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injury and violence prevention (IVP) branch

​Child Adversity Data and Resources

Data Sources

Positive and Adverse Childhood Experiences (PACEs) data are collected through following statewide surveys: 

  • California Health Interview Survey (CHIS): CHIS interviews more than 20,000 households on a wide range of health matters, from use of and access to health care, to health conditions and behaviors, to a range of topics that influence health, such as: public program participation, housing, income and employment, climate change, food, gun violence, adverse childhood experiences and much more.
  • Behavioral Risk Factor Surveillance System (BRFSS): BRFSS is the nation's premier system of health-related telephone surveys that collect state data about U.S. residents regarding their health-related risk behaviors, chronic health conditions and use of preventive services.
  • Youth Risk Behavioral Surveillance System (YRBSS):  YRBSS is a set of surveys that track behaviors that can lead to poor health in students grades 9 through 12.
  • National Survey of Children's Health (NSCH): NSCH provides rich data on multiple, intersecting aspects of children's lives—including physical and mental health, access to and quality of health care, and the child's family, neighborhood, school, and social context.
  • California Healthy Kids Survey (CHKS): The CHKS is the largest statewide survey of resiliency, protective factors, risk behaviors, and school climate in the nation. It is given to grades 7, 9 and 11 at a selection of schools throughout the state. This has CA-specific data on contextual factors and risk factors for teen dating violence, including gang involvement, bullying/harassment, fighting at school, and perceived safety.​​

  • EpiCenter: The Injury and Violence Prevention (IVP) Branch's online injury data system is an online data query system on injury and violence-related deaths, hospitalizations, and emergency department visits in California.

  • ​​The California Violent Death Reporting System dashboard: The California Department of Public Health is funded by the Centers for Disease Control and Prevention (CDC) to participate in the National Violent Death Reporting System (NVDRS) to compile information on violent deaths that occur in California. CalVDRS combines data on violent deaths from various data providers (i.e., vital records, law enforcement, and coroners/medical examiners) in one secure and confidential database.

  • The California Syndromic Surveillance (CalSYS) program: CalSyS aims to improve public health outcomes in California through timely information, enabling rapid and equitable response. Syndromic Surveillance (SyS) can monitor child abuse and neglect, as well as conditions experienced by adults that may negatively impact children in their care (e.g., homelessness, intimate partner violence, suicidal behavior). SyS can also track outcomes related to experiencing ACEs, such as mental health diagnoses, drug overdose, and alcohol misuse among children and adolescents.

Resources

This page offers a collection of tools and resources to support communities, organizations, and public health professionals in understanding and addressing childhood adversity in California. Whether you're seeking local data on Adverse Childhood Experiences (ACEs), looking for strategies to promote protective factors, or exploring evidence-informed approaches, these resources are designed to inform and strengthen efforts toward creating safe, stable, and nurturing environments for all children. 


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Essentials for Childhood Initiative One-Pager (PDF): This document is intended for current and prospective Positive and Adverse Childhood Experiences (PACEs) partners and was designed to describe the Essentials for Childhood (EfC) Initiative, the mission, vision, primary focus areas, and how the Essentials for Childhood (EfC) Steering Committee supports and guides the Initiative. 

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​The Evidence-Based Youth Mentorship Programs Brief is intended to educate local health departments and child-serving systems about evidence-based youth mentorship programs that can foster adult and youth engagement, support violence prevention efforts, and promote Positive Childhood Experiences (PCEs) as a counter to Adverse Childhood Experiences (ACEs).

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​The Impact of Positive Childhood Experiences (PCEs) on Behavioral Health Outcomes is a resource developed to support and educate violence prevention partners and those who work within child-serving systems about community-led efforts to adopt and implement evidence-based strategies that can prevent Adverse Childhood Experiences (ACEs), promote PCEs, and improve the lives of California's children, families, and communities. 
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Utilizing Data to Improve Child Wellbeing Through Community Action: The purpose of this document is to identify best practices in utilizing data to monitor and evaluate child adversity, health, development, and wellbeing in order to build community support and create policy, systems, and environmental change. This resource was created in partnership by All Children Thrive - California and the California Department of Public Health, Injury and Prevention Branch (CDPH/IVPB) and the California Department of Social Service, Office of Child Abuse Prevention’s (CDSS/OCAP)’s, EfC Initiative.​​

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​The Adverse and Positive Childhood Experiences Data Report: Behavioral Risk Factor Surveillance System (BRFSS), 2015-2021: An Overview of Adverse and Positive Childhood Experiences (PDF): The purpose of this resource is to report the prevalence of ACEs in California; describe ACEs-related geographic and demographic disparities; and to offer details on the impact of ACEs on mental health, behavior, and chronic disease.​​

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Strategies for Trauma-Informed School Communities: Practices to Improve Resiliency in School-Aged Children and Address Adverse Childhood Experiences: This resource is intended to assist state and local public health programs, child-serving systems, non-profits, and philanthropic organizations in their efforts to educate about the need for trauma-informed school policies and practices that improve resiliency in school-age children and youth. ​​

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Reimagining Child Wellbeing: Local Policy Strategies to Prevent and Reduce Adverse Childhood Experiences (ACEs) in California's Communities.
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​The PACEs in California Data Report: California Health Interview Survey (CHIS), 2021 resource was developed to provide an overview of the 2021 PACEs data from the CHIS. It is intended to be used by PACEs stakeholders, including community coalitions and community-based organizations, decision-makers, and state and local government representatives, to educate about the prevalence of PACEs in California and guide efforts to reduce ACEs and promote PCEs.​

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​Coping with Stress from Natural Disasters is a resource that presents actionable steps that parents and caregivers can take to care for themselves, their children, and their community, as well as a list of resources to help them get connected to services and disaster relief/assistance programs. This resource is available on the CDPH Wildfires & Mental Health webpage in eight different languages, including English, Spanish, Armenian, Traditional Chinese, Simplified Chinese, Korean, Tagalog, Vietnamese.​

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Engaging Men and Boys as Allies in Violence Prevention[PC1] : This is a resource that presents strategies that have been shown to support the engagement of men and boys as allies in violence prevention and limitations to consider when utilizing this approach. ​

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Syndromic Surveillance Brief: Using near real-time data to monitor suicide-related behavior and Adverse Childhood Experiences provides an overview of Syndromic Surveillance (SyS) and how it is different than traditional surveillance. Additionally, this resource describes how SyS can be used to monitor suicide-related behaviors, ACEs, and the relationship between the two.​​

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​The California Child Death Review Team (CDRT) Toolkit was developed by the California Critical Incidents Review Panel (CA CRP) to assist county agencies working to sustain, create or revive CDRTs in their jurisdictions in California. The toolkit will help counties assess their existing CRDTs and develop policies and procedures to sustain or improve their process. In those counties where there is no existing CDRT, this toolkit will help support and educate local policymakers to better understand the role of CDRTs and will facilitate efforts to create an effective CDRT.​​

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Connecting Families to Tax Credits to Improve Child Wellbeing in California: A brief for California Local Health Departments and Children and Family Service Providers is intended to assist LHDs and children and family service providers in their efforts to educate about how the collection of the California Earned Income Tax Credit (CalEITC), California Young Child Tax Credit (YCTC), federal EITC, federal Child Tax Credit, and other associated tax credits can improve the wellbeing of Californians.​

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The Four Building Blocks of HOPE Handout describes the four key types of PCEs that all children need to thrive and strategies to promote and elevate supportive relationships; environments; civic engagement; and social and emotional growth.  ​

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A Trauma-Informed Approach to Active Transportation: Recognizing the Relationship between Adversity, Resiliency, and Active Transportation Brief: A resource developed to support the efforts of active transportation safety partners and stakeholders as they work to educate decisionmakers about where opportunities exist to adopt and implement trauma-informed practices and approaches.
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California Child Wellbeing Coalition e-Guide (PDF): This digital resource intended to support state and local public health programs, child-serving systems, non-profits, and philanthropic organizations that are interested in collaborating with organized groups at the local-level who are working to achieve child wellbeing through policy, systems, and environmental (PSE) change. The e-Guide is intended to be a living document and does provide an exhaustive list of all coalitions in California; if you have any questions, concerns, or suggested updates, please contact the EfC Initiative Project Team at: ivpb@cdph.ca.gov.​​​

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Trauma-Informed Nutrition: Recognizing the Relationship between Adversity, Chronic Disease, and Nutritional Health: This factsheet is intended for Registered Dietitians (RDs) and was designed to support and describe the connection between Adverse Childhood Experiences (ACEs), the impacts of trauma and its relationship to chronic disease, and trauma-informed nutrition practices. This factsheet was developed through a collaborative partnership with CDPH's Nutrition Education Obesity Prevention Branch (NEOPB).​

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​The Centers for Disease Control and Prevention Division of Violence Prevention released the Adverse Childhood Experiences (ACEs) Resource for Action: (previously known as a technical package) This is a select group of strategies based on the best available evidence to prevent or reduce public health problems like violence. They can help improve the health and well-being of communities.​

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​The Centers for Disease Control and Prevention Division of Violence Prevention released the Child Abuse and Neglect Prevention Resource for Action: (previously known as a technical package) This is a select group of strategies based on the best available evidence to prevent or reduce public health problems like violence. They can help improve the health and well-being of communities.
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​Violence, including child abuse & neglect, intimate partner violence, sexual violence, suicide, and youth violence can be stopped before it starts. Learn how with VetoViolence, CDC's online violence prevention resource.
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Connecting the Dots: A violence prevention website created by the CDC offers resources about using shared risk and protective factors to prevent multiple forms of violence and a number of other tools to support those working to prevent violence in thinking strategically about coordinating responses.

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