Pair universal ACEs prevention with culturally sensitive targeted intervention, and incorporate ACEs conversations into well-child visits¶

Strategy · All strategies
Evidence · 1 claim (1 for) · 1 study (1 associational), q2 · 0 of 1 report an effect size · 1 claim rests on one study

Description¶

Because the study found ACEs are distributed widely across race/ethnicity and income rather than concentrated only in disadvantaged families, the authors recommend combining universal prevention with targeted intervention. They state that "ACEs conversations should be routinely incorporated into well-child visits to provide foundational knowledge of toxic stress and health and to share resilience-promoting resources with children and parents as early as possible", and that racial/ethnic differences "underscore the importance of prevention and intervention programs that are culturally sensitive". A two-generational, social-determinant-of-health and trauma framework is recommended for strengthening resilience.

Design Implications¶

Context¶

Requirements¶

• Requires sectors serving children and families to make ACEs resources available in every setting that touches children's and families' lives

Constraints¶

• The supporting evidence is cross-sectional and correlational, so the article's own limitations preclude causal claims about intervention effects

Target Learners¶

• children ages 6-17 exposed to adversity
• parents and guardians
• healthcare and service providers

Target Learning Goals¶

• recognizing and managing stress
• building resilience
• reducing health and achievement inequities

Claims¶

• ACE exposure is unevenly distributed: children below 400% FPL and Black and Hispanic children have higher prevalence of two or more ACEs [+W]

Related Strategies¶

Examples¶

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Key Sources¶

• Goldstein, E., Topitzes, J., Miller-Cribbs, J. & Brown, R. L. (2021). Influence of race/ethnicity and income on the link between adverse childhood experiences and child flourishing. Pediatric Research. https://doi.org/10.1038/s41390-020-01188-6