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Action steps using ACEs and trauma-informed care: a resilience model.

Laurie Leitch1

  • 1Threshold GlobalWorks, New York, NY, USA. Leitch@thresholdglobalworks.com.

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Summary

Adverse Childhood Experiences Study (ACE) and Trauma-Informed Care (TIC) improve care for vulnerable populations. Integrating neuroscience concepts enhances TIC, promoting resilience and self-regulation for providers and clients.

Keywords:
ACE studyNeuroplasticityNeuroscienceResilienceSelf-regulation skillsTrauma Informed Care (TIC)

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Area of Science:

  • Psychology
  • Neuroscience
  • Public Health

Background:

  • Kaiser Permanente's Adverse Childhood Experiences Study (ACE) highlights childhood trauma's impact on adult health.
  • Trauma-Informed Care (TIC) integrates trauma knowledge into policies and programs for vulnerable populations.

Purpose of the Study:

  • To discuss the contributions of ACE and TIC.
  • To identify unintended consequences of ACE and TIC.
  • To recommend neuroscience-based enhancements for TIC programs.

Main Methods:

  • Literature review and conceptual analysis of ACE and TIC.
  • Identification of unintended consequences in research, policy, and programs.
  • Integration of neuroscience concepts into TIC framework.

Main Results:

  • ACE and TIC have significantly advanced work with vulnerable groups.
  • Unintended consequences can affect research, evaluation, and social programs.
  • Neuroscience offers practical applications for enriching TIC.

Conclusions:

  • Neuroscience concepts can enhance TIC program design and interventions.
  • A resilience-oriented approach to TIC, grounded in neuroscience, is recommended.
  • Practical skills for self-regulation and self-care can be developed for providers and clients.