Just one year of child abuse costs San Francisco, CA, $300 million….but it doesn’t have to

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In 2015, 5,545 children in San Francisco, CA, were reported to have experienced abuse. Of those, the reports of 753 children were substantiated. The expense to San Francisco for not preventing that abuse will cost $400,533 per child over his or her lifetime. That adds up to $301.6 million for just that one year, according to “The Economics of Child Abuse: A Study of San Francisco.”

And, because child abuse is profoundly underreported, the costs are likely to be as much as $5.6 billion for one year of children experiencing trauma, the report found.

The report, released today, provides the first calculation of the economic burden of child abuse in San Francisco. It was put together by the San Francisco Child Abuse Prevention Center and the Social Sector Solutions program at the Haas School of Business at the University of California, Berkeley. The HAND Foundation contributed to the effort.

“Although we have quantified the cost of a child abuse victim, it’s impossible to quantify the impact of abuse to a child, their family and our community — with one single case our society has been degraded,” said Katie Albright, executive director of the San Francisco Child Abuse Prevention Center. “This report proves that not only morally, but fiscally, it is our mandate as a community to end child abuse once and for all.”

The report echoes other economic analyses. Let’s look at only the children who were abused in the U.S. in 2008. Add up the total lifetime economic burden resulting from their maltreatment. It’s a whopping $124 billion. Include all the people who were abused each year even for just 10 years, and the number begins rolling into the trillions.

The CDC’s National Center for Injury Prevention and Control, which did those calculations, broke down that unfathomably large number into this:

The lifetime cost for one child who was a victim of maltreatment is $210,012 in 2010 dollars. This includes:

  • $32,648 in childhood health care costs;
  • $10,530 in adult medical costs;
  • $144,360 in productivity losses;
  • $7,728 in child welfare costs;
  • $6,747 in criminal justice costs;
  • $7,999 in special education costs.

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In San Francisco, the costs (in current dollars) are:

  • $54,553 in health care costs (child and adult);
  • $314,417 in lifetime productivity losses;
  • $11,035 in child welfare costs;
  • $7,637 in criminal justice costs;
  • $12,891 in education costs

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Pueblo, CO, clinic rewrites the book on primary medical care by asking patients about their childhood adversity

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In October 2015 in Pueblo, CO, the staff members of a primary care medical clinic – Southern Colorado Family Medicine at the St. Mary-Corwin Medical Center – start asking parents of newborn babies to kids five years old about the parents’ adverse childhood experiences and the resilience factors in their lives. They ask the same questions of pregnant women and their partners in the hospital’s high-risk obstetrics clinic.

The results are so positive after the first year that the clinic starts asking parents of kids up to 18 years old. The plans are to do the same in the hospital’s emergency room.

Why? They think it gives kids a leg up on a healthier start in life. They think it helps adults understand and manage their own health better. They think it helps physicians better understand and help their patients. Oh yeah – and it looks like it’s going to save money. Probably a lot of money.

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Congressional briefing addresses public policy to improve response to ACEs

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In the final weeks of the 114th Congress, Senator Heidi Heitkamp (D-ND) welcomed her colleague Senator Dick Durbin (D-IL) as a new host for the third and final briefing on addressing adverse childhood experiences (ACEs). The December 1 briefing focused on public policies to improve coordination, prevention and response to childhood trauma.

ACEs comes from the CDC-Kaiser Permanente Adverse Childhood Experiences Study and subsequent surveys that show that most people in the U.S. have at least one ACE, and that people with an accumulation of childhood adversities — including divorce, racism, living with an alcoholic parent, and physical abuse — have a higher risk of adult onset of chronic health problems such as heart disease, cancer, diabetes, suicide, and alcoholism.

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I’m not cured, but I am healing

Donna Jackson Nakazawa

Donna Jackson Nakazawa

More than 133 million American adults — one in two of us — suffer from a chronic condition, including autoimmune disease, fibromyalgia, digestive disorders, migraines, back pain, depression, diabetes, cancer and chronic pain. A recent study published in JAMA Internal Medicine found that those of us in our 40s, 50s and 60s are twice as likely as our parents were to suffer from debilitating chronic conditions in middle age.

I’m one of those statistics. I’ve spent much of the past decade navigating my life around health crises. Twice I’ve been paralyzed by Guillain-Barre Syndrome, an autoimmune disease similar to multiple sclerosis, but with a more sudden onset and a wider array of possible outcomes. Other diagnoses — low blood cell counts, thyroiditis and the need for a pacemaker — have also complicated my health and my life.

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8 ways people recover from post childhood adversity syndrome

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Cutting-edge research tells us that experiencing childhood emotional trauma can play a large role in whether we develop physical disease in adulthood. In Part 1 of this series we looked at the growing scientific link between childhood adversity and adult physical disease. This research tells us that what doesn’t kill you doesn’t necessarily make you stronger; far more often, the opposite is true.

Adverse Childhood Experiences (ACEs)—which include emotional or physical neglect; verbal humiliation; growing up with a family member who is addicted to alcohol or some other other substance, or who is depressed or has other mental illness; and parental abandonment, divorce, or loss — can harm developing brains, predisposing them to autoimmune disease, heart disease, cancer, depression, and a number of other chronic conditions, decades after the trauma took place.

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7 ways childhood adversity changes a child’s brain

 

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If you’ve ever wondered why you’ve been struggling a little too hard for a little too long with chronic emotional and physical health conditions that just won’t abate, or feeling as if you’ve been swimming against some invisible current that never ceases, a new field of scientific research may offer hope, answers, and healing insights.

The single best medical appointment of my life was when a nurse practitioner asked about my adverse childhood experiences (ACEs)

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Heidi Aylward spent much of 2015 going to doctor’s appointments for back and joint pain, dizziness, swelling of the legs and feet, high blood pressure, elevated platelets, heart palpitations and extreme fatigue.

2016 isn’t looking much better. She’s worn a heart monitor, had a bone marrow biopsy and continues to have blood work. She holds down a job as a full-time project manager, tends to her daughters, home and pets.

But she feels like her body is falling apart.

“I’m not going to make it to 60,” she said, “Why do I even contribute to my retirement savings account?”

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