In 2015, the pieces that became ACE Nashville began to fall into place. A five-year Community Health Improvement Plan included the support of mental and emotional health as one of its three goals. A core team of individuals from the Metro Public Health Department (MPHD), Prevent Child Abuse Tennessee and the Family Center, a non-profit focused on breaking generational cycles of child trauma, began to meet weekly. And a citywide “consensus workshop” in April of that year—drawing 44...

Kathy Szafran knew that some of her adolescent clients kept falling through the cracks. She just didn’t understand why. For 10 years, as director of the residential program for Crittenton Services in West Virginia, the state’s only residential program for teenaged girls who are pregnant or parenting, Szafran puzzled over why the usual approaches—cognitive behavioral therapy, talk therapy, medication, color-coded systems for behavioral change—didn’t work for everyone. “We always knew we lost...

Resilience Week had to live up to its name. Virginia’s recognition of resilience-building efforts, originated by the Greater Richmond Trauma-Informed Community Network (GRTICN) and planned in collaboration with TICNs across the state, was set for May 3-9, 2020. Then COVID-19 came. A work group of GRTICN members collaborated with businesses, movie theaters, libraries, schools, local government agencies and non-profit organizations to swiftly pivot their plans to take place virtually: story...

In 2015, the pieces that became ACE Nashville began to fall into place. A five-year Community Health Improvement Plan included the support of mental and emotional health as one of its three goals. A core team of individuals from the Metro Public Health Department (MPHD), Prevent Child Abuse Tennessee and the Family Center, a non-profit focused on breaking generational cycles of child trauma, began to meet weekly. And a citywide “consensus workshop” in April of that year—drawing 44...

Lauren Szymonik kept posing the same questions to members of the Empower Action coalition in Marlboro County: “What is the data telling you? What is the data saying about education? What is the data telling you about trauma?” The numbers were clear: according to 2014-16 Behavioral Risk Factor Surveillance System (BRFSS) surveys, 56% of the county’s 24,000 adults had experienced at least one ACE. In 2017-18, there were 212 cases of child maltreatment, including abuse and neglect, among the...

Most people are not neuroscientists. But nearly everyone has a basic understanding of how to build a house: a sturdy foundation as the basis for an intact, enduring structure. That’s why Building Strong Brains Tennessee (BSBTN), Tennessee’s ACEs response, uses the metaphor of brain architecture to help people understand why the experiences and interactions of early childhood matter so much, and how they set the stage for adult physical and mental health. Building Strong Brains, a...

The deaths of several New Mexico children in recent years—a 13-year-old whose father was accused of fatally torturing him; an eight-year-old who was kicked to death by her mother; a girl raped, strangled and stabbed by her mother’s boyfriend the night before her 10th birthday—drew horror, outrage and scrutiny of the state’s child welfare system. Those incidents drove child welfare and public health specialists Katherine Ortega Courtney and Dominic Cappello to examine the data. Cappello and...

TRACEs’ work group on youth and children in foster care spent a good portion of the last year’s monthly meetings examining holes in the system: How would foster families be affected by changes in funding from the Oregon Department of Human Services? What would it mean for kids if Court Appointed Special Advocate (CASA) positions were cut? Most important, what did foster children and youth, their families of origin and their foster families need in order to thrive? “We put together a...

The leaders of OK25by25 learned about Resilience and took it on the road. Pre-COVID, they traveled the state from Bartlesville in the northeast corner to rural Duncan in the south, showing Jamie Redford’s film about ACEs science and brain development to more than 13,000 people: teachers and attorneys, CASA workers and district judges, physicians and parents. Sometimes 300 people would gather to see the film and participate in a panel discussion; other times, it was an audience of twelve.

The third annual gathering of Minnesota ACEs collaboratives—“Growing Resilient Communities: Collaboratives Addressing ACEs”—began with a sober recitation of inequities: We acknowledge that the wealth of this country was built on stolen land and with enslaved and underpaid labor of African American, Native, and Immigrant people…We acknowledge that the recent global uprising, which was sparked by the murder of George Floyd right here in Minnesota, paired with the COVID-19 pandemic, makes for a...

As the Minnesota trainers expected—and welcomed—the ACE trainings in tribal settings lasted for hours: multiple generations of people from the White Earth and Fond du Lac communities gathering around simmering Crock-Pots of food, sharing stories, standing in line to talk with the trainers afterward. Once, a White Earth elder was the only person to show up for a presentation, recalls Linsey McMurrin, Director of Prevention Initiatives and Tribal Projects for FamilyWise Services , the...

The week of the fall equinox was Mino-Bimaadiziwin Wellness Week at the Saginaw Chippewa Academy (SCA) in Mt. Pleasant, Michigan, a pre-K through 5th grade school of about 130 students. “Mino-Bimaadiziwin” is an Anishinabe phrase meaning “to live the good life.” At the school, it started with “Mindfulness Monday”—students were encouraged to wear their favorite “thinking cap”—then segued to “Take care of our bodies Tuesday,” a “Love Your Community Wednesday" that included talking circles, and...

Mary Mueller likes to call herself an “opportunistic infection.” What that means is that Mueller, project coordinator for trauma-informed systems in the Michigan Department of Health and Human Services (MDHHS), is determined to share the science of ACEs and resilience wherever she goes. After Mueller attended the state’s first ACE master trainer two day session hosted by the Michigan ACE Initiative , she wanted to bring the foundational science shared by ACE Interface back home—to her MDHHS...

After a shooting at a historic Baltimore high school in February 2019—a 25-year-old man, angry about the school’s treatment of his sister, who was a student there, shot a special education assistant with a Smith and Wesson handgun—conversation in the city centered on whether school resource officers should be armed. Students said that was the wrong question. When City Council’s education and youth committee, chaired by council member Zeke Cohen, held hearings on school violence following the...

When members of Maryland’s State Council on Child Abuse and Neglect (SCCAN) began in 2006 to examine what their state was doing in the realm of prevention, they discovered a gaping hole. Many participants in the 23-member Council—people working in child welfare, mental health, law enforcement and advocacy groups—knew about ACEs and about the corrosive effects of early childhood maltreatment. But they discovered, through informational interviews across different sectors and an environmental...

Student suspension rates dropped. Teacher retention rose. Membership in the PTA swelled from zero to more than 200. More kids said in a survey that there was at least one adult at school whom they could talk to if they had a problem. The data—a comparison of the Bounce Coalition’s pilot school and one with similar demographics—told the Kentucky resilience-boosting group that they were on the right track. The Bounce Coalition formed in 2014; the catalyst was a grant from the Foundation for a...

As the COVID-19 pandemic blurred from days into months, the leadership team of LAUNCH Together Southwest Denver began hearing about the sense of anguish and confusion felt by directors of early-childhood learning centers: Should I re-open? Is that financially feasible? Is it ethical? And how do I decide, in a sea of fast-changing information about a virus scientists are still struggling to understand? LAUNCH Together SW Denver, a collaborative formed in 2016 to boost community capacity to...

In Fresno, volunteers from local churches were already working with the schools, mentoring kids and running weekend recreation programs. Community-based non-profits were in conversation with educators; pastors were talking to social-service providers. The problems were clear: nearly 30% of Fresno’s residents living in poverty (the rate tops 40% for Black residents), with a 20-year gap in life expectancy between the richest and poorest parts of this sharply segregated city. For several years,...

Five years of convening Newark’s ACE Impact Team has taught Keri Logosso-Misurell a crucial lesson: Fight the urge to reinvent the wheel.

The March meeting of the New Jersey Education Association’s ACEs Task Force opened without an agenda. It was a virtual gathering with more than 50 people—educators, social workers, professionals in pediatrics, juvenile justice and child abuse prevention. The pandemic had landed emphatically close to home, with a governor’s order to close all schools on March 18, and participants were grappling with what that meant for their students, their families and themselves. So ACEs Task Force co-chair...

For the leaders of Sarasota Strong (or "SRQ Strong") Florida, anti-racism work isn’t about inviting people of color to tables long-occupied by white professionals fluent in academic jargon and theories of change. It’s about venturing, with humility and openness, into spaces where Black people worship, work and live.

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...

Perhaps it wasn’t the optimum time to update the network’s vision and values statements: a virtual meeting held in the midst of a global pandemic. But a record number of people—51, compared to the typical 30—tuned in for the May 1 Wisconsin Office of Children’s Mental Health (OCMH) Collective Impact Council, and they gave the new values statement, which highlights inclusivity and collaboration, an enthusiastic thumbs-up. At the virtual table were members from key state departments—Children...

In a mid-April conference call led by the Campaign for Trauma Informed Policy and Practice (CTIPP), participants from around the country—many of them active in ACEs, trauma and resilience networks—discussed the wave of trauma that is certain to slam communities in the wake of COVID-19. They also cheered a bit of hopeful news: the announcement of $3 billion in federal funding, the Governor’s Emergency Education Relief Fund, a portion of the CARES Act. The funds are flexible block grants for...

On the eastern edge of Missouri, leaders of the Alive and Well network had generated a robust media campaign to help people understand the impact of trauma and toxic stress on health and well-being. There was a monthly column in an African-American newspaper, spots about toxic stress and resilience on urban radio stations and weekly public service features on the NBC affiliate, with physicians, clergy and teachers advocating ways to “be alive and well.” Two hundred and fifty miles to the...

It was more than a piece of parchment bearing the governor’s signature. Illinois Governor J.B. Pritzker’s resolution declaring May 15, 2019 as the state’s first Trauma-Informed Awareness Day marked a high-level recognition that, where state policy is concerned, trauma matters. The resolution and resulting proclamation Pritzker signed also calls for legislators to consider childhood brain development, early adversity and buffering relationships when making policy decisions; it urges all state...

“What are your signs of stress?” asked the leaders of a recent mindfulness webinar hosted by the Philadelphia ACE Task Force (PATF), held during the week that U.S. cases of COVID-19 neared half a million and more than sixty Philadelphians had died of the disease. Participants spilled their responses into the chat box: “headache…teeth grinding…can’t think clearly…nervous stomach…ruminating thoughts…muscle pain…itchiness…bad dreams.” [ At left: #TakeCarePHL during COVID-19 #StayHome #StaySafe.

As project director of the Resilience Network of the Gorge , Claire Ranit believed her work meant approaching community partners with a continual invitation. They responded with an emphatic yes. Since 2016, when Ranit became director of the network, public and private agencies across the region have adopted or stepped up their trauma-informed practices: The North Central Public Health District created a “swellness” team, attended trauma and resilience summits organized by Ranit and began...

The Rev. Sanghoon Yoo learned about the ACE Study, saw the film Paper Tigers and understood that there might be a way to bridge the chasm between faith-based views of wellness and traditional approaches to mental health. “When I heard from the science and Paper Tigers that one of the most important factors for resilience is unconditional love, I thought: That’s not medical. That’s my language. That was an ‘aha’ moment for me; I never thought mental health and faith would go together.” Yoo,...

The elementary school principal routinely broke into tears. At Wednesday afternoon meetings of the Creating Trauma Sensitive Arizona Schools work group, a committee of the Arizona ACE Consortium , the leader of a high-need, inner-city K-5 school frequently wept as she talked about the trauma her students carried into the classroom and the ways it percolated throughout her campus: in lagging test scores, behavior problems, even teacher retention. The other committee members became her...

In 2019, the Maine Resilience Building Network grew up. After seven years of operating as a volunteer-driven, grass-roots, cross-sector coalition devoted to building resilience for the state’s children, families and communities, MRBN developed a business plan, applied for non-profit status and hired its first two paid staff. That work was supported by the Bingham Program, a charitable endowment at Tufts Medical Center and a longtime funder of MRBN, formed in 2012 to educate individuals and...

Iowa ACEs Policy Coalition joins Iowa Gov. Kim Reynolds as she signs a "Resilient Iowa" proclamation in 2018. Photo courtesy of Lisa Cushatt. _______________________________ For years, advocates for a statewide children’s mental health system would stand before Iowa legislators and speak passionately about their own particular concerns. Psychiatrists pointed to a need for more inpatient beds for youth with severe mental illness. Pediatricians said the answer was better screening to identify...

The elementary school principal routinely broke into tears. At Wednesday afternoon meetings of the Creating Trauma Sensitive Arizona Schools work group, a committee of the Arizona ACE Consortium , the leader of a high-need, inner-city K-5 school frequently wept as she talked about the trauma her students carried into the classroom and the ways it percolated throughout her campus: in lagging test scores, behavior problems, even teacher retention. The other committee members became her...

In 2017, two youth-focused Camden, NJ, organizations were angling for the same pot of grant money—funding for a youth-led initiative to learn about community health concerns and develop projects to address them. But instead of scrabbling for the grant as rivals, Hopeworks and UrbanPromise became one another’s cheerleaders. In phone conferences with funders, representatives of both organizations noted their history of collaboration and stressed the importance of taking a trauma-informed...

In 2011, a county-wide training on trauma, hosted by Crawford County Human Services and attended by 150 professionals, yielded curiosity, a brief ripple of enthusiasm and…not much else. Two years later, another Crawford conference—this time, drawing 170 professionals and service providers, family members and youth—became a catalyst, a key moment in the genesis of Peace4Crawford, a cross-sector, grass-roots movement to build a healthy and resilient community in the western Pennsylvania...

Members of The Living Well Theater perform at the Good Food for All Conference at the Free Library/Parkway Central Library. Photo courtesy of Marie-Monique Marthol. ________________________________ Marie-Monique Marthol handed out the cards to older adults at meetings of her local civic association. With the pastor’s permission, she left some at a neighborhood church. She stacked them in restaurants, community centers and even at the laundromat. On the front, the cards read, “Time never runs...

The path toward policies that would buffer Philadelphia workers from secondary traumatic stress began with a simple ask: Come see a movie. That movie was a documentary, Portraits of Professional CAREgivers: Their Passion, Their Pain , viewed by an audience of 250 as part of a 2016 film festival hosted by the Philadelphia ACE Task Force (PATF). The screening launched a three-year effort to put secondary traumatic stress on the radar of Philadelphia’s policy-makers—a journey of relationships...

When Suzanne O’Connor first joined the Philadelphia ACE Task Force (PATF)—a group then composed mostly of pediatricians who wanted to put ACE science into practice—she did more listening than talking.

Ann Marie Healy used to travel around Pennsylvania talking to community members about “smart” land use planning. Through her work with 10,000 Friends of Pennsylvania, a non-profit devoted to revitalizing cities and towns, “we would meet with people to share what we had learned about how to approach planning in a more strategic manner.” In one small town, residents questioned the relevance of the pitch. “Isn’t what we’ve learned locally just as important as what experts have found works...

For Emily Griffey, policy director of Voices for Virginia’s Children , some small print in the bipartisan budget act passed by Congress last February was cause for celebration. The legislation, known as the Family First Prevention Services Act (FFPSA), was the first significant reform of child welfare financing in a generation. And unlike previous federal funding, which helped maintain the foster care system through subsidies for room, board and other services, the new law pays for...

Amy Moseley, community coalitions manager for Children’s Trust of South Carolina, had worked with mothers and babies in maternal-infant health care and with children in foster homes, with victims of sexual assault and individuals with disabilities. She’d noted how poverty and other adversity unspools over the lifespan, how health disparities can persist through generations. Learning about adverse childhood experiences (ACEs) “was seeing the thread between all the areas I had worked in. It...

Brad Lohrey, sheriff of Sherman County in Oregon, likes to tell about an older man who summoned an ambulance about once a week, usually in the middle of the night. When the 911 calls ended abruptly, Lohrey asked his deputies if they knew why. “One of the deputies told me that he started stopping by the gentleman’s house before going off shift. The deputy told me that spending five minutes stopping and talking with the person caused the person to no longer need the ambulance. The gentleman...

Cookie Monster and friends in San Diego Guadalupe Mendoza used to drop off her kids for pre-school, then make a quick and silent retreat. “I hid away,” says Mendoza, mother of five children aged 18 to 5; all but the oldest attended the Head Start/ECEAP (Early Childhood Education Assistance Program) at Walla Walla’s Blue Ridge Elementary School. “I didn’t allow myself to have a connection with the staff.” Three years ago, Mendoza began volunteering with the pre-school. Then she attended a...

Plans change. That was a key lesson learned by the San Diego Trauma-Informed Guide Team (SD-TIGT) as the group worked to hone a strategic plan. The network had begun as a grass-roots collaborative, and members wanted to preserve that sense of openness and inclusion. At the same time, with Harmonium, Inc., as the backbone organization and the MARC grant as an impetus, the network also needed structure, goals and clearly defined roles. Already, the Guide Team’s focus had shifted; what began in...

Vital Village leaders listened to what community members had to say. After a 40-hour training—lecture-style, with daily homework and a final exam—for people who wanted to become lactation counselors, participants pushed back; they said the training was arduous and inflexible for volunteers who were also juggling jobs and family responsibilities. So the leaders of Vital Village Community Engagement Network , located in Boston , tried again. They found a new partner, Reaching Our Sisters...

Policy doesn’t have to be written with a capital letter. When networks participating in Mobilizing Action for Resilient Communities (MARC) aimed to move the needle on policy—a course of action codified by an agency, business or governmental body—they focused on both “big P” state and federal legislative changes and “small p” movements in local schools, neighborhood organizations and police departments. In a MARC webinar last fall, leaders from the Illinois and Albany networks described their...

It was the little red trauma-informed schoolhouse. Katherine Wickersham-Wade, the Nay’dini’aa Na’ Kayax (Chickaloon Village) clan grandmother who started the Ya Ne Dah Ah School , Alaska’s first Tribally operated school in 1992, might not have used that language. But she did envision a school that would wrap its students in Native ancestral traditions and Ahtna language, instill self-confidence and repair some of the damage inflicted by historical trauma—the disruptions to culture and...

When MARC leaders in Montana were training staff from local McDonald’s franchises , one senior manager scoffed at the notion of linking people’s unwelcome behavior to their early childhood experiences. “I think this is just going to give people excuses,” she muttered to the franchise owner after the trainers had left. But the next day, that same manager defanged an encounter with an irate customer. “I wonder what happened to her,” she found herself thinking. “She was able to deflect the...