Oral

Dr Felitti will present his long term work addressing the effects of adverse childhood experiences on long term health issues. Adverse experiences include child abuse/neglect and severe household dysfunction. The ACE Study has been a joint venture between Kaiser Permanente and the CDCPrevention and has been shared at multiple national and international conferences and publications. The study his based on observations of patients of Southern California Kaiser Permanente which provides health care for a large portion of Southern California. Patients with morbid obesity and other chronic health problems were noted to have histories of damaging childhood experiences. Dr. Felitt’s support and acceptance of these childhood life experiences resulted in improved physical health and reduced medical utilization. Other health problems have been studied including, alcohol and drug abuse, chronic obstructive pulmonary disease, depression, fetal death, ischemic heart disease, liver disease, STD, smoking ,suicide unintended pregnancies, and intimate partner violence. Work within Kaiser Permanente has demonstrated the potential for major improvements in consumer health and decreases in health care costs. Dr Kuelbs is a national expert on prevention and intervention of child abuse and neglect and directs one of the major programs for such work internationally. She will address the pediatric literature for ACE and physical disease and will join Dr Felitti in suggestions for the role of public health in the prevention and intervention. The APHA Family Violence Prevention Forum will continue as a resource for supporting public health professionals addressing Adverse Childhood Experiences.

Session Objectives: 1 List at least three medical conditions that are found to correlate with Adverse Childhood Experiences (ACE) 2 List three components of the intervention provided for the effects of ACE 3 Describe at least one component of this presentation to fit your practise of program. 4 Describe the potential for cost savings in health program that utilize the lessons from the ACE study.

CE Credits: CME, Health Education (CHES), Nursing