The State of Toxic Stress and Resilience Research: Policy and Practice Implications

Recorded on November 1, 2022

Joan Kaufman, Ph.D.

 3 CE credits 
$80/MPA Members $ 130/Non Members
Requirements for completion: This is considered a home-study course for reporting purposes, and in order to get CE credit you must pass the post-test (75%) and submit a completed evaluation. You will receive your CE certificate via email 7-10 business days after course completion. 

Over the past two decades, research has documented that a broad range of negative outcomes are associated with the two ACEs: Adverse Childhood Experiences (e.g., child maltreatment) and Adverse Community Environments (e.g., discrimination, community violence). The pandemic and the deaths of George Floyd, Rayshard Brooks, and others has further highlighted profound racial disparities and unresolved issues of systemic racism in this country. In this lecture, the broad range of negative mental and physical health outcomes associated with the two ACEs are reviewed, and emerging data on the mechanisms by which these experiences ‘get under the skin’ and can be transmitted transgenerationally to confer risk for these outcomes are discussed. Key factors for promoting resilience and recovery will then be delineated, together with specific policy and practice recommendations.

By the end of this presentation, attendees will be able to

  • Delineate the broad range of negative sequelae associated with the two ACEs.
  • Describe mechanisms by which the ACEs 'get under the skin' to confer risk for deleterious mental and physical health outcomes.
  • List key factors associated with promoting resilience and recovery.

Joan Kaufman, Ph.D. received her Ph.D. in Clinical Psychology from Yale University where she served on faculty from 1998-2015. In 2015 she was recruited to Baltimore to serve as Director of Research at the Center for Child and Family Traumatic Stress at Kennedy Krieger Institute. She also holds an appointment as a Professor of Psychiatry at Johns Hopkins School of Medicine and in the division of Mental Health at Johns Hopkins Bloomberg School of Public Health. Dr. Kaufman’s research is predominantly in the area of child adversity, spans from neurobiology to social policy, and uses tools from psychology, genetics, and neuroscience to understand mechanisms of risk and resilience in vulnerable children. Dr. Kaufman is also first author on KSADS child psychiatric diagnostic interview which has been translated into more than 30 languages and updated to a web-based computer-administered format. As a developer of the KSADS, Dr. Kaufman has also served as a consultant on numerous federally-funded and industry-sponsored child psychiatric clinical trials.