Child abuse can last a lifetime.

Let us help

The Purpose

We are here to provide resources for communities working to address the impact of Adverse Childhood Experiences (ACEs), and help every child have a healthy start in life.

What is ACEs?

Traumatic childhood events such as abuse, neglect, and witnessing experiences like crime, parental conflict, mental illness, and substance abuse can result in long-term negative effects on learning, behavior and health. Often referred to as Adverse Childhood Experiences (ACEs), these types of events create dangerous levels of stress that can derail healthy brain development, and increase risk for smoking, alcoholism, depression, heart disease, and dozens of other illnesses and unhealthy behaviors throughout life.

The Process

SCREEN.

TREAT.

HEAL.

Dr. Karen Mark
Dr. Eric Ball

Led by Dr. Nadine Burke Harris, California Surgeon General, and Dr. Karen Mark, Medical Director for DHCS, the ACEs Aware initiative offers Medi-Cal providers core training, screening tools, clinical protocols, and payment for screening children and adults for Adverse Childhood Experiences (ACEs), which are stressful or traumatic experiences people have by age 18 that were identified in the landmark ACE Study. ACEs describe 10 categories of adversities in three domains – abuse, neglect, and/or household dysfunction. ACEs are strongly associated with at least nine out of 10 of the leading causes of death in the United States. Part of Governor Gavin Newsom’s California for All initiative, the goal of ACEs Aware is to reduce ACEs and toxic stress by half in one generation.