Course Document - IMPACT OF CHILDHOOD STRESS ON BEHAVIORAL...

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IMPACT OF CHILDHOOD  STRESS ON BEHAVIORAL  HEALTH   BEHAVIORAL HEALTH 2-18-2011
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DID WE CHOOSE OUR OWN  PARENTS ? (THE COSMIC  LOTTERY THAT WE EITHER  WIN OR LOSE)
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OUTLINE MAZLOW’S HIERARCHY ADVERSE CHILDHOOD EXPERIENCES  MENTAL HEALTH ISSUES IN ADULTS
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MASLOW’S ORIGINAL PYRAMID OF NEEDS
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DEFINITION OF SELF  ACTUALIZATION (FROM  NEURONS TO NEIGHBORHOODS)  CHILDREN WHO SELF ACTUALIZE  ACHIEVE ACADEMIC SUCCESS,  ULTIMATELY SUSTAIN ECONOMIC  INDEPENDENCE AND ENGAGE  CONSTRUCTIVELY WITH OTHERS AS  ADULT CITIZENS
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HOW DO WE MAKE SELF  ACTUALIZATION HAPPEN? PROVIDE AN ENVIRONMENT TO SUPPORT  A CHILD’S EMERGING “SENSE OF AGENCY” AGENCY IS THE FEELING OF BEING ABLE  TO INFLUENCE EVENTS AND THUS HAVE  AN IMPACT ON ONE’S OWN LIFE (BEING CONTROLLED BY OR DEPENDENT  ON OTHERS IS NOT SELF ACTUALIZATION)
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SELF ACTUALIZED PARENT CAN PROVIDE MAZLOW’S HIERARCHY FOR  CHILD, BECAUSE OF SUCCESSFUL  DEVELOPMENT OF ONE’S OWN  AGENCY CHILDREN WHOSE PARENTS   SUCCESSFULLY DEVELOPED AGENCY  “WON” THE COSMIC LOTTERY
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THE RELATIONSHIP OF ADVERSE CHILDHOOD EXPERIENCES TO ADULT HEALTH STATUS A COLLABORATIVE EFFORT OF KAISER  PERMANENTE AND THE CENTERS FOR  DISEASE CONTROL VINCENT J. FELITTI, M.D. ROBERT F. ANDA, M.D.
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FOR MORE INFORMATION GO TO CDC.GOV ENTER THE SEARCH TERM “ADVERSE  CHILDHOOD EXPERIENCES” RELEVANT PUBLICATIONS ARE THERE
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NOTE FELITTI AND ANDA’S WORK DONE ON A  MOSTLY WHITE MIDDLE CLASS  POPULATION WE WILL BE STUDYING ACES IN  JUVENILE JUSTICE IN FLORIDA
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THE ADVERSE CHILDHOOD  EXPERIENCES (ACE) STUDY THE LARGEST STUDY OF ITS KIND EVER DONE  TO EXAMINE THE HEALTH AND SOCIAL  EFFECTS OF ADVERSE CHILDHOOD  EXPERIENCES OVER THE LIFESPAN  (18,000  PARTICIPANTS)
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WHAT DO WE MEAN BY ADVERSE CHILDHOOD EXPERIENCES? - CHILDHOOD ABUSE AND NEGLECT - GROWING UP WITH DOMESTIC VIOLENCE,  SUBSTANCE ABUSE OR MENTAL  ILLNESS IN THE HOME, PARENTAL LOSS, OR CRIME
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Adverse Childhood Experiences  vs. Current Smoking %
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ACE Score vs. Smoking and COPD 
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ACE Score and the Risk of Being a Victim of Domestic Violence
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ACE Score vs. Intravenous Drug Use N = 8,022 N = 8,022 p<0.001 p<0.001
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Childhood Experiences vs. Adult Alcoholism 0 2 4 6 8 10 12 14 16 18 % Alcoholic 0 1 2 3 4+
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Childhood Experiences  Followed by Depression
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Childhood Experiences Followed by  Suicide Attempt 2 2 0 0 3 3 4 4 + +
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Childhood Experiences Followed by Childhood Experiences Followed by Rape Rape 0 0 1 1 2 2 3 3 4+ 4+
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ACE Score vs. Unintended Pregnancy or Elective Abortion 0 10 20 30 40 50
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Course Document - IMPACT OF CHILDHOOD STRESS ON BEHAVIORAL...

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