ACEs Aware is an initiative led by the Office of the California Surgeon General and the Department of Health Care Services to give Medi-Cal providers training, clinical protocols, and payment for screening children and adults for ACEs. California’s Surgeon General, Dr. Nadine Burke Harris, has set a bold goal: to cut Adverse Childhood Experiences in half in one generation. In June 2020, Santa Cruz County became one of one-hundred grantees for the California ACEs Aware Initiative. 

ACEs Aware

Trauma-informed care recognizes and responds to the signs, symptoms, and potential consequences of trauma to better support the health needs of patients who have experienced ACEs and toxic stress. Addressing stressors and increasing the total dose of buffering and protective factors such as safe, stable, and nurturing relationships and environments, are associated with decreased metabolic, immunologic, neuroendocrine, and inflammatory dysregulation. This can also lead to improved physical and psychological health.

Why ACEs


ACES Aware Website
ACEs Aware Press Release
ACEs Provider Toolkit

The Health Improvement Partnership is pleased to announce that in partnership with the County of Santa Cruz’s Health Services Agency, the Public Health Department, and First 5 we are recruiting a cohort of five clinical practices to join the ACEs Screening Integration Cohort. 


If you have questions about this application please email Maritza Lara, Program Manager, at

Applications are accepted on a rolling basis.

Applications Now Open

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