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The Affliction of Adverse Childhood Experiences


What is ACE?

Adverse Childhood Experiences (ACEs) are stressful or traumatic events, including abuse and neglect. Nearly 35 million children suffer from ACEs. Unfortunately, there is no universal screening test to help identify and provide the necessary treatment to a child affected by ACEs. Overcoming childhood trauma in adulthood can be difficult and hence needs to addressed immediately.

Contrary to common belief, childhood adversity and toxic stress affect a child irrespective of his age. A child is unable to verbalize and express its reactions or fully process this experience and this manifests as ACE. Which may lead to disrupted neurodevelopment, social, emotional and cognitive impairment, health-risk behaviours such as substance abuse or acts of violence, adult diseases, disability, social problems, and even early death. Over time a child may often adopt negative coping mechanisms.

Overcoming childhood trauma in adulthood

Categories of ACE:

  • Abuse: includes physical, emotional and sexual abuse to a child caused by an adult

  • Neglect: which can be physical or emotional

  • Household dysfunction: this can be presented or caretaker experiences domestic violence, abuses alcohol or drugs, suffers from mental illness, becomes incarcerated, or separates from or divorces the parent or caretaker.



The way forward

The National Pediatric Practice Community (NPPC), an initiative of the Centre for Youth Wellness, is raising awareness and encouraging pediatric primary care providers to integrate universal ACEs screenings into their practices.

With children, it is often difficult to detect whether a child is experiencing abuse, neglect, or any household dysfunction. Screening allows the primary care provider to ask the children a set of questions in a safe environment. This helps identify whether the child is suffering from an adverse childhood experience before they begin to show obvious signs.

It is pertinent that the pediatricians administer these screenings to children. So they can provide the child with guidance and the tools they need before it affects them in the long haul. Overcoming childhood trauma in adulthood is a very long haul. Therefore, United Healthcare has collaborated with the Center for Youth Wellness and Optum Health Education to host webinars. These, help educate not only pediatricians and other primary care providers on ACEs but also psychologists, teachers, social workers, and anyone associated with the child for free. These webinars share all the information one needs to know about the adverse childhood experiences and its lasting effects.

The greater a child’s terror, and the earlier it is experienced, the harder it becomes to develop a strong and healthy sense of self. So let’s keep it in mind and pay attention to children all around us and catch the signs of ACE early.


Trauma Recovery Is Possible

It takes time to recover from trauma, but you can overcome it. With professional treatment, you can start to understand how trauma has affected your life. And, you can move toward a fuller life that isn’t constrained by that trauma. 5 Steps To Overcoming Childhood Trauma

1. Allow yourself to get close to people

2. Take good care of your physical and emotional body

3. Get honest about recognizing your defense mechanisms

4. Act as if you weren’t afraid

5. Allow yourself to extend to others and be supported


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