New Publication in Health Promotion Practice Journal Provides a Framework for Action on ACEs

 

Advocates, leaders, and professionals in the child health and well-being space have identified a need for concrete steps for building resilience to prevent ACEs. Current frameworks focused on ACEs fall short of including a multilevel approach, considering the role of health equity in well-being, and providing concrete, tangible steps for implementation across the life span.

The empower action model addresses childhood adversity as a root cause of disease by building resilience across multiple levels of influence to promote health, equity, and well-being. The model builds on the current evidence around adverse childhood experiences and merges important frameworks within key areas of public healthβ€”the socio-ecological model, protective factors, race equity and inclusion, and the life course perspective. The socio-ecological model is used as the foundation for this model to highlight the multilevel approach needed for improvement in public health. Five key principles that build on the protective factors literature are developed to be applied at each of the levels of the socio-ecological model: understanding, support, inclusion, connection, and growth. These principles are developed with actions that can be implemented across the life span. Finally, actions suggested with each principle are grounded in the tenets of race equity and inclusion, framing all actionable steps with an equity lens. This paper discusses the process by which the model was developed and provides steps for states, organizations, and communities to implement this tool. 

Link (Open Access): https://doi.org/10.1177/1524839919889355

Citation: 

Srivastav, A., Strompolis, M., Moseley, A., & Daniels, K. (2019). The Empower Action Model: A Framework for Preventing Adverse Childhood Experiences by Promoting Health, Equity, and Well-Being Across the Life Span. Health Promotion Practicehttps://doi.org/10.1177/1524839919889355

 

 

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David Dooley posted:

 

This begs the question...why aren't we working furiously to find ways to improve the overall quality of parenting in communities?

Depending on the parent you're supporting, the level of commitment to the less powerful and vocal child from leadership, and where you are on the intersectional identity hierarchy, attachment and regulation-based education can compromise your employment.

I genuinely appreciate your insight and valid question. Witnessing interactions exacerbating the behavior of the child with the understanding that these also need to be addressed if we are to practice within an ethical framework has been very confronting. As well as attachment and regulation-based education, I always invite discussion on 'Structural Competency' (Helena Hansen) implications - historical context, systemic oppression, external stressors, that increase exacerbating or dysregulating interactions, and practical solutions, at least increased awareness of determinants. There's a lot of work to be done to build trust and promote the value of education in human development sciences for everyone along the 'identity spectrum.'

Last edited by Jasmine Warner

One of the greatest sources of inequity is the variability in the quality of parenting.  Some kids are raised by parents who engage in parenting behaviors and practices generally recognized as supporting the healthy development of children.  Others are raised by a parent or parents who engage in parenting behaviors and practices generally recognized as disrupting the healthy development of children.

Also, the most important and most powerful source of a child's resilience are parents who who engage in those supportive parenting behaviors and practices.

This begs the question...why aren't we working furiously to find ways to improve the overall quality of parenting in communities?

Visit advancingparenting.org.  We are using primary prevention to end adverse childhood experiences five, ten, twenty, fifty years down the road.

 

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