Originally created to measure the impact of early adverse childhood experiences on later health and development it has generated dozens of clinical outcome associations pointing to the need of integrating social correlates of health into population studies--especially when looking at health outcomes.
Looking up stream from disease we can see the impact of exposure to adversity in the role of nucleus accumbent in substance dependence, prefrontal cortex and development of executive function, and differences in the amygdala--according to researchers, there are real neurologic causes of behaviors across the lifespan.
Well, imagine you're walking in the forest and you see a bear. Immediately, your hypothalamus sends a signal to your pituitary, which sends a signal to your adrenal gland that says, "Release stress hormones! Adrenaline! Cortisol!"
And so your heart starts to pound, Your pupils dilate, your airways open up, and you are ready to either fight that bear or run from the bear.
And that is wonderful if you're in a forest and there's a bear. But the problem is what happens when the bear comes home every night, and this system is activated over and over and over again, and it goes from being adaptive, or life-saving, to maladaptive, or health-damaging--Nadine Burke Harris, MD
I work with US Census Data to contextualize Agency for Healthcare and Quality (AHRQ) data resources and Centers for Medicare and Medicaid measures. There is a lot of data and often you need to have a plan for where to begin. I did a quick data visualization of ACE survey data to see what buckets may have the biggest impact.
American Community Survey:
Are you not sure how to begin your data journey? Follow along...and for reading this far into the post here is a resource to get you started:
Substance Abuse and Mental Health Services Administration--https://www.samhsa.gov/data/
SAMHSA has prioritized data, outcomes and quality - realizing an integrated data strategy and a national framework for quality improvement in behavioral health care will inform policy, measure program impact, and lead to improved quality of services and outcomes of individuals, families, and communities. Data helps SAMHSA and the nation assess the impact of the changes to US health care systems and identify and address behavioral health disparities.