scholarly journals The Empower Action Model: A Framework for Preventing Adverse Childhood Experiences by Promoting Health, Equity, and Well-Being Across the Life Span

2019 ◽  
Vol 21 (4) ◽  
pp. 525-534 ◽  
Author(s):  
Aditi Srivastav ◽  
Melissa Strompolis ◽  
Amy Moseley ◽  
Kelsay Daniels
Keyword(s):  
Public Health ◽  
Protective Factors ◽  
Life Span ◽  
Adverse Childhood Experiences ◽  
Ecological Model ◽  
Well Being ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Action Model ◽  
Equity And Inclusion

The empower action model addresses childhood adversity as a root cause of disease by building resilience across multiple levels of influence to promote health, equity, and well-being. The model builds on the current evidence around adverse childhood experiences and merges important frameworks within key areas of public health—the socio-ecological model, protective factors, race equity and inclusion, and the life course perspective. The socio-ecological model is used as the foundation for this model to highlight the multilevel approach needed for improvement in public health. Five key principles that build on the protective factors literature are developed to be applied at each of the levels of the socio-ecological model: understanding, support, inclusion, connection, and growth. These principles are developed with actions that can be implemented across the life span. Finally, actions suggested with each principle are grounded in the tenets of race equity and inclusion, framing all actionable steps with an equity lens. This article discusses the process by which the model was developed and provides steps for states and communities to implement this tool. It also introduces efforts in a state to use this model within county coalitions through an innovative use of federal and foundation funding.

scholarly journals Adverse Childhood Experiences and Resilience Factors Associated with Higher Education Success

2019 ◽  
Author(s):  
Ritika Bhawal ◽  
Tyler Smith ◽  
Besa Smith
Keyword(s):  
Public Health ◽  
Higher Education ◽  
Academic Success ◽  
Adverse Childhood Experiences ◽  
College Success ◽  
Well Being ◽  
Educational Success ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Health And Well Being

Abstract Introduction: Student success in institutions of higher education is of mounting importance as the link between education, health, and well-being grows. This study investigates adverse childhood experiences (ACE) that may confer resilience or may negatively impact a student’s educational success independent of other known factors for educational achievement. Methods: A cross-sectional survey-based study was conducted using the 2012 Behavioral Risk Factor Surveillance System (BRFSS) data to investigate a large representative US Population of 25-35-year-olds (n=2,543) that were surveyed on ACE measures. Univariate and weighted multivariable logistic regression models focused on educational success in those with and without ACE factors are presented. All data management and analyses were conducted using SAS® 9.4. Results: Each single level increase of ACE reporting indicated an unadjusted 5% decrease in odds for obtaining some college or a college degree. Adjusting for other ACEs, demographic, socioeconomic, behavioral, and health factors, parental depression and mental illness in childhood was associated with college success, while those who experienced parental drug use, prison time, divorce, and being physically hurt at home as a child had statistically significantly lower odds of college success. Other significant predictors of academic success included being female, normal weight, never smoking, never being married, reporting good/excellent health, and exercising with a c-statistic of .88 indicating a strong prediction model. Conclusions: Higher education success and the myriad of associated public health benefit requires significant student and institutional interaction to be flexible enough to engage traditional as well as adult, non-traditional, and underserved student populations. Understanding the modifiable and non-modifiable constellation of health and well-being factors will better allow a more population-based student-centered approach to higher education. Keywords: education; public health; learning; Resilience

scholarly journals EFFECT OF ADVERSE CHILDHOOD EXPERIENCES ON DAILY SUPPORT TO FAMILY AND EMOTIONAL WELL-BEING IN ADULTHOOD

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S235-S235
Author(s):  
Jooyoung Kong ◽  
Yin Liu ◽  
David Almeida
Keyword(s):  
Negative Affect ◽  
Family Relationships ◽  
Emotional Support ◽  
Adverse Childhood Experiences ◽  
Family Members ◽  
Well Being ◽  
National Study ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
The Impact

Abstract Extensive evidence suggests that adverse childhood experiences (ACEs) can lead to negative health effects across a lifetime. This study examines the impact of ACEs on the frequency of providing daily support (i.e., unpaid assistance, emotional support, and disability-related assistance) to family members and the moderating effects of ACEs in the association between providing daily support to family and daily negative affect. Using the National Study of Daily Experiences II, we analyzed a total of 14,912 daily interviews from 2,022 respondents aged 56 on average. Key results showed that a greater number of ACEs were associated with providing more frequent emotional support to family. We also found the significant interaction effect that adults with more ACEs showed greater negative affect on the days when they provided assistance to family members with disabilities. The findings underscore the long-term negative impact of ACEs on daily well-being in the context of family relationships.

Adverse Childhood Experiences, Mental Health, and Risk Behaviors Among Men in the Solomon Islands

2018 ◽  
Vol 30 (6) ◽  
pp. 582-591 ◽  
Author(s):  
Paraniala Silas C. Lui ◽  
Michael P. Dunne ◽  
Philip Baker ◽  
Verzilyn Isom
Keyword(s):  
Risk Behaviors ◽  
Child Protection ◽  
Adverse Childhood Experiences ◽  
Solomon Islands ◽  
Well Being ◽  
Health Risk Behaviors ◽  
Asia Pacific ◽  
Adult Health ◽  
Childhood Experiences ◽  
Adverse Childhood

Compared with many parts of the world, there has been little research in Pacific Island nations into the effects of adverse childhood experiences (ACEs) on adult health. This is a significant gap for local evidence-based child protection. We describe findings from a survey of 400 men aged 18 to 70 years recruited from randomly sampled households in Honiara city, Solomon Islands. Most men reported multiple adversities during childhood (80.7% 3 or more; 46% 5 or more), such as exposure to community and domestic violence, bullying, physical maltreatment, and sexual abuse. Men with multiple ACEs had significantly lower well-being and more psychological distress, recent stressful life events, and health risk behaviors. This study reports the first observation that betel quid chewing increased as a function of multiple ACEs. In comparison with recent East Asian studies, the Solomon Islands data suggest that the collective geographic category of “Asia-Pacific” masks significant intraregional differences in childhood adversities.

scholarly journals ADVERSE CHILDHOOD EXPERIENCES REPORTED BY CUSTODIAL GRANDMOTHERS AND THEIR ADOLESCENT GRANDCHILDREN

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S283-S283
Author(s):  
Gregory C Smith ◽  
Frank J Infurna ◽  
Britney A Webster ◽  
Megan L Dolbin-MacNab ◽  
Max Crowley ◽  
...  
Keyword(s):  
Adverse Childhood Experiences ◽  
Well Being ◽  
Verbal Abuse ◽  
Physical And Mental Health ◽  
School Problems ◽  
Childhood Experiences ◽  
Standardized Measures ◽  
Adverse Childhood ◽  
Custodial Grandmothers ◽  
Loss Of A Parent

Abstract The Risky Family Model postulates that adverse childhood experiences (ACE) are likely to be encountered across generations within custodial grandfamilies which, in turn, may adversely impact their overall well-being. The present study is a pioneering attempt to examine the patterns of ACEs self-reported by custodial grandmothers (CGM) and adolescent grandchildren (AGC) from the same families, and how their total ACE scores correlate with key physical and mental health outcomes. A total of 129 CGM-ACG dyads recruited for a nationwide RCT study completed separately at baseline the 10-item ACE-CDC and 4 items from the ACE-IQ, as well as various standardized measures of physical and emotional well-being. The most frequent ACEs reported by AGC were loss of a parent (60.5%), verbal abuse (58.1%), bullying by peers (46.5%), and living with someone jailed (45.0%). The predominant ACEs for CGM were bullying by peers (48.8%), verbal abuse (48.1%), living with a mentally ill person (34.1%), being touched sexually (29.5%), and loss of parent (29.5%). Only 10.1% of ACG and 15.5% of CGM reported 0 ACEs, whereas 65.1 % of ACG and 59% of CGM reported > 3 ACEs. For ACG, total ACE scores correlated significantly with externalizing (r=.32) and internalizing (r=.30) difficulties, self-esteem (r= -.28), loneliness (r=.27), school problems (r=.24), and physical health (r= -.26). For CGMs, anxiety (r=.23) and depression (r=.19) only were correlated significantly with total ACEs. We conclude that although both CGM and ACG reported alarmingly high levels of ACEs, different patterns and correlates exist between the generations. [Funded by R01AG054571]

scholarly journals Influence of race/ethnicity and income on the link between adverse childhood experiences and child flourishing

2020 ◽  
Author(s):  
Ellen Goldstein ◽  
James Topitzes ◽  
Julie Miller-Cribbs ◽  
Roger L. Brown
Keyword(s):  
Protective Factors ◽  
National Survey ◽  
Adverse Childhood Experiences ◽  
Family Resilience ◽  
Children's Health ◽  
Children’S Health ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Race Ethnicity ◽  
Cumulative Adversity

Abstract Background The impact of early adversity increases the risk of poor outcomes across the life course. Identifying factors that protect against or contribute to deleterious life outcomes represents an important step in resilience promotion among children exposed to adversity. Informed by resilience science, we hypothesized that family resilience mediates the relationship between adverse childhood experiences (ACEs) and child flourishing, and these pathways vary by race/ethnicity and income. Methods We conducted a secondary data analysis using the 2016–17 National Survey of Children’s Health data reported by parents/guardians for 44,686 children age 6–17 years. A moderated-mediation model estimated direct, indirect, and total effects using a probit link function and stacked group approach with weighted least square parameter estimates. Results The main variables were related in expected directions. Family resilience partially mediated the ACEs-flourishing association. Although White and socioeconomically advantaged families were more likely to maintain family resilience, their children functioned more poorly at high-risk levels relative to Black and Hispanic children and across income groups. Conclusion Children suffer from cumulative adversity across race/ethnicity and income. Partial mediation of family resilience indicates that additional protective factors are needed to develop comprehensive strategies, while racial/ethnic differences underscore the importance of prevention and intervention programs that are culturally sensitive. Impact The key message of the article reinforces the notion that children suffer from cumulative adversity across race/ethnicity and income, and prevention of ACEs should be the number one charge of public policy, programs, and healthcare. This is the first study to examine family resilience in the National Survey Children’s Health (NSCH) data set as mediating ACEs-flourishing by race/ethnicity and family poverty level. Examining an ACEs dose–response effect using population-based data within the context of risk and protective factors can inform a public health response resulting in a greater impact on prevention efforts.

Integrative Approaches to Healing

2018 ◽  
Author(s):  
E. Hitchcock Scott ◽  
George E. Muñoz
Keyword(s):  
Adverse Childhood Experiences ◽  
Addiction Treatment ◽  
Emotional Health ◽  
Treatment Plan ◽  
Well Being ◽  
Childhood Experiences ◽  
Traditional Concept ◽  
Holistic Treatment ◽  
Adverse Childhood

Emotional balance and stability are important aspects of long-term abstinence from non-prescribed mood altering chemicals. Labiality (extreme mood swings) can contribute to relapse. This chapter challenges the traditional concept of healing, defined as a return to prior levels of functioning. Adverse childhood experiences, with their long-term contribution to adolescent and adult mood problems are noted. Interventions for adverse childhood experiences are recommended as part of the healing journey for emotional wellness. The limitations of traditional addiction treatment are discussed, as well as various possible detractors to good emotional health and sobriety. Interventions, processes, and various counseling theoretical practices are suggested for improving mood, emotional well-being, and sobriety. Ongoing assessment and monitoring of emotional well-being and relapse risk are critical. The quality of the relationship between the practitioner and patient is crucial in order to co-create a viable, individualized, holistic treatment plan.

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