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Description

In this episode of One in Ten, host Teresa Huizar speaks with clinical psychologist and researcher Dr. Nick Morelli about the relationship between adverse childhood experiences (ACEs) and substance use in young adulthood. Drawing on data from LongSCAN, a 30-year longitudinal study of child abuse and neglect, Morrelli describes four distinct patterns of substance use identified among young adults at age 24: abstainers, smokers, depressant users, and poly users. 

Time Stamps: 

00:00 Trauma and Substance Use 

01:13 Nick’s Research Journey 

01:45 LongSCAN and Study Goals 

03:05 How Latent Class Works 

04:09 Abstainers and Resilience 

07:15 Three Higher Risk Profiles 

08:51 ACEs Predicting Use Patterns 

14:07 Smoking and Social Context 

17:42 Depressants and Emotional Abuse 

23:50 Poly Use and Partner Violence 

29:25 Implications for Practice 

32:31 Screening Early and Often 

36:08 What’s Next for Nick 

37:58 Closing Thoughts on Resilience 

39:12 Wrap Up And Call To Action

Resources:

Latent Classes of Substance Use in Young Adult Survivors of Child Maltreatment and Adversity: A 20-Year Prospective Investigation - Nicholas M. Morelli, Benjamín Aceves, Emily A. Schmied, Kajung Hong, Michaela Gusman, Theresa Ngan Nguyen, Howard Dubowitz, Miguel T. Villodas, 2026

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