The North Carolina Healthy and Resilient Communities Initiative (NC HRCI) supports state-wide, local multi-sector coalitions in North Carolina who are working to address adversity and trauma at multiple levels (individual, organizational, and community) and who are working to build resilient and healthy communities by increasing protective factors and positive childhood experiences. NC HRCI uses the 4 Realms of ACEs framework to define adversity; this case study will focus on the initiatives addressing the third realm, “Adverse Climate Events.”