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Taking action to prevent adverse childhood experiences (ACEs) in Ohio

Since 2020, the Health Policy Institute of Ohio (HPIO) has researched and analyzed adverse childhood experiences (ACEs) and what Ohio can do to address them. This analysis found that preventing ACEs can result in substantial health and economic benefits for Ohioans. Achieving the goal of preventing childhood adversity requires getting ahead of potential harms, creating safe, stable and nurturing environments and fostering resilience.

Public and private partners at the state and local level have a collaborative role to play in ACEs prevention. HPIO analysis elevated 12 evidence-informed and cost-effective ACEs prevention strategies for Ohio. These represent a comprehensive and strategic approach to preventing ACEs in Ohio.

This brief is a summary of the information and resources available through HPIO’s Ohio ACEs Impact Project, and also includes guidance for local and state partners working to elevate ACEs prevention policies or program interventions.



3 key findings for policymakers

  • Adverse childhood experiences are pervasive in Ohio and can have considerable health and cost implications.
  • The 12 evidence-informed strategies elevated by HPIO can reduce the ACEs with the most significant health and economic impacts in Ohio.
  • Communities can work together to address the root causes of ACEs and foster health and resilience, by using methods such as the Building Community Resilience (BCR) approach.

Ohio ACEs Impact project

Led by the Health Policy Institute of Ohio (HPIO) and informed by a multi-sector advisory group, the Ohio ACEs Impact project includes a series of policy briefs and an online resource page to build on and amplify current efforts to address ACEs in Ohio.

Support for this project was provided by the Harmony Project, the Ohio Children’s Hospital Association and HPIO’s core funders.


Becky Carroll, MPA

June Postalakis, BS

Published On

June 9, 2024

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