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Snapshot of ACEs Statutes and Resolutions through end of 2018

The attached table summarizes all of the statutes and passed resolutions that contain the words "Adverse Childhood Experiences (ACEs)" and trauma-informed language through the end of 2018. There are nearly 60 statutes with the earliest law enacted in Washington State in 2011. The laws are categorized by subject matter such health care, education, training, and funding. If you are aware of something we missed, please leave a comment to this post.
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Snapshot of U.S. State Laws and Resolutions

Since the opening in January of many sessions in the 50 states, the District of Columbia and the territories, legislatures have addressed a myriad of issues from budgets, job growth, health care, immigration, the opioid epidemic, police-community relations, education and others ( featured in the State Legislatures Magazine ). Many of these proposals will impact how well communities will prosper and thrive, fewer will impact childhood adversity directly, and an even smaller number will...
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Spending Deal Would End Two-Decade Freeze on Gun Research [usnews.com]

By Associated Press, U.S. News & World Report, December 16, 2019 A bipartisan deal on a government spending bill would for the first time in two decades provide money for federal research on gun safety. A law adopted in the 1990's has effectively blocked such research and prohibits federal agencies from engaging in advocacy on gun-related issues. The spending bill, set for a House vote as soon as Tuesday, would provide $25 million for gun violence research, divided evenly between the...
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State ACE survey reports

The following are links to state reports on Behavioral Risk Factor Surveillance System (BRFSS) ACEs module data. Also included at the end of the list are links to the CDC 5-state study and a 10-state plus the District of Columbia study on ACEs...
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State Attorney General announces free, prior and informed consent policy with Washington tribes (Indian Country Today)

Once, there was no easy recourse for tribes when governments or corporations engaged in one-sided, or unilateral, actions that negatively affected them. But on May 10, a major milestone in the fight for Native sovereignty was reached when Washington State Attorney General Bob Ferguson announced a new state policy regarding Washington’s federally-recognized tribes. “Effective immediately,” Ferguson said, “my office is adopting a consultation and consent policy regarding Washington’s 29...
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STATE HEALTH CARE STRATEGIES TO ADDRESS CHILDREN’S TRAUMA, EXPOSURE TO VIOLENCE AND ACEs

Gail Kennedy ·
I found this document by Futures Without Violence to be a useful resource. From the forward: The health care system plays an important role both in identifying children who may be exposed to extreme adversity and violence, currently and in the past, and in providing the evidence-based interventions that can help children heal from trauma and prevent health conditions and other poor outcomes associated with trauma and ACEs. The health care system is also central in supporting the greatest...
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State Introduces 'Adverse Childhood Experiences' Training in DV Shelters and Support Programs (www.queenseagle.com)

Kim Dangerfield, ·
By Jonathan Sperling Direct care workers in domestic violence shelters, safe dwellings and domestic violence programs across New York state will be trained to recognize Adverse Childhood Experiences, thanks to a bill proposed by Queens Assemblymember Andrew Hevesi. Hevesi’s bill, which was signed into law by Gov. Andrew Cuomo on Wednesday, marks the first time the state recognizes Adverse Childhood Experiences, or ACE, and will create the first statewide ACEs training. Brooklyn State Sen.
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State profiles for 50 states and District of Columbia

Hi, Everyone: We’ve made a first pass at gathering highlights of ACEs initiatives in each of the 50 states and Washington, D.C. Within the text, below, are links to the individual posted profiles for each state. If you see corrections or want to make additions, we’d love that. Just add them in the comments section of that individual post. Instructions are at the top of each individual post. We will be turning those posts into living profiles that, with your help and input, we’ll keep...
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States Produce a Bumper Crop of ACEs bills in 2017—nearly 40 bills in 18 states

A scan done in March by the National Conference of State Legislatures (NCSL) through StateNet of bills introduced in 2017 that specifically include adverse childhood experiences (ACEs) in the text produced a surprising volume of bills (close of 40) in a large number of states (18). A scan done a year ago produced less than a handful. NCSL is a bipartisan organization that serves both state legislators and their staffs. The shear volume of bills in so many states represents a promising...
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“Strategic Advocacy: Winning Policy Change without Crossing the Lobbying Line”: Webinar summary & links

(l to r) Kelly Hardy, Allen Mattison, Jeff Hild _____________________________________________________ The stakes in today's public policy debates are as high as they've ever been. So, how does a nonprofit organization separate legitimate and perceived barriers to find the sweet spot for maximum engagement and not cross the lobbying line? The three panelists on the “Strategic Advocacy: Winning Policy Change without Crossing the Lobbying Line ” webinar held March 14, 2019, covered the fine...
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Suicide Prevention Bill Includes ACEs!

Todd Garrison ·
"These types of demographics and statistics are unacceptable." That's what Senator Windy Boy, sponsor of Montana Legislative House Bill 118 , said in regards to suicide rates in Montana. “We’re ranked among the highest in suicide nationwide,” said Windy Boy. “Indian Country is ranked the highest in Montana." He continued, "This is the first step in reducing that,” adding that he wants to thank the governor and the Legislature for their support in “making sure this was a priority in this...
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Suicide Rates Climbing, Especially In Rural America (scienceblog.com)

Suicide is becoming more common in America, an increase most pronounced in rural areas, new research has found. The study, which appears online today (Sept. 6, 2019) in the journal JAMA Network Open , also highlights a cluster of factors, including lack of insurance and the prevalence of gun shops, that are associated with high suicide rates. Researchers at The Ohio State University evaluated national suicide data from 1999 to 2016, and provided a county-by-county national picture of the...
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Suicides among nurses are on the rise. Here's why one of America's fastest-growing jobs is facing a major crisis. (businessinsider.com)

Researchers from the University of California at San Diego recently conducted what they said is the first nationwide investigation into nurse suicides in more than 20 years. They found that both male and female nurses had higher rates of suicide than men and women in the US . The findings are consistent with the increasing rates of suicide across the country. The US suicide rate has risen in recent years, increasing by 28% in the past two decades , to the highest it's been since World War II...
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Tackling Patients’ Social Problems Can Cut Health Costs (californiahealthline.org)

Inspired by the way police departments mapped crime data to detect “hot spots,” family physician Dr. Jeffrey Brenner dug into ambulance records and emergency department data to show how high-cost patients were shuttling between city hospitals. “In America, we’re medicalizing social problems and we’re criminalizing social problems, and we’re wasting huge amounts of public resources,” Brenner said. “We have the wrong tools to solve the wrong problem.” To steer patients away from expensive...
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Telehealth Is Improving Health Care in Rural Areas (hbr.org)

Intermountain Healthcare is addressing the pressing needs of people who live in rural areas through telehealth, which uses secure video and audio technology to connect care providers in smaller health care facilities with specialists in large hospitals. The results we’ve experienced hold promise for rural communities throughout America. Patients are frequently transferred to distant acute care centers to receive specialized care. Local caregivers don’t get the opportunity to learn from...
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Tennessee 2018 State Profile

Morgan Vien ·
Hi, Everyone: Here’s the state profile for Tennessee. To review the entire profile, open the PDF that is attached to this post. If you have corrections or additions, please leave them in the comments section of this post. We’ll be reviewing the comments regularly and doing fact-checks. The information you give us will also help us determine how to organize and expand the information in the state profiles. We will be turning this post into a living profile that, with your help and input,...
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Connecticut 2018 State Profile

Morgan Vien ·
Hi, Everyone: Here’s the state profile for Connecticut. To review the entire profile, open the PDF that is attached to this post. If you have corrections or additions, please leave them in the comments section of this post. We’ll be reviewing the comments regularly and doing fact-checks. The information you give us will also help us determine how to organize and expand the information in the state profiles. We will be turning this post into a living profile that, with your help and input,...
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Could where you live influence how long you live? (Robert Wood Johnson Foundation)

How does where we live affect our opportunity to be healthy? For the first time in our history, the United States is raising a generation of children who may live sicker and shorter lives than their parents. Reversing this trend will of course depend on healthy choices by each of us. But not everyone in America has the same opportunities to be healthy. According to the most recent data available from the Centers for Disease Control and Prevention , average life expectancy in the U.S. is 78.6...
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CTIPP-CAN hosts conference call with presentation by Laura Porter on social investment bonds to fund trauma-informed programs

Tomorrow (Wednesday) at 2:00 EST, Laura Porter will present on the use of social investment bonds to fund the implementation of trauma-informed programs as part of a Campaign for Trauma-Informed Policy and Practice-Community Advocacy Network ( CTIPP-CAN ) conference call. In an announcement from CTIPP-CAN organizer, Dan Press says “this is a novel, challenging and potentially invaluable approach for overcoming the problem many of us see –local and state governments unwilling or unable to...
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Cycle of Risk: The Intersection of Poverty, Violence, and Trauma (issuelab.org)

We make the case that the conditions that foster violence and the conditions that perpetuate poverty are interconnected and reinforce each other; we further show the traumatic effects of violence -- and how trauma drives both poverty and violence. We then examine how violence has been used to enforce systems of racial oppression and how communities of color are disparately impacted by violence today. The conditions that perpetuate poverty and the conditions that foster violence often...
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Durbin, Capito, colleagues introduce bipartisan, bicameral legislation to address childhood trauma [Office of Senator Durbin of IL]

The following is a press release issued by the office of U.S. Senator Durbin (D-IL) on Monday, June 10, announcing the introduction of bipartisan bicameral legislation that builds on last year’s opioid legislation SUPPORT for Patients and Communities Act and recommendations from a recent GAO report. A link to the bill and other information will be provided as soon as possible. In the meantime, an earlier draft of the bill and a section by section are attached to this post. For Immediate...
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Education, inspiration, and action—Maryland lawmakers take deeper dive into ACEs science and how it informs policy

While members of the Maryland General Assembly did not dominate the Dec. 13th “MGA ACEs Roundtable” in numbers, they commanded the room and enlivened a focus on how ACEs science can inform current and future policies considered by elected officials.
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Eleven state profiles feature ACEs-science data, initiatives

One of the resources shared with participants in the Sept. 13-14 convening of First Spouses in Milwaukee to address trauma was a series of state information sheets that featured data on ACEs prevalence and ACEs/trauma-informed/resilience-building initiatives. These one-pagers provided a succinct summary of state highlights on trauma that in some instances were well known to the First Spouses but for others, provided new information. In partnership with state trauma leaders, ACEs Connection...
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Elizabeth Warren unveils expansive proposal on Native American issues (msn.com)

WASHINGTON — Senator Elizabeth Warren on Friday proposed a sprawling set of policies relating to Native Americans and indigenous tribes, accusing the federal government of years of neglect and calling for major economic development initiatives and new legal protections that would give tribes more control over criminal justice and development on their land. Warren proposed wholesale changes in the way the federal government interacts with Native American tribes. She pledged to revoke the...
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Feeling Blue? Oregon Students Allowed To Take 'Mental Health Days' (npr.org)

Oregon's suicide rate has outpaced the national average for the past three decades. In an effort to combat stigma around mental illness, four local teen activists took matters into their own hands and championed a proposed state law. Oregon schools will now excuse student absences for mental or behavioral health reasons, as with regular sick days. In other words, if a student is feeling down, they can stay home from school without getting docked for missing classes. The law, signed by Gov.
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Florida 2018 State Profile

Morgan Vien ·
Hi, Everyone: Here’s the state profile for Florida. To review the entire profile, open the PDF that is attached to this post. If you have corrections or additions, please leave them in the comments section of this post. We’ll be reviewing the comments regularly and doing fact-checks. The information you give us will also help us determine how to organize and expand the information in the state profiles. We will be turning this post into a living profile that, with your help and input, we’ll...
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Florida Governor's Wife announces mental health aid for Panhandle after Hurricane Michael

Bob Doppelt ·
Photo credit: Florida's Governor's Office The story below illustrates the urgent need to proactively build psychological and psycho-social-spiritual--Transformational Resilience--for climate change related disasters. It describes how the mental health impacts of these disasters often becomes most acute months after a disaster occurs, which is long after mental health first aid and other disaster mental health services have ended. Prevention is the only solution, and the focus must be on...
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Georgia 2018 State Profile

Morgan Vien ·
Hi, Everyone: Here’s the state profile for Georgia. To review the entire profile, open the PDF that is attached to this post. If you have corrections or additions, please leave them in the comments section of this post. We’ll be reviewing the comments regularly and doing fact-checks. The information you give us will also help us determine how to organize and expand the information in the state profiles. We will be turning this post into a living profile that, with your help and input, we’ll...
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Gov. Hutchinson proclaims Oct. 13 as ACEs Awareness and Action Day in Arkansas

Jane Stevens ·
First Lady Susan Hutchinson, who attended the recent First Spouses Trauma-Informed conference in Wisconsin , attended a photo op with Gov. Asa Hutchinson to commemorate the Adverse Childhood Experiences Awareness and Action Day proclamation for Oct. 13. (The proclamation is attached to this post.) First row (from left): Rev. Belinda Price, Pulaski Heights United Methodist Church; Dr. Alan Mease, Arkansas Department of Health; First Lady Susan Hutchinson; Gov. Asa Hutchinson; Janie Ginocchio,...
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Governor Carney Signs Executive Order Making Delaware a Trauma-Informed State [Delaware.gov]

Jane Stevens ·
Governor Carney on Wednesday signed Executive Order #24 making Delaware a trauma-informed state. This Order provides direction for the Family Services Cabinet Council to help mitigate the impact of adverse childhood experiences (ACEs) and build resilience in children, adults and communities. ACEs can include physical, emotional, or sexual abuse; physical or emotional neglect; household dysfunction, including substance abuse, untreated mental illness, or incarceration of a household member;...
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Governor Declares May 3-9 Resilience Week in Virginia

Charlotte Eure ·
As Greater Richmond SCAN , in collaboration with members from the Greater Richmond Trauma-Informed Community Network and the 26 Trauma-Informed Community Networks across the state , began planning for the first annual Resilience Week Virginia, we certainly did not imagine we would be celebrating in the midst of a global pandemic. We worked to adapt activities and events to be done virtually as it became clear that the week, May 3-9, would take place in the midst of these strange new...
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Governor Newsom announces Nadine Burke Harris to be CA's first-ever surgeon general

Jane Stevens ·
Governor Gavin Newsom today announced the appointment of Dr. Nadine Burke Harris, a national leader in pediatric medicine, to serve as California’s first-ever Surgeon General. There is overwhelming consensus in the scientific community around early warning signs and childhood determinants of serious health outcomes. As California's Surgeon General, Dr. Burke Harris will urge policymakers at every level of government and leaders across the state to consider the social determinants of health,...
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Governor signs historic bill giving farmworkers equality on Overtime (ocregister.com)

SACRAMENTO – Farmworkers in the nation’s largest agricultural state will be entitled to the same overtime pay as most other hourly workers under a law that California Gov. Jerry Brown said Monday he had signed. The new law, which will be phased in beginning in 2019, is the first of its kind in the nation to end the 80-year-old practice of applying separate labor rules to agricultural laborers. California employers currently must pay time-and-a half to farmworkers after 10 hours in a day or...
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Hearing in U.S. House Education and Labor Early Childhood Subcommittee addresses intersection of trauma and education

Dr. Nadine Burke Harris (l) and Karina Chicote, Churchill Fellow from western Australia meet after congressional hearing After watching the hearing on a monitor in the overflow room, Karina Chicote, a Churchill Fellow from western Australia, and I hustled to the hearing room in hopes of speaking to the lead witness, Nadine Burke Harris, MD, the first Surgeon General of the State of California. She was deep in conversation with others, including a young woman who wanted to tell her how...
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HHS releases additional $487 million to states, territories to expand access to effective opioid treatment; 2019 SOR grants will total $1.4 billion [hhs.gov]

Karen Clemmer ·
[March 20, 2019] Today, the U.S. Department of Health and Human Services (HHS) released an additional $487 million to supplement first-year funding through its State Opioid Response (SOR) grant program. The awards to states and territories are part of HHS’s Five-Point Opioid Strategy and the Trump administration’s tireless drive to combat the opioid crisis. Together with the $933 million in second-year, continuation awards to be provided under this program later this year, the total amount...
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House-passed HEROEs Act includes references to “trauma-informed” care and services

The $3 Trillion Heroes Act that passed the House of Representatives on May 15 is primarily a statement of House Democrats’ priorities for the next stimulus COVID legislation and will not be the starting point for the Senate when it returns after the Memorial Day recess. The slim Republican majority in the Senate, led by Majority Leader Mitch McConnell, questions whether a large spending bill is the right approach, saying that states and localities must demonstrate that they are spending the...
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"How to talk policy and influence people": a Law and Justice interview with Dr Wendy Ellis

Jane Mulcahy ·
In this special interview in the "How to talk policy and influence people" series of Law and Justice, I speak with Dr Wendy Ellis, Director of the Center for Community Resilience at The Milken Institute School of Public Health, George Washington University. We discuss journalism, data gathering, analysis and stories. We talk about the significance of the Adverse Childhood Experiences (ACEs) evidence, resilience/protective factors, structural inequity, adverse community environments, the...
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"How to talk policy and influence people": a special series of Law and Justice

Jane Mulcahy ·
"No One Is Too Small to Make a Difference" is the title of Greta Thunberg's book, which is a compilation of her speeches on the need for urgent action to tackle climate change. One of those speeches is entitled "Together We Are Making a Difference". I had planned to organise an event on the topic of “How to talk policy and influence people” kindly supported by the Cork Education and Training Board in Ireland on the 2nd of April 2020. Unfortunately, the event had to be cancelled due to the...
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Hutchison: First Lady of Oklahoma Visits Duncan for Childhood Trauma Awareness Event

Linda Manaugh ·
The mental health of children was at the forefront of a discussion led by the First Lady of Oklahoma in Duncan today. The event started with a showing of the documentary Resilience, which focuses on studies into how experiencing trauma as a child could negatively impact you as an adult. Those studies centered around a test called the ACE Test, with ACE standing for adverse childhood experiences. That test asks you questions about your childhood, such as if you were ever abused, if you lived...
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‘I Began Feeling Like I Mattered’: How On-Campus Mental Health Counseling can Make a Big Difference [washingtonpost.com]

Lara Kain ·
By David Leffler, The Washington Post, August 19, 2019 At 9 on a chilly February morning in Austin, Elizabeth Minne met in her office with a former counseling client and her mother. The three were all smiles, catching up for the first time in ages. As their laughter faded, they recalled their weighty introduction five years before, when Minne’s mission to create a comprehensive mental health-care system for Austin’s schools was still in its infancy — and her client, Sarah Luna Newcomer, was...
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Illinois Governor Signs Law to Include Social-Emotional Screening in School Health Exams

Illinois Governor Bruce Rauner and Diana Rauner, President of Ounce of Prevention Fund _____________________________________________ Consistent with being the first state to adopt standards for social emotional learning (SEL) in the country, Illinois recently passed legislation (SB 565, Public Act 99-0927 ) to require social and emotional screenings for children as part of the their school entry examinations. Governor Rauner (R) signed the bill on January 20. It goes into effect June 1 of...
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Illinois Governor Signs Law to Include Social-Emotional Screening in School Health Exams

Illinois Governor Bruce Rauner and Diana Rauner, President of Ounce of Prevention Fund _____________________________________________ Consistent with being the first state to adopt standards for social emotional learning (SEL) in the country, Illinois recently passed legislation (SB 565, Public Act 99-0927 ) to require social and emotional screenings for children as part of the their school entry examinations. Governor Rauner (R) signed the bill on January 20. It goes into effect June 1 of...
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Implementation of new Vermont law begins with the appointment of legislators to bicameral, bipartisan ACEs Working Group

After the 2014 Vermont legislative session, Rep. George Till was picking himself up, dusting himself off and reflecting on what he called an “ALE or Adverse Legislative Experience” when his ambitious legislative vision fizzled and became a tiny bubble of hope along the path to a trauma-informed state. Policymakers in Vermont are now preparing to implement the most recent ACEs-related legislation ( No. 43, H. 508 , signed by Republican Gov. Phil Scott on May 22) and while the law calls for...
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Interim report of the President’s opioid commission says its final report will address early intervention strategies for children with ACEs

On August 8, President Trump spoke to the opioid crisis in this country and declined to declare a national emergency as recommended by the “President’s Commission on Combating Drug Addiction and the Opioid Crisis.” Instead, the President emphasized the law and order aspects of the problem and the importance of preventing drug use in the first place since addiction is so hard to overcome. The Commission will make a final report in the fall. The recently released interim report makes eight...
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Iowa 2018 State Profile

Morgan Vien ·
Hi, Everyone: Here’s the state profile for Iowa. To review the entire profile, open the PDF that is attached to this post. If you have corrections or additions, please leave them in the comments section of this post. We’ll be reviewing the comments regularly and doing fact-checks. The information you give us will also help us determine how to organize and expand the information in the state profiles. We will be turning this post into a living profile that, with your help and input, we’ll...
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Iowa ACEs Advocacy Coalition Promotes a Resilient Iowa

Lisa Cushatt ·
The Iowa ACEs Advocacy Coalition kicked off the Iowa legislative session with efforts to promote a Resilient Iowa. With a growing advocacy coalition of community based organizations, associations, advocacy groups, philanthropy and business, the group advances joint policy priorities to prevent ACEs and promote resiliency and trauma-informed care. Last week, the coalition held its first advocacy day at the Iowa Capitol, educating elected officials on Iowa ACEs data. The group also promoted an...
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'It's About Time': House Approves Historic Bill Making Lynching A Federal Crime (npr.org)

With supporters calling it more than 100 years in the making, the House of Representatives overwhelmingly approved legislation on Wednesday that makes lynching a federal hate crime for the first time in U.S. history. The Emmett Till Antilynching Act was approved in a vote of 410-4. Three Republicans and one independent representative voted against it. Advocates say there have been more than 200 attempts to pass the legislation in the past, and the latest effort has been in the works for...
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It’s Coding Time: Indiana Women’s Prison Launches Computer Coding Program [indianapublicmedia.org]

Laura Pinhey ·
Laura's note: While this program does not overtly or directly address ACEs, I don't think it's too far of a stretch to speculate that the increased job opportunities, decreased recidivism, and improved income potential for these women may reduce the likelihood of additional ACEs for their children. Inmates at the Indiana Women’s Prison will soon be the first outside of California to enroll in a computer coding seminar. The Last Mile program tries to reduce recidivism and train women for a...
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Join a webinar on Friday (Jan. 11) featuring Alaska’s new statute directing state policy to incorporate principles of brain development

Please join ACEs Connection and the Campaign for Trauma-Informed Policy and Practice (CTIPP) for a free 60-minute webinar this Friday (Jan. 11) starting 8:00am AK/ 9:00am PT/ 12:00pm ET that features a new Alaskan statute directing state policy to incorporate principles of brain development. Hear the story first hand from the champion of the bill in the Alaska legislature, Rep. Geran Tarr, and the lead advocacy group—the Alaska Resilience Initiative —executive director, Laura Norton-Cruz.
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Join us for a March 14 Webinar “Strategic Advocacy: Winning Policy Change without Crossing the Lobbying Line”

Please join ACEs Connection and the Campaign for Trauma-Informed Policy and Practice (CTIPP) for a free webinar to learn how to drive public-policy change without violating the restrictions on non-profit organizations or the requirements of funders. It will beheld on Thursday, March 14 (9:00-10:30 am PT/noon-1:30 pm ET). The featured speaker of the webinar, “Strategic Advocacy: Winning Policy Change without Crossing the Lobbying Line,” is attorney Allen Mattison, an expert at helping...
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