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TRANSCRIPT
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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2019 Michigan ACE Conference
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)
Data Source: Michigan Behavioral Risk Factor Surveillance System, 2016
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Data Source: Michigan Behavioral Risk Factor Surveillance System, 2016
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Data Source: Michigan Behavioral Risk Factor Surveillance System, 2016
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Data Source: Michigan Behavioral Risk Factor Surveillance System, 2016
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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
Data Source: Michigan Behavioral Risk Factor Surveillance System, 2016
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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
Data Source: Michigan Behavioral Risk Factor Surveillance System, 2016
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Data Source: Michigan Behavioral Risk Factor Surveillance System, 2016
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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%
None 1 ACE 2 ACEs 3 ACEs 4 or more ACEs
Data Source: Michigan Behavioral Risk Factor Surveillance System, 2016
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5% 8%
14%17%
29%
0%
10%
20%
30%
40%
50%
None 1 ACE 2 ACEs 3 ACEs 4 or more ACEs
Data Source: Michigan Behavioral Risk Factor Surveillance System, 2016
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13% 11%
21% 23%
30%
0%
10%
20%
30%
40%
50%
None 1 ACE 2 ACEs 3 ACEs 4 or more ACEs
Data Source: Michigan Behavioral Risk Factor Surveillance System, 2016
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10%13%
18%22% 23%
0%
10%
20%
30%
40%
50%
None 1 ACE 2 ACEs 3 ACEs 4 or more ACEs
Data Source: Michigan Behavioral Risk Factor Surveillance System, 2016
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8% 8%11%
16% 17%
0%
10%
20%
30%
40%
50%
None 1 ACE 2 ACEs 3 ACEs 4 or more ACEs
Data Source: Michigan Behavioral Risk Factor Surveillance System, 2016
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8%12% 12%
14%
28%
0%
10%
20%
30%
40%
50%
None 1 ACE 2 ACEs 3 ACEs 4 or more ACEs
Data Source: Michigan Behavioral Risk Factor Surveillance System, 2016
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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
Data Source: Michigan Behavioral Risk Factor Surveillance System, 2016
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17%9%
0%
10%
20%
30%
40%
50%
Low social support (14 points or less) High social support (15 points or more)
4 or more ACEs
Data Source: Michigan Behavioral Risk Factor Surveillance System, 2016
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37%
22%
0%
10%
20%
30%
40%
50%
Low social support (14 points or less) High social support (15 points or more)
4 or more ACEs
Data Source: Michigan Behavioral Risk Factor Surveillance System, 2016
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37%
24%
0%
10%
20%
30%
40%
50%
Low social support (14 points or less) High social support (15 points or more)
4 or more ACEs
Data Source: Michigan Behavioral Risk Factor Surveillance System, 2016
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30%
16%
0%
10%
20%
30%
40%
50%
Low social support (14 points or less) High social support (15 points or more)
4 or more ACEs
Data Source: Michigan Behavioral Risk Factor Surveillance System, 2016
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25%
10%0%
10%
20%
30%
40%
50%
Low social support (14 points or less) High social support (15 points or more)
4 or more ACEs
Data Source: Michigan Behavioral Risk Factor Surveillance System, 2016
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39%
19%
0%
10%
20%
30%
40%
50%
Low social support (14 points or less) High social support (15 points or more)
4 or more ACEs
Data Source: Michigan Behavioral Risk Factor Surveillance System, 2016
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Data Source: Michigan Behavioral Risk Factor Surveillance System, 2016
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Source: Adapted from the Michigan Behavioral Risk Factor Surveillance System, 2016
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Source: Adapted from the Michigan Behavioral Risk Factor Surveillance System, 2016
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Source: Adapted from the Michigan Behavioral Risk Factor Surveillance System, 2016
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Source: Adapted from the Michigan Behavioral Risk Factor Surveillance System, 2016
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Source: Adapted from the Michigan Behavioral Risk Factor Surveillance System, 2016
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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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