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 health—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
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 Practice. https://doi.org/10.1177/1524839919889355