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Resources for Health Care

​Stress operates along a continuum. In small or moderate doses, stress can be beneficial. However, stressful experiences in childhood that are powerful, frequent, prolonged, and in unpredictable doses can be detrimental to a child’s development and life-long health. ​Clinicians and staff in the health care field have a unique opportunity to address toxic stress in individuals and to advocate for system-changes that create the conditions for families to thrive. 
​
Learn about ACEs in Iowa

Opportunities to Respond

Here are ways you can get started in responding to ACEs in your role. 
  • Establish a trauma-informed environment in your clinic.
  • Improve access to integrated care models that work with community resources, mental health services, and services for the whole family.
  • ​Educate peers, staff, families, colleagues, friends, and community leaders about the impact of toxic stress on health and the community.
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Handouts

Handouts for talking with parents and caregivers about child stress and how to respond, developed by Dr. Amy Shriver, a pediatrician based in Des Moines. 
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Kids and Stress
File Size: 1101 kb
File Type: pdf
Download File

Kids and Feelings
File Size: 766 kb
File Type: pdf
Download File

Pediatric Guide

​As a near universal access point for children in our state, pediatric and family practice clinics are well-positioned to support prevention and early identification of stressors with families. The ACEs Pediatric Project seeks to support practice change in pediatric and family care clinics through education and technical assistance. Core components of the project include:
  • Pediatric Trauma Informed Guide: A core group of trauma and child health experts joined together to provide guidance in the development of the Pediatric Trauma Informed Guide.
  • Pediatric Practice Assessment: Led by Armeda Wojciak, PhD, at University of Iowa, a practice assessment was developed to assist in identifying practice change opportunities within clinics.
  • Technical Assistance: Led by Dr. Amy Shriver, MD and pediatrician, and Lisa Cushatt, LMSW, selected clinics will be provided training and guidance to move along the continuum to become a more trauma-informed practice. 
Use the Guide
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Additional Resources

Health Care
The resources included in this section are particularly relevant for professionals working in the field of health care. Mental health professionals and other professionals who work in hospital or clinical settings and public health professionals may also find these resources relevant to their work.


  • American Academy of Pediatrics ACEs Resources
  • PACES Connection Groups: 
    • PACEs in Pediatrics 
    • PACEs in Nursing Science
  • Child Development 
    • Center for the Study of Social Policy: Advancing Early Relational Health
    • Center on the Developing Child
    • Zero to Three​
    • Amazing Brain by Linda Chamberlain
  • Screening
    •  ​AAP Screening Reports
    • Child Traumatic Stress Care Process Model
    • Strengths, Limitations, and Misapplications with ACE screenings
    • ACEs Aware​
  • Iowa Models
    • 1st Five for young kids and their families
    • Nine2Thrive model for pregnant birthing people
  • Dr. Nadine Burke-Harris’ Center for Youth Wellness
    • A link to Dr. Burke-Harris' TED talk
    • CYW Adverse Childhood Experiences​​
  • Kaiser Permanente Center for Total Health​​​​
Mental Health
The resources included in this section are particularly relevant for mental health professionals. Other health professionals who work in hospital or clinical settings and public health professionals may also find these resources relevant to their work.


  • Trauma-Informed Care Project
  • The National Child Traumatic Stress Network
  • Iowa Association for Infant & Early Childhood Mental Health
  • Trauma-Focused Cognitive Behavioral Therapy
  • Eye Movement Desensitization and Reprocessing (EMDR)
  • Circle of Security:
    • Website
    • Book
  • Art therapy
  • Play therapy
  • Attachment, Self-Regulation and Competency (ARC)
    • Treating traumatic stress in children and adolescents: How to foster resilience through attachment, self-regulation, and competency​​​​
  • ​Practicing Resilience for Self-Care & Healing
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Iowa ACEs Report

About us

Iowa ACEs 360
501 SW 7th St., Suite G
​Des Moines, IA 50309 ​
  • ACEs in Iowa
    • 2024 Iowa Report
    • What are ACEs
    • What contributes to ACEs
    • Outcomes from ACEs
    • Opportunities to Respond
  • How to respond
    • ACEs Training >
      • Lemonade for Life >
        • Participant Portal
    • Education
    • Health Care
    • Prenatal Care
    • Faith
    • Family Support
    • Technical Assistance
  • Advocacy
    • Join the Network
  • About Us
    • Our approach
    • Our History
    • Our Team
    • Contact us
  • Donate