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The Potential of Early Intervention for Preventing and Reducing ACE-Related Trauma

Published online by Cambridge University Press:  02 April 2019

Kirsten Asmussen ,
Tom McBride  and
Stephanie Waddell
Kirsten Asmussen
Affiliation:
The Early Intervention Foundation E-mail: [email protected]
Tom McBride*
Affiliation:
The Early Intervention Foundation E-mail: [email protected]
Stephanie Waddell
Affiliation:
The Early Intervention Foundation E-mail: [email protected]
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Abstract

Too many children face disadvantages that negatively impact their health, happiness and future life chances. Adverse Childhood Experiences (ACEs) represent a particularly traumatic set of circumstances that have been found through research to dramatically increase the likelihood of poor adult physical and mental health outcomes. While we do not view ACEs to represent the only or necessarily the most serious risks to children’s development, we do recognise them to pose a substantial threat. This article identifies twenty-four interventions with causal evidence of preventing or reducing ACE-related trauma and considers how they could be offered through system-wide strategies aimed at improving the lives of children who are at the greatest risk. While we are not suggesting that these interventions – on their own or in combination – represent a magic solution to ACEs, or the wider societal issues that contribute to them, we do propose that knowledge about their effectiveness can improve the quality of services that support the needs of highly vulnerable children.

Keywords

Adversitytraumachildhoodearly interventionprevention
Type
Themed Section: Adverse Childhood Experiences (ACES) – Implications and Challenges
Information
Social Policy and Society , Volume 18 , Issue 3 , July 2019 , pp. 425 - 434
Copyright
© Cambridge University Press 2019 

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References

Acquah, D., Sellers, R., Stock, L. and Harold, G. (2017) Inter-Parental Conflict and Outcomes for Children in the Contexts of Poverty and Economic Pressure, London: The Early Intervention Foundation.Google Scholar
Asmussen, K. and Brims, L. (2018) What Works to Enhance the Effectiveness of the Healthy Child Programme, London: The Early Intervention Foundation.Google Scholar
Asmussen, K, Feinstein, L.,Martin, J. and Chowdry, H. (2016) Foundations for Life: What Works to Support Parent Child Interaction in the Early Years, London: The Early Intervention Foundation.Google Scholar
Axford, N., Lowther, K., Timmons, L., Bjornstad, G., Brook, L., Webb, L. and Sonthalia, S. (2015) Rapid Review to Update Evidence for the Healthy Child Programme 0–5, London: Public Health England.Google Scholar
Barlow, J. and Schrader-McMillan, A. (2017) Improving the Effectiveness of the Child Protection System, London: The Early Intervention Foundation.Google Scholar
Barry, M. M., Clarke, A. M., Hussein, Y., Morreale, S. and Field, C. A. (2015) What Works in Enhancing Social and Emotional Skills Development During Childhood and Adolescence? A Review of the Evidence on the Effectiveness of School-Based and Out-of-School Programmes in the UK, London: The Early Intervention Foundation.Google Scholar
Barth, R. P. (2009) ‘Preventing child abuse and neglect with parent training: evidence and opportunities’, The Future of Children, 19, 95–118.CrossRefGoogle ScholarPubMed
Bellis, M. A., Lowey, H., Leckenby, N., Hughes, K. and Harrison, D. (2013) ‘Adverse childhood experiences: retrospective study to determine their impact on adult health behaviours and health outcomes in a UK population’, Journal of Public Health, 36, 1, 81–91.CrossRefGoogle Scholar
Bellis, M. A., Hughes, K., Leckenby, N., Jones, L., Baban, A., Kachaeva, M., Povilaitis, R., Pudule, I., Qirjako, G., Ulukol, B., Raleva, M. and Terzic, N. (2014) ‘Adverse childhood experiences and associations with health-harming behaviours in young adults: surveys in eight eastern European countries’, Bulletin of the World Health Organization, 92, 641–55.CrossRefGoogle ScholarPubMed
Belsky, J. (1993) ‘Etiology of child maltreatment: a developmental ecological analysis’, Psychological bulletin, 114, 3, 413.CrossRefGoogle ScholarPubMed
Braveman, P. and Barclay, C. (2009) ‘Health disparities beginning in childhood: a life-course perspective’, Pediatrics, 124, Supplement 3, S163–75.CrossRefGoogle ScholarPubMed
Center for Disease Control and Prevention (2013) Data and Statistics: Prevalence of Individual Adverse Childhood Experiences, San Diego, CA: ACE Study.Google Scholar
Durlak, J. A., Weissberg, R. P., Dymnicki, A. B., Taylor, R. D. and Schellinger, K. B. (2011) ‘The impact of enhancing students’ social and emotional learning: a meta‐analysis of school‐based universal interventions’, Child Development, 82, 1, 405–32.CrossRefGoogle ScholarPubMed
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P. and Marks, J. S. (1998) ‘Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study’, American Journal of Preventive Medicine, 14, 4, 245–58.CrossRefGoogle ScholarPubMed
Finkelhor, D. (2018) ‘Screening for adverse childhood experiences (ACEs): cautions and suggestions’, Child Abuse and Neglect, 85, 174–9.CrossRefGoogle ScholarPubMed
Finkelhor, D., Ormrod, R. K. and Turner, H. A. (2007) ‘Poly-victimization: a neglected component in child victimization’, Child Abuse and Neglect, 31, 1, 7–26.CrossRefGoogle ScholarPubMed
Finkelhor, D., Shattuck, A., Turner, H. and Hamby, S. (2013) ‘Improving the adverse childhood experiences study scale’, JAMA Pediatrics, 167, 1, 70–5.CrossRefGoogle ScholarPubMed
Forrester, D., Westlake, D., Killian, M., Antonopolou, V., McCann, M., Thurnham, A., Thomas, R., Waits, C., Whittaker, C. and Hutchison, D. (2019) ‘What is the relationship between worker skills and outcomes for families in child and family social work?’, British Journal of Social Work, bcy126. doi: 10.1093/bjsw/bcy126.CrossRefGoogle Scholar
Godar, R. and Holmes, D. (2017) The Use of Research Evidence Regarding ‘What Works’ in Local Authority Child Protection Systems and Practice, London: The Early Intervention Foundation.Google Scholar
Guy, J., Feinstein, L. and Griffiths, A. (2014) Early Intervention in Domestic Violence and Abuse, London: The Early Intervention Foundation.Google Scholar
Hall, J., Porter, L., Longhi, D., Becker-Green, J. and Dreyfus, S. (2012) ‘Reducing adverse childhood experiences (ACE) by building community capacity: a summary of Washington Family Policy Council research findings’, Journal of Prevention and Intervention in the Community, 40, 4, 325–34.CrossRefGoogle ScholarPubMed
Hughes, K., Bellis, M. A., Hardcastle, K. A., Sethi, D., Butchart, A., Mikton, C., Jones, L. and Dunne, M. P. (2017) ‘The effect of multiple adverse childhood experiences on health: a systematic review and meta-analysis’, The Lancet Public Health, 2, 8, e356–66.CrossRefGoogle ScholarPubMed
Kazdin, A. E. and McWhinney, E. (2018) ‘Therapeutic alliance, perceived treatment barriers, and therapeutic change in the treatment of children with conduct problems’, Journal of Child and Family Studies, 27, 1, 240–52.CrossRefGoogle Scholar
Kim, J. (2009) ‘Type-specific intergenerational transmission of neglectful and physically abusive parenting behaviors among young parents’, Children and Youth Services Review, 31, 7, 761–7.CrossRefGoogle Scholar
Kinner, S. A. and Borschmann, R. (2017) ‘Inequality and intergenerational transmission of complex adversity’, The Lancet Public Health, 2, 8, e342–3.CrossRefGoogle ScholarPubMed
Kornhaber, R., Walsh, K., Duff, J. and Walker, K. (2016) ‘Enhancing adult therapeutic interpersonal relationships in the acute health care setting: an integrative review’, Journal of Multidisciplinary Healthcare, 9, 537.CrossRefGoogle Scholar
McCrory, E., De Brito, S. A. and Viding, E. (2011) ‘The impact of childhood maltreatment: a review of neurobiological and genetic factors’, Frontiers in Psychiatry, 2, 48. doi: 10.3389/fpsyt.2011.000.CrossRefGoogle ScholarPubMed
McGowan, P. O., Sasaki, A., D’alessio, A. C., Dymov, S., Labonté, B., Szyf, M., Turecki, G. and Meaney, M. J. (2009) ‘Epigenetic regulation of the glucocorticoid receptor in human brain associates with childhood abuse’, Nature Neuroscience, 12, 3, 342–8.CrossRefGoogle ScholarPubMed
Metzler, M., Merrick, M. T., Klevens, J., Ports, K. A. and Ford, D. C. (2017) ‘Adverse childhood experiences and life opportunities: shifting the narrative’, Children and Youth Services Review, 72, 141–9.CrossRefGoogle Scholar
Narayan, A. J., Kalstabakken, A. W., Labella, M. H., Nerenberg, L. S., Monn, A. R. and Masten, A. S. (2017) ‘Intergenerational continuity of adverse childhood experiences in homeless families: unpacking exposure to maltreatment versus family dysfunction’, American Journal of Orthopsychiatry, 87, 1, 3–14.CrossRefGoogle ScholarPubMed
National Scientific Council on the Developing Child (2015) Supportive Relationships and Active Skill-Building Strengthen the Foundations of Resilience, Working Paper 13, https://developingchild.harvard.edu/wp-content/uploads/2015/05/The-Science-of-Resilience.pdf.Google Scholar
Nickerson, A., Bryant, R. A., Aderka, I. M., Hinton, D. E. and Hofmann, S. G. (2013) ‘The impacts of parental loss and adverse parenting on mental health: findings from the National Comorbidity Survey-Replication’, Psychological Trauma: Theory, Research, Practice, and Policy, 5, 2, 119–27.CrossRefGoogle Scholar
O’Connell, M. E., Boat, T., and Warner, K. E. (eds) (2009) Preventing Mental, Emotional and Behavioural Disorders Among Young People. Progress and Possibilities USA: National Academic Press (US).Google Scholar
Oberle, E., Domitrovich, C. E., Meyers, D. C. and Weissberg, R. P. (2016) ‘Establishing systemic social and emotional learning approaches in schools: a framework for schoolwide implementation’, Cambridge Journal of Education, 46, 277–97.CrossRefGoogle Scholar
Paranjothy, S., Evans, A., Bandyopadhyay, A., Fone, D., Schofield, B., John, A., Bellis, M. A., Lyons, R. A., Farewell, D. and Long, S. J. (2018) ‘Risk of emergency hospital admission in children associated with mental disorders and alcohol misuse in the household: an electronic birth cohort study’, The Lancet Public Health, 3, 6, e279–88.CrossRefGoogle ScholarPubMed
Schelbe, L. and Geiger, J. M. (2017) ‘What Is intergenerational transmission of child maltreatment?’, in Schelble, L. and Geiger, J. M. (eds.), Intergenerational Transmission of Child Maltreatment, Cham: Springer, 1–14.CrossRefGoogle Scholar
Sidebotham, P., Heron, J. and ALSPAC Study Team (2006) ‘Child maltreatment in the “children of the nineties”: a cohort study of risk factors’, Child Abuse and Neglect, 30, 5, 497–522.CrossRefGoogle ScholarPubMed
Sidebotham, P., Golding, J. and ALSPAC Study Team (2001) ‘Child maltreatment in the “Children of the Nineties”: a longitudinal study of parental risk factors’, Child Abuse and Neglect, 25, 9, 1177–200.CrossRefGoogle ScholarPubMed
Todahl, J. and Walters, E. (2011) ‘Universal screening for intimate partner violence: a systematic review’, Journal of Marital and Therapy, 37, 3, 355–69.CrossRefGoogle ScholarPubMed
Wekerle, C., Wall, A-M., Leung, E. and Trocme, N. (2007) ‘Cumulative stress and substantiated maltreatment: the importance of caregiver vulnerability and adult partner violence’, Child Abuse and Neglect, 31, 427–43.CrossRefGoogle ScholarPubMed
Wulczyn, F. (2009) ‘Epidemiological perspectives on maltreatment prevention’, The Future of Children, 19, 39–66.CrossRefGoogle ScholarPubMed
Yoshikawa, H., Aber, J. L. and Beardslee, W. R. (2012) ‘The effects of poverty on the mental, emotional, and behavioral health of children and youth: implications for prevention’, American Psychologist, 67, 272–84.CrossRefGoogle Scholar