Multiple leading healthcare and public health organizations now recommend early screening for: 
1. Sources of toxic stress and 2. Early intervention to prevent or reduce the impacts of adversity including the Centers for Disease Control and Prevention, the National Academies of Science, Engineering, and Medicine; and the American Academy of Pediatrics [2]In addition, toxic stress risk assessment and intervention meets the 10principles for optimal population-based screening efforts outlined by the World Health Organization (WHO) Wilson and Jungner Criteria[5]Since ACEs Aware Ohio is one of the first statewide universal effort to encourage ACE screening for adoption both, Parents and children.