For Communities

Connecting to clinical care teams in your community to build a cohesive network of care

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Use the Trauma-Informed Network of Care Roadmap for guidance

Developing a cross-sector network of care within communities and also with health care teams is essential to addressing ACEs and toxic stress. Many existing trauma-informed networks of care have the advantage of already having strong relationships at the community level and across disciplines. However, the connection with health clinics and practices may not be as well established. Effective action requires a coordinated partnership between health, human services, education, and non-profit sectors that fully embraces the collective wisdom of the communities they serve.

A network can take many forms and involves many different partners, but there are several key elements – or milestones – that have emerged as critical to success for community organizations. The Trauma-Informed Network of Care Roadmap outlines these milestones in a specific and actionable manner that community-based organizations, local service agencies, and others can apply in a variety of settings and contexts as part of their efforts to engage with health care providers in the service of creating a robust and interdisciplinary referral and response system.

Milestones for Communities in the roadmap include:

  1. Identify or Establish a Strong Leadership Structure
  2. Connect with Health Care Clinical Care Teams and Other Resources
  3. Achieve Community and Health Care Integration
  4. Consider Financing and Technology Needs
  5. Evaluate and Improve the Strength of the Trauma-Informed Network of Care 

Community-based organizations play a tremendous role in ensuring that there are adequate systems in place to screen for, treat, and heal the effects of ACEs. Join us as we support the health and well-being of our children, adults, and families – now and for generations to come.

Download the Roadmap >

END USER SUBLICENSE AGREEMENT

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    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.
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    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.
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