I know it seems great if we could just sit people down and teach them about all the ACEs at once and have that be enough to prevent the next generation experiencing ACEs. I think that could be a bit overwhelming for a parent who is struggling as someone pointed out in an earlier comment. Also, if a parent is struggling it may take pretty intensive, long-term support to help them make those huge changes to their lives (ie - find effective treatment for mental health issues or substance abuse) so that they can prevent their children from experiencing ACEs. So I think this is a both-and situation. While it's great to have ACEs education in multiple settings - like a hospital and schools - we also need to ensure we're connecting people more intensive prevention programs even if those programs aren't addressing all the ACEs at once. There are lots of prevention programs for preventing specific ACEs - Nurse-Family Partnership to prevent abuse and neglect; Stewards of Children to prevent child sexual abuse; curricula in high schools focusing on healthy relationships or substance use. While some of these programs - like NFP - are secondary prevention programs in that families or individuals with certain risk factors are targeted for intervention, many of the others are primary prevention programs available to everyone. I think it's very important to know who is doing prevention work in your area, to make connections with those organizations to make sure families are getting information and support specific to their situation, and to support existing prevention efforts so we can hopefully reach a tipping point with ACEs.