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The purpose of this website is to provide monthly research summaries of the most pertinent articles related to abuse, as a support for those whose goal is to create a future of violence-free families. From Stanford University and the National Library of Medicine.

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Adverse Childhood Experiences (ACEs) Adverse Childhood Experiences (ACEs) are potentially traumatic events that occur when we are young. ACEs and the associated toxic stress they create are the root causes of some of the most common, serious, and costly health and social challenges facing our state. In fact, ACEs are strongly linked to 9 of the 10 leading causes of death in the United States. [ 1 ] [ 2 ] ACEs affect all communities and cross racial, ethnic, socioeconomic, gender, and geographic lines. Two-thirds of us have at least…

This ACEs Aware-developed workflow provides tips and sample scripts for approaching conversations with patients about ACEs and toxic stress. It covers how to introduce the ACE screening purpose and tool to patients/caregivers, review screening results and the treatment plan with them, and following up on the treatment plan.

This fact sheet explains how Medi-Cal providers can participate in the ACEs Aware initiative by getting trained, screening patients for Adverse Childhood Experiences (ACEs), assessing risk for toxic stress physiology, responding with evidence-based interventions, providing trauma-informed care, and receiving payment.

The “ACEs Aware Clinical Team Toolkit: Preventing, Screening, and Responding to the Impact of ACEs and Toxic Stress” offers clinicians and practices comprehensive information and resources. This toolkit is composed of a series of fact sheets that are designed to be read individually.

The purpose of this Resource Guide is to provide strategies and information to help you learn more about how your health plan can be an active part of Trauma-Informed Networks of Care in your service areas.

The Department of Health Care Services approves specific tools to be used and questions to be asked for both pediatric and adult screenings.

This fact sheet explains why providers should screen for ACEs and describes the tools that should be used to screen children, adolescents, and adults for ACEs.

1: Merrick MT, Ford DC, Ports KA, Guinn AS. Prevalence of adverse childhood experiences from the 2011-2014 Behavioral Risk Factor Surveillance System in 23 states. JAMA Pediatrics 2018; 172: 1038.
2: Centers for Disease Control and Prevention. Leading causes of death by age group 2017. (accessed May 8, 2019).
3: Felitti VJ, Anda RF, Nordenberg D, et al. Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults. American Journal of Preventive Medicine 1998; 14: 245–58.
4: Dube SR, Felitti VJ, Dong M, Giles WH, Anda RF. The impact of adverse childhood experiences on health problems: evidence from four birth cohorts dating back to 1900. Preventive Medicine 2003; 37: 268–77.
5: Brown DW, Anda RF, Tiemeier H, et al. Adverse childhood experiences and the risk of premature mortality. American Journal of Preventive Medicine 2009; 37: 389–96.