Name: 【TED】Nadine Burke Harris: How childhood trauma affects health across a lifetime (How childhood trauma affects health across a lifetime | Nadine Burke Harris)
Uploaded: 2015-08-30T16:03:49.000Z
Duration: 16 min 3 s
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Adverbs of manner

discovered an exposure that dramatically increased the risk

for seven out of 10 of the leading causes of death in the United States.

In high doses, it affects brain development,

and even the way our DNA is read and transcribed.

have triple the lifetime risk of heart disease and lung cancer

and a 20-year difference in life expectancy.

And yet, doctors today are not trained in routine screening or treatment.

Now, the exposure I'm talking about is not a pesticide or a packaging chemical.

Okay. What kind of trauma am I talking about here?

I'm not talking about failing a test or losing a basketball game.

I am talking about threats that are so severe or pervasive

that they literally get under our skin and change our physiology:

or growing up with a parent who struggles with mental illness

I viewed these things in the way I was trained to view them,

either as a social problem -- refer to social services --

or as a mental health problem -- refer to mental health services.

And then something happened to make me rethink my entire approach.

I wanted to go someplace where I felt really needed,

someplace where I could make a difference.

So I came to work for California Pacific Medical Center,

one of the best private hospitals in Northern California,

and together, we opened a clinic in Bayview-Hunters Point,

one of the poorest, most underserved neighborhoods in San Francisco.

there had been only one pediatrician in all of Bayview

so we hung a shingle, and we were able to provide top-quality care

It was so cool. We targeted the typical health disparities:

access to care, immunization rates, asthma hospitalization rates,

But then I started noticing a disturbing trend.

A lot of kids were being referred to me for ADHD,

or Attention Deficit Hyperactivity Disorder,

but when I actually did a thorough history and physical,

what I found was that for most of my patients,

Most of the kids I was seeing had experienced such severe trauma

that it felt like something else was going on.

Somehow I was missing something important.

Now, before I did my residency, I did a master's degree in public health,

and one of the things that they teach you in public health school

and you see 100 kids that all drink from the same well,

you can go ahead and write that prescription

for dose after dose after dose of antibiotics,

or you can walk over and say, "What the hell is in this well?"

So I began reading everything that I could get my hands on

affects the developing brains and bodies of children.

And then one day, my colleague walked into my office,

and he said, "Dr. Burke, have you seen this?"

In his hand was a copy of a research study

called the Adverse Childhood Experiences Study.

That day changed my clinical practice and ultimately my career.

is something that everybody needs to know about.

It was done by Dr. Vince Felitti at Kaiser and Dr. Bob Anda at the CDC,

and together, they asked 17,500 adults about their history of exposure

to what they called "adverse childhood experiences," or ACEs.

Those include physical, emotional, or sexual abuse;

parental mental illness, substance dependence, incarceration;

For every yes, you would get a point on your ACE score.

was they correlated these ACE scores against health outcomes.

Sixty-seven percent of the population had at least one ACE,

and 12.6 percent, one in eight, had four or more ACEs.

was that there was a dose-response relationship

the higher your ACE score, the worse your health outcomes.

For a person with an ACE score of four or more,

their relative risk of chronic obstructive pulmonary disease

was two and a half times that of someone with an ACE score of zero.

For hepatitis, it was also two and a half times.

For depression, it was four and a half times.

A person with an ACE score of seven or more

had triple the lifetime risk of lung cancer

and three and a half times the risk of ischemic heart disease,

the number one killer in the United States of America.

Some people looked at this data and they said, "Come on.

【TED】Nadine Burke Harris: How childhood trauma affects health across a lifetime (How childhood trauma affects health across a lifetime | Nadine Burke Harris)

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【TED】Nadine Burke Harris: How childhood trauma affects health across a lifetime (How childhood trauma affects health across a lifetime | Nadine Burke Harris)

mental

stress

disease

develop