Richard Pates is a Consultant Clinical Psychologist and Visiting Professor of Psychology at the University of Worcester and Charles University, Prague. He has extensive experience working with adult survivors of childhood adversity and with children currently affected by ACEs. His research and clinical work focus on trauma, mental health, and evidence-based interventions designed to address the long-term consequences of early adverse experiences. Diane Riley is a Psychophysiologist and Consultant who has worked with international organizations including the United Nations and serves as a Visiting Professor at several universities. A founding member of the International Harm Reduction Association, she has contributed widely to research and policy on substance use, public health, and social justice, with particular emphasis on the intersections of trauma, policy, and community wellbeing.

• Preface viiContributors’ Biographies viiiPart 1 Introduction to ACEs 11 Childhood Adversity – Intergenerational Effects 3Diane Riley and Richard Pates2 Inheriting Trauma: Domestic Abuse Through the Lens of ACEs 44Amy JohnsonPart 2 Experiences of ACEs 533 Yes, It Happened to Me!: The Lived Experience of ACEs, a Number of Stories 55Richard Pates and Diane Riley4 Letter to Breslau 74Maya Lasker- Wallfisch5 The Forgotten Generation, the War Children in Germany 82Sabine Bode6 Writing as Therapy for My Deep Personal Trauma 88Alison Knight7 The Aberfan Disaster 97Gaynor Madgwick8 Adverse Childhood Experiences and International Adoptions: Experiences from the Voices of Adopted Individuals 110Diana S. Lesme Romero9 Greek Adolescents 123Anna Tsiboukli10 Adverse Childhood Experiences and Mental Health: Micro and Macro Social Factors in Mexico 133Liliana Templos- Núñez11 Childhood Trauma and Adversity as Risk Factors for Violence 144Jiaying Chen, Saima Ali, and Gwen Adshead12 Indigenous People in Canada: The Role of Education Both in Creating Problems and in Alleviating Them 158Diane Riley and Mike DeGagnéPart 3 Interventions 17113 Interventions and Treatment for the Effects of ACEs 173Diane Riley and Richard Pates14 Trauma and ACE- Informed Approaches: Why it’s Everyone’s Business 201Andrew Bennett15 Systematic Capacity Building in Child and Adolescent Clinical Care in the Czech Republic: A Case Study 213Michal Miovský16 A Family Affair! Fixing Adults to Break the Intergenerational Transmission of Suffering 227Eric Breton, Elodie David, and Line Caron17 Art Therapy: Safe (Enough) Spaces to Express Creatively What Words Can’t Say 237Deirdre McConnell18 Solutions: Touch Therapy and Other Therapies 250Adam Nicholls19 Lived-Experience Leadership in Two Trauma Services: CHIME to Thrive and Staywell Derby CIC 259Lauren JonesPart 4 Discussion 27320 Discussion 275Richard Pates and Diane RileyIndex 301

Richard Pates is a Consultant Clinical Psychologist and Visiting Professor of Psychology at the University of Worcester and Charles University, Prague. He has extensive experience working with adult survivors of childhood adversity and with children currently affected by ACEs. His research and clinical work focus on trauma, mental health, and evidence-based interventions designed to address the long-term consequences of early adverse experiences. Diane Riley is a Psychophysiologist and Consultant who has worked with international organizations including the United Nations and serves as a Visiting Professor at several universities. A founding member of the International Harm Reduction Association, she has contributed widely to research and policy on substance use, public health, and social justice, with particular emphasis on the intersections of trauma, policy, and community wellbeing.

• Preface viiContributors’ Biographies viiiPart 1 Introduction to ACEs 11 Childhood Adversity – Intergenerational Effects 3Diane Riley and Richard Pates2 Inheriting Trauma: Domestic Abuse Through the Lens of ACEs 44Amy JohnsonPart 2 Experiences of ACEs 533 Yes, It Happened to Me!: The Lived Experience of ACEs, a Number of Stories 55Richard Pates and Diane Riley4 Letter to Breslau 74Maya Lasker- Wallfisch5 The Forgotten Generation, the War Children in Germany 82Sabine Bode6 Writing as Therapy for My Deep Personal Trauma 88Alison Knight7 The Aberfan Disaster 97Gaynor Madgwick8 Adverse Childhood Experiences and International Adoptions: Experiences from the Voices of Adopted Individuals 110Diana S. Lesme Romero9 Greek Adolescents 123Anna Tsiboukli10 Adverse Childhood Experiences and Mental Health: Micro and Macro Social Factors in Mexico 133Liliana Templos- Núñez11 Childhood Trauma and Adversity as Risk Factors for Violence 144Jiaying Chen, Saima Ali, and Gwen Adshead12 Indigenous People in Canada: The Role of Education Both in Creating Problems and in Alleviating Them 158Diane Riley and Mike DeGagnéPart 3 Interventions 17113 Interventions and Treatment for the Effects of ACEs 173Diane Riley and Richard Pates14 Trauma and ACE- Informed Approaches: Why it’s Everyone’s Business 201Andrew Bennett15 Systematic Capacity Building in Child and Adolescent Clinical Care in the Czech Republic: A Case Study 213Michal Miovský16 A Family Affair! Fixing Adults to Break the Intergenerational Transmission of Suffering 227Eric Breton, Elodie David, and Line Caron17 Art Therapy: Safe (Enough) Spaces to Express Creatively What Words Can’t Say 237Deirdre McConnell18 Solutions: Touch Therapy and Other Therapies 250Adam Nicholls19 Lived-Experience Leadership in Two Trauma Services: CHIME to Thrive and Staywell Derby CIC 259Lauren JonesPart 4 Discussion 27320 Discussion 275Richard Pates and Diane RileyIndex 301

Richard Pates is a Consultant Clinical Psychologist and Visiting Professor of Psychology at the University of Worcester and Charles University, Prague. He has extensive experience working with adult survivors of childhood adversity and with children currently affected by ACEs. His research and clinical work focus on trauma, mental health, and evidence-based interventions designed to address the long-term consequences of early adverse experiences. Diane Riley is a Psychophysiologist and Consultant who has worked with international organizations including the United Nations and serves as a Visiting Professor at several universities. A founding member of the International Harm Reduction Association, she has contributed widely to research and policy on substance use, public health, and social justice, with particular emphasis on the intersections of trauma, policy, and community wellbeing.

• Preface viiContributors’ Biographies viiiPart 1 Introduction to ACEs 11 Childhood Adversity – Intergenerational Effects 3Diane Riley and Richard Pates2 Inheriting Trauma: Domestic Abuse Through the Lens of ACEs 44Amy JohnsonPart 2 Experiences of ACEs 533 Yes, It Happened to Me!: The Lived Experience of ACEs, a Number of Stories 55Richard Pates and Diane Riley4 Letter to Breslau 74Maya Lasker- Wallfisch5 The Forgotten Generation, the War Children in Germany 82Sabine Bode6 Writing as Therapy for My Deep Personal Trauma 88Alison Knight7 The Aberfan Disaster 97Gaynor Madgwick8 Adverse Childhood Experiences and International Adoptions: Experiences from the Voices of Adopted Individuals 110Diana S. Lesme Romero9 Greek Adolescents 123Anna Tsiboukli10 Adverse Childhood Experiences and Mental Health: Micro and Macro Social Factors in Mexico 133Liliana Templos- Núñez11 Childhood Trauma and Adversity as Risk Factors for Violence 144Jiaying Chen, Saima Ali, and Gwen Adshead12 Indigenous People in Canada: The Role of Education Both in Creating Problems and in Alleviating Them 158Diane Riley and Mike DeGagnéPart 3 Interventions 17113 Interventions and Treatment for the Effects of ACEs 173Diane Riley and Richard Pates14 Trauma and ACE- Informed Approaches: Why it’s Everyone’s Business 201Andrew Bennett15 Systematic Capacity Building in Child and Adolescent Clinical Care in the Czech Republic: A Case Study 213Michal Miovský16 A Family Affair! Fixing Adults to Break the Intergenerational Transmission of Suffering 227Eric Breton, Elodie David, and Line Caron17 Art Therapy: Safe (Enough) Spaces to Express Creatively What Words Can’t Say 237Deirdre McConnell18 Solutions: Touch Therapy and Other Therapies 250Adam Nicholls19 Lived-Experience Leadership in Two Trauma Services: CHIME to Thrive and Staywell Derby CIC 259Lauren JonesPart 4 Discussion 27320 Discussion 275Richard Pates and Diane RileyIndex 301