Adverse Childhood Experiences (ACEs) and toxic stress are a public health crisis. We can take action to change and save lives.
female doctor smiling at young patient

A consensus of scientific research demonstrates that cumulative adversity, especially when experienced during childhood development, is a root cause to some of the most harmful, persistent, and expensive health challenges facing our nation. California is leading the way by training and providing payment to Medi-Cal providers for ACEs screenings to significantly improve health and well-being across the state’s communities.

Dr Nadine Burke Harris TED Talk
An introduction by
The CA Surgeon General Dr. Nadine Burke Harris

News

February 13, 2020 | UC San Francisco

California Surgeon General Dr. Nadine Burke Harris discusses how applying the science of toxic stress will transform health outcomes in California. The 2020 Chancellor’s Health Policy Lecture was streamed live from Cole Hall at University of California San Francisco.

February 12, 2020 | Salud America

As of Jan. 1, 2020, almost 100,000 physicians in 8,800 clinics will be reimbursed for routinely screening Medi-Cal patients for adverse childhood experiences (ACEs), in an effort California hopes will help prevent ongoing ACEs-related stress and disease. Here are nine big questions surrounding the change.

male doctor smiling as young female patient looks in his ear

ACEs Aware is an initiative led by the California Office of the Surgeon General and the Department of Health Care Services to give Medi-Cal providers training, clinical protocols, and payment for screening children and adults for ACEs.

ACEs Aware
Advisory Committees
Materials for Partners

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About DHCS

The mission of DHCS is to provide Californians with access to affordable, integrated, high-quality health care, including medical, dental, mental health, substance use treatment services, and long-term care. DHCS’ vision is to preserve and improve the overall health and well-being of all Californians. DHCS funds health care services for more than 13 million Medi-Cal beneficiaries.

Dr Nadine Burke Harris
About the California Surgeon General

The role of the California Surgeon General was created in 2019 by Governor Gavin Newsom to marshal the insights and energy of medical professionals, scientists, public health experts, public servants, and everyday Californians to drive solutions to our most pressing public health challenges. As California’s first Surgeon General, Dr. Nadine Burke Harris serves as a leading spokesperson on matters of public health, and has established early childhood, health equity and ACEs and toxic stress as key priorities.

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