This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $960,000 with no percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit

According to the National Survey of Children’s Health, 34.8 million children across the United States are impacted by ACEs. ACEs are exposures in childhood to abuse, neglect, parental incarceration, divorce, or domestic violence that have been shown to affect virtually every domain in which a child functions. ACEs are associated with health impairment across the life course and are strongly related to the prevalence of numerous health problems (Felitti, et. al, 1998).

The Trauma-informed ACEs Screening & Intervention Evaluation (TASIE) Project ECHO® (Extension for Community Healthcare Outcomes) Demonstration Project is conducted in partnership with the:

This project utilizes a toxic stress framework to integrate ACEs screening, and trauma-informed strengths-based interventions that will change the standard of pediatric primary care that recognizes the impact of ACEs on health and effectively treats toxic stress in children. This work builds on content and lessons learned from CYWs previous Pilot Site Program cohorts and other similar projects. The Center for Community Health and Evaluation (CCHE)  will evaluate the demonstration project.  CCHE served as evaluator of the Pilot Site Program and is currently the evaluator for California ACEs Learning and Quality Improvement Collaborative (CALQIC).

Over the three-year project period, CYW and NJAAP are implementing CYW’s Pilot Site Program for three cohorts of 20 pediatric practices, each over a period of nine months, utilizing the Project ECHO® Quality Improvement (QI) framework. The Project ECHO® QI framework was chosen to more effectively engage pediatric primary care practices throughout the country, and ensure that practices will hear and learn from the on-the-ground experiences of their peers and experts using the “All Teach, All Learn” method of learning. TASIE Project ECHO® is being evaluated to yield a scalable model for integrating ACEs screening and trauma-informed strengths-based patient follow up at practices across the country.