Transformational narrative changes as a community-level approach to the prevention of adverse childhood experiences and substance use

Details

• Alternative Title:
  Am J Community Psychol
• Personal Author:
  Harper, Christopher R. ; Treves-Kagan, Sarah
• Description:
  There is increasing scientific evidence linking substance use, childhood adversity, and social determinants of health. However, little research has considered the evaluation of community-level strategies to reduce substance use by increasing awareness and implementation of evidence-based strategies for preventing adverse childhood experiences (ACEs). This article lays out the conceptual framework for a $2.9 million demonstration project designed to raise awareness of the impact of ACEs on substance use, including primary prevention strategies. Communities used transformational narrative change-with an emphasis on the voices of those most impacted by ACEs and substance use-to highlight the importance of addressing social determinants of health along with primary prevention strategies. The conceptual background highlighted in this article informed media, public health, and local efforts in the three accompanying articles and invited commentary. These findings may help inform future efforts to promote community-level strategies and strengthen the evidence-base for transformational narrative change efforts.
• Subjects:
  Adverse Childhood Experiences Child Humans Narration Primary Prevention Social Determinants Of Health Substance-Related Disorders
• Keywords:
  Adverse Childhood Experiences Health Equity Primary Prevention Substance Use
• Source:
  Am J Community Psychol. 74(1-2):100-109
• Pubmed ID:
  38469946
• Pubmed Central ID:
  PMC11390982
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; CDC - 6 NU1ROT000016-01-02/Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services (HHS)/
• Volume:
  74
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:0b9d5c454304828693af2f8f1bcdd8196ec7e77e0af0186f428863b5e3cad403a65564ecdf1fbdf71aa8ceef72eafac77b2802f4d559771ff5ab14c155687a7b
• Download URL:
  https://stacks.cdc.gov/view/cdc/162396/cdc_162396_DS1.pdf
• File Type:
  [PDF - 532.88 KB ]