Shifting the Future

of Health, Safety & Prosperity

Preventing Adverse Childhood Experiences

We’re All AboutThe Magnitude of the Solution

Promote Virtuous Cycle of Health

Moderate ACE Effects, Improve Wellbeing

Among Parenting Adults

2

Prevent High ACE Scores

among Children

Mutually Reinforcing

8 7

Parenting May Be More Difficult for Some

Relationships

Physical Mental Health

Cognition

Behavior

Crisis

Very High ACE Scores Among Parenting-Age Adults in Washington

AGE 18-34 with ≥5 ACEs AGE 35-54 with ≥5 ACEs

Adult Adversity Compounds Effects

0

10

20

30

40

50

60

0 1 2 3

% w

ith 1

5-30

D

isab

ility

-Int

erru

pted

Day

s a

Mon

th

Number of Major Stress Categories In AdulthoodAdded to ACE Score of ≥3

Adults with 3 ACEs

Plus

Major Stress Categories:

1. Homelessness

2. Incarceration

3. Chronic illness

4. Separation/Divorce

5. Severe Depression

6. Work-related Injury/ Illness

1. Employ a Dual Generation Approach

2. Engage the Citizenry to Shift Cultural Norms

3. Shift Practice in ACE-Driven Cost Centers

4. Systematically Learn: What Works for Whom, In What Conditions

Policy Implications

ACE Score Reduction Reliably Predicts Savings:Health, Justice, Social, Education, Workforce, Happiness, Lifespan

ACEs Driven Cost Centers

WorkforceHealthCorrectionsHousing & ShelterBehavioral HealthDisability ServicesLabor & IndustriesChild Welfare

First Responders

Interrupting Intergenerational Transmission

• ACEs in Home Visiting• Community: People We Can

Count On • TANF Parent Ed “Counts”• Youth Development as “Pre-

Parent Skill-Building”• Train the Trainer • Action Oriented Workshops

Expand Leadership

Come Together – Talk about

What Matters

Learn Together

Decisions for Results &

Shared Identity

Emergence: Create both Path & Destination

Appreciative Action: Finds Strengths and Acts Upon Them

Social/Emotional Support-Resilience Factor

7.50%

10.40%

15.70%

7.00%

9.10%

8.20%

5.70%

7.20%

1.40%

0.00%

2.00%

4.00%

6.00%

8.00%

10.00%

12.00%

14.00%

16.00%

18.00%

Cardiovascular Diabetes Receive Treatment for Mental Illness

Rarely/Never Sometimes Always/Usually Have Support

Support, Positive View & Hope Improve Housing Stability

19

2.6

0

2

4

6

8

10

12

14

16

18

20

Low Resiliency High Resiliency

Pe

rce

nt

Wh

o M

ove

d ≥

4 T

ime

s in

Pas

t Y

ear

Resiliency Score: Social-Emotional Support, Positive View/Narrative, Hope

Moved ≥ 4 Times in Past Year

8% 8% 7%

10% 10%

12%

17%16%

17%

25%23%

35%

0%

5%

10%

15%

20%

25%

30%

35%

40%

0 ACE 1 ACE 2ACE 3 ACE 4-5 ACE 6-8 ACE

Perc

en

t U

nem

plo

yed

PEOPLE WITH SUPPORT & HOPE ARE MORE LIKELY TO BE EMPLOYED

High Resilience Score Low Resilience ScoreSOCIAL & EMOTIONAL SUPPORT; POSITIVE VIEW; HOPE

Higher Community CapacityFewer Adverse Childhood Experiences (ACEs) among Young Adults

Keys to Success

Take a learning systems approach Form long-term partnership with community leaders Structure staff for both short and long term needs Develop an education framework that unites people

across professional disciplines, class lines, sectors, etc. Hold a fundamental respect for the wisdom of every

person – their culture, experience, capabilities, and aspirations

Community

Services

EducationSystem

Other Special

Services

Building Self-Healing Communities

© 2013

JusticeSystem