At last week’s meeting of the Teen Mental Health Ad Hoc Commission at Arizona House, representatives from the Arizona Department of Health Services (ADHS) discussed adverse childhood experiences (ACE) and positive childhood experiences (PCE) in the state. ), and published data on ADHS behavior. Make a plan to reduce the child’s exposure to her ACEs and mitigate the adverse consequences associated with them.
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ACE is a specific type of traumatic event that occurs during childhood and adolescence (ages 0-17). One of his representatives pointed out how research shows a “strong and enduring” correlation between ACE and subsequent worsening health.
Types of ACEs included in the ADHS analysis included parental divorce or separation, family poverty, family incarceration, family mental illness, domestic alcohol/drug abuse, domestic violence, neighborhood violence, parental Includes death, and racial/ethnic discrimination.
Representatives said the three most common ACEs in Arizona, according to 2019-2020 data, are parental divorce or separation, family poverty, family confinement or family mental illness .
Parental divorce or separation accounted for 27% of ACEs in Arizona, household poverty accounted for 15%, and domestic confinement and mental illness both accounted for 11%. The ACE classification includes physical, sexual, and emotional abuse, with emotional abuse accounting for 36%, physical abuse accounting for 27%, and sexual abuse accounting for 14%.
Arizona had a higher prevalence of ACEs in 10 out of 12 ACEs than the nation as a whole.
A representative also commented on the prevalence of PCE in Arizona compared to the country as a whole. They emphasized the importance of her PCE in combating the negative effects of his ACE on children in the state.
The PCEs outlined by ADHS included family resilience, after-school activities, sharing ideas with caregivers, living in safe and supportive communities, and volunteering in communities, schools, or churches. rice field. The prevalence of all types of her PCE was higher nationwide than in Arizona.
“Positive childhood experiences protect against ACE by promoting resilience in children. [and] People exposed to four or more ACEs have better health outcomes,” said a representative. “Regardless of socioeconomic status or race, supportive relationships and environments also lead to improved adult functioning and improved physical and mental health outcomes.”
Another ADHS presenter said Arizona now ranks 44th out of 51 for the percentage of children who experience two or more ACEs.
The ADHS Action Plan includes three overall components.
The first component includes departments that enhance ACE and PCE monitoring and data visualization. According to the presenter, ADHS has identified all data sources related to the 49 ACEs and PCEs identified in Arizona and has met with experts from multiple agencies to determine the role of public health in this. We numerically scored all ACEs and PCEs to determine where to focus our monitoring. and data.
They noted that ADHS is currently developing a comprehensive, interactive ACE/PCE data dashboard for the public, as well as a website to provide resources and promote public awareness.
A second element of the ADHS action plan is to raise awareness among ACE and PCE providers by producing provider-based videos on trauma-informed approaches to ACE care. ADHS also plans to create a website for providers to focus on her ACE awareness and prevalence in Arizona and evidence-based practice recommendations.
A third component of the ADHS action plan is to help transform public health systems to become more trauma-informed. According to the presenter, ADHS is searching across the country for proven trauma-his informed approaches for large institutions and is currently completing a self-assessment of ADHS policies, practices, and programs to promote this transformation. I was informed of the plan.