California’s Epic Response to Toxic Stress and ACEs

California is leading the nation in addressing toxic stress and adverse childhood experiences (ACEs), such as neglect, divorce and exposure to violence, which can harm long-term health. Guided by evidence and a public health approach, California developed a series of legal and conceptual frameworks to support statewide screening for ACEs, coordinate within and outside state government, and assess best practices in trauma-informed care across the state. This progress ramped up when Gov. Gavin Newsom created the Office of the California Surgeon General in 2019 and appointed Dr. Nadine Burke Harris to the position. In December 2020, Burke Harris released her Roadmap for Resilience: The California Surgeon General’s Report on Adverse Childhood Experiences, Toxic Stress, and ...
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