'

Human Development Factors and Homelessness Adverse Childhood Experiences

Понравилась презентация – покажи это...





Слайд 0

Human Development Factors and Homelessness Adverse Childhood Experiences Rich Rosing Human Service Technology Program Houston Community College 713-718-5540, richard.rosing@hccs.edu


Слайд 1

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 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 2

I have heard about the ACE study Yes No


Слайд 3

What 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 4

What 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 5

References 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 6

Ten 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 7

While you were growing up, during your first 18 years of life:


Слайд 8

Did 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 9

If Yes, score 1 point Yes No


Слайд 10

Did 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 11

If Yes score 1 point Yes No


Слайд 12

Did 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 13

If Yes, score 1 point Yes No


Слайд 14

Did 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 15

If Yes, score 1 point Yes No


Слайд 16

Did 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 17

If Yes, score 1 point Yes No


Слайд 18

Were your parents ever separated or divorced?


Слайд 19

If Yes, score 1 point Yes No


Слайд 20

Was 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 21

If Yes, score 1 point Yes No


Слайд 22

Did you live with anyone who was a problem drinker or alcoholic or who used street drugs?


Слайд 23

If Yes, score 1 point Yes No


Слайд 24

Was a household member depressed or mentally ill, or did a household member attempt suicide?


Слайд 25

If Yes, score 1 point Yes No


Слайд 26

Did a household member go to prison?


Слайд 27

If Yes, score 1 point Yes No


Слайд 28

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


Слайд 29

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


Слайд 30

Ace 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 31

Question 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 32

Issues 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 33

How 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 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 34

The 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 35

Brain Stem Development Brain Stem Diencephalon Cerebellum Limbic System Cortex


Слайд 36

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


Слайд 37

What do we want to do? If a client seems to respond different than what you would expect. De-escalate the emotional response.


Слайд 38

Trauma 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 39

Trauma 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 40

Trauma 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 41

Trauma 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 42

Trauma 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 43

Trauma 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 44

How 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 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 45

Human Development Factors and Homelessness Adverse Childhood Experiences Rich Rosing Human Service Technology Program Houston Community College 713-718-5540, richard.rosing@hccs.edu


×

HTML:





Ссылка: