Background
Adverse childhood experience (ACE) is a term used to describe a wide range of stressful or traumatic events, including neglect, abuse, and household dysfunction such as growing up with family members who have substance use disorders, mental health problems, or intimate partner violence. Extreme economic adversity, bullying, school violence, and community violence are other commonly encountered ACEs 1, 2. The US Federal Child Abuse Prevention and Treatment Act (CAPTA) defines child abuse and neglect as, at a minimum, any recent act or failure to act on the part of a parent or caretaker, which results in death, serious physical or emotional harm, sexual abuse, or exploitation, or as an act or failure to act which presents imminent risk of serious harm.
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