Training on ACE (Bhagayshree Deuri).pptx

ace

1. IMPACT OF ADVERSE CHILDHOOD EXPERIENCES (ACE s ) BHAGYASHREE DEURI RCI Licensed Clinical Psychologist cum Project Associate, SPNIWCD, RCG

2. WHAT IS ACE s ?

3. CASE VIGNETTE: Ravi is 9 years old. Every morning, he wakes up before the sun. His father has been away for months — no one says where. His mother sleeps most of the day. Ravi makes his own breakfast, packs his bag, and walks to school alone. At school, he often forgets his books. He fidgets. He lashes out when other children get too close. Sometimes, he stares out the window and seems far away. His teachers say he has ‘behavior issues.’ What no one sees is the invisible backpack Ravi carries. In it are things no child should bear: the memory of shouting at night, the fear of being left alone, the confusion of caring for a parent who doesn’t respond. His backpack is heavy — but no one can see it. Until one day, a school counselor sits down with him, not with punishment, but with curiosity. 'You seem to be carrying a lot. Want to talk about it?' And for the first time, Ravi begins to unpack.

4. It refers to potentially damaging or psychologically painful events in a person’s early life that can lead the person to negatively evaluate events and people, that also can disrupt one’s mental equilibrium making the individual vulnerable to lower degree of tolerance, emotional outbursts, hostility, isolation, sadness, pessimism, hopelessness etc. Age Range- 0-17 yrs

5. TYPES OF ACE( s )

6. HOW COMMON ARE ACE(s)? Three in four high school students reported experiencing one or more ACEs, and one in five experienced four or more ACEs.  ACEs that were most common among high school students were emotional abuse, physical abuse, and living in a household affected by poor mental health or substance abuse. While all children are at risk of ACEs, numerous studies show inequities in such experiences. These inequalities are linked to the historical, social, and economic environments in which some families live. 

7. LONG TERM EFFECTS OF ACE S

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9. ACTIVITY: Attachment Role Play 10 Volunteers act as “child” and “caregiver.” Instructions : Group 1: Caregiver keeps changing every 1 minute. Group 2: Caregiver stays consistent, responds warmly.

10. ACE PYRAMID/LIFECOURSE TRAJECTORY

11. SCREENING/ASSESSMENTS FOR ACE: THE ACE SCORE

12. GROUP ACTIVITY ACTIVITY

13. CONCLUSION

14. Thank you