ACEs Stress and Trauma Understanding the root causes Consider this Remember everyone in the classroom has a story that leads to misbehavior or defiance Nine times out of ten the story behind the misbehavior wont make you angry It will break your ID: 781235
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Training Module 1 of 10:ACEs, Stress, and Trauma
Understanding the root causes
Slide2Consider this…
“Remember, everyone in the classroom has a story that leads to misbehavior or defiance. Nine times out of ten, the story behind the misbehavior won’t make you angry. It will break your
heart.”-Annette Breaux
Slide3What are ACES?
They are defined as some of the most intensive and frequently occurring sources of stress that children might suffer in life
Abuse (physical, sexual, emotional)Neglect
(physical and emotional)Household DysfunctionDomestic violence, addiction, mental illness, divorce or separation, incarceration
Slide4The ACE Study
Groundbreaking public health studyKaiser-Permanente’s Department of Preventive Medicine & CDC
17,000 patients10 question survey asking about adverse childhood experiences
Slide5The Results….
Only a third of the patients had an ACE score of zero.
Increased likelihood of multiple ACES wheat at least one was present.One in six had a score of 4 or more.
One in nine had a score of 5 or more.A score of 6 or more shortened their lifespan by 20 years.
There is a profound proportionate relationship between ACE scores and health
outcomes.
Slide6With at least one or more ACES…
More likely to smokeMore likely to suffer from alcoholism
More likely to suffer from DepressionHigher risk for sexual
behavior as teensLess likely to gain and maintain employment
Slide7ACES
Research concluded that those who experienced 3 or more ACES in their early lives were much more likely to have:
Social, emotional and cognitive impairmentAdoption of at-risk health behaviorsDisease, disability and social problemsEarly death
Slide8Dr. Nadine Burke Harris
Slide9Evidence from the ACE study suggests:
“Adverse childhood experiences are the most BASIC cause of health risk behaviors, morbidity, disability, mortality and high healthcare costs
.”--Vince Felitti
Slide10Slide11What is Stress?
Stress = Demands > Resources
Slide12Three Levels of Stress Response
POSITIVE – brief increases in heart rate, mild elevations in stress hormones
TOLERABLE – serious temporary stress responses, buffered by supportive relationships
TOXIC – prolonged activation of stress response systems in the absence of healthy protective relationships.
Slide13Toxic Stress
“The excessive or prolonged activation of the physiologic stress response systems in the absence of the buffering protection afforded by stable, responsive
relationships.”--American Academy of Pediatrics
Slide14Toxic Stress = ACES
Slide15What Makes an Experience
Traumatic?
Overwhelming, very painful, very scaryFight or Flight incapacitated
Threat to physical or psychological safetyLoss of controlInability to regulate emotionsThe ability to cope is completely overridden
Trauma is the response to the event, not the event itself
Slide16Areas of the Brain Impacted by ACES
Prefrontal Cortex – center of executive functioning, regulates thoughts actions, emotions
Hippocampus – center of short term memory, connects emotion to fear
Amygdala – triggers emotional responses.
Slide17Persistent State of Alarm…
Repeated and overwhelming stress “sensitizes” the amygdala and it becomes hyper-alert to danger.
Troubled children reset their normal level of arousal. Even when no external threats exist, they are in a persistent state of alarm
...(Bruce Perry)
Slide18Questions, Resources, Thoughts, Concerns, Putting it into Practice
Training Module
1 of 10: ACEs, Stress, and Trauma