perspectives in International Health Security - Volume 1 ◽

10.5772/intechopen.93520 ◽

2021 ◽

Author(s):

Jordan Holter ◽

Christine Marchionni ◽

Bankim Bhatt

Keyword(s):

Chronic Disease ◽

Adverse Childhood Experiences ◽

International Health ◽

Childhood Adversity ◽

Maladaptive Behavior ◽

Kaiser Permanente ◽

Childhood Experiences ◽

Health Security ◽

Ace Study ◽

Adverse Childhood

Several studies, including the innovative 1998 ACE Study by CDC-Kaiser Permanente, have assessed the association among adulthood chronic disease and the prevalence of maladaptive, health-harming behaviors including: excessive alcohol use, tobacco use, physical inactivity, psychiatric illness including suicidal ideation or attempts, promiscuous sexual behavior (>50 sex partners), history of STI/STD and severe obesity (obesity (BMI > 35 kg/m2)), subsequent to an individual’s exposure to adverse childhood experiences (ACEs). Individuals that have encountered numerous instances of ACEs are almost twice as likely to die before the age of 75, demonstrating a dose-dependent relationship between the instances of ACEs and an increased morbidity/mortality in regard to chronic disease. This excerpt examines the contribution of ACEs to chronic disease and the consequential maladaptive behavior to said adversity, the consequential physiologic and biomolecular changes explained by the Biological Embedding of Childhood Adversity Model in addition to the implications of recounted ACEs on international health security in regard to concepts like conflict, displacement and food insecurity. The apparent association among adulthood chronic disease and ACEs demand changes that promote preventative processes as a means to address the implications these interconnections have on international health.

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Responding to Adverse Childhood Experiences Across the Lifespan

Encyclopedia of Social Work ◽

10.1093/acrefore/9780199975839.013.1285 ◽

2020 ◽

Author(s):

Heather Larkin ◽

Catherine LaBrenz ◽

Stephen Oby ◽

Beth Gerlach ◽

Eunju Lee ◽

...

Keyword(s):

Adverse Childhood Experiences ◽

Well Being ◽

Policy And Practice ◽

Childhood Experiences ◽

Health Implications ◽

Ace Study ◽

Change Policy ◽

Adverse Childhood ◽

Health And Well Being

The adverse childhood experiences (ACE) study, including long-term health implications, is reviewed, followed by an overview of community approaches to addressing ACEs by building resilience in programs and communities. The restorative integral support (RIS) model embodies social work’s person-in-environment perspective and offers a framework to understand and respond to ACEs and their consequences. Social work’s role in addressing ACEs includes the importance of cross-disciplinary, interprofessional, and community-engaged strategies to enact community and system-wide change. Policy and practice implications to foster a culture of health and well-being are emphasized.

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