• Dr Vincent Felitti
    • regain weight they'd lost
    • 55% of obesity patients have been sexually abused
  • ACE Adverse Childhood Experiences
    • 17k adults
    • 28% physically abused
    • 27% substance abuse home
    • 13% domestic violence
    • 20% sexually abused
    • ACE score higher: smoking, teen pregnancy, ischemic heart disease, 
      • 4/10: triple depression
      • 6/10: 20 years lower life expectancy
      • 4/10: 32 times more problems in school
10 types of ACEs:
  1. Physical abuse
  2. Sexual abuse
  3. Verbal abuse
  4. Physical neglect
  5. Emotional neglect
  6. A family member who is depressed or diagnosed with other mental illness
  7. A family member who is addicted to alcohol or another substance
  8. A family member who is in prison
  9. Witnessing a mother being abused
  10. Losing a parent to separation, divorce or death
    • 3 trillion USD on healthcare, 5% preventive
  • Dr Victor Carion - Child Psychologist
    • exaggerated fear response
  • Jack Shonkoff, Cambridge, Masachussett
    • toxic stress: chronic activation of stress responses with no 
    • A stable, caring adult in a child's life is key to building resilience
    • Help parents: planning, impulse control, problem solving
  • Cliffors Beers Clinic: mental health services for children also involve the entire family
    • Alice Forrester (Director): 
    • Laura Laurence (Family Advocate): 
  • Strong Elementary Kindergarten teacher
    • Check yourself if you have control. Show me control. 
    • Susan DeNicola (Principle)
    • Post Traumatic Stress Center: Dr. Johnson research shows that symptoms don't show until 4th grade --> drama therapists
  • The Legend of Ms Kendra: Ms Kendra curriculum: office referrals dropped 75%, fights dropped 90%
    • Ms Kendra: what is normal, name the scary things
  • Center for Youth Wellness: Intervention
  1. Universal Screening
  2. Reduce dose of adversity: Home visits
  3. Strengthen parenting skill: strong parental buffering 
  4. Therapy
  5. Mindfulness
  6. Nutrition, Exercise, Sleep
  7. ACEs Education
  • It's not "What's wrong with you?, but "What happened to you?"
  • Laura Porter: ACE-informed
    • youth support program
    • nurse home visits
    • train all teachers & students about ACEs
    • Self-care & Embracing change





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