When you imagine public health initiatives, stop-smoking campaigns, 5-a-day fruit and veg and Covid are some that spring to mind. However, UK public health professionals are increasingly focused on reducing Adverse Childhood Experiences (ACEs) such as abuse and neglect. Evidence has been clear for many years that ACEs significantly increase the risk of negative health outcomes throughout someone’s life.

A 2020 study estimated that £42.8 billion of annual health spending in England and Wales is attributable to ACEs. This figure includes health expenses but also lost productivity, increased use of public services and welfare. The study found those who have suffered ACEs in childhood are far more likely to smoke, have poor mental health and to experience violence. The risk of chronic illness like cancer and heart disease is greater and for those that have experienced 6 ACEs, life expectancy reduces by an appalling 20 years.

In recent years, the term ‘trauma-informed’ has become common language and training professionals across public services continues to grow. The awareness amongst professionals such as teachers and social workers has helped them to identify children who are at risk and provide additional support. It is now widely accepted that with a trauma informed approach from safe and trusted adults, children and young people who have experienced ACEs can avoid life-long health inequality.

Trauma-informed practices are now being embedded across sectors such as housing, justice and health – and in adult services. It’s no longer considered niche or a ‘nice to have’, it’s a cornerstone of public health initiatives and services for children and young people in the UK. This also isn’t a quick easy fix. This is a cultural shift that we have to make as a society and thankfully the increased awareness continues to build momentum.