Become ACEs Aware!
Join the movement to identify and support children with ACEs
Adverse Childhood Experiences (ACEs) are stressful or traumatic experiences that occur in childhood. Prolonged exposure to trauma such as abuse or neglect, as well as to things like poverty, racism, and community violence, can create toxic stress. Over time, toxic stress can damage a child’s developing brain and body. ACEs can even affect long-term physical and mental health.
ACEs represent a public health crisis. In fact, cumulative adversity is a root cause of some of the most harmful, persistent, and expensive health challenges facing California and the nation, including 9 of the 10 leading causes of death in the United States.
The Role of Healthcare Providers
Exciting New Research on ACEs
The ACEs Aware Initiative is now four years old in California! There is new data available from the surgeon general’s office that shows how we have made significant strides in expanding ACEs screenings and response initiatives.
Research conducted by the RAND Corporation in Los Angeles County pediatric clinics found that more parents than ever feel comfortable talking about ACEs with their child’s healthcare providers! Communicating clearly about why screening is happening, addressing privacy worries, and creating comfortable settings for discussions have changed the game for families.
Overall, parents support ACE screening as it helps provide trauma-informed care for their children, despite challenges like time constraints and limited resources. Learn more about the most recent work in this field.
Patient and Caregiver Perspectives
Implementation of ACEs Screening in Pediatric Care Settings
Clinician and Staff Perspectives
Implementing ACEs Screening in Pediatric Clinics
Local Resources
Local ACEs Newsletter
First 5 and our ACEs Aware partners offer local ACEs resources and training. We share via brief monthly updates.
San Mateo County PACEs Connection
PACEs Connection is a community that shares resources and information related to addressing trauma and resiliency.
Additional Resources
A Note on Toxic Stress
When children experience toxic stress, the impacts of that can stay with them for a lifetime. First 5 San Mateo County believes unequivocally that no child should have to face the kind of violence, war, displacement, houselessness, hunger, or fear that children in Israel, Palestine, Gaza, the Ukraine, the Sudan, and any other nations facing war, violence, or poverty are experiencing right now. Further, children who witness violence here at home, whether it is carried out by firearms or motivated by hatred, should have access to the care they need to heal from these experiences. The negative mental and physical health impacts of these experiences are hard to overcome, and every child deserves a life free of trauma.
While we cannot imagine the hardship facing parents and families there right now, for any families here in our community seeking ways to discuss this with their children, here are some resources.
Healing Together
The California Surgeon General’s office has launched HealTogetherCA.org, the online hub for our state’s ACEs and toxic stress public awareness campaign, to increase awareness of the health impacts of ACEs and toxic stress among caregivers across California, while offering support and healing strategies.
Input from Californians from all backgrounds and communities is always appreciated, and can help uncover the most impactful messages, tools, strategies, and resources. Your stories can inspire others, foster connection, and contribute to a community of healing.
First 5 San Mateo County is a grant recipient of the Office of the California Surgeon General (CA-OSG) and the Department of Health Care Services (DHCS) to participate in the state’s ACEs Aware initiative.
As part of this initiative, First 5 is working in partnership with the Health Plan of San Mateo to promote the ACEs Aware initiative among the Medi-Cal provider community in San Mateo County.
ACEs Aware seeks to change and save lives by helping Medi-Cal providers understand the importance of screening for Adverse Childhood Experiences (ACEs) and training them to respond with trauma-informed care. Learn more about ACEs Aware.
First 5 San Mateo County works on behalf of children ages 0-5 in San Mateo County, partnering with our community to create the conditions that will allow all young children to prosper socially, emotionally, and economically. Learn more about First 5 San Mateo County.