AAPCA1 & ACEs Aware
ACEs Aware July Initiative: Strengthening Families with Trauma-Informed Care

The ACEs Screening tool and initiative to address childhood trauma is a small step in a long history of pediatric research and programs on understanding how children thrive, and how we can support them. 

This month, we look at information on the significance of ACEs screening in school readiness and success.
Pediatric Perspectives: School Readiness and ACEs Screening
Our Unique View: ACEs and School Success

By Diane Dooley MD, MHS, FAAP
In a recent poll of Californians, over 50% of respondents stated that they had serious concerns about the impact of the COVID-19 pandemic on students. The majority of parents of K-12 students reported that their student’s educational experiences during the pandemic were worse than before the pandemic1. Similarly, a recent report from the US Department of Education reported that the pandemic appears to have deepened the divide in educational opportunity across our nation’s classrooms and that many of the impacts are falling disproportionately on students that previously had the greatest educational need, including children of color, English learners, students with disabilities and LGBTQ+ students and those from Asian American and Pacific Islander backgrounds2.

As pediatricians, we know that research and experience should guide our practice, not polls. We also know that our clinic visits with families provide us with an extraordinary opportunity to support families during this historic time of need and guide them through the turmoil. A complete ACE screening, which includes assessing both the child’s exposure to adversity (ACEs score) and the family’s social determinants of health, as well as determining the clinical manifestations of toxic stress and family protective factors should give us the tools we need to begin to understand and support families during these difficult times.
Social Media Graphic

Below is a copy of the CDC's latest ACEs infographic. To view the full infographics, click the button below.
Parental and Provider Resources for ACEs
Provider Resources on Screening for Social-Emotional and Developmental Delays:
  • Resources screening for social-emotional and developmental delays:
  • AAP 2021 Recommendations for Preventive Pediatric Health Care recommend Developmental screening at 9 months, 18 months and 30 months and Developmental Surveillance at every well child visit. 
  • Screening should occur per “Promoting Optimal Development: Identifying Infants and Young Children with Developmental Disorders Through Developmental Surveillance and Screening” (https://pediatrics.aappublications.org/content/145/1/ e20193449).
  • Screening for mental health concerns:
  • The 2021 Preventive Health Care guidelines recommend Psychosocial/Behavioral Assessment of children be performed at every well child visit.
  • Depression screening should be done annually starting at age 12
  • Maternal depression screening should be done at each well baby visit between 1 month – 6 months.
  • Additional screens for mental health concerns such as anxiety are available at: https://screeningtime.org/star-center/#/
Parental and Provider Resource:
  • The final ACEs Aware Trauma-Informed Network of Care Roadmap has been released following public comments. The purpose of the roadmap is to provide health care teams, community-based organizations and social service agencies with guidance for establishing an effective system for responding to ACE screenings and mitigating the toxic stress response in your communities. To view the roadmap, click the button below.
Upcoming Events
ACEs Aware Provider Training - Catalyst Center
Supplemental training to raise the capacity of health care providers to advance trauma-informed communities in support of ACE screening and coordinated prevention and treatment to mitigate the toxic stress response.
We look forward to communicating future ACEs initiatives with you and your practice! For more information on the ACEs initiative, visit our website here or contact projectcoordinator@aapca1.org.
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AmazonSmile is now available in the Amazon Shopping app. Here's how to activate it:
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  4. Follow the on-screen instructions to activate AmazonSmile in the mobile app.
Your membership makes a difference for children in California, thank you!

The AAPCA1's ability to advocate on behalf of children is only as strong as the support we receive from our members. Encourage your colleagues to join today by visiting the AAPCA1 website.

Our mission is to promote the optimal health and development of children and
adolescents of Northern California in partnership with their families and communities, and to support the pediatricians who care for them.


President: Nelson Branco • Vice President: Nicole Webb
Secretary: Janice Kim • Treasurer: Nivedita More • Past President: Raelene Walker
Executive Director: Isra Uz-Zaman

California Chapter 1, American Academy of Pediatrics | www.aapca1.org | info@aapca1.org| 916-274-4173