Appearing before the powerful Senate Finance Committee in Washington, DC, recently, Dr. Maggie Bennington-Davis, psychiatrist and chief medical officer of Health Share Oregon, devoted a significant portion of her testimony to the role of adversity and toxic stress during childhood on adult health, both physical and emotional. She explained how Health Share Oregon—that state’s largest Medicaid coordinated care organization—examined the people with the costliest health bills and found them to have experienced high levels of childhood adversity. She told the senators that the CDC-Kaiser Permanente Adverse Childhood Experiences Study (ACE Study), first published in 1998 by Drs. Vincent Felliti and Robert Anda, found exactly this correlation.
At the April 28 hearing titled “Mental Health in America: Where are we now?,”* Bennington-Davis addressed the need to look to people’s experiences in childhoods to improve health, knowing that mental illness and substance use disorders, along with other