Training resources.   All material is Copyright©2018, 2019,2020 College of Life Institute and is intended for registered students only.

1. Working with ACEs Level 2 Accredited Training (Updated 21/10/2019) PowerPoint Slides - (Video's will not play but can be found on YouTube or Search Engines)

2. Working with ACEs - Additional information sheet

Working with ACEs - Additional information worksheet 1

CPD - Continued Professional Development.

OCN Credit4Learning - OCN Credit4Learning is a long established not for profit educational charity working to improve the quality of education across the UK. They redistribute profits back to projects working with vulnerable groups. An ISO 9001 certified organisation.

Triggering - (of an event, circumstance, etc.) causing someone emotional distress, typically as a result of arousing feelings or memories associated with a particular traumatic experience.

"this could be very triggering for victims of sexual assault"

Sections 86 to 90 of the Coroners and Justice Act 2009. - Witness anonymity orders: a “witness anonymity order” is an order made by a court that requires such specified measures to be taken in relation to a witness in criminal proceedings as the court considers appropriate to ensure that the identity of the witness is not disclosed in or in connection with the proceedings.

Survivor - A person who copes well with difficulties in their life.

Non-recent CSE - Non-recent abuse (also known as historical abuse) is an allegation of neglect, physical, sexual or emotional abuse made by or on behalf of someone who is now 18 years or over, relating to an incident which took place when the alleged victim was under 18 years old.

CSE - Child sexual exploitation (CSE) is a type of sexual abuse. Children in exploitative situations and relationships receive something such as gifts, money or affection as a result of performing sexual activities or others performing sexual activities on them.

Peer Support - Peer support occurs when people provide knowledge, experience, emotional, social or practical help to each other. Peer support is also used to refer to initiatives where colleagues, members of self-help organizations and others meet, in person or online, as equals to give each other support on a reciprocal basis.

UTD - Unstructured Therapeutic Disclosure. An effective therapy for treating survivors of psychosexual trauma.

Core Participant (IICSA) - A core participant is an individual, organisation or institution that has a specific interest in the work of the Inquiry and has a formal role as defined by legislation. Core participants have special rights in the Inquiry process. These include receiving disclosure of documentation, being represented and making legal submissions, suggesting questions and receiving advance notice of the Inquiry’s report.

IICSA - Independent Inquiry into Child Sexual Abuse.

ACEs in the shadows - A book about understanding adverse Childhood experiences.

CUMBRIA RESILIENCE PROJECT - A grassroots project catching the vision of Dr Nadine Burke Harris's ACEs movement; promoting ACEs awareness and free screenings of RESILIENCE WITH THE AIM TO HELP Cumbria become an ACEs aware region.

College of Life - Fully insured private training business specialising in ACEs, CSA, CSE FGM awareness, The Prevent Duty awareness, Child protection/Safeguarding awareness.

Psychosexual Trauma Disorder - Psychosexual Disorders. The sexual problems that are psychological in origin, rather than physiological, are called psychosexual disorders. It may arise due to guilty conscience, stress, anxiety, nervousness, worry, fear, depression, physical or emotional trauma, abuse, rape and so on.

Comorbid condition - The words "comorbidity" and "comorbid condition" are common medical terms. A comorbidity refers to one or more diseases or conditions that occur along with another condition in the same person at the same time. Conditions considered comorbidities are often long-term or chronic conditions.

Complex Post Traumatic Stress Disorder - Complex post-traumatic stress disorder (C-PTSD; also known as complex trauma disorder is a psychological disorder that can develop in response to prolonged, repeated experience of interpersonal trauma in a context in which the individual has little or no chance of escape. C-PTSD relates to the trauma model of mental disorders and is associated with chronic sexual, emotional or physical abuse or neglect in childhood, chronic intimate partner violence, residential school survivors, and defectors of cults or cult-like organizations.

Psychological injury - Psychological injury is considered a mental harm, suffering, damage, impairment, or dysfunction caused to a person as a direct result of some action or failure to act by some individual. The psychological injury must reach a degree of disturbance of the pre-existing psychological/ psychiatric state such that it interferes in some significant way with the individual's ability to function. A psychological injury may involve Posttraumatic Stress Disorder (PTSD), Traumatic Brain Injury (TBI), a concussion, chronic pain, or a disorder that involves mood or emotions (such as depression, anxiety, fear, or phobia, and adjustment disorder). These disorders may manifest separately or in combination (co-morbidity).

Erythema Nodosum - Erythema nodosum is swollen fat under the skin causing red bumps and patches. Erythema nodosum can be caused by; Trauma, Crohn's disease, Sarcoidosis, Tuberculosis, Pneumonia and Streptococcal infection.

Thrombophlebitis - Thrombophlebitis is an inflammatory process that causes a blood clot to form and block one or more veins, usually in your legs. The affected vein might be near the surface of your skin or deep within a muscle. Causes include trauma, surgery or prolonged inactivity.

EMDR - Eye Movement Desensitization and Reprocessing Therapy

TFCBT - Trauma-Focused Cognitive Behaviour Therapy

Psychosomatic - A physical illness or other condition caused or aggravated by a mental factor such as internal conflict or stress. Relating to the interaction of mind and body.

CDC-Kaiser Permanente - The CDC-Kaiser Permanente Adverse Childhood Experiences (ACE) Study is one of the largest investigations of childhood abuse and neglect and later-life health and well-being.

ACE Pyramid - The ACE Pyramid depicts a conceptual framework of the whole life perspective to show how childhood stressors (ACEs) can affect health and social well-being throughout the lifespan.

ACEs Screening - An ACE score is a tally of different types of abuse, neglect, and other hallmarks of a rough childhood. According to the Adverse Childhood Experiences study, the rougher your childhood, the higher your score is likely to be and the higher your risk for later health problems. ACEs screening should be carried out by trained professionals only or by adults who their own self-assessment.

Resilience - Resilience is the process of adapting well in the face of adversity, trauma, tragedy, threats or significant sources of stress — such as family and relationship problems, serious health problems or workplace and financial stressors. It means "bouncing back" from difficult experiences.

Neuroplasticity - The ability of the brain to form and reorganize synaptic connections, especially in response to learning or experience or following injury.

Childhood trauma - The experience of an event by a child that is emotionally painful or distressful, which often results in lasting mental and physical effects.

Epidemiological research - Epidemiology is the study and analysis of the distribution (who, when, and where) and determinants of health and disease conditions in defined populations. It is the cornerstone of public health, and shapes policy decisions and evidence-based practice by identifying risk factors for disease and targets for preventive healthcare.

Genetic inheritance - Genetic inheritance is a basic principle of genetics and explains how characteristics are passed from one generation to the next. Genetic inheritance occurs due to genetic material in the form of DNA being passed from parents to their offspring.

Fulcrum - The definition of a fulcrum is a pivot point around which a lever turns, or something that plays a central role in or is in the centre of a situation or activity. A pivot point around which a lever turns is an example of a fulcrum.

Toxic stress - Toxic stress response can occur when a child experiences strong, frequent, and/or prolonged adversity—such as physical or emotional abuse, chronic neglect, caregiver substance abuse or mental illness, exposure to violence, and/or the accumulated burdens of family economic hardship—without adequate adult support.

Cortisol - Our body responds to stress in many different ways, but one thing that all stress has in common is that it increases the level of a very powerful hormone called cortisol. Cortisol is a hormone involved in the regulation of metabolism in the cells and helps us regulate stress within the body. Cortisol is a steroid-based hormone and is synthesized from cholesterol and belongs to a group of hormones called glucocorticoids. Cortisol is made in the adrenal cortex of the adrenal gland, which is near the kidney.

Adrenaline - A hormone (chemical substance) produced by the body when a person is frightened, angry, or excited, which makes the heart beat faster and prepares the body to react to danger.

Hormones - A regulatory substance produced in an organism and transported in tissue fluids such as blood to stimulate specific cells or tissues into action.

Flight, Fright or Freeze Response - Fight-Flight-Freeze response is the body’s automatic, built-in system designed to protect us from threat or danger.

Adaptive coping - Adaptive coping mechanisms are ways to which external or internal stress is managed, adapted to or acted upon. Defines as "constantly changing cognitive and behavioural efforts to manage specific external and/or internal demands that are appraised as taxing".

Adaptive - Having an ability to change to suit different conditions.

Maladaptive - Not adjusting adequately or appropriately to the environment or situation

Hypertension - Abnormally high blood pressure or a state of great psychological stress.

Raised blood glucose - Whenever the glucose (sugar) level in blood rises high, this condition is known as hyperglycaemia. The pancreas releases insulin into the blood, based upon the blood sugar level.

Raised cholesterol - Cholesterol is a waxy substance that's found in the fats (lipids) in your blood. While your body needs cholesterol to continue building healthy cells, having high cholesterol can increase your risk of heart disease. When you have high cholesterol, you may develop fatty deposits in your blood vessels.

Diverse endocrine problems - Symptoms include fatigue, stomach upset, dehydration, and skin changes. Addison's disease is a type of adrenal insufficiency. Some endocrine diseases are: Hypothyroidism. Thyroid Cancer, Hypoglycaemia, Metabolic Disorder. Common Endocrine Disorders include Type 1 Diabetes, Type 2 Diabetes, Osteoporosis, Addison's Disease, Cushing's Syndrome, Graves' Disease.

Hashimoto's Thyroiditis and Lupus.

Inflammatory response disturbance - A fundamental type of response by the body to disease and injury, a response characterized by the classical signs of pain, heat, redness, and swelling. Examples of inflammatory diseases include; Rheumatoid arthritis, chronic inflammation, asthma, chronic peptic ulcer, tuberculosis, periodontitis.

ulcerative colitis, Crohn's disease, sinusitis and active hepatitis.

Immune system disturbance - When your immune system doesn't work the way it should, it is called an immune system disorder. When the immune system turns against you it is called autoimmune disease.

Autoimmune disease - There are more than 80 different types of autoimmune diseases, but some of the most common ones are: Graves' disease, Hashimoto's thyroiditis, Systemic lupus erythematosus (lupus), Type 1 diabetes, Multiple sclerosis (MS) and Rheumatoid arthritis.

Stress hypersensitivity - Hypersensitivity may precede, accompany, or follow an escalation of other anxiety sensations and symptoms, or occur by itself. Hypersensitivity can precede, accompany, or follow an episode of nervousness, anxiety, fear, and elevated stress, or occur 'out of the blue' and for no apparent reason. Signs and symptoms of acute, subacute, and chronic hypersensitivity may include flu-like illness including fever, chills, muscle or joint pain, or headaches; rales; cough; chronic bronchitis; shortness of breath; anorexia or weight loss; fatigue; fibrosis of the lungs; and clubbing of fingers or toes.

Epigenetic effects - Epigenetics is the study of heritable changes in gene expression (active versus inactive genes) that do not involve changes to the underlying DNA sequence — a change in phenotype without a change in genotype — which in turn affects how cells read the genes. Epigenetic change is a regular and natural occurrence but can also be influenced by several factors including age, the environment/lifestyle, and disease state. Epigenetic modifications can manifest as commonly as the manner in which cells terminally differentiate to end up as skin cells, liver cells, brain cells, etc. Or, epigenetic change can have more damaging effects that can result in diseases like cancer. At least three systems including DNA methylation, histone modification and non-coding RNA (ncRNA)-associated gene silencing are currently considered to initiate and sustain epigenetic change.1 New and ongoing research is continuously uncovering the role of epigenetics in a variety of human disorders and fatal diseases.

DNA methylation - DNA methylation is a process by which methyl groups are added to the DNA molecule. Methylation can change the activity of a DNA segment without changing the sequence. Researchers are currently looking at the links between DNA methylation and human diseases such as lupus, cancer, muscular dystrophy and various congenital defects.

Brain architecture - The development of a child's brain architecture provides the foundation for all future learning, behaviour, and health. Brains are built over time, from the bottom up. The basic architecture of the brain is constructed through an ongoing process that begins before birth and continues into adulthood.

Adaptive coping - Coping refers to efforts to manage stress. Coping can be adaptive or maladaptive. Adaptive coping strategies generally involve confronting problems directly, making reasonably realistic appraisals of problems, recognizing and changing unhealthy emotional reactions, and trying to prevent adverse effects on the body.

Self-Regulation - Self-regulation skill is necessary for reliable emotional wellbeing. Behaviourally, self-regulation is the ability to act in your own long-term best interest, consistent with your deepest values.

Trauma Informed Care - Trauma Informed Care is an organizational structure and treatment framework that involves understanding, recognizing, and responding to the effects of all types of trauma. 

You are invited to view: as part of the Working with ACEs Training

(Content protected under Sections 86 to 90 of the Coroners and Justice Act 2009.) 

Copyright ©2018, 2019 College of Life

3. CDC ACEs questionnaire (For personal use only)

4. Information on ACEs and Mental Health

5. DPH Annual Report 2018

6. DPH Annual Report 2018 'Key Messages'

7. World Health Organization Introductory Materials 1

8. World Health Organization Questionnaire 2

9. World Health Organization Introductory Materials 2b

10. World Health Organization Interviewers Guide

11. Cumbria Public Health Report 2018 (Published 2019) ACEs focused report.

12. Further resources for study: 

  1. NHS Scotland (2018) Adverse Childhood Experiences: The Scottish Government and NHS Scotland have developed a range of actions to provide interventions and address Adverse Childhood Experiences Full details can be found HERE

  2. Public Health Wales (n.d) Welsh Adverse Childhood Experiences Study. ACE Report 1: Adverse Childhood Experiences and their impact on health-harming behaviours in the Welsh adult population FULL REPORT available HERE

  3. Public Health Wales (n.d) Welsh Adverse Childhood Experiences Study. ACE Report 2: Adverse Childhood Experiences and their association with Mental Well-being in the Welsh adult population. FULL REPORT available HERE

  4. Public Health Wales (n.d) Welsh Adverse Childhood Experiences Study. ACE Report 3: Adverse Childhood Experiences and their association with chronic disease and health service use in the Welsh adult population. FULL REPORT available HERE

  5. Public Health Wales (n.d) Welsh Adverse Childhood Experiences Study. ACE Resilience Report: Sources of resilience and their moderating relationships with harms from adverse childhood experiences FULL REPORT available HERE

  6. Urban Child Institute (2018) Combating Adverse Childhood Experiences through Resilience Based Interventions. video and full transcript is available HERE

  7. IRISS (Improving lives through knowledge, evidence and innovation) (2018) ESSS Outline Adverse Childhood Experiences (ACEs): interventions in education. Full report is available HERE

  8. Center on the Developing Child Harvard University - Toxic Stress. Access the site HERE  This Center provides a wide range of resources which can be accessed from the link shown)

  9. Centers for Disease Control and Prevention (n.d) The CDC-Kaiser Permanente Adverse Childhood Experiences (ACE) Study. Full details and hyperlinks can be accessed from HERE

  10. Leitch L (2017) Action steps using ACEs and trauma-informed care: a resilience model. Health Justice - open access available HERE

  11. American Psychological Association (2008)  Children and Trauma. Update for Mental Health Professionals. American Psychological Association. Presidential Task force on Post Traumatic Stress Disorder and Trauma in children and Adolescents:

  12. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Violence Prevention (2014) The Adverse Childhood Experiences (ACE) Study.  Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Violence Prevention:

  13. NSPCC (n.d.) Solution-focused practice toolkit. NSPCC- Solution focused Practice : NSPCC toolkit-

  14. Riley A (2012) Exploring the effects of the ‘Seasons for Growth’ intervention for pupils experiencing change and loss. Educational & Child Psychology Vol. 29 No. 3. The British Psychological Society, 2012.

  15. Gruberger M, Ben-Simon E, Levkovitz Y, Zangen A and Hendler T (2011) Towards a neuroscience of mind-wandering.  Frontiers in Human Neuroscience5(56):56 · June 2011 also available at:

  16. The National Center for Learning Disabilities (n.d.) Executive Functioning 101- ebook

13. A Shared Language for Trauma-Informed Practice and Adverse Childhood Experiences

14. UCL ACEs document


15. The Science of Resilience NHS Education

The Science of Resilience.pdf