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COH-AWH-What_Would_it_Take

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1.6 ADVERSE CHILDHOOD<br />

EXPERIENCES<br />

Research has shown that young people experiencing<br />

homelessness often face significant advers<strong>it</strong>y prior<br />

to becoming homeless, such as childhood abuse<br />

and neglect. These traumas are often referred to<br />

as “adverse childhood experiences”(ACEs), and<br />

have been shown to be a key social determinant of<br />

health. Ten key types of ACEs have been identified<br />

in research l<strong>it</strong>eratures as impacting children’s<br />

development and physical, social, mental, emotional,<br />

and behavioural health and well-being (including<br />

physical abuse, sexual abuse, household substance<br />

abuse, and household mental illness).<br />

In consultations w<strong>it</strong>h youth across the country, <strong>it</strong> was<br />

evident that many young people experienced more<br />

than one of these forms of advers<strong>it</strong>y in their childhood<br />

and adolescence. In many cases youth described<br />

these experiences as occurring over many years,<br />

and as repeated throughout their lives. As discussed<br />

below, this advers<strong>it</strong>y sometimes continued in public<br />

systems (e.g., physical abuse in foster care, violent<br />

victimization in the emergency shelter system).<br />

Importantly, youth identified that professionals<br />

in various systems (e.g., teachers, social workers,<br />

“I wasn’t aware of how bad <strong>it</strong><br />

was at home, and there was also<br />

that guilt that like, oh, <strong>it</strong> was my<br />

problem, I can’t leave home, I can’t<br />

become homeless. So, I’d be like,<br />

‘No, no, no, <strong>it</strong>’s fine, I can work <strong>it</strong><br />

out.’ But I think you can bypass<br />

that sort of instinctual sort of, ‘Oh,<br />

<strong>it</strong>’s not that bad’ if you’re able to<br />

tell the kid, ‘Well, listen, let’s put<br />

you on the wa<strong>it</strong>ing list for three<br />

months or so, and in three months,<br />

we’ll revis<strong>it</strong> <strong>it</strong>. If you’re still not in a<br />

good place, I can take you off <strong>it</strong> or<br />

we can go ahead w<strong>it</strong>h <strong>it</strong>.’ Because<br />

I think for a lot of kids, there’s a<br />

manipulation of abuse there, where<br />

we would be … like, bad, if they<br />

were say, ‘Oh, <strong>it</strong> IS bad at home.’”<br />

EDMONTON YOUTH<br />

frontline staff at emergency shelters) sometimes made the effects of these ACE’s worse by<br />

ignoring or discounting their experiences, blaming or stigmatizing them, or excluding them from<br />

supports or benef<strong>it</strong>s that would have helped them deal w<strong>it</strong>h these challenges.<br />

In some cases this advers<strong>it</strong>y was occurring not just w<strong>it</strong>hin the home or a public system, <strong>it</strong> was<br />

occurring w<strong>it</strong>hin a youth’s commun<strong>it</strong>y as well (e.g., gang violence, police profiling of poor youth).<br />

Youth discussed the severe effects of these experiences on their mental health and well-being,<br />

and the difficult choices they were forced to make when trying to escape violence, neglect, and<br />

family conflict. Youth’s options for dealing w<strong>it</strong>h advers<strong>it</strong>y were often severely constrained by other<br />

structural factors that increased their risk of homelessness, such as lack of housing and poverty.<br />

WHAT WOULD IT TAKE? 62

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