The Potential of Early Intervention for Preventing and Reducing ACE-Related Trauma
The Potential of Early Intervention for Preventing and Reducing ACE-Related Trauma
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DOI：
10.1017/s1474746419000071
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发表时间：
2019-07-01
影响因子：
1.5
通讯作者：
Waddell, Stephanie
中科院分区：
文献类型：
--
作者：
Asmussen, Kirsten;McBride, Tom;Waddell, Stephanie
太多的儿童面临不利条件，对他们的健康、幸福和未来生活机会产生负面影响。不良童年经历（ACE）代表了一组特别创伤性的情况，通过研究发现，这些情况大大增加了成年后身心健康状况不佳的可能性。虽然我们并不认为ACE是儿童发展的唯一或必然最严重的风险，但我们确实认识到它们构成了重大威胁。本文确定了24个干预措施的因果证据，预防或减少ACE相关的创伤，并考虑如何通过全系统的战略，旨在改善儿童的生活谁是最大的风险。虽然我们并不是说这些干预措施--单独或结合起来--代表了ACE的神奇解决方案，或者是导致ACE的更广泛的社会问题，但我们确实认为，了解这些干预措施的有效性可以提高支持高度脆弱儿童需求的服务质量。
Too many children face disadvantages that negatively impact their health, happiness and future life chances. Adverse Childhood Experiences (ACEs) represent a particularly traumatic set of circumstances that have been found through research to dramatically increase the likelihood of poor adult physical and mental health outcomes. While we do not view ACEs to represent the only or necessarily the most serious risks to children's development, we do recognise them to pose a substantial threat. This article identifies twenty-four interventions with causal evidence of preventing or reducing ACE-related trauma and considers how they could be offered through system-wide strategies aimed at improving the lives of children who are at the greatest risk. While we are not suggesting that these interventions - on their own or in combination - represent a magic solution to ACEs, or the wider societal issues that contribute to them, we do propose that knowledge about their effectiveness can improve the quality of services that support the needs of highly vulnerable children.