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What are Adverse Childhood Experiences (ACEs)?

Tammy Kurszewski, DHSc, RRT-ACCS

June 1, 2021

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Question

What are adverse childhood experiences (ACEs)?

Answer

CEs are what the CDC calls Adverse Childhood Experiences. They are potentially traumatic events that happen to a child somewhere between zero and 17 years of age. This can be violence, abuse, or neglect. This can be witnessing abuse or receiving abuse at the hands of a parent or a loved one. It could be seeing the death of a loved one or seeing violence in the community. This could be murder, drive-by shootings, burglary, et cetera. We see these events often in our lower socioeconomic neighborhoods. It can also be a family member's attempt or death by suicide.

  • Also included are aspects of the child’s environment that can undermine their sense of safety, stability, and bonding, such as growing up in a household with:
    • Substance misuse
    • Mental health problems
    • Instability due to parental separation or household members being in jail or prison

When you think of trauma and adverse childhood experiences, you think of the big things right away. However, there is more to it. Adverse childhood experiences can be any situation where a child feels unsafe, has not had the ability to bond with caregivers, or have no stability. Foster kids are one example. What is happening in those homes? There can be substance misuse, mental health problems, a parent leaving secondary to divorce, parental separation, or even a household member being in jail or prison. 

This Ask the Expert is an edited excerpt from the course, Revisiting Adverse Childhood Experiences: Is This the Key to Managing COPDpresented by Tammy Kurszewski, D.H.Sc., RRT-ACCS​.


tammy kurszewski

Tammy Kurszewski, DHSc, RRT-ACCS

Dr. Tammy Kurszewski is an Assistant Professor and Clinical Chair for the Department of Respiratory Care, Midwestern State University. She is a Registered Respiratory Therapist, who has been teaching in the field for 20 years. Dr. Kurszewski has 28 years of experience with experience in acute care, long-term care, LTAC, homecare as well as the rehab setting. Her research interests include COPD and adverse childhood experiences, global health as well as innovative educational strategies in both the classroom and clinical setting. She earned her Bachelor of Applied Arts and Sciences as well as her Masters of Education from Midwestern State University in Wichita Falls, Texas. Dr. Kurszewski completed her Doctorate of Health Sciences - Global Health Studies program at Nova Southeastern University in Ft. Lauderdale, Florida. Dr. Kurszewski is currently serving her 3rd term as Secretary for Texas Society for Respiratory Care and is active with the Commission on Accreditation for Respiratory Care as a site visitor.


Related Courses

Revisiting Adverse Childhood Experiences: Is This the Key to Managing COPD
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