- 1. What Does ACE Stand for?
ACE stands for Adverse Childhood Experiences. This term is based on the seminal study conducted by the U.S. Centers for Disease Control in cooperation with Kaiser Permanente Health Plan operating in San Diego, California.
- 2. What are some examples of ACEs that were studied in the research and which are currently used?
ACEs fall into three types: abuse (physical, sexual or emotional), neglect (emotional and physical) and household dysfunction (substance abuse, parental separation/divorce, mental illness, battered mothers, criminal behavior).
- 3. What is the Michigan ACE Initiative, and what is its purpose?
The Michigan ACE Initiative is a program that focuses on expanding efforts to build awareness and treatment of the Adverse Childhood Experiences (ACEs). Among its objectives are the following: creating and sustaining awareness including social media; support research and model development; facilitate provider continuing education and perhaps most important train those community leaders and representatives who interact with children on a regular basis to understand behaviors that exemplify ACEs.
- 4. Why is this initiative important in Michigan?
The linkage between Adverse Childhood Experiences and subsequent adult illness, chronic disease, and behavioral health is striking and affirmed by neurological and epigenetic research. According to a State of Michigan fact sheet 28.5 percent of Michigan children up to age 17 had two or more ACE factors.
- 5. Are the risk of ACEs standard across Michigan?
No. The studies show that more than 40 percent of Michigan children in poverty are more likely to have higher ACE scores.
- 6. Why is it important to build awareness of ACEs?
As the number of ACEs increases for each person, so does the risk for negative health outcomes like:
- Drug Use
- Heart Disease
- Suicide attempts
- Workplace Injury
- 7. How did the Michigan ACE Initiative start?
The Michigan Health Endowment Fund provided a grant to the Michigan Association of Health Plans (MAHP) Foundation from December 2016 to December 2018 following nearly a year of state level cooperation regarding advancing ACE among many state associations convened by MAHP. This grant provided the opportunity to establish the Michigan ACE Initiative with specific objectives as reference in Q #3.
- 8. What is the training goal of the Michigan ACE Initiative?
We work throughout the state to train and equip those who interact with people on a regular basis from law enforcement to judicial systems to health care and more to recognize and understand behaviors that exemplify ACEs. Building awareness helps children build resilience to ACEs.
- 9. What is the Master Training provided by the Michigan ACE Initiative?
This training will be provided by a company called, ACE Interface, whose principal was the lead researcher of the ACE Study conducted by U.S. Center for Disease Control. Under this contract, a specific 3-year license has been provided to enable all individuals who complete a Master Training to use the authorized and copyrighted ACE Interface materials in subsequent local presentations and training.
- 10. What is the expectation by the MAHP Foundation for those completing the Master Training?
The MAHP Foundation expects that participants who complete the training to conduct community based presentations, interactions and other opportunities for dissemination of ACE information (using the ACE Interface materials, slide deck and related documentation) within six months after completion of training. After certification train others to present (Michigan ACE Community Champions).
- 11. Will those completing the Master Training have ongoing reporting requirements to the MAHP Foundation?
Yes, there will be a requirement to complete a summary report every six months using the MAHP Foundation formatted report form.
- 12. Will individuals who have completed Master Training be able to conduct and train additional other persons?
Yes, after certification the Master Trainers can train others. The MAHP Foundation will assist in providing additional materials for this subsequent training.
- 13. What type of individuals are sought by the MAHP Foundation to take the Master Training?
The MAHP Foundation is interested in supporting local representatives from the education, local public health, community mental health, parent advocacy, faith-based, non-profit, law enforcement and business among others. More importantly, the interest of the MAHP Foundation is in supporting a team from local communities representing this background.
- 14. Will the MAHP Foundation provide ongoing support for those who complete Master Training?
Yes. It is expected that at least bi-annual training cohort meetings, use of social media applications set up for this purpose, special webinars, access to the documentary for ACE, Resilience and assistance in identifying targeted audiences for presentations and interactions.
- 15. What is the oversight structure for the Michigan ACE Initiative?
The MAHP Foundation has established a state-level steering committee composed of the senior executive leadership of the major state trade associations for health, education, law enforcement, etc. This Steering Committee will meet quarterly and perhaps more often. This group will have a role in the selection of candidates for Master Training, further statewide awareness among their constituent members, and help in efforts to sustain the initiative.
- 16. What is the State Policy that the Michigan ACE Initiative will be undertaking?
This is a reference to the implementation of Michigan Medicaid Policy (effective February 1, 2017) that enables the use of the ACE Screening tool as part of the Medicaid benefit, Early Periodic Screening, Diagnosis, and Treatment, EPSDT. Since the policy is now in place, the effort of the MAHP Foundation will be to assist provider organizations with continuing education and awareness regarding the policy, its impact, and related issues.