
Last month marked twenty years since I started working with TCKs and globally mobile families. I have always believed that international life is a great experience and that we all gain so much from it — no matter how young (or old) we are.
Yet through the years I have met a lot of young people who experienced a lot of pain during and following their international years. I have spent a lot of time listening to them and their stories, too. I joined TCK Training because I believe so much in the mission of preventive care: that there are practical things we can do to help families thrive through international transitions.
Now, we have the research to prove it.
Preventive Care That Works
The field of preventive science is relatively new. While research into Adverse Childhood Experiences (ACEs) has been going on for nearly 30 years, research into Positive Childhood Experiences (PCEs) isn’t even 10 years old.
Last year, TCK Training surveyed over 1,600 Adult TCKs about their childhood experiences — both the hard things and the resilience-building factors. In September, we released findings on how both ACEs and PCEs impact long-term wellness for TCKs. The biggest takeaway was that 5-7 PCEs dramatically improve long-term outcomes for TCKs, whether or not they experienced childhood trauma.
There are several different studies measuring different protective factors. We modeled our research after Bethell et al’s 2019 study with seven Positive Childhood Experiences. We asked TCKs seven questions, and each time they answered ‘true’ or ‘mostly true’ they received a score of 1, leading to a total score of 0-7.
- I felt safe/accepted when talking about my feelings with my family.
- I felt my family stood by me during difficult times.
- An adult in my home made me feel safe and protected.
- I felt supported by friends.
- I felt a sense of belonging during my high school years (around age 14-18).
- I engaged in community traditions I enjoyed. (These might include religious festivals, national holidays, school events, or annual gatherings.)
- I always had at least two adults in my life who genuinely cared about me (not including my parents).
The difference in long-term outcomes for TCKs with all seven PCEs vs TCKs with no PCEs was astounding. For example, TCKs with all 7 PCEs were:
- 63% less likely to be diagnosed with anxiety
- 72% less likely to abuse alcohol or use illicit drugs
- 86% less likely to be diagnosed with PTSD
- 2.1x more likely to say being a TCK was “the best way to grow up”
- 5.4x more likely to say the TCK life was “wonderful, no regrets”
Yet this is only part of the story. High PCEs often come with low trauma. In order to really test whether PCEs were responsible for better outcomes, we divided our survey respondents into four groups. First we divided them into those with 0-4 PCEs and those with 5-7 PCEs; then we divided each of those groups by high/low trauma scores.
This meant we could look just at TCKs with high trauma, or just with low trauma, and see whether PCE scores made a difference within each group. Over and over, through dozens of different factors, high PCE scores made a difference for TCKs.
Even When Life Is Hard, Preventive Care Matters
We repeatedly saw that even when TCKs experienced trauma during childhood, those with higher PCE scores had better long term outcomes. For a TCK with 3 or more ACEs, also having 5-7 PCEs meant they were:
- 38% less likely to smoke
- 67% less likely to abuse prescription medication
- 46% more likely to say that the TCK life was a good experience overall
- 2x more likely to say living abroad made their family closer
- 2.3x more likely to say the TCK life was “wonderful, no regrets”
Sometimes, the traumas that form an ACE score are hard for parents and caregivers to prevent. Bad things happen, even to good people, good families, and when everyone tries their best. For example, parents struggling with their own emotional or mental health during difficult international transitions are not always capable of parenting at their best, especially when solid support is in short supply.
The good news is that protective factors are powerful — and many occur outside the home. Every family needs a village to provide additional support for their children, to create this protective shield against the difficulties of life.
Preventive Care Is for ALL Families
Yet preventive care is not just for those kids and families having a difficult time. Preventive care helps everyone! TCKs with 0-2 Adverse Childhood Experiences also benefited from the presence of Positive Childhood Experiences! Those with 5-7 PCEs were:
- 38% less likely to abuse alcohol
- 43% less likely to be diagnosed with a chronic illness
- 44% less likely to experience suicidal ideation
- 52% less likely to self harm
- 63% less likely to have 25 or more sexual partners
The good news is that these protective factors make a difference in the lives of all TCKs, even when they are not experiencing childhood trauma.
We Can All Make a Difference
Something that was clear across each group was the impact of PCEs on TCKs’ perception of their parents’ work abroad. If you’re anything like me, you’ve heard stories and read articles about missionary kids who felt let down by their parents’ work, by the missionary organisation they worked for, and even by God for sending their family to do such a hard thing.
I think it is therefore really important to know that in our research, a TCK with all 7 PCEs was 2.2x more likely to be proud of their parents’ work abroad than a TCK with no PCEs. And whether they had low or high trauma scores, TCKs with 5 or more PCEs were 44% more likely to be proud of their parents’ work abroad.
Part of caring for missionary families well is being the village they need to provide emotional support through life. Being the friends who form their community — sharing friendship, being ‘aunties’ and ‘uncles’ to their children, and celebrating traditions together. These things make a big difference in the lives of children growing up globally.
Learn more about the Protective Factors:
Free course on implementing PCEs
Watch the workshop explaining the research
Photo by Ryan Stefan on Unsplash














