The Pair of ACEs Tree was developed by the Center for Community Resilience at the George Washington University to illustrate the relationship between adversity within a family and adversity within a community.  

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Social determinants of health are conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks. Conditions (e.g., social, economic, and physical) in these various environments and settings (e.g., school, church, workplace, and neighborhood) have been referred to as “place.” In addition to the more material attributes of “place,” the patterns of social engagement and sense of security and well-being are also affected by where people live (US DHHS, 2020).

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