Positive Childhood Experiences (PCEs) describe a set of interpersonal relationships between family, friends, at school and in the community that fosters a child’s ability to thrive. Studies show that children who have more supportive experiences may be less likely to have psychological or relationship problems as adults. PCEs can be protective against adolescent substance use and teen pregnancy.
PCEs have been shown to counteract and balance the effects of Adverse Childhood Experiences (ACEs) when it comes to adult mental health. Research shows that children exposed to ACEs are at risk for changes in brain anatomy, gene expression via epigenetics, and delated social, emotional, physical and cognitive development. How can PCEs impact this? Studies have demonstrated that PCEs have a cumulative effect on life-long mental health outcomes. For those with some exposure to ACES, those with more PCEs showed better lifelong mental and relational health than those with fewer PCEs. PCEs potentially can protect against the possible effects of ACEs.
Positive Childhood Experiences questions asked how often the respondent:
- Felt able to talk to their family about feelings
- Felt their family stood by them during difficult times
- Enjoyed participating in community traditions
- Felt a sense of belonging in high school
- Felt support by friends
- Had at least two non-parent adults who took genuine interest in them
- Felt safe and protected by an adult in their home
Primary care providers are poised to encourage boosting PCEs for their patients. Promoting PCEs and support building resiliency in children and families can be incorporated in well child appointments. PCPs can improve caregivers’ understanding of child development and how childhood positive experiences can mitigate childhood adversity. PCPs can work with community organizations and schools to encourage improving access to community integrated care and safe spaces for community traditions. PCPs can refer families to the Vista Hill SmartCare Behavioral Health Consultation Services Parent Line 858-956-5900 for specific referrals to build PCEs for patients.
References:
https://positiveexperience.org/wp-content/uploads/2020/03/BRFShandout2-18.pdf
https://www.apaf.org/our-programs/justice/free-resources/what-are-pce-s/
https://www.apaf.org/getmedia/9458d8f9-fcf9-4bb0-bcde-4d3f6472ad99/PCEs-Infographic.pdf
AUTHOR:
Dr. Charmi Patel Rao, MD
Medical Director, Vista Hill Foundation
Child, Adolescent and Adult Psychiatrist
Voluntary Assistant Clinical Professor, UCSD Department of Psychiatry