Addressing barriers of adverse childhood experiences in childcare

Adverse Childhood Experiences (ACEs) are a significant public health concern, with nearly two-thirds of adults in the United States reporting at least one ACE before the age of 18. These experiences-ranging from abuse and neglect to household dysfunction have been linked to long- term impacts on physical health, mental well-being, and socioeconomic outcomes. This thesis explores the correlation between the availability of high-quality childcare facilities and the prevalence of ACEs at the county level in Oklahoma. The study investigates whether increasing the number of childcare centers that offer routine mental health assessments can contribute to a reduction in reported ACEs. Findings aim to highlight the need for a more proactive approach in early childhood environments, particularly in underserved communities, to ensure early identification, intervention, and connection to support systems. Addressing these barriers through systemic investment in childcare infrastructure and culturally competent mental health services is essential to mitigating the long-term effects of childhood trauma.