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WHAT RECENT RESEARCH TELLSUS ABOUT OVERCOMINGADVERSITYChildaware ConferenceMelbourne, March 31 – April 1, 2014Howard BathChildren’s Commissioner, Northern Territory
Adverse Childhood Experiences StudyHousehold DysfunctionSubstance abuseParental separation/divorceMental illnessDomestic violenceCriminal tionalPhysical
Ace StudyDose-Response Findings% Reporitng Alcoholism18%16%14%12%10%8%6%4%2%0%01234ACE ScoreWe found a strong graded relationship between thebreadth of exposure to abuse or household dysfunctionduring childhood and multiple risk factors in adultsAdapted from Felitti, VJ, Anda, RF et al (1998)4
Ace StudyDose-Response Findings% Ever Attempting Suicide20%% Reporitng IV Drug %0%012ACE Score3401234ACE ScoreSource: Adapted from Felitti, VJ, Anda, RF et al (1998)5
Ace StudyDose-Response Findings% Lifetime History of Depression70%60%50%40%Women30%Men20%10%0%0123 4ACE Score6
A significant proportionof physical, social, andmoral disorder lies inthe direct and indirectexposure to externaltraumatogenic agents.Bloom & Farragher
The question isnot “What iswrong withyou?” but“What hashappened toyou?”Sandra Bloom
Traumatized children resettheir normal level of arousal.Even when no externalthreats exist, they arein a persistent stateof alarm.Bruce Perry
TRAUMA AFFECTS social skills andattachment biological systemsand medical issues regulation ofemotions/impulses dissociation behavioural control cognitive functioning self-concept, shameand guilt future orientation
Michael Rutter on Resilience The ‘steeling’ power of trauma Helpful ways of thinking – self belief Turning point effects Social connections
Connecting for Change 40%- Characteristics of child andenvironment 15%- Hope, expectations 15%- Technique 30%- Nature of the connection(warmth, acceptance, empathy)Asay & Lambert
Healing relationshipsneed not alwaysinvolve psychotherapy.Many people recoverfrom trauma exposure in the context offamily, friendships, andother relationships.Briere & Scott
Parents, counselors,teachers, coaches,direct-care workers,case managers, andothers are all in aposition to help achild heal.Greenwald
‘The morehealthyrelationships achild has, themore likely hewill be to recoverfrom trauma andthrive.Relationships arethe agents ofchange.’Perry & Szalavitz.
History, despite its wrenching pain, cannotbe unlived, but if faced with courage, neednot be lived againMaya Angelou
US ABOUT OVERCOMING ADVERSITY Childaware Conference . Howard Bath Children's Commissioner, Northern Territory. Adverse Childhood Experiences Study Household Dysfunction Substance abuse Parental separation/divorce Mental illness Domestic violence Criminal Behavior Abuse Psychological Physical Sexual Neglect Emotional Physical . Ace Study .
