Adverse Childhood Experiences (ACEs) and Nadine Burke Harris
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Questions and Answers

Dr. Nadine Burke Harris's work primarily focuses on:

  • Creating affordable housing solutions for families in need.
  • Transforming the response to early childhood adversity and toxic stress. (correct)
  • Implementing educational reforms in underprivileged communities.
  • Developing new medical technologies for pediatric care.

What is the main contribution of Dr. Burke Harris to the understanding of health and well-being?

  • Highlighting the importance of genetic factors in determining health outcomes.
  • Advocating for increased funding for pharmaceutical research.
  • Presenting a new framework for comprehending the long-term consequences of adverse childhood experiences. (correct)
  • Promoting universal healthcare access for all children, regardless of socioeconomic status.

The Center for Youth Wellness, founded by Dr. Burke Harris, aims to:

  • Translate scientific discoveries into novel approaches for addressing childhood adversity. (correct)
  • Develop sustainable urban farming initiatives to combat food insecurity.
  • Provide direct financial assistance to families affected by economic hardship.
  • Offer vocational training programs for at-risk youth.

Dr. Burke Harris's TED Talk primarily discusses:

<p>The impact of childhood trauma on health across a lifetime. (B)</p> Signup and view all the answers

Which of the following best describes the impact of Dr. Burke Harris's work on broader audiences?

<p>It has been recognized and featured in various prominent platforms, influencing public awareness. (B)</p> Signup and view all the answers

What was a key finding of the Adverse Childhood Experiences (ACEs) study regarding the prevalence of childhood adversity?

<p>Adverse childhood experiences were more common than presumed, affecting a significant portion of the population. (C)</p> Signup and view all the answers

The ACEs study, conducted by the CDC and Kaiser Permanente, primarily investigated the link between childhood experiences and what outcome?

<p>Risk for various health problems in adulthood. (D)</p> Signup and view all the answers

Which of the following is NOT one of the categories of adverse childhood experiences (ACEs) studied by the CDC and Kaiser Permanente?

<p>Frequent relocation during childhood (C)</p> Signup and view all the answers

What was a demographic characteristic of the population studied in the original ACEs research that was particularly notable?

<p>Largely Caucasian, college-educated, and with private insurance (A)</p> Signup and view all the answers

An individual with four or more ACEs faces an increased risk for which of the following conditions, according to the study?

<p>Heart disease (C)</p> Signup and view all the answers

What is the main emphasis of Burke Harris's work, as highlighted in 'The Deepest Well'?

<p>Understanding and addressing the long-term impacts of childhood trauma (D)</p> Signup and view all the answers

What common goal unites the Center for Youth Wellness and Safe and Sound, as mentioned in the discussion?

<p>Ensuring the health and safety of children (D)</p> Signup and view all the answers

What was a key topic of discussion between Katie, Nadine Burke Harris, and Kamala Harris (then District Attorney) during their early conversations?

<p>The commonalities between poor education, health outcomes, incarceration, and child abuse (B)</p> Signup and view all the answers

Burke Harris serves as an expert advisor to the 'Too Small to Fail' initiative. What is the primary focus of this national initiative?

<p>Improving outcomes for children (D)</p> Signup and view all the answers

According to the discussion, what is one of the awards that Burke Harris has received in recognition of her work?

<p>The Heinz Award for the Human Condition (C)</p> Signup and view all the answers

According to the information, adversity in childhood is NOT being recognized as a risk factor for:

<p>Increased risk of sunburn. (D)</p> Signup and view all the answers

Why is the book titled 'The Deepest Well'?

<p>It symbolizes the need to find the fundamental cause of societal and health problems, similar to the public health parable of the cholera outbreak. (D)</p> Signup and view all the answers

What was the prevailing belief about the spread of infection before John Snow's discovery?

<p>Infection was spread by foul airs. (C)</p> Signup and view all the answers

What critical piece of evidence did John Snow use to determine the source of the cholera outbreak?

<p>The shared water source among affected households. (B)</p> Signup and view all the answers

What was the eventual solution to the cholera outbreak in the Soho neighborhood of London?

<p>Removing the pump handle from the contaminated well. (A)</p> Signup and view all the answers

What does the story of Diego primarily illustrate?

<p>The potential for childhood trauma to manifest as various health and developmental issues. (C)</p> Signup and view all the answers

How did the author’s father, a biochemist, influence her perspective on health and disease?

<p>He taught her to see the interconnectedness of biological mechanisms behind natural phenomena. (C)</p> Signup and view all the answers

What specific observation about Diego led the doctor to suspect a cause beyond ADHD?

<p>His unusually small stature for his age. (C)</p> Signup and view all the answers

Why did the doctor order a bone age test for Diego?

<p>To evaluate his skeletal maturity in relation to his chronological age. (C)</p> Signup and view all the answers

What did the bone age test reveal about Diego?

<p>His skeletal maturity was delayed, typical of a four-year-old. (B)</p> Signup and view all the answers

What information was presented that potentially links Diego's trauma to his growth and development?

<p>The endocrinologist's confirmation that trauma can cause growth arrest. (C)</p> Signup and view all the answers

In the context of childhood adversity, what does 'growth arrest' refer to?

<p>The slowing or stopping of physical development, in this case linked to trauma. (B)</p> Signup and view all the answers

According to information shared, what is one of the primary goals for establishing the Bayview Child Health Center?

<p>Reduce health disparities. (C)</p> Signup and view all the answers

The story mentions a patient whose asthma was triggered by her dad punching a hole in the wall. What does this suggest?

<p>The patient's asthma was linked to stress and fear related to domestic issues. (B)</p> Signup and view all the answers

The author mentions that medical school didn't teach her about the link between childhood adversity and health problems. What does this imply about medical education at the time?

<p>Medical schools did not adequately address the impact of social factors on health. (B)</p> Signup and view all the answers

Why is individual investment deemed important in addressing adverse childhood experiences (ACEs)?

<p>To compensate for the lack of government funding and support for organizations working on ACEs. (B)</p> Signup and view all the answers

What is the primary reason for advocating for trauma-informed curricula in educational institutions?

<p>To ensure educational content addresses the impact of ACEs on learning and development, fostering a supportive environment. (C)</p> Signup and view all the answers

Why is the medical establishment considered a more appropriate setting for ACEs screenings compared to schools?

<p>The medical system has existing infrastructure for protecting patient privacy and is legally and ethically bound to act on findings. (B)</p> Signup and view all the answers

Advocates are encouraged to engage policymakers on the issue of ACEs primarily to:

<p>Influence policy and funding decisions to prioritize the health and well-being of future generations affected by toxic stress. (B)</p> Signup and view all the answers

What key change is needed within the education system to address ACEs effectively?

<p>Establishing a direct link between ACEs awareness and trauma-informed practices to improve educational outcomes. (B)</p> Signup and view all the answers

Why is sustainability considered critical in the field of ACEs intervention and prevention?

<p>To maintain long-term support and resources for individuals and organizations working to address ACEs and toxic stress. (C)</p> Signup and view all the answers

What action can individuals take within their local faith groups to address ACEs?

<p>Initiate conversations and awareness campaigns about ACEs and their impact on community members. (A)</p> Signup and view all the answers

What is the significance of informing pediatricians about ACEs science according to the discussion?

<p>To facilitate conversations and consideration of ACEs in pediatric care, promoting early identification and support for affected children. (B)</p> Signup and view all the answers

According to this discussion, what was a key finding from the Center's chart review of their own patients?

<p>The study revealed a direct correlation between ACE scores and specific health outcomes, highlighting the impact of adversity on patient well-being. (B)</p> Signup and view all the answers

What is the role of advocacy in addressing adverse childhood experiences (ACEs)?

<p>To raise awareness, promote policy changes, and ensure resources are allocated to support those affected by ACEs. (B)</p> Signup and view all the answers

The initial criticism of the Adverse Childhood Experiences (ACEs) study primarily centered on which concern?

<p>The findings contradicted existing understandings of health risks and childhood experiences. (C)</p> Signup and view all the answers

After controlling for health-damaging behaviors, what proportion of the increased risk associated with adverse childhood experiences remains?

<p>Approximately 50% (B)</p> Signup and view all the answers

According to the content, what is the American Academy of Pediatrics' term for the biological response to repeated exposure to frightening experiences, particularly in childhood?

<p>Toxic stress (A)</p> Signup and view all the answers

During a fight-or-flight response, which area of the brain experiences reduced activity, potentially impairing judgment and impulse control?

<p>Prefrontal cortex (D)</p> Signup and view all the answers

How does the body's immune system respond during the activation of the stress response?

<p>It activates, priming inflammation to stabilize potential wounds. (B)</p> Signup and view all the answers

Which of the following best describes the key difference between a tolerable stress response and a toxic stress response in children?

<p>Tolerable stress allows the body to return to homeostasis with the buffering presence of safe relationships, while toxic stress leads to long-term biological changes. (C)</p> Signup and view all the answers

According to the presented information, which of the following is NOT identified as one of the six key elements in the remedy for toxic stress?

<p>Financial stability (C)</p> Signup and view all the answers

How does oxytocin counteract the toxic stress response?

<p>By blocking the hormones that activate the hypothalamic-pituitary-adrenal axis. (A)</p> Signup and view all the answers

What measurable impact did high-quality nurturing relationships have on institutionalized children's brain development by age eight, as demonstrated in the randomized control trial?

<p>Measurable changes in brain structure, as observed on MRI scans. (C)</p> Signup and view all the answers

According to the content, what is a critical first step in the healing process for adults who experienced emotional neglect as children?

<p>Speaking the truth about their experiences to break secrecy and shame. (A)</p> Signup and view all the answers

What evidence supports the idea that secrecy and shame negatively impact health outcomes?

<p>Lower survival rates among closeted individuals during the HIV/AIDS epidemic. (B)</p> Signup and view all the answers

The content suggests policies that separate children from their caregivers should be carefully examined because:

<p>They can exacerbate toxic stress by removing a safe, stable, and nurturing presence. (C)</p> Signup and view all the answers

According to the context, what is the economic impact of chronic diseases in the United States each year?

<p>Approximately $3 trillion (C)</p> Signup and view all the answers

Individuals with an ACE score of four or more have a dramatically increased risk for how many of the leading causes of death in the United States?

<p>7 out of 10 (B)</p> Signup and view all the answers

What is the significance of universal screening and early intervention for adverse childhood experiences?

<p>It offers a direct mechanism to significantly mitigate the impact of adverse experiences. (A)</p> Signup and view all the answers

According to the study mentioned, what percentage of patients had experienced Adverse Childhood Experiences (ACEs)?

<p>66% (D)</p> Signup and view all the answers

What was the primary concern raised regarding teachers and students with high ACE scores?

<p>Teachers are often unaware that they're addressing health problems related to toxic stress, not just behavioral issues. (A)</p> Signup and view all the answers

What policy strategy is suggested to ensure early intervention for children with ACEs?

<p>Requiring ACEs screening as part of the kindergarten entry form. (C)</p> Signup and view all the answers

What is the primary reason for the increased national awareness of ACEs?

<p>Raising awareness for the purposes of prevention. (B)</p> Signup and view all the answers

According to the speaker, what is the most important element to counteract the effects of toxic stress?

<p>Safe, stable, and nurturing relationships and environments. (C)</p> Signup and view all the answers

What is the name of the national public education campaign launched by the Center for Youth Wellness?

<p>Stress Health (A)</p> Signup and view all the answers

What action is encouraged to promote awareness once people leave the presentation?

<p>To share information and raise awareness about ACEs on social media platforms. (D)</p> Signup and view all the answers

What specific action does the speaker suggest individuals take to support the transformative work related to ACEs?

<p>Invest in the transformative work, regardless of the amount. (B)</p> Signup and view all the answers

Which statement reflects the impact of Oprah Winfrey's segment on ACEs?

<p>It changed the way she interacts with people and sees her staff. (B)</p> Signup and view all the answers

What is emphasized as a crucial aspect of engaging in work related to ACEs over the long term?

<p>Practicing self-care and taking care of oneself and others. (D)</p> Signup and view all the answers

What was the risk of overweight or obesity in kids with four or more ACEs?

<p>Twice as likely. (C)</p> Signup and view all the answers

What was the increased likelihood of learning or behavior problems in school for children with four or more ACEs, compared to their peers in Bayview-Hunters Point without that level of ACEs?

<p>32.6 times as likely. (A)</p> Signup and view all the answers

What is the significance of white matter changes in brain structure and function?

<p>They can be intervened on early, so teachers are no longer teaching against the neurotoxic effects of toxic stress. (B)</p> Signup and view all the answers

What website was launched to share resources for families parenting with ACEs?

<p><a href="http://www.stress-health.org">www.stress-health.org</a> (A)</p> Signup and view all the answers

Why is raising national awareness considered the number one most important thing in public health regarding ACEs?

<p>It promotes prevention and helps change the way society responds to the issue. (A)</p> Signup and view all the answers

Flashcards

Childhood Adversity

Adverse experiences in childhood that can have long-term negative effects on health and well-being.

Dr. Nadine Burke Harris

A pediatrician, founder and CEO of the Center for Youth Wellness, and author focused on the impact of childhood adversity.

Toxic Stress

The body’s response to prolonged or intense stress, especially due to childhood adversity, which can negatively impact health.

Center for Youth Wellness

An organization founded by Dr. Nadine Burke Harris that focuses on understanding and addressing the impact of childhood adversity and toxic stress.

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"The Deepest Well"

Promotes understanding and addressing the impacts of childhood adversity on long-term health.

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Humanism in Medicine Award

Award recognizing those demonstrating exceptional care for others.

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Too Small to Fail Initiative

National initiative focused on improving outcomes for young children.

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Adverse Childhood Experiences (ACEs)

Experiences in childhood (abuse, neglect, household dysfunction) that can have lasting effects on health and well-being.

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ACEs Study

Landmark study by the CDC and Kaiser Permanente. Examined impact of adverse childhood experiences on long-term health.

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ACEs: Abuse & Neglect

Physical, emotional, or sexual abuse; physical or emotional neglect.

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ACEs: Household Dysfunction

Parental mental illness, substance dependence, incarceration, separation/divorce, or domestic violence.

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ACEs Prevalence

Approximately 2/3 of participants in the ACEs study had experienced at least one ACE.

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ACEs: Four or More Prevalence

1 in 8 participants in original ACEs study.

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ACEs Impact

Increased risk of behavioral problems, depression, addiction, heart disease, and other health issues.

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Heart Disease

The #1 killer in the USA. The risk increases for those with four or more ACEs experience.

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Trauma-Informed Practice

Using knowledge about trauma to create supportive and understanding environments.

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Trauma-Responsive Curricula

Adapting practices and policies to meet the needs of individuals who have experienced trauma.

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ACE Overcomers

A group addressing ACEs within faith-based organizations.

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Advocacy for ACEs

Influence policymakers to take action on ACEs and toxic stress.

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Underperforming Schools

Schools with lower academic performance than expected.

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ADHD Misdiagnosis

A disorder some teachers might mistake for effects of ACEs.

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Chart Review

A review of existing patient records for research or analysis.

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ACEs & Educational Outcomes

How ACEs affect students' ability to learn and succeed in school.

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Pediatrician

A doctor specializing in the care of children

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ACEs

Adverse Childhood Experiences; stressful or traumatic events experienced before the age of 18.

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Childhood Adversity & Health

The idea that traumatic childhood experiences can contribute to physical health problems later in life.

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The Parable of the Well

A public health lesson about tracing problems to their fundamental source.

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John Snow

In the 1800s, he identified a contaminated water pump as the source of a cholera outbreak in London.

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Germ Theory of Disease

The concept that diseases are caused by microorganisms.

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Bone Age

To evaluate skeletal maturity by taking an X-ray of the left wrist

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Growth Arrest

When a child's growth is stunted due to severe trauma.

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Applying Science

Using science to devise strategies that are impactful.

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Epidemiology

The study of the distribution and determinants of health-related states or events in specified populations.

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Acid-Base Indicator

A substance that indicates the acidity or basicity of a solution through color change.

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Health Disparities

Differences in health outcomes and their causes among groups of people.

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Eczema

Inflammation of the skin, causing itching and a rash.

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Asthma

A chronic lung disease that inflames and narrows the airways.

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Educational Problems

Problems within the educational system due to childhood adversity.

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Adverse Childhood Experiences (ACE) Study

A study showing the link between adverse childhood experiences and long-term health outcomes.

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Positive Stress Response

Stress response where brief increases in stress hormones enhance performance.

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Tolerable Stress Response

Stress response where severe stressors are buffered by stable relationships, allowing the body to return to balance.

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Toxic Stress Response

Severe or prolonged stressors without buffering relationships cause long-term biological changes and health problems.

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Antidotes to Toxic Stress

Counteracting toxic stress through healthy relationships, sleep, exercise, nutrition, and mental health support.

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Oxytocin

A hormone released during bonding, promoting feelings of connection and counteracting the fight-or-flight response.

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Prefrontal Cortex

The part of the brain responsible for executive functions like judgment and impulse control.

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Fight-or-Flight Response

Biological stress process involving hormone release (adrenaline, cortisol) to prepare the body for fight or flight.

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Universal ACEs Screening

Screening children for adverse childhood experiences during routine medical exams.

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Early Intervention

Early intervention based on detection of ACEs can dramatically mitigate the negative outcomes for children.

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Oxytocin buffers stress

Biological buffering of fight-or-flight response through healthy relationships.

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National Pediatric Practice Community on ACEs (NPPCA)

Digital platform providing resources and support for pediatricians implementing ACEs screening.

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Speaking Truth

Sharing personal experiences related to childhood adversity to promote healing.

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Community Adversities

Experiences such as immigration trauma and discrimination

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Fight or Flight - Systemic

The concept of policies impacting communities can change fight or flight response

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ACEs (Adverse Childhood Experiences)

Adverse Childhood Experiences; traumatic events occurring before age 18.

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ACEs and Obesity Risk

Kids with 4+ ACEs are more at risk of being overweight/obese .

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ACEs and School Problems

Kids with 4+ ACEs are more likely to have learning and behavior challenges.

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Reframing Behavior in Schools

When teachers address behavior linked to ACEs as a health issue.

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ACEs Screening Policy

A doctor's screening for ACEs as a requirement for kindergarten entry.

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Early ACEs Intervention

Early detection and intervention for children affected by ACEs

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Stress Health Campaign

An initiative by the Center for Youth Wellness to educate about stress and health.

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Raising Awareness for Prevention

Raising awareness helps in the public health playbook

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Counteracting Toxic Stress

Safe, stable, and nurturing relationships and environments.

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Importance of Self-Care

Taking care of one's own well-being to better support others.

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Neurotoxic effects and ACEs

White matter changes in brain structure that affect learning.

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Address ACEs with a pulse check

Individual's stress levels should be monitored

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ACEs national awareness

National level of increased focus and public care.

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Oprah and ACEs

Oprah has stated it's the most impactful story she has ever done

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Doctor screening for ACEs

Every doctor should screen for ACEs during standard checkups

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Study Notes

  • Dr. Nadine Burke Harris is a pediatrician, founder and CEO of the Center for Youth Wellness, and the author of "The Deepest Well: The Healing and Long-Term Effects of Childhood Adversity".
  • Dr. Burke Harris is a pioneer in transforming the response to early childhood adversity and toxic stress, which significantly impacts health and longevity.
  • Her TED Talk, "How childhood trauma affects health across a lifetime," has over 3.5 million views.
  • The Center for Youth Wellness and Safe and Sound share the common goal of ensuring children's health and safety.
  • Early conversations with Kamala Harris highlighted the commonalities between poor education, health outcomes, incarceration, and child abuse as root causes.

Adverse Childhood Experiences (ACEs)

  • ACEs originate from a landmark research study by the CDC and Kaiser Permanente, involving 17,500 adults.
  • The study examined histories of ten categories of childhood adversities, including abuse, neglect, and household challenges.
  • Two-thirds of the studied population had at least one ACE, and one in eight reported four or more.
  • Participants were primarily Caucasian (70%), college-educated (70%), and had private insurance through Kaiser in San Diego.
  • The study revealed a direct correlation between the number of ACEs and the risk for leading health problems in the U.S.
  • Individuals with four or more ACEs had significantly increased risks for heart disease, cancer, stroke, and chronic lung disease.
  • The medical establishment began to recognize childhood adversity as a risk factor for both social ills and leading causes of death.

The Deepest Well

  • The book title "The Deepest Well" refers to a public health parable about the 1800s London cholera outbreak in the Soho neighborhood.
  • Initially, infection was thought to spread by "foul airs" due to sewage contaminating the water.
  • Dr. John Snow, employing early epidemiology, found that cholera cases were linked to a water pump on Broad Street.
  • Using germ theory, Snow convinced officials to remove the pump handle, which led to a decline in cholera cases.
  • The "deepest well" symbolizes the importance of identifying and addressing root causes to solve persistent societal problems.
  • Childhood adversity is identified as a root cause of social issues like incarceration and educational underperformance.
  • Understanding and addressing childhood adversity can lead to more effective strategies in various sectors.

Diego's Story

  • Diego, a seven-year-old patient, was initially thought to have ADHD based on school referrals.
  • Examination revealed Diego was shorter than usual, with a history of sexual abuse at age four.
  • Standard medical approaches typically address behavior problems, asthma, eczema, and growth issues separately.
  • A bone age test showed Diego's skeletal maturity was equivalent to a four-year-old.
  • An endocrinologist suggested Diego experienced a growth arrest due to the trauma.
  • These events drove the understanding of how early life experiences profoundly affect health.

Barriers to ACEs Knowledge Dissemination

  • Initial reactions to the ACEs study questioned its validity.
  • Some argued that increased health risks were solely due to unhealthy behaviors.
  • Subsequent research, controlling for health-damaging behaviors, showed they only accounted for about half the increased risk.
  • Biological mechanisms, now understood as toxic stress, play a significant role.

Toxic Stress

  • The American Academy of Pediatrics defines toxic stress as the impact of scary events on children, activating the body's fight-or-flight response.
  • During this response, hormones like adrenaline and cortisol are released, increasing blood pressure and blood sugar and directing blood flow to muscles.
  • The prefrontal cortex, responsible for judgment and impulse control, is suppressed.
  • The immune response is activated to prepare for potential injuries.
  • Chronic activation of this stress response due to ongoing adversity can lead to maladaptive and health-damaging effects.
  • This can begin in childhood and persist throughout life, increasing risks of various diseases.

Types of Stress Responses

  • Positive Stress Response: Brief increases in stress hormones.
  • Tolerable Stress Response: More severe stressors with potential developmental regression, buffered by safe, stable, and nurturing relationships.
  • Toxic Stress Response: Prolonged stressors without adequate buffering, leading to long-term changes in biological systems and health problems

Remedies for Toxic Stress

  • Six key components from literature: Sleep, exercise, nutrition, mindfulness, mental health, and healthy relationships.
  • Healthy relationships counteract the toxic stress response biologically.
  • Oxytocin, released during bonding, buffers the fight-or-flight response.
  • Studies on institutionalized children showed that high-quality nurturing relationships led to measurable positive changes in brain structure by age eight based on MRIs.

Overcoming Emotional Neglect

  • Acknowledge that adversity often occurs in secrecy and shame.
  • Speaking the truth is a crucial part of the healing process.
  • Research suggests that open gay men had higher survival rates during the HIV/AIDS epidemic than those who remained closeted, highlighting the impact of secrecy and shame on health.

Community Adversities

  • Community adversities like bullying, school violence, immigration stress, and discrimination significantly impact children.
  • Experiences with threat activate a biological stress response.
  • Policies should be designed to mitigate toxic stress and support families.

Economic Impact

  • The U.S. spends nearly $3 trillion annually on healthcare, mostly for chronic diseases.
  • An ACE score of four or more dramatically increases the risk of seven out of ten leading causes of death in the U.S.
  • Addressing ACEs and toxic stress is vital for economic viability.

Universal Screening

  • Early intervention is key to mitigating the impact of ACEs and breaking intergenerational cycles.
  • Every pediatrician in America should screen for ACEs as part of routine physical exams.
  • Early detection allows for timely intervention.

National Pediatric Practice Community on ACEs Screening

  • The Center for Youth Wellness created the NPPCA to support pediatricians.
  • Pediatricians can access research, screening tools, advice, and billing codes.
  • Launched in 2017, the goal is to triple the number of pediatricians screening for ACEs in America over the next five years.
  • Currently, only four percent of pediatricians in America screen for ACEs.

Advocacy and Systemic Change

  • Change requires advocacy alongside scientific data.
  • Engagement via parenting, faith groups, schools, and policy discussions are needed to propel necessary system changes country wide.
  • The medical system has appropriate protections over patient privacy, both ethically and legally, and infrastructural system available.
  • Policymakers need to prioritize policies that address ACEs and toxic stress to ensure healthier future generations.
  • Investments in organizations advancing ACEs treatment and care is critical for sustainability.

Education System

  • The Center for Youth Wellness found that children with four or more ACEs were significantly more likely to have learning and behavior problems in school.
  • Teachers often deal with health problems without proper knowledge or resources.
  • A health form completed by a doctor regarding ACEs screening should be required for kindergarten entry which could trigger children to be recognized early-on and receive effective multidisciplinary interventions.
  • This strategy ensures students in the classroom the opportunity to come ready to learn when teachers no longer have to teach against the neurotoxic effects of toxic stress.

Increased National Awareness

  • Increased national awareness is crucial for preventing diseases.
  • Knowledge is power, enabling individuals to take better care of themselves and their environments, leading to societal changes.
  • After Oprah's 60 Minutes segment, change was seen in the way she sees her interactions with staff due to wet when we know better, we do better concept.
  • Launching national public education campaigns promotes health to inform parents of toxic stress symptoms in children providing the available actions to take.
  • Shout from the Rooftops as shouting awareness from the rooftops can change the way society responds to this issue.

Community Action

  • Spread the word and raise awareness about this important topics.
  • Invest in ACEs-related organizations.
  • Practice self-care to manage your own stress.
  • Make sure individuals stress response is in check in order to counteract the effects of toxic stress via being armed with self-care to ensure to be open to perform the work over the long haul.
  • "Get the book."

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Description

This quiz assesses understanding of Dr. Nadine Burke Harris's work on Adverse Childhood Experiences (ACEs), their impact on health, and the goals of the Center for Youth Wellness. It covers the ACEs study, its findings, and the categories of adverse experiences examined, as well as demographic characteristics of the study population.

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