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When I teach I always start by saying that there is no such thing as a silly question...I am hoping that the spirit of this site is the same...a couple of wonderings I have

1.Β  If physical ill health as an adult is statistically probable as a result of ACEs, is this reversable or a done deal. My understanding from the ACE material is that they statistically bracketed smoking etc...and the rates of various diseases was still what are the implications for it about early screening, encouraging healthier lifestyles...or have I got this totally wrong

2.Β Β  Does anyone know if the ACE material is transferable to children who grow up in war zones and who don't leave the country

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We in Maine are seeking an inquiry tool to use with young children in pediatric practices that serve our New Mainers, primarily from Somalia.Β  We have checked out the WHO ACE questionnaire - length appears to be formidable especially when trying to focus in the pediatric setting.Β  I recall having seen a shorter series of questions focused on this particular population but can't locate that at this time.Β  I realize that with very young children, the family would be the informant.Β  Any ideas where I can locate this?Β  Many thanks.


Hi Chris,

The tool/questions that I am seeking would augment the ACEs questionnaire and deal exclusively with topics related to the experiences of war.Β  I recently saw 5-6 questions specific to this but can't recall the source.Β  I believe that these questions were alsoΒ more adult-oriented, but thought at the time that we could modify them for the interview with parents as to the impact of their experiences, and their child's (if any directly) experiences, as related specifically to the child.Β  Thanks.

Thank you Chris. My first question is a wondering (and thanks for your confirmation that I did get it right) as I have been thinking about the implications of this for GPs/physical health services...and the epidemic of health issues that are knocking in ever increasing numbers at our services doors...and I wonder and strongly suspect that most of them dont get it..largely put down to aging population...lots of wonderings here really..I understand the early intervention side of things....its more about adults who are now experiencing serious health issues..., I love this group....

Somewhere, where I can just launch into my questions without having to explain ACE or implications ...beforehand..what a blessing

You're welcome, Debra! Dr. Felitti mentioned in his lastΒ webinar thatΒ there is a lot of resistanceΒ to this information. Dr. Sandra Bloom has said the same thing. Here is a good quoteΒ of hers that I have posted before:Β 

β€œWe now know a great deal about the impact of trauma and despite this, training programs, degree programs, teacher preparation courses, etc., are still woefully deficient in conveying the research data to the people who need to know it,” said trauma expert Sandra Bloom, M.D. β€œTrauma training is not about the seemingly simple problem of giving people information. The real problem is that the material is challenging, threatening, and it may elicit resistance to change and denial within individuals and within entire systems. Any effort to [improve trauma services] will have to contend with this resistance if efforts are to be in any way successful,” said Bloom.” --The Damaging Consequences of Violence and Trauma. (2004). National Association of State Mental Health Program Directors.


Yes, I agree with you this site/forum is quite a blessing. :)

1) My understanding is that folksΒ who grow up with high ACE scores and that don't participate in high-risk coping behaviors still run the risk of living shorter lives by 20 years. Reducing exposure to adverse experiences is key. Early screeing w/ interventions (e.g., home visitations to educate parents about healthier parenting styles) is one example of interrupting the adversity cycle.

2) War zones are environments of adverse experiences/toxic stress. CPTSD is common among these populations. You might find the WHO ACE questionnaire worth looking at:

If we continue to live in a world that subjects people to adverse experiences at any age we are not headed in the right direction.

I hope this information is helpful. No questions are ever too silly here. :)


Thanks Chris

At the risk of being a proverbialΒ Β  (I feel like a kid with a stack of pressies in front of her), in the ACE stuff did they find people with high ACEs and low/no physical health issues....and if so what were the mitigating factors...I guess I am wondering about impact of dealing with ACE early, or role of love/support/connection in peoples' lives and if these in any way mitigated the long term consequences...Spring has dawned here downunder..perhaps that may explain the awakening in my wonderings :-)

And the resistance here (NZ) is also seems unbelievable to me that there is no connection of all of the dots...and I connect them requires us to see and know (both within ourselves and others) the terrifying capacity of humanity to harm

I believe the "role of love/support/connection in peoples' lives" lowered people'sΒ ACE scores in general. If one has a high ACE score then there are strong chancesΒ one is not the recipient ofΒ a loving/safe home environment. Having one supportive adult in a child's life doesΒ help a child to be more resilient.Β I don't know the details on that research; perhaps someone else does.Β Everything in an environment is highly variable. So, sadly, this can all be quite complex. It would be true that whenever adverse experiences can be removed from one's environment that would bode, hopefully,Β for aΒ better future. But age and previous experiences all play a part. It's a fact that some expereiences are highlyΒ damaging.

On another note, you may want to know about the posted video on Dr. Richard Benjamin.Β He is in Australia/NZΒ . You may also like the video on Psychic TraumaΒ (there are parts you may want to fast-forward through ;))

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