Fresno County Network of Care: Synchronizing Linkages to Foster Resilience in Fresno County.

Fresno County 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 cross-collaboration of networks brings together multi-sector agencies such as medical entities, K-16 school districts, community-based organizations, and businesses with a united priority to establish a preventative network of evidence-based buffering resources that help prevent, treat, and heal the harmful consequences of toxic stress in Fresno County. 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.

Download our Fresno County Trauma Informed Network of Care Brochure Here

What is a network of care

The $2.6M grant will be used to implement a seamless screening, referral, and response process to support families who are at risk of experiencing negative mental and physical health outcomes that stem from traumatic life events, also known as Adverse Childhood Experiences (ACEs).

To learn more about ACEs visit PACEs Science 101 FAQs.



This critical funding will be used to develop and pilot a strong network of care where patients are able to access one of the support services beyond the doctor’s office. The key component will be our community health workers who will be the link between the patient, the doctor’s office, and community based resources.

Community health workers will submit referrals to community-based organizations using the IT platforms, Unite Us and powered by Aunt Bertha. Locally, over 20 community-based organizations will develop their capacity by receiving trauma-informed training and coaching to support over 100 MediCal healthcare providers across 5 health systems who conduct ACEs screenings.

Care Coordination Systems

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Who We Are

Information Technology

Executive Committee

  • Susan Kincaid, FCHIP
  • Ashlee Hernandez, FCHIP
  • Belinda Diaz, 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


The prevalence of our health disparities in Fresno County is disproportionately burdened by our communities of color and especially within specific zip codes that experienced historical redlining.

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.

What is Trauma Informed Care?

Trauma and adverse childhood experiences cause both mental and physical health outcomes like anxiety, depression, cardiovascular disease, chronic obstructive pulmonary disease (COPD), high-risk behaviors, addiction, early death, and toxic stress. There is hope –toxic stress is amenable to treatment. We can act now to change and save lives. The research shows that if we screen for ACEs and toxic stress risk, intervene early, respond with evidence-based trauma-informed care, then there can be significant improvement in the health and well-being of individuals and families. These efforts can also reduce the risk of intergenerational transmission of ACEs and toxic stress.

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.

ACEs Basic Training 101
by Anago Consulting and Brain Wise Solutions

Learn the basic science of Adverse Childhood Experiences and Toxic Stress and their impact on our health. Also, learn about how the buffering supports provided by Community-Based Organizations can lessen the impact of adversity in our community.

Contact for more information:
Brian Semsem,
Jason Williams,

ACEs Aware & Clear Thinking Method
by Clear Thinking Solutions, Inc.

Learn to understand how we can gain clarity in the moment by lowering our tension and accessing our best state of mind by using a strength-based perspective to promote healing and resilience.

Contact for more information:
Barbara Fiske,

Community Resiliency Model (CRM)
by Made For Them

Learn to recognize, identify, and respond to physiological symptoms of stress in your body related to past traumas. You will gain practical techniques as you discover how to build personal resilience and wellbeing, and how to implement simple biological-based wellness skills specific to you that help regulate the nervous system and build your resilience.

Contact for more information:
Andrea Shabaglian,

Developmentally Responsive Trauma Awareness: Understanding How Trauma Symptoms Manifest Themselves Across the Lifespan
by KC Kids

Introduction to the ways negative experiences in early childhood may impact individuals differently at various stages of development.  Intended for a general audience of community based organization staff and individuals who want better recognize how symptoms of trauma can hide in plain sight

It’s All About Relationships: Recognizing and Creating Strategies for Safety, and Security in the Places We Live and Work
by KC Kids

Traumatic early life experiences impact our minds and bodies.  This training is intended for a general audience of community based organization staff members and individuals who want to think about reestablishing a sense of safety for both themselves and the families and communities they serve.

Contact for more information:
Megan Peck,
Emily Bahne,

Racial Sobriety: Part I & Cultural Humility and Service Delivery: Part II
by Cultural Brokers

We invite all NoC Partners organizations to participate in the two-part series, Racial Sobriety and Cultural Humility and Service Delivery, that teaches increased cultural competency and humility. The workshops are created and facilitated by Margaret Jackson, a licensed clinical social worker committed to providing practice approaches and treatment interventions that are culturally congruent. She shares over 30 years of child welfare experience as a line worker, Supervisor, Coach, Trainer, and Consultant.

Contact for more information:
Margaret Jackson,

Join the Trauma and Resilience Network

The cross-collaboration of networks brings together multi-sector agencies such as higher education institutions, K-12 school districts, community-based organizations, and businesses with a united priority to develop a trauma-informed Network of Care in Fresno County. The work of TRN precedes the ACEs Aware grant but the joint efforts are only strengthened as an awardee.

To learn more about Trauma and Resilience Network, contact Artie Padilla, Trauma and Resilience Network Co-Chair, at

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.

Participate in the Milestone Survey

The purpose of this survey is to track a set of milestones culled 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


The heart of the Fresno County Trauma Informed Network of Care is relationship building. Identifying Trauma Informed 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.

The cost of ACEs in California is $112.5 billion, including $10.5 billion in personal health care spending and, $102 billion in years of productive life lost due to early death and disability.

These interventions and responses have a cost associated with them to fill the gaps that are critical to long-term success. 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