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Oct 27, 2022 | Announcements, Data Reports

October 2022 Data Report: 899,000 Medi-Cal Beneficiaries Screened for ACEs

The ACEs Aware initiative has released a new quarterly data report detailing the number of Adverse Childhood Experience (ACE) screenings conducted for children and adults in California and the number of individuals who have completed the “Becoming ACEs Aware in California” training.

Between January 1, 2020, and December 31, 2021, Medi-Cal clinicians conducted more than 1,153,000 ACE screenings of 899,000 unique Medi-Cal beneficiaries.

Between December 4, 2019 and August 31, 2022, more than 26,900 individuals completed the training, including approximately 12,100 Medi-Cal clinicians in…

Oct 4, 2022 | Grantee Highlights

Community Spotlight: Lisa James, Director of Health, Futures Without Violence

As part of a National Health Initiative on Domestic Violence, James has collaborated with health care providers, domestic violence experts, and health policymakers in more than 25 states across the U.S. to develop statewide health care responses to domestic violence through training, health policy reform, and public education. A former ACEs Aware grantee, Futures Without Violence (www.futureswithoutviolence.org) has developed curricula, webinars, and other resources to train health care providers on improving responses to violence and abuse. Currently, James is leading an ACEs Aware pilot project addressing the health…

Sep 16, 2022 | Grantee Highlights, Announcements

California’s ACEs Aware Initiative Awards $19.5 Million in Grant Funds to Increase Capacity to Screen and Respond to ACEs and Toxic Stress

On September 16, 2022, the California Department of Health Care Services (DHCS) announced $19.5 million in ACEs Aware funding to 25 teams across California. The awarding of funds was done in partnership with the Office of the California Surgeon General (CA-OSG), UCLA-UCSF ACEs Aware Family Resilience Network (UCAAN), and Population Health Innovation Lab (PHIL), a program of the Public Health Institute (PHI).

Sep 6, 2022 | Grantee Highlights

Network of Care (Round 2) Planning Grant Report

The Network of Care Round 2 report is focused on the 26 Network of Care Planning grants designed to support communities whose Medi-Cal providers were in the early stages of screening for ACEs and contemplating approaches for coordinating across clinics, community-based organizations, and social services agencies. This report outlines areas where Network of Care Planning grantees achieved success and where challenges emerged.

Aug 25, 2022 |

The ACEs Aware Video Storytelling Series

The ACEs Aware Storytelling Series consists of videos capturing the broad impact of Adverse Childhood Experiences (ACEs) across California and the power of the work of the ACEs Aware initiative, which trains health care providers to screen, recognize, and respond to ACEs and toxic stress.

The ACEs Aware initiative is a first-in-the-nation effort to screen patients for ACEs to help improve and save lives. The initiative produced this video series to expand the reach and impact of ACEs Aware by connecting with Californians, encourage providers and care teams to…

Aug 2, 2022 |

Community Spotlight: Dr. Shannon Thyne

Dr. Shannon Thyne is a Co-Principal Investigator of the UCLA-UCSF ACEs Aware Family Resilience Network (UCAAN). She is a Vice-Chair in the Department of Pediatrics, Chief of Pediatrics at Olive View-UCLA Medical Center, and Director of Pediatrics for the Los Angeles County Department of Health Services.

She is also a board-certified pediatrician with leadership experience in clinical operations, medical education, and clinical care for children and youth in the safety net. Her clinical and academic areas of focus include asthma, foster care, childhood adversity/resilience, and behavioral health.

Dr. Thyne earned…

Aug 2, 2022 | Announcements

Healing from Toxic Stress with Dr. Nadine Burke Harris

In this installment of the ACEs Aware Storytelling Series, Dr. Nadine Burke Harris, California’s first Surgeon General, defines the toxic stress response and its potentially harmful impact on health, especially in children. She also discusses evidence-based practices that individuals can adopt to regulate the biological stress response and improve health outcomes. 

Aug 2, 2022 | Announcements

Learning with ACEs: An Educator’s Story

The latest installment in our ACEs Aware Storytelling Series illustrates the life-changing power of trauma-informed practices when implemented in schools. Laguna High School, an alternative high school that worked with the Sonoma County Office of Education to better understand ACEs and their potential impact on learning, has experienced significantly improved outcomes after adding daily trauma-informed practices for its students.

END USER SUBLICENSE AGREEMENT

PLEASE READ CAREFULLY: This End User Sublicense Agreement (the “Agreement” or “Sublicense”) is a legally binding agreement between you (an individual or an entity, hereinafter “You” or “Sublicensee”) and the Department of Health Care Services (“DHCS”) for the use of the Pediatric ACEs and Related Life-events Screener (“PEARLS”) for children and adults up to the age of 21.

BY WAY OF DOWNLOADING, COPYING, ACCESSING, OR OTHERWISE USING THE PEARLS TOOL, YOU ARE AGREEING TO BE LEGALLY BOUND BY THE TERMS OF THIS AGREEMENT. IF YOU DO NOT AGREE TO BE BOUND BY THE TERMS OF THIS AGREEMENT, THEN YOU HAVE NO RIGHTS TO THE PEARLS TOOL AND MAY NOT DOWNLOAD, COPY, ACCESS, OR OTHERWISE THE PEARLS TOOL.

THE PEARLS TOOL IS PROTECTED BY COPYRIGHT LAWS AND IS OTHERWISE PROTECTED INTELLECTUAL PROPERTY. THE PEARLS TOOL IS LICENSED AND IS NOT SOLD.

    1. The PEARLS Tool. The PEARLS tool is a unique tool that assess for both Adverse Childhood Experiences (“ACEs”) such as abuse, neglect, and household challenges, and related events, such as discrimination, food insecurity, and community violence, thought to be risk factors for toxic stress. The PEARLS tool was made in the course of research under the auspices of the Children’s Hospital Research Center at Oakland (“BCHO”) and the University of California, San Francisco. BCHO has licensed the PEARLS tool to DHCS and provided DHCS with the right to sublicense the PEARLS tool.
    2. Sublicensee Attestation. By agreeing to this Agreement, You attest that You are a provider of health care services to Medi-Cal beneficiaries, a Medi-Cal Managed Care Plan, a Medi-Cal beneficiary, a parent or guardian of a Medi-Cal beneficiary, or an Electronic Health Records (“EHR”) vendor.
    3. The Sublicense. Subject to the terms of this agreement, DHCS hereby grants to Sublicensee a non-exclusive, royalty-free, non-assignable, non-transferable sublicense (the “Sublicense”) to the PEARLS tool. Under the Sublicense, Sublicensee may use the PEARLS tool as directed, and may save, download, print, copy, reproduce, or distribute the PEARLS tool to facilitate such use.
    4. Use in a Remote Patient Portal. The PEARLS tool was developed as a screener of risk for toxic stress and has been tested for safe, reliable screening when used during in-person (i.e., synchronous) visits. The questions and responses of the PEARLS tool may be administered using the EHR as structured data fields to facilitate record and follow-up. Because the PEARLS tool was never studied under asynchronous screening formats, DHCS cannot provide recommendations regarding its use in a remote patient portal. This includes information around safety and adequate windows of response. Sublicensee acknowledges that DHCS is not responsible for providing any recommendations regarding the use of the PEARLS tool in a remote patient portal, and that DHCS is not responsible for overseeing implementation and use of the PEARLS tool in a remote patient setting. This includes information around safety and adequate windows of response.
    5. Disclaimer of Warranty. This Sublicense and the associated PEARLS tool are provided WITHOUT WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE OR ANY OTHER WARRANTY, EXPRESS OR IMPLIED. DHCS MAKES NO REPRESENTATION OR WARRANTY THAT THE PEARLS TOOL WILL NOT INFRINGE ANY COPYRIGHT, PATENT, OR OTHER PROPRIETARY RIGHT.
    6. Limitations of Liability.
      1. IN NO EVENT WILL DHCS BE LIABLE FOR ANY INCIDENTAL, SPECIAL OR CONSEQUENTIAL DAMAGES RESULTING FROM EXERCISE OF THIS SUBLICENSE OR THE USE OF THE PEARLS TOOL.
      2. DHCS WILL NOT BE LIABLE FOR ANY LOST PROFITS, COSTS OF PROCURING SUBSTITUTE GOODS OR SERVICES, LOST BUSINESS, ENHANCED DAMAGES FOR INTELLECTUAL PROPERTY INFRINGEMENT OR ANY INDIRECT, INCIDENTAL, CONSEQUENTIAL, PUNITIVE OR OTHER SPECIAL DAMAGES SUFFERED BY SUBLICENSEE, JOINT VENTURES, AFFILIATES, OR DEVELOPMENT PARTNERS ARISING OUT OF OR RELATED TO THIS AGREEMENT. DHCS WILL NOT LIABLE FOR ANY CAUSES OF ACTION OF ANY KIND (INCLUDING TORT, CONTRACT, NEGLIGENCE, STRICT LIABILITY, AND BREACH OF WARRANTY) EVEN IF DHCS HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.
    7. Indemnity and Duty to Defend. Sublicensee shall indemnify, defend, and hold harmless DHCS from and against all claims, actions, damages, losses, liabilities (or actions or proceedings with respect to any thereof), whether or not rightful, arising from any and all actions or claims by any third party or expenses related thereto (including, but not limited to, all legal expenses, court costs, and attorney’s fees incurred in investigating, preparing, serving as a witness in, or defending against, any such claim, action, or proceeding, commenced or threatened) to which DHCS and/or any employee, contractor, or agent acting on DHCS’s behalf may be subject, whether or not Sublicensee is a party to any pending or threatened litigation, which arise out of or are related to (i) claims and losses accruing or resulting to any person, firm or corporation who may be injured or damaged by Sublicensee’s use, reproduction, manufacture, sale, offer to sell, distribution, import, export, modification, public and private  performance/display, license, and disposition of the PEARLS tool; (ii) the incorrectness or breach of any of the representations, warranties, covenant or agreements of Sublicensee pertaining the PEARLS tool; or (iii) any intellectual property infringement, or any other type of actual or alleged infringement claim, arising out of Sublicensee’s use, reproduction, manufacture, sale, offer to sell, distribution, import, export, modification, public and private performance/display, license, and disposition of the PEARLS tool. This indemnity obligation shall apply irrespective of whether the infringement claim is based on a patent, trademark or copyright registration that issued after the effective date of this Agreement. DHCS reserves the right to participate in and/or control, at Sublicensee’s expense, any such infringement action brought against DHCS.
    8. Governing Law. This Agreement is to be interpreted and construed in accordance with the laws of the State of California.
    9. Miscellaneous
      1. The relationship between DHCS and Sublicensee established by this Agreement is that of independent contractors. No joint venture or partnership is established by this Agreement. Neither party is the agent, broker, partner, employee, or legal representative of the other for any purpose.
      2. The headings of any sections are inserted for convenience of reference only and are not intended to be part of, or to affect the meaning or interpretation of this Agreement.
      3. This Agreement embodies the entire understanding of DHCS and Sublicensee and supersedes all previous communications, representations or understandings, either oral or written, between them relating to the subject matter of this Agreement.
      4. In the event that any provision of this Agreement is unenforceable or held to be unenforceable, all other provisions of this Agreement have force and effect and will not be affected thereby.
      5. This Agreement may only be amended, modified, or supplemented by an agreement in writing signed by each party hereto.