Alabama ACEs and Overdose Prevention Funding

Key points

The CDC Injury Center prioritizes funding for the prevention of adverse childhood experiences (ACEs), overdose, and suicide. This page shows how funds were appropriated in the state of Alabama in FY22.

State of Alabama

ACEs prevention funding - Alabama

ACEs are preventable, potentially traumatic events that occur in childhood (0-17 years). Examples include neglect, experiencing or witnessing violence, or having a family member attempt or die by suicide.

Percentage of U.S. adults who reported at least one ACE in Alabama in 2020*1
  • 64%
Percentage of adults who reported experiencing four or more ACEs in Alabama in 2020*1
  • 18.7%

*ACE statistics are reported by U.S. adults and include exposure to eight types of ACEs: physical abuse, emotional abuse, sexual abuse, witnessing intimate partner violence, household substance abuse, household mental illness, parental separation or divorce, and incarcerated household member.

Total ACE prevention funding for Alabama‎

CDC appropriated $25,000 for ACE prevention activities in the state of Alabama in FY22.
Youth Risk Behavior Survey
  • Alabama State Department of Education: $25,000

Examples of how Alabama is working to prevent ACEs

Surveillance activities

The Alabama Department of Public Health is adding questions about experiencing ACEs to the Alabama Youth Risk Behavior Survey to provide representative state-wide estimates of ACEs for Alabama public high school students. The department is also using data from the Georgia Student Health Survey to look at ACEs indicators, and risk and protective factors among youth in communities across Georgia.

Other support for ACEs in Alabama

Beyond the ACEs appropriation, CDC supports several initiatives, research, and partnerships to build state surveillance infrastructure and enhance ACEs prevention and mitigation.

In Alabama, some of those other initiatives include:

Overdose prevention funding - Alabama

There were 106,699 drug overdose deaths in the United States in 2021 (32.4 deaths per 100,000 standard population), a 16% increase from 2020.2

Overdose deaths in Alabama in 20213
  • 1,408
Overdose deaths per 100,000 people (age-adjusted) in Alabama in 20213
  • 30.1

Total overdose prevention funding in Alabama‎

CDC appropriated $3,757,933 for overdose prevention activities in the state of Alabama in FY22.
Overdose Data to Action
  • Alabama State Award: $3,683,433
Public Health and Public Safety
  • Overdose Response Strategy: $74,500*

*average award amount

Examples of how Alabama is working to prevent overdose

Naloxone trainings for law enforcement

Working together with local partners, Alabama trained law enforcement officers on the proper use of naloxone and equipped officers throughout the state with naloxone kits. These trained officers now carry Narcan with them with every call and run they attend. Twice, after trained officers used naloxone to save lives, local media ran stories about the kits' availability and use.

Expanded community engagement

Alabama partnered with schools across the state to expand access to overdose prevention information and resources through its statewide media campaign, HOPE (Hold On, Pain Ends). This effort includes a 24/7 helpline, staffed by peer recovery support services, and events like a back-to-school giveaway to share overdose prevention resources.

Overdose Education Programs

The Mobile County Health Department produced monthly reports on overdose emergency department visits and overdose emergency 911 calls in the county. The overdose coordinator and peer recovery specialists use the reports to understand areas of high overdose activity ("hotspots") and then conduct outreach, drug prevention, and drug education programs for those communities.

  1. Swedo EA, Aslam MV, Dahlberg LL, Niolon PH, Simon TR, Guinn AS, Mercy JA. Prevalence of Adverse Childhood Experiences Among U.S. Adults – Behavioral Risk Factor Surveillance Survey, 2011-2020. MMWR.
  2. Spencer MR, Miniño AM, Warner M. Drug overdose deaths in the United States, 2001–2021. NCHS Data Brief, no 457. Hyattsville, MD: National Center for Health Statistics. 2022. DOI: https://dx.doi. org/10.15620/cdc:122556
  3. NVSS – Drug Overdose Deaths
  • ACE statistics are reported by U.S. adults and include exposure to eight types of ACEs: physical abuse, emotional abuse, sexual abuse, witnessing intimate partner violence, household substance abuse, household mental illness, parental separation or divorce, and incarcerated household member.