ACEs

Adverse Childhood Experiences and Adverse Community Experiences (ACEs) are two elements contributing to our nation’s myriad public health and social crises.

The prevalence of ACEs in our society and low resiliency of our population are factors contributing to our epidemic proportions of :

  • Drug overdoses
  • Obesity
  • Suicide
  • Teenage Pregnancy
  • Unintended Pregnancies
  • Substance Use Disorders
  • Alcohol Use Disorders
  • Diabetes
  • Homelessness
  • Depression
  • Lung Cancer
  • Liver Disease
  • Sexual Risk Behavior
  • Ischemic Heart Disease
  • and so much more…

LEARN ABOUT ADVERSE CHILDHOOD EXPERIENCES

Watch these videos to learn more about Toxic Stress, Adverse Childhood Experiences, and their impact on long term health.

ACE SCORE

What is your ACE Score?

What is your Resiliency Score?

Find out by taking the tests below!

Adverse Childhood Experiences (ACEs)

1 / 10

QUESTION 1 OF 10

Before your 18th birthday, did a parent or other adult in the household often or very often…
swear at you, insult you, put you down, or humiliate you? or act in a way that made you afraid that you might be physically hurt?

2 / 10

QUESTION 2 OF 10

Before your 18th birthday, did a parent or other adult in the household often or very often…

push, grab, slap, or throw something at you?

or

ever hit you so hard that you had marks or were injured?

3 / 10

QUESTION 5 OF 10

Before your 18th birthday, did an adult or person at least five years older than you ever…
touch or fondle you or have you touch their body in a sexual way?
or
attempt or actually have oral, anal, or vaginal intercourse with you?

4 / 10

QUESTION 4 OF 10

Before your eighteenth birthday, did you often or very often feel that…
no one in your family loved you or thought you were important or special?
or
your family didn’t look out for each other, feel close to each other, or support each other?

5 / 10

QUESTION 5 OF 10

Before your 18th birthday, did you often or very often feel that…
you didn’t have enough to eat, had to wear dirty clothes, and had no one to protect you?
or
your parents were too drunk or high to take care of you or take you to the doctor if you needed it?

6 / 10

QUESTION 6 OF 10

Before your 18th birthday, was a biological parent ever lost to you through divorce, abandonment, or other reason?

7 / 10

QUESTION 7 OF 10

Before your 18th birthday, was your mother or stepmother:
often or very often pushed, grabbed, slapped, or had something thrown at her?
or
sometimes, often, or very often kicked, bitten, hit with a fist, or hit with something hard?
or
ever repeatedly hit over at least a few minutes or threatened with a gun or knife?

8 / 10

QUESTION 8 OF 10

Before your 18th birthday, did you live with anyone who was a problem drinker or alcoholic, or who used street drugs?

9 / 10

QUESTION 9 OF 10

Before your 18th birthday, was a household member depressed or mentally ill, or did a household member attempt suicide?

10 / 10

QUESTION 10 OF 10

Before your 18th birthday, did a household member go to prison?

Your score is

 

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DEFINING TRAUMA?

The Substance Abuse and Mental Health Services Administration (SAMHSA) developed this conceptual definition after an extensive literature review of decades of research, the current definitions, and consultation with an expert panel.

“Individual trauma results from an event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or life-threatening and that has lasting adverse effects on the individual’s functioning and mental, physical, social, emotional, or spiritual well-being.”

SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach, p. 7

NOW WHAT?

You have some understanding of the story of trauma and toxic stress and its relation to overall health. There is much to learn and understand, yet now you have been “trauma-informed”… what does that even mean? The Substance Abuse and Mental Health Services Administration provided guidance in SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach, published in July 2014. In this publication, they offer a definition, develop the Three “E’s”, the Four “R’s”, and Six Principles of Trauma-Informed Care.

The Three “E’s” of Trauma: Event(s), Experience of Event(s) and Effect

EVENTS and circumstances may include the actual or extreme threat of physical or psychological harm or severe life-threatening neglect for a child that imperils healthy development.

The individual’s EXPERIENCE of the events or circumstances helps determine whether it is a traumatic event.

The long-lasting adverse EFFECTS of the event are critical. These effects may occur immediately or may have a delayed onset. The duration of the effects can be short to long term.

SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach, p. 8

The Four “R’s”: Key Assumptions in a Trauma-Informed Approach

Trauma-Informed individuals, organizations, and communities are those that…

REALIZES the widespread impact of Trauma…

understands there are many paths to RECOVERY from trauma...

RECOGNIZES the signs and symptoms of trauma in patients, families, staff, oneself and others and…​​​​​​​

RESPONDS by fully integrating trauma-informed policies, procedures, and practices, and actively seeks to resist re-traumatization…

SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach, p. 9

Six Key Principles of a Trauma-Informed Approach

Safety

Trustworthiness and Transparency

Peer Support

Collaboration and Mutuality

Empowerment, Voice and Choice

Cultural, Historical, and Gender Issues

SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach, p. 10

GET INVOLVED

All across the US there are various local efforts to combat ACEs in our community. They engage in Trauma-Informed Community Development (TICD). In Crawford County, Pennsylvania, Peace4Crawford was formed to counter this public health crisis.

Peace4Crawford is a trauma-informed initiative, based in the Crawford County System of Care (SOC) Partnership, promoting social change in Crawford County, heading toward a trauma-informed community.

The SOC is a framework involving collaboration across the community for the purpose of creating a seamless, integrated, and coordinated system of supports for children, youth, and families that is family and youth-driven, strength-based, and trauma-informed. The SOC helps children, youth, and families function better at home, in school, in the community, and throughout life. It is comprised of professional agencies involved in the health and well being of the community, family partners, and youth partners.

LOCAL TICD EFFORTS

LINKS

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