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Adverse Childhood Experiences

Adverse Childhood Experiences (ACEs) were identified as having a major long term impact on health outcomes. This was following a large scale study in the USA.
In the 1990’s Felitti and Anda from the Center for Disease Control and Prevention (CDC) carried out a study of childhood trauma experiences of over 17,000 patient volunteers.

• About half of participants were female
• 74.8% were white
• average age was 57
• 75.2% had attended college

All had jobs and good health care, because they were members of the Kaiser Health Maintenance Organisation.
Participants were asked about the the 10 types of childhood trauma that had been identified in earlier research literature.
They were asked about experiences of;

• 3 types of abuse – sexual, physical, emotional
• 2 types of neglect – physical & emotional
• 5 types of household dysfunction

  1. parental substance misuse
  2. parental mental health problems
  3. domestic violence
  4. household member in prison
  5. loss of contact with a biological parent

The findings were:

• 2 in 3 participants had an ACE score of 1 or more
• 1 in 6 had an ACE score of 4 or more
• 1 in 11 had an ACE score of 6 or more

They found a dose related effect on subsequent risky & damaging behaviors including:

• Substance misuse
• Teen pregnancy
• Poor physical and mental health including; diabetes, liver disease, heart and lung disease
Ultimately ACEs resulted in diminished life chances. They reduced life expectancy by up to 20 years for the cohort.
The study’s group were relatively well educated yet this did not protect them from the adverse outcomes of their childhood experiences.

  • ACEs have been widely recognised as an opportunity to target early interventions for children and families – allowing resources to be focussed on reducing adverse childhood experiences and mitigating their impact.

    Schools can play an important role in this by;

    • Highlighting those children whose experiences might suggest would benefit from early intervention.
    • Being curious about why a child behaves in the way they do – be that the quietest or the loudest in the class, the bully or the bullied.
    • Using Early Help and Children’s Services threshold guidance to ensure children at risk are identified and safeguarded.

  • Public Health England has launched new free All Our Health bite-sized e-learning sessions to improve the knowledge, confidence and skills of all health and care professionals in preventing illness, protecting health and promoting wellbeing.

    The sessions cover some of the biggest issues in public health from childhood obesity to Antimicrobial Resistance (AMR) and they contain signposting to trusted sources of helpful evidence, guidance and support to help professionals embed prevention in their everyday practice.

     

How Can We Help?

Just One Norfolk Access the health advice website to explore a variety of health issues. This website is consistently being reviewed and updated.

Parent Activation Measure This helps parents think about their knowledge skills and confidence in understanding and supporting their children or unborn babies.

Just One Number Call to speak to a health professional by phoning 0300 300 0123. They will be able to provide initial advice and support and guide next steps with us or signpost you to other more relevant agencies and professionals. It is available 08.00 to 18.00 Monday to Friday and 09.00 to 13.00 on Saturdays

ChatHealth Children and Young people can access us through our text messaging service on 07480635060. They will be able to discuss any health concerns with one of our Practitioners and also be able to request an appointment if they would prefer to meet with us.

Parent Line Parents can access our services by texting our number 07520631590 . This allows them to access the advice and support from a clinician about any health issues affecting their children aged 0-19.

JustOneNorfolk Health Passport app Young people age 16-19 can download this app on apple or android phones. It provides young people age 16-19 with general health information and advice to increase health literacy. It signposts to services and promotes self care. It aims to increase resilience and wellbeing and to find out how to access health services.

Health Unlocked Parents can be signposted to this. It is a carefully monitored online community forum which allows local parents and carers to talk with each other regarding issues affecting their children. This can be accessed through our Just One Norfolk website.

Solihull Parenting Online For our Norfolk parents there is the opportunity to access this free of charge through JustOneNorfolk. It supports parents in understanding their children from 0-19 via 4 modules.
Staff working with children and families will also benefit from this – or they can book to do the two day Solihull Training provided by our service by contacting karin.bibby@nhs.net

 

 

 

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