Georgia Essentials for Childhood
Georgia Essentials for Childhood is part of a comprehensive effort for child abuse and neglect prevention across several states using the Essentials for Childhood framework developed by the Centers for Disease Control and Prevention (CDC).
We are working to build resilient communities, address and prevent adverse childhood experiences, improve community environments, and reduce and destigmatize trauma.
Georgia Essentials views this work through an intentional equity and racial justice lens. A child’s race, ethnicity, gender, family income, or neighborhood should not predict their future success and well-being.
Using a common agenda and data-drive information, this effort is drive by 5 working groups:
Communication
Unified messaging and changing social norms
Data
Data collection and analysis to inform decisions
Programs & Practices
Availability of best-practice strategies and programs
Policy
Engaging officials toward family-friendly policies
Adverse Childhood Experiences in Georgia
Children are shaped by their earliest experiences and relationships. Creating safe, stable, nurturing relationships and environments are needed to support early brain development and promote lifelong learning and success. Conversely, negative early experiences, called Adverse Childhood Experiences (ACEs), cause high levels of stress, called toxic stress. Frequent and prolonged levels of toxic stress can dramatically change how the brain develops.
This report summarizes data collected in 2016 and 2018 through Georgia’s ACEs module (11 questions) as a part of the Georgia Behavioral Risk Factor Surveillance System (GA-BRFSS).
ACEs by Demographic Characteristics
-Females had a slightly higher prevalence of four or more (4+) ACEs compared to males
-Having 4+ ACEs did not significantly differ by race or ethnicity
-College graduates had a significantly lower prevalence of 4+ ACEs than adults with other educational levels.
3 in 5 Georgians Reported
at Least One ACE
Number of ACEs in Georgia’s Adult Population (%)
- 0 ACEs
- 1 ACE
- 2 ACEs
- 3 ACEs
- 4+ ACEs
Health Behavior and Outcomes for GA Adults Reporting 4+ ACEs Compared to 0 ACEs*
Adults with 4+ ACEs were more likely to:
-Have poor mental health for 14 days or more in the previous month
-Have been diagnosed with depression
-Have difficulty concentrating, remembering, or making decisions due to a physical, emotional, or mental condition
National data shows adults with 4+ ACEs compared to zero are:
-6 times* more likely to have clinical depression
-3.6 times* more likely to have serious jobproblems
-2.2 times* more likely to have a heart attack
*All displayed results are significant
**Heavy Drinking- Male respondents who reported having more than 14 drinks per week, or female respondents who reported having more than 7 drinks per week.
***HIV Risk- Adults who reported that in the past year they had:1) Injected any non-prescribed drug, 2) Treated for a sexually transmitted disease, or 3) Given or received money or drugs in exchange for sex
Suggested Citation. Davis, V.N., Bayakly, A.R., Chosewood, D., Drenzek, C. 2018 Data Summary: Adverse Childhood Experiences. Georgia Department of Public Health,
Epidemiology Section, Chronic Disease, Healthy Behaviors, and Injury Epidemiology Unit
Preventing and Mitigating Impact on Families
Many children who experience ACEs have a parent or guardian who also experienced ACEs. The adverse effects of a parent’s traumatic experiences as a child can exacerbate a family crisis. The official Adverse Childhood Experiences scale only captures a piece of the story. The Communities in which families and children live may also face adversity: widespread poverty, lack of opportunity, and lack of needed social services—including mental health. These social determinants of health are at the root of widespread adversity, inequities, and trauma. Thus, a comprehensive solution must address adversities experienced at both the individual and community level. The Pair of ACEs Tree depicts the interconnectedness of Adverse Childhood Experiences of the family environment and Adverse Community Environments—the soil in which families’ lives are rooted.
Positive Childhood Experiences
Science shows that providing stable, responsive, nurturing relationships in the earliest years of life can prevent or even reverse the damaging effects of early life stress, with lifelong benefits for learning, behavior, and health.(5)
Policy Implications
Providing supportive and positive conditions for early childhood development is more effective and less costly than attempting to address the consequences of early adversity later.
Policies and programs that identify and support families, and communities who are most at risk for experiencing trauma and disparities as early as possible will reduce or avoid the need for more costly and less effective remediation later on.
By Focusing On
Policies directed toward early care and education, adult and child mental health, family economic supports, and many other areas….
We Can
Promote the safe, supportive environments and stable, caring relationships that children need to thrive.
Citations
- Suggested Citation. Davis, V.N., Bayakly, A.R., Chosewood, D., Drenzek, C. 2018 Data Summary: Adverse Childhood Experiences. Georgia Department of Public Health, Epidemiology Section, Chronic Disease, Healthy Behaviors, and Injury Epidemiology Unit
- Kids Count Data Center, The Annie E. Casey Foundation, Retrieved from https://datacenter.kidscount.org/data#GA
- Bloomberg. (November 21, 2019). In America’s most unequal city, top households rake in $663,000. Retrieved from https://www.bloomberg.com/news/articles/2019-11-21/in-america-s-most-unequal-city-top-households-rake-in-663-000
- Data Resources Center for Child & Adolescent health https://www.childhealthdata.org/browse/survey/results?q=7210&r=12
- Bethell C, Jones J, Gombojav N, Linkenbach J, Sege R. Positive Childhood Experiences and Adult Mental and Relational Health in a Statewide Sample: Associations Across Adverse Childhood Experiences Levels. JAMA Pediatr.2019;173(11):e193007. doi:10.1001/jamapediatrics.2019.3007
- Karoly, L. (2016). The economic returns to early childhood education. The Future of Children. 26(2) Retrieved from : https://files.eric.ed.gov/fulltext/EJ1118537.pdf ; https://eric.ed.gov/?id=EJ920516
Steering Committee
Essentials for Childhood is a framework out of the Centers for Disease Control and Prevention and like Georgia, being implemented in many states across the nation. The Georgia team is led by Prevent Child Abuse Georgia (housed at GSU), The Georgia Department of Public Health-Injury Prevention Program and The Georgia Division of Families and Children Services- Prevention and Community Support Section.
Steering Committee members represent the following organizations:
- Banyan Communications
- GEEARS: Georgia Early Education Alliance for Ready Students
- Georgia Center for Child Advocacy
- Georgia Department of Behavioral Health and Developmental Disabilities
- Georgia Department of Early Care and Learning
- Georgia Department of Education
- Georgia Department of Public Health – Home Visiting Program
- Georgia Department of Public Health – Injury Prevention Program
- Georgia Division of Family and Children Services – Prevention and Community Support Section
- Georgia Family Connection Partnership
- Prevent Child Abuse Georgia
- Strengthening Families Georgia
- Voices for Georgia’s Children
Partners
Partners represent a variety of agencies and organizations that serve on one or more of five working groups: Policy, Communications and Outreach, Data, Programs, and Systems Integration.
Contact [email protected] for more information about the partners listed below or about Georgia Essentials.
- Banyan Communications
- Centers for Disease Control and Prevention
- Community Advanced Practice Nurses, Inc.
- Emory University School of Medicine
- Emory University School of Nursing
- GEEARS: Georgia Early Education Alliance for Ready Students
- Georgia Center for Child Advocacy
- Georgia Chapter of the American Academy of Pediatrics
- Georgia Coalition Against Domestic Violence
- Georgia Department of Behavioral Health and Developmental Disabilities
- Georgia Department of Early Care and Learning
- Georgia Department of Public Health
- Georgia Division of Family and Children Services – Prevention and Community Support Section
- Georgia Family Connection Partnership
- Get Georgia Reading
- Healthy Mothers, Healthy Babies Coalition of Georgia
- National SafeCare Training and Research Center
- Prevent Child Abuse Georgia
- Resilient Georgia
- Strengthening Families Georgia
- The Center for Family and Community Wellness, Inc
- United Way of Central Georgia
- United Way of Greater Atlanta
- University of Georgia – Center for Family Research
- Voices for Georgia’s Children
The Essentials for Childhood framework provides an approach to:
- Move away from the focus of “fixing” or punishing bad parents to empowering and developing successful parents through policies and programs.
- Enrich existing work to improve conditions for children and families.
Large-scale social change comes from better cross-sector coordination rather than from the isolated intervention of individual organizations. Collective Impact initiatives from across the nation demonstrate that substantially greater progress is made in alleviating many of our most serious and complex social problems when nonprofits, governments, businesses, and the public work together, uniting their efforts around a shared purpose and common agenda.
This Collective Impact strategy focuses on deep cross-sector collaboration to:
- coordinate and manage existing and new partnerships with other child serving organizations and non-traditional partners;
- work with partners to identify strategies across sectors;
- identify, coordinate, monitor and report on the strategies implemented by multi-sector partners;
- coordinate improvement processes (e.g., continuous quality improvement) for multi-sector partners to refine strategies; and
- document state-level impact of these efforts.
What makes Essentials different?
- Focuses on the broader social, economic and political environment and the forces at play that create undo stress on families- eroding their ability to provide nurturing relationships.
- Emphasizes policy-level impacts as core to the strategy and addresses a holistic array of factors leading to child maltreatment, versus a specific cause or single factor.
- Takes an “all in” approach where every entity can play an instrumental role, and invites nontraditional partners to be part of the solution.
- Presents a multifaceted approach to a complex set of conditions and assumes that all sectors and constituents must act and interact differently- with a common vision of what is possible.
Essentials for Childhood helps us strive for Safe, Stable, Nurturing Relationships & Environments:
Safety
The extent to which a child is free from fear and secure from physical or psychological harm within their social and physical environment.
Stability
The degree of predictability and consistency in a child’s social, emotional, and physical environment.
Nurturing
The extent to which a parent or caregiver is available and able to sensitively and consistently respond to and meet the needs of their child.
Relationships
Teachers, employers, mentors, friends, peers, parents, caregivers, etc.
Environments
Social or physical surroundings within a home, school system, professional setting (of adults), or community.
Georgia Goals
1: Georgia has created the context for healthy children and families through policies.
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- Objective 1.1 Increase policy development and implementation that positively impacts the lives of children and families in Georgia.
2: Georgia is committed to creating safe, stable, nurturing relationships and environments and preventing
child maltreatment.
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- Objective 2.1 Increase the use of strategic communications and collective action to create safe, stable, nurturing relationships and environments.
3: Create the context for healthy children and families through programs.
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- Objective 3.1 Increase the consistent use of AIRS Taxonomy terms among I&R providers.
- Objective 3.2 Increase the availability of information about evidence-based programs for consumers.
- Objective 3.3 Increase the availability of evidence based, research informed and promising practice-based parenting skills programs to Georgia families.
4: Georgia has created the context for healthy children and families through norms change.
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- Objective 4.1 Increase public perceptions that we all share responsibility for the well-being of children.
- Objective 4.2 Increase public perceptions that all parents and caregivers need help at times
5: Georgia uses data to inform solutions.
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- Objective 5.1: Increase the use of the BRFSS ACEs data in creating safe, stable, nurturing relationships and environments.
- Objective 5.2: Increase the use of other data sets for planning and evaluation purposes.
Resources | Description |
Essentials Framework | |
CAN Prevention Technical Guide | |
Colorado Family Friendly Work/Business Toolkit The Georgia Early Education Alliance for Ready Students Business Toolkit |
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Join ACE Connection The Georgia ACEs Connection Community is an action-based social network for sectors, communities and individuals to utilize the Adverse Childhood Experiences (ACE) science. This science aids in building resilience and implementing trauma-informed practices and policies.
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