Tag - Adverse Childhood Experiences

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How Families Stay Strong
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Building Resilience and Hope in Children and Youth
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The Link Between Childhood Trauma and Tobacco Use
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Childhood Sets the Stage for Everything

How Families Stay Strong

By: Steve Ames

Local Resources Available for Parents

Speaking to a legislator earlier this session, I came to realize that not everyone knows about the significant integrated approach to prevention the state and a large number of partner organizations take, sometimes called “upstream strategies,” to ensure kids and families succeed in life.

Data shows that focusing on prevention efforts has a significant impact on lowering costs down the road for other systems and services, including special education, health care and even corrections. Even more important, they help kids and their families lead healthier, happier lives.

While there are many different efforts aimed at prevention, from smoking cessation, Early Intervention, Strong Families Home Visiting, and Care Coordination to name just a few, my focus here is on a prevention framework that Vermont has committed to over many years that can be incorporated across many other prevention strategies – the tried and true Strengthening Families Framework.

Strengthening Families is a research-informed approach to increase family strengths (also sometimes referred to as “resilience”), enhance child development, and reduce the likelihood of child abuse and neglect. It is based on engaging families, programs, and communities in building five key protective factors – factors that help kids and families do better when difficult things happen to them (including Adverse Childhood Experiences, or ACEs):

  1. Parental resilience: Managing stress and functioning well when faced with challenges, adversity and trauma. We can all learn ways to manage the inevitable challenges that occur in our daily lives. Parent education classes offered through the Parent Child Centers (like the Lamoille Family Center) are just one strategy to help parents learn these skills.
  2. Social connections: Positive relationships that provide emotional, informational, instrumental and spiritual support. Social connections include keeping in touch with family members, but also are as simple as going to community events and school events – or just talking to each other on the street and waving to each other as you pass by on the road.
  3. Knowledge of parenting and child development: Understanding child development and parenting strategies that support physical, cognitive, language, social and emotional development. If you know that your three-year-old’s brain is not able to reason like your nine-year-old’s, then parenting will be a little bit easier – but there are myriad ways that knowledge of child development helps people to interact with kids in more positive ways.
  4. Concrete support in times of need: Access to concrete support and services that address a family’s needs and help minimize stress caused by challenges. Concrete support can be help from a friend when your family is stressed, or help from a family member. It can also come from a Parent Child Center, church, or a state agency. It can be fundamental – like help with food or housing, or it can be more emotional, like help dealing with the fantastic new skills of your two-year-old.
  5. Social and emotional competence of children: Family and child interactions that help children develop the ability to communicate clearly, recognize and regulate their emotions, and establish and maintain relationships. When kids learn the difference between thinking and feeling, they are more likely to communicate successfully and feel better. These key skills result in all of us getting the help we need.

Local Resources Available for Parents

In Vermont, the Child Development Division of the Agency of Human Services have been awarding annual grants for the past eight years to help child care providers learn about and incorporate the Strengthening Families Framework into their programs.

Parent Child Centers in every region of Vermont, like the Lamoille Family Center and the Family Center of Washington County, with whom I work, promote resilience and the protective factors every day at their centers, at the many playgroups they lead, during free parent education classes, and through the Children’s Integrated Services activities they provide for their communities.

Help Me Grow, Vermont’s Child Development call center (211), also provides support for people looking for solutions to challenges around being a family.

The five protective factors at the foundation of Strengthening Families also offer a framework for changes at the systems, policy and practice level – locally, statewide and nationally. Part of Building Bright Futures’ work includes creating and revising plans of action each regional council uses to inform and guide their work through the year, and the Strengthen Families Framework helps us identify key strategies in our communities.

At its heart, Strengthening Families is about how families and individuals find support, and are supported to build key protective factors that enable children to thrive. In most cases in our day-to-day lives, we find these five protective factors on our own. Sometimes we need a little more help – and Vermont is working through a collective impact approach to make sure that our variety of formal and informal services and supports for children and families are designed to make families strong.


As the Regional Coordinator for Building Bright Futures, Steve staffs The Lamoille Valley Building Bright Futures Regional Council, a volunteer committee focused on the well being of young children and their families. There is one such Council in each of twelve regions of the State. Steve also works with the Playroom in Morrisville. He writes about early childhood, families, community, play, and equity.

Building Resilience and Hope in Children and Youth

By: Scott Johnson, Lamoille Family Center

In a 2017 article co-authored by Boston Pediatrician, Bob Sege, MD, PhD, et al., the authors highlight recently released data about fostering healthy childhood development by promoting positive experiences for children and families. The article recognizes that many families experience hardship and adversity, and they point to research about the importance of balancing those adversities and early life traumas with positive experiences that can grow hopefulness. The piece is called: Balancing Adverse Childhood Experiences (ACEs) With HOPE* New Insights into the Role of Positive Experience on Child and Family Development, and the full article can be found at this website: https://www.cssp.org/publications/documents/Balancing-ACEs-with-HOPE-FINAL.pdf.

Assuring healthy outcomes for children is important and complicated work. Families, communities, schools, and workplaces all play a role in the support and development of healthy children. The Lamoille Family Center works across the Lamoille Valley region (Lamoille County plus the towns of Craftsbury, Greensboro, Hardwick, Stannard, and Woodbury), fostering hope and positive outcomes for children, youth, and families.

One way we build hope and support healthy lifestyles is through our “Send a Kid to Camp” program. Initiated as a celebration of the Family Center’s 40th anniversary three years ago, this highly successful program supports local children who otherwise would not be able to afford a summer camp experience. International expert and researcher on childhood trauma, Michael Unger, PhD, believes that camps can play a critical and positive role in a child’s trajectory.

“Camps help children feel in control of their lives, and those experiences of self-efficacy can travel home as easily as a special art project they carry in their backpack. Children who experience themselves as competent will be better problem-solvers in new situations long after the smell of the campfire is forgotten.”

The Family Center works with local schools and sister agencies to identify children who want to go to camp but whose families cannot afford to send them. In the camp’s second year, we were able to send 45 kids – almost double the number of kids to camp from the inaugural year. This year we are on track to treat 59 kids to outdoor and other fun camp experiences.

Here’s what one mother said about her son’s first camp experience:

“He came home from camp grinning ear to ear! Though it will take many months for him to tell us all about camp, he did say, ‘I have SO many friends, him and him and him and her. I don’t know their names but they are my friends.’ As we drove away from Camp Thorpe he was waving and people were waving goodbye and telling him they’d see him next year. I never ever imagined there would be a camp for him.”

We look forward to hearing from more kids this year with their stories about their summer experiences. Building hope in children is the best part of our jobs, and we believe these are smart investments in our future.

The Link Between Childhood Trauma and Tobacco Use

By: Scott Johnson, Lamoille Family Center

Perhaps you’ve heard about the impact of trauma on long-term health. In Vermont and here in Lamoille Valley there is a lot of attention being paid to the set of childhood experiences that are directly linked to challenges later in life. These experiences, called Adverse Childhood Experiences (see the list below), or ACEs, are traumatic events that, if untreated, can have significant negative effects. The most common of these ACEs in Vermont are: divorce/separation, parental substance abuse or mental illness, and extreme economic insecurity.

What may surprise you is the link between these ACEs and tobacco use. The chart below shows the number of ACEs and their relationship to early smoking onset, adult smoking rates, and the lung disease known as COPD. Here are some important statistics about those connections.

  • If you experience more than three ACEs you are more likely to use tobacco.
  • 88% of Vermont smokers started before age 18.
  • In Vermont, forty percent of young adults ages 18 to 24 who have experienced more than three ACEs are using tobacco. That’s more than twice the number of users in that age range who have fewer than three ACEs.
  • Those individuals with four or more ACEs are 3x more likely to start smoking before age 18.

According to the Vermont Department of Health website, tobacco use is the NUMBER ONE preventable cause of death. In Vermont, smoking costs approximately $348 million in medical expenses and results in about 1,000 smoking-related deaths each year.

 

According to their own internal documents, tobacco companies try to attract new young smokers by targeting retail stores near schools and parks. (http://www.counterbalancevt.com)

 

According to the 2015 Youth Behavior Risk Survey, almost one-quarter of high school students in Lamoille County have reported using three different types of tobacco products:  27% tried electronic vapor products, 23% tried a flavored tobacco product, and 22% smoked a whole cigarette, with 11% of students reporting that they smoked within the past 30 days.

If we want to reduce the use of tobacco and improve health outcomes in our region we must do something to reduce exposure to those ACEs, or do more to help young people heal from the impact of those experiences before they start using tobacco. The annual focus on urging smokers to quit is called The Great American Smokeout, and it occurred last week on November 16th. Maybe some of you participated in this event, and remain tobacco free!

The community has an important role to play in reducing the likelihood our young people will choose to smoke. The links between smoking rates and adverse childhood experiences tell us that solutions lie in community-level efforts that support children, youth, and families. Research shows that the kind of help that makes a difference includes community-level activities that:

  • Make sure all children are socially and emotionally supported, and
  • Assure each family has two or more people who can offer concrete support in times of need.

As you may have heard, Healthy Lamoille Valley (HLV), our community prevention coalition, has regained tobacco prevention funding and is charged with addressing prevention of initiation of tobacco use among youth, eliminating exposure to second-hand smoke, and increasing tobacco-free policies in towns, public places, workplaces, and college campuses. If you want to get connected to our local efforts, including our reestablished HLV Tobacco Prevention Task Force, contact the HLV Policy and Community Outreach Coordinator, Alison Link at alison@healthylamoillevalley.org. Check out the website at https://www.healthylamoillevalley.org/tobacco.

 

*ACEs include: mental illness, depression, or person with suicidal intentions in the home; drug addiction or alcoholic family member; parental discord – indicated by divorce, separation, abandonment; incarceration of any family member; witnessing domestic violence against the mother; child abuse (physical, sexual, emotional); child neglect (physical, emotional).


Scott Johnson is Executive Director of the Lamoille Family Center and has worked in Lamoille Valley in human services and education for nearly his entire career. The Family Center has served our community by encouraging, educating and celebrating children, youth and families for forty years.

Scott writes about early care and education, adolescent development and strengthening families that improve conditions of well-being.

Childhood Sets the Stage for Everything

By: Scott Johnson

Adverse Childhood Experiences_Live Well Lamoille

Childhood experiences, both positive and negative, have a tremendous impact on future violence, victimization, lifelong health and opportunity. As such, early experiences are an important public health issue. Much of the foundational research in this area has been referred to as Adverse Childhood Experiences (ACEs). Published in 1998, a Kaiser Permanente study of 17,000 people showed a link between the stressful experiences a person has before the age of 18 and a person’s physical, emotional and social health.

The study identified ten adverse childhood experiences: 

  1. Physical abuse
  2. Sexual abuse
  3. Emotional abuse
  4. Physical neglect
  5. Emotional neglect
  6. Mother treated violently
  7. Household substance abuse
  8. Household mental illness
  9. Parental separation or divorce
  10. Incarcerated household member

Recent studies of adult Vermonters revealed that 57% have one or more ACEs and 22% have 3 or more ACEs. ACEs have been linked to risky health behaviors, chronic health conditions, and early death. As the number of ACEs increases, so does the risk for these outcomes.

What can be done about preventing ACEs?

The wide‐ranging health and social consequences underscore the importance of preventing ACEs before they happen. Safe, stable, and nurturing relationships and environments can have a positive impact on a broad range of health problems and on the development of skills that will help children reach their full potential and be resilient.

The Lamoille Family Center is one of fifteen Parent Child Centers (PCCs) in Vermont that use the Strengthening Families Framework and have a two‐generation approach to both mitigate and help prevent ACEs. The Centers for Disease Control recommends strategies for preventing ACEs, which resonate with the 8 core services that PCCs offer or that we refer to for support, including:

  • home visiting to pregnant women and newborns
  • parent training programs
  • social supports for parents
  • parent support programs for teens and teen pregnancy prevention programs
  • high quality child care
  • income support for lower income families
  • intimate partner violence prevention
  • mental health and substance abuse treatment.

It takes all of us to build flourishing communities that support the healthy and resilient development of our children.  Join us in the next few weeks at one of the following showings of the James Redford film Resilience, a one hour documentary that delves into the science of ACEs.

Choose from any of these three dates/locations. Reserve your free ticket today!


Scott Johnson is Executive Director of the Lamoille Family Center and has worked in Lamoille Valley in human services and education for nearly his entire career. The Family Center has served our community by encouraging, educating and celebrating children, youth and families for forty years.

Scott writes about early care and education, adolescent development and strengthening families that improve conditions of well-being.