Lori Brown LISW-S, LICDC and Jennifer Schwirian LISW-S are back. This week on Rotations we continue ou r discussion about Trauma Informed Care. ACES is used as a predictive tool for future health issues. It is not a tool to identify mental or behavioral health problems and it was not designed to identify people who are somehow damaged. It is a tool that allows clinicians to help people understand what their long-term health risks may be. ACES is not a tool to look at social-economic status of childhood. We also discuss a little of the history of ACES and how Dr. Felliti moved from bariatric treatment and patients who dropped out of his program to identifying childhood trauma and correlating it with the propensity of overweight patients to leave bariatric treatment. It’s a good illustration of how humans are an interconnected system of mind, body and spirit and that injury in one system can reflect itself in problems in one of the other systems. It’s also a very curious story about the confirmation bias inherent in medicine; something that can create a protective conservative position or actually interfere with the progress of medical science. It also gets into the very prevalent issue of childhood sexual trauma and the hidden nature of child abuse and its potential to harm its victims well into adulthood. Soooooo, in this second episode we continue to discussion and talk about resiliency and how an understanding of ACES can help primary care physicians better understand their patients and how to guide them in their care. Antifragile by Nassim Taleb https://www.amazon.com/Antifragile-Things-That-Disorder-Incerto/dp/0812979680 SETICC https://www.facebook.com/SETICCOhio/ ACES https://www.cdc.gov/violenceprevention/acestudy/index.html Vincent Felitti MD https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220625/ Robert Anda MD https://robertandamd.com/bio-2/ https://en.wikipedia.org/wiki/Adverse_Childhood_Experiences_Study Trauma Informed Care https://www.nctsn.org/trauma-informed-care By the way, Lori is still very quiet. Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com/Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Roots by I am Fowler Courtesy of Artlist.io I needed a little funk in my life and I think Austin Powers or Jackie Brown was floating around in the back of my head. Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.