Breaking the Chain

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Breaking the Chain
Trauma-informed Prevention, Treatment,and
Recovery
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The poison of the past that continues to live
inside you right now. Bessel van
der Kolk
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Troubled Families
Resilience Trauma
Clinical Effects of Trauma
Core issues
Effective prevention
Treating the trauma
Working with families
Preparing systems
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Centrality of Trauma (Fallot)
Homelessness
Incarceration
Violence and Trauma
Mental Health Issues
Substance Use Disorders
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ACE Study

• 18,000 in an HMO
• Recurrent abuse
• Emotional
• Physical
• Sexual
• Household difficulties
• Drugs or alcohol
• Battered mother
• SMI family member
• Death of a parent
• Household member in prison

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• 52 more than one ACE
• 6.2 four or more ACEs
• 1 in 4 had 2 types
• 1 in 16 had 4 types

• ACE Study found
• 27 households AOD abuse
• 15 emotional neglect (11 severe, recurrent)
• 28 physical abuse (11 severe, recurrent)
• 21 sexual abuse
• 17 mental illness in household
• 13 battered mother

www.acestudy.org
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Of those who had grown up in homes with
substance problems, 81 reported at least one
additional ACE and the majority had experienced 2
or more ACES.
Co-PI Robert Anda

• Highly correlated with
• Sexual abuse
• Emotional abuse
• Physical abuse
• Mother treated violently
• Mental illness in family

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In Adult Life

• ? ACEs, ? likely
• Serious medical problems
• Smoke, severely obese
• Depressed, suicide attempts
• AOD problems
• gt50 sexual partners, STD history
• Other studies confirmed, ? ACEs, ? likely
• Mental health issues
• Interpersonal, family difficulties
• Sexually harassed or assaulted later
• Commit rape and/or other criminal acts

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Troubled Families
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Breaking the Chain Making Prevention Programs
Work for Children of Addicted Families Prepared
by the Illinois Prevention Resource
Center Guest Editor CathleenBrooks
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Problem Focus
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Caretaking
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Denial
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Preserving Addiction
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Rigidity
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Isolation
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Manipulation
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Obscuring Love
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Addiction, Recovery, and the Family
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Everythings Okay
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Then in Active Addiction
EEK!
Zzzzz
EEK!
OUCH!
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Family Seeks New Balance
Zzzzz
Sssssh!
Ouch!
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Early Recovery
One day at a time!
I liked you better when you were drinking!
Im outa here!
Holy cripes!
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New Stability
Wheee!
Must I do everything?
Zzzzzz
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Anyone we know?
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Resilience and Trauma
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Were wired to survive
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ResilienceThe power of balance
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Homeostasis
Resilience
Brain and Endocrine System
Allostasis
Balance
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