Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. [...] Accessed October 4, 2018 The ACE Study: Key Findings • 64% reported at least one ACE category • 12.5% (one in six) reported four or more • 25% of women and 16% of men reported having experienced childhood sexual abuse Individuals who reported four or more ACE categories had: • 1.6x the rate of obesity • Almost 2x the rate of heart and live. [...] Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. [...] Household and community-level Adverse Childhood Experiences and adult health outcomes in a diverse urban population. [...] Culture—Foundation (cont.) • Trauma-Informed Values (SAMHSA) Safety Trustworthiness and Transparency Peer Support Collaboration and Mutuality instead of Hierarchy Empowerment, Voice, and Choice Cultural, Historical, and Gender Understanding—Cultural Humility SAMHSA's Concept of Trauma and Guidance for a Trauma-informed Approach.
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