Preventing Adverse Childhood Experiences: Data to Action (PACE:D2A)

Group of kindergarten kids friends arm around sitting and smiling fun

In 2020, CDC announced funding for the Preventing Adverse Childhood Experiences: Data to Action cooperative agreement to support adverse childhood experiences (ACEs) monitoring and prevention.

A critical first step for preventing ACEs is conducting surveillance to understand:

  • the problem’s scope
  • where and when ACEs most likely occur
  • who is at greatest risk
  • related health and social impacts

Currently, data on how many children and adolescents experience ACEs are limited. This hinders understanding how often ACEs occur, tracking ACEs changes over time, focusing prevention strategies, and measuring community prevention effort success.

This cooperative agreement’s purpose is to:

  • build state-level surveillance infrastructure that ensures capacity to collect, analyze, and use ACEs data
  • support implementation of ACEs primary prevention strategies
  • conduct data-to-action activities to inform ACEs prevention strategy implementation

CDC supports six recipients that are implementing two or more prevention strategies from Preventing Adverse Childhood Experiences (ACEs): Leveraging the Best Available Evidencepdf icon, including:

  • strengthening economic supports to families
  • promoting social norms that protect against violence and adversity
  • ensuring a strong start for children
  • teaching skills
  • connecting youth to caring adults and activities
  • intervening to lessen immediate and long-term harms

See additional information about recipients below.

Connecticut Office of Early Childhood

Surveillance Activities Including:

  • Adding questions about experiencing ACEs to the Connecticut Youth Risk Behavior Survey to provide representative state-wide estimates of ACEs for Connecticut public high school students.
  • Bringing together ACEs-related data from across state agencies to better understand and characterize ACEs in Connecticut communities, including data from the Connecticut Departments of Children and Family Services; Education; and Mental Health and Addiction Services.

Prevention Strategies and Approaches:

  • Ensure a strong start for children by providing training on ACE risk and protective factors to early childhood home visitation providers.
  • Promote social norms that protect against violence and adversity through a public education campaign promoting safe, stable, nurturing relationships and environments for children and families.
  • Strengthen economic supports to families by informing policies that strengthen household financial security and by increasing the number of families who claim the Earned Income Tax Credit.
  • Teach skills by strengthening learning approaches that support the development of resilience.
Georgia Department of Public Health

Surveillance Activities Including:

  • Adding questions about experiencing ACEs to the Georgia Youth Risk Behavior Survey to provide representative state-wide estimates of ACEs for Georgia public high school students.
  • Utilizing data from the Georgia Student Health Survey to look at ACEs indicators, and risk and protective factors among youth in communities across Georgia.

Prevention Strategies and Approaches:

  • Ensure a strong start for children by increasing access to early childhood home visitation programs.
  • Promote social norms that protect against violence and adversity through public education campaigns to increase awareness of the 1-800-CHILDREN Helpline and promote parents seeking help.
Massachusetts Department of Public Health

Surveillance Activities Including:

  • Adding questions about experiencing ACEs to the Massachusetts Youth Risk Behavior Survey to provide representative state-wide estimates of ACEs for Massachusetts public high school students.
  • Using emergency department syndromic surveillance data to monitor certain ACEs in real time to help inform community needs and prevention efforts.

Prevention Strategies and Approaches:

  • Promote social norms that protect against violence and adversity by engaging men and boys in Latinx communities as allies in prevention.
  • Strengthen economic supports to families by informing policies that increase access to paid family and medical leave.
  • Connect youth to caring adults and activities through mentoring and after-school programs and educate youth-serving providers on adverse and positive childhood experiences.
Michigan Public Health Institute

Surveillance Activities Including:

Prevention Strategies and Approaches:

  • Promote social norms that protect against violence and adversity through a public education campaign to raise community awareness of ACEs and how to prevent them.
  • Ensure a strong start for children through early childhood home visitation by integrating ACE prevention into the Michigan Home Visiting Initiative’s care plan.
Minnesota Department of Health

More information about surveillance activities and prevention strategies and approaches coming soon.

New Jersey Center for Health Care Strategies, Inc.

More information about surveillance activities and prevention strategies and approaches coming soon.

Page last reviewed: August 19, 2021