Tufts University medical professor Dr. Robert Sege directs the Center for Community-Engaged Medicine and is nationally known for his research on effective health systems approaches that address social determinants of health. He is also the principal investigator for the HOPE framework (Healthy Outcomes from Positive Experiences).The HOPE framework is based on research that shows how positive childhood experiences can mitigate the effects of adverse childhood experiences. Sege and colleagues...

Tufts University medical professor Dr. Robert Sege directs the Center for Community-Engaged Medicine and is nationally known for his research on effective health systems approaches that address social determinants of health. He is also the principal investigator for the HOPE framework (Healthy Outcomes from Positive Experiences).The HOPE framework is based on research that shows how positive childhood experiences can mitigate the effects of adverse childhood experiences. Sege and colleagues...

Here in California, many people think that it’s only liberal Democrats who have a corner on championing the science of adverse childhood experiences (ACEs) and putting it into practice. That might be because people who use ACEs science don’t expel or suspend students, even if they’re throwing chairs and hurling expletives at the teacher. They ask "What happened to you?" rather than "What's wrong with you?" as a frame when they create juvenile detention centers where kids don’t fight, reduce...

The Collaborative is excited to feature the new article, " Adverse childhood experiences and the onset of chronic disease in young adulthood ," from Preventative Medicine . The piece, co-authored by member Stan Sonu, highlights the link between ACEs and chronic disease in young people. Sonu, along with co-authors Sharon Post and Joe Feinglass, analyzed the responses of the more than 86,000 respondents to the 2011-2012 Behavioral Risk Factor Surveillance System (BRFSS) to observe patterns of...

In Toole County, Montana, deputy sheriffs call a school counselor, from their patrol cars, after responding to a traumatic incident—a domestic abuse call, an overdose, an arrest—that involves a child. “Handle with care,” they tell the counselor, and they give the child’s name. The counselor passes that information to teachers: a quiet heads-up that the student might be hungry or sleepy, tearful, angry or distracted by whatever happened at home. “My teachers love it,” says Mary Miller, chair...