{"id":18320,"date":"2021-11-26T09:27:04","date_gmt":"2021-11-26T09:27:04","guid":{"rendered":"https:\/\/childandfamilyblog.com\/?p=18320"},"modified":"2025-09-30T16:53:01","modified_gmt":"2025-09-30T15:53:01","slug":"adverse-childhood-experiences-negatively-affect-development","status":"publish","type":"post","link":"https:\/\/childandfamilyblog.com\/adverse-childhood-experiences-negatively-affect-development\/","title":{"rendered":"How to protect children from the negative impacts of adverse childhood experiences \u2013 a comprehensive approach"},"content":{"rendered":"<p>A team of researchers has created a framework for comprehensively addressing the cascade of problems that emerge from adverse experiences of children from birth to age 18. These patterns of harm are consistent across continents and cultures. The more adverse experiences a child has, the greater the damage. When first researched in the early 2000s, adverse childhood experiences (ACEs) were surprisingly widespread, with two thirds of 17,000 mainly middle-class people in the United States reporting at least one. ACEs are more prevalent in disadvantaged communities where there is less income, less education, and greater social marginalization.<\/p>\n<p>Based on years of research, the framework \u2013 called the Intergenerational and Cumulative Adverse and Resilient Experiences (ICARE) model \u2013 identifies 10 types of ACEs, as well as 10 protective and compensatory experiences (PACEs) that build resilience.<\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"50%\">10 Adverse Experiences<\/td>\n<td width=\"50%\">10 Protective Experiences<\/td>\n<\/tr>\n<tr>\n<td>Physical abuse<\/p>\n<p>Emotional abuse<\/p>\n<p>Sexual abuse<\/p>\n<p>Physical neglect<\/p>\n<p>Emotional neglect<\/p>\n<p>Divorce<\/p>\n<p>Domestic violence<\/p>\n<p>Mental illness in the household<\/p>\n<p>Criminality in the household<\/p>\n<p>Substance abuse in the household<\/td>\n<td>Unconditional love from caregivers *Having a best friend<\/p>\n<p>Being part of a social group<\/p>\n<p>Having a mentor<\/p>\n<p>Volunteering<\/p>\n<p>Living in a safe and clean home with enough food<\/p>\n<p><a href=\"https:\/\/childandfamilyblog.com\/refugee-children-lacking-education-during-covid-19\/\">Getting a good education<\/a><\/p>\n<p>Having a hobby<\/p>\n<p>Engaging in regular physical activity<\/p>\n<p>Having family routines and consistent rules<\/p>\n<p>&nbsp;<\/p>\n<p>*This is the most important protection.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>The ICARE model also recommends a wide set of interventions that address the many ways ACEs can harm children\u2019s development. At the heart of the approach is supporting the protective factors that are already in place in families and helping families become stronger.<\/p>\n<p>The ICARE model shows the pathway by which ACEs can disadvantage children\u2019s future and harm the next generation.<\/p>\n<p><img decoding=\"async\" class=\"aligncenter wp-image-18330\" src=\"https:\/\/childandfamilyblog.com\/wp-content\/uploads\/2021\/11\/Untitled.jpg\" alt=\"Flowchart showing how ACEs and PACEs (Adverse Childhood Experiences and Protective and Compensatory Experiences) affects children. This is a complex image. Supplementary information is below: Poverty and Other Environmental Stressors negatively affect neurobiological adaptations, developmental systems, and lead to health and social problems Prevention and Treatment Programs reduce ACEs, Increase PACEs, assist neurobiological and stress regulation interventions, and support interventions targeting developmental consequences for parent and child. \" width=\"709\" height=\"760\" srcset=\"https:\/\/childandfamilyblog.com\/wp-content\/uploads\/2021\/11\/Untitled.jpg 618w, https:\/\/childandfamilyblog.com\/wp-content\/uploads\/2021\/11\/Untitled-280x300.jpg 280w, https:\/\/childandfamilyblog.com\/wp-content\/uploads\/2021\/11\/Untitled-266x285.jpg 266w, https:\/\/childandfamilyblog.com\/wp-content\/uploads\/2021\/11\/Untitled-47x50.jpg 47w\" sizes=\"(max-width: 709px) 100vw, 709px\" \/><\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_79_2 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title ez-toc-toggle\" style=\"cursor:pointer\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #121c4e;color:#121c4e\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #121c4e;color:#121c4e\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/childandfamilyblog.com\/adverse-childhood-experiences-negatively-affect-development\/#Neurobiological_and_epigenetic_impacts_of_ACEs\" >Neurobiological and epigenetic impacts of ACEs<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/childandfamilyblog.com\/adverse-childhood-experiences-negatively-affect-development\/#Developmental_impacts_of_ACEs\" >Developmental impacts of ACEs<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/childandfamilyblog.com\/adverse-childhood-experiences-negatively-affect-development\/#Intergenerational_transmission\" >Intergenerational transmission<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/childandfamilyblog.com\/adverse-childhood-experiences-negatively-affect-development\/#Strategies_to_mitigate_the_negative_impacts_of_ACEs\" >Strategies to mitigate the negative impacts of ACEs<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Neurobiological_and_epigenetic_impacts_of_ACEs\"><\/span><strong>Neurobiological and epigenetic impacts of ACEs<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Prolonged activation of stress responses that are typically used in brief crisis-response situations results in biological and neurobiological changes that can become embedded in a child. The body\u2019s immune system can be harmed, as well as the development of brain structures and functions. Epigenetic changes to DNA as a result of adversity \u2013 the methylation of certain genes that change how they function \u2013 embed the impact of ACEs, influencing how the child responds to stress later in life. Epigenetic changes are heritable, passed from mothers and fathers to their biological children.<\/p>\n<blockquote><p><strong>The ICARE model shows the pathway by which ACEs can disadvantage children\u2019s future and harm the next generation.<\/strong><\/p><\/blockquote>\n<h2><span class=\"ez-toc-section\" id=\"Developmental_impacts_of_ACEs\"><\/span><strong>Developmental impacts of ACEs<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The most significant developmental system in early childhood is attachment. Secure attachment evolves when an infant\u2019s needs are consistently met, creating a safe and predictable place where caregivers can be trusted. Attachment also has a biological\/neurobiological dimension, for example, with the action of the hormones dopamine and oxytocin. ACEs can disrupt attachment, which is associated with a wide range of behavioral, social, and emotional problems later in life.<\/p>\n<p>ACEs can also damage cognitive development. Skills associated with executive function, such as working memory, inhibitory control, and focused attention, can be harmed in children who have experienced adversity. This can lead to problems with learning during education and training.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Intergenerational_transmission\"><\/span><strong>Intergenerational transmission<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>ACEs can disadvantage the next generation in two ways: Parents who have been adversely affected by ACEs in their own lives are more likely to struggle with parenting. And parents may pass to their children epigenetic changes that affect the child\u2019s biological response to stress.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Strategies_to_mitigate_the_negative_impacts_of_ACEs\"><\/span><strong>Strategies to mitigate the negative impacts of ACEs<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The foundation of the strategic approach proposed by the ICARE model starts with assessing and mobilizing protective factors that already exist or could exist around the child. Researchers point to successful support programs in five categories:<\/p>\n<ol>\n<li>Supporting parents and caregivers with their own psychological and emotional well-being<\/li>\n<li>Supporting parents and caregivers with attachment and parenting skills<\/li>\n<li>Supporting children directly, for example, by encouraging their participation in sports, hobbies, and friendships<\/li>\n<li>Psychological therapies for children that <a href=\"https:\/\/childandfamilyblog.com\/how-to-talk-with-children-about-traumatic-events\">address the past traumas<\/a><\/li>\n<li>Play-based therapeutic activities for children and parents together<\/li>\n<\/ol>\n<p>The authors of the framework explain that the ICARE model \u201csuggests new opportunities to design and implement multilevel prevention and intervention programs across the various pathways by which adverse and protective experiences influence outcomes.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>At the heart of supporting children with ACEs is mobilizing the actual and potential protective factors around the child.<\/p>\n","protected":false},"author":16,"featured_media":18328,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[5765,438],"tags":[45,28,46,7,216,406,25,33,462,306,27,267,400,5793,272],"acf":[],"_links":{"self":[{"href":"https:\/\/childandfamilyblog.com\/wp-json\/wp\/v2\/posts\/18320"}],"collection":[{"href":"https:\/\/childandfamilyblog.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/childandfamilyblog.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/childandfamilyblog.com\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/childandfamilyblog.com\/wp-json\/wp\/v2\/comments?post=18320"}],"version-history":[{"count":7,"href":"https:\/\/childandfamilyblog.com\/wp-json\/wp\/v2\/posts\/18320\/revisions"}],"predecessor-version":[{"id":22170,"href":"https:\/\/childandfamilyblog.com\/wp-json\/wp\/v2\/posts\/18320\/revisions\/22170"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/childandfamilyblog.com\/wp-json\/wp\/v2\/media\/18328"}],"wp:attachment":[{"href":"https:\/\/childandfamilyblog.com\/wp-json\/wp\/v2\/media?parent=18320"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/childandfamilyblog.com\/wp-json\/wp\/v2\/categories?post=18320"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/childandfamilyblog.com\/wp-json\/wp\/v2\/tags?post=18320"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}