Dr. Sarah Watamura, University of Denver, introduced herself and began her presentation, which was distributed to members of the committee (Attachment A). She discussed the adverse childhood experience (ACE) study and described what ACEs are and how they impact adults. There are three categories of ACES, emotional, physical, and sexual abuse; household challenges; and emotional and physical neglect. Household challenges include abuse of a mother, substance abuse, mental illness in the family, or separation or divorce. Dr. Watamura discussed the factors that can contribute to ACEs, including alcoholism and abuse, depression, poor work performance, and suicide attempts. She explained that ACEs can have lasting effects on behavior and health and explained that certain risk factors have an effect on life expectancy. She also discussed the consequences of ACEs on achievement in education, and stated that overdose and suicide are much more likely to occur with the presence of ACEs.