{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T06:22:52Z","timestamp":1777962172508,"version":"3.51.4"},"reference-count":40,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2023,2,25]],"date-time":"2023-02-25T00:00:00Z","timestamp":1677283200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>For over two decades, extensive research has demonstrated significant associations between adverse childhood events (ACEs) and a wide range of negative health, mental health, and social outcomes. For Indigenous communities globally, colonization and historical trauma are commonly associated with ACEs, and these effects reverberate through generations. While the ACEs conceptual framework expanded pyramid is a useful model and a visual aid for understanding the historical and present-day dimensions of ACEs in Indigenous communities, a healing conceptual framework is needed to outline a path toward increased community well-being. In this article, we provide a holistic Indigenous Wellness Pyramid that represents the other side of the ACEs pyramid to guide pathways toward healing in Indigenous communities. In this article, the authors describe the Indigenous Wellness Pyramid according to each of the following contrasts with the ACEs pyramid: Historical Trauma\u2014Intergenerational Healing\/Indigenous Sovereignty; Social Conditions\/Local Context\u2014Thriving Economic and Safe Communities; ACEs\u2014Positive Childhood, Family, and Community Experiences; Disrupted Neurodevelopment\u2014Consistent Corrective Experiences\/Cultural Identity Development; Adoption of Health Risk Behaviors\u2014Cultural Values and Coping Skills; Disease Burden and Social Problems\u2014Wellness and Balance; Early Death\u2014Meaningful Life Longevity. We provide examples, supporting research, and implications for implementing the Indigenous Wellness Pyramid.<\/jats:p>","DOI":"10.3390\/ijerph20054108","type":"journal-article","created":{"date-parts":[[2023,2,27]],"date-time":"2023-02-27T02:22:16Z","timestamp":1677464536000},"page":"4108","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The Other Side of the ACEs Pyramid: A Healing Framework for Indigenous Communities"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4245-7337","authenticated-orcid":false,"given":"Maegan","family":"Rides At The Door","sequence":"first","affiliation":[{"name":"National Native Children\u2019s Trauma Center, University of Montana, Missoula, MT 59812, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9820-034X","authenticated-orcid":false,"given":"Sidney","family":"Shaw","sequence":"additional","affiliation":[{"name":"School of Counseling, Walden University, Minneapolis, MN 55401, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,25]]},"reference":[{"key":"ref_1","unstructured":"United Nations (2022, December 29). 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