Adverse Childhood Experiences: Building Community Capacity and Resilience for Prevention and Mitigation.

This mixed-method evaluation examined five community-based initiatives in Washington State intended to prevent child maltreatment and exposure to toxic stress, mitigate their effects, and improve child and youth development outcomes. The study had two phases. During the first phase (2013–2014), the research team assessed operational contexts, strategies used to increase community capacity to prevent ACEs, and impact at the county level. In the second phase (2015–2016), the researchers examined the extent to which sites developed capacity to achieve their goals, and the relationship of select sites’ efforts to outcomes at the local level. (Author abstract)