Fresno County Trauma-Informed Network of care

A Partnership for Health Equity


The Fresno County Trauma-Informed Network of Care cohort, led by the Fresno Community Health Improvement Partnership (FCHIP) and Saint Agnes Medical Center (SAMC), represents one of eight counties in California to be awarded a $2.6M ACEs Aware implementation grant.

The network brings together multi-sector agencies with a united priority to establish a network of evidence-based buffering resources that help prevent, treat, and heal the harmful consequences of toxic stress.

The ACEs Aware Initiative is funded by the Department of Health Care Services and the Office of the California Surgeon General.

To view the Fresno County Network of Care Press Release, click here. To learn more about the grant visit ACEs Aware.

Community Health Workers

Nearly 50 partners are piloting a strong network of care where at-risk patients are connected to a community health worker who is the link between the patient, the doctor’s office, and community-based resources.

Community health workers submit linkages to community-based organizations using the IT platform, Locally, over 25 community-based organizations are developing their capacity by receiving trauma-informed training and coaching to support over 100 Medi-Cal healthcare providers across 6 health systems who conduct ACEs screenings.

Who We Are

We are a network of seamless screening, referral, and response processes to support families who are at risk of experiencing negative mental and physical health outcomes that stem from Adverse Childhood Experiences (ACEs).

Our Network of Care

Information Technology

Executive Committee

  • Susan Kincaid, FCHIP
  • Ashlee Hernandez, FCHIP
  • Ivonne Der Torosian, Saint Agnes Medical Center
  • Artie Padilla, Central Valley Community Foundation
  • Tony Gonzalez, CalViva Health
  • Amy Parks, UCSF Fresno
  • Wilma Hashimoto, CASA of Fresno County and Madera Counties
  • Amber Jacobo, Fresno County Superintendent of Schools


While these are haunting statistics, the science demonstrates that these factors are all symptoms of community trauma and health inequity that can be prevented and treated through ACEs screening and access to “buffering” resources.

Get Involved

There are many ways to get involved in this movement, based on your emotional capacity, energy levels, privilege to leverage, etc. Everyone has a place in Trauma and Resilience – here are some ideas to get you started.

Sign up for Trauma Informed-Training

Learn about trauma-informed science and how to apply it to your practice by signing up for training. These trainings are especially designed for organizations and their staff who want to increase their capacity and skills to become more trauma-informed in their delivery of services. The goal is to avoid the re-traumatization of individuals and children who can benefit from their services.

Join the Trauma and Resilience Network

Launched in 2017, this collective network of cross-sector organizations continues its quest in helping Fresno County be a trauma-informed and culturally sensitive region. Within the network exist a menu of individuals and organizations providing training on topics related to trauma, toxic stress, mindfulness, and cultural humility.

Grounded in this ongoing learning and adaptation of practice, the partners strive to address the day-to-day struggles of our kids, families, and neighborhoods. including listening and learning from the very community we seek to serve.

You can contact Artie Padilla at for more information.

Join the PACES Platform

Join the FCHIP Trauma and Resilience Network on the PACES platform to learn about community events and receive educational resources around Trauma and Resilience Milestone Survey.

Join if you are not a member and then click here to go to the Fresno County Trauma and Resilience Network page.

Participate in the Milestone Survey

The purpose of this survey is to track a set of milestones pulled from self-assessment surveys across various sectors. These milestones represent progress that organizations make towards becoming trauma-informed. Complete the ACEs Connection Milestone Survey for your organization.

Contact Jason Williams at or Brian Semsen at for more information.


The heart of our network is relationship building. Identifying partners who can provide buffering services, address ACEs and social determinants of health, and help individuals achieve healing requires the active efforts of people who have the time and capacity to foster connections between entities.

By working upstream and addressing toxic stress and social determinants of health through effective care coordination, we can begin to close the gap in health inequities and build a more resilient community.

To invest in FCHIP, contact Sue Kincaid, Program Director at

Contact Us

Sue Kincaid
FCHIP Program Director

Ashlee Hernandez
Network of Care Project Manager

Kristian House
FCHIP Communication Coordinator