Progress

Parental incarceration as an adverse childhood experience

Having a household member incarcerated is as one of the original Adverse Childhood Experiences (ACEs-original 10)

The original ACE Study was conducted at Kaiser Permanente from 1995 to 1997 with two waves of data collection. Over 17,000 Health Maintenance Organization members from Southern California receiving physical exams completed confidential surveys regarding their childhood experiences and current health status and behaviors. Almost two-thirds of study participants reported at least one ACE, and more than one in five reported three or more ACEs.

However, after 20 years of research, we now know that the original ACEs framework is not adequate because:

  • Serious limitations arise from generalizing the results of the original ACEs study from an unrepresentative study population (mostly White, middle class adults) to other populations
  • The social determinants of health and neuroscience of early childhood adversity were not considered. Other important experiences include food insecurity, poverty, segregation, racism, unaffordable housing, stagnant wages, weak social supports for parents and caregivers, etc
  • It is a deficit model – it’s equally important to assess protective factors, resources, assets and resilience
  • It can lead to over-focus on medical or therapeutic interventions to the exclusion of initiating or changing policies that could be preventive

Course Syllabus

Not Enrolled
Scope of the Issue
Does the US really incarcerate more people than any other country in the world?
How has the number of people incarcerated in the US changed over time?
Key terms
How many people are arrested each year in the US?
Why are there such stark racial and economic inequities in incarceration in the US?
What role do jails play in mass incarceration?
How many people are on probation or parole?
How many women are incarcerated in the US?
Section 1 Quiz
Intersecting Vulnerabilities
What proportion of people who are incarcerated have health and mental health concerns?
What proportion of people who are incarcerated have substance use disorders?
Co-occurence of mental health and substance use disorders in people who were arrested
How are biomedical scientists re-envisioning how the justice system responds to the opioid crisis?
Pregnant women and substance use disorder
Nora’s blog: Pregnant people with substance use disorders need treatment, not criminalization
Section 2 Quiz
"We Are Just Kids"
How many parents are incarcerated in the US?
How many children have a parent incarcerated in jail or prison in the US?
Where do children live during parental incarceration?
Parental incarceration as an adverse childhood experience
What child outcomes are associated with parental incarceration?
Is parental incarceration ever helpful for children?
Does parental incarceration affect children differently depending on the child’s age at the time of the experience?
What is associated with increased stress for children with incarcerated parents?
A parent’s arrest, even if it does not lead to incarceration, can also be challenging for children
Racial Inequities in Arrests
Stressors associated with parental justice system involvement
Stressors and recidivism
Resilience processes for children are more likely when ...
From Stigma to Support
Studies on stigma and incarceration
The language that we use
Can you change your thinking?
Sesame Street in Communities
Listening to youth voices
What can HBCD teams do to support justice-involved families in research?
How policies can respond to parental incarceration
Further reading
Section 4 Quiz
Closing video