The Adverse Childhood Experience (ACE) study by Dr. Robert Anda and Dr. Vince Felitti links childhood trauma with many adult diseases (diabetes, heart disease, cancer, etc.) and health issues including social and emotional problems. It measures 10 types of childhood trauma and determines those who may be at higher risk of poor mental and physical health outcomes as an adult. The ACE questionnaire contains five personal questions and five questions related to other family members including the topics of physical abuse, verbal abuse, sexual abuse, physical neglect, emotional neglect and family issues such as alcoholism, domestic violence, incarceration, mental illness or disappearance of a parent through divorce, death or abandonment. Those with an ACE score of 4 or more have a serious likelihood of developing a serious disease as an adult. The good news is that those who learn to be resilient lessen their risk of developing negative outcomes!
Learn more by reading Adverse Childhood Experiences and the Lifelong Consequences of Trauma by the American Academy of Pediatrics.
67% of the population have at least 1 ACE
1/8 of the population have more than 4 ACEs
ACEs fall under 3 basic categories: Abuse, Neglect & Household Challenges
ACES can be prevented by using an ACE-Informed Approach:
The presence of a caring adult (Always Available Adult)
Trauma-Informed Care training for professions working with kids
Use of the Protective Factors including:
safe, nurturing relationships
parental resilience
strong social and emotional skills
concrete support for families
Caregiver knowledge & application of positive parenting skills
ACE aware, supportive communities and social system
All Children need to develop:
*Projects, initiatives and resources from across the country.
*online course to deepen your understanding of trauma and its impacts on child development while learning strategies to grow resilience using a trauma-informed approach.
*California implemented the first ACEs Aware Initiative to help improve and save lives. This site offers the fundamentals of ACEs and information about screening and other resources.
*A social network of people and communities working to address and prevent ACEs
*Great resources from the Center for the Developing Child at Harvard lead by Dr. Jack Shonkoff, MD
*Overview of ACEs and what the CDC is doing.
Go to General Resources and open CDC trainings and tools.
Then open - Preventing Adverse Childhood Experiences Trainings
*Two training modules are available to help anyone learn about and understand ACES. Then move on to modules specific to your profession.
*Printable prevention guide.
*Guide to creating safe, stable, nurturing relationships and environments.