
Audio Transcript Auto-generated
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Hello. I'm Cory Duncan.
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And today we're going to discuss understanding adverse childhood experiences.
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This is a brief outline of what we'll cover today.
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We're going to discuss what trauma is We are going.
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Thio talk about adverse childhood experiences, also known as ASIS.
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Then I discuss what are included in ASIS.
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Um what Ace exposure could increase the risk of later
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in life?
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Gonna briefly discuss the original a study on what the
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data shows going to talk about how the brain and
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body are affected by those traumatic experiences.
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We're gonna talk about the commonality of ASIS briefly discussed
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the Ace pyramid, and we're also going to discuss resilience,
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an event or series of events that causes moderate to
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severe stress reactions is called and traumatic event.
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Traumatic events are characterized by a sense of horror, helplessness,
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serious injury or the threat of serious injury or death.
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This definition is from the Centers for Disease Control and
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Prevention 2010.
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So what are adverse childhood experiences, adverse childhood experiences or
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aces our traumatic events that occur before age 18.
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Aces include all types of abuse and neglect, as well
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as parental mental illness, substance use, divorce, incarceration, and domestic
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violence. A landmark study in the 19 nineties found a
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significant relationship between the number of ASIS a person experienced
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and a variety of negative outcomes in adulthood, including or
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physical and mental health, substance abuse and risky behaviors.
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The more aces experienced, the greater the risk for these
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outcomes. By definition, Children in the child welfare system have
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suffered at least one ace.
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Recent studies have shown that in comparison, general population these
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Children are far more likely to have experienced at least
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four aces.
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Yeah, adverse childhood experiences can include emotional abuse, physical abuse,
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sexual abuse, emotional neglect, physical neglect, exposure to domestic violence,
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household substance abuse, household mental illness, parental separation or divorce
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and incarcerated household member bully by another child or adult
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witnessing violence outside the home, witnessing a brother or sister
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being abused, racism, sexism or any other form of discrimination
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being homeless and natural disasters and war.
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Yeah, exposure to childhood ASIS can increase the risk of
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adolescent pregnancy, alcoholism and alcohol abuse, depression until illness elicit
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drug use, heart disease, liver disease, multiple sexual partners, intimate
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partner violence, sexually transmitted diseases, smoking, suicide attempts and unintended
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pregnancies. Next, we have brief information on the original ACE
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data, the CDC, Kaiser Permanente at first childhood experience a
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study is one of the largest investigations of childhood abuse
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and neglect and household challenges and later, life, health and
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well being.
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The original A study was conducted at Kaiser Permanente from
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1995 to 1997 with two waves of data collection.
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Over 17,000 Health maintenance organization members from Southern California receiving
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physical exams completed confidential surveys regarding their childhood experiences and
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current health status and behaviors.
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It's important to note that participants in this study represented
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a cross section of middle class American adults.
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Yeah, yeah.
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So next we're gonna discuss how do aces affect health
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or what are the consequences?
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So aces have a lasting negative effect on health?
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Well, being an opportunity, these experiences can increase the risk
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of injury, sexually transmitted infections, maternal and child health problems,
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teen pregnancy, um, involving involvement in sex trafficking in a
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wide range of chronic diseases and leading causes of death
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such as cancer, diabetes, heart disease and suicide aces and
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associated conditions such as living in under resourced or racially
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segregated neighborhoods.
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Frequently moving and experiencing food, insecurity can cause toxic stress.
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Toxic stress from ASIS can change brain development and affect
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such things as attention, decision making, learning and response to
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stress. Children growing up with toxic stress may have difficulty
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forming healthy and stable relationships.
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They may also have unstable work histories as adults and
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struggled with finances, jobs and depression throughout life.
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These effects can also be passed on to their own
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Children. Some Children may face further exposure to toxic stress
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from historical and ongoing trauma due to systematic racism or
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other or the other impacts of poverty resulting from limited
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educational and economic opportunities.
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Yeah, by now, you're probably wondering if aces, air common
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or how common aces are.
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The truth is, aces are common across all populations.
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Almost two thirds of study participants reported at least one
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ace, and more than one in five reported three or
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more aces.
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Some populations worm or vulnerable to experiencing aces because of
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the social and economic conditions in which they live, learn,
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work and play.
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The ace score is a total some of the different
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categories of aces reported by participants.
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Study finding sure graded dose response relationship between aces and
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negative health and well being outcomes In other words, as
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the number of aces increases, so does the risk for
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negative outcomes.
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Yeah, what you see here is called the Ace Pyramid.
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This pyramid represents the conceptual framework for the study.
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In the mid nineties, when this study was initiated, there
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was lots of information available about risk factors for disease.
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Something that was becoming evident during this time was that
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risk factors were not the same for everyone in the
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population. It was found that risk factors tended to cluster,
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meaning that a person with one risk factor was mawr
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likely to have other risk factors.
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To address this issue, the A study was designed to
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excess scientific gaps about the origin of risk factors.
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These gaps are represented by the two arrows linking adverse
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childhood experiences to the health and social issues higher up
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in the pyramid.
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We've talked about ASIS and how a person's brain, body
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and potentially entire life can be affected.
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Next, we're going to talk about resilience.
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The good news is resilience.
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Kenbrell nbac, health and hope.
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So what is resilience?
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Resilience is the ability to return to being healthy and
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hopeful after bad things happen.
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Research shows that parents provide a safe environment for their
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Children and teach them how Toby Resilient that helps produce
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the effects of ASIS.
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Parents, teachers and caregivers can help Children by gaining an
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understanding of ASIS.
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Open Children identify feelings and manage emotions, creating safe physical
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and emotional environments at home, in school, in the neighborhoods.
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So what does resilience look like?
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Number one.
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Having resilient parents?
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So parents who know how to solve problems, who have
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healthy relationships with other adults and who build healthy relationships
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with their Children.
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Number two is building attachment and nurturing relationships.
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Adults who listen and respond patiently to a child in
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a supportive way and pay attention to a child's physical
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and emotional needs.
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Number three.
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Building social connections.
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Having family, friends and our neighbors who support help and
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listen to Children.
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Number four.
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Meeting basic needs.
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Providing Children with safe housing, nutritious food, appropriate clothing and
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access to healthcare and good education.
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Number five is learning about parenting and how Children grow,
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understanding how parents can help their Children grow in a
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healthy way and what to expect from Children as they
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grow. And number six is building social and emotional skills,
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helping Children interact in a healthy way with others, manage
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their emotions and communicate their feelings and needs.
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This has been understanding adverse childhood experiences.
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Part one Part two is a video, a short video
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and resilience.
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Please watch part two as well.
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Thank you.