Tag Archives: Toxic stress

Love Your Neighbor – the Resilience Movie and Adverse Childhood Experiences (ACEs)

Earlier this week, I had the privilege to attend a screening of the film Resilience. This documentary introduces the health issue of Adverse Childhood Experiences* (ACEs) and how, if unchecked, lead to adulthood diseases and dysfunction. This was both alarming and eye-opening for me. A closely related issue had already captured my interest – Trauma Healing – involving intervention with children and adults displaced and wounded by wars, famine, and other calamities.

The long-term impact of Adverse Childhood Experiences was first identified in a huge and significant study done in the 90’s by Dr. Vincent Felitti and Dr. Robert Anda. You can read more of the study, but the main take-away for me is that children who experienced trauma, and do not experience informed intervention, will have compounded health issues through their adult life.

Dr. Robert Block, former president of the American Academy of Pediatrics, had this observation: “Adverse childhood experiences are the single greatest unaddressed public health threat facing our nation today.”

Drs. Felitti and Anda developed a short 10-question questionnaire which can be used by any one of us to identify risks in our children or self-identify high risk. After watching the film, I came home and decided to take the ACE quiz to see what my numbers were. My numbers were low.

Take the ACE Quiz and Learn What It Does and Doesn’t Mean.

[PDF of 10-question ACE Quiz]

However, looking longer at the quiz, I thought of my mom (whose childhood – growing up in poverty with an alcoholic and abusive father – was very different from mine). Even though my childhood had some adversity, Mom buffered our lives from some stresses we would have experienced. I also thought of others in my family and among our friends who have had to endure much tougher childhoods. They are all adults now, so I wondered what their options were to reverse some of the trauma and build resilience. This research and the trauma-informed care that has developed out of it give tremendous hope.

There are so many resources now available to us to heal and help others heal. One of the young pioneers in this field is Dr. Nadine Burke Harris. Here is a bit of her take on the issue of ACEs and their impact on adult health:

As San Francisco pediatrician Nadine Burke Harris recently explained to host Ira Glass on the radio program, “This American Life”, if you’re in a forest and see a bear, a very efficient fight or flight system instantly floods your body with adrenaline and cortisol and shuts off the thinking portion of your brain that would stop to consider other options. This is very helpful if you’re in a forest and you need to run from a bear. “The problem is when that bear comes home from the bar every night,” she said.

Dr. Nadine Burke Harris and faux patient (for the photo)

If a bear threatens a child every single day, his emergency response system is activated over and over and over again. He’s always ready to fight or flee from the bear, but the part of his brain – the prefrontal cortex – that’s called upon to diagram a sentence or do math becomes stunted, because, in our brains, emergencies – such as fleeing bears – take precedence over doing math.

For Harris’ patients who had four or more categories of adverse childhood experiences “their odds of having learning or behavior problems in school were 32 times as high as kids who had no adverse childhood experiences,” she told Glass. – Jane Ellen Stevens, Aces Too High

[TED Talk – How Childhood Trauma Affects Health Across a Lifetime – Dr. Nadine Burke Harris]

If you are like me, you will want to learn more and be a part of trauma-informed care, you can search for local agencies to help. In our city, we have a cooperative called Greater Richmond Trauma-Informed Community Network. I am looking forward to taking advantage of training and volunteering through this agency.

This may be very new knowledge for you. It was for me. Huge “light-bulb” experience. There are children out there put on medication for ADHD when (after further evaluation) are struggling to attend in the classroom because they are chronically on edge (as Dr. Harris defined with the constant threat of an attacking bear).  What a difference could be made in these children’s lives if their stressors are properly confirmed and then counseling for them and education for their parents/other support adults are initiated.

To think about how children who have been traumatized will still bear that trauma through their adult lives and bodies is unthinkable. Now that we know better.

Have a look at the ACEs Quiz. Pour over the infographics.  Learn from the links below.  Think about your own situation and that of those you love or serve (in a classroom, community/medical setting, faith-based institution). Then act…it could mean longer and higher quality of life. Resilience and healing can come out of this.

In closing, I would love to hear something of your take on all this. What did you discover in taking the ACEs quiz? What was your score?

Photo Credit: Donna Jackson Nakazawa

Photo Credit: Donna Jackson Nakazawa

The Adverse Childhood Experiences Study — the largest, most important public health study you never heard of — began in an obesity clinic

*Adverse Childhood Experiences and the Life-long Consequences of Trauma – The American Academy of Pediatrics

Resilience the Film

TED Talk – How Childhood Trauma Affects Health Across a Lifetime – Dr. Nadine Burke Harris

Childhood Disrupted by Donna Jackson Nagazawa

The Adverse Childhood Experiences Study – the Largest Public Health Study You Never Heard of, Part 3 – Jane Ellen Stevens

Adverse Childhood Experiences (ACEs) – CDC

Infographic – Road to Resilience – 10 Ways to Build Resilience – Mercy Family Counseling

Photo Credit: Pinterest

Worship Wednesday – When I’m With You – Citizen Way

Photo Credit: Family Life

The LORD is near to the brokenhearted and saves the crushed in spirit.  – Psalm 34:18

I know that the LORD will maintain the cause of the afflicted, and will execute justice for the needy.  Psalm 140:12

Remember the prisoners, as though you were in prison with them, and the mistreated, as though you yourselves were suffering bodily.
 – Hebrews 13:3

How people get through hard places and tough seasons without God? His love fills the broken places in our lives.

Just this week I had the opportunity to attend a screening of the film Resilience. It was such an “aha” experience for me watching this documentary on adverse childhood experiences (ACEs) and their impact on adult health and quality of life.  [More about this here.]Photo Credit: GrowlerMag

As I sat mesmerized by that film, so many faces came to mind – children struggling to learn in my daughter’s classroom, adults with massive social and health issues in the hospital where I worked years ago, friends and family who have endured terrible things at the hands of others. How do we respond? How do we, as the film challenged, build resilience and help heal trauma?

Sometimes problems seem too big for us…what can we do to make a difference? What can we say to help? We can pray. We can get equipped. We can position ourselves beside those most vulnerable – be first responders if necessary – as Jesus became for us.

When Ben Calhoun, lead singer of the Christian band Citizen Way, talks about the loss of their son Jeremiah in miscarriage, you can still hear the pain…and the care he received from God. So much love. It inspired the song When I’m with You. Photo Credit: YouTube

Whatever struggle we find ourselves in…others may walk away, but God doesn’t. He won’t. Sometimes that terrible thing happens to us as a child…and I won’t begin to offer an explanation of why adults sin against children…but I believe with all my heart that God will enter in and rescue us sometimes…and other times, bring healing. He is the God of both justice and mercy. I have experienced Him that way many times over. We receive His mercy and sometimes we become an extension of it – through our hearts, our hands, and our words.

Whatever is going on in your life, I pray that you can feel God near …and worship with me.

These are the things
That I need to pray
‘Cuz I can’t find peace any other way
I’m a mess underneath
And I’m just too scared to show it
Everything’s not fine
And I’m not okay
But it’s nice to know
I can come this way
When I’m with You
I feel the real me finally breaking through
It’s all because of You Jesus
Anytime anywhere any heartache
I’m never too much for You to take
There’s only love
There’s only grace
When I’m with You
Nobody knows me like You do
No need for walls
You see right through
Every hurt every scar every secret
You just love me
When everything’s not fine
And I’m not okay
It’s nice to know
I can come this way
I’m breathing in
I’m innocent
It’s like my heart’s on fire again
I’m not afraid
I’m not ashamed
I’m safe when I am with You
So I’m here just as I am
Bruised or broken
I don’t have to pretend*

Photo Credit: Among the Pages

Lyrics to When I’m With You – Citizen Way

YouTube Video – When I’m With You – Citizen Way – Official Music Video

YouTube Video – Citizen Way – Story Behind the Song When I’m With You

God has Not Forgotten You – a 31-Day Devotional – Leslie J. Barner

Resilience – the Film

ACEs Connection – Join the Movement to Prevent Adverse Childhood Experiences, Heal Trauma, and Build Resilience

ACEs Too High

Finding Your ACE Score (pdf)