2019.05.23 ACEs Presentation v2019.05.22 FINAL · î ì í õ d ] z ] p v } v ( v 'dwd 6rxufh 0lfkljdq 'hsduwphqw ri +hdowk dqg +xpdq 6huylfhv 0'++6 0lfkljdq %hkdylrudo 5lvn )dfwru

2019 Michigan ACE Conference

MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

MOVING FROM SURVEILLANCE TO ACTIONU s i n g A C E s D a t a a s a C a t a l y s t t o B u i l d C a p a c i t y i n M i c h i g a n

P u t t i n g p e o p l e f i r s t , w i t h t h e g o a l o f h e l p i n g a l l M i c h i g a n d e r s l e a d h e a l t h i e r a n d m o r e p r o d u c t i v e l i v e s , n o m a t t e r t h e i r s t a g e i n l i f e .

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What are ACEs?

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What do we know about ACEs in Michigan?

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Many States are Collecting ACEs Data

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Michigan Behavioral Risk Factor Survey

The Michigan Behavioral Risk Factor Survey (MiBRFS) is an annual, statewide telephone survey of Michigan adults aged 18 years and older that is conducted through a collaborative effort between the Centers for Disease Control (CDC), Michigan State University (MSU) and the Michigan Department of Health and Human Services (MDHHS).

https://www.michigan.gov/documents/mdhhs/2016_MiBRFS_Annual_Report_7.25.18_635618_7.pdf

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Michigan’s ACEs Exploration (2013)

In 2013 the BRFSS Adverse Childhood Experiences (ACEs) Module was included in our state-added questions and asked of one split of the total sample (~3,000 respondents).

11 questions assess 8 categories◦ Household Dysfunction: 5 ◦ Childhood Abuse: 3 ◦ Neglect: None

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Michigan’s ACEs Exploration (2016)

In 2016, the Michigan BRFSS once again included the BRFSS Adverse Childhood Experiences (ACE) Module as state added questions, asked of one split of the total sample.

There were also ten additional questions added that asked about:death of a parent

neighborhood violencepovertydiscrimination

and social support (adapted from the 2015 Wisconsin BRFSS)

adapted from the National Survey of Children’s Health

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Michigan Behavioral Risk Factor Survey

In 2016, the total sample size of completed interviews for the core survey was 12,024 respondents.

Land line = 4,797

Cell phone = 7,227

All of the results from the 2016 MiBRFS have been weighted to represent prevalence estimates among the Michigan adult population.

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What has been happening since 2016?

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This Data Served as a Catalyst and Connector

Image Source: Centers for Disease Control and Prevention

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Partners Became Interested and InvestedMichigan Department of Health and Human Services Partners:

Children’s Trust FundChild and Adolescent HealthChronic Disease and Injury ControlMental Health Services

Shared Commitment to: Analyze and Share Data across SystemsLeverage Existing ResourcesDevelop Communication Tools Expand to County/Regional Data

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What did we learn from all this data?

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Data Source: Michigan Behavioral Risk Factor Surveillance System, 2016

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Data Source: Michigan Department of Health and Human Services (MDHHS). Michigan Behavioral Risk Factor Surveillance System Survey Data. Lansing, MI: Michigan Department of Health and Human Services, Lifecourse Epidemiology and Genomics Division, 2016

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9%

16%

18%

19%

20%

27%

29%

39%

0% 10% 20% 30% 40% 50%

Incarcerated household member (0.6 M)

Sexually abused (1.1 M)

Physically abused (1.3 M)

Adults in household physically violent to one another (1.4 M)

Mental illness in household (1.4 M)

Separated or divorced parents (1.9 M)

Substance abuse in household (2.1 M)

Verbally abused (2.7 M)


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25


34%

23% 25%

18%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

None 1 ACE 2 or 3 ACEs 4 or more ACEs


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Data Source: Michigan Behavioral Risk Factor Surveillance System, 2016Analysis: Public Sector Consultants

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Source: Michigan Behavioral Risk Factor Surveillance System, 2016

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12%15%

24%29%

44%

0%

10%

20%

30%

40%

50%

None 1 ACE 2 ACEs 3 ACEs 4 or more ACEs


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Data Source: Michigan Behavioral Risk Factor Surveillance System, 2016Analysis: Public Sector Consultants

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5% 6%11% 11% 13%

0%

10%

20%

30%

40%

50%



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5% 8%

14%17%

29%

0%

10%

20%

30%

40%

50%



35


13% 11%

21% 23%

30%

0%

10%

20%

30%

40%

50%



36


10%13%

18%22% 23%

0%

10%

20%

30%

40%

50%



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8% 8%11%

16% 17%

0%

10%

20%

30%

40%

50%



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8%12% 12%

14%

28%

0%

10%

20%

30%

40%

50%



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40


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52%

37%

0%

10%

20%

30%

40%

50%

60%

Low social support (14 points or less) High social support (15 points or more)

4 or more ACEs


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17%9%

0%

10%

20%

30%

40%

50%


4 or more ACEs


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37%

22%

0%

10%

20%

30%

40%

50%


4 or more ACEs


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37%

24%

0%

10%

20%

30%

40%

50%


4 or more ACEs


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30%

16%

0%

10%

20%

30%

40%

50%


4 or more ACEs


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25%

10%0%

10%

20%

30%

40%

50%


4 or more ACEs


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39%

19%

0%

10%

20%

30%

40%

50%


4 or more ACEs


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Source: Adapted from the Michigan Behavioral Risk Factor Surveillance System, 2016

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What does this mean for adults in my community?

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Michigan ACEs Exploration (2019)

In 2019, funding was secured to support the BRFSS Adverse Childhood Experiences (ACEs) Module for the entire sample, allowing for meaningful data at the county level. This will help communities make data-driven decisions.

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Investment in Communities Matters

State level data is powerful. Community level data is empowering.

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https://healthwest.net/wp-content/uploads/2016/11/ACES-Community-Report.pdf

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Documents

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