- Watch Nadine Burke Harris’s TED talk that introduces key concepts about Adverse Childhood Experiences and how they impact health.
- Goal: Define the scope and frequency of adverse childhood experiences (ACE) and toxic stress, the connection to illness across the lifespan, and opportunities for clinician intervention
- Context and Instructions: Dr. Nadine Burke Harris explains how incorporating an understanding of the frequency and effects of adverse childhood experiences (ACES) can impact medical practice.
2. Then READ EITHER:
- Violence in the United States Status, Challenges and Opportunities, Sumner et al, JAMA 2015 Aug 4;314(5):478-88
- Goal: Apply the concepts of toxic stress and adverse childhood events to the cycle of interpersonal violence, and identify opportunities for clinician intervention.
- Context and Instructions: In this JAMA article, Sumner et al explore the epidemiology of interpersonal violence, the effect of childhood exposure to violence on lifetime risk of violence and adverse health, and opportunities for community and clinician intervention.
- The Lifelong Effects of Early Childhood Adversity and Toxic Stress, Shonkoff et al, Pediatrics Jan 2012, 129 (1) , focusing on pages e235-238, and figure 2 on page e23
- Goal: Describe the proposed pathophysiologic mechanisms of toxic stress’ effect on health across the lifespan and the mediating effect of known resilience factors.
- Context and Instructions: In this Pediatrics article, Shonkoff et al, delve into the science of toxic stress on the developing brain and the moderating effect of resilience factors. Based on this science, they propose an “ecobiodevelopmental framework” from which the clinicians of the future should approach primary care.
- NYT article on WA state resilient community success story
- Goal: compare and contrast effective community interventions to promote resilience in our region
- Original ACEs study: Felitti VJ, Anda RF, Nordenberg D, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. American Journal of Preventive Medicine. 1998;14(4):245–258. doi:10.1016/s0749-3797(98)00017-8.
- Goal: For students who want to read the Kaiser study that introduced the idea of ACES and the impact on health. A caveat that some language in this original paper (“family dysfunction”) would not be used in the trauma informed care environment that this work ultimately produced.
- Harvard Center on the Developing Child- neurobiology of toxic stress and resilience
- CDC ACEs Website: data, references
- ACES too high
- Robert Wood Johnson Self-Healing Communities– summary of the WA projects
- Nadine Burke-Harris Center for Youth Wellness
- Essentials for Parenting– tips for coaching parents
- Alaska Resilience Initiative
- Elevate Montana
- Prevent Child Abuse Montana
- Idaho Children’s Trust Fund