The Effectiveness of Family-Centered Social Services in Preventing Adverse Childhood Experiences (Aces): Review

Abstract

Background: Adverse Childhood Experiences (ACEs) are linked to numerous long-term health issues and detrimental behaviors in adulthood. With a significant portion of the population experiencing ACEs, understanding effective prevention strategies is crucial. Family-centered social services have emerged as a promising approach to mitigate the impact of ACEs.

Methods: This review systematically examines existing literature on family-centered social services aimed at preventing ACEs. A comprehensive search of randomized controlled trials (RCTs) was conducted, focusing on interventions that engage families in the prevention of ACEs during the perinatal period. The study assessed the effectiveness of these interventions on maternal and child health outcomes.

Results: The review identified 53 interventions, primarily targeting secondary prevention strategies. Approximately 70% of the studies reported positive outcomes for mothers and children, underscoring the potential of family-centered approaches. Notably, interventions that incorporated multiple life course factors and engaged broader family dynamics were more effective in achieving favorable results.

Conclusion: Family-centered social services represent a vital component in the prevention of Adverse Childhood Experiences. By integrating a comprehensive approach that addresses structural and social determinants of health, these interventions can enhance the well-being of families and disrupt cycles of adversity. Future research should focus on longitudinal studies to evaluate the sustained impact of these interventions and explore the integration of anti-racist frameworks in program design.