Tagged With "Calif ACEs screening"
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A Message to California Health Care Providers About COVID-19 and Toxic Stress [acesaware.org]
By Nadine Burke Harris and Karen Mark, ACEs Aware, March 30, 2020 Our global community is facing confusing and uncertain times. As the unprecedented novel coronavirus continues to spread, the health and safety of our nearly 40 million Californians is the number-one priority for our state, the Office of the California Surgeon General, and the Department of Health Care Services (DHCS). This includes the physical, mental, and psychological well-being of all individuals. As the crisis deepens,...
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ACES Aware Webinar: Dec 13th, 12-1pm PT - Public Comments about soon-to-be-released Request for Proposal
The Department of Health Care Services and the California Office of the Surgeon General are hosting a webinar of the Trauma-Informed Care Implementation Advisory Committee’s Provider Education and Engagement Subcommittee. Subcommittee members will discuss a draft Request for Proposal (RFP) released for public comment as part of the ACEs Aware initiative. The draft RFP invites external organizations to apply for grants to support provider training activities, provider engagement activities...
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ACEs Science Champion Series: Dr. Angela Bymaster: This Faith-Based Physician Integrates ACEs Science with Healing Arts
Dr. Angela Bymaster, a family physician at Washington Elementary School in San Jose, CA, operates her clinic in a portable unit on the school property.
Because the unit faces students as they are dropped off by their families, she gets to “pick up the kids” before they are sent to the clinic, practicing “upstream medicine.”
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ACEs screening in CA — a Q and A with Dr. Dayna Long
Last year, the California Department of Health Care Services rolled out its plans for universal screening for trauma among its pediatric and adult Medicaid population. Beginning January 1, 2020, California physicians were able to receive an incentive payment of $29 for each pediatric patient screened for ACEs using the PEARLs ( Pediatrics Adverse Childhood and Resilience Study) tool. Dr. Dayna Long talked with ACEs Connection staff reporter Laurie Udesky about ACEs science, what led to the...
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Add the ACEs Connection “shortcut” to your phone and help make the world more ACEs Science aware. It’s as easy as 1, 2, 3!
Stay current with ACEs Connection -- and easily share stories via social media and email -- by accessing ACEs Connection and/or your community’s home page on your phone. Adding an ACEs Connection shortcut to your phone works for iPhone and Android systems and makes staying logged in, checking in, and sharing out quick and easy, on-the-go! Community managers: Share this post with community members, as using the shortcut is a great way to help your members stay abreast of what’s going on! On...
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Opinion: Screenings Alone Won’t Prevent Adverse Childhood Experiences—We Must Address Community Trauma [calhealthreport.org]
By Rachel A. Davis and Howard Pinderhughes, California Health Report, December 19, 2019 Earlier this month, California’s Surgeon General Nadine Burke Harris launched an ambitious campaign to reduce adverse childhood experiences, which can cause lifelong health problems. With more than 60 percent of Californians saying they were exposed to a traumatic childhood event, adverse childhood experiences are at crisis levels in the state. The ACEs Aware campaign will train and pay health care...
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Positive Childhood Experiences offset ACEs: Q & A with Dr. Robert Sege about HOPE
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...
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Program offers hundreds of young men, boys safe space to heal from ACEs
Dennis McCollins recounts some of the experiences that caused him to harden against the world as a teenager. “There were times I went to more funerals than birthdays,” says McCollins, who is the clinical director of the School Based Health Center at Greenwood Academy in Richmond, Calif. And it took its toll: “I spent time homeless. I got expelled [from school]. I was so angry and upset and mad,” he says. Dennis McCollins Then a man that he met when he was sent to Job Corps as a teen turned...
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Screening for Childhood Trauma
Dr. Ken Epstein has been in the social services sector for nearly four decades and has witnessed firsthand the long-term effects of trauma. As both the son and father of fellow social workers, the work runs in his blood. Now, he’s helping Bay Area health clinics screen for and address childhood trauma through the Resilient Beginnings Collaborative (RBC), led by Center for Care Innovations (CCI) and made possible by Genentech.
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Solano County launches its ACEs and resilience initiative inviting all to take action
Elizabeth Huntley recalls the day when her family’s life was turned upside down. “One day my mom woke up and she packed up all of our clothes, all five of us…and she took me and my younger sister who had the same father… down to my paternal grandmother’s house…and she left us there. She took my middle sister to a town near Birmingham, Ala., and left her there. She took my only brother and an older sister back to Huntsville and left them at a sister’s house. Then she went back to that housing...
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Solano County's (CA) ACEs initiative, a robust community effort, makes room for input from all
In a house called “Johanna’s House” on a tree-lined side street in Vallejo, Calif., four women are filling out the adverse childhood experiences (ACE) survey given to them by Maria Guevara, the founder of Vallejo Together, an organization that serves homeless residents in Vallejo. The house was named for Johanna Dilag, a homeless woman who was found dead along with her dog.
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Survey: Healthcare providers, community organizations weigh in on California's ACEs screening program
In January, California took a historic leap forward to promote universal ACEs screening of the state’s 13 million adults and children in the Medi-Cal program. The eventual goal is to promote ACEs screening for all patients, but this is a first step in dealing with a major issue that ACEs science has identified: that many children will develop serious health problems later in life because the healthcare system is not currently set up to detect the roots of those problems. The term ACEs, which...
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That Discomfort You’re Feeling Is Grief [HBR.org]
By Scott Berinato March 23, 2020 Some of the HBR edit staff met virtually the other day — a screen full of faces in a scene becoming more common everywhere. We talked about the content we’re commissioning in this harrowing time of a pandemic and how we can help people. But we also talked about how we were feeling. One colleague mentioned that what she felt was grief. Heads nodded in all the panes. If we can name it, perhaps we can manage it. We turned to David Kessler for ideas on how to do...
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Toxic Stress, Behavioral Health, and the Next Major Era in Public Health by Mental Health America
To view the document, click on the following link: http://www.mentalhealthamerica.net/issues/toxic-stress-behavioral-health-and-next-major-era-public-health
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Trauma education and mindfulness help youth living amid gun violence
Armon Hurst, 2nd from left, first row, Teens on Target, courtesy of YouthAlive! Eighteen-year-old Armon Hurst serves as vice president of the student body at Castlemont High School in Oakland, Calif. He has a 4.0 grade point average, is an avid baseball player, and is slated to go to college next year. But until a few years ago, Hurst would find himself waking from nightmares in the middle of the night. It was difficult to concentrate at school, and he wasn’t eating well. Armon Hurst “There...
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Trauma-Informed Care as a Universal Precaution: Beyond the Adverse Childhood Experiences Questionnaire [jamanetwork.com]
By Nicole Racine, Teresa Killam, and Sheri Madigan, JAMA Pediatrics, November 4, 2019 Experiences of childhood adversity are common, with more than 50% of adults reporting having experienced at least 1 adversity as children and more than 6% exposed to 4 or more adverse childhood experiences (ACEs). There is currently a controversial debate in the medical field as to whether the ACEs questionnaire, which asks about abuse, neglect, and household dysfunction before age 18 years, should be...
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Webinar Oct. 17 — Integrating ACEs science in pediatrics: Early adopters share lessons from the field
An ACEs Connection webinar co-sponsored with 4 CA In 2017, California became the first state in the country to pass a law supporting universal screening for adverse childhood experiences (ACEs) in the 5.3 million children in the state’s Medicaid program. As clinicians around California await the state’s announcement of what this new policy will entail, many are wondering what it takes to integrate ACEs science in a pediatric practice. Meet Drs. Deirdre Bernard-Pearl, R.J. Gillespie and...
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Berkeley City College group screens Resilience, looks at ACEs through a social justice lens
As far back as she can remember, Berkeley City College Mental Health Specialist Janine Greer understood that there was a connection between adverse childhood experiences (ACEs) and health. She had a sense early on that racism figures large in that equation. “Looking around in my community – I’m African American, I noticed that even people who had healthy habits got funky diseases,” she said. “And I’m thinking there must be some sort of health trouble that happens if you’re always stressed.”...
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Budget Recommendations for ACEs Screening (AB340) Implementation
ACEs Screening (AB340) implementation recommendations presented to the Assembly Budget Subcommittee on February 25
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First health-related cost of ACEs study shows $113 billion price tag for California; just one ACE costs $28 billion
Researchers who have been looking for a way to quantify the health toll of ACEs in dollar terms, now have an example in a newly-released study of California. ACEs exacted a toll costing an estimated $113 billion annually, according to the study in the journal PLOS One that was commissioned by the Center for Youth Wellness. ACEs-associated cardiovascular disease was the condition that lead author Ted Miller dubbed “the giant in the room.” It accounted for $29.6 billion in spending, more than...
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How Closed Schools Are Creating More Trauma For Students [kqed.org]
By Cory Turner Apr 21 The high school senior sitting across from Franciene Sabens was in tears over the abrupt amputation of her social life and turmoil at home. Because of the coronavirus, there will be no prom, no traditional send-off or ceremony for the graduates of Carbondale Community High School in Carbondale, Ill. And Sabens, one of the school's counselors, could not give the girl the one thing Sabens' gut told her the teen needed most. "I want to hug them all, but I really wanted to...
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How collaboration helps clinic in San Mateo County, CA, tackle ACEs in children
Dr. Elizabeth Grady is a pediatrician at the South San Francisco Clinic, a community clinic of San Mateo Medical Center. She and Susana Flores , a senior public health nurse with San Mateo County Health, spoke with me about how the clinic and other health agencies in San Mateo have been able to craft ways to work together to prevent and heal toxic stress in children. Grady also talked about how she and Flores have been working with the Resilient Beginnings Collaborative (RBC), a group of...
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How do these pediatricians do ACEs screening? Early adopters tell all.
Last week, three pediatricians — with a combined experience of 15 years integrating ACEs science into their practices — reflected on the urgency they felt several years ago that prompted them to begin screening patients for childhood adversity and resilience when there was practically no guidance at all. Along their journey, they accumulated a list of lessons learned for other pediatricians and family clinics to use. The three pediatricians participated in the ACEs Connection webinar,...
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INVITE: Mental Wellness Micro Healing Pop-up -- Mental Health Awareness Day - May 10
In recognition of Mental Health Awareness Day , please stop by our Trauma Transformed Healing Pop-up at the T2 Center in Oakland, CA. WHEN: Thursday, May 10th TIME: 12:00pm – 4:00pm WHERE: Trauma Transformed Center, 1035 22nd Avenue, #14, Oakland, CA. Please consider carpooling as parking is limited at times. WHAT: Healing and wellness activities DIY crafting "Spa" inspired snacks and drinks And more! Drop in and stay as long as you like between 12-4pm. RSVP: ...
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Kaiser family medicine clinic launches 4-question ACE survey pilot for adults
In July, medical residents in family medicine at Kaiser Permanente in San Jose, CA, began screening adult patients for adverse childhood experiences (ACEs). But it’s an ACE survey with a twist: it’s shorter, not the 10-question survey of the original CDC-Kaiser Permanente ACE Study , according to Dr. Kathryn Ridout who is leading the pilot along with Dr. Francis Chu and Dr. Alec Uy . Why a shorter ACE survey? Dr. Kathryn Ridout “When we were doing our initial discussions with stakeholders in...
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Lesson learned integrating ACEs science into health clinics: Staff first, THEN patients
Nearly two years ago, a team of colleagues at LifeLong Medical Clinics jumped at the opportunity to integrate practices based on ACEs science to prevent and heal trauma in their patients when it joined a two-year learning collaborative known as the Resilient Beginnings Collaborative (RBC). A few months after training began, the staff realized they had to put on the brakes.
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Marin Community Clinics in California screen babies for ACEs, provide support in effort to prevent trauma
When Marin Community Clinics (MCC) first considered screening their patients for adverse childhood experiences (ACEs) they already had decided that if they were going to prevent children from acquiring ACEs, they had to take a radical approach.
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New organization calls all pediatricians to end crisis that's "hiding in plain sight"
When the question of screening patients for adverse childhood experiences (ACEs) was first raised a couple of years ago, Santa Barbara pediatrician Andria Ruth had mixed feelings about it.
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No ACEs, low resilience worse than high ACE and resilience scores, study finds
What does measuring resilience tell us about pregnant women who have experienced ACEs? For one thing, it affirms that understanding how a mom-to-be weathers difficult experiences gives greater meaning to her ACE score and what it might mean for her children. That was one of the takeaways from a recent study in the Journal of Women’s Health entitled “ Adverse Childhood Experiences and Mental and Behavioral Health Conditions During Pregnancy: The Role of Resilience ,” says Dr. Carey Watson,...
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NPPC shares lessons learned and results from ACEs screening pilot sites
For Dr. Mercie Digangi, a pediatrician at Kaiser Southern California in Downey, CA, ACEs screening provided a crystal clear before-and-after in how she changed treatment plans for her pediatric patients, she explained to attendees of a December 2 webinar organized by the National Pediatric Practice Community on ACEs (NPPC) and cosponsored by ACEs Connection. Dr. Mercie Digangi One case that turned ACEs screening into a never-go-back moment for her was a three-year-old who was speech-delayed.
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Oakland, CA, youth organization takes next step in systems change to heal trauma
In a room in East Oakland, Calif., photos of children are projected on a screen. “Who is that?” asks Briana Moore, a licensed clinical social worker in private practice and a master trainer for the East Bay Agency for Children’s Trauma Transformed program. “Bill Clinton,” responds one of the 20 employees of the East Oakland Youth Development Center (EOYDC).
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Family Therapy is now a Medi-Cal Benefit
Medi-Cal has just published new policy making family therapy a covered benefit for children and adults with mental health disorders and for children who are at risk for mental health disorders. This will be especially relevant for children with ACEs. Under the guidance of the California Department of Health Care Services, the Medi-Cal fee-for-service program aims to provide health care services to about 13 million Medi-Cal beneficiaries. The Medi-Cal fee-for-service program adjudicates both...
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Antiracism and Injustice Resources [smcoe.org]
The San Mateo County Office of Education has compiled a catalogue of resources for educators and community members on antiracism and social justice. Access the resources here: https://www.smcoe.org/for-communities/antiracism-and-injustice-resources.html#lessons
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Child Life specialists empower kids in hospitals, disasters and now the pandemic
In late May, Betsy Andersen’s 7-year-old son, Ezra, had a serious meltdown. He and his six-year-old sister Abby had been enjoying an online Zoom interaction with “Miss Eileen,” “Miss Savannah,” a couple of their colleagues, and a puppet. Betsy Andersen “I could see him trailing off and then he started crying,” says Andersen, who lives in Mundelein, Illinois. But before she swooped in, she heard Miss Eileen talking to him: “She was saying ‘Hey, I see you’re having some big emotions.” Speaking...
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Introducing the Transform Trauma with ACEs Science Film Festival & Follow-Up Discussions
Transform Trauma with ACEs Sciences Film Festival & Follow-Up Discussions The following weekend watch parties and follow-up discussions are co-hosted by ACEs Connection, The Relentless School Nurse , and The Campaign for Trauma-Informed Policy & Practice (CTIPP) . We appreciated the filmmakers for making these films free to watch for our members and for the public programming of PBS. The films we’ll feature are as follows: Portraits of Professional Caregivers Whole People Part 1...
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One in Five Californians Know Someone Who Died of COVID-19 [kqed.org]
Nina Sparling Sep 3 Nearly 20% of Californians know someone who has died of COVID-19, a rate that’s significantly higher for people of color and low-income residents, according to a new poll from the California Health Care Foundation (CHCF). Among respondents, 10% of White people reported knowing someone who had died of the virus, while that rate rose to 29% for Latinx people, 28% for African Americans and 19% for Asian Americans. Meanwhile, 26% of low-income respondents of all races said...
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SAVE THE DATE! ACEs Aware September Webinar: Assessing Readiness & Building Resilience in the Clinical Workforce [acesaware.org]
SAVE THE DATE - SEPTEMBER 2020 WEBINAR "Assessing Readiness & Building Resilience in the Clinical Workforce: A Foundation for ACE Screening Integration" Wednesday, September 30, 2020 Noon – 1 p.m. Register for the Webinar Presenters will: Define workforce resilience and trauma-informed principles and review resources and tools, including tips for reducing staff stress and burnout. Share examples and lessons learned about assessing staff readiness and building infrastructure. Offer...
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ACEs & Trauma-Informed Pediatric Care in COVID-19 [ucsfbenioffchildrens.org]
UCSF Benioff Children's Hospitals, Child & Adolescent Psychiatry Portal & Center for Child & Community Health Register now and be eligible for 5 hours of AMA Category 1 CME credit and ABP MOC Part 2 credit. Saturday, October 10, 2020 8am - 3:30 pm Recognizing & Addressing Childhood Trauma - Dayna Long MD Trauma-Informed Care Principles in COVID-19 - Saun-Toy Trotter MFT & Ken Epstein LCSW, PhD Patient Perspective - Jen Leland MFT & Joan Jeung MD Early Adopters Discuss...
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Think beyond ACEs screening, advises California funders workgroup in new report
Californians have experienced an alarming epidemic of adverse childhood experiences. Between 2011 and 2017, 60 percent of Californians reported experiencing at least one type of childhood adversity; about 16 percent experienced four or more. People who experience four or more ACEs are 1.5 times as likely to have heart disease, 1.9 times as likely to have a stroke, and 3.2 times as likely to have asthma as people who have experienced no ACEs. (For more information about ACEs and ACEs science,...
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Becoming ACEs Aware in a Challenging Year [acesaware.org]
Becoming ACEs Aware in a Challenging Year Adverse Childhood Experiences (ACEs) and toxic stress represent a public health crisis that has been, until recently, largely unrecognized by our health care systems and society, but there is hope. On January 1, 2020, eligible Medi-Cal providers began to receive a $29 payment for conducting qualifying ACEs screenings for children and adults up to age 65 with full-scope Medi-Cal. As many of you know, this is part of the ACEs Aware initiative , a...
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Road Map for Ending Domestic Violence in California: A Life Course Approach to Prevention
Futures Without Violence (FUTURES) is excited to share A Road Map for Ending Domestic Violence in California: A Life Course Approach to Prevention with the ACEs Connection community. The Road Map , a policy paper supported by Blue Shield of California Foundation, draws upon our work at FUTURES as well as research and study on best practices for preventing violence. It presents four evidenced-based prevention and intervention strategies to prevent and end domestic violence in California:...
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Schools Support Students Experiencing Homelessness [smcoe.org]
San Mateo County, CA — The Bay Area Geographic Leads Consortium, which consists of five Bay Area county offices of education, including the San Mateo County Office of Education, released a joint report with WestEd highlighting the needs of students experiencing homelessness during the pandemic. The white paper, Addressing the Needs of Students Experiencing Homelessness During the COVID-19 Pandemic , features promising strategies that schools in each county have put in place to provide...
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HOPE Summit speakers show how positive childhood experiences offset adversity
The Rev. Darrell Armstrong, pastor of the historic Shiloh Baptist Church in Trenton, New Jersey, is an accomplished man. He graduated from Stanford University in public policy and went on to get his master’s degree in divinity studies at Princeton. As a former director in the New Jersey Department of Human Services, he was responsible for New Jersey’s statewide strategy for preventing child abuse and neglect. Armstrong has also worked as an entrepreneur, workshop facilitator, and radio host.
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ACEs Aware in Action: May Newsletter [acesaware.org]
ACEs Aware in Action May 2021 Our State of CAre is ACEs Aware This month, we launched a statewide health care provider engagement campaign to expand the reach and impact of the ACEs Aware initiative. The campaign is designed to help clinical health care teams understand the importance of screening for adverse childhood experiences (ACEs), and invites them to join the ACEs Aware movement by getting trained and certified to screen for ACEs. The campaign uses digital and print media to raise...
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Webinar explores Oregon bill declaring racism a public health crisis
For anyone who thinks Oregon — long regarded as a liberal, progressive state — was a welcoming place for Blacks and other minorities in the past, a recent webinar sponsored by Oregon health care organizations was a chilling wake-up call. In June 1844, Oregon’s provisional government passed its first Black Exclusionary Act , with language stating that any Black person who set foot in Oregon “would be publicly whipped 39 lashes.” From that time forward, Oregon, like most states, amassed its...
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Case Study: California's ACEs Aware Initiative [nga.org]
By National Governors Association, October 18, 2021 Executive Summary Adverse childhood experiences (ACEs) can have a significant impact on health and well-being, that can continue into adulthood. Interest in preventing and addressing the consequences of ACEs, including toxic stress, has grown across sectors and is shaping policy discussions among state and local leaders who are eager to support effective prevention, detection and intervention strategies. COVID-19 has brought additional...