Thank you for your comment.

The information on slide 11 was an attempt by me to bridge the gap between the ACEs study and the trauma informed responses that have developed.  In Dr. Burke Harris’ Ted Talk she focused on the predictability of ACEs for individuals, which is not supported by the ACEs study, and her idea of ACEs becoming a movement, which was more in line with the ACEs study.  When following up on her Ted Talk and in reading her book THE DEEPEST WELL I was able to follow her thoughts and understanding of ACEs as a public health issue. ( The Deepest Well refers to John Snow’s use of interviews to discovery that one well, the deepest, was responsible  for a cholera outbreak. Capping that well ended the outbreak.)  In that book she also wrote about medical protocols that could be used to treat something solely because they were empirically effective.  I think that is a bridge between ACEs and PACEs much of what PACEs is doing is focusing on prevention and a public health sense which includes treating individuals by building up resiliency and minimizing adversity while recognizing that each instance of resilience or adversity is not in and of itself predictive.

Thank you for sharing this! It's a valuable compilation of research and information. I noticed on Slide 11 that the change of ACEs to PACEs doesn't make sense in the context of that slide (to me). I understood the point though!

It would be super interesting to see a version of the Three Realms of ACEs document that includes a variety of positives of each of those areas!