As you review your (or your child’s ) Adverse Childhood Experience (ACE) score, please keep the following in mind:
This ACE Quiz is based on the original 1998 landmark CDC-Kaiser Permanente Adverse Childhood Experiences (ACE) Study which was 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. Click here to read about more recent studies in the UK.
As you answer the 10 questions please keep a note of your score.
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 1998 seminal study (Felitti and Anda) 33% scored 0, 26% scored 1, 16% scored 2, 10% scored 3 and 14% scored 4 or more.
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.
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
-Mindfulness practice, meditation and mindful emotion coaching
For those requiring urgent care:
We recommend that individuals speak to their family Doctor (GP) about ACE -related concerns and discuss how to integrate most promising healing practices for toxic stress into their self and family care. EHCAP provides on line video coaching and plenty of free on line information. For urgent medical or psychiatric concerns call 999 or their 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 will share learning with them.
Examples of symptoms of childhood toxic stress may be:
Weight gain or loss
Failure to thrive
Poor control of chronic disease
(such as asthma or diabetes)
School failure or absenteeism
Poor impulse control
Restricted affect or numbing
High risk behavior in adolescents
Unexplained somatic complaints
(such as head aches or abdominal pain)