A Theoretical Framework on the Relationship between Adverse Childhood Experiences and Moral Injury скачать в хорошем качестве

A Theoretical Framework on the Relationship between Adverse Childhood Experiences and Moral Injury

SUMMARY: Moral Injury (MI) is a relatively new syndrome characterized by profound psychological distress experienced by witnesses or perpetrators of violent crime, abuse, or a situation that challenges one’s deepest moral code and their ability to trust in others or themselves. Given the depth of betrayal and trauma victims of interpersonal abuse and community-based violence experience, especially children we propose expanding the definition of MI to include victims of potential morally injurious events such as ACEs, harassment, and interpersonal violence, or community-based crimes, etc. Adverse Childhood Experiences (ACEs) are potentially traumatic events that occur in childhood. ACEs can include violence, abuse, and growing up in a family with mental health or substance use problems. ACEs are associated with numerous health concerns and social, and behavioral problems throughout the lifespan, including substance use disorders. MI may also alter the victim’s spiritual formation destroying a potential protective mechanism for one’s health and wellbeing. This presentation will address the concept of moral injury as applied to children with a history of ACEs, and the potential adverse impacts to their spirituality, health and wellbeing over the lifespan. SPEAKER: Jennifer S. Wortham, Dr.PH, MPH. Dr. Wortham holds the positions of secretariat for the Global Collaborative (www.globalcollaborative.org); managing director, Lean Institute (www.leaninst.com); and research associate, Human Flourishing Program at Harvard’s Institute for Quantitative Social Science (www.hfh.fas.harvard.edu). Dr. Wortham has over 25 years of experience as an executive consultant for several leading healthcare organizations and public health agencies. She has received numerous awards for her work including the American Hospital Association, Society for Healthcare Strategy and Market Development Circle of Distinction Award. Dr. Wortham earned her doctorate in public health, health care administration and teaches graduate at the UCLA, Fielding School of Public Health. She is a certified Lean Six Sigma Master Black-belt with extensive experience in the development and deployment of high reliability, just cultures, safety, and quality improvement programs in the health care sector. Dr Wortham also serves as a research associate with the Human Flourishing Program, at Harvard’s Institute for Quantitative Social Science. Her current research focus includes the application of High-reliability organizations to promote safeguarding for institutions, and the impact of moral injury and adverse childhood experiences on health outcomes. In 2019, Dr. Wortham authored a memoir on clergy sexual abuse titled A Letter to the Pope, The Keeper of the Nest, published by New Insights Press. She serves as the Secretariat of the Global Collaborative to establish an annual day of observance for the prevention and healing of child sexual abuse and exploitation. She served as an advisor to the Survivor Advisory Panel, of Working Group I of the Pontifical Commission for the Protection of Minors and Vulnerable Adults, and for the Institute of Anthropology, Interdisciplinary Studies on Human Dignity and Care, at the Pontifical Gregorian University. Her email is jwortham@fas.harvard.edu.