Human Development Factors and Homelessness Adverse Childhood Experiences презентация

Содержание

1. Human Development Factors and Homelessness Adverse Childhood Experiences
2. Learning Objectives Be able to identify the
3. I have heard about the ACE study Yes No
4. What is the ACE Study? The ACE
5. What is the Ace Study? Over 17,000
6. References Materials and references for this presentation
7. Ten Questions The initial questionnaire has been
8. While you were growing up, during your first 18 years of life:
9. Did a parent or other adult in
10. If Yes, score 1 point Yes No
11. Did a parent or other adult in
12. If Yes score 1 point Yes No
13. Did an adult or person at least
14. If Yes, score 1 point Yes No
15. Did you often or very often feel
16. If Yes, score 1 point Yes No
17. Did you often or very often feel
18. If Yes, score 1 point Yes No
19. Were your parents ever separated or divorced?
20. If Yes, score 1 point Yes No
21. Was your mother or stepmother: Often or
22. If Yes, score 1 point Yes No
23. Did you live with anyone who was
24. If Yes, score 1 point Yes No
25. Was a household member depressed or mentally ill, or did a household member attempt suicide?
26. If Yes, score 1 point Yes No
27. Did a household member go to prison?
28. If Yes, score 1 point Yes No
29. Now add up your “yes” answers: This is your ACE Score.
30. What was your ACE number? 0-1 2 3 4 5 6+
31. Ace Score is used to assess
32. Question to ask yourself? What is the
33. Issues related to increased ACE Scores Alcoholism
34. How many of these issues do your
35. The Adverse Childhood Experiences (ACE) Study Pyramid
36. Brain Stem Development Brain Stem Diencephalon Cerebellum Limbic System Cortex
37. What Happens? An “emotional response system” gets
38. What do we want to do? If
39. Trauma Informed Care Trauma-informed care is an
40. Trauma Informed Care NCTIC facilitates the adoption
41. Trauma Informed Care In all of these
42. Trauma Informed Care Traumatic experiences can be
43. Trauma Informed Care Trauma can result from
44. Trauma Informed Care Trauma impacts one's spirituality
45. How many of these do your clients
46. Human Development Factors and Homelessness Adverse

Learning Objectives Be able to identify the impact that ACE events have on the potential development of the brain in the homeless population. Be able to identify the potential health impacts

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Human Development Factors and Homelessness Adverse Childhood Experiences

Слайд 1Human Development Factors and Homelessness Adverse Childhood Experiences
Rich Rosing
Human Service Technology

Program
Houston Community College
713-718-5540,
richard.rosing@hccs.edu

Слайд 2Learning Objectives
Be able to identify the impact that ACE events have

on the potential development of the brain in the homeless population.
Be able to identify the potential health impacts of ACE events the homelessness population.
Be able to utilize the 10 questions to determine a homeless person’s ACE Score
Be able to respond to in a trauma informed manner to the homeless population.

Слайд 3I have heard about the ACE study
Yes
No

Слайд 4What is the ACE Study?
The ACE Study is ongoing collaborative research

between the Centers for Disease Control and Prevention in Atlanta, GA, and Kaiser Permanente in San Diego, CA.

Слайд 5What is the Ace Study?
Over 17,000 Kaiser patients participating in routine

health screening volunteered to participate in The Study. Data resulting from their participation continues to be analyzed; it reveals staggering proof of the health, social, and economic risks that result from childhood trauma.

Слайд 6References
Materials and references for this presentation can be found at
http://acestudy.org/home,

Health Presentations, ACE Study
http://www.cdc.gov/violenceprevention/acestudy/ Center for Disease Control, Injury Prevention & Control: Division of Violence Prevention.
http://www.samhsa.gov/nctic National Center for Trauma-Informed Care
http://store.samhsa.gov/product/TIP-57-Trauma-Informed-Care-in-Behavioral-Health-Services/SMA14-4816 Trauma-Informed Care in Behavioral Health Services, TIP 57

Слайд 7Ten Questions
The initial questionnaire has been simplified down to 10 questions.

It is a simple scoring method.
You will add up all the yes’ to get your “ACE Score”

Слайд 8While you were growing up, during your first 18 years of

life:

Слайд 9Did a parent or other adult in the household often or

very often swear at you, insult you, put you down or humiliate you.

Or

Act in a way that made you afraid that you might be physically hurt.

Слайд 10If Yes, score 1 point
Yes
No

Слайд 11Did a parent or other adult in the household often or

very often… Push, grab, slap, or throw something at you?
or
Ever hit you so hard that you had marks or were injured?

Слайд 12If Yes score 1 point
Yes
No

Слайд 13Did an adult or person at least 5 years older than

you ever…
Touch or fondle you or have you touch their body in a sexual way?
or
Attempt or actually have oral, anal, or vaginal intercourse with you?

Слайд 14If Yes, score 1 point
Yes
No

Слайд 15Did you often or very often feel that …
No one in

your family loved you or thought you were important or special?
or
Your family didn’t look out for each other, feel close to each other, or support each other?

Слайд 16If Yes, score 1 point
Yes
No

Слайд 17Did you often or very often feel that …
You didn’t have

enough to eat, had to wear dirty clothes, and had no one to protect you?
or
Your parents were too drunk or high to take care of you or take you to the doctor if you needed it?

Слайд 18If Yes, score 1 point
Yes
No

Слайд 19Were your parents ever separated or divorced?

Слайд 20If Yes, score 1 point
Yes
No

Слайд 21Was your mother or stepmother:
Often or very often pushed, grabbed, slapped,

or had something thrown at her?
or
Sometimes, often, or very often kicked, bitten, hit with a fist, or hit with something hard?
or
Ever repeatedly hit at least a few minutes or threatened with a gun or knife?

Слайд 22If Yes, score 1 point
Yes
No

Слайд 23Did you live with anyone who was a problem drinker or

alcoholic or who used street drugs?

Слайд 24If Yes, score 1 point
Yes
No

Слайд 25Was a household member depressed or mentally ill, or did a

household member attempt suicide?

Слайд 26If Yes, score 1 point
Yes
No

Слайд 27Did a household member go to prison?

Слайд 28If Yes, score 1 point
Yes
No

Слайд 29Now add up your “yes” answers:

This is your ACE Score.

Слайд 30What was your ACE number?
0-1
2
3
4
5
6+

Слайд 31Ace Score is used to
assess the total amount of stress

during childhood and

has demonstrated that as the number of ACE increase,

the risk for the following health problems increases in a strong and graded fashion:

Слайд 32Question to ask yourself?
What is the likelihood that individuals from the

homeless community have had ACE events in their lives.
What impact could that have on their lives?

Слайд 33Issues related to increased ACE Scores
Alcoholism and alcohol abuse
Chronic obstructive pulmonary

disease (COPD)
Depression
Fetal death
Health-related quality of life
Illicit drug use
Ischemic heart disease (IHD)
Liver disease

Risk for intimate partner violence
Multiple sexual partners
Sexually transmitted diseases (STDs)
Smoking
Suicide attempts
Unintended pregnancies
Early initiation of smoking
Early initiation of sexual activity
Adolescent pregnancy

Слайд 34How many of these issues do your clients have?
Alcoholism and alcohol

abuse
Chronic obstructive pulmonary disease (COPD)
Depression
Fetal death
Health-related quality of life
Illicit drug use
Ischemic heart disease (IHD)
Liver disease

Слайд 35The Adverse Childhood Experiences (ACE) Study Pyramid
Child Indicators

Conception
Death
Mechanisms by which Adverse

Childhood Experiences Influence Health and Well-being throughout the Lifespan

Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “About the Adverse Childhood Experiences Study.”

Слайд 36Brain Stem Development

Brain Stem
Diencephalon Cerebellum
Limbic System
Cortex

Слайд 37What Happens?
An “emotional response system” gets hardwired into the brain.

Practicum Student

Слайд 38What do we want to do?
If a client seems to respond

different than what you would expect.
De-escalate the emotional response.

Слайд 39Trauma Informed Care
Trauma-informed care is an approach to engaging people with

histories of trauma that recognizes the presence of trauma symptoms and acknowledges the role that trauma has played in their lives.

Слайд 40Trauma Informed Care
NCTIC facilitates the adoption of trauma-informed environments in the

delivery of a broad range of services including mental health, substance use, housing, vocational or employment support, domestic violence and victim assistance, and peer support.

Слайд 41Trauma Informed Care
In all of these environments,
NCTIC seeks to change

the paradigm from one that asks,

"What's wrong with you?“

to one that asks,

"What has happened to you?"

Слайд 42Trauma Informed Care
Traumatic experiences can be dehumanizing, shocking or terrifying, singular

or multiple compounding events over time, and often include betrayal of a trusted person or institution and a loss of safety.

Слайд 43Trauma Informed Care
Trauma can result from experiences of violence. Trauma includes

physical, sexual and institutional abuse, neglect, intergenerational trauma, and disasters that

induce powerlessness, fear, recurrent hopelessness, and a constant state of alert.

Слайд 44Trauma Informed Care
Trauma impacts one's spirituality and relationships with self, others,

communities and environment, often resulting in recurring feelings of shame, guilt, rage, isolation, and disconnection. Healing is possible.

http://www.samhsa.gov/nctic/
TIP 57

Слайд 45How many of these do your clients have?
Alcoholism and alcohol abuse
Chronic

obstructive pulmonary disease (COPD)
Depression
Fetal death
Health-related quality of life
Illicit drug use
Ischemic heart disease (IHD)
Liver disease

Слайд 46Human Development Factors and Homelessness Adverse Childhood Experiences
Rich Rosing
Human Service Technology

Program
Houston Community College
713-718-5540,
richard.rosing@hccs.edu

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Human Development Factors and Homelessness Adverse Childhood Experiences презентация

Содержание

Слайд 1Human Development Factors and Homelessness Adverse Childhood ExperiencesRich RosingHuman Service Technology

Слайд 2Learning ObjectivesBe able to identify the impact that ACE events have

Слайд 3I have heard about the ACE studyYesNo

Слайд 4What is the ACE Study?The ACE Study is ongoing collaborative research

Слайд 5What is the Ace Study?Over 17,000 Kaiser patients participating in routine

Слайд 6ReferencesMaterials and references for this presentation can be found at http://acestudy.org/home,

Слайд 7Ten QuestionsThe initial questionnaire has been simplified down to 10 questions.

Слайд 8While you were growing up, during your first 18 years of

Слайд 9Did a parent or other adult in the household often or

Слайд 10If Yes, score 1 pointYesNo

Слайд 11Did a parent or other adult in the household often or

Слайд 12If Yes score 1 pointYesNo

Слайд 13Did an adult or person at least 5 years older than

Слайд 14If Yes, score 1 pointYesNo

Слайд 15Did you often or very often feel that …No one in

Слайд 16If Yes, score 1 pointYesNo

Слайд 17Did you often or very often feel that …You didn’t have

Слайд 18If Yes, score 1 pointYesNo

Слайд 19Were your parents ever separated or divorced?

Слайд 20If Yes, score 1 pointYesNo

Слайд 21Was your mother or stepmother:Often or very often pushed, grabbed, slapped,

Слайд 22If Yes, score 1 pointYesNo

Слайд 23Did you live with anyone who was a problem drinker or

Слайд 24If Yes, score 1 pointYesNo

Слайд 25Was a household member depressed or mentally ill, or did a

Слайд 26If Yes, score 1 pointYesNo

Слайд 27Did a household member go to prison?

Слайд 28If Yes, score 1 pointYesNo

Слайд 29Now add up your “yes” answers:This is your ACE Score.

Слайд 30What was your ACE number?0-123456+

Слайд 31Ace Score is used to assess the total amount of stress

Слайд 32Question to ask yourself?What is the likelihood that individuals from the

Слайд 33Issues related to increased ACE ScoresAlcoholism and alcohol abuseChronic obstructive pulmonary

Слайд 34How many of these issues do your clients have?Alcoholism and alcohol

Слайд 35The Adverse Childhood Experiences (ACE) Study PyramidChild IndicatorsConceptionDeathMechanisms by which Adverse

Слайд 36Brain Stem DevelopmentBrain StemDiencephalon CerebellumLimbic SystemCortex

Слайд 37What Happens?An “emotional response system” gets hardwired into the brain.Practicum Student

Слайд 38What do we want to do?If a client seems to respond

Слайд 39Trauma Informed CareTrauma-informed care is an approach to engaging people with

Слайд 40Trauma Informed CareNCTIC facilitates the adoption of trauma-informed environments in the

Слайд 41Trauma Informed CareIn all of these environments, NCTIC seeks to change

Слайд 42Trauma Informed CareTraumatic experiences can be dehumanizing, shocking or terrifying, singular

Слайд 43Trauma Informed CareTrauma can result from experiences of violence. Trauma includes

Слайд 44Trauma Informed CareTrauma impacts one's spirituality and relationships with self, others,

Слайд 45How many of these do your clients have?Alcoholism and alcohol abuseChronic

Слайд 46Human Development Factors and Homelessness Adverse Childhood ExperiencesRich RosingHuman Service Technology

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