Concurrent Sessions 8 - (NBCC CE Credit: #1 hr and Conference Attendance Credit: #1 hr)

315-01: Longitudinal Effects of Adverse Childhood/adolescent Experience on Health Risk Lifestyle Trajectories From Adolescence to Young Adulthood
Tae Kyoung Lee, Kandauda A. S. Wickrama, Catherine O'Neal

Summary
Using the National Longitudinal Study of Adolescent Health data, the main purpose of the study is (a) to examine the trajectories of health risk lifestyle from adolescence and young adulthood (ages 15 to 30) and (b) the long-term effects of adverse childhood/adolescence experiences on health risk lifestyle. The results indicated developmental discontinuity in health risk lifestyle overtime. More specifically, there were trends of increasing health risk in adolescence (ages 15 to 18) followed by declining health risk during emerging adulthood (ages 18 to 25) and increasing health risk again in young adulthood (ages 25 to 30). Also, distinct patterns of early adversity experiences uniquely influenced trajectories of health risk lifestyle from adolescence to young adulthood. Policy and clinical implications are presented.

Objectives
-- To examine the dynamic trajectories of health risk lifestyle from adolescence to young adulthood.
-- To identify heterogeneity of adverse childhood/adolescence experiences.
-- To examine the long-term effects of adverse childhood/adolescence experiences on health risk lifestyle trajectories.

Subject Codes: adversity, developmental issues, risky behaviors
Population Codes: adolescence, emerging/young adulthood, low income
Method and Approach Codes: structural equation modeling (SEM), cluster analysis, longitudinal modeling

315-02: ACEs, Trauma and Outcomes For Children in Foster Care: A Systematic Literature Review
Selena Garrison, Martie Gillen

Summary
The original ACEs study (Felitti et al., 1998) revealed an irrefutable link between adverse childhood experiences (ACEs) andsome of the most prevalent adult risk behaviors and health problems. One of the largest identifiable groups of children at risk for ACEs are those who are or have been in the United States' foster care system. With ample research evidence pointing to the physical, mental and emotional health outcomes of ACEs, along with evidence of high degrees of complex developmental trauma among children in foster care, the purpose of this paper is to systematically review the literature on ACEs as they relate to children in foster care.

Objectives
-- To identify current research on adverse childhood experiences and children in foster care.
-- To assess the physical health, mental health, and behavioral outcomes of children in foster care relative to their adverse childhood experiences, as identified in current research literature.
-- To identify gaps in the current body of knowledge and make recommendations for moving forward with research on adverse childhood experiences and children in foster care.

Subject Codes: foster care, trauma, public health
Population Codes: foster child, adopted child, inclusive of minor children
Method and Approach Codes: systematic literature review

315-03: Adolescent Substance Use: The Role of Concurrent Adverse and Advantageous Childhood Experiences
Eliza Broadbent, Jake Miller, Kirsten Novilla, Aaron Cheung, Melissa Stanfill, Elizabeth Mathews Rollins, AliceAnn Crandall

Summary
Adverse and advantageous childhood experiences (ACEs and counter-ACEs) predict adult substance use, but few studies have examined their role in adolescents. We investigated the concurrent effects of ACEs and counter-ACEs on adolescent alcohol and tobacco use. The sample included five years of survey data from 489 adolescents from a large, northwestern city. A structural equation model cross-lagged model was analyzed in Mplus Version 7. ACEs were predictive of early substance use only. Counter-ACEs were negatively correlated with alcohol use in waves 2, 4, and 5 and tobacco use in waves 4 and 5. Counter-ACEs were a more salient factor than ACEs in late, persistent alcohol and tobacco use. Shifting the focus from preventing ACEs to increasing counter-ACEs in the family setting may improve adolescent health.

Objectives
-- Discuss the role of counter-ACEs in substance use through different stages of adolescence.
-- Compare the ability of ACEs and counter-ACEs to predict adolescent substance use.
-- Examine the differential impact of past versus concurrent ACEs and counter-ACEs on adolescent substance use.

Subject Codes: abuse/neglect, risky behaviors, family functioning
Population Codes: adolescence, U.S., diverse but not representative
Method and Approach Codes: structural equation modeling (SEM), resilience, longitudinal research

315-04: Alcohol Misuse as Both a Context and Consequence of Childhood Maltreatment: Preliminary Evidence From a Scoping Review
Brittany Mihalec-Adkins, Sharon Christ

Summary
Alcohol misuse and child maltreatment constitute two mutually-reinforcing, intergenerational family problems. While substance use has been a focus of child maltreatment research and, to a lesser extent, childhood maltreatment experiences have been considered in alcohol misuse research, the current consensus is unclear regarding synergistic associations between alcohol misuse specifically and various specific types of child maltreatment. In this study, we undertake a systematic review of published research on these more specific associations over the past 20 years to scrutinize the state of our understanding about these mutually-reinforcing family problems. The study includes foci on the degree of replicated findings and methodological factors that potentially contribute to mixed findings across studies. Recommendations for optimal research approaches with the goal of consolidating evidence will be included.

Objectives
-- To synthesize extant literature on alcohol misuse as a consequence of and risk factor for specific types of child maltreatment.
-- To identify gaps and methodological weaknesses in scientific studies of this topic to date.
-- To explore alcohol use and childhood maltreatment as mutually reinforcing family problems.

Subject Codes: abuse/neglect, addiction, parent-child relationships
Population Codes: intergenerational, substance use/abuse
Method and Approach Codes: systematic literature review, narrative

Facilitator: Alice C. Long