Adverse Childhood Experiences (ACEs)

Adverse Childhood Experiences impact lifelong health and opportunities.

ACEs are common and the effects can add up over time.

• 61% of adults had at least one ACE and 16% had 4 or more types of ACEs.
• Females and several racial/ethnic minority groups were at greater risk for experiencing 4 or more ACEs.
• Many people do not realize that exposure to ACEs is associated with increased risk for health problems across the lifespan.

Healthcare Providers Can:

• Anticipate and recognize current risk for ACEs in children and history of ACEs in adults. Refer patients to effective services and support.
• Link adults to family-centered treatment approaches that include substance abuse treatment and parenting interventions.

Employers Can:

• Adopt and support family-friendly policies, such as paid family leave and flexible work schedules.

States and Communities Can:

• Improve access to high-quality childcare by expanding eligibility, activities offered, and family involvement.
• Use effective social and economic supports that address financial hardship and other conditions that put families at risk for ACEs.
• Enhance connections to caring adults and increase parents’ and youth skills to manage emotions and conflicts using approaches in schools and other settings.

Everyone Can:

• Recognize challenges that families face and offer support and encouragement to reduce stress.
• Support community programs and policies that provide safe and healthy conditions for all children and families. Preventing Adverse Childhood Experiences (ACEs): Leveraging the Best Available Evidence