Resources & References

Patient Education Materials: 



Toxic Stress: English Spanish Creole
Avoiding Toxic Stress: English Spanish Creole


Depression: English Spanish Creole
Grief: English Spanish Creole
Deportation: English Spanish Creole
Divorce: English Spanish Creole
Hurricane: English Spanish Creole


Affect Expression Tool: English Spanish      

Resources for Parents/Caregivers:

A Parent is the #1 Shield: English Spanish  


Media Campaign:

Public Awareness campaigns are available for free download to be used in your communities.

(Large file - please allow time to fully download)


Consultation Services:


If you are a healthcare provider or healthcare organization and would like to consult with the FSU Center for Child Stress & Health, please contact us. Consultation services are available via video conference and typically address issues related to:

  1. The implementation of screening methods in Primary Care for toxic stress (i.e., selection of appropriate screening tools, integration of screeners into electronic medical record, etc.).
  2. Staff training on the use of toxic stress screenings, including training for healthcare providers (i.e., physicians, nurse-practitioners, nursing staff, etc.) and community health workers.
  3. Orientation to resources and guides available from the FSU Center for Child Stress & Health.
  4. Resources and references related to behavioral interventions utilized when a child has been identified following a toxic stress screening.

While the FSU Center for Child Stress & Health is not a treatment center, we have a variety of resources that both healthcare providers and patients/families can access.


Information for Community Health Workers/Promotoras & Health Information Brokers


Now available: Break the Cycle, Toxic Stress Training for Community Health Workers/Promotoras & Health Information Brokers  

Download Curriculum:

Break the Cycle, Toxic Stress Training Curriculum English Spanish Creole

Access Online Training Module: Break the Cycle Training Module.

The purpose of this training curriculum is to prepare Community Health Workers/Promotoras and Health Information Brokers with the information, skills and concepts they will need to become effective in their role as part of the health care support system. The curriculum provides information on toxic stress and its impact on health as well as provides recommendations that can be shared with parents and family members of children who have experienced toxic stress.


Information for Health Psychologists


Now available for download: Toxic Stress Screenings in Primary Care: A Curriculum for Health Psychologists. This is an introductory presentation for psychologists working in primary care/healthcare settings. Positive, tolerable, and toxic stress is defined and the effects of adverse childhood experiences on health are outlined. Different behavioral health interventions are suggested for addressing toxic stress.


Community Resources Guide – Southwest Florida


The Community Resources Guide is now available for download. The guide provides a list of resources and referrals in the Southwest Florida area – including early childhood education services, food & financial assistance, social services and much more. Families/caretakers, healthcare providers, educators and other professionals in the Southwest Florida region may access the guide for referrals and resources.


Links to other Resources:

Center on the Developing Child at Harvard University

The National Traumatic Stress Network

Journal Articles:

Dube SR, Fairweather D, Pearson WS, Felitti VJ, Anda RF, Croft JB. Cumulative childhood stress and autoimmune disease. Psychom Med. 2009;71:243–250.

Brown DW, Anda RF, Felitti VJ, Edwards VJ, Malarcher AM, Croft JB, Giles WH. Adverse childhood experiences and the risk of lung cancer. BMC Public Health. 2010;10:20.

Brown MJ, Thacker LR, Cohen SA. Association between adverse childhood experiences and diagnosis of cancer. PLoS One. 2013 June;8(6):e65524.

Anda R, Tietjen G, Schulman E, Felitti V, Croft J. Adverse childhood experiences and frequent headaches in adults. Headache. 2010;50(9):1473-81.

Barile JP, Edwards VJ, Dhingra SS, Thompson WW. Associations among county-level social determinants of health, child maltreatment, and emotional support on health-related quality of life in adulthood. Psychol Violence. 2014 Oct.

Corso PS, Edwards VJ, Fang X, Mercy JA. Health-related quality of life among adults who experienced maltreatment during childhood. Am J Public Health. 2008;98:1094–1100.

Dong M, Giles WH, Felitti VJ, Dube, SR, Williams JE, Chapman DP, Anda RF. Insights into causal pathways for ischemic heart disease: adverse childhood experiences study. Circulation. 2004;110:1761–1766.

Other References on Toxic Stress:

2012 Technical Report from the American Academy of Pediatrics: The Lifelong Effects of Early Childhood Adversity and Toxic Stress