preventing ACEs

raising happy,healthy children

types of ACEs

abuse

mental illness @ home

&

drug use @ home

neglect

how common are ACEs?

At least 1 ACE (San Diego & WA)!

negative

health outcomes

to ACEs

Relatio n

Dose-Response

bullying
community violence

ACEs are more common in:

1. preventable
2. heavily influenced by social
determinants of health & equity
3. exacerbate & sustain
inequities

communities of color
distressed neighborhoods with:
~ little social support
~ high housing stress
~ low social capital
low-income families
families with low parental education

health consequences of ACEs

severe obesity!
diabetes!
heart disease!
cancer!
stroke!
COPD!
low physical activity !

ship: As exposure

loss of parent

collective violence

ACEs are:

At least 4 ACEs (WA)!

increases, so do

violence toward mom

family incarcerated

fetal death!
unintended pregnancy!
adolescent pregnancy!
STIs!

!!

missed work!

depression!
suicide attempts!
smoking!
alcoholism & drug use!
intimate partner
violence!
early smoking initiation!

60
80

years
life expectancy

no ACEs vs. 6+ ACEs

multi-sector strategy to prevent ACEs

SEEK (Safe Environment for Every Kid)
Outpatient Clinics ~ 0 - 3 year olds
Pediatric providers (1) trained to address
targeted risk factors for abuse (2) identified
in parent questionnaire with (3) handouts
reviewed in visit or (4) collaborating w/SW
31% fewer CPS reports, increased caregiver
depression screening, decreased harsh

Strong Communities for Children

0 - 6 years ~ Non-Profit and Kinship Network
Changes neighborhood culture with volunteer
outreach workers trained as advocates for child
welfare & providing direct assistance to families
through a network of community volunteers
Increased positive interactions with children
& reduced neglect

physical punishment & neglect

Paid Family Leave Policy

Triple P (Positive Parenting Program)

Business & Industry ~ 0 - 1 year olds

Public Health ~ 0 - 8 year olds

12 months paid time off (66% of wage) for

5 levels of intensity: from community-wide

mothers & fathers, funded by payroll tax

social marketing campaign with parenting

contributions

techniques to intensive supportive services

Doubled breastfeeding, decreased postpartum

Reduced child maltreatment, out-of-home

depression & infant mortality, allowed

placements & ER visits for injuries

continued income & parent to keep job

return on investment: $8.74

by hilary jauregui, MN, RN

november 26, 2013

NURS561