The ACE Study included only those 10 childhood traumas because those were mentioned as most common by a group of about 300 Kaiser members those traumas were also well studied individually in the research literature. There are, of course, many other types of childhood trauma - racism, bullying, watching a sibling being abused, losing a caregiver (grandmother, mother, grandfather, etc.), homelessness, surviving and recovering from a severe accident, witnessing a father being abused by a mother, witnessing a grandmother abusing a father, involvement with the foster care system, involvement with the juvenile justice system, etc. So a person who’s been physically abused, with one alcoholic parent, and a mother who was beaten up has an ACE score of three. Five are related to other family members: a parent who’s an alcoholic, a mother who’s a victim of domestic violence, a family member in jail, a family member diagnosed with a mental illness, and experiencing divorce of parents. There are 10 types of childhood trauma measured in the CDC-Kaiser Permanente Adverse Childhood Experiences Study.(There are many others…see below.) Five are personal - physical abuse, verbal abuse, sexual abuse, physical neglect, and emotional neglect.

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