Adverse childhood experiences, referred to as ACEs, are defined by the Centers for Disease Control and Prevention (CDC) as “potentially traumatic events that occur in childhood (0–17 years).” One common example of an ACE witnessed by Comprehensive Opioid, Stimulant, and Substance Abuse Program (COSSAP) grantees is growing up in a household with substance use; other examples include parental separation or experiencing abuse or neglect.