A nonprofit publication of the Kentucky Center for Public Service Journalism

Foundation for a Healthy KY: Adverse childhood experiences have lifelong impacts on well-being


Adverse childhood experiences, or ACEs, as defined by the Centers for Disease Control and Prevention (CDC), are potentially traumatic events that occur in childhood (0-17 years).

Foundation For A Healthy Kentucky

For example:

• experiencing violence, abuse, or neglect

• witnessing violence in the home or community

• having a family member attempt or die by suicide

Also included are aspects of the child’s environment that can undermine their sense of safety, stability, and bonding, such as growing up in a household with:

• substance use problems

• mental health problems

• instability due to parental separation or household members being in jail or prison


Lifelong impacts on health and overall well-being from experiencing ACEs can include chronic health conditions and negative effects on a person’s education, job opportunities and earning potential – all of which contribute to a person’s quality of life. Research shows people with six or more ACEs have a shorter life expectancy by nearly 20 years.

However, it is possible to prevent ACEs and alleviate the impacts they have on children.

Schools play an important role in these efforts. By creating safe and supportive environments for children to learn, teachers and school staff can support children’s resiliency and help them thrive in the face of adversity.

Since 2013, the Foundation for a Healthy Kentucky has been developing and funding projects in schools across the commonwealth focused on preventing and mitigating ACEs. We are currently continuing this work thanks to a grant we received from the Kentucky Department for Public Health, Office of Health Equity for $644,766. The project we are overseeing includes school-level interventions happening in urban and rural schools and a statewide component that involves the Family Resource and Youth Services Center (FRYSCs).

School-Level Interventions

Southern Elementary in Fayette County (urban) and West Irving Elementary in Estill County (rural) are the participating schools. With the support from the Foundation for a Healthy Kentucky, the Bounce Coalition is guiding the schools’ staff and bus drivers through various educational and skill-building courses centered around creating nurturing and supportive environments for all students.

The Bounce Coalition builds resiliency of children, adults and families. (Photos provided)

Along with strengthening their knowledge of ACEs, examples of the training include building resiliency in students and improving skills like de-escalation, self-care, and effective problem-solving. The Bounce Coalition will also work with school administrators to look at their policies and make recommendations on how to improve them from a trauma-informed perspective. For example, schools may find changes are needed in some of their safety drill procedures to make them less traumatic for students.

The education also extends to parents and the health department staff. Data is being collected so we can measure the success of the programs.

Statewide FRYSCs Component

Part of the grant funds are designed to support Family Resource and Youth Services Center (FRYSCs) in further developing their awareness of ACEs and their skills to deal with children who have suffered from trauma and their families. FRYSCs play a critical role in the relationship between schools and parent/caregivers.

To address this goal, the Foundation brought together a team of partners to meet regularly with the FRYSCs representatives to help them increase ACEs awareness in schools and support protective factors training across the state. It has funded workshops on ACEs and Parent Cafes on protective factors at state-wide FRYSCs conferences.

Long-Term Goals

Today’s children are the future of the state. Instead of waiting to treat their health concerns as adults, the Foundation looks at what we can do today to prevent them from developing the issues in the first place. By increasing awareness of ACEs and training schools and communities on how to alleviate the burden they have on kids, the Foundation for a Healthy Kentucky aims to create a healthier and brighter future for Kentucky’s youth.


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