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Ontario Early Adversity and Resilience Framework

ACER Framework - Circle graphic - final

Everyone has a shared responsibility to foster children's potential and build family and community resilience

The Ontario Early Adversity and Resilience Framework is a call for collective action across sectors to work together to develop innovative and meaningful solutions to prevent adversity, strengthen protective factors, build resilience, and support healing in families and communities.

Focus Areas:

  1. Socially Connected, Equitable, and Inclusive Communities
  2. Social and Emotional Development and Resilience
  3. Reproductive Health and Parenting/Caregiving Readiness
  4. Responsive and Culturally Safe Parenting/Caregiving

Who we are

The Ontario ACEs and Resilience Framework was compiled by a working group of the ACEs and Resilience Community of Practice (ACER CoP), convened by Public Health Ontario. The ACER CoP is made up of Public Health practitioners, community partners, and leaders from across Ontario who are involved in Healthy Growth and Development, Child and Family Health, Healthy Babies Healthy Children programs, and other work related to early adversity or resilience initiatives.

 

For more details, read the Ontario Early Adversity and Resilience Framework, also available in French Ontario Adversité et Résilience Précoces Cadre.

For more details, read the condensed graphic summary of the Ontario Early Adversity and Resilience Framework.

Topic Summaries

These brief summaries were created to support understanding of the connections between early adversity, resilience and other health and well-being topics. They are designed to spark creativity and collaboration, and to highlight additional evidence that was beyond the scope of the Ontario Early Adversity and Resilience Framework. The Framing Messages about Early Adversity and Resilience for Community Leaders tool provides guidance on how to talk with community leaders about early adversity and resilience. 

Connections between early adversity, resilience and:


This framework supports communities and decision-makers in Ontario by:

  • Promoting evidence-based strategies to prevent adversity and promote resilience.
  • Explaining complex concepts to make them more accessible and easier to understand.
  • Building shared understanding and a common language around the drivers and impacts of adversity, and ways to build community resilience.
  • Encouraging community action that fosters collective responsibility and cross-sector partnerships.
  • Increasing impact to strengthen the effectiveness of initiatives that address adversity and resilience.

 

The Ontario Early Adversity and Resilience Framework has been shared across Ontario and Canada to support a common language and collective action. Selected presentations and formal supports are listed below.

Rounds & Webinars

  • Public Health Ontario Rounds — October 2025

The Ontario Early Adversity and Resilience Framework: From Research to Action

Event Details and Presentation Slides and Recording

  • Practice and Research Together (PART) Canada - December 2025
    Webinar: The Ontario Early Adversity and Resilience Framework: A Community Approach to Child Well-being

Resolutions & Formal Support

  • alPHa Resolution A25-01 — 2025
    Integrating the Ontario Early Adversity and Resilience Framework into Public Health Practice to Improve Population Health Outcomes.
    View the Resolution text

    Separate letters have been sent from the alPHa Chair to the Chief Medical Officer of Health and to three provincial ministers introducing this Resolution and outlining the expected actions for each.
  • Board of Health Endorsements
    Toronto Public Health
    Windsor-Essex

Conferences & Institutes

  • Ontario Public Health Convention (TOPHC) - March 2025
    Half-day workshop: The Ontario Early Adversity and Resilience Framework: From Research to Action
  • Expanding Horizons: National Institute on Infant and Early Mental Health - May 2025
    Presentation: Mobilizing Ontario’s Early Adversity and Resilience Framework
  • 5th Annual Canadian Children, Youth and Communities (CCYC) Health in Equity Conference - October 2025
    Presentation: The Ontario Early Adversity and Resilience Framework: From Research to Action
  • Children’s Healthcare Canada Annual Conference - June 2026
    Presentation: Addressing Early Adversity and Resilience in Ontario - from Knowledge to Action
  • World Association for Infant Mental Health (WAIMH) 2026 World Congress - October 2026
    Presentation: Moving the Needle on ACEs: Implementing the Ontario Early Adversity and Resilience Framework

 

*We developed this framework by adapting the Fraser Health Authority report called: A Health Promotion Strategy to Prevent Adverse Childhood Experiences (ACEs) and Foster Resilient Children, Families and Communities.

For questions about the framework, please contact the Co-chairs of the PHO ACEs and Resilience Community of Practice:

Emily Martyn and Becky Warzin

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