Ohio ACEs Resources

This policy brief provides recommendations to lessen the healthcare disparities that exist in rural communities by addressing ACEs.

This groundbreaking study brought light to the relationship between exposure to adverse childhood experiences and health in adulthood. It considered seven categories of adverse childhood experiences (psychological, physical or sexual abuse; violence against the mother; or living with household members who abused substances, were mentally ill or suicidal, or were ever imprisoned) and found a graded relationship between the number of categories of childhood exposure and many different adult health risk behaviors (e.g., smoking, alcoholism, drug use) and diseases (e.g., heart disease, cancer, diabetes).

The CDC provides ACEs fast facts, research, resources, prevention strategies and data on this page.

This page provides resources, learning materials and research related to child trauma and stress.

This page provides an aggregation of resources to advance the standard of care for ACEs and toxic stress.

This study, published in 1998, serves as a foundation for how ACEs are talked about and understood today.

This publication details the long-term physical, psychological, behavioral and societal consequences of child abuse and neglect.

This article highlights the adverse health and socioeconomic impacts of ACEs on adults using the same Behavioral Risk Factor Surveillance System data as the first policy brief in HPIO’s ACEs Impact Project, Health Impact of ACEs in Ohio.

This guide discusses how ACEs can lead to toxic stress and how to mitigate the effects of toxic stress.

This article highlights the effects of ACEs on women’s lifelong health.

This webpage examines the exposure to institutional/systematic racism as a child can impact future health outcomes.

This webpage reviews the variation of toxic stress amongst different races and social classes and how it can have negative health outcomes.

This study calculated the combined annual costs of depression and anxiety attributed to ACEs in North America at approximately $82 billion. The study estimated that a 10% reduction in ACEs in North America would lead to annual savings of $56 billion. 

This study calculated that, in 2017, ACEs experienced by Tennessee adults led to an estimated $5.2 billion in medical costs and lost productivity. This cost was associated with eight ACE-related health outcomes in which cigarette smoking ($2.1 billion) and depression ($923 million) were the highest.

This report found that the cumulative financial impact on California for 71,289 verified claims of child maltreatment in 2017 was $19.31 billion. The report also estimates that the individual lifetime cost of child maltreatment for survivors was $268,544 in 2017.

This report highlights the importance of protective factors in building resilience and combatting the negative effects of ACEs for children.

This framework developed by The Center for the Study of Social Policy focuses on developing protective factors to proactively address ACEs.

Those who are interested in addressing child abuse and neglect can use these strategies outlined by the National Center for Injury Prevention and Control.

This series of trainings was created by VetoViolence to provide information about ACEs and how to prevent them.

Using this guide, individuals can learn more about protective factors and how to put them into practice.

This publication describes risk factors, protective factors and types of interventions.

This resource offers details on CDC-recommended strategies that have evidence of positive, cost-effective health impacts that produce results within five years.

This evidence registry provides information regarding evidence-based practices relevant to child welfare.

• Intimate  partner  violence 
• Sexual  violence 
• Youth violence 
• Child abuse and neglect 

 These reports compile the best available strategies and approaches for states and communities to prevent violence. 

This evidence registry reviews rigorous randomized control trials of social programs to determine their impact and effectiveness to inform policymakers.

These systematic reviews provide evidence-based recommendations, identified by the Community Preventive Services Task Force, to improve health and prevent disease.

These systematic reviews offer healthcare professionals evidence-based recommendations for clinical preventive services, such as screenings, counseling services and preventive medications.

This evidence registry lists evidence-informed policies, programs and system changes that can improve factors that affect health.

This calculator helps determine which policies will most effectively decrease health and medical costs in a community.

This calculator explores the ROI of the delivery of social services to high-need, high-cost patients.

This database assesses and compares the benefits and costs of evidence-informed policy options. Although the analysis is focused on Washington State, the benefit-cost research may be applicable to people in other states.

This "Prevention Resources for Action" report identifies evidence-informed ACEs prevention strategies with the greatest potential for impact.

This tool provides strategic objectives on ACEs-related data, policy, financing, messaging and cross-sector partnerships for community and state health agencies.

This report discusses the different response strategies and policy options Iowa is considering or implementing to address ACEs.

This report analyzes efforts of communities in Washington State to prevent child maltreatment, decrease exposure to toxic stress and improve development outcomes.

This toolkit provides a collection of resources to guide and support state leaders as they develop and/or refine a comprehensive and aligned fiscal system across multiple early childhood settings, including child care, Early Head Start/Head Start, health, home visiting, mental health, Part B, Part C and state-funded prekindergarten. (2021)

This toolkit provides state leaders with information and guidance on the governance structure of early childhood programs. This includes early childhood organizational structures, authority and accountability for program policy, financing, and implementation decisions for publicly funded early care and education for children birth to age 5. (2021)

This resource presents a framework that describes family engagement in the context of early childhood home visiting and presents strategies that programs can use to encourage family engagement. (2023)

This database provides a thorough and transparent review of effectiveness and implementation for home visiting program models.

This report provides a conceptual framework to identify, evaluate and strengthen implementation quality in home visiting. (2021)

This toolkit provides guidance for community health centers to develop, strengthen and sustain a medical-legal partnership. (2020)

This brief draws on data from organizations who have implemented MLPs to provide guidance on funding MLPs. (2019)

This publication outlines the structure, services and outcomes associated with MPLs; highlights the impact of social drivers on health and child development; provides case studies; and identifies opportunities to strengthen MLP service delivery. (2018)

This issue brief discusses how medical-legal partnerships can support vulnerable populations and highlights implementation resources. (2020)

This report summarizes the connection between economic security programs and improved health development. (2021)

This resource compares eligibility requirements for EITC among states. (2023)

This source compares enacted legislation for state earned income tax credits from 2009-present. (2023)

This brief on EITC provides policy tools states can use to lower barriers in claiming the EITC. (2021)

This report provides recommendations and design principles for policymakers on how to set up an effective child tax credit. (2022)

This report provides an overview of the American Rescue Plan Act (ARPA) changes to the child tax credit and the impact this had on the financial well-being of families and the prevalence of child poverty. (2021)

This resource summarizes legislation for the 12 states that have enacted a state child tax credit. (2023)

This report analyzes the effect of the Child Tax Credit on stimulating economic activity, including a state-by-state comparison for policymakers. (2021)

This document provides basic information and guidance for policymakers and program managers interested in implementing a family skills training program. It describes best practices, challenges and how to overcome them, cultural adaptation of evidence-informed programs, tips to improve recruitment and retention and other basic implementation issues. (2009)

Chapter 6 of Parenting Matters: Supporting Parents of Children Ages 0-8

This chapter describes elements of family skills training programs that have been found to be effective through evaluation. These include treating parents as partners, tailoring interventions to unique needs, service integration and collaboration across agencies, peer support, trauma-informed services, cultural relevance and inclusion of fathers. (2016)

This document includes thorough descriptions of 23 family skills training programs with evidence of effectiveness. It includes an overview of program content, groups of focus, materials and training for each. (2010)

This policy brief provides ways to strengthen laws against bullying, areas for further research, and federal resources for policymakers. There is also a link to a more comprehensive research report. (2016)

This webpage identifies guiding principles for schools to develop and implement comprehensive anti-bullying policies. (2021)

This interactive guide provides an overview of teen dating violence prevention policy approaches, considerations for informing policy, guidance for developing a policy plan, and additional resources. (2023)

This handbook outlines important elements in establishing a comprehensive approach to violence prevention in schools. It promotes a “whole school approach” to preventing violence. (2019)

This document offers guidance for state and local education agencies to develop, implement, and sustain social and emotional learning (SEL) policies and practices. (2022)

This document outlines six key features of a high-quality, comprehensive package of policies and guidance to support SEL. (2022)

This report examines key features of 25 leading SEL programs for elementary-age children to support education administrators in fitting SEL programs to their context and needs. (2017)

The website provides a variety of resources for mentoring programs such as mentor training, program management, program policies and procedures, and marketing and recruitment tools

This report provides best practices for creating and sustaining impactful mentoring relationships and programs, informed by research and practitioner experience. (2015)

This resource provides a template for a mentoring program to create a customized manual with policies and day-to-day procedures. (2007)

This report discusses various approaches to community violence prevention programs, best practices and challenges. (2006)

This report provides recommendations for developing community violence prevention programs with a focus on equity and inclusion. (2022)

This report details how community-based programs can prevent violence and best practices for program implementation, support and sustainability. (2022)

These widely-used best practice standards are based on research, are culturally sensitive and were developed with input from many practitioners and subject matter experts. This second edition is an update of the 2013-2015 edition. (2023)

This report outlines eight best practice quality standards, each with clear practice guidance. (2019)

This planning guide presents the critical topics and decisions groups will encounter when beginning to implement a family treatment court. (2018)

This website includes an array of useful resources on drug courts.

This report provides background information on trauma as well as a framework for a trauma-informed approach that can be implemented in sectors such as behavioral health, child welfare, education, criminal and juvenile justice, primary care and the military. (2014)

This webpage offers links to a wide variety of resources on trauma and trauma-informed care, divided by age group, subject and other categories.

This brief describes best practices for trauma-informed health care, including both organizational and clinical changes. It also highlights payment, policy and educational opportunities to acknowledge trauma’s impact. (2016)

This webpage offers links to many resources for schools and districts wanting to be trauma-informed.

This report outlines the seven most pressing behavioral health treatment priorities among state policymakers. (2023)

This toolkit outlines key elements of a comprehensive and integrated crisis care system. It also assists with estimating crisis system resource needs, the number of people who can be served within a system, costs of crisis services, workforce demands and other important development and implementation considerations. (2020)

This report outlines how counties can help residents with behavioral health conditions before, during and after a behavioral health emergency and provides examples from around the U.S. (2022)