This Adverse Childhood Experience (ACE) Questionnaire contains questions that are similar to the ones found in the original 1998 landmark CDC-Kaiser Permanente Adverse Childhood Experiences (ACE) Study (one of the largest investigations of adverse childhood experience and later-life health and well-being). Over 17,000 Health Maintenance Organization members from Southern California receiving physical exams completed confidential surveys regarding their childhood experiences and current health status and behaviours. For more information : www.ehcap.co.uk/news/aces
In the 1998 seminal study (Felitti and Anda) 33% scored 0 and 14% scored 4 or more. In a similar (but much smaller) study in Wales 53% scored 0 and 14% scored 4 or more.
An ACE score is NOT an actual medical diagnosis. It is meant to help us all better understand our risk for the effect of a toxic stress response.
In the Anda and Felitti Study, in comparison with those reporting no ACEs, individuals with 4+ ACEs had
· 2.2 times the likelihood of reporting Heart Disease
· 12.2 times the likelihood of having ever attempted suicide
· 4.7 times the likelihood of ever using illicit drugs
· 1.6 times the likelihood of reporting severe obesity
A toxic stress response can occur when a child experiences strong, frequent and/or prolonged adversity. This kind of prolonged activation of the stress response systems can disrupt the development of the brain architecture, affect immune systems, hormonal systems and how our DNA is read and transcribed.
Research indicates that the following interventions may be helpful for reducing the long term effects of toxic stress:
-Supportive responsive relationships eg Coaching
-Education about toxic stress
-Building skills in self regulation, emotion regulation and problem solving (Mindful Emotion Coaching)
-Mindfulness practice, meditation and mindful emotion coaching
-Regular Exercise, Good Nutrition, Quality Sleep
-Therapy eg Counselling, Psychotherapy, EMDR
If your ACE score is 4 or higher (or if you work or live with a child with a score of 2 or more) and you live or work in Somerset you are eligible for free on line coaching or (where available) counselling. Please contact firstname.lastname@example.org to arrange. Coaching is also available privately for £35 an hour.
For urgent medical or psychiatric concerns call 999 or your local A&E for immediate assistance. Samaritans are available 24 hours a day on 116 123 (UK)
The format for this quiz is based on work being done in the Center for Youth Wellness in San Francisco. We have registered with them and share learning with them.