Adverse Childhood Experiences and Trauma

MaineHealth is committed to better understanding the impact of Adverse Childhood Experiences (ACEs)/trauma on the long-term health and well-being of our patients and families.

ACEs are a pervasive health issue with one in four Maine children experiencing two or more ACEs including:

  • household dysfunction
  • abuse
  • neglect
  • neighborhood violence
  • exposure to intimate partner violence (IPV) and separation from a primary caregiver

Our interdisciplinary team of leaders and content experts strives to build on current efforts to lead the MaineHealth system in the development of best practice models for education, prevention, screening and treatment of ACEs.

ACEs Educational Module

View our learning module on the identification and management of childhood exposure to violence and trauma.
View module

Toolkit for Providers

Healthcare toolkit for practice teams designed to provide background on ACEs, screening and treatment resources, tools for implementing the SWYC developmental screening and supporting research. View toolkit

In-Patient Settings

Listen to Dr. Steve DiGiovanni, Maine Medical Partners, and Rebecca Brown, LCSW, Maine Behavioral Healthcare, discuss ACEs and how exposures can play a role in the current and future health of children. Listen now

Additional Education:


Additional Resources:

Program strategies

Find out more about our approach to support a trauma-informed system that recognizes and responds to the impact of all types of ACEs and trauma.

  • Program infographic: Read the story of ACEs and view the data.
  • Program overview: Read about our vision for a data-driven, systematic and integrated approach to support the healthy development of Maine’s children.


Positive health outcomes are dependent on healthy development. To understand the impact of ACEs on long-term health, you must understand the nature of stress experience and how they are impacting development. Maine Medical Partners has adopted the following developmental and ACEs/trauma screeners as their standards assessment tools:


Survey of Well-Being of Young Childhood (SWYC): A comprehensive screening tool assessing developmental milestones, behavioral/emotional development and family risk factors.

Maine Medical Partners currently screens at the 9, 15 or 18 and 30 month well-child visits. Forms are below. Forms for other ages can be found here.

Trauma Screener

Trauma screener: Two-questions screener designed to be used at well-child visits from birth to age 21 years.

  • Epic Updates: Epic workflow to assist with implementation, billing and tracking.



Post Traumatic Stress Disorder Reaction Index Abbreviated (PTSDRI): Utilize PTSDRI to assess symptoms for patients who confirm exposure to violence or trauma.


Helping Children Heal: Parent & Caregiver resource describing evidence-based trauma treatments for children and how to access integrated behavioral health clinicians in the MaineHealth system.

Maine Agencies Trained in Evidence-Based Trauma Treatments: Resource for providers listing trauma-trained clinicians in Maine.

When to Refer to a Behavioral Health Clinician: Resource for providers.

Maine Behavioral Healthcare has several trauma-related services for children (individually or with their parents or guardians) and adults, from on-the-scene volunteer crisis assistance to brief and long-term therapy programs.

Local resources

National resources