State ACEs Action

The State ACEs Action is the go-to location for ACEs activities in U.S. states.

Updated States Collecting ACEs Data


The Centers for Disease Control and Prevention (CDC) listed the ACEs questions as an “Optional Module” for states and territories to administer through the Behavioral Risk Factor Surveillance System (BRFSS) since 2009.  The BRFSS is an ongoing data collection program designed to measure behavioral risk factors for the adult population (18 years of age or older) living in households.  The original Kaiser-CDC ACE Study began in 1995 and completed in 1997, but participants were followed for 20 years. New data on the more than 17,000 participants continued to be collected until the end of 2015.

Below are slides showing the states that administered the ACEs Optional Module on their BRFSS questionnaire in 2009-2017. There are now 38 states and the District of Columbia have done their own ACE surveys, and are finding similar results. Many other ACE studies have been done in the last few years, including by the Crittenton Foundation, the National Survey of Children's Health, Washington State University’s survey of elementary schoolchildren, of people living in Philadelphia, and of populations in England and other countries.

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Robert, here is a link to a fact sheet from the NH Department of Health and Human Services on the BRFSS survey.  If you have time, it would be great if you could call the number at the end of the fact sheet and express your concern that the ACEs Module is not included in the state BRFSS survey.  If you recall, Jane Stevens sent a description of how states decide whether to include the ACEs module ( --- see comment section). The staff at ACEs Connection Network as well as our members would be interested in what you find out from the state.  Thanks for bringing this to our attention.  Elizabeth 

I received a call from the [private contractor] folks conducting my state's (N.H.) BRFSS. They asked if I would participate. I asked if there would be any ACEs related questions on it, and they asked what ACEs were. I endeavored to explain it. Since they were not asking any ACEs related questions, I declined to participate in the BRFSS phone interview. I attempted to follow-up on getting further information on who decides which state's BRFSS will include ACEs questions. When I tried querying at the CDC website, I ended up with an e-mail from the CDC's private contractor from Northrup-Grumman....