1. Dr. Nadine Burke Harris described the impact of ACEs on health as a “toxic stress” that can have lifelong consequences for physical and mental health. She said that ACEs can lead to chronic diseases, mental health problems, and even early death. She also said that ACEs can create a cycle of violence and poverty, as children who experience ACEs are more likely to become parents who also experience ACEs.

She explained that toxic stress can damage the developing brain and body. This can lead to problems with learning, memory, attention, and impulse control. It can also lead to chronic diseases such as heart disease, diabetes, and cancer.

Dr. Burke Harris also said that ACEs can lead to mental health problems such as anxiety, depression, and post-traumatic stress disorder (PTSD). These problems can make it difficult to form healthy relationships, hold a job, and take care of oneself.

2. I found several things surprising, interesting, and unexpected from the video. First, I was surprised to learn that ACEs are so common. Dr. Burke Harris said that one in four children in the United States has experienced at least one ACE. I was also surprised to learn that the number of ACEs a child experiences can have a cumulative effect on their health. For example, a child who has experienced two ACEs is twice as likely to have chronic health problems as a child who has experienced no ACEs.

I was also interested to learn about the work that Dr. Burke Harris is doing to raise awareness about ACEs and to develop programs to help children who have experienced ACEs. She founded the Center for Youth Wellness, which provides comprehensive care to children who have experienced ACEs. She is also working to get ACEs screening included in routine medical exams.

3. I would incorporate my new understanding of ACEs in my work with children and families in several ways. First, I would screen all children for ACEs. This would help me to identify children who are at risk for health problems and mental health problems. I would then provide these children with appropriate support and resources.

Second, I would work to create a trauma-informed environment in my work setting. This means that I would be aware of the impact of ACEs on children and families and that I would create a safe and supportive environment for them.

Third, I would advocate for policies and programs that support children who have experienced ACEs. This could include supporting programs that provide early childhood education, mental health services, and substance abuse treatment.

I believe that it is important to raise awareness about ACEs and to provide support to children and families who have experienced them. I am committed to doing my part to help break the cycle of violence and poverty that is often associated with ACEs.

In addition to the above, here are some other ways to incorporate an understanding of ACEs into work with children and families:

• Train staff on ACEs and how to identify and support children and families who have experienced them.
• Create policies and procedures that are trauma-informed.
• Provide resources and support to children and families who have experienced ACEs.
• Advocate for policies and programs that support children and families who have experienced ACEs.