ACE Services

Adverse Childhood Experiences

As trauma-informed care continues to gain traction across the United States, more providers screen patients for exposure to adverse childhood experiences (ACEs). Adverse childhood experiences are adversities that one experiences by the age 18, which include but are not limited to:

  • Experiencing violence, abuse, or neglect
  • Mental health problems
  • Witnessing violence in the home or community
  • Substance or drug misuse
  • Having a family member attempt or die by suicide
  • Instability due to parental separation or household members being in jail or prison

Cumulative adversity during sensitive periods of childhood development is one of the root causes of some of the most expensive and enduring health challenges facing the nation. To have a better understanding of the tools that should be used to screen children, adolescents, and adults for ACEs, please access the screening tools overview document. 


Screening for ACEs and toxic stress and providing targeted, evidence-based interventions for toxic stress can:

  • Improve efficacy and efficiency of health care
  • Better support individual and family health and well-being
  • Reduce long-term health costs.

As an organization who trains and certifies Community Health Workers, we educate them about adverse childhood experiences, ACE screening tools, and care management interventions. You can download the Pediatric ACEs and Related Life Events Screener (PEARLS) screening form (children and adolescents ages 0-19) and the ACE Revised Questionnaire (adults), fill them out, and email us at [email protected] where one of our trained CHWs will reach out to you.