This measure would recognize adverse childhood experiences (ACEs), also known as post-traumatic street disorder in communities of color, as having lasting negative outcomes to both physical and mental health with growing implications for our state.

This measure would recognize adverse childhood experiences (ACEs), also known as post-traumatic street disorder in communities of color, as having lasting negative outcomes to both physical and mental health with growing implications for our state.

This measure would recognize adverse childhood experiences (ACEs), also known as post-traumatic street disorder in communities of color, as a mental health condition having lasting negative outcomes to both physical and mental health with growing implications for our state.

This measure would recognize adverse childhood experiences (ACEs), also known as post-traumatic street disorder in communities of color, as a mental health condition with growing implications for our state.

This measure would recognize post-traumatic street disorder as a mental health condition with growing implications for our state.

WHEREAS, Children who are exposed to a range of traumatic experiences can develop a form of post-traumatic stress disorder, triggered by either experiencing or witnessing a terrifying event. Symptoms may include flashbacks, nightmares, and severe anxiety, as well as uncontrollable thoughts about the event; and

WHEREAS, Research has identified the cause of this form of post-traumatic stress disorder as adverse childhood experiences (ACEs), which are childhood experiences that have a tremendous impact on future violence victimization and perpetration, and lifelong health and opportunities. ACEs are also referred to as post-traumatic street disorder in highly segregated and deeply impoverished communities where paralyzing violence and extreme poverty are either experienced or witnessed by residents; and

WHEREAS, ACEs studies have shown that exposure to early adversity affects the developing brains and bodies of children. It affects areas like the nucleus accumbens, the pleasure and reward center of the brain that is implicated in substance dependence. It inhibits the prefrontal cortex, which is necessary for impulse control and executive function, a critical area for learning. There are also measurable differences in the amygdala, the brains fear response center; and

WHEREAS, There are real neurologic reasons why children who are exposed to high doses of adversity are more likely to engage in high-risk behavior. Children are especially sensitive to repeated stress activation because their brains and bodies are just developing. High doses of adversity not only affect brain structure and function, they affect the developing immune system, developing hormonal systems, and even the way our DNA is read and transcribed; and

WHEREAS, Studies show that a childs exposure to multiple or prolonged traumatic events during his or her early childhood, and occurring within the primary caregiving system, that involve the simultaneous or sequential occurrence of child maltreatment, including psychological maltreatment, neglect, physical and sexual abuse, and domestic violence, result in emotional dysregulation and the loss of safety, direction, and the ability to detect or respond to danger cues. Exposure to these traumatic events often sets off a chain of events leading to subsequent or repeated trauma exposure in adolescence and adulthood; and

WHEREAS, ACEs, including post-traumatic street disorder, have gone undiagnosed until recently. It disproportionately impacts minority children living in highly segregated and impoverished communities and has become an unaddressed public health threat facing our state today; now, therefore, be it

Resolved, by the Assembly of the State of California, the Senate thereof concurring, That the Legislature recognizes adverse childhood experiences (ACEs), also known as post-traumatic street disorder in communities of color, as having lasting negative outcomes to both physical and mental health with growing implications for our state.

WHEREAS, Children who are exposed to a range of traumatic experiences can develop a form of post-traumatic stress disorder, triggered by either experiencing or witnessing a terrifying event. Symptoms may include flashbacks, nightmares, and severe anxiety, as well as uncontrollable thoughts about the event; and

WHEREAS, Research has identified the cause of this form of post-traumatic stress disorder as adverse childhood experiences (ACEs), which are childhood experiences that have a tremendous impact on future violence victimization and perpetration, and lifelong health and opportunities. ACEs are also referred to as post-traumatic street disorder in highly segregated and deeply impoverished communities where paralyzing violence and extreme poverty are either experienced or witnessed by residents; and

WHEREAS, ACEs studies have shown that exposure to early adversity affects the developing brains and bodies of children. It affects areas like the nucleus accumbens, the pleasure and reward center of the brain that is implicated in substance dependence. It inhibits the prefrontal cortex, which is necessary for impulse control and executive function, a critical area for learning. There are also measurable differences in the amygdala, the brains fear response center; and

WHEREAS, There are real neurologic reasons why children who are exposed to high doses of adversity are more likely to engage in high-risk behavior. Children are especially sensitive to repeated stress activation because their brains and bodies are just developing. High doses of adversity not only affect brain structure and function, they affect the developing immune system, developing hormonal systems, and even the way our DNA is read and transcribed; and

WHEREAS, Studies show that a childs exposure to multiple or prolonged traumatic events during his or her early childhood, and occurring within the primary caregiving system, that involve the simultaneous or sequential occurrence of child maltreatment, including psychological maltreatment, neglect, physical and sexual abuse, and domestic violence, result in emotional dysregulation and the loss of safety, direction, and the ability to detect or respond to danger cues. Exposure to these traumatic events often sets off a chain of events leading to subsequent or repeated trauma exposure in adolescence and adulthood; and

WHEREAS, ACEs, including post-traumatic street disorder, have gone undiagnosed until recently. It disproportionately impacts minority children living in highly segregated and impoverished communities and has become an unaddressed public health threat facing our state today; now, therefore, be it

Resolved, by the Assembly of the State of California, the Senate thereof concurring, That the Legislature recognizes adverse childhood experiences (ACEs), also known as post-traumatic street disorder in communities of color, as having lasting negative outcomes to both physical and mental health with growing implications for our state.

WHEREAS, Children who are exposed to a range of traumatic experiences can develop a form of post-traumatic stress disorder, which is a mental health condition that is triggered by either experiencing or witnessing a terrifying event. Symptoms may include flashbacks, nightmares, and severe anxiety, as well as uncontrollable thoughts about the event; and

WHEREAS, Research has identified the cause of this form of post-traumatic stress disorder as adverse childhood experiences (ACEs), which are childhood experiences that have a tremendous impact on future violence victimization and perpetration, and lifelong health and opportunities. ACEs are also referred to as post-traumatic street disorder in highly segregated and deeply impoverished communities where paralyzing violence and extreme poverty are either experienced or witnessed by residents; and

WHEREAS, ACEs studies have shown that exposure to early adversity affects the developing brains and bodies of children. It affects areas like the nucleus accumbens, the pleasure and reward center of the brain that is implicated in substance dependence. It inhibits the prefrontal cortex, which is necessary for impulse control and executive function, a critical area for learning. There are also measurable differences in the amygdala, the brains fear response center; and

WHEREAS, There are real neurologic reasons why children who are exposed to high doses of adversity are more likely to engage in high-risk behavior. Children are especially sensitive to repeated stress activation because their brains and bodies are just developing. High doses of adversity not only affect brain structure and function, they affect the developing immune system, developing hormonal systems, and even the way our DNA is read and transcribed; and

WHEREAS, Studies show that a childs exposure to multiple or prolonged traumatic events during his or her early childhood, and occurring within the primary caregiving system, that involve the simultaneous or sequential occurrence of child maltreatment, including psychological maltreatment, neglect, physical and sexual abuse, and domestic violence, result in emotional dysregulation and the loss of safety, direction, and the ability to detect or respond to danger cues. Exposure to these traumatic events often sets off a chain of events leading to subsequent or repeated trauma exposure in adolescence and adulthood; and

WHEREAS, ACEs, including post-traumatic street disorder, have gone undiagnosed until recently. It disproportionately impacts minority children living in highly segregated and impoverished communities and has become an unaddressed public health threat facing our state today; now, therefore, be it

Resolved, by the Assembly of the State of California, the Senate thereof concurring, That the Legislature recognizes adverse childhood experiences (ACEs), also known as post-traumatic street disorder in communities of color, as a mental health condition having lasting negative outcomes to both physical and mental health with growing implications for our state.

WHEREAS, Children who are exposed to a range of traumatic experiences can develop a form of post-traumatic stress disorder, which is a mental health condition that is triggered by either experiencing or witnessing a terrifying event. Symptoms may include flashbacks, nightmares, and severe anxiety, as well as uncontrollable thoughts about the event; and

WHEREAS, Research has identified the cause of this form of post-traumatic stress disorder as adverse childhood experiences (ACEs), which are childhood experiences that have a tremendous impact on future violence victimization and perpetration, and lifelong health and opportunities. ACEs are also referred to as post-traumatic street disorder in highly segregated and deeply impoverished communities where paralyzing violence and extreme poverty are either experienced or witnessed by residents; and

WHEREAS, ACEs studies have shown that exposure to early adversity affects the developing brains and bodies of children. It affects areas like the nucleus accumbens, the pleasure and reward center of the brain that is implicated in substance dependence. It inhibits the prefrontal cortex, which is necessary for impulse control and executive function, a critical area for learning. There are also measurable differences in the amygdala, the brains fear response center; and

WHEREAS, There are real neurologic reasons why children who are exposed to high doses of adversity are more likely to engage in high-risk behavior. Children are especially sensitive to repeated stress activation because their brains and bodies are just developing. High doses of adversity not only affect brain structure and function, they affect the developing immune system, developing hormonal systems, and even the way our DNA is read and transcribed; and

WHEREAS, Studies show that a childs exposure to multiple or prolonged traumatic events during his or her early childhood, and occurring within the primary caregiving system, that involve the simultaneous or sequential occurrence of child maltreatment, including psychological maltreatment, neglect, physical and sexual abuse, and domestic violence, result in emotional dysregulation and the loss of safety, direction, and the ability to detect or respond to danger cues. Exposure to these traumatic events often sets off a chain of events leading to subsequent or repeated trauma exposure in adolescence and adulthood; and

WHEREAS, ACEs, including post-traumatic street disorder, have gone undiagnosed until recently. It disproportionately impacts minority children living in highly segregated and impoverished communities and has become an unaddressed public health threat facing our state today; now, therefore, be it

Resolved, by the Assembly of the State of California, the Senate thereof concurring, That the Legislature recognizes adverse childhood experiences (ACEs), also known as post-traumatic street disorder in communities of color, as a mental health condition with growing implications for our state.

WHEREAS, Post-traumatic street disorder is a form of post-traumatic stress disorder (PTSD). Post-traumatic street disorder is a mental health condition that is triggered by terrifying or traumatic events associated with living in highly segregated and deeply impoverished neighborhoods, where paralyzing violence or extreme poverty is either experienced or witnessed by residents; and

WHEREAS, Symptoms of post-traumatic street disorder may include flashbacks, nightmares, and severe anxiety, as well as uncontrollable thoughts about the event itself, which can take years to manifest; and

WHEREAS, Post-traumatic street disorder symptoms tend to go undetected and undiagnosed in children and adults, resulting in generational and cyclical forms of the disorder permeating inner cities. Symptoms may start within three months of the traumatic event, but sometimes symptoms may not appear until years after the event. These symptoms may cause significant problems in social or work situations and in relationships; and

WHEREAS, Post-traumatic street disorder symptoms are similar to those of PTSD and are generally grouped into four types: intrusive memories, avoidance, negative changes in thinking and mood, or changes in emotional reactions. However, with a lack of diagnosis in the early stages of street trauma, symptoms become masked by other disorders, such as willful defiance, attention deficit hyperactivity disorder (ADHD), and violence, and those other disorders become the focus of diagnosis; and

WHEREAS, There is an epidemic of post-traumatic street disorder in American cities, and it has nothing to do with the wars being fought abroad. Homegrown violence and a sense of hopelessness in Americas urban war zones are leaving thousands of children and adults with severe psychological trauma that stunts their emotional and cognitive development; now, therefore, be it

Resolved by the Assembly of the State of California, the Senate thereof concurring, That the Legislature recognizes post-traumatic street disorder as a mental health condition with growing implications for our state.

 THIRD READING 

Bill No: ACR 8

Author: Jones-Sawyer (D), et al.

Amended: 7/13/17 in Assembly

Vote: 21

ASSEMBLY FLOOR: Read and adopted, 7/17/17

SUBJECT: Adverse childhood experiences: post-traumatic “street” disorder

SOURCE: Author

DIGEST:

This resolution recognizes adverse childhood experiences (ACEs), also known as post-traumatic “street” disorder in communities of color, as having lasting negative outcomes to both physical and mental health with growing implications for our state.

ANALYSIS: This resolution makes the following legislative findings:

1. Children who are exposed to a range of traumatic experiences can develop a form of post-traumatic stress disorder, which is a mental health condition that is triggered by either experiencing or witnessing a terrifying event. Symptoms may include flashbacks, nightmares, and severe anxiety, as well as uncontrollable thoughts about the event.
2. Research has identified the cause of this form of post-traumatic stress disorder as ACEs, which are childhood experiences that have a tremendous impact on future violence victimization and perpetration, and lifelong health and opportunities. ACEs are also referred to as post-traumatic “street” disorder in highly segregated and deeply impoverished communities where paralyzing violence and extreme poverty are either experienced or witnessed by residents.
3. Studies show that a child’s exposure to multiple or prolonged traumatic events during his or her early childhood, and occurring within the primary caregiving system, that involve the simultaneous or sequential occurrence of child maltreatment, including psychological maltreatment, neglect, physical and sexual abuse, and domestic violence, result in emotional dysregulation and the loss of safety, direction, and the ability to detect or respond to danger cues. Exposure to these traumatic events often sets off a chain of events leading to subsequent or repeated trauma exposure in adolescence and adulthood.
4. ACEs, including post-traumatic “street” disorder, have gone undiagnosed until recently. It disproportionately impacts minority children living in highly segregated and impoverished communities and has become an unaddressed public health threat facing our state today.

This resolution recognizes ACEs, also known as post-traumatic “street” disorder in communities of color, as a mental health condition having lasting negative outcomes to both physical and mental health with growing implications for our state.

Related/Prior Legislation

ACR 155 (Bocanegra, Resolution Chapter 144, Statutes of 2014) urged the Governor to identify evidence-based solutions to reduce children’s exposure to ACEs, address the impacts of those experiences, and invest in preventive health care and mental health and wellness interventions.

FISCAL EFFECT: Appropriation: No Fiscal Com.: No Local: No

SUPPORT: (Verified 8/21/17)

None received

OPPOSITION: (Verified 8/21/17)

None received

ARGUMENTS IN SUPPORT: According to the author, “By recognizing ACEs and post-traumatic ‘street’ disorder, the name given to it by the communities most impacted, we can open the door for more data collection, which can be integrated into existing studies and focus on understanding the implications of violence in communities and track the multigenerational and cyclical problems that permeate disadvantaged inner cities.”

Prepared by: Karen Chow / SFA / (916) 651-1520

8/22/17 16:31:54

**** END ****

ASSEMBLY THIRD READING

ATR Bill Id:ACR 8

Author:(Jones-Sawyer)

As Amended Ver:July 13, 2017

Majority vote

SUMMARY: Recognizes adverse childhood experiences (ACEs), also known as post-traumatic "street" disorder in communities of color, having lasting negative outcomes to both physical and mental health with growing implications for our state. Specifically, this resolution makes legislative findings and declarations related to adverse experiences and toxic stress, including:

1. Children, who are exposed to a range of traumatic experiences, can develop a form of post-traumatic stress disorder, triggered by either experiencing or witnessing a terrifying event. Symptoms may include flashbacks, nightmares and severe anxiety, as well as uncontrollable thoughts about the event.
2. Research has identified the cause of this form of post-traumatic stress disorder as ACEs, which are childhood experiences that have a tremendous impact on future violence victimization and perpetration, and lifelong health and opportunities. ACEs are also referred to as post-traumatic "street" disorder in highly segregated and deeply impoverished communities where paralyzing violence or extreme poverty is either experienced or witnessed by residents.
3. ACEs studies have shown that exposure to early adversity affects the developing brains and bodies of children. It affects areas like the nucleus accumbens, the pleasure and reward center of the brain that is implicated in substance dependence. It inhibits the prefrontal cortex, which is necessary for impulse control and executive function, a critical area for learning. There are measurable differences in the amygdala, the brain's fear response center.
4. There are real neurologic reasons why children exposed to high doses of adversity are more likely to engage in high-risk behavior. Children are especially sensitive to this repeated stress activation, because their brains and bodies are just developing. High doses of adversity not only affect brain structure and function, they affect the developing immune system, developing hormonal systems, and even the way our DNA is read and transcribed.
5. Studies show that a child's exposure to multiple or prolonged traumatic events during his/her early childhood, and occurring within the primary caregiving system, which involves the simultaneous or sequential occurrence of child maltreatment – including psychological maltreatment, neglect, physical and sexual abuse, and domestic violence – result in emotional dysregulation and the loss of safety, direction, and the ability to detect or respond to danger cues. Exposure to these traumatic events often sets off a chain of events leading to subsequent or repeated trauma exposure in adolescence and adulthood.
6. ACEs, including post-traumatic "street" disorder, have gone undiagnosed until recently. It disproportionately impacts minority children living in highly segregated and impoverished communities and has become an unaddressed public health threat facing our state today.

FISCAL EFFECT: None

COMMENTS: According to the author, due to an increase in homegrown violence and a sense of hopelessness in America's urban war zones, thousands of children and adults suffer from severe psychological trauma that stunts their emotional and cognitive development. These children and adults may endure flashbacks, nightmares, severe anxiety, and uncontrollable thoughts about the event itself. These symptoms may not manifest for months, even years, resulting in late detection and identification. Consequently, individuals in these communities are often undiagnosed, leading to the disorder quietly permeating inner cities. Individuals who are affected may act out as social deviants. Actions such as willful defiance, attention deficit hyperactivity disorder, and acts of violence, as well as other disorders become the focus of diagnosis instead of addressing the real cause. Additionally, the negative impact that post-traumatic "street" disorder has on an individual's personal, social, and work relationships can have adverse implications for the community in which they live and work, creating an endless cycle of hopelessness and despair. It is pertinent to the welfare of our community members to recognize and address this toxic condition.

1. ACEs. The federal Centers for Disease Control and Prevention and Kaiser Permanente's Health Appraisal Clinic in San Diego are conducting an ongoing study called the Adverse Childhood Experiences Study (ACE Study). The ACE Study is one of the largest investigations ever conducted to assess associations between childhood maltreatment and later-life health and well-being. The initial phase of the ACE Study was conducted at Kaiser Permanente from 1995 to 1997, and more than 17,000 participants had a standardized physical examination. Each study participant completed a confidential survey that contained questions about childhood maltreatment and family dysfunction, as well as items detailing their current health status and behaviors. This information was combined with the results of their physical examination to form the baseline data for the study. The ACE Study is ongoing and continues to track the medical status of the baseline participants. Participants were asked about 10 types of childhood trauma that had been identified in earlier research literature:
   1. Physical abuse;
   2. Sexual abuse;
   3. Emotional abuse;
   4. Physical neglect;
   5. Emotional neglect;
   6. Mother treated violently;
   7. Household substance abuse;
   8. Household mental illness;
   9. Parental separation or divorce; and,
   10. Incarcerated household member.

Initial results of the ACE Study found the following:

• 1. A child with four or more ACEs is 32.6 times as likely to have a learning or emotional problem;
  2. A strong correlation exists between the number of ACEs and a person's risk for disease and negative health behaviors; and,
  3. A person with four or more ACEs is 2.4 times as likely to have a stroke, 1.9 times as likely to have cancer, 10.3 times as likely to use injection drugs, and 7.4 times as likely to be an alcoholic.

1. Diagnostic and Statistical Manual of Mental Disorders (DSM–5). This fifth edition of the manual published by the American Psychiatric Association (APA) sets forth diagnostic criteria, descriptions and other information to guide the classification and diagnosis of mental disorders. In 2013, the APA revised the DSM to include a new category, Trauma- and Stressor-Related Disorders, a category under which PSTD falls. All of the conditions included in this classification require exposure to a traumatic or stressful event as a diagnostic criterion. While the DSM-5 does not include ACEs as a mental health condition, the federal Substance Abuse and Mental Health Services Administration recognizes ACEs as significant risk factors that contribute to mental health and substance use disorders and that can impact prevention efforts.

Analysis Prepared by: Paula Villescaz / HEALTH / (916) 319-2097 FN: 0001182

Date of Hearing: July 11, 2017

ASSEMBLY COMMITTEE ON HEALTH

Jim Wood, Chair

ABPCA Bill Id:ACR 8

Author:(Jones-Sawyer) – As Amended Ver:May 1, 2017

SUBJECT: Adverse childhood experiences: post-traumatic “street” disorder.

SUMMARY: Recognizes adverse childhood experiences (ACEs), also known as post-traumatic "street" disorder in communities of color, as a mental health condition with growing implications for our state. Specifically, this resolution makes legislative findings and declarations related to adverse experiences and toxic stress, including:

1. Children, who are exposed to a range of traumatic experiences, can develop a form of post-traumatic stress disorder (PTSD), which is a mental health condition that is triggered by either experiencing or witnessing a terrifying event. Symptoms may include flashbacks, nightmares and severe anxiety, as well as uncontrollable thoughts about the event.
2. Research has identified the cause of this form of post-traumatic stress disorder as ACEs, which are childhood experiences that have a tremendous impact on future violence victimization and perpetration, and lifelong health and opportunities. ACEs are also referred to as post-traumatic “street” disorder in highly segregated and deeply impoverished communities where paralyzing violence or extreme poverty is either experienced or witnessed by residents.
3. ACEs studies have shown that exposure to early adversity affects the developing brains and bodies of children. It affects areas like the nucleus accumbens, the pleasure and reward center of the brain that is implicated in substance dependence. It inhibits the prefrontal cortex, which is necessary for impulse control and executive function, a critical area for learning. There are measurable differences in the amygdala, the brain's fear response center.
4. There are real neurologic reasons why children exposed to high doses of adversity are more likely to engage in high-risk behavior. Children are especially sensitive to this repeated stress activation, because their brains and bodies are just developing. High doses of adversity not only affect brain structure and function, they affect the developing immune system, developing hormonal systems, and even the way our DNA is read and transcribed.
5. Studies show that a child’s exposure to multiple or prolonged traumatic events during his/her early childhood, and occurring within the primary caregiving system, which involves the simultaneous or sequential occurrence of child maltreatment—including psychological maltreatment, neglect, physical and sexual abuse, and domestic violence—result in emotional dysregulation and the loss of safety, direction, and the ability to detect or respond to danger cues. Exposure to these traumatic events often sets off a chain of events leading to subsequent or repeated trauma exposure in adolescence and adulthood.
6. ACEs, including post-traumatic “street” disorder, have gone undiagnosed until recently. It disproportionately impacts minority children living in highly segregated and impoverished communities and has become an unaddressed public health threat facing our state today.

FISCAL EFFECT: None

COMMENTS:

1. PURPOSE OF THIS RESOLUTION. According to the author, due to an increase in homegrown violence and a sense of hopelessness in America’s urban war zones, thousands of children and adults suffer from severe psychological trauma that stunts their emotional and cognitive development. These children and adults may endure flashbacks, nightmares, severe anxiety, and uncontrollable thoughts about the event itself. These symptoms may not manifest for months, even years, resulting in late detection and identification. Consequently, individuals in these communities are often undiagnosed, leading to the disorder quietly permeating inner cities. Individuals who are affected may act out as social deviants. Actions such as willful defiance, attention deficit hyperactivity disorder, and acts of violence, as well as other disorders become the focus of diagnosis instead of addressing the real cause. Additionally, the negative impact that post-traumatic “street” disorder has on an individual’s personal, social, and work relationships can have adverse implications for the community in which they live and work, creating an endless cycle of hopelessness and despair. It is pertinent to the welfare of our community members to recognize and address this toxic condition.
2. BACKGROUND.
   1. ACEs. The federal Centers for Disease Control and Prevention and Kaiser Permanente’s Health Appraisal Clinic in San Diego are conducting an ongoing study called the Adverse Childhood Experiences Study (ACE Study). The ACE Study is one of the largest investigations ever conducted to assess associations between childhood maltreatment and later-life health and well-being. The initial phase of the ACE Study was conducted at Kaiser Permanente from 1995 to 1997, and more than 17,000 participants had a standardized physical examination. Each study participant completed a confidential survey that contained questions about childhood maltreatment and family dysfunction, as well as items detailing their current health status and behaviors. This information was combined with the results of their physical examination to form the baseline data for the study. The ACE Study is ongoing and continues to track the medical status of the baseline participants. Participants were asked about 10 types of childhood trauma that had been identified in earlier research literature:
      1. Physical abuse;
      2. Sexual abuse;
      3. Emotional abuse;
      4. Physical neglect;
      5. Emotional neglect;
      6. Mother treated violently;
      7. Household substance abuse;
      8. Household mental illness;
      9. Parental separation or divorce; and,
      10. Incarcerated household member.

Initial results of the ACE Study found the following:

• • 1. A child with four or more ACEs is 32.6 times as likely to have a learning or emotional problem;
    2. A strong correlation exists between the number of ACEs and a person’s risk for disease and negative health behaviors; and,
    3. A person with four or more ACEs is 2.4 times as likely to have a stroke, 1.9 times as likely to have cancer, 10.3 times as likely to use injection drugs, and 7.4 times as likely to be an alcoholic.
  1. Diagnostic and Statistical Manual of Mental Disorders (DSM–5). This fifth edition of the manual published by the American Psychiatric Association (APA) sets forth diagnostic criteria, descriptions and other information to guide the classification and diagnosis of mental disorders. In 2013, the APA revised the DSM to include a new category, Trauma- and Stressor-Related Disorders, a category under which PSTD falls. All of the conditions included in this classification require exposure to a traumatic or stressful event as a diagnostic criterion. While the DSM-5 does not include ACEs as a mental health condition, the federal Substance Abuse and Mental Health Services Administration recognizes ACEs as significant risk factors that contribute to mental health and substance use disorders and that can impact prevention efforts.

1. SUGGESTED AMENDMENTS. This resolution seeks to identify post-traumatic "street" disorder in communities of color, as both an ACE and as mental health condition. There is no study or research identifying post-traumatic "street" disorder as a type of, or subset of, ACEs. Additionally, post-traumatic "street" disorder is not a clinically recognized mental health condition. The Committee may wish to instead acknowledge post-traumatic "street" disorder as having lasting negative outcomes to both physical and mental health with growing implications for our state.

REGISTERED SUPPORT / OPPOSITION:

Support

None on file.

Opposition

None on file.

Analysis Prepared by: Paula Villescaz / HEALTH / (916) 319-2097