Posttraumatic Growth

The purpose of this chapter is to provide the reader with an understanding of how trauma can set up challenges and obstacles to student academic success and realistic responses by educators and schools to assist students. The chapter begins with an overview of the adverse childhood experiences (ACE) study by Felitti et al. and explores the correlations between experienced childhood trauma and negative medical and social problems. The chapter will discuss the neurologic changes that can occur from childhood trauma and/or toxic stress and the common behavioral manifestations that create educational problems for students. The chapter will discuss the need for school social workers, as they can provide significant benefits to struggling students, educators, and school administrators. Additionally, the use of posttraumatic growth techniques to increase efficiency in classroom behavior, curriculum mastery, and lifelong coping will be discussed with final ideas proposing future research needs.

The history of Scotland's ACEs movement: grounded in a focus on relationships

As 2021 commences, Scotland finds itself in the midst of a dynamic movement driven by awareness of the science of adverse childhood experiences (ACEs). That drive comes from unparalleled grassroots interest as well as moves towards reform in public services. This article traces the history of Scotland's ACEs journey, published, to our knowledge, for the first time in an academic journal. The start of the movement is dated to 2005, when the newly founded Violence Reduction Unit adopted a developmentally informed, public health approach to reducing Scotland's high rate of violence. In 2017, a national tour of the documentary film Resilience sparked widespread public engagement. It demonstrates that, from the outset, the Scottish movement has been grounded in a focus on relationships. This aligns it with an attachment perspective, posing an interesting contrast with the epidemiological origins of the ACE Study itself and the associated movement that has since emerged in the USA. The significance of this distinction has received insufficient consideration, perhaps because the trajectory of the Scottish ACEs movement has not been apparent. This article provides that narrative and reflects on its theoretical and practical implications.

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

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.

How to improve emergency care to adults discharged within 24 hours? Acute Care planning in Emergency departments (The ACE study): a protocol of a participatory design study

IntroductionThe development of acute symptoms or changes in diseases led to feelings of fear and vulnerability and the need for health professional support. Therefore, the care provided in the acute medical and surgical areas of the emergency department (ED) is highly important as it influences the confidence of patients and families in managing everyday life after discharge. There is an increase in short-episode (<24 hours) hospital admissions, related to demographic changes and a focus on outpatient care. Clear discharge information and inclusion in treatment decisions increase the patient’s and family’s ability to understand and manage health needs after discharge, reduces the risk of readmission. This study aims to identify the needs for ED care and develop a solution to improve outcomes of patients discharged within 24 hours of admission.Methods and analysisThe study comprises the three phases of a participatory design (PD). Phase 1 aims to understand and identify patient and family needs when discharged within 24 hours of admission. A qualitative observational study will be conducted in two different EDs, followed by 20 joint interviews with patients and their families. Four focus group interviews with healthcare professionals will provide understanding of the short pathways. Findings from phase 1 will inform phase 2, which aims to develop a solution to improve patient outcomes. Three workshops gathering relevant stakeholders are arranged in the design plus development of a solution with specific outcomes. The solution will be implemented and tested in phase 3. Here we report the study protocol of phase 1 and 2.Ethics and disseminationThe study is registered with the Danish Data Protection Agency (19/22672). Approval of the project has been granted by the Regional Committees on Health Research Ethics for Southern Denmark (S-20192000–111). Findings will be published in suitable international journals and disseminated through conferences.