Adverse Childhood Experiences and Toxic Stress are considered by many to be the #1 Public Health issue of our time. These experiences are often at the core of many other issues that we see in our communities such as interpersonal and community violence, substance use and misuse, suicide, and any number of chronic health issues such as diabetes, cancer, even Alzheimer’s. While it often seems like an overwhelming task, taking on public health crises is something that advocates in the U.S. have...

Tufts University medical professor Dr. Robert Sege directs the Center for Community-Engaged Medicine and is nationally known for his research on effective health systems approaches that address social determinants of health. He is also the principal investigator for the HOPE framework (Healthy Outcomes from Positive Experiences).The HOPE framework is based on research that shows how positive childhood experiences can mitigate the effects of adverse childhood experiences. Sege and colleagues...

School districts across the state (and country) are working to find ways to become more trauma-aware, trauma-sensitive, and trauma-responsive. Many have started the process by implementing a variety of programs and practices school-wide from Restorative Justice to Capturing Kids' Hearts . Others are making small changes, one classroom at a time. All of it is good work – and the best way to make it sustainable is to have a written plan developed by leaders at all levels within the school or...