While tech and communication flourished, we remained silent on childhood trauma

  • 1998 Groundbreaking ACEs study released

    Drs. Felitti and Anda (et al.) published in the American Journal of Preventive Medicine. Nation learns of alarming and costly health impact of ACEs.

  • 1998 Nation begins 20 years of deafening silence on ACEs

    Epidemic of adverse childhood experiences and trauma spreads unfettered like a virus, diminishing families, schools, campuses and workplaces.

  • 1999 Amazon ships 20 million items globally
  • 1998: Google lands $100k in angel funding
  • 2010 YouTube served more than 2 billion views a day
  • 2007 Apple releases first iphone revolutionizing connectivity and creating unlimited opportunities to distract people from reality
  • 2012 Twitter boasts more than 100 million users posting 340 million tweets a day
  • 2014 “1 in 8 U.S. children will be confirmed as victims of maltreatment by age 18“

    These findings are published in the JAMA Pediatrics article, “The Prevalence of Confirmed Maltreatment Among American Children, 2004-2011” by Wildman et al.

  • 2018 reached 490 million average monthly unique visitors
  • 2018 Anna, Age Eight: The data-driven prevention of childhood trauma and maltreatment published

    2018 <b><em>Anna, Age Eight: The data-driven prevention of childhood trauma and maltreatment</em> published</b>

    It took nearly twenty years for a critical mass of people to say enough is enough. Dr. Ortega Courtney and Dominic Cappello publish the gloves-off report on how childhood trauma and adverse childhood experiences remain a seriously unaddressed area in our nation. The book quickly receives widespread attention in critical sectors.

  • 2019 100% Community: Ensuring trauma-free and thriving children, students and families advance copies published

    2019 <b><em>100% Community: Ensuring trauma-free and thriving children, students and families</em> advance copies published</b>

    The follow-up book to Anna, Age Eight, 100% Community is a detailed step-by-step process for ending childhood trauma by addressing the shortages in ten vital sectors. Advance review copies are made available as the institute seeks feedback from professionals around the country and internationally.

  • 2019 New Mexico leads the way

    2019 <b>New Mexico leads the way</b>

    New Mexico becomes first state to invest in the statewide data-driven prevention of ACEs by funding the Anna, Age Eight Institute for the Data-Driven Prevention of Childhood Trauma.

  • 2018 IBM estimates that the ‘internet of things’ will double knowledge every 12 hours
  • 2020 Anna, Age Eight Institute’s countywide parent surveys reveal gaps in ten vital family services

    Data guide local 100% Community initiatives as stakeholders address gaps to create trauma-free and thriving families, schools and communities


Our 100% Community initiative is empowered by technology, data and irreplaceable collaboration on a countywide level.


Where are we? 

The nation has been engaging in a twenty year discussion about adverse childhood experiences (ACEs) since the publication of the first ACEs Study by doctors Felitti and Ander in 1998. ACEs have diminished families, schools, campuses and workplaces for decades. That ends now with 100% Community, the nation’s first data-driven prevention strategy focused on preventing the root causes of ACEs, trauma and social adversity.

100% Community is far beyond a simple training. It’s nothing less than a mobilizing and capacity-building strategy to be implemented on a county level.

ACEs represent one of our nation’s most costly, complex and unaddressed challenges. As written in Anna, Age Eight and 100% Community by Katherine Ortega Courtney, PhD and Dominic Cappello, families are swimming in a sea of emotional trauma due to adverse childhood experiences (ACEs) that occur in the home. Children, youth and parents also live with social adversity that confronts them as they step out into the community.

We’re awash in data on almost every community health challenge confronting our families, and almost every one tracks back to trauma in childhood and our teen years.

How complex a challenge?

Consider that trauma has been described as a public health crisis by our federal government—yet one that has yet to manifest into a loud public outcry that leaders must listen to.

Trauma marginalizes students yet most schools and campuses have remained quiet about its impact on academic achievement and graduation rates. Why, you ask. Frankly, most administrators have described ACEs as, “an overwhelming challenge for schools and universities.” Most institutions of education have no road map on how to proceed with student services and instructors equipped to address ACEs. We do.

In the health care setting, from medical doctors to behavioral health care providers, practitioners are unsure about assessing for ACEs. There are those who say, “screening can lead to vital intervention,” while others say, “Once we identify ACEs in a family member, what’s the protocol?” Our family and community health clinics do not know how to proceed. We do.

At work, trauma impacts job readiness and workplace productivity, yet it is rarely framed as an economic development issue. Why? Employers are just now making the connection between trauma in schools, lack of job readiness and worker absenteeism and failure to perform up to standard. Employers don’t know where to begin with an “ACEs in the Workplace” program. We do.

Trauma can lead to all forms of substance misuse, yet the 24/7 streaming news cycle seems incapable of connecting the dots between children being abused and neglected, and the very same children numbing the pain of untreated trauma with any substance they can get their hands on. The public has no idea where to turn to get reliable information on all the health risks associated with ACEs. We do.

To put it bluntly, we as a society are navigating amid untreated trauma every day, yet most federal, state and local leaders are unsure if it is a priority. Most don’t have the data and research and strategies to guide them. We do.

How radically simple a solution?

Despite thousands of websites, conferences, siminars, courses, policy briefs and blogs and a multi-billon dollar health promotion industry, designing a data-driven strategy to end trauma has failed to materialize. Until now.

Ending the root causes of childhood trauma, and all the costly health and education problems associated with it, has arrived in the form of a strategy based on decades of research focused on the social determinants of health. Quite simply, we create trauma-free and thriving children and parents by ensuring that all our families have access to, and use, ten services shown to increase the health, safety and resilience of families.

The ten vital services include those for surviving: medical and dental care, behavioral health care, housing supports, food supports, and transportation. The services for thriving include parent supports, early childhood learning, community schools, youth mentors, and job training.

Two simple questions can tell you how family friendly your cities, towns and communities are.

  1. In your county, what percentage of families have access to ten vital services for surviving and thriving ?
  2. For those who can’t access these vital services, why?

Our parent and youth survey provides you with the answers to these questions, including how inaccessible services are, as well as why and where. These data can guide your 100% Community efforts to ensure that all families have access to the services shown to ensure trauma free and thriving children and parents.

The 100% Community initiative reinvents what’s been considered “ACEs prevention” over the last two decades. We empower each county to take that vital step beyond being “trauma-informed” to going upstream to prevent ACEs before they start.

When you and your county leadership ensure that ten vital services are accessible to 100% of families, your investment in the 100% Community initiative is also a cost-effective investment in trauma-free and thriving schools, campuses, workplaces and local economies.


Our Blog Makes The Case for Joining 100% Community

Explore our blog 10@100%, named after our groundbreaking strategy which is the foundation of our ACEs, trauma and social adversity prevention work, ensuring that 10 services for surviving and thriving are accessible to 100% of families.


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Discover the key to creating a county where all children and parents thrive. Or as we like to say: join, learn, connect, share and solve.

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