+OUR NATION’S GAP IN CHILD WELL-BEING: A LOOK AT STATE RANKED #5

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When I began writing this blog April 2009 I never anticipated where my journey would take me.  Yet as I examine how I am feeling and thinking at THIS moment in time, and as I look back at my thinking process that has led me directly to this point, I realize that all the signposts were there along the way that I would get HERE sooner or later.

When I began to write in 2009 I did not in any way align myself with the ‘guilty’.  Having been a victim of pervasive and horrible abuse without reprieve from the moment I was born until I left home at age 18 had certainly contributed to my blind-sightedness about how my own experience fit into the grand continuum of degrees of benevolent-malevolent treatment of infants and children.  My layers of blindness have been peeling away until at this moment I believe I am very nearly at the core of what concerns me most.

When looking at the range of harm done by the intra- and intergenerational transmission of unresolved trauma (the overall topic of this blog) I now very clearly understand that suffering is suffering, trauma is trauma, overwhelming experiences of malevolent treatment all happen within the context of the society we live in.  Infant-child suffering is happening all over the place around me, and I am left asking the same two questions of myself that I would have asked of anyone outside of my family who did absolutely nothing to help me when I was an infant-child:  “Why are you not SEEING my suffering and why are you doing NOTHING to help me?”

There are days when I come very close to giving up ‘my work’ completely.  The big picture is – well – exactly that – A VERY BIG PICTURE!

The undercurrent of this blog is a discussion of how early deprivation, neglect, trauma and malevolent treatment of ALL KINDS can and usually does alter human physiological development on all levels so that infant-children ESPECIALLY between ages 0-3 (the span of the most critical developmental body-brain windows of growth) has to CHANGE itself in degrees according to experiences in the environment that are NOT OPTIMAL.  ALL experiences 0-3 profoundly determine directions of body-brain development FOR EVERYONE in accordance with degrees of safety and security of attachment or their absence with primary caregivers.

I understand now that no matter how horrible any individual early trauma survivor’s stories may be, the essence of what matters is how that person’s PHYSIOLOGICAL development was forced to change in response to their traumas.  This process is happening to some degree for every single infant-child who is NOT optimally safe and secure during their most critical periods of body-brain development.  Any lack of well-being experienced at the start of life will create ‘channels’ of lack of well-being PHYSIOLOGICALLY that will determine an adult’s life course.

It was inevitable that I would recognize myself (along with other adult severe early trauma survivors) in the river along with all the CURRENTLY SUFFERING little people within our nation.  (I can’t begin to talk about lack of child well-being outside of our nation’s boundaries – the conditions for our own children are bad enough).

I have selected this one of our 50 states to focus on in this post concerning some of the lack of child well-being issues within our nation:  Massachusetts.

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This report, available through searching the KIDS COUNT pages for ‘violence’ – “A State Call to Action:  Working to End Child Abuse and Neglect in Massachusetts” – is reporting on information collected in the 1990s.  Considering how damaging this ‘past’ information is I cannot begin to imagine what a similar report might contain that covers the current state of affairs in our recession.

According to KIDS COUNT data — KIDS COUNT overall rankMassachusetts now rates #5 in the nation on overall indicators of child well-being.  When this report was created In April 2001 the state ranked in the top 10%, yet, according to this 216 page report the problems in the state fall exactly along the lines the United Nations reported in their 2010 report card on child well-being among the globe’s 24 richest nations with the United States having very nearly the widest gap between rich and poor (Credit for all citations below to:  Massachusetts Citizens for Children – Kids Count):

However, contrast between the state’s overall progress and the incidence of child maltreatment is stark and confounding.  In the decade from 1987 to 1997, Massachusetts saw an 98% increase in the number of children reported for abuse or neglect, compared to a national increase of 54% during the same period.  Based on the latest data, roughly 46 of every 1,000 children in our state is involved each year in a child abuse or neglect report.  Each year, thousands of newborn children in Massachusetts go home from hospital only to return later with unthinkable injuries – injuries that for most will be life-changing and for some will be life-ending.

“Although Massachusetts ranks consistently in the top three to four states in per capital income, we have been unable to translate this extraordinary wealth into reductions in childhood poverty, family violence or child maltreatment.  States with fewer resources but clear vision are leading a national reform of child protection that is innovative, pro-active and effective.

“Since May 1999, over 200 Massachusetts policymakers and advocates have participated with Massachusetts Citizens for Children in the “Summit Initiative on Child Protection and Family Support.”  Motivated by a shared belief that overall current systems do not reflect our state’s deep and longstanding commitment to improving children’s lives, they collaborated to achieve a consensus for change.  This State Call To Action [full report also available at this link] reflects their collective vision on how Massachusetts can successfully deal with child maltreatment and reclaim its historic role of leadership in meeting the essential needs of all its children.  (page 9)”

Access full report here:  A State Call to Action:  Working to End Child Abuse and Neglect in Massachusetts

This report, which represents the combined hard work and dedication of a LOT of people, was generated in response to

“…the National Call To Action to End Child Maltreatment, initiated by Children’s Hospital and Health Center-San Diego at its January 1999 “Conference on Responding to Child Maltreatment.”  This effort to end child abuse and neglect has now brought together over 30 of this country’s leading organizations in a coalition to address this national crisis.”

I want to know what the results of the intentions and the efforts this report represents are NOW a decade later.  As far as I can tell, the most accessible current information is available HERE.

There is a link on this page to “Who’s For Kids and Who’s Just Kidding?” – This is a November 2010 citizen’s guide to candidates’ stands on these issues:

– Reducing Child Poverty

– Supporting Low-Income Working Families

– Providing Early Education and Care

– Improving Children’s Health

– Preventing Child Sexual Abuse

– Protecting Children In Foster Care

– Improving Juvenile Justice

These are among the questions posed to the candidates – good ones to be posed to ANY candidate for any position in America!

Massachusetts boasts the third highest per capita income in the nation, yet 12%, or nearly 170,000 of our state’s children are living in poverty; 6% or 88,000 live in extreme poverty in households with annual earnings of only $11,000 for a family of four.  What will you do to bridge this persistent economic divide and to ensure greater economic security to lift these children out of poverty?

What will you do to address the harmful impact of the growing gap between low and high income earners in Massachusetts?

What will you do to tangibly improve the conditions of poor children and their families in the Commonwealth’s poorest cities, such as Holyoke, Lawrence, Springfield and New Bedford?”

Taking a look at some of the issues presented in this Massachusetts ‘flyer’ makes me wonder what’s happening in the very poor and middle income states within our nation.  Interspersed with this information being reported here are questions for the candidates:

PROVIDING EARLY EDUCATION AND CARE

– 43% of 3rd graders in the Bay State do not read at grade level, and two-thirds of these children are from low-income families.  The impact of reading failure on these children and our state is enormous, with many likely to become our lowest income and least skilled citizens tomorrow.

– Science has never been clearer about the long-term effects of early environment and experience on a child’s brain architecture.  Research confirms that providing high quality early education and care to children from low-income homes yields a 10% to 16% return on investment to the economy through better reading skills, greater high school graduation rates, college attendance, and healthier lives.

[me:  not to mention the power of a little one 0-3 growing an optimal body-brain IN EVERY WAY in a safe and secure attachment within a VERY low stressor environment, which also includes its effects on preverbal-verbal development]

– Organizations and schools have worked tirelessly over the past decade to press the state to build a system of universal access to affordable, accessible, and high quality services with well-trained teachers.  They have supported parents in playing a critical role in their child’s educational success.  To meet those goals, Massachusetts formed the nation’s first Department of Early Education and Care in 2005.

FACTS ABOUT OUR KIDS:

– 61% of Massachusetts’ 480,422 children ages birth through 5 years old have parents who are in the labor force, and most of these parents have child care needs.  92%of children under age seven are cared for regularly by someone other than a parent.  However, the quality of these arrangements varies enormously.

– Children from low-income families entering kindergarten are typically 12 to 14 months below national norms in language and pre-reading skills.  [bolding mine]  By 4th grade, many of these children will not be able to read or understand up to half of what is taught to them in the 4th grade curriculum, and most will continue to be poor readers even through high school.

– Only 32% of kindergarten and preschool teachers in Massachusetts hold a Bachelor’s degree versus 50% nationwide.  And only 16% of child care workers have graduated from a four-year school.

– By the end of fiscal year 2009, state funding for Universal Pre-K declined from $12 million to $7.5 million while funding for full-day kindergarten programs declined from $33.8 million to $22.9 million.

IMPROVING CHILDREN’S HEALTH

– Thanks to the expansion of health care coverage under Massachusetts law, the state has some of the best child health outcomes in the country.  In fact, Massachusetts ranks among the top three best states on key indicators of child health, including infant mortality, the death rate for children and the rate of births to teen moms, according to the latest KIDS COUNT data.

– Currently, only 2% of children are officially uninsured in the state.  Furthermore, 80% of children on Medicaid receive an annual health screening and 91% of our two-tear-olds are immunized.  Massachusetts is one of only six states where at-risk children are eligible for early intervention, special education and preventive health and mental health services under the Individuals with Disabilities Education Act (IDEA).

– Despite these accomplishments, Massachusetts is still a tale of two states with regard to physical, dental and mental health outcomes for children living in the poorest communities.

FACTS ABOUT OUR KIDS

[lists double or more increases in percentages between low-income and the state percentages for child problems with infant mortality, teen births, environmental poisoning such as lead]

– Dental decay is the most common chronic childhood disease and is at epidemic levels among many low-income Black and Hispanic children.  It often leads to speech, nutrition and learning difficulties.  [low-income counties affected are listed]

– Mental health care needs in children are more prevalent than leukemia, diabetes, and AIDS combined.  However, parents of children with mental illness report serious issues ranging from long waits for services and inadequate training of school personnel to high out-of-pocket expenses. [also states that state Medicaid only covers an inadequate amount of only $250 a year for child prescriptions – also lists questions for candidates]

– Nearly 37,000 Massachusetts children were confirmed abused or neglected in 2008.  Cases of child sexual abuse rose 16% from the previous year, physical abuse rose 12% and neglect 10%.

– Child sexual abuse is “a silent epidemic,” according to the American Medical Association.  Surveys of adults indicate that one in four women and one in six men have experienced some for of sexual abuse before the age of 18.  Many victims suffer into adulthood with depression, anxiety, post-traumatic stress, eating disorders, relationship problems and further sexual or physical victimization.  Among sexual abuse survivors, 70% to 80% report excessive drug and alcohol use and are more likely than their non-abused peers to develop psychiatric disorders and to attempt suicide.  Girls who report childhood sexual abuse are three times more likely to become pregnant before age 18.

– An estimated $23 billion dollars are spent each year as law enforcement agencies, courts, child protection, health and mental health systems, and social service programs struggle to deal with the aftermath of this epidemic. Prevention and early identification of victims and abusers hold the best promise of reducing the human and economic costs.  Despite this, most communities have not been mobilized for prevention, most adults are not protecting children from people who might abuse them, and most parents are not communicating to their children about a major health and safety risk.

– 50% of 650 Massachusetts citizens polled ranked “safety from abuse” as most important to a child’s well-being with quality education, medical care, economic security and child care compromising the remainder 50%

– 90% of Massachusetts residents polled believe that child sexual abuse is a serious problem in the Commonwealth, 85% believe child sexual abuse can be prevented, and 67% said they were interested in local trainings to learn how – up from 48% in a previous survey.

Since 2002, a coalition of over 20 Massachusetts organizations has been working through the Enough Abuse Campaign to develop and test innovative programs to prevent child sexual abuse.  Hailed as a “trailblazing effort” by the U.S. Centers for Disease Control and Prevention (CDC) the Campaign operates in a dozen communities across the state.

[Information included here about foster care placements and kinship care needs]

On Juvenile Criminal Issues:

– Black youth are more than nine times as likely to be held in secure confinement as white youth – yet there is no evidence that black youth commit more crimes, or more serious crimes, than white youth.

– Massachusetts is one of only 12 states that consider 17-year-olds adults under the criminal law.

– Massachusetts has the 11th highest rate of juveniles sentenced to life without the possibility of parole in the country.

The stark racial disparities in the Massachusetts juvenile justice system call into question the fundamental fairness of the system and represents one of the foremost civil rights challenges of our time.

Massachusetts does not collect basic juvenile justice system data, e.g. what types of crimes youth are being prosecuted for.  This lack of data makes it impossible to evaluate the effectiveness of prevention and intervention efforts. [questions for the candidates here includes those on probation and rehabilitation issues]

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+FOR THOSE WHO CARE: ‘KIDS COUNT’ IS OUR PREMIER SOURCE FOR INFO ON OUR NATION’S CHILD WELL-BEING

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Are you one in the caring compassionate category who likes to keep your finger on the pulse of quality-of-life for our nation’s infants and children? Did you know that there’s a project sponsored by The Annie E. Casey Foundation dedicated to “Helping vulnerable kids and families succeed?”  Below you will find links to the most up-to-date and accurate information about the ‘state of the union’ of our nation’s most at-risk offspring.

Click here to reach KIDS COUNT DATA CENTER where anyone can “access hundreds of measures of child well-being.”  I ‘friended’ KIDS COUNT on Facebook so that I receive all kinds of valuable information on the state of our nation’s vulnerable little ones ASAP!  This is the link to KIDS COUNT main page.

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KIDS COUNT The Annie E. Casey Foundation is now on Facebook. Become their fan and receive updates on current and future work related to children and families: http://ow.ly/3DarQ

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On KIDS COUNT main data bank website you can access DATA BY STATE

  • Data within the bounds of a single state or territory
  • Includes community-level data
  • Search by location or topic
  • Create profiles, maps, rankings, line graphs, or raw data

As well as DATA ACROSS STATES

  • Data spanning the U.S.
  • Compare states or cities
  • Search by topic
  • Create maps, rankings, line graphs, or raw data

There is even a KIDS COUNT DATA CENTER HELP PAGE

Some of the information you can access on this site (well, the full report pdf file didn’t open on my computer but might on yours!)

This is the list of key indicators the KIDS COUNT collects national data on about child well-being for The 2010 KIDS COUNT DATA BOOK:

Updated on 1/26/2011

·  CONGRESSIONAL DISTRICT DATA AVAILABLE 12/1/2010

Congressional District data are now available for over 20 indicators including many of the poverty and employment indicators obtained from the 2009 American Community Survey.

Access the profile for your congressional district in Data By State and/or watch this short video to see how you can get started.

NEW EMPLOYMENT DATA AVAILABLE 11/23/2010

The Economic Well-Being section in Data Across States has been updated. Data includes estimates from the 2009 American Community Survey. Updated data for the U.S., states, and cities:
§ Children below 250% poverty
§ Children in low-income working families by age group
§ Children living in low-income households where no adults work
§ Children living in families where no parent has full-time, year round employment
§ Children living in families where no parent has full-time, year round employment, by race (US and states only)
§ Children age 6 to 12 with all available parents in the labor force
§ Median family (with child) income
§ Low-income working families with children

POPULAR TOPICS — Updated on 1/26/2011

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This is an example of other information that KIDS COUNT disseminates.  This information appeared on my Facebook page yesterday:

The Nation’s Report Card – Kids Scores in Science

Fewer than one-half of students perform at or above the Proficient level in science at all three grades

“Students throughout the nation in grades 4, 8, and 12 participated in the 2009 National Assessment of Educational Progress (NAEP) in science. The assessment was updated in 2009 to keep the content current with key developments in science, curriculum standards, and research. To establish the baseline for future science assessments, the overall average score for each grade was set at 150 on a 0 to 300 scale.

  • Thirty-four percent of fourth-graders, 30 percent of eighth-graders, and 21 percent of twelfth-graders performed at or above the Proficient level.
  • Seventy-two percent of fourth-graders, 63 percent of eighth-graders, and 60 percent of twelfth-graders performed at or above the Basic level.
  • One percent of fourth-graders, 2 percent of eighth-graders, and 1 percent of twelfth-graders performed at the Advanced level.
  • Scores were higher than the nation in 24 states/jurisdictions at fourth-grade and 25 states/jurisdictions at eighth-grade.
  • At grade 12, there was no significant difference in scores for White and Asian/Pacific Islander students, and both groups scored higher on average than other racial/ethnic groups.”

Explore more national and state results.

For more information, browse the report online or download a copy of the report.

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This information also appeared on my Facebook page yesterday from KIDS COUNT on data they have collected:

Children in low-income households where housing costs exceed 30 percent of income (Percent) – 2009 (updated November 2010)

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+A MOST IMPORTANT LINK HERE ON FEEDING OUR NATION’S 22.5% HUNGRY LITTLE ONES — GET INVOLVED!

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Taking a look at JUST ONE component of the suffering of millions of our children I see this:

More than one in five children (22.5 percent) live in families who are food insecure – meaning they struggle against hunger and report not having enough to eat

Do you personally know any of these most-hungry infants and children?  Do you have them in your household?  In your neighborhood?  In your city or county?

YES you have them in your nation – and not a ‘handful’ of them, either?

THIS IS THE WEBSITE FOR FEEDING AMERICA

There is an interactive national MAP for FEEDING AMERICA ACROSS THE NATION here

This website is presenting undeniable FACTS about ONLY one measure of our nation’s offspring’s’ lack of well-being.  PLEASE take a look – and then TAKE ACTION.

Take a look at the 2010 report about Hunger in America.

Find your closest Food Bank.

Register with Feeding America.

Take Action Now!

CARE AND CAREGIVE!!

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While we cannot argue about the United Nation’s facts about the suffering of a large percentage of America’s infants and children, or their facts regarding the appalling gap in our nation between the rich infant-children who ‘have’ and the poor ones who ‘have not’, we can PRETEND that everyone in our nation is created equal because we choose to IGNORE these facts.

Trauma, deprivation, abuse, neglect, exposure to violence to self and to others, affect the way an infant-child’s body-brain develops. This blog is packed with posts containing information about this fact.  Infants and children ESPECIALLY FROM AGE 0-3 will suffer from the greatest physiological changes to their development due to the malevolence in their earliest caregiving environments.

When Trauma Altered Development happens, those who survive it will NOT BE CREATED EQUAL – in their body-brain – to those who had a more benevolent early beginning.  THIS IS A FACT!

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The growing GAP in our nation between those who HAVE and those who DO NOT HAVE is becoming easier to ignore because of this GAP.  Many Americans live in their RICHER neighborhoods while the POOR live in theirs.  “Out of sight, out of mind?”

In this post I want to highlight something that EVERYONE in our nation can do to help.  In people who were raised within a ‘good enough’ early environment if not an optimal safe and secure attachment home, our EMPATHY AND COMPASSION caregiving system was SUPPOSED to be developed within our physiology RIGHT.  This means that we are able to DETECT the suffering of others of our species so that we can RESPOND WITH APPROPRIATE CAREGIVING.

It is a very real physiological fact that trauma and malevolence we are exposed to in our earliest 0-3 developmental stages alters the development of our attachment systems which causes our EMPATHY and COMPASSION and ABILITY TO RESPOND WITH APPROPRIATE CAREGIVING do NOT develop optimally.  I would say ‘normally’ but it seems to be that what our species is OPTIMALLY capable of offering individuals who are raised 0-3 in the BEST conditions is NOT HAPPENING.

Looking at the end result, that we as a nation are content to allow growing and LARGE numbers of our offspring to suffer – and hence suffer in their physiological development so that their entire lifespan will lack the basics of well-being – means to me simply that THE MAJORITY OF AMERICANS somehow MISSED out on optimal development as members of their species.  “The proof is in the pudding!”

OPTIMAL growth and development in safe and secure attachment caregiving environments ESPECIALLY 0-3 means that these too-rare gifts of our species – empathy, compassion and abilities to respond with appropriate caregiving to others – has evidently NOT HAPPENED for the majority of Americans – no matter how MATERIALLY well-off they may have been in the beginning of their lives or how well-off they are now.

Evidently even though America still remains among the globe’s 24 richest countries, our wealth with its increasingly uneven distribution has NOTHING to do with the condition of our nation’s PEOPLE as human beings.

How are we as individuals and as members of a (once great?) nation able to ignore facts such as I presented in this recent post?

+PLEASE CHECK OUT THIS REPORT ON AMERICA’S CHILDREN IN RECESSION TIMES

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+RECESSION BUDGET CUTS – DESTROYING HOPE FOR THOSE THAT SUFFER MOST

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We must not lose sight of the facts about the immediate and long-term consequences that malevolent trauma has on growing infant-children.  There is nothing about being an American that changes the outcome that severe stress-distress has on physiological development during a little one’s MOST CRITICAL stages of early growth.

As this blog repeats over and over again neglect, abuse, deprivation, exposure to violent conflict including verbal abuse to ANYONE in an infant-child’s environment and other conditions of an early unsafe, insecure, inadequate early attachment environment WILL IMPACT physiology in development, thus changing the body a survivor will live in and with for the rest of their lifespan.

I want to highlight here yet again the important work the Center for Disease Control has been accomplishing to PROVE the link between Early Adverse Childhood experiences and lifelong adult suffering of all kinds.  As states within our nation deliberate about how to meet their budgets IN THE RED it will MOST OFTEN happen that assistance to the most desperate infant-children, their families, along with assistance to poor and sick who are MOST LIKELY adult survivors of infant-child malevolent environments will be cut.

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CHILD ABUSE SURVIVORSHIP IN THE NEWS:

Childhood Trauma May Shorten Life By 20 Years

CDC Research Finds Problems in Childhood Can Be Lifelong

By JOSEPH BROWNSTEIN
ABC News Medical Unit
Oct. 6, 2009

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The Center for Disease Control’s Adverse Childhood Experience (CDC-ACE) study is not without limitations.  All 17,421 participants were insurance members which means that information from the many other uninsured levels of our society were not included.   If they had been (or are in the future) how much more child abuse connected lifelong adult devastation would be seen?

I would like to see the model of this study expanded through the use of the ACE questionnaires in a far wider variety of settings, preferably included in every human well-being study our nation produces.  At the moment, I want to simply highlight the important work the CDC has been doing over the past 14 years with its studies of the consequences of child abuse for survivors for your thought and consideration by presenting some information from their website on Adverse Childhood Experiences as follows:

The Adverse Childhood Experiences (ACE) Study is one of the largest investigations ever conducted on the links between childhood maltreatment and later-life health and well-being. As a collaboration between the Centers for Disease Control and Prevention and Kaiser Permanente’s Health Appraisal Clinic in San Diego, Health Maintenance Organization (HMO) members undergoing a comprehensive physical examination provided detailed information about their childhood experience of abuse, neglect, and family dysfunction. Over 17,000 members chose to participate. To date, over 50 scientific articles have been published and over 100 conference and workshop presentations have been made.

The ACE Study findings suggest that these experiences are major risk factors for the leading causes of illness and death as well as poor quality of life in the United States. Progress in preventing and recovering from the nation’s worst health and social problems is likely to benefit from the understanding that many of these problems arise as a consequence of adverse childhood experiences.

Here is one website about the study:

The Adverse Childhood Experiences (ACE) Study:  Bridging the gap between childhood trauma and negative consequences later in life.

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About the study:

The ACE Study was initiated at Kaiser Permanente from 1995 to 1997, and its participants are over 17,000 members who were undergoing a standardized physical examination. No further participants will be enrolled, but we are tracking the medical status of the baseline participants.

Each study participant completed a confidential survey that contained questions about childhood maltreatment and family dysfunction, as well as items detailing their current health status and behaviors. This information was combined with the results of their physical examination to form the baseline data for the study.

The prospective phase of the ACE Study is currently underway, and will assess the relationship between adverse childhood experiences, health care use, and causes of death.

More detailed scientific information about the study design can be found in “The relationship of adult health status to childhood abuse and household dysfunction,”* published in the American Journal of Preventive Medicine in 1998, Volume 14, pages 245-258.

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The ACE Pyramid represents the conceptual framework for the Study. During the time period of the 1980s and early 1990s information about risk factors for disease had been widely researched and merged into public education and prevention programs. However, it was also clear that risk factors, such as smoking, alcohol abuse, and sexual behaviors for many common diseases were not randomly distributed in the population. In fact, it was known that risk factors for many chronic diseases tended to cluster, that is, persons who had one risk factor tended to have one or more others.

Because of this knowledge, the ACE Study was designed to assess what we considered to be “scientific gaps” about the origins of risk factors. These gaps are depicted as the two arrows linking Adverse Childhood Experiences to risk factors that lead to the health and social consequences higher up the pyramid. Specifically, the study was designed to provide data that would help answer the question: “If risk factors for disease, disability, and early mortality are not randomly distributed, what influences precede the adoption or development of them?” By providing information to answer this question, we hoped to provide scientific information that would be useful for the development of new and more effective prevention programs.

The ACE Study takes a whole life perspective, as indicated on the orange arrow leading from conception to death. By working within this framework, the ACE Study began to progressively uncover how childhood stressors (ACE) are strongly related to development and prevalence of risk factors for disease and health and social well-being throughout the lifespan.

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Major Findings

Childhood abuse, neglect, and exposure to other traumatic stressors which we term adverse childhood experiences (ACE) are common. Almost two-thirds of our study participants reported at least one ACE, and more than one in five reported three or more ACE. The short- and long-term outcomes of these childhood exposures include a multitude of health and social problems. The ACE Study uses the ACE Score, which is a count of the total number of ACE respondents reported. The ACE Score is used to assess the total amount of stress during childhood and has demonstrated that as the number of ACE increase, the risk for the following health problems increases in a strong and graded fashion:

  • alcoholism and alcohol abuse
  • chronic obstructive pulmonary disease (COPD)
  • depression
  • fetal death
  • health-related quality of life
  • illicit drug use
  • ischemic heart disease (IHD)
  • liver disease
  • risk for intimate partner violence
  • multiple sexual partners
  • sexually transmitted diseases (STDs)
  • smoking
  • suicide attempts
  • unintended pregnancies

In addition, the ACE Study has also demonstrated that the ACE Score has a strong and graded relationship to health-related behaviors and outcomes during childhood and adolescence including early initiation of smoking, sexual activity, and illicit drug use, adolescent pregnancies, and suicide attempts. Finally, as the number of ACE increases the number of co-occurring or “co-morbid” conditions increases.

Content source: Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion

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Adverse Childhood Experiences Study Questionnaires – AVAILABLE TO EVERYONE

This is the simplest version of the ACE questionnaire I have seen that consists of ten questions: What’s YOUR ACE Score?  Help me calculate my ACE Score.

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