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Developmental cascades after early life adversity in a national sample of African American adolescents
Funding for the Striving for Excellence Series was made possible by Grant No. H79FG000591 from SAMHSA of the U.S. Department of Health and Human Services (HHS). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by SAMHSA/HHS, or the U.S. Government.


Since the concept of adverse childhood experiences was described in the late 1990s, several studies have focused on outcomes during adulthood. However, these outcomes begin to emerge as early as adolescence. It is critical to understand the developmental cascades that unfold after exposure to early life adversity in multiple domains to inform early intervention. As the type and extent of exposure may vary by race, this webinar will focus on exposures to early life adversity in a national clinical sample of African American adolescents.


Recorded webinar.

Learning Objectives 

  • Estimate prevalence of adverse childhood experiences in African American adolescents based on exposure to early life experience in a national sample.
  • Understand how exposure to specific types of early life adversity may vary by race/ethnicity.
  • Describe outcomes in multiple domains (academic, substance use, carceral) after exposure to early life adversity that emerge even prior to adulthood.
  • Identify targets for early intervention after children and adolescents are exposed to adverse childhood experiences.

Target Audience 



  1. Blodgett C, Lanigan JD. The association between Adverse Childhood Experience (ACE) and school success in elementary school children. School Psychology Quarterly 2018; 33(1):137-146.
  2. Crouch E, Probst JC, Radcliff E, Bennettt KJ, Hunt McKinney S. Prevalence of adverse childhood experiences (ACEs) amoung US Children Child Abuse & Neglect 2019; 92:109-218
  3. Crouch E, Radcliff E, Hung P, Bennett K, Challenges to School Success and the Role of Adverse Childhood Experiences. Academic Pediatrics 2019; 19(8):899-907.
  4. Duke NN. Adolescent Adversity, School Attendance and Academic Achievement: School Connection and the Potential for Mitigating Risk. Journal of School Health 2020; 90: 618-629
  5. Merrick MT, Ford DC, Ports KA, Guinn AS. (2018). Prevalence of Adverse Childhood Experiences From the 2011-2014 Behavioral Risk Factor Surveillance System in 23 States. JAMA Pediatrics, 172(11), 1038-1044.
  6. Swedo EA, Aslam MV, Dahlberg LL, et al. Prevalence of Adverse Childhood Experiences Among U.S. Adults — Behavioral Risk Factor Surveillance System, 2011–2020. MMWR Morb Mortal Wkly Rep 2023;72:707–715.

Instructional Level 


Estimate Time to Complete 

Estimated Duration: 1.0 hour 
Program Start Date: September 8, 2023
Program End Date: September 8, 2026

How to Earn Credit 

Participants who wish to earn AMA PRA Category 1 Credit™ or a certificate of participation may do so by viewing the live presentation and completing the evaluation. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (other disciplines) showing the event date and hours earned. 

Continuing Education Credit 

In support of improving patient care, the American Psychiatric Association is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.  


The APA designates this live event for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.  

Faculty and Planner Disclosures 

The American Psychiatric Association adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CME activity — including faculty, planners, reviewers or others — are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity. 


  • Artha Gillis, MD, PhD. Reports no financial relationships with commercial interests. 


  • Artha Gillis, MD, PhD. Reports no financial relationships with commercial interests. 

 Accessibility for Participants with Disabilities 

The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. Please contact the American Psychiatric Association at 202-559-3900, if you require assistance seven (7) business days prior to the start of a live webinar. 

Technical Requirements 

This internet-based CME activity is best experienced using any of the following: 

  • The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari 
  • Internet Explorer 11+ 

This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Acrobat Reader, Microsoft PowerPoint, and Windows Media Player. 

Optimal System Configuration: 

  • Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version) 
  • Operating System: Windows versions 8.1+, Mac OS X 10.5 (Leopard) +, Android (latest and 2nd latest version), or iOS/iPad OS (latest and 2nd latest version) 
  • Internet Connection: 1 Mbps or higher 

Minimum Requirements: 

  • Windows PC: Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video content 
  • Macintosh: Mac OS X 10.5 or higher with latest updates installed; Intel, PowerPC G5, or PowerPC G4 (867MHz or faster) processor; 512 MB or higher RAM; audio playback with speakers for programs with video content 

For assistance: Contact for questions about this activity | Contact for technical assistance 

Availability: On-Demand
Expires on 09/08/2026
Cost: FREE
Credit Offered:
1 CME Credit
1 COP Credit
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