Adverse childhood experiences (ACEs) are things that happen during the first 18 years of life that cause trauma. Or they can be things that have a negative impact on a child's sense of safety, stability, or bonding in the home.

Some examples of ACEs include:

• Experiencing violence, neglect, or abuse.
• Witnessing violence.
• Growing up in a household with:
  • Adults who have mental health or substance use problems.
  • Divorced or separated parents.
  • A household member who is in jail or prison.

Children who've had multiple ACEs are at higher risk for chronic health problems, mental health problems, and substance use problems later in life.