Adverse Childhood Experiences
Adverse Childhood Experiences (ACEs) are potentially traumatic events that occur during childhood from the ages of 0-17. The three main categories of ACEs are abuse, neglect, and household challenges.
ACEs are associated with an increased risk of injury, STIs, maternal and child health problems, involvement in sex trafficking, and a wide range of other serious conditions such as cancer, diabetes, cardiovascular disease, mental health problems, substance use disorders, and suicide (CDC).
Examples of ACEs
- Witnessing domestic violence
Neglect
- Incarcerated parents
Living in a home with substance misuse
- Physical, emotional, or sexual abuse
Living with someone who has a serious mental illness
Losing a parent through divorce, death, or abandonment
Why is preventing ACEs important?
- By preventing ACEs, up to 1.9 million heart disease cases and 21 million depression cases could have been avoided.
Women with four or more ACEs are at a significantly higher risk of experiencing health issues that are leading contributors to pregnancy-related deaths.
- A 10% reduction in ACEs in North America could equate to an annual savings of $56 billion.
At least 5 of the top 10 leading causes of death are associated with ACEs.

Why raise awareness about ACEs?
*Source: CDC

Building Resiliency in East Tennessee
Because of the lasting impact of ACEs on a child’s emotional and physical wellbeing, it is imperative to identify ACEs as early as possible. Metro Drug Coalition has developed a program for ACEs training and screening implementation in pediatric primary care & OB/GYN practices that will allow providers to assess and identify ACEs in their patients.
By identifying ACEs as early as possible, mitigation strategies can assist families in getting the services they need and provide support for parents who may be exhibiting the negative impact of their own history of traumatic events. Prevention education is key, and this approach will help reduce the transmission of trauma from parent to child.
Brave Beginnings
The Brave Beginnings program helps new moms build a community with their peers, build confidence and skills to prevent cycles of trauma related to adverse childhood experiences, and gain connections to essential community resources. Through Positive Childhood Experiences, new moms can create positive and healthy childhoods for their children.
What we do:
- Peer support groups
- Short-term case management
- Courses about positive childhood experiences
- Free screenings
- One-on-one support
- Community resource referrals
