Getty Images
In 2020, more than 1,000 Kentucky children were physically abused, more than 15,000 were neglected and almost 800 were sexually abused.?
Experts say these numbers, which come from a new Kentucky Youth Advocates report on adverse childhood experiences, are only what’s reported. They’re likely worse.?
Adverse childhood experiences, more commonly known as ACEs, refer to traumas or stressors in a person’s life before their 18th birthday. They include, but are not limited to:?
ACEs have a far-reaching impact on adulthood, too, as survivors are more likely to have chronic health conditions including cancer, diabetes and heart disease; experience poverty; have pregnancy problems; be involved in sex trafficking; suffer from stress; and some may even go on to perpetuate ACEs, feeding a reciprocating spiral of illness and violence.?
Kentucky ranks high for ACEs — and also ranks high for heart disease, poverty, diabetes and cancer — but the new report breaks the traumas down by region, which grantmakers say will allow for more comprehensive policy to fix the problems statewide.?
“My guess is that as we dig into that data more deeply, we will find out that there’s some unique situations in different regions that simply don’t happen anywhere else, or only happened in a couple of regions,” said Terry Brooks, the executive director of Kentucky Youth Advocates.
“So I think that our hypothesis would be that the more granular the data, the better we’re able to say ‘here’s a common solution for the commonwealth,’” he told the Kentucky Lantern.
The Kentucky data, a year in collection, showed that overall:?
The numbers were compiled from several sources that track health and trends, including the Kentucky Department for Public Health; the Centers for Disease Control and Prevention; Kentucky Behavioral Risk Factor Survey Data; National Survey of Children’s Health; Department for Community Based Services; U.S. Census Bureau; U.S. Bureau of Labor Statistics; and the Vera Institute of Justice.
Brooks said the numbers are likely higher, though, because of delays in reporting and also lack of awareness — as in, someone might not realize something they lived through was an ACE.
For example, in addition to intimate experiences, ACEs can include adverse childhood environments, Brooks said.?
“Kids don’t grow up in silos,” he said. “You can’t separate home and school and health and community.”?
Dr. Shannon Moody, Kentucky Youth Advocates’ chief officer of strategic initiatives, said racism and discrimination, bullying, neighborhood violence, and natural disasters like the tornadoes in West and Western Kentucky and the recent floods in Eastern Kentucky are all among those environmental factors.?
The regions used in this report, in line with the Department for Community Based Services, are:
No one region was worse off in every category than others. In fact, opposite ends of the state like Eastern Kentucky and Jefferson County had similar statistics, particularly when it comes to mental illness.?
Barry Allen, the president and treasurer of the Gheens Foundation, said the data is clear: “This is not a rural-urban issue. It’s everywhere.”?
That trend tracks nationally, too. National Survey of Children’s Health data showed worse-off states not restricted to one geographical area. Montana?ranks high for ACEs, as does Arizona and Louisiana. Those that rank low, too, are scattered: from California to North Carolina to Minnesota.
Sara Hemingway, executive director of the Marilyn and William Young Charitable Foundation in Owensboro, said the similar numbers across Kentucky’s regions show that statewide policy is necessary to address the problem, including better access to healthcare.?
The numbers also provide a roadmap, she said, for advocates, organizations and lawmakers as they seek to improve their communities.?
Advisers for Bloom Kentucky, the coalition of grantmakers that aims to end ACEs in the state, plan to meet before the next legislative session and iron out policy goals for legislators.?
Shortly after the ACEs report came out, Kentucky Youth Advocates also released its annual Kids Count?book, which further explores the well-being of children.?
The 2022 book found that:
“Perceptions that youth of color are older than their? actual age, or are more culpable, contribute to young Black children having complaints filed? against them at a higher rate compared to their White peers,” the report states on the incarceration point. “Young children, such as elementary and middle school students, who get in trouble need responses and interventions that address the root causes of their behavior. The juvenile court system in its current state can often be traumatic and negatively impact a child’s development.”?
Brooks and Moody said a big goal for next year is to “inject ACEs right in the middle of the gubernatorial race.”?
“What I’d love: to see them (the candidates) stand beside one another and go, ‘you know, we disagree about almost everything, but when it comes to combating adverse childhood experiences, and adverse childhood environments, we’re together and here’s what we’re going to do,’” Brooks said.?
Moody said while families are recovering from tornadoes and floods in both ends of the state, it will be key for legislators and policymakers to not end any “supportive or safety net services” such as health care and behavioral health.?
“We know that stable housing, stable employment, access to childcare — those are all really key in ensuring a stable home and thriving families,” she said. “So making sure that we are not reducing access is really important.”?
Allen said he hopes the regional data will result in region-specific grassroots advocacy across Kentucky, calling it a “Mother Theresa” issue and asked: “How can anybody be against trying to stop childhood abuse?”
“What more important work is there,” asked Hemingway, “than giving our youth a healthy start?”?
As grantmakers like Allen continue education campaigns, they see it as not just saving children in the immediate, but setting the state up for a better future.?
There needs to be a citizen base, he said, who do not have a history of child traumas.?
“The future of the commonwealth, the future of the country, the future of the world,” said Allen, “is kind of in the hands of those who are giving children reasons to have hope and a future.”