What factors are causing the trend to rise?
-- Exposure of youth to Adverse Childhood Experiences (ACES)

- Incarcerated or divorced parents or death or abandonment of a parent
- Sexual, emotional, verbal or physical abuse
- Physical neglect or emotional neglect
- Domestic violence exposure
- Substance abuse in the home
- Mental illness of a family member
- Unhealthy Relationships
- Social media issues
- Unhealthy parent relations
- Lack of connection to positive adult relationships
- Bullying
- Stigma of Recieving Services
- Being labeled
- Parents not supporting youth to enroll in services
- Societal Conditions
- Poverty
- Single Parent Families
- Lack of access to healthy environments
- Physical infrastructure
- Transportation
- Racism
- Sexism
- Social Emotional Difficulties
- Fear of failure - competitive & comparative
- Poor impulse control
- Sensations seeking- Immediate gratification
- Anxiety or sensitivity
- Hopelessness
- Body Image
- Poor coping skills
- Substance Abuse Issues
- Violence
- Lack access to care
- Schools understaffed to meet needs
- CTSS workers needed
- Mental health professionals not accessible
Factors that cause the trend to decrease:
- Access to Care
- Healthcare
- Mental health
- Chemical dependency
- Physical Environments that Promote Health
- Rec centers
- Parks/playgrounds/recreation
- Schools that are condusive to all childrens needs
- Safe environments (home and community)
- Healthy food access
- Positive Social Emotional Skills
- Opportunities to participate in activities that teach skills (hands on and educational)
- Preventative programs to support early learning and development
- Positive Societal Conditions
- Skills/jobs for all
- Quality education
- Transportation
- Compassionate communities
- Healthy Relationships
- Mentoring programs
- Positive parenting programs
- Adult/youth interaction- intergenerational
- Peer supports