1. Shifting the Future
of Health, Safety & Prosperity
Preventing Adverse Childhood Experiences
We’re All About
The Magnitude of the Solution

2. Promote Virtuous Cycle of Health
Moderate ACE Effects,
Improve Wellbeing
Among Parenting Adults
2
Prevent High
ACE Scores
among Children
Mutually
Reinforcing
8 7

3. Parenting May Be More Difficult for Some
Relationships
Physical
Mental
Health
Cognition
Behavior
Crisis

4. Very High ACE Scores
Among Parenting-Age Adults in Washington
AGE 18-34 with ≥5 ACEs AGE 35-54 with ≥5 ACEs

5. Adult Adversity Compounds Effects
0
10
20
30
40
50
60
0 1 2 3
%with15-30
Disability-InterruptedDaysaMonth
Number of Major Stress Categories In Adulthood
Added to ACE Score of ≥3
Adults with 3 ACEs
Plus
Major Stress Categories:
1. Homelessness
2. Incarceration
3. Chronic illness
4. Separation/Divorce
5. Severe Depression
6. Work-related Injury/ Illness

6. 1. Employ a Dual Generation Approach
2. Engage the Citizenry to Shift Cultural Norms
3. Shift Practice in ACE-Driven Cost Centers
4. Systematically Learn: What Works for Whom, In
What Conditions
Policy Implications
ACE Score Reduction Reliably Predicts Savings:
Health, Justice, Social, Education, Workforce, Happiness, Lifespan

7. ACEs Driven Cost Centers
Workforce
Health
Corrections
Housing & Shelter
Behavioral Health
Disability Services
Labor & Industries
Child Welfare

8. First Responders
Interrupting Intergenerational Transmission
• ACEs in Home Visiting
• Community: People We Can
Count On
• TANF Parent Ed “Counts”
• Youth Development as “Pre-
Parent Skill-Building”
• Train the Trainer
• Action Oriented Workshops

16. Expand
Leadership
Come Together
– Talk about
What Matters
Learn
Together
Decisions for
Results &
Shared Identity
Emergence: Create both Path & Destination
Appreciative Action: Finds Strengths and Acts Upon Them

17. Social/Emotional Support-Resilience Factor
7.50%
10.40%
15.70%
7.00%
9.10%
8.20%
5.70%
7.20%
1.40%
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
14.00%
16.00%
18.00%
Cardiovascular Diabetes Receive Treatment for Mental Illness
Rarely/Never Sometimes Always/Usually Have Support

18. Support, Positive View & Hope
Improve Housing Stability
19
2.6
0
2
4
6
8
10
12
14
16
18
20
Low Resiliency High Resiliency
PercentWhoMoved≥4TimesinPastYear
Resiliency Score:
Social-Emotional Support, Positive View/Narrative, Hope
Moved ≥ 4 Times in Past Year

19. 8% 8% 7%
10% 10%
12%
17%
16%
17%
25%
23%
35%
0%
5%
10%
15%
20%
25%
30%
35%
40%
0 ACE 1 ACE 2ACE 3 ACE 4-5 ACE 6-8 ACE
PercentUnemployed
PEOPLE WITH SUPPORT & HOPE
ARE MORE LIKELY TO BE EMPLOYED
High Resilience Score Low Resilience Score
SOCIAL & EMOTIONAL SUPPORT; POSITIVE VIEW; HOPE

20. Higher Community Capacity
Fewer Adverse Childhood Experiences (ACEs) among Young Adults

21. Keys to Success
 Take a learning systems approach
 Form long-term partnership with community leaders
 Structure staff for both short and long term needs
 Develop an education framework that unites people
across professional disciplines, class lines, sectors, etc.
 Hold a fundamental respect for the wisdom of every
person – their culture, experience, capabilities, and
aspirations

22. Community
Services
Education
System
Other
Special
Services
Building Self-Healing Communities
© 2013
Justice
System