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Aug 2, 2022 | Announcements

Healing from Toxic Stress with Dr. Nadine Burke Harris

In this installment of the ACEs Aware Storytelling Series, Dr. Nadine Burke Harris, California’s first Surgeon General, defines the toxic stress response and its potentially harmful impact on health, especially in children. She also discusses evidence-based practices that individuals can adopt to regulate the biological stress response and improve health outcomes. 

Aug 2, 2022 | Announcements

Learning with ACEs: An Educator’s Story

The latest installment in our ACEs Aware Storytelling Series illustrates the life-changing power of trauma-informed practices when implemented in schools. Laguna High School, an alternative high school that worked with the Sonoma County Office of Education to better understand ACEs and their potential impact on learning, has experienced significantly improved outcomes after adding daily trauma-informed practices for its students.

Jul 25, 2022 | Announcements, Data Reports

July 2022 Data Report: 793,000 Medi-Cal Beneficiaries Screened for ACEs

The ACEs Aware initiative has released a new quarterly data report detailing the number of Adverse Childhood Experience (ACE) screenings conducted for children and adults in California between January 1, 2020, and September 30, 2021. The data show that Medi-Cal providers – primarily pediatric, family medicine, and behavioral health professionals – conducted approximately 987,500 ACE screenings for more than 793,000 unique Medi-Cal beneficiaries.  

The report also tracks the number of clinical team members that completed the “Becoming ACEs Aware in California” online training between…

Jun 27, 2022 | Announcements

Healing from ACEs: A Parent’s Story

The second story in the ACEs Aware Storytelling Series features a conversation between parent and public health leader Linda Baggio and California’s first Surgeon General, Dr. Nadine Burke-Harris. Linda discusses her personal experiences with ACEs and her commitment as a parent to disrupting intergenerational transmission. 

May 27, 2022 |

ACEs Aware In Action – Highlights from the First-Ever Grantee Conference

On May 16-17, 2022, more than 200 people attended the first-ever ACEs Aware in Action: Innovations and Lessons Learned grantee conference in Long Beach, CA.   

Attendees had the opportunity to network in-person, choose from nearly two dozen sessions, and listen to inspiring presentations and panels from leaders in the ACEs and trauma-informed care movement. 

Opening Plenary
The conference began with a welcome and opening remarks from Jennifer Ryan, Executive Vice President of Aurrera Health Group, the organization that launched the…

May 27, 2022 |

Community Spotlight: Dr. Edward Machtinger

Dr. Edward Machtinger is Co-Principal Investigator of the UCLA-UCSF ACEs Aware Family Resilience Network (UCAAN), the new University of California multi-campus organization implementing California’s ACEs Aware initiative. He is a Professor of Medicine and Director of the Center to Advance Trauma-informed Health Care and the Women’s HIV Program at the University of California, San Francisco (UCSF).  He is also a primary care doctor caring for women living with HIV. Dr. Machtinger earned an M.D. from Harvard University and completed his residency in primary care internal medicine at…

May 2, 2022 | Announcements

Request for Proposal (RFP) for ACEs Aware Statewide Learning Collaborative

Funded by DHCS with support from CA-OSG, the PRACTICE statewide learning collaborative will support the efforts of clinical teams to address toxic stress in local communities. Up to 30 teams will receive funding, each ranging from $500,000 to $1 million, with the goal of increasing the capacity of Medi-Cal primary care organizations/clinics, community-based organizations (CBOs), and Medi-Cal managed care plans to leverage existing and new sources of state funding.

Apr 21, 2022 | Announcements, Data Reports

New Data Report: 781,400 Screenings for ACEs

The ACEs Aware initiative has released a new data report detailing the number of Adverse Childhood Experience (ACE) screenings conducted for children and adults in California as of June 30, 2021. The report also tracks the number of clinical team members that completed the ACEs Aware core training and are now ACEs Aware-certified. 

END USER SUBLICENSE AGREEMENT

PLEASE READ CAREFULLY: This End User Sublicense Agreement (the “Agreement” or “Sublicense”) is a legally binding agreement between you (an individual or an entity, hereinafter “You” or “Sublicensee”) and the Department of Health Care Services (“DHCS”) for the use of the Pediatric ACEs and Related Life-events Screener (“PEARLS”) for children and adults up to the age of 21.

BY WAY OF DOWNLOADING, COPYING, ACCESSING, OR OTHERWISE USING THE PEARLS TOOL, YOU ARE AGREEING TO BE LEGALLY BOUND BY THE TERMS OF THIS AGREEMENT. IF YOU DO NOT AGREE TO BE BOUND BY THE TERMS OF THIS AGREEMENT, THEN YOU HAVE NO RIGHTS TO THE PEARLS TOOL AND MAY NOT DOWNLOAD, COPY, ACCESS, OR OTHERWISE THE PEARLS TOOL.

THE PEARLS TOOL IS PROTECTED BY COPYRIGHT LAWS AND IS OTHERWISE PROTECTED INTELLECTUAL PROPERTY. THE PEARLS TOOL IS LICENSED AND IS NOT SOLD.

    1. The PEARLS Tool. The PEARLS tool is a unique tool that assess for both Adverse Childhood Experiences (“ACEs”) such as abuse, neglect, and household challenges, and related events, such as discrimination, food insecurity, and community violence, thought to be risk factors for toxic stress. The PEARLS tool was made in the course of research under the auspices of the Children’s Hospital Research Center at Oakland (“BCHO”) and the University of California, San Francisco. BCHO has licensed the PEARLS tool to DHCS and provided DHCS with the right to sublicense the PEARLS tool.
    2. Sublicensee Attestation. By agreeing to this Agreement, You attest that You are a provider of health care services to Medi-Cal beneficiaries, a Medi-Cal Managed Care Plan, a Medi-Cal beneficiary, a parent or guardian of a Medi-Cal beneficiary, or an Electronic Health Records (“EHR”) vendor.
    3. The Sublicense. Subject to the terms of this agreement, DHCS hereby grants to Sublicensee a non-exclusive, royalty-free, non-assignable, non-transferable sublicense (the “Sublicense”) to the PEARLS tool. Under the Sublicense, Sublicensee may use the PEARLS tool as directed, and may save, download, print, copy, reproduce, or distribute the PEARLS tool to facilitate such use.
    4. Use in a Remote Patient Portal. The PEARLS tool was developed as a screener of risk for toxic stress and has been tested for safe, reliable screening when used during in-person (i.e., synchronous) visits. The questions and responses of the PEARLS tool may be administered using the EHR as structured data fields to facilitate record and follow-up. Because the PEARLS tool was never studied under asynchronous screening formats, DHCS cannot provide recommendations regarding its use in a remote patient portal. This includes information around safety and adequate windows of response. Sublicensee acknowledges that DHCS is not responsible for providing any recommendations regarding the use of the PEARLS tool in a remote patient portal, and that DHCS is not responsible for overseeing implementation and use of the PEARLS tool in a remote patient setting. This includes information around safety and adequate windows of response.
    5. Disclaimer of Warranty. This Sublicense and the associated PEARLS tool are provided WITHOUT WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE OR ANY OTHER WARRANTY, EXPRESS OR IMPLIED. DHCS MAKES NO REPRESENTATION OR WARRANTY THAT THE PEARLS TOOL WILL NOT INFRINGE ANY COPYRIGHT, PATENT, OR OTHER PROPRIETARY RIGHT.
    6. Limitations of Liability.
      1. IN NO EVENT WILL DHCS BE LIABLE FOR ANY INCIDENTAL, SPECIAL OR CONSEQUENTIAL DAMAGES RESULTING FROM EXERCISE OF THIS SUBLICENSE OR THE USE OF THE PEARLS TOOL.
      2. DHCS WILL NOT BE LIABLE FOR ANY LOST PROFITS, COSTS OF PROCURING SUBSTITUTE GOODS OR SERVICES, LOST BUSINESS, ENHANCED DAMAGES FOR INTELLECTUAL PROPERTY INFRINGEMENT OR ANY INDIRECT, INCIDENTAL, CONSEQUENTIAL, PUNITIVE OR OTHER SPECIAL DAMAGES SUFFERED BY SUBLICENSEE, JOINT VENTURES, AFFILIATES, OR DEVELOPMENT PARTNERS ARISING OUT OF OR RELATED TO THIS AGREEMENT. DHCS WILL NOT LIABLE FOR ANY CAUSES OF ACTION OF ANY KIND (INCLUDING TORT, CONTRACT, NEGLIGENCE, STRICT LIABILITY, AND BREACH OF WARRANTY) EVEN IF DHCS HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.
    7. Indemnity and Duty to Defend. Sublicensee shall indemnify, defend, and hold harmless DHCS from and against all claims, actions, damages, losses, liabilities (or actions or proceedings with respect to any thereof), whether or not rightful, arising from any and all actions or claims by any third party or expenses related thereto (including, but not limited to, all legal expenses, court costs, and attorney’s fees incurred in investigating, preparing, serving as a witness in, or defending against, any such claim, action, or proceeding, commenced or threatened) to which DHCS and/or any employee, contractor, or agent acting on DHCS’s behalf may be subject, whether or not Sublicensee is a party to any pending or threatened litigation, which arise out of or are related to (i) claims and losses accruing or resulting to any person, firm or corporation who may be injured or damaged by Sublicensee’s use, reproduction, manufacture, sale, offer to sell, distribution, import, export, modification, public and private  performance/display, license, and disposition of the PEARLS tool; (ii) the incorrectness or breach of any of the representations, warranties, covenant or agreements of Sublicensee pertaining the PEARLS tool; or (iii) any intellectual property infringement, or any other type of actual or alleged infringement claim, arising out of Sublicensee’s use, reproduction, manufacture, sale, offer to sell, distribution, import, export, modification, public and private performance/display, license, and disposition of the PEARLS tool. This indemnity obligation shall apply irrespective of whether the infringement claim is based on a patent, trademark or copyright registration that issued after the effective date of this Agreement. DHCS reserves the right to participate in and/or control, at Sublicensee’s expense, any such infringement action brought against DHCS.
    8. Governing Law. This Agreement is to be interpreted and construed in accordance with the laws of the State of California.
    9. Miscellaneous
      1. The relationship between DHCS and Sublicensee established by this Agreement is that of independent contractors. No joint venture or partnership is established by this Agreement. Neither party is the agent, broker, partner, employee, or legal representative of the other for any purpose.
      2. The headings of any sections are inserted for convenience of reference only and are not intended to be part of, or to affect the meaning or interpretation of this Agreement.
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      4. In the event that any provision of this Agreement is unenforceable or held to be unenforceable, all other provisions of this Agreement have force and effect and will not be affected thereby.
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