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Adverse Childhood
Experiences
Their effect on learning and life
Laurie Prusso Hatch
Professor of Child Development
Certified Positive Discipline Trainer
Positive Discipline Works
Because it addresses human needs that
are universal it is effective for typically
developing children, children with special
needs and children with traumatic histories.
It is an effective, responsive set of tools
that supports each individual in reaching
his/her potential.
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
Why Positive Discipline?
 Positive Discipline is grounded in what the adult does,
rather than on what the child did.
 It requires adults to be intentional, knowledgeable, and
wise. Respect and teaching come from the heart.
 It has the best and long term interest of the child in
mind.
 It is proven effective.
 It strengthens relationships and a sense of belonging
and significance.
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
Five Criteria
 Helps children feel a sense of connection. (Belonging and
significance)
 Is mutually respectful and encouraging. (Kind and firm at the
same time.)
 Is effective long - term. (Considers what the child is thinking,
feeling, learning, and deciding about himself and his world – and
what to do in the future to survive or to thrive.)
 Teaches important social and life skills. (Respect, concern for
others, problem solving, and cooperation as well as the skills to
contribute to the home, school or larger community.)
 Invites children to discover how capable they
are. (Encourages the constructive use of personal power and
autonomy.)
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
Positive Discipline
Recognizes needs and goals and
avoids Re-traumatization
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
Appreciates that many problem behaviors began as
understandable attempts to cope.
 Strives to maximize choices for the child and give the
child control over the healing process.
 Seeks to be culturally competent –respect is universal.
 Understands each survivor in the context of life
experiences.
(Alvarez and Sloan, 2010)
We Can Influence Resilience
 “Resiliency is the capability of individuals
to cope successfully in the face of
significant change, adversity, or risk. The
capacity changes over time and is
enhanced by protective factors in the
individual and environment.”
 (Stewart et al.,1991 as cited by Greene and Conrad,
2002)
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
Toxic Stress
That which is severe and prolonged in the absence of
the buffering protection of supportive relationships.
Sources can include things like physical or emotional
abuse, chronic neglect, severe maternal depression,
parental addiction, or family violence.
Toxic stress disrupts brain architecture and leads to
lifelong problems in learning, behavior, and both physical
and mental health.
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
Toxic Stress
 Child maltreatment is an act of commission (abuse) or
omission (neglect) by a caregiver that results in harm,
potential for harm, or the threat of harm to a child
 Childhood trauma results from events or circumstances
experienced by a child as physically or emotionally
harmful or threatening and that has lasting effects on
functioning and well-being
 Adverse Childhood Experiences (ACEs) are traumatic
stressors such as abuse, neglect, or dysfunction that
occur during childhood
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
How much? How often? How
traumatic?
Dosage or Intensity
Frequency
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
ACEs Categories
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
Child Abuse
Neglect
Growing up in an
environment
where getting
needs met is a
daily challenge
• Physical Abuse and Harsh Punishment
• Sexual Abuse
• Emotional Abuse
• Emotional Neglect
• Physical Neglect
• Witnessing domestic violence
• Alcohol or other substance-abuse in
the household
• Mentally ill or suicidal person in the
home
• Loss of parent to death,
abandonment, or divorce
• Family member ever incarcerated
Take the ACE Test
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
http://www.npr.org/sections/health-
shots/2015/03/02/387007941/take-the-ace-
quiz-and-learn-what-it-does-and-doesnt-
mean
ACE Study
 Over 2/3 of adults reported at least 1 ACE 12.6% of adults
reported an ACE score > 4 Strong correlation between high
ACEs scores and
 poor health outcomes People with 4 or more ACEs were…
 • 2.2 times as likely to have ischemic heart disease
 • 2.4 times as likely to have a stroke
 • 1.9 times as likely to have cancer
 • 1.6 times as likely to have diabetes
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
It isn’t the trauma but the HPA axis (Stress
Response)
 Hypothalamus triggers the release of CRH
 Corticotropin Releasing Hormone
 Pituitary Gland releases ACTH which is carried by the
blood to the
 Adrenocorticotropic Hormone
 Adrenal Gland which releases stress hormones
Cortisol/Adrenalin and Noradrenalin to assist the
body in dealing with the stress
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
An ACE score of 3-4+ predicts
 Participation in “Risky” Behavior
 Early sexual activity
 Teen/unintended pregnancy
 STDs
 Promiscuity
 Intimate partner violence
 Smoking
 Drug use and abuse
 Alcohol abuse
 Obesity
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
3+ Chronic Disease
 Autoimmune diseases
 Asthma
 Diabetes
 Chronic Obstructive Pulmonary Disease (COPD)
 Ischemic Heart Disease
 Heart Attack
 Liver Disease
 Cancer
 Kidney Disease
 Stroke
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
Progression of the Effects of Early Maltreatment
Early
Death
Disease,
Disability and
SocialProblems
Adoption of
Health-Risk
Behaviors
Social-Emotional and
Cognitive Impairment
Disrupted
Neurodevelopment
Adverse Childhood Experiences
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
Conception
Death
Ready to Learn
 Security
 Trust
 Connection
 Contribution
 Capability
 Friendship
 Learning
 Emotional Regulation-Social Skills
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
Effects on behavior and
learning
Because the Stress Response directly effects the brain
and the development of memory, “Children who
experience adversity at an early age are more likely to
exhibit deficits in executive functioning, suggesting that
these capacities are vulnerable to disruption early in the
developmental process.
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
Trauma and Risk
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
Easily 16% of the
population has an
ACE Score of 4 or
higher.
Traumatic Life
When children have been exposed to
adverse childhood experiences, they have a
powerful, overwhelming sense of loss,
sorrow, sadness, fear, pain, and confusion.
This often looks like anger,
withdrawal, or defiance.
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
Children’s Behavior is Like
an Iceberg.
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
Hyper-vigilance
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
In response to life experiences children
develop reactive behaviors
 Ineffective, but protective skills include:
 Frequent Emotional Tsunamis
 Lack of access to real emotions: only anger
 Down Regulation
 Frequent withdrawal
 Argue about EVERYTHING
 Inflexible and rigid
 Literal
 Hypervigilance
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
Outward Behaviors
 Explosive
 Volatile
 Angry
 Anxious
 Unpredictable
 Intense
 Erratic
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
What about learning?
 60% available
 Not interested!
 Confused, hurt (angry), hyper-vigilant
 Reactive
 Doesn’t work well in classroom environments where
teachers are demanding, demeaning, discouraging and
disrespectful.
 By the time we get these folks, they have lived a life time in
a world of sorrow and pain! Some remain in that world.
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
Typical School “Discipline”
based on “Behaviorism” and
Zero Tolerance
Punitive Time-Out Withdrawal of Privileges
Withholding of “fun” activities Pull Cards
Threats Sent to Office
Detention Notes Sent Home
No Recess Removal From Group
Humiliation, Comparison Isolation
Extra Work Rejection
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
Teachers Avoid
 Acting Angrily
 Placing Blame
 Shaming and Humiliating
 Punishment
 Behavior based involvement
 Behavior based relationships
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
Student Success is About
Connecting
 Every student needs to know they are welcome
 Every student needs to know they are safe—
emotionally, physically, socially
 Reach out with humor and acceptance
 “Be Not Provoked”
 Do NOT Provoke!
 Patience and understanding combined with clear
expectations and support
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
Every Student Needs
 To know that someone cares
 Someone to talk to
 To feel safe
 To make meaningful contributions
 To feel successful
 To make progress
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
Why Positive Discipline?
 Positive Discipline is grounded in what the adult does,
rather than on what the child did.
 It requires adults to be intentional, knowledgeable, and
wise.
 It has the best and long term interest of the child in
mind.
 It is proven effective.
 It strengthens relationships and a sense of belonging
and significance.
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
TeacherLaurie.com
 Laurie is a Professor of Child Development at Modesto Junior College
and is focused on emotional and social development in young
children and adult-child relationships. She is specifically interested in
and has done extensive work in the area of the effects of trauma on
children and families and the role of relationships in healing.
 Laurie has provided consulting services, workshops, trainings and
keynote addresses around the state. She earned her BA in Human
Development and a Master’s Degree in Education with an emphasis
in Early Childhood from California State University. Laurie has been a
family childcare provider, preschool teacher and program
director. She is a Certified Positive Discipline © Trainer and Parent
Educator. and presents workshops
 In addition to her professional career, Laurie is the mother of six
grown children, all boys. Her blended family includes 13 children and
42 grandchildren. She is learning to play the Ukulele.
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
ACEs Resources
 http://www.npr.org/sections/health-
shots/2015/03/02/387007941/take-the-ace-quiz-and-learn-
what-it-does-and-doesnt-mean
 https://www.ted.com/talks/nadine_burke_harris_how_childho
od_trauma_affects_health_across_a_lifetime?language=en
 http://www.centerforyouthwellness.org/adverse-childhood-
experiences-aces/
 http://acestoohigh.com/2012/10/03/the-adverse-childhood-
experiences-study-the-largest-most-important-public-health-
study-you-never-heard-of-began-in-an-obesity-clinic/
 http://www.traumainformedcareproject.org/
LauriePrusso@gmail.com Positive Discipline Conference: Trauma
More resources
 http://www.traumainformedcareproject.org/resources/Tr
auma%20101%20Powerpoint%20PresentationV1.pdf
 http://dujs.dartmouth.edu/fall-2010/the-physiology-of-
stress-cortisol-and-the-hypothalamic-pituitary-adrenal-
axis#.Va52J5NVhBchttp://dujs.dartmouth.edu/fall-
2010/the-physiology-of-stress-cortisol-and-the-
hypothalamic-pituitary-adrenal-axis#.Va52J5NVhBc
LauriePrusso@gmail.com Positive Discipline Conference: Trauma

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Positive discipline conference trauma

  • 1. Adverse Childhood Experiences Their effect on learning and life Laurie Prusso Hatch Professor of Child Development Certified Positive Discipline Trainer
  • 2. Positive Discipline Works Because it addresses human needs that are universal it is effective for typically developing children, children with special needs and children with traumatic histories. It is an effective, responsive set of tools that supports each individual in reaching his/her potential. LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 3. Why Positive Discipline?  Positive Discipline is grounded in what the adult does, rather than on what the child did.  It requires adults to be intentional, knowledgeable, and wise. Respect and teaching come from the heart.  It has the best and long term interest of the child in mind.  It is proven effective.  It strengthens relationships and a sense of belonging and significance. LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 4. Five Criteria  Helps children feel a sense of connection. (Belonging and significance)  Is mutually respectful and encouraging. (Kind and firm at the same time.)  Is effective long - term. (Considers what the child is thinking, feeling, learning, and deciding about himself and his world – and what to do in the future to survive or to thrive.)  Teaches important social and life skills. (Respect, concern for others, problem solving, and cooperation as well as the skills to contribute to the home, school or larger community.)  Invites children to discover how capable they are. (Encourages the constructive use of personal power and autonomy.) LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 5. Positive Discipline Recognizes needs and goals and avoids Re-traumatization LauriePrusso@gmail.com Positive Discipline Conference: Trauma Appreciates that many problem behaviors began as understandable attempts to cope.  Strives to maximize choices for the child and give the child control over the healing process.  Seeks to be culturally competent –respect is universal.  Understands each survivor in the context of life experiences. (Alvarez and Sloan, 2010)
  • 6. We Can Influence Resilience  “Resiliency is the capability of individuals to cope successfully in the face of significant change, adversity, or risk. The capacity changes over time and is enhanced by protective factors in the individual and environment.”  (Stewart et al.,1991 as cited by Greene and Conrad, 2002) LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 7. Toxic Stress That which is severe and prolonged in the absence of the buffering protection of supportive relationships. Sources can include things like physical or emotional abuse, chronic neglect, severe maternal depression, parental addiction, or family violence. Toxic stress disrupts brain architecture and leads to lifelong problems in learning, behavior, and both physical and mental health. LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 8. Toxic Stress  Child maltreatment is an act of commission (abuse) or omission (neglect) by a caregiver that results in harm, potential for harm, or the threat of harm to a child  Childhood trauma results from events or circumstances experienced by a child as physically or emotionally harmful or threatening and that has lasting effects on functioning and well-being  Adverse Childhood Experiences (ACEs) are traumatic stressors such as abuse, neglect, or dysfunction that occur during childhood LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 9. How much? How often? How traumatic? Dosage or Intensity Frequency LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 10. ACEs Categories LauriePrusso@gmail.com Positive Discipline Conference: Trauma Child Abuse Neglect Growing up in an environment where getting needs met is a daily challenge • Physical Abuse and Harsh Punishment • Sexual Abuse • Emotional Abuse • Emotional Neglect • Physical Neglect • Witnessing domestic violence • Alcohol or other substance-abuse in the household • Mentally ill or suicidal person in the home • Loss of parent to death, abandonment, or divorce • Family member ever incarcerated
  • 11. Take the ACE Test LauriePrusso@gmail.com Positive Discipline Conference: Trauma http://www.npr.org/sections/health- shots/2015/03/02/387007941/take-the-ace- quiz-and-learn-what-it-does-and-doesnt- mean
  • 12. ACE Study  Over 2/3 of adults reported at least 1 ACE 12.6% of adults reported an ACE score > 4 Strong correlation between high ACEs scores and  poor health outcomes People with 4 or more ACEs were…  • 2.2 times as likely to have ischemic heart disease  • 2.4 times as likely to have a stroke  • 1.9 times as likely to have cancer  • 1.6 times as likely to have diabetes LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 13. It isn’t the trauma but the HPA axis (Stress Response)  Hypothalamus triggers the release of CRH  Corticotropin Releasing Hormone  Pituitary Gland releases ACTH which is carried by the blood to the  Adrenocorticotropic Hormone  Adrenal Gland which releases stress hormones Cortisol/Adrenalin and Noradrenalin to assist the body in dealing with the stress LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 15. An ACE score of 3-4+ predicts  Participation in “Risky” Behavior  Early sexual activity  Teen/unintended pregnancy  STDs  Promiscuity  Intimate partner violence  Smoking  Drug use and abuse  Alcohol abuse  Obesity LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 16. 3+ Chronic Disease  Autoimmune diseases  Asthma  Diabetes  Chronic Obstructive Pulmonary Disease (COPD)  Ischemic Heart Disease  Heart Attack  Liver Disease  Cancer  Kidney Disease  Stroke LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 17. Progression of the Effects of Early Maltreatment Early Death Disease, Disability and SocialProblems Adoption of Health-Risk Behaviors Social-Emotional and Cognitive Impairment Disrupted Neurodevelopment Adverse Childhood Experiences LauriePrusso@gmail.com Positive Discipline Conference: Trauma Conception Death
  • 18. Ready to Learn  Security  Trust  Connection  Contribution  Capability  Friendship  Learning  Emotional Regulation-Social Skills LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 19. Effects on behavior and learning Because the Stress Response directly effects the brain and the development of memory, “Children who experience adversity at an early age are more likely to exhibit deficits in executive functioning, suggesting that these capacities are vulnerable to disruption early in the developmental process. LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 20. Trauma and Risk LauriePrusso@gmail.com Positive Discipline Conference: Trauma Easily 16% of the population has an ACE Score of 4 or higher.
  • 21. Traumatic Life When children have been exposed to adverse childhood experiences, they have a powerful, overwhelming sense of loss, sorrow, sadness, fear, pain, and confusion. This often looks like anger, withdrawal, or defiance. LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 22. Children’s Behavior is Like an Iceberg. LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 24. In response to life experiences children develop reactive behaviors  Ineffective, but protective skills include:  Frequent Emotional Tsunamis  Lack of access to real emotions: only anger  Down Regulation  Frequent withdrawal  Argue about EVERYTHING  Inflexible and rigid  Literal  Hypervigilance LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 25. Outward Behaviors  Explosive  Volatile  Angry  Anxious  Unpredictable  Intense  Erratic LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 26. What about learning?  60% available  Not interested!  Confused, hurt (angry), hyper-vigilant  Reactive  Doesn’t work well in classroom environments where teachers are demanding, demeaning, discouraging and disrespectful.  By the time we get these folks, they have lived a life time in a world of sorrow and pain! Some remain in that world. LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 27. Typical School “Discipline” based on “Behaviorism” and Zero Tolerance Punitive Time-Out Withdrawal of Privileges Withholding of “fun” activities Pull Cards Threats Sent to Office Detention Notes Sent Home No Recess Removal From Group Humiliation, Comparison Isolation Extra Work Rejection LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 28. Teachers Avoid  Acting Angrily  Placing Blame  Shaming and Humiliating  Punishment  Behavior based involvement  Behavior based relationships LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 29. Student Success is About Connecting  Every student needs to know they are welcome  Every student needs to know they are safe— emotionally, physically, socially  Reach out with humor and acceptance  “Be Not Provoked”  Do NOT Provoke!  Patience and understanding combined with clear expectations and support LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 30. Every Student Needs  To know that someone cares  Someone to talk to  To feel safe  To make meaningful contributions  To feel successful  To make progress LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 31. Why Positive Discipline?  Positive Discipline is grounded in what the adult does, rather than on what the child did.  It requires adults to be intentional, knowledgeable, and wise.  It has the best and long term interest of the child in mind.  It is proven effective.  It strengthens relationships and a sense of belonging and significance. LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 32. TeacherLaurie.com  Laurie is a Professor of Child Development at Modesto Junior College and is focused on emotional and social development in young children and adult-child relationships. She is specifically interested in and has done extensive work in the area of the effects of trauma on children and families and the role of relationships in healing.  Laurie has provided consulting services, workshops, trainings and keynote addresses around the state. She earned her BA in Human Development and a Master’s Degree in Education with an emphasis in Early Childhood from California State University. Laurie has been a family childcare provider, preschool teacher and program director. She is a Certified Positive Discipline © Trainer and Parent Educator. and presents workshops  In addition to her professional career, Laurie is the mother of six grown children, all boys. Her blended family includes 13 children and 42 grandchildren. She is learning to play the Ukulele. LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 33. ACEs Resources  http://www.npr.org/sections/health- shots/2015/03/02/387007941/take-the-ace-quiz-and-learn- what-it-does-and-doesnt-mean  https://www.ted.com/talks/nadine_burke_harris_how_childho od_trauma_affects_health_across_a_lifetime?language=en  http://www.centerforyouthwellness.org/adverse-childhood- experiences-aces/  http://acestoohigh.com/2012/10/03/the-adverse-childhood- experiences-study-the-largest-most-important-public-health- study-you-never-heard-of-began-in-an-obesity-clinic/  http://www.traumainformedcareproject.org/ LauriePrusso@gmail.com Positive Discipline Conference: Trauma
  • 34. More resources  http://www.traumainformedcareproject.org/resources/Tr auma%20101%20Powerpoint%20PresentationV1.pdf  http://dujs.dartmouth.edu/fall-2010/the-physiology-of- stress-cortisol-and-the-hypothalamic-pituitary-adrenal- axis#.Va52J5NVhBchttp://dujs.dartmouth.edu/fall- 2010/the-physiology-of-stress-cortisol-and-the- hypothalamic-pituitary-adrenal-axis#.Va52J5NVhBc LauriePrusso@gmail.com Positive Discipline Conference: Trauma