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Resilience and Adverse Childhood Experiences: Associations With Poor Mental Health Among Homeless Adults (Summary Only) [ajpmonline.com]

 

By Michael Liu, Cilia Mejia-Lancheros, James Lachaud, et al., American Journal of Preventive Medicine, March 5, 2020

Introduction
Adverse childhood experiences are known risk factors for a range of social, economic, and health-related outcomes over the life course. Resilience is a known protective factor. This study examines the associations of adverse childhood experiences and resilience with poor mental health outcomes among homeless adults with mental illness.
Methods
This study utilized data from 565 homeless adults with mental illness participating in a Housing First intervention in Toronto (2009–2013) to evaluate their sociodemographic characteristics, adverse childhood experience exposure, resilience, and mental health outcomes. Descriptive statistics were generated, and logistic regression models were used to examine the association of total adverse childhood experience score and resilience with poor mental health outcomes. Analyses were conducted in 2019.

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While some may justify it as a normal thus moral human evolutionary function, the general self-serving Only If It’s In My Own Back Yard mentality (or what I acronize OIIIMOBY) can debilitate social progress, even when it’s most needed; and it seems that distinct form of societal ‘penny wisdom but pound foolishness’ is a very unfortunate human characteristic that’s likely with us to stay.

Sadly, due to the OIIIMOBY mindset, the prevailing collective attitude, however implicit or subconscious, basically follows, “Why should I care—I’m soundly raising my kid?” or “What’s in it for me, the taxpayer, if I support child development education and health programs for the sake of others’ bad parenting?”

I was taught in journalism and public relations college courses that a story or PR news release needed to let the reader know, if possible in the lead sentence, why he/she should care about the subject matter—and more so find it sufficiently relevant to warrant reading on. It’s disheartening to find this vocational tool frequently utilized in the study’s published report to persuade its readers why they should care about the fundamental psychological health of their fellow human beings—but in terms of publicly funded monetary investment and collective societal ‘costs to us later’ if we do nothing to assist this (probably small) minority of young children in properly cerebrally developing.

A similarly disappointing shortsighted OIIIMOBY mindset is evident in news reporting and commentary on other serious social issues, in order to really grasp the taxpaying reader’s interest. I’ve yet to read a story or column on homelessness, child poverty and the fentanyl overdose crisis that leaves out any mention of their monetary cost to taxpaying society, notably through lost productivity thus reduced government revenue, larger health care budgets and an increasing rate of property crime; and perhaps the most angrily attention-grabbing is the increased demand on an already constrained ambulance response and emergency room/ward waits due to repeat overdose cases.

My first comment apparently didn't post, but I had hoped that the study was now part of the Evidence Exchange Network [of Ontario], and that 'collaboration' between eenet.ca and acesconnection.com might follow. 

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