POSITIVE CHILDHOOD EXPERIENCES

Mary Kreitz • April 3, 2020

For years now, we have all been hearing about Adverse Childhood Experiences (ACE’s) and the detrimental effects they can have for the rest of a person’s life. Have you heard about Positive Childhood Experiences (PCE)? Research comparing adults who reported high numbers of PCEs with those who reported low or no PCEs found that adults reporting more PCEs showed 72 percent lower levels of adult depression and/or poor mental health and were 3.5 times more likely to get the social and emotional support they need as an adult (Bethell, et al, 2019).

Other research has found that, when their parents were able to share ideas and talk about things that matter with their child, the child had a 1,200 percent greater chance of flourishing compared to those who did not have this type of communication (Bethell, Gombojav & Whitaker, 2019).

WHAT ARE PCE'S?

What are PCE? Christina Bethell of Johns Hopkins University, one of the major researchers on PCEs, defined a positive childhood experience as “feeling safe in our families to talk about emotions and things that are hard and feeling supported during hard times.” Examples of PCEs include:

  • Being able to talk openly to a family member or as a family about feelings and feel heard, accepted and supported.
  • Belief that family stood by them during difficult times.
  • Feeling safe and protected by an adult in the home.


Not every child comes from a family that is warm, supportive and accepting. Some children live in homes where they don’t feel emotionally and physically safe. The good news is that friends and communities can be sources of PCEs as well. Examples of non-family PCEs include:


  • Feeling supported by friends.
  • Having a sense of belonging and connection with a larger group who has “got your back” (e.g. school, church, clubs, neighborhood, etc.).
  • Enjoyment of participation in community traditions.
  • Relationship with at least one non-parent adult who takes genuine interest in you.


The types of experiences that have the most healing effects are not things that can be bought or that necessarily cost a lot of money. They are the experiences that help children learn to trust others even when life is uncertain, difficult or frightening. They happen when we are willing to talk honestly about things that are hard to understand, scary, embarrassing or painful. When adults are willing to have these types of conversations with the children, the result is that children feel reassured that they are not alone in their struggles and they are better able to find meaning or purpose in their struggles.

TIPS FOR NUTURING PCE'S

Some tips for nurturing PCEs with a child you know:

  • Don’t assume that a child is doing fine just because he or she is not showing obvious signs of distress. Check in. Ask the child to share their thoughts, feelings and concerns about what is going on. If the child gives a superficial response like “I’m fine” share some of your own thoughts, feelings and concerns to show that it is acceptable to talk openly about these things.
  • Listen carefully. Put the electronics down. Give your full attention.
  • Some children and most teenagers aren’t comfortable maintaining eye contact when talking about their innermost fears and hurts. They’re more likely to bring these things up at times when they don’t have to look directly at you, like when riding in the car. Don’t dismiss the topic because it is not a good time. Make time, even if it means you have to drive extra laps around the block while you do.
  • Offer compassionate empathy rather than solutions. Many of us are uncomfortable hearing another person’s fears, especially if we don’t know how to fix the situation that is causing them. Showing that the child’s emotions aren’t too frightening for you to handle helps the child to feel safer, less out of control and genuinely connected.
  • Breathing in the same room is not the same as connecting. Do something together – play a game, do a craft or look at pictures and share memories.
  • Let the child’s questions guide you. Children will let you know what is on their mind and what concerns them most through the questions they ask. A great way to start a conversation with the child is to ask, “What questions do you have about what is happening?”
  • As much as possible, keep your traditions and rituals going. This can be elaborate and formal as decorating for and making traditional foods for a holiday. It can be as simple and informal as greeting each other with a certain phrase or making up a secret handshake.
  • Say the words. Don’t assume they know you care. Every human being needs to hear that he or she is loved. Everyone deserves to hear it when they do a good job. It won’t give them a swelled head if you tell them that you proud of them. It helps them feel connected and appreciated.


This blog post is written by Mary Kreitz. Mary C&A's Trauma Therapist Program Manager. If you are in need of C&A's services, please call 330-433-6075.

RECENT POSTS

Child and Adolescent Behavioral Health
By Daniel Mucci January 16, 2026
CANTON, Ohio (Jan 16) – Child and Adolescent Behavioral Health (C&A) announced today a strategic affiliation with Goodwill Industries of Greater Cleveland and East Central Ohio, Inc. (Goodwill). The affiliation reflects a shared commitment to strengthening community-based services and ensuring long-term stability for children, adolescents, and families across Stark County. This affiliation brings together two mission-driven nonprofit organizations that serve many of the same individuals and families. C&A’s clinical expertise in youth behavioral health will be supported by Goodwill’s established administrative and operational infrastructure, allowing both organizations to advance their missions while remaining focused on the communities they serve. “Youth mental health needs continue to grow across our community,” said Melissa Coultas, Chief Executive Officer of Child and Adolescent Behavioral Health. “This affiliation allows us to strengthen our operational foundation while preserving who we are. Our mission, our services, and our commitment to Stark County remain unchanged, and this partnership allows us to reinvest resources into care and into our staff.” As part of the affiliation, C&A will maintain its designated 501c3 status and operate as an affiliate program of Goodwill. C&A’s name, mission, programs and local leadership remain in place. Clinical services will continue without disruption. Select administrative functions will transition to a shared services model supported by Goodwill. “At Goodwill, our mission is to strengthen communities by helping people overcome barriers,” said Anne Richards, president and CEO of Goodwill Industries of Greater Cleveland and East Central Ohio. “This affiliation reflects Goodwill’s commitment to supporting vital local programs and ensuring C&A can continue delivering trusted, lifechanging mental health services to Stark County families for years to come.” C&A will retain its own Board of Directors and leadership team. Goodwill will serve as the corporate member and provide shared administrative services in areas such as human resources, information technology, and financial operations. “This was a thoughtful, mission-centered decision by the Board,” said Casey McCloud, Board President of Child and Adolescent Behavioral Health. “It strengthens C&A’s longterm sustainability while preserving local oversight and ensuring continued access to critical services for children and families.”
By Mary M. Kreitz September 12, 2025
It seems to be happening all the time – school shootings, violent attacks at public events, celebrities and public figures being attacked or even killed. When things like this happen, it usually shows up on the television and the internet, people post about it on social media, and people talk about it with others around them. Children and adolescents find out, and they may come to you wanting to talk or to ask you questions. How should you handle it? These are difficult but important conversations to have. Here are some tips for talking with children and teens about violent events.
By Melissa Coultas June 30, 2025
For 50 years, we have stood shoulder to shoulder with Stark County’s children and families, helping them grow, heal and thrive through every challenge. Child and Adolescent Behavioral Health (C&A) is a leading nonprofit here in Stark County, but many are unaware of the significant number of lives we touch every day. We are working to change that and find people in the community ready to help us build the next 50 years of hope for Stark County youth. We serve more than 4,000 kids each year by providing mental health services: a person to talk to, a mentor to help them grow, a place where kids with trauma can go to school and a place to hear a voice of reason where no one is turned away because of income.
Red and white megaphone with yellow sound effects, angled to the right.
By Daniel Mucci May 19, 2025
CANTON, Ohio (May 19) – Child and Adolescent Behavioral Health (C&A) has been awarded more than $217,000 in new grant funding from six community-focused foundations and agencies to enhance service delivery, support families, and improve internal operations across Stark County.  The grants—awarded by the Health Foundation of Greater Massillon, Massillon Rotary Foundation, North Canton Medical Foundation, United Way of Greater Stark County, the SummerTime Kids program, and the Roy H. Powell and Nina B. Powell Family Charitable Fund—reflect continued community investment in C&A’s mission and momentum. “These contributions help us strengthen the systems that support the mental health of our community’s youth,” said Melissa Coultas, CEO of Child and Adolescent Behavioral Health. “They ensure our team is equipped, our services remain accessible, and our families feel supported.”
By Mary M. Kreitz November 21, 2024
For many people changes in the seasons also bring changes in mood, energy, sleep, weight and appetite. Some researchers have found that as many as 90% of people report noticing these types of changes in themselves. However, for some people, the changes are so intense that they interfere with the person’s ability to function in their daily life.  Seasonal Affective Disorder or SAD is a type of clinical depression that occurs with a consistent seasonal pattern. The symptoms of SAD are the same as those for other depressive disorders; what is different is that the symptoms begin every year around the same time, last for several months, and then go away for the rest of the year. The most common form of SAD is what is known as winter-pattern SAD in which depressive symptoms start in the fall or early winter and end in the spring. Another less common form is known as summer-pattern SAD and is associated with depressive symptoms that occur during the spring and summer months and improve in the fall.
By Mary M. Kreitz November 6, 2024
The 2024 election has brought a lot of fear and stress into the lives of people throughout the country. A recent survey by the American Psychological Association found that 77% of adults in the US are worried about the future of the nation, 73% reported feeling stressed out about the economy and 69% reported feeling stressed about the presidential election. When adults are feeling this high of a level of stress, you can bet that children and adolescents are feeling it too.
By Daniel Mucci October 1, 2024
Are you a trusted adult to your child or someone’s child in your life? What are the characteristics of a trusted adult?  Trusted adults are viewed by children or adolescents as a safe figure that listens without judgment, agenda or expectation, but with the sole purpose of supporting and encouraging positivity within a young person’s life. Today’s youth identify a trusted adult as someone who is willing to listen and engage, rather than lecture and give orders. Young adults are interested in having open conversations about mental health, social media, bullying and sharing their own experiences.
By Daniel Mucci September 9, 2024
Child and Adolescent Behavioral Health’s (C&A) The Canton Repository Let Your Light Shine presented by the Massillon Eagles FOE #190 is Sept. 21 at the DoubleTree by Hilton, Canton, from 6-9 p.m. The 19th annual event supports the youth mental health programs and services C&A provides each year to our 4,100 clients.
By Mary M. Kreitz June 18, 2024
You have probably heard the scary statistics. LGBTQ+ youth are at higher risk for serious mental health problems (such as anxiety and depression) than their non-LGBTQ+ peers. They’re more likely to consider suicide, more likely to attempt suicide and more likely to engage in non-suicidal self-harm.
More Posts