the buffer zone: what adverse childhood experiences (ace) study teaches about maximizing health and...
TRANSCRIPT
![Page 1: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/1.jpg)
FD SMS icons
1
learn.extension.org/events/3027
This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Military
Family Readiness Policy, U.S. Department of Defense under Award Number 2015-48770-24368.
The Buffer Zone: What the Adverse Childhood
Experiences (ACE) Study Teaches about
Maximizing Health & Wellbeing
![Page 2: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/2.jpg)
Connecting military family service providers
and Cooperative Extension professionals to research
and to each other through engaging online learning opportunities
militaryfamilies.extension.org
MFLN Intro
Sign up for webinar email notifications at militaryfamilies.extension.org/webinars
![Page 3: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/3.jpg)
Today’s Presenters
3
Melissa Merrick, PhD
• Behavioral Scientist with the Surveillance
Branch in the Division of Violence
Prevention at CDC’s National Center for
Injury Prevention and Control.
• Serves as the Science Lead for the
Adverse Childhood Experiences (ACE)
Study.
• Research interests focus on the etiology,
surveillance, course, and prevention of child
maltreatment.
![Page 4: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/4.jpg)
National Center for Injury Prevention and Control
The Buffer Zone: What the Adverse Childhood Experiences (ACE) Study Teaches about Maximizing
Health & Wellbeing
Melissa T. Merrick, PhD
Behavioral Scientist
Division of Violence Prevention
![Page 5: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/5.jpg)
5
the issue
1 BILLION CHILDREN EXPERIENCE VIOLENCE
ANNUALLYhttps://static.pexels.com/photos/207653/pexels-photo-207653.jpeg
![Page 6: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/6.jpg)
Child Abuse & Neglect
6
Physical
Abuse
Sexual
Abuse
Emotional
AbuseNeglect
children experienced child abuse and
neglect in the last year. That is millions of
kids. (self-report data)
About 1 in 7
https://static.pexels.com/photos/262488/pexels-photo-262488.jpeg
![Page 7: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/7.jpg)
Building Brain Architecture
7
https://pixabay.com/en/brain-electrical-knowledge-migraine-1845962/https://pixabay.com/en/construction-worker-building-job-642631/
![Page 8: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/8.jpg)
Violence Compromises Early Brain
Development
8
![Page 9: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/9.jpg)
How Brains are Built
9
http://www.albertafamilywellness.org/resources/video/how-brains-are-built-core-story-of-brain-development
![Page 10: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/10.jpg)
Picture This…
When you think of child abuse and neglect, you likely
picture this
10
https://www.flickr.com/photos/k9d/1414360666
https://pixabay.com/en/child-education-fear-terror-1439468/
https://commons.wikimedia.org/wiki/File:Fractured_ribs.jpg
https://commons.wikimedia.org/wiki/File:Orthopedic_cast_Vincent%27s_Gips_Arm.jpg
![Page 11: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/11.jpg)
Picture This…
But probably not this
11
https://pixabay.com/en/diabetes-blood-finger-glucose-777001/https://commons.wikimedia.org/wiki/File:Asthma_inhaler_use.PNG
https://pixabay.com/en/body-upper-body-hand-t-shirt-keep-116585/ https://www.flickr.com/photos/amboo213/4020584983
![Page 12: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/12.jpg)
Risky Behaviors Alcohol & DrugAbuse
Unsafe Sex
CancerDiabetes
HIVSTDs
Unintended Pregnancy
PregnancyComplicationsFetal death
DepressionAnxiety
PTSD
Traumatic Brain Injury
FracturesBurns
Violence
Violence in the
Public Health Context
![Page 13: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/13.jpg)
Categories of ACEs
13
Abuse Neglect Family Challenges
http://www.rwjf.org/en/library/infographics/the-truth-about-aces.html
![Page 14: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/14.jpg)
How Common are ACEs?
14
![Page 15: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/15.jpg)
Lasting Effects
15
![Page 16: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/16.jpg)
0
0.5
1
1.5
2
2.5
3
3.5
Dong, M et al. Circulation. 2004;110:1761–1766.
Ad
just
ed O
dd
s R
atio
Number of ACEs
0 1 2 3 4 5,6 7,8
ACE Score and Cardiovascular Disease
16
![Page 17: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/17.jpg)
0
1
2
3
4
5
6
Number of ACEs
Ad
just
ed
Od
ds
Rat
io
Chapman, DP et al. Journal of Affective Disorders. 2004;82:217–225
Gonzalez, O et al. MMWR. 2010;59(38):1229-1235
0 1 2 3 4 ≥5
ACE Score and Adult Depression
17
![Page 18: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/18.jpg)
Ad
just
ed
Od
ds
Rat
io
Number of ACEs
0
2
4
6
8
10
12
0 1 2 3 ≥4
Number of ACEs
Ever-injected drugs Had ≥50 intercourse partners Ever had an STD
Felitti, VJ et al. American Journal of Preventive Medicine 1998;14:245–258
ACE Score and HIV Risk
18
![Page 19: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/19.jpg)
Ad
just
ed
Od
ds
Rat
io
Number of ACEs
Dube et al. JAMA. 2001;286:3089–3096.
ACE Score and Suicide Attempts
19
![Page 20: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/20.jpg)
Ad
just
ed O
dd
s R
atio
ACE Score and Life Potential
20
![Page 21: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/21.jpg)
Leading Causes of Death in the U.S. in
2014 1. Heart disease
2. Cancer
3. Chronic lower respiratory diseases
4. Unintentional injuries (accidents)
5. Stroke
6. Alzheimer’s Disease
7. Diabetes
8. Influenza and Pneumonia
9. Nephritis, Nephrotic Syndrome, and Nephrosis (Kidney Disease)
10. Intentional Self-Harm (Suicide)
21The National Vital Statistics Report (NVSR) “Deaths: Final Data for 2014”
![Page 22: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/22.jpg)
Leading Causes of Death in the U.S. in 2014
1. Heart disease
2. Cancer
3. Chronic lower respiratory diseases
4. Unintentional injuries (accidents)
5. Stroke
6. Alzheimer’s Disease
7. Diabetes
8. Influenza and Pneumonia
9. Nephritis, Nephrotic Syndrome, and Nephrosis (Kidney Disease)
10. Intentional Self-Harm (Suicide)
22The National Vital Statistics Report ( NCSR) “Deaths: Final Data for 2014”
![Page 23: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/23.jpg)
ACEs in Children and Adolescents
23
https://pixabay.com/en/children-silhouette-cheers-1499274/
![Page 24: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/24.jpg)
ACEs in Children & Adolescents
24
ACE Constructs NatSCEV NSCAW II LONGSCAN
Physical Abuse • • •
Sexual Abuse • • •
Physical Neglect • • •
Emotional Neglect • •
Psychological / Emotional Abuse• • •
Caregiver Treated Violently • • •
Household Substance Abuse • • •
(caregiver only)
Household Mental Illness • • •
(caregiver depression
only)
Parent Separation or Divorce • •
Incarcerated Household Member • • •
![Page 25: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/25.jpg)
ACE Score
25
Total Number of ACEs
% o
f sam
ple
rep
ort
ing A
CE
s
![Page 26: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/26.jpg)
NSCAW II: ACEs by Age Group
26
![Page 27: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/27.jpg)
Economic Consequences of Violence
➢ Child Maltreatment
• $124 billion total lifetime cost associated with one year of
confirmed cases of maltreatment
➢ Intimate Partner Violence
• $8.3 billion (1995 estimate adjusted to 2003)
➢ Sexual Violence
• $6.5 billion dollars in 1996 for a single state (Michigan)
• $126 billion annually in US for victim costs
27CDC (2003); Fang, Brown, Florence, & Mercy (2012); National Institutes of Justice (1996); Post et al., (2002)
![Page 28: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/28.jpg)
The Public Health Impact of Violence
28
![Page 29: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/29.jpg)
Violence Across the Lifespan
29
![Page 30: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/30.jpg)
Role of Public Health Violence Prevention
30
Role of Criminal Justice, Child Welfare, Social Services
![Page 31: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/31.jpg)
Preventing child maltreatment
requires understanding
WHYsome children and families
are at greater risk
31
![Page 32: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/32.jpg)
CDC’s Strategic Focus on Child
Maltreatment
• Prevent violence through surveillance,
research and development, and capacity
building
• Emphasis on primary prevention
• Commitment to developing rigorous
science base
• A cross-cutting perspective
• A population approach
32
https://pixabay.com/en/family-uncle-familia-nephew-child-1804701/
![Page 33: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/33.jpg)
33
Safe Stable Nurturing
Assuring safe, stable, nurturing relationships and
environments for all children
CDC’s Essentials for Childhood Framework
![Page 34: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/34.jpg)
CDC’s Essentials for Childhood
➢ CDC’s Essentials for Childhood
Framework
• Raise Awareness and Commitment to
Support Safe, Stable, Nurturing
Relationships and Environments
• Use Data to Inform Action
• Create the Context for Healthy
Children and Families through Norms
Change and Programs
• Create the Context for Healthy
Children and Families through Policies
34http://www.cdc.gov/violenceprevention/childmaltreatment/essentials.html
![Page 35: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/35.jpg)
CDC’s Essentials for Childhood
CDC Funding 5 State Health Departments
• California
• Colorado
• Massachusetts
• North Carolina
• Washington
31 Self Supported States- participating in initiative
in some way
• Training/technical assistance and meetings also available to
self supported states
35
![Page 36: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/36.jpg)
GOAL 1: Raise Awareness and Commitment
36
https://www.flickr.com/photos/sydneytreasuresphotography/16046410082
![Page 37: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/37.jpg)
The Raising of America
37
➢ Raising explores how a strong
start for all our kids can lead to
a healthier, stronger, and more
equitable America
➢ Components:
▪ Six-part documentary series
▪ National public engagement
campaign
▪ Companion website
http://www.raisingofamerica.org/
![Page 38: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/38.jpg)
GOAL 2:
Use Data to Inform Prevention Action
38
![Page 39: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/39.jpg)
39+ States Have Included the ACE
Module on their BRFSS
39
![Page 40: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/40.jpg)
40
http://www.health.state.mn.us/divs/cfh/program/ace/content/document/pdf/acereport.pdf
![Page 41: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/41.jpg)
ACE Online Resources
41
http://vetoviolence.cdc.gov/apps/phl/images/ACE_Accessible.pdf
https://vetoviolence.cdc.gov/apps/aces/
http://www.cdc.gov/violenceprevention/acestudy/index.html
![Page 42: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/42.jpg)
42
https://preventionboard.wi.gov/Pages/OurWork/ACE.aspx
![Page 43: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/43.jpg)
Using Data to Inform Solutions: State
Examples
➢ Wisconsin
• Examining ACE “Hotspots”
• Added Poverty and Neglect Items to BRFSS
• Hosted Midwest Regional ACEs Summit in 2014
➢ Washington
• Legislators changed the definition of work participation for TANF
recipients
• Juvenile offenders needed additional support to mitigate future
adverse outcomes
43
![Page 44: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/44.jpg)
GOAL 3: Create the Context for Healthy
Children & Families through Norms Change &
Programs
44
https://www.flickr.com/photos/armymedicine/13584554804
![Page 45: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/45.jpg)
Essentials for Parenting: Toddlers and
Preschoolers
➢ Online interactive
resource developed for
parents with toddlers and
preschoolers
➢ Based upon best
available science
➢ Includes a variety of
content, including
• Written content, videos,
and interactive activities
45
https://www.cdc.gov/parents/essentials/index.html
![Page 46: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/46.jpg)
GOAL 4: Create the Context for Healthy
Children and Families through Policies
46
http://www.buckley.af.mil/News/Photos/igphoto/2000272288/
![Page 47: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/47.jpg)
Policies with impacts on risk factors for
child abuse and neglect
➢ Increased minimum wage
➢ Earned Income Tax Credit
➢ Child Tax Credit
➢ Housing Vouchers
➢ Head Start
➢ Bans on corporal punishment
➢ Family-friendly work
47
https://pixabay.com/en/list-hook-check-mark-ticked-off-1030596/
![Page 48: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/48.jpg)
Technical Packages
Select group of strategies with a focus on
PREVENTING child abuse & neglect
from happening in the first place as well
as approaches to LESSEN the
immediate and long-term harms of child
abuse & neglect.
48http://www.cdc.gov/violenceprevention/pdf/can-prevention-technical-package.pdf
![Page 49: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/49.jpg)
Technical Package Development
49
![Page 50: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/50.jpg)
CDC’s Technical Package to Prevent Child
Abuse and Neglect
50
Strengthen economicsupports for families
Change social norms to support parents and positive
parenting
Provide quality care and education early in life
Enhance parenting skills to promote healthy child
development
Intervene to lessen harms and prevent future risk
http://www.cdc.gov/violenceprevention/pdf/can-prevention-technical-package.pdf
![Page 51: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/51.jpg)
Strengthen Economic Supports to Families
Strengthen household financial security
➢ Child support payments
➢ Tax credits
➢ State nutrition assistance programs
➢ Assisted housing mobility
➢ Subsidized child care
Family friendly work policies
➢ Livable wages
➢ Paid leave
➢ Flexible and consistent schedules
51
http://www.59mdw.af.mil/News/Art/igphoto/2000485858/
![Page 52: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/52.jpg)
Change Social Norms to Support Parents &
Positive Parenting
Public engagement and education campaigns
➢ Breaking the Cycle
Legislative approaches to reduce corporal punishment
➢ Bans pertaining to home, school, & other settings
52
https://pixabay.com/en/girl-boy-family-together-love-603511/
![Page 53: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/53.jpg)
Provide Quality Care & Education Early in Life
Preschool enrichment
with family
engagement
➢ Child Parent Centers
➢ Early Head Start
Improved quality of
child care through
licensing and
accreditation
53
http://www.seymourjohnson.af.mil/News/Photos/igphoto/2000153166/
![Page 54: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/54.jpg)
Enhance Parenting Skills to Promote Healthy
Child Development
Early childhood home visitation
➢ Nurse Family Partnership
➢ Durham Connects
Parenting skill and family relationship approaches
➢ Adults and Children Together Against Violence: Parents Raising
Safe Kids (ACT)
➢ Incredible Years
➢ SafeCare
54
http://archive.defense.gov/News/NewsArticle.aspx?ID=120984
![Page 55: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/55.jpg)
Intervene to Lessen Harms & Prevent Future
Risk
Enhanced primary care
➢ Safe Environment for Every Kid (SEEK)
Behavioral parent training programs
➢ Parent-Child Interaction Therapy
➢ SafeCare
➢ Incredible Years
55
http://www.travis.af.mil/News/Photos/igphoto/2000266887/
![Page 56: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/56.jpg)
Intervene to Lessen Harms &
Prevent Future Risk
Treatment to lessen harms of abuse & neglect exposure
➢ Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
Treatment to prevent problem behavior and later involvement in
violence
➢ Children with Problematic Sexual Behavior Cognitive- Behavioral
Treatment Program: School- age Program
➢ Multisystemic Therapy (MST)
56
https://www.pexels.com/photo/blond-haired-girl-wearing-pink-knitted-cap-48789/
![Page 57: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/57.jpg)
Violence Prevention is Strategic
Developing New
Partnerships and
Working Across Sectors
Including:
Public Health, Government, Health
Care Services, Social Services,
Education, Business, Justice,
Housing, Non-Governmental
Organizations, Foundations
57
![Page 58: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/58.jpg)
Thank you!
Melissa T. Merrick, PhD
www.cdc.gov/violenceprevention/acestudy
For more information, contact CDC
1-800-CDC-INFO (232-4636)
TTY: 1-888-232-6348 www.cdc.gov
58
The findings and conclusions in this report are those of the authors and
do not necessarily represent the official position of the Centers for
Disease Control and Prevention.
![Page 59: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/59.jpg)
Connect with MFLN Family Development Online!
MFLN Family Development
MFLN Family Development @mflnfd
MFLN Family Development
To subscribe to our MFLN Family Development newsletter send an email to:
[email protected] with the Subject: Subscribe
FD SMS icons
59
![Page 60: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/60.jpg)
MFLN Intro
60
We invite MFLN Service Provider Partners
to our private LinkedIn Group!
https://www.linkedin.com/groups/8409844
DoD
Branch Services
Reserve
Guard
Cooperative Extension
![Page 61: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/61.jpg)
Evaluation and
Continuing Education Credits/Certificate
MFLN Family Development is offering 1.5 CEUs from
the University of Texas at Austin School of Social Work
or certificate of completion for today’s webinar.
Please complete the evaluation and post-test at: https://vte.co1.qualtrics.com/jfe/form/SV_0BqtGIkfg2ogGDX
Must pass post-test with an 80% or higher to receive
certificate.
61
![Page 62: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/62.jpg)
![Page 63: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/63.jpg)
MFLN Virtual Conference
For session info and to register, visit militaryfamilies.extension.org/2017virtualconference
For more information on MFLN Family Development, go to:
militaryfamilies.extension.org/family-development
63
![Page 64: The Buffer Zone: What Adverse Childhood Experiences (ACE) Study Teaches about Maximizing Health and Wellbeing](https://reader031.vdocuments.us/reader031/viewer/2022022415/5a6d0ed17f8b9af2418b4acd/html5/thumbnails/64.jpg)
militaryfamilies.extension.org/webinars
64This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Military Family
Readiness Policy, U.S. Department of Defense under Award Number 2015-48770-24368.