Martin uses the phone and becomes overwhelmed with happiness. )�����?j�G������忿�'A�ۃ���˿�����-��oۿ������������_���7�����AH:�i�C�'������^o�_���O�����~���˟�+��|���ۏ�|�����߾�@������I�w��o?���l�.F�����"l^e��_�����c���.���1rP�ŏ���Eܴ��z����Y�ͻ��^4�G/����zu{��C�ٟ�����6�tc|��@A����H4��$��P�&i���=�eh &�g��vmD�C_�Ӄ���=^�5���xm����_`P��n6��=�a��/���I�. Parents, if considered at all, are often discussed as an afterthought. ... Martin accepts the ACES job and Mrs. DeSalvio retires. Thank you Carey! Physical health issues are often complicated by employment, housing and mental heath issues, and so on. The evidence considered in ACEs advocacy is skewed through three main routes: assertions of biological risk, retrospective reporting and self-evaluation. returning the child to a normal developmental trajectory. ACEs are a widespread problem in the United States. We must also acknowledge that adverse childhood experiences do not only exist in impoverished communities, they exist in all communities. << /Filter /FlateDecode /S 134 /Length 123 >> Brings back memories of Thanksgiving past. Dear Adrienne, Thank you so much for sharing this fabulous photo of your beautiful family and your vision for a culture of connection! If we are not looking at creating change from an intersectional, social justice informed framework, we are just spouting the same bullshit that the privileged upper class have been spouting for eons, about how those poor mothers are responsible for all the evils of the world. Take Care! 709, Rec. Thank you, Chris. endstream Edwards, R. et al. "It seems to me that the missing picture here is that we are not just silo-ing our treatment, we are silo-ing those we are treating. I shared this in our "Practicing Resilience for Self Care and Healing community. Replies and comments they make will be collapsed/hidden by default. I changed the title to The Problem with ACEs Implementation. This does not mean that we ignore systemic oppression and discrimination. The majority of efforts are focused on prevention or early childhood intervention rather than treatment of the traumatized adult. Our website offers our findings as we continue to evaluate and learn from our journey. Carey, Thank you Gail for your kind words and also for all you do for the ACEs Connection community. What is the goal for the parent in this scenario? Thank you. 26 0 obj Your view is refreshing and honest. One study found that a child with 4 or more ACEs was 32 times more likely to be labeled with a behavioral or cognitive problem than a child with no ACEs. endobj Where is the whole-family approach? I often read complaints by those who are working to forward the integration of ACEs science into health care that they are frustrated by the “silo” effect, with each physical and mental health specialty working separately instead of in coordination to address the impacts of trauma. When we bring a community together to do this, from all sectors, we begin to bring what the newest research is telling us about resilience-- that is must be community based to truly be effective. All rights reserved. Further, all the systems that perpetuate trauma matter. The mother, when mentioned, only exists to “buffer” the child, and the father does not exist at all. Yes, Jane, I totally agree. We must acknowledge the systems of oppression that lead to inter-generational trauma. �� How is the problem in the passage resolved? (2017) ‘The Problem with ACEs’. As important as it is to improve healthcare or education, the real goal is to improve the community. Join local or interest based communities. %PDF-1.5 It is larger than Rec. I am so glad to learn of your organization! Thank you for these important reminders, Michael. We need to be creating change in all systems. In our own work in Walla Walla, we saw the same issue (Jane Stevens already noted the tendency to stay trapped in our silos in her response to you) and in fact, we changed our name to Community Resilience Initiative (from Children's Resilience Initiative) to expressly and intentionally address both the silo effect AND the thinking that this is only about helping the children impacted by ACEs.