RESUMEN
Adverse childhood experiences (ACEs) are linked to later life health problems such as behavioral health (BH) service use but less is known about how to counter this association. Using a population based sample of 807 adults, we examined the effects of protective factors in countering this association. ACEs were associated with increased BH service use while protective factors were associated with decreased BH service use. However, no significant interaction effect was found. Research is needed to develop a better measure of protective factors. Social workers need to be aware of ACE prevalence among clients and can foster protective factors.
Asunto(s)
Experiencias Adversas de la Infancia , Servicios de Salud Mental , Factores Protectores , Apoyo Social , Adulto , Experiencias Adversas de la Infancia/estadística & datos numéricos , Femenino , Humanos , Acontecimientos que Cambian la Vida , Modelos Logísticos , Masculino , Servicios de Salud Mental/estadística & datos numéricos , Persona de Mediana Edad , New York , Prevalencia , Religión y Psicología , Servicio Social , Deportes , Encuestas y CuestionariosRESUMEN
The restorative integral support (RIS) model is a whole person response that assists people to overcome adversity. The adverse childhood experiences (ACE) Study conducted by Kaiser Permanente and the Centers for Disease Control and Prevention shows the association between stressors in childhood and multiple later-life health and social problems. Older adults experiencing co-occurring disorders are an under-served and vulnerable population where gaps in both practice models and research to inform effective service provision exist. The current empirical case study presents Senior Hope as one social service agency employing RIS to intervene on the linkage between ACEs and co-occurring disorders to assist older adults. RIS usefully articulates the way in which Senior Hope is developing ACE-informed programs that mobilize resilience and recovery to help older adults achieve positive mental health outcomes. Implementation and research on the RIS model is recommended to enhance services for groups with ACE characteristics.