?A landmark study and the many since that have supported the initial results have led to a growing consensus on the need for policies and practices to prevent, intervene, and promote healing" #AdverseChildhoodExperiences
?A landmark study and the many since that have supported the initial results have led to a growing consensus on the need for policies and practices to prevent, intervene, and promote healing" #AdverseChildhoodExperiences
PTSD and Allostatic Load: Beneath the skin interrupting the pathways to path...Michael Changaris
This slideshow explores the way that stress leads to biological pathology. It attempts to connect the adverse childhood events study with Bruce McEwen's work on cortisol and stress. It explored the impact of PTSD, early childhood trauma and stress on health and longevity.
Fred Dillon and Janxin Leu of HopeLab explore the science of resilience, our ability to bounce back from adversity and how mobile technology can be designed to support resilience in young people. Learn about one app development project in particular that combined insights from a proven school-based program, user-centered design approaches, and collaboration with researchers to design a new tech tool that helps youth build resilience-enhancing skills. Presented at YTH Live 2014.
The TED talk can be found on my website at www.marykaykeller.com
This TEDxTalk is about what Fathers shared with me during the process of my Research. What was not in the research was as important as what was in the research. In the last 95 years we studied Attachment theory with mothers and their babies, we missed fathers. For more detailed information about my research see the previously uploaded slides. The slides alone won't make as much sense until you see the talk as the slides are simplistic representations of a the talking points. Thank you and remember to find me on almost all of the social networks. http://mkaykeller.com or http://allfamilysolutions.com
Youth Resiliency & Mental Health Workshop - Dr. Jean ClintonBrent MacKinnon
A full day workshop will examine current research and best practices that strengthen youth resiliency and young people's ability to manage mental health issues.
The Role of Occupational Therapy in Childhood Trauma atchison
This is an introduction to concepts of childhood trauma and the role of occupational therapy as a team member in comprehensive assessment and intervention
Animal Testing Essay | Essay on Animal Testing for Students and .... Experimenting on Animals - Free Essay Example | PapersOwl.com. Animal experimentation essay. Animal Experimentation in the World .... Animal Testing Speech/Essay | Animal Testing | Cosmetics | Free 30-day .... Video shows mental health studies on monkeys. Experimentation on Animals - 1509 Words | Essay Example. Should animal be used for experimentation Essay Example | Topics and .... Animal experimentation essay. Thesis statement for animal experimentation. Animal Testing: Should .... Animal Experimentation Should Be Allowed I. Introduction Thesis. Singular Animal Testing Argumentative Essay ~ Thatsnotus. 001 Cruelty To Animals Essay Example Page 1 ~ Thatsnotus. Animal Experimentation Essays. Animal testing essay - GCSE Science - Marked by Teachers.com. animal experimentation. Animal Experimentation. Animal Experimentation for Cosmetics. The Ethics of Animal Experimentation – Call for chapters ICAS .... Essay On Animal Experimentation | Animal Experimentation Essay Example. Animal Experiments Free Essay Example. Example discursive essay – Animal Testing. Opinion Essay About Experimenting On Animals - Against Animal Testing Essay. Topic: Animal Experimentation. PPT - Animal Experimentation PowerPoint Presentation, free download .... Animal essay experimentation.
The aim of this presentation is to look at and consider the impact of ACEs. Childhood experiences affect us all, but some children are so 'dosed' with abuse and neglect that they grow to be damaged and damaging adults.
With the right help, it can be eased and even overcome
This Webinar was presented on Tuesday, February 15, 2011, as part of the free monthly series from Friends for Youth's Mentoring Institute with Special Presenter John Stirling, M.D.
Clinicians caring for victims of early abuse or neglect are often puzzled at their inability to respond to a more consistent and caring environment, including mentoring. This presentation synthesizes concepts from developmental neurobiology, attachment theory, and family ecology to help participants understand the obstacles faced in leaving abuse behind, and to suggest paths to more effective therapy. Mentoring is an important component in treatment and there will be a special focus on understanding the Big Picture regarding early trauma, including the physiologic response to stresses, learned helplessness, and intrauterine drug exposure, to show how these children and youth react differently and need special handling.
PTSD and Allostatic Load: Beneath the skin interrupting the pathways to path...Michael Changaris
This slideshow explores the way that stress leads to biological pathology. It attempts to connect the adverse childhood events study with Bruce McEwen's work on cortisol and stress. It explored the impact of PTSD, early childhood trauma and stress on health and longevity.
Fred Dillon and Janxin Leu of HopeLab explore the science of resilience, our ability to bounce back from adversity and how mobile technology can be designed to support resilience in young people. Learn about one app development project in particular that combined insights from a proven school-based program, user-centered design approaches, and collaboration with researchers to design a new tech tool that helps youth build resilience-enhancing skills. Presented at YTH Live 2014.
The TED talk can be found on my website at www.marykaykeller.com
This TEDxTalk is about what Fathers shared with me during the process of my Research. What was not in the research was as important as what was in the research. In the last 95 years we studied Attachment theory with mothers and their babies, we missed fathers. For more detailed information about my research see the previously uploaded slides. The slides alone won't make as much sense until you see the talk as the slides are simplistic representations of a the talking points. Thank you and remember to find me on almost all of the social networks. http://mkaykeller.com or http://allfamilysolutions.com
Youth Resiliency & Mental Health Workshop - Dr. Jean ClintonBrent MacKinnon
A full day workshop will examine current research and best practices that strengthen youth resiliency and young people's ability to manage mental health issues.
The Role of Occupational Therapy in Childhood Trauma atchison
This is an introduction to concepts of childhood trauma and the role of occupational therapy as a team member in comprehensive assessment and intervention
Animal Testing Essay | Essay on Animal Testing for Students and .... Experimenting on Animals - Free Essay Example | PapersOwl.com. Animal experimentation essay. Animal Experimentation in the World .... Animal Testing Speech/Essay | Animal Testing | Cosmetics | Free 30-day .... Video shows mental health studies on monkeys. Experimentation on Animals - 1509 Words | Essay Example. Should animal be used for experimentation Essay Example | Topics and .... Animal experimentation essay. Thesis statement for animal experimentation. Animal Testing: Should .... Animal Experimentation Should Be Allowed I. Introduction Thesis. Singular Animal Testing Argumentative Essay ~ Thatsnotus. 001 Cruelty To Animals Essay Example Page 1 ~ Thatsnotus. Animal Experimentation Essays. Animal testing essay - GCSE Science - Marked by Teachers.com. animal experimentation. Animal Experimentation. Animal Experimentation for Cosmetics. The Ethics of Animal Experimentation – Call for chapters ICAS .... Essay On Animal Experimentation | Animal Experimentation Essay Example. Animal Experiments Free Essay Example. Example discursive essay – Animal Testing. Opinion Essay About Experimenting On Animals - Against Animal Testing Essay. Topic: Animal Experimentation. PPT - Animal Experimentation PowerPoint Presentation, free download .... Animal essay experimentation.
The aim of this presentation is to look at and consider the impact of ACEs. Childhood experiences affect us all, but some children are so 'dosed' with abuse and neglect that they grow to be damaged and damaging adults.
With the right help, it can be eased and even overcome
This Webinar was presented on Tuesday, February 15, 2011, as part of the free monthly series from Friends for Youth's Mentoring Institute with Special Presenter John Stirling, M.D.
Clinicians caring for victims of early abuse or neglect are often puzzled at their inability to respond to a more consistent and caring environment, including mentoring. This presentation synthesizes concepts from developmental neurobiology, attachment theory, and family ecology to help participants understand the obstacles faced in leaving abuse behind, and to suggest paths to more effective therapy. Mentoring is an important component in treatment and there will be a special focus on understanding the Big Picture regarding early trauma, including the physiologic response to stresses, learned helplessness, and intrauterine drug exposure, to show how these children and youth react differently and need special handling.
Trauma Informed Care & Graduation Rates (Joseph Lavoritano)JoeLavoritano
Developmental trauma is real, and disproportionately affects children from poor neighborhoods.
Prolonged exposure to stress and trauma has a deleterious effect on the developing brain.
Moving from a "sickness model" to an "injury model" of trauma-informed care has had a positive impact on outcomes for the youth in the St. Gabriel's system.
Agnesian HealthCare Know & Go Friday, March 2017: Podiatry & Health ShoppeAgnesian HealthCare
Drs. Robert Bertram and Sarika Parikh, as well as Deb Winterhack of Agnesian Health Shoppe business development, present on updates on their respective services.
Agnesian HealthCare Know & Go Friday: Men's Health and Its Relationship to Ca...Agnesian HealthCare
Dr. Adam Liss, radiation oncologist with Agnesian HealthCare, presents on the importance of men getting their annual screenings and taking care of their overall health.
Join Mary Kirkwood, MD, psychiatrist, to learn more about addiction medicine and how Agnesian HealthCare is prepared to help the heroin epidemic in our county.
Hear from two recovering heroin addicts about their journey and how Agnesian HealthCare is supporting them on their path to recovery.
Agnesian HealthCare Know & Go Friday: Common Digestive IssuesAgnesian HealthCare
Sujatha Kailas, MD, gastroenterologist with Agnesian HealthCare presents about common digestive health issues.
Causes
Signs and symptoms
Treatment options
Preventive measures
Agnesian HealthCare, an integrated health system in the southern part of the Fox Vally in Wisconsin, shares provider updates, patient stories, health tips and much more in its Spring 2015 edition.
A Patient's Guide to Shoulder Surgery: St. Agnes HospitalAgnesian HealthCare
Thank you for choosing the Agnesian Center for Bone & Joint Health for your shoulder surgery. We hope our mission of providing compassionate care that brings hope, health and wellness to all we serve is evident in the care you receive. We trust that our associates and your surgeon provided you with the educational opportunity to prepare yourself adequately for your surgery.
Agnesian HealthCare: Living In Good Health Winter 2015 EditionAgnesian HealthCare
Agnesian HealthCare, an integrated health system in the southern part of the Fox Vally in Wisconsin, shares provider updates, patient stories, health tips and much more in its Winter 2015 edition.
Check out the latest issue of Agnesian HealthCare’s “Living In Good Health” community newsletter! This informative newsletter shares the latest news and exciting developments at Agnesian HealthCare, as well as wonderful stories from patients and families we have helped to regain their quality of life through our expansive services.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
2. Strength-Based Model
Not asking “What’s wrong with you?” but
asking, “What happened to you?”
Helps reframe people’s history so they know
they were not born bad, that they are not
responsible for their childhoods, and that
they can have hope to change their lives and
their children’s lives.
Personal responsibility with the power of
self-understanding.
3.
4. The Five Parts of ACE’s Science
ACE surveys - who, how many, with what
consequences.
Toxic stress effects on the brain
Toxic stress effects on the body
Toxic stress passed from generation to
generation
Resilience research
5. Trauma Derails Development
Exposure to trauma causes the brain to develop in a way
that will help the child survive in a dangerous world.
Children with traumatic histories often operate within
“survival of the moment.”
Higher order brain functions are temporarily put on hold.
Verbal encoding may be put on hold.
Actions and responses are generated at lower levels of
the brain (e.g. limbic system).
Limbic system increases heart rate and blood pressure to
increase flow to muscles, so blood flow selectively
diverted to parts of the body necessary to survival.
6. Stunning difference between a brain with proper
stimulation and one that has been deprived.
- Bruce Perry, Baylor College of Medicine
7. Relationships are the Basis of a
Child's Stress Response System
0
1
2
3
4
5
6
Child's Arousal
Over Time with
Attuned Caregiving
8. Relationships are the Basis of a
Child's Stress Response System
Adapted from B. Perry, MD, PhD. (2009)
9. Put Simply…
The pattern of fear, threat, unpredictability,
frustration, chaos, hunger and pain over-
stimulates the brain leading the child to
develop a high-stress pattern.
Can be mitigated by individual difference in
resiliency, supportive relationships.
Many adults continue to struggle
unrecognized/untreated.
10. The Invisible Suitcase
Trauma shapes beliefs and experiences
About ourselves
About those who care for us
About those we care for
About the world we see
11. Attachment
Earliest relationships critical for capacity to
self-regulate.
Perspective taking - 10 out of 10 children
securely attached to mothers that can do
this, versus one out of 17 that can’t.
Still Face Experiment (2:49)
https://www.youtube.com/watch?v=apzXGEbZht0
12. Attachment, cont.
Neglectful and traumatic early relationships
set up a person to respond with
dysregulation when “triggered” in
subsequent relationships.
60 percent of the general population is
thought to have disturbed attachment.
Remember - we can help each other here!
Model and act with compassion.
13.
14. Early Death
Burden of disease,
distress,
criminalization,
stigmatizaton
Coping
Allostatic Load, Disrupted
Neurological Development
Complex Trauma/ ACE
Race/Social Conditions/ Local Context
Generational Embodiment/Historical Trauma
20. “Male child with an ACE score of six has a
4,600 percent increase in likelihood of later
becoming an IV drug user when compared to
a male child with an ACE score of zero. Might
heroin be used for the relief of profound
anguish dating back to childhood
experiences? Might it be the best coping
device that an individual can find?”
(Felitti et al, 1998)
Harvard Report on Cancer Prevention, Cancer Causes and Control 1999;10:167.
ACE Study
21. Therefore…
We need to presume the clients we serve
(and ourselves) have a history of traumatic
stress and exercise “universal precautions”
by creating systems of care that are
trauma informed.
(Hodas, 2005)
25. Other Factors
Influencing Stress
Sources of Resilience
Temperament
Social-emotional supports
Learned social-emotional skills
Caregiver response
Other Vulnerabilities
Temperament
Delays in development
Limited social-emotional supports
AAP, Helping Foster and Adoptive Families Cope with Trauma, 2013
26.
27.
28. Resources at
Agnesian HealthCare
Wellness…..
Integrated care
The Zone & RMC Wellness Center
Spiritual Care Services
Behavioral Health Services
Employee Assistance Program
Health Resource Center at St. Agnes Hospital
Yoga classes
Mindfulness classes
Meditation classes
Cooking classes
And more!
29. Time to Think About Self-Care
Own ACE score
Vicarious trauma
Have to care for self
when caring for others
Belly breathing, four
square, lazy 8,
Breath2Relax….
Safe place image
Laugh….a lot!
30. What We Want To Do
When people start escalating or display
inappropriate behaviors, be empathetic, be
calm, show care and concern.
We want to ask questions - but not what we
sometimes do, “Look at Henry, there he goes
with his old tricks again.”
We want to ask: “What might we be doing that
is triggering for him? What might we not be
doing that could support him?”
31. The Goal
The entire community…
…integrates trauma-informed/resilience-
building practices…
…based on ACEs science.
32. Current State
Doll & Associates has been conducting ACE
assessments since 2014.
There is much interest within Agnesian HealthCare:
Executive Team; Heather Schmidt, DO; Ed Kartheiser;
Michael DeGere, DPM; Sr. Mary Mollison; Tiffany
Parker; Jim Mugan
Community interest: Agnesian HealthCare
Foundation grant to support FDLSD, Law
Enforcement, Department of Social Services, Fond
du Lac County, Jim Salasek facilitates regular
meetings (CSIFDL.org).
33. Epigenics and Bob Marley
https://m.youtube.com/watch?v=uHAs0QkJ3dQ
1:22-2:39 1:17min
35. Resources
www.CSIFDL.org - Working for safe and healthy schools and communities
in Fond du Lac County.
SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed
Approach - How an organization, system or service sector can become
trauma informed.
www.ACEsConnection.com – A social network for people who are
implementing trauma-informed and resilience-building practices based on
ACEs research.
ACEsTooHigh.com - A news site for the general public.
The CDC-Kaiser Permanente ACE Study - The official ACE Study site,
provided by the CDC.
The Center on the Developing Child at Harvard University – Reports, tools
and videos about the neurobiology of toxic stress and resilience.
Editor's Notes
The ACE Study, which is the epidemiology of childhood adversity, or how many people experience different types of childhood trauma, to what degree, and what happens as a result.
How toxic stress from these childhood experiences damages our brain.
How toxic stress affects our body.
How we pass this toxic stress from generation to generation in our genes and from mother to fetus.
And how resilience research is showing that our brains are plastic and our bodies want to heal.
First, the Adverse Childhood Experiences Study — the ACE Study. This groundbreaking study was done by Kaiser Permanente in San Diego and the Centers for Disease Control and Prevention. The CDC.
The study’s participants were 17,000 mostly white, middle and upper-middle class college-educated people living in San Diego, CA. They were all employed and had great health care – they all belonged to Kaiser Permanente.
Four results:
One -- childhood trauma is extraordinarily common. Nearly two-thirds of the participants had at least one ACE. Twelve percent had four or more.
Two -- There’s an unmistakable link between adverse experiences in childhood and adult onset of chronic disease, mental illness, violence and being a victim of violence. People with high ACE scores have more broken bones, more marriages, more unwanted pregnancies, more prescription drug use, more obesity, more alcoholism. Without intervention, those with 6 or more ACEs die 20 years earlier than average.
Three – The more types of childhood adversity, the more dire the consequences.
The fourth finding: ACEs contribute to most of our major chronic health, mental health, economic health and social health issues.
Toxic stress can turn genes on and off. And these changes can be transferred from parent to child. The area of research that looks into how our interaction with the people around us can change our genes is called epigenetics.
This part of ACEs science plays out in historical or generational trauma.
Sources of resilience and other vulnerabilities are able to mitigate or exacerbate the physiologic stress response
Vulnerabilities and resilience – can be influenced by social and environmental influences (social determinants of health)
But with all this bad news about how trauma hurts us, there’s good news. Our brains are plastic. Our bodies want to heal.
We know a lot about how to increase individual resilience. To reduce stress hormones in our bodies and brains, we can meditate, exercise, get enough sleep and eat well, have safe relationships (including system relationships with the medical, educational and business communities), live in a safe place, ask for help when we need it and, if necessary, get help from a counselor or therapist. Simple advice. But it works.
We can build resilient families -- We know that educating parents about their own ACEs helps them understand their lives and motivates them to learn to become healthy parents to prevent passing their ACEs on to their kids.
But you can’t have resilient families without healthy organizations, healthy systems and healthy communities. The frontier of resilience research lies in creating communities and systems that prevent childhood adversity and stop traumatizing already traumatized people.