Resources By Type

The ACE resources below are organized by type to help you find the right resource more quickly. Select a type to see a list and descriptions of corresponding resources.

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Doctor reviewing form with patient
Grantee: Public Health Institute

This paper focuses on the six-county region in rural Northern California served by the Public Health Institute’s (PHI) Population Health Innovation Lab’s (PHIL) Northern ACEs Collaborative (NAC) where exist some of the highest rates of ACEs per capita in the entire state. Through key-informant interviews, Medi-Cal providers shared barriers for implementing ACE screening and identified factors that helped support screening.

Grantee: Western Youth Services

After providing an overview of Adversities, their prevalence, and impact on individuals and communities, this Practice Paper incorporates a case study exploring the increasing prevalence of ACEs after the onset of the pandemic, the relationship between Adversities and mental health diagnoses and functioning, and evidence-based practices linked to improvements in mental health functioning among children who have experienced many Adversities. The paper concludes with a discussion of common challenges and best practices for providers in screening, preventing, and intervening for Adversities based on information gathered from providers through ongoing provider engagement sessions.

Grantee: San Diego Healthcare Quality Collaborative

Communities across the nation are building community information exchanges (CIEs) to support cross-sector collaboration and coordination to address the needs of residents. This paper explores opportunities, challenges, and recommendations for utilizing CIEs to enhance a communities’ ability to improve ACE screening and response, as well as to support proactive, holistic, person-centered care.

Grantee: California Quality Collaborative, a program of Purchaser Business Group on Health

This toolkit is a guide for primary care providers and care teams who intend to implement routine screening for ACEs into practice. It offers a framework for planning and implementing these screenings, provides context that is essential to effective implementation, describes change concepts and offers resources to support practice changes.

Grantee: Safe & Sound

The removal of children by the child welfare system is both a result and cause of ACEs. This paper outlines data which reveal inequities in the current child welfare system of California, reviews the evidence suggesting harms of over-surveillance and separation, and highlights policy actions and community-based solutions that have the potential to shift agency and resources to families who have been marginalized.

Grantee: Origins Training & Consulting

Eisner Health, a federally qualified health center in Los Angeles County, has incorporated trauma-informed principles into both patient care and internal practices since February 2019, resulting in reduced escalations, supported staff wellness, and improved the patient experience across three clinics.

Grantee: Children’s Cause Orange County on behalf of Early Childhood OC. With participating content experts Drs. Miguel Gallardo, Karen Hill, and Marta M. Shinn

Early Childhood OC collaborated with the Multi-Ethnic Collaborative of Community Agencies (MECCA) and Children’s Cause Orange County to develop an understanding of the perspective of community providers who are, and will be, implementing ACE screening tools. Additional insight was provided by content experts with knowledge related to the intersectionality between ACE screenings and structural racism. 

Grantee: San Diego Healthcare Quality Collaborative

Accountable Communities for Health (ACHs) are community-based partnerships formed across multiple sectors that develop a shared vision and take action to improve the health and wellbeing of a community. This paper explores how ACHs can leverage their experience leading multi-sector partnerships to support the Network of Care Milestones for Communities set out in the ACEs Aware Trauma-Informed Network of Care Roadmap.

Grantee: Hannah Gears and Meryl Schulman, Center for Health Care Strategies

To support providers in adopting ACE screening, the Center for Health Care Strategies (CHCS) conducted interviews with 14 Medi-Cal providers, including pediatricians, family medicine providers, behavioral health clinicians, and a certified nurse midwife, from 12 clinics in regions in California. Although the report focuses on California perspectives, the insights can inform health care organizations and providers across the country seeking to adopt an effective ACE screening approach. 

Grantee: UCSF Philip R. Lee Institute for Health Policy Studies

This practice paper examines ACEs and ACE screening with immigrant youth, including qualitative research conducted with adolescent health providers and adolescents to understand their perspectives on this topic, and offers recommendations for adolescent health providers to effectively implement ACE screening with immigrant youth in primary care settings. This paper is a companion document to the authors’ practice paper entitled Screening Adolescents for Adverse Childhood Experiences (ACEs): Incorporating Resilience and Youth Development.

Grantee: Center for Healthy Children and Communities, Inc.

This paper explores strengths and barriers to administering ACE screening in tribal, urban Indian, and rural clinics. 12 key informant interviews were conducted with tribal, urban Indian, and rural organizations in California. Key informants included clinic directors with decision-making power, providers, and community health workers interacting directly with American Indian/Alaska Native patients and rural community members.

Grantee: Primary Care Development Corporation

This paper offers a roadmap to help smaller healthcare practices (those that employ 7 or fewer providers) implement trauma-informed approaches. Smaller practices are well positioned to implement trauma-informed approaches, as they often serve tight-knit populations and can tap into the needs and insights of their community and families.

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