Erins Law Interim Study Closing Comments Jennifer HaysGrudo

Erin’s Law Interim Study: Closing Comments Jennifer Hays-Grudo, Ph. D Professor and Department Head of Human Development and Family Science (HDFS)

Brain Development http: //www. nytimes. com/interactive/2008/09/15/health/2008 0915 -brain-development. html

Effects of adversity on brain development - abuse

Neurological and biological effects of childhood trauma

Trauma and stress are “biologically embedded” with life-long effects

ACEs Study In multiple studies with thousands of people , ACEs predicted – Risky health behaviors – Chronic health problems – Mental health problems – PTSD – Poor adult functioning Felitti V, Anda R et al. Am J Prev Med 1998; 14: 245 -258.

The cycle of traumatic stress Dysfunctional adult relationships Poor workforce skills Stress of trauma and abuse Drop-out Drugs, alcohol Teen pregnancy Impairments in brain development Cognitive & emotional deficits

Antidote to childhood traumatic stress: Caring Relationships

ACEs and neurodevelopment perspective Early death Traditional programs ACEs-based or “traumainformed” interventions Chronic disease and conditions Problematic behaviors Impaired social, cognitive, emotional functioning Impaired bio/neurological functioning Adverse Childhood Experiences

Treating the neuro/biological effects Early death Current child welfare system Chronic disease and conditions Parenting classes, therapeutic interventions, prevention programs Problematic behaviors Attachment-based interventions: ABC, Circle of Security, CPP Impaired social, cognitive, emotional functioning Brain games and exercises (EF, MBSR) Impaired bio/neurological functioning Trauma and Abuse (Adverse Childhood Experiences)

We can’t afford to keep doing this

Resources • Oklahoma data: http: //www. okdhs. org/library/rpts/ • Adverse Childhood Experiences http: //www. cdc. gov/violenceprevention/acestudy/ • Is Disclosure of Childhood Rape Associated with Mental Health Outcome? Results from the National Women’s Study. Ruggiero KJ et al Child Maltreat 2004 9: 62. http: //cmx. sagepub. com/content/9/1/62