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Does poverty cause ACEs? Or do ACEs cause poverty?

 Street children, Jacob Riis photo, New York City, 1890

An article about a poverty simulation had me thinking about the belief that poverty causes ACEs. Dr. Vincent Felitti once said he thought ACEs cause poverty. Dave Ellis, a consultant and an ACEs master trainer in Minneapolis, said he thought poverty was a symptom of ACEs. 

 

The discussion about poverty usually focuses the spotlight on the individual. “Take a 19-year-old African-American single mother who dropped out of high school”….is often how people start the conversation. 

 

But the poverty simulator clearly shows that, once people live in poverty land, the systems that serve them collectively make a barrier — not a bridge — for them and their children to become economically healthy. 

 

The writer, simulating a 19-year-old single mom high school drop-out with a one-year-old child, was trying to find child care, housing and a job while living in a homeless shelter, then…

 

Upon returning to the shelter, I see a strongly worded notice from the state saying I needed to get to the family services agency immediately to re-certify my benefits, or risk losing them. So the next day I head there, Harvey, hungry and irritable, in tow, and find a long line. I must fill out a detailed form, and the counter closes just as I go to submit it. I’m told to come back the next day.

 

And that’s about when I realize I haven’t even budgeted time to shop for anything resembling healthy food for the family….I’m feeling a pit in my gut, the calling card of stress—increasingly anxious and irritable.

 

Summarizing, the author says: 

 

Bland's [Michelle Bland, manager of educational theatre at the Kaiser Foundation] first experience with the simulation was putting students through it who were studying nursing, criminal justice, or social services, to show them the day-to-day experiences of individuals living with low income.

 

He could also have said: “….to show them the disorganized, disjointed, and hope-sucking system we’ve created to serve poor people.” 

 

Economically poor adults tend to have high ACE scores. Traumatized as children, they were further traumatized by education, faith-based, healthcare, social service and juvenile justice systems that suspended, expelled, blamed, shamed, misdiagnosed, drugged, or further punished them to try to change their behavior. Hey! It didn’t....doesn’t...work. 

 

Our systems — whether they are populated by good-hearted people or not — corral a steady stream of children with high ACE scores into adult poverty (and/or healthcare and prisons). The systems that serve the adult poor continue the blame game. They tell the poor “It’s your fault!”, and make it as difficult as possible to climb out. 

 

So, do ACEs cause poverty? Or does poverty cause ACEs? Outside of natural disasters, systems exacerbate and cause poverty, which cause ACEs. Systems exacerbate and cause ACEs, which lead to poverty. We create those systems. As Louise Godbold, co-director of Echo Parenting & Education, says: Chicken or egg, no one’s getting out of the hen house the way it is now.  

 

(Besides changing our education, faith-based, healthcare, social service, and juvenile justice systems)…couldn’t we create a system for the economically poor like the one that Gilbert Gonzalez, the director of the Bexar County Mental Health Department, created for the mentally ill in San Antonio, TX? He brought together jails, hospitals, courts, police and mental health departments to create one integrated system that treats clients/patients with respect, that acknowledges their hard lives and the incredible strength it took to survive.

 

It regards them as valued customers and members of the community who deserve the services they need to become healthier. One good reason to do so is because our systems, in their collective ignorance — before we understood the consequences and biology of ACEs — didn’t provide those services when the adults, as children, (and their own parents) first cried out for help. 

 

ACEsConnection members, I really want to know what you think. On the right track? On the railroad spur heading for dead end? Or is there something creative like this happening in a community somewhere?

 

Please leave your comments below!

 

 

 

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Jim raised a very important point: "Children's Rights. Some time ago, I read an article by a Connecticut Jurist, who noted we (the U.S.A.) are the only "industrial democracy" on Earth, that does not include Children's Rights in our National Constitution. Not knowing the entire content of the Iroquois "constitution", but that they articulated Women's Rights to Assert, Debate, Vote, and Declare War (and care for returning "veterans"), almost 1,000 years before we (the USA) amended our constitution to avail Women the Right of Franchise, I'd be curious if they addressed Children's Rights in any form. When I looked at the World Health Organization's 2013 survey of the world's Healthiest Children (they used the ACE screening criteria in this 2013 assessment), the Netherlands was #1, followed by the Scandinavian nations and Iceland, and the U.S. was 25th, and Canada 26th, if my recall is correct. I believe some of our Canadian ACEsConnection members may be able to advise what if any reference to children's rights appear in the Canadian constitution. I thought I had seen an ACEs Connection Blog noting the (a committee of the) American Bar Association was collaborating with the American Psychological Association to address part of this issue. Some of the "Trauma-Informed Checklists for Family Court Justices" may be of use in developing some clarity on this issue. I may also try to get further particulars on this issue later.

The U.S is the only nation besides Somolia that refuses to ratify the UN convention on the rights of the child. I was a child slave in America. My parents told me so - I wanted to divorce them .... They could divorce each other. I survived by telling my self , my emancipation is near if they don't kill me first. I survived by telling myself at least I am not one of those skinny kids in Ethiopia dying of absolute starvation w/no hope of escape or the boy from Detroit sold as sex in exchange for crack who got AIDs. Kids are treated similarly even in the US and no one does anything because kids are property. I wrote this letter to my parents where I told them that I wanted a chip implant under the skin of every kids leaving the hospital that would automatically pick up child abuse so people like them could not continue. I still wish this were possible even if it is not possible but who protects the children? I don't know if ACEs made my parents poor... My grandpa had a hardware and my dad worked for him and sold combines, tractors and other farm equipment. They lost the business because no one was making anyone pay for the equipment and after grandma died there was definitely no one to collect.. She was a woman but would go around harassing people to pay. Less than 1 year after her death, they were out of business.  But if ACEs cause poverty- how did I leave it? Things are no where perfect here but I have far more than the nothing growing up (we had a broken down trailer, rats in it, little food except mystery meals, no indoor plumbing. Very unsanitary.  Now I have a car and can eat. Poverty at an extreme level where basic needs cannot be met is an adversity for kids and parents. At this level you get: dad punches mom, mom smacks kid, kid kicks dog, dog bites cat etc .... Or families at times resort to using children help get them money which may be more common in poorer countries but many kids are sold into the sex trade to help families deal w/poverty...... this is an adversity. It happens here too when parents are so burdened with the stress of not being able to survive they go down the slippery slope of selling their kids to survive.  It really doesn't matter if ACEs cause poverty (they do) or poverty causes ACEs (it does) and extreme poverty w/o loving parents is one of the most potent ACEs there is....TANF and food stamps bring one only to sbout 60 percent of federal poverty level but one needs about 200 percent to survive.... When people who want more tax breaks for themselves and successfully place blame on the millions of working poor or the 'free shit army' mothers w/young children ... They need to know about their corporate welfare and realize they are the fattest cats in the "free .....army".  Even middle class who complain about the same people as lazy etc should realize well maybe we should do away with unemployment benefits ... I have never used that and it sounds like free "shit" to me....

People are not seeing or are incapable of seeing or refuse to see the hypocrisy in their actions and deeds and wish to blame the poor but the safety nets for the poor are so thread bare that if you took them all away you may be able to buy a couple more special bombers or drones and kill more people w/war. But after you have your two bombers don't expect more from the poor .....they may have absolutely nothing in the way of the basics, they may die in mass of starvation but at least they could keep their dignity. (See Marian Edleman how to decrease child poverty by 60 percent).
Last edited by Former Member
And just practically as the ACE score increases so does the rates of elective abortion so for all who wish to prevent elective abortion.... It is in your best interest to prevent ACEs.

I remember a quote of F. Scott Fitzgerald in Charles Hampden-Turner's Book: "Radical Man: The Process of Psycho-Social Development":..."The Children in Appalachia and Mississippi have been starving for centuries, but only recently have we chosen to see them."

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