What are Adverse Childhood Experiences?
There’s a lot of discussion in the Education field about “Adverse Childhood Experiences.” Adverse Childhood Experiences (ACEs) are particular traumatic events that occur during childhood before the age of 18. When children experience trauma and educators understand its impact, trauma-informed interventions can be developed, which reduces the resulting negative consequences. Communities have also become involved in decreasing ACEs, preventing abuse and mistreatment, and creating more positive outcomes for children and their families (Centers for Disease Control and Prevention, 2016).
Childhood trauma research conducted in the 1990s discovered a connection between the number of Adverse Childhood Experiences one has and the number of adverse outcomes they experience as adults. These resulting negative results included physical health, medical issues, mental illness, addiction, and risk-taking behaviors. The original ACE Study was conducted from 1995 to 1997 by Kaiser Permanente with two waves of data collection from over 17,000 HMO members. The study found that experiencing a traumatic childhood not only significantly impacts the probability that the individual will suffer from future health issues, but indicates a higher likelihood of further adult victimization as well.
The data collection questionnaire used for gathering the ACE data is known as the “Adverse Childhood Experiences (ACE) quiz,” and the score is the total count of specific indicators of a turbulent childhood. The harsher the childhood, the higher the score, and the higher the risk for health and other problems later on, including risk-taking behaviors, chronic health conditions, mental illness, substance abuse, decreased or limited life-potential, and early death (Centers for Disease Control and Prevention, 2019).
Why are Adverse Childhood Experiences important?
Adverse Childhood Experiences are the environmental influences that challenge a child’s sense of safety, stability, and attachment. They include but are not limited to physical and verbal abuse, neglect, addiction, alcoholism, mental illness, and violence.
The data collection questionnaire used for gathering the ACE data is known as the “Adverse Childhood Experiences (ACE) quiz,” and the score is the total count of specific indicators of a turbulent childhood. The harsher the childhood, the higher the score, and the higher the risk for health and other problems later in life such as risk-taking behaviors, chronic health conditions, mental illness, substance abuse, decreased or limited life-potential, and early death (Centers for Disease Control and Prevention, 2019).
The ACE quiz measures 10 types of childhood trauma, five of which are personal: physical, verbal, and sexual abuse, and physical or emotional neglect. The remaining five are related to family members, for example, an alcoholic parent, family member affected by domestic violence, incarcerated family member, mentally ill family member, or living in a single-parent household due to divorce, death, or abandonment. There are many kinds of childhood trauma, but only 10 are included in the ACE quiz because they were the most frequently mentioned by the members of the research group.
Each kind of traumatic experience scores one point. For example, a person who’s been verbally abused and has one mentally ill parent, and lives in a single-parent home has an ACE score of three.
If other types of abuse or neglect were experienced, including extended periods of toxic stress, those would also increase the likelihood of compromised health in adulthood.
The ACE score is only a guideline. Positive childhood experiences can protect against many of the adverse outcomes, even after the trauma has occurred. (Centers for Disease Control and Prevention 2016). Some people who have high ACE scores, including myself, can recover and do well as adults. Resilience, a subject of ongoing research, is thought to be a key component to recovery.
Where can I take the ACE quiz?
If you’re interested in taking the Adverse Childhood Experiences quiz, you’ll find it here.
Conscious awareness: Be aware and make conscious choices before acting. Self-awareness releases us from making impulsive and potentially damaging decisions.
Self-care: We can only choose to focus on and be responsible for ourselves, our own thoughts, actions, and behavior. The good news is that we can change ourselves with patience, persistence, and practice. We can take responsibility for getting our needs met, instead of waiting for someone to change or meet our needs for us. We are in control of ourselves and no one is responsible for us but us.
Understand the abuse cycle
Learn about codependency
Learn about letting go of what you can’t control, by using loving-detachment
Learn about expectations
More resources to guide you in healing from childhood trauma, abuse, or neglect. Available on Amazon and wherever books are sold. (ebook, audiobook, hardcover, and paperback.)
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About the author
As a result of growing up in a dysfunctional home, and with the help of professional therapists and continued personal growth, Diane Metcalf has developed strong coping skills and healing strategies. She happily shares those insights with others who want to learn.
Her books and articles are the result of her education, knowledge, personal growth, and insight regarding her childhood experiences and subsequent recovery work.
Diane holds a Master of Science degree in Information Technology and a Bachelor of Arts in Psychology. She has worked in numerous fields including domestic violence and abuse and is an experienced advocate, speaker, and writer about family dysfunction. Currently, she writes about recovery from narcissistic victim syndrome and symptoms of C-PTSD on The Toolbox and has authored three books in the “Lemon Moms” series. Visit her author’s website here.
She is no longer a practicing Social Worker, Counselor, Program Manager, or Advocate.
This website is intended for informational purposes only and is not a substitute for professional therapy.