Gender differences in youth Adverse Childhood Experience ... · Gender differences in youth Adverse...
Transcript of Gender differences in youth Adverse Childhood Experience ... · Gender differences in youth Adverse...
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Gender differences in youth Adverse Childhood Experience
scores: Exploring implications in a
concurrent program
Margot Crane, MC, RSW, RPsychRebeccah Marsh, PhDBina Nair, MD FRCPC
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Faculty/Presenter Disclosure Faculty/Presenters:
Margot Crane, MC, RSW, RPsych Rebeccah Marsh, PhD Bina Nair, MD FRCPC
Relationships with commercial interests: Not applicable
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CASA Child, Adolescent and Family Mental Health
• Concurrent Addiction and Mental Health Program (CAMP):• For youth under 18 years• Treatment is family-centred, multi-disciplinary,
trauma-informed • Grounded in a harm reduction philosophy • Goal is to help youth replace unhealthy coping
strategies with healthy behaviours
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Who is joining us today?
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Adverse Childhood Experiences (ACEs) Study 10-year study in the 1990s 17,000 participants Looked at impact of adverse childhood experiences
on many aspects of health over the lifespan
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http://www.kzoo.edu/praxis/files/2015/06/CEs_infographic_print_2015.4.5_v2.jpg
Physical
Emotional
Sexual
Physical
Emotional
Physical
Mother Treated Violently
Incarcerated Relative
Substance Abuse
Family Break-up
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Early Death
Disease, Disability
Adoption of Health-Risk Behaviours
Social, Emotional, and Cognitive Impairment
Disrupted Neurodevelopment
Adverse Childhood Experiences
ACEs are associated with poorer lifelong health outcomes
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Youth self-report of ACEs at admission to CAMP
61%
49% 46%42%
26% 26%22% 21% 20% 18%
18%21% 21%
11% 11%15% 13%
0%
10%
20%
30%
40%
50%
60%
70%CAMP AB Study2013 Alberta ACEs Study
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Girls self-report a higher prevalence than boys
All significantly different (p<0.05)
70%63% 63%
57%53%
38%
54%
34%39% 36% 34%
10%
0%
20%
40%
60%
80%
FamilyBreak-Up
FamilyMemberMentalIllness
EmotionalNeglect
VerbalAbuse
Family DrugAbuse
SexualAbuse
Girls Boys
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Girls in CAMP are more likely to report higher total ACE exposure
Girls Boys
61% report
4+ ACEs
34% report
4+ ACEs
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Higher ACE score in CAMP is associated with:
Higher severity of mental health symptoms Diagnosis of depression Diagnosis of substance abuse disorder Total number of diagnoses
Not associated with diagnosis of ADHD or anxiety
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How this informs our practice
Patient
Program
Organization
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Reflection