Michigan Essentials for Childhood: Preventing Adverse Childhood Experiences through Data to Action - The Michigan Essentials for Childhood: Preventing Adverse Childhood Experiences through Data to Action (MI-EfC) program will leverage diverse state and local multisector partnerships to 1) strengthen Michigan’s adverse and positive childhood experiences surveillance capacity, 2) implement two evidence-based primary ACE prevention strategies, and 3) conduct ongoing data-to-action activities to ensure the best available evidence is used to inform ACE prevention activities. All project activities will be guided by the Michigan ACEs State Action Plan, which will be updated based on the results of a capacity assessment conducted in the first 6 months of the project period, and will be overseen by the Michigan ACE Initiative State Advisory Council. The Michigan Public Health Institute is the applicant and is proposing to implement enhanced activities, as detailed below. MI-EfC will expand youth-based collection of ACEs and PCEs on the Youth Tobacco Survey, Michigan Youth Risk Behavioral Survey, and the Michigan Profile for Healthy Youth. State, regional, and local-level capacity to access, monitor, and use ACEs, PCEs, SDOH and other relevant risk, protective and outcome indicators will be increased through integration of youth-based, syndromic, and adult-based data sources into the MI ACE Data Dashboard (miacedata.org). To promote social norms that protect against violence and adversity, MI-EfC will leverage an expansive network of partners to development and implement statewide public education campaigns to shift social norms and engage communities around shared responsibility for the safety and wellbeing of Michigan’s children. Building on the work of the Michigan Department of Education, MI-EfC will adapt and pilot an ACEs and HOPE informed Care Giving Conversations curriculum for license exempt providers statewide. The program will support a strong start for children by empowering early childhood providers with knowledge around ACEs, childhood development, and protective factors that they may not normally have access to. The MI-EfC is also applying for enhanced activities to implement local-level public education campaigns and care-giving conversations in partnership with community members and local community organizations across Michigan. The associated supplemental funds will also support the evaluation and data-to-action activities at a local level to ensure local implementation is adapted to the needs of local communities. MI-EfC will conduct ongoing data-to-action activities by gathering and synthesizing state- and local-level ACE, PCE, SDOH and related risk, protective and outcomes surveillance data as well as project evaluation data. Important focus will be placed on engaging members of diverse communities, such as youth, to ensure local- and state-level prevention strategies are adapted and implemented to meet the needs of Michigan’s diverse communities, and will address the root contexts and circumstances that lead to disparities in ACE burden and health outcomes among under-resourced and historically marginalized communities. Process and outcome evaluation activities will identify the successes and challenges of strategies and inform additional data-to-action activities. The data, products, and outcomes of MI-EfC will be disseminated with partners and communities across Michigan, including the State Advisory Council. Long-term outcomes include improved and sustainable systems for ACE prevention activities, decreased ACEs and increased PCEs, an increased number of safe, nurturing environments and healthy and thriving children, and improved health and social outcomes that have been linked to ACEs, particularly among under-resourced and historically marginalized communities.