Release Date: June 14, 2021

Expiration Date: March 31, 2022

Time to Complete: 1.5 hours

Learning Level: Fundamental

Primary Audience: Research participants/community members, Other study team members

Prerequisite: None

Skills Domain: Communication and Teamwork

Jointly provided by Postgraduate Institute for Medicine and Tufts Medical Center. This activity is certified for 1.5 AMA PRA Category 1 Credits TM, AAPA, ANCC, APA and ASWB credits. For questions about the accreditation of this activity, please go to

Communication and Teamwork Communication and Teamwork

Learn how positive childhood experiences promote health.

This course introduces the learner to HOPE (Healthy Outcomes from Positive Experiences). The vision of HOPE is a world that honors and fosters positive experiences as being fundamental to everyone’s health and well-being. HOPE offers a paradigm shift in the way practitioners approach their work with families and children, from one that emphasizes deficits and problems, to one that actively seeks out strengths and assets.

The course presents background information on the health effects of adverse childhood experiences (ACEs) and the research showing how key positive childhood experiences (PCEs) prevent and mitigate the effects of ACEs and toxic stress resulting in improved health outcomes. The biologic mechanisms of how PCEs affect the brain are presented. Participants learn about the 4 Building Blocks of HOPE and participate in skill building exercises that enable them to begin to incorporate the HOPE framework into their work. Different themes of HOPE implementation are explored, including how to use the HOPE framework to address racial and socioeconomic disparities at your organization. Upon successful completion of the course the learner will have a solid understanding of PCEs and HOPE and will be ready to begin to incorporate the framework of HOPE into their work with families.

A complete list of faculty and contributors and conflict of interest information is available online.

Learning Objectives

After completing the course, you will be able to:

  • Discuss how key positive childhood experiences prevent and mitigate the effects of ACEs.
  • Explain the 4 building blocks of HOPE.
  • Explain the difference between type 1 and type 2 thinking.
  • Develop an understanding of how to incorporate HOPE into work with children and families.
H.O.P.E has moved! To enroll in this course, please visit Learners who did not complete the course prior to March 31, 2022 will need to re-enroll at the new site.