Adverse Childhood Experiences

Adverse childhood experiences (ACEs) describe stressful or traumatic events of abuse, neglect, or household dysfunction early in life and have been shown to increase lifelong risk for many of the leading causes of morbidity and mortality in the US.  Our understanding of how ACEs impact lifecourse health is evolving rapidly, and it is already abundantly clear that the toxic stress of ACEs exerts substantial influence over our physiology and health outcomes. With well over half of us in California having histories of ACEs, it is also clear that ACEs are widespread and have a large impact on population health that the health care system is just beginning to grapple with. Our AAP Chapter is committed to raising awareness of ACEs among pediatricians and the public, which is why we have launched our ACEs Committee. The ACEs Committee members are experts and practitioners dedicated to sharing advances in knowledge and practice relevant to ACEs in pediatrics. Stay tuned to this page for updates on our work. If you would like to get involved, reach out to us here.


AAP-CA2 ACEs Bulletin
Volume 1 (August 2019)





AAP-CA2 ACEs Bulletin
Volume 2 (October 2019)

AAP-CA2 ACEs Bulletin
Volume 3



Early Childhood Adversity, Toxic Stress, and the Role of the Pediatrician: Translating Developmental Science Into Lifelong Health

Committee on Psychosocial Aspects of Child and Family Health, Committee on Early Childhood, Adoption, and Dependent Care, and Section on Developmental and Behavioral Pediatrics, Andrew S. Garner, Jack P. Shonkoff, Benjamin S. Siegel, Mary I. Dobbins, Marian F. Earls, Andrew S. Garner, Laura McGuinn, John Pascoe, David L. Wood

The Resilience Project
ACEs and Toxic Stress
The landmark Adverse Childhood Events (ACE) study​ was a collaboration between the Centers for Disease Control and Prevention (CDC) and Kaiser Permanente's Health Appraisal Clinic in San Diego - led by Vincent Felitti, MD and Robert Anda, MD, MS.

The Resilience Project (Resources)
Resources designed to help pediatricians and families who are dealing with children and youth exposed to violence.

Pediatric Approach to Trauma, Treatment and Resilience
The Pediatric Approach to Trauma, Treatment and Resilience (PATTeR) Project is designed to educate pediatricians about the trauma-informed approach in pediatric care.


USPSTF Recommendations on Primary Care Interventions to Reduce Child Maltreatment
Final Recommendation Statement
Child Maltreatment: Interventions

Meet the ACEs Team

Our Adverse Childhood Experiences Committee is available to assist practices with specific concerns. Please contact the Chapter if you have any questions.      (818) 422-9877

Adam Schickedanz, MD    Committee Chair

Ruby Kalra, MD, FAAP

Jenifer L. Lipman, MSN, EdD

Stephanie Marcy, PhD

Ariane Marie-Mitchell, MD, PhD, MPH

Adwoa Osei, MD, FAAP

Danielle Shaw, MD, FAAP

Denise M. Nunez, MD