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Experts tell committee North Dakotans report high rates of adverse childhood experiences; prevention, trauma‑informed care urged
Summary
Dr. Ramona Danielson told the Protection and Victim Services Committee that North Dakota adults report substantial prevalence of adverse childhood experiences (ACEs)—about 17% report four or more ACEs—with higher rates among some groups. She urged upstream prevention, home visiting and trauma‑informed services.
Dr. Ramona Danielson, assistant professor in the Department of Public Health at North Dakota State University, told the Protection and Victim Services Committee that adverse childhood experiences—abuse, neglect and household dysfunction before age 18—remain common in North Dakota and are linked to a wide range of long‑term health and social harms.
"In the time period that we looked at, 2019 to 2022," Danielson said, "36 percent of North Dakota adults indicated that they experienced emotional abuse, 22 percent physical abuse, and 11 percent sexual abuse," and she reported that 17 percent of adults had ACE scores of four or more. Using PRAMS (pregnancy surveillance) data, she said 21 percent of…
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