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Hi all,

Looking for data/research on how practitioner's ACE/Resiliency score impacts 1) their decision to enter their field, 2) their ability to provide trauma informed care, 3) burnout from stress.  ACEs Connection Napa is considering applying for an innovations grant to provide support to practitioners and develop it into a 'They are We' type of public service campaign.  Any links/thoughts appreciated. 

Last edited by Jane Stevens
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I ended up being asked to "Get Help", at a [human services: suicide hotline/shelter/drug and alcohol treatment center/information and referral agency] job, because it was alleged "I was getting too stressed".

My insurance carrier said I had to be assessed at the local teaching hospital emergency department-for a referral. So on 9/11/2001, in the early morning, I headed to the Emergency Room-where a number of [ER] waiting room television screens were all focused on the World-Trade Center buildings. (I had previously worked as an Aviation Public Safety officer [airport Crash-Fire-Rescue, etc.], and knew all the NY/NJ Port Authority Police assigned to the WTC were 'cross-trained' in aviation fire- fighting, but had no aviation fire-fighting foam at their disposal in the WTC buildings.

Long before that, in college, I had read "Witches, Midwives, and Nurses: A history of Women Healers" by Barbara Ehrenreich, for one of my Human Services classes. A note in the book's introduction indicated a survey had been done of all the Bachelor degreed Registered Nurses in the State of California, and 85% of them acknowledged growing up in Alcoholic households.

Best wishes for ACEsConnection-Napa in securing funding to provide support to practitioners...

Michele Grupe posted:

Hi all,

Looking for data/research on how practitioner's ACE/Resiliency score impacts 1) their decision to enter their field, 2) their ability to provide trauma informed care, 3) burnout from stress.  ACEs Connection Napa is considering applying for an innovations grant to provide support to practitioners and develop it into a 'They are We' type of public service campaign.  Any links/thoughts appreciated. 

Michele, I think this is a very important study. I hope you will also consider incorporating some exploration into what level of functioning ACE survivors who are professionals have achieved. There are plenty of ACE survivors among providers who remain seriously impaired.  I'd like to see how those who are not have managed to overcome, perhaps early in life.  Also, a breakdown in what the specific ACE's may have been. I suspect many of us learned early in life to take care of parents who had much higher ACE scores than we ourselves may have.  There are so many interesting things to explore in all of this. 

Dee Ann Miller

www.takecourage.org

Robert Olcott posted:

I ended up being asked to "Get Help", at a [human services: suicide hotline/shelter/drug and alcohol treatment center/information and referral agency] job, because it was alleged "I was getting too stressed".

My insurance carrier said I had to be assessed at the local teaching hospital emergency department-for a referral. So on 9/11/2001, in the early morning, I headed to the Emergency Room-where a number of [ER] waiting room television screens were all focused on the World-Trade Center buildings. (I had previously worked as an Aviation Public Safety officer [airport Crash-Fire-Rescue, etc.], and knew all the NY/NJ Port Authority Police assigned to the WTC were 'cross-trained' in aviation fire- fighting, but had no aviation fire-fighting foam at their disposal in the WTC buildings.

Long before that, in college, I had read "Witches, Midwives, and Nurses: A history of Women Healers" by Barbara Ehrenreich, for one of my Human Services classes. A note in the book's introduction indicated a survey had been done of all the Bachelor degreed Registered Nurses in the State of California, and 85% of them acknowledged growing up in Alcoholic households.

Best wishes for ACEsConnection-Napa in securing funding to provide support to practitioners...

Hi Robert - Thank you so much for sharing your experience, the reference and good wishes!  If we are fortunate to receive funding, we will share our results here!  

Best, Michele

I was fortunate enough to have found a "[Professional] Co-Dependents Anonymous" meeting in close proximity [same city where I lived/worked at the time] - when I worked as a Case Manager in a Homeless Shelter, a bit over two decades ago. To the best of my knowledge, it was the only "Professional Co-Dependents Anonymous" meeting in our entire state-possibly in all of northern New England. It met during the lunch hour on a weekday, so I suspect most of the participants came from near proximity. I also attended some "Regular" Co-Dependents Anonymous meetings-within about a sixty mile radius, which were scheduled during weekday evenings, or on weekends.

Those were occurring at about the same time the CDC/Kaiser ACE study was going on, But it was also at the time that Co-Dependents Anonymous re-wrote ALL their entire literature in 'the Affirmative'. It was also at the time that "The Alternative Twelve Steps: A guide for Atheists, Agnostics, and Secular Humanists" was published.

Dee Ann Miller posted:
Michele Grupe posted:

Hi all,

Looking for data/research on how practitioner's ACE/Resiliency score impacts 1) their decision to enter their field, 2) their ability to provide trauma informed care, 3) burnout from stress.  ACEs Connection Napa is considering applying for an innovations grant to provide support to practitioners and develop it into a 'They are We' type of public service campaign.  Any links/thoughts appreciated. 

Michele, I think this is a very important study. I hope you will also consider incorporating some exploration into what level of functioning ACE survivors who are professionals have achieved. There are plenty of ACE survivors among providers who remain seriously impaired.  I'd like to see how those who are not have managed to overcome, perhaps early in life.  Also, a breakdown in what the specific ACE's may have been. I suspect many of us learned early in life to take care of parents who had much higher ACE scores than we ourselves may have.  There are so many interesting things to explore in all of this. 

Dee Ann Miller

www.takecourage.org

When I self-administered the CDC/Kaiser ACE screen, I scored 6; and I also did the Resilience questionaire, and scored 10. My ACE score might have been significantly higher if I'd used the World Health Organization's ACE International Questionaire- available on the WHO website with a "User's Guide". I'd recommend the World Health Organization's ACE screen, because it includes a lot of other "ACEs" than the CDC/Kaiser-Permanente screen, although I've yet to ascertain how to score it, and whether a more comprehensive "Resilience score" screen tool exists anywhere.

The On-Site Academy used to provide both Crisis/Respite services and EMDR trained clinicians for "First Responders" from throughout the United States at its facility in Gardner, Massachusetts. This was shortly after I'd gone to a CISD (Critical Incident Stress Debriefing) training--where all the EMT/Paramedics were asked to stand, and respond to the question: "How many of you believe that 'nobody dies in my ambulance' ?" The facilitator asked those folks to remain standing, and said: " Now that we've identified all the Type-A personalities...", and we continued. Regretably, the CISD training didn't address 'something' for me--that would have allowed me to [confidently] return to Aviation Public Safety (law enforcement/Crash-Fire-Rescue/and Mass Casualty planning/etc.). Fortunately, last i'd heard, the On-Site Academy now provides Crisis/Respite at its adjunct [serene] rural farm location, outside of Gardner, as well as its affiliation with '[trauma-informed] Intentional [Police] Peer Support'-with Boston and Cambridge [Mass.] Police Departments, and On-Site also now provides similar Crisis/Respite service for 'Human Services personnel'--from throughout the entire world [rather than just for 'First Responders' from the USA].

Last edited by Robert Olcott

I may have made a mistake about the title of the book I noted in a previous comment, having an item in the introduction noting that 85% of the Bachelor degreed members of the California Nurses Association admitting having grown up in an Alcoholic Household: The book may have been "CareGiver, CareTaker: from Dysfunctional to Authentic Nursing Service". I don't immediately recall the author. My local library Reference Librarian just told me the author of the 1992 book by that title is Caryn Summers.

Last edited by Robert Olcott
Adrienne Decker Delgado posted:

What great topics for study!  I've been a social worker for 30 years, and I sometimes wonder if the experiences of the job will take years off of my life.  Any chance that you can add mortality rates by career, such as social workers, teachers, and nurses?

I had thought The Texas ACE sequel study of 6,600 persons, not all of whom had health insurance, was reported in the April 2010 issue of Preventing Chronic Disease journal, but my reference librarian just searched for it, and there was no April issue of that journal. I don't immediately recall if any mortality rates by career were noted there, but I thought there might be helpful references. Sorry for the 'bum steer'.

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