9 and substance use disorders: cognitive- behavioral, mindfulness, body-oriented (i.e., yoga) and expressive arts.41 The City of Martinsburg, WVA, has developed an innovative collaboration between law enforcement and the schools, also including other stakeholders, to directly approach ACEs as a preventive measure against opioid use disorder. This program provides evidence of progress in reducing the leveloftheprobleminthisjurisdiction.42 The RxSafe program in Marin County, CA, has invested in a community prevention action team to explore the upstream factors that facilitate the development of opioid use disorders, as part of a comprehensive community- based approach to the opioid crisis.43 The Ohio Department of Mental Health and Addiction Services (OhioMHAS), Bureau of Prevention, has adopted a strategic planning process that combines the Prevention Institute’s Adverse Community Experiences and Resilience Framework with SAMHSA’s Strategic Prevention Framework to develop multi-sector collaboration addressing opioid use disorders. The Ohio approach takes a community trauma approach that galvanizes efforts to explore community and environmental factors of health that can be addressed by a coalition of participants.44 The Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (H.R.6), which focuses on changing provisions to state Medicaid programs and Medicare requirements to address substance use disorders (SUDs), incorporates language related to trauma-informed care in the health, early childhood and education sectors, including: • Authorization of the Centers for Disease Control and Prevention to support states in collecting and reporting data on ACEs for children and adults; • Creation of an interagency task force to recommend best practices related to the identification, prevention and mitigation of trauma across the lifespan, and to better coordinate the federal government’s response; • Authorization of increased funding for the National Child Traumatic Stress Initiative to provide technical assistance, direct service, evaluation, and dissemination of best practices related to trauma-informed care for children and families; • Creation of grants to connect education and mental health agencies to increase students’ access to evidence-based trauma treatments and services with learnings disseminated by the Secretary of Education; and • Recognition of the relationship between early adversity and SUDs by requiring the Secretary of Health and Human Services to disseminate information and resources to early childhood programs and educators on how to recognize and respond to early childhood trauma. Resources SAMSHA has produced a guidebook on “Building Resilient and Trauma-Informed Communities.” The Prevention Institute has created a framework for “Addressing and Preventing Community Trauma.” ACEs Resources offers substantial resources, including tools, briefings, grant resources and supporting documents.