LiveBeyond banner on basketball court wall

Live Beyond

Office of the California Surgeon General

Live Beyond is the innovative statewide campaign we created with the Office of the California Surgeon General to address Adverse Childhood Experiences (ACEs) and toxic stress, particularly among vulnerable youth and their caregivers. Designed to drive both public awareness and behavior change, Live Beyond promoted healing through simple, “start today” stress busters, access to support, and outside-the-box partnerships.

Screenshot of video featuring creators Case study
Spanish billboard

The Challenge

Adverse Childhood Experiences, or ACEs, are traumatic events that happen before age 18, such as abuse, violence, neglect, family mental health or substance issues, and incarceration of a parent. ACEs can lead to toxic stress, which can impact mental, emotional, and physical health into adulthood. 

ACEs are common yet not widely known. In California, three in five young people ages 16–25 have experienced an ACE, and one in five have experienced four or more. And yet, only 10% of Californians surveyed had ever heard of ACEs and understood what they meant. 

In 2023, the Office of the California Surgeon General hired Civilian to create a campaign to raise awareness and support healing from ACEs and toxic stress.

Live Beyond Spanish Tagalog Street Posters Spanish and Tagalog street posters

Our Approach

Our research revealed that, before anything else was possible, people needed to understand what ACEs are. This was critical to both prevention and healing.

To create a campaign that moved from awareness to behavior change—and create it the right way—we convened three advisory boards: subject-matter experts that included physicians alongside the current and former California Surgeons General; young people ages 16–25 affected by ACEs (our primary audience); and caregivers affected by ACEs (our secondary audience).

Guided by our advisors, authentic storytelling became the heart of the campaign, with real people sharing their experiences with ACEs, toxic stress, and healing.

We launched paid media across digital and traditional platforms. Our sponsorship of legendary professional-amateur basketball Drew League in South Central Los Angeles generated more than 1 million impressions through interactive events, social media posts, and powerful testimonials with athletes and celebrities, amplifying real stories of ACEs, toxic stress, and healing.

Given that 90% of Gen Z are online gamers, we partnered with Valkyrae, the most-streamed female gamer on YouTube, who talked about her childhood and healing journey on a livestream. We collaborated with Twitch and Refinery29 for three episodes of Good Game, generating nearly 1.3 million views.

Meanwhile, the campaign’s visual identity—soothing color palette, handwritten text, and candid photography—evoked feelings of safety, authenticity, and support.

Designed with a mobile-first approach, LiveBeyondCA.org offered resources for youth, caregivers, and community providers alongside relatable user-generated content (UGC) from our youth advisors: unedited videos, photos, and artwork showcasing their healing journeys and stress management tips.

Youth outreach
Healthcare provider tool
Social media post
Out-of-home
Livestream event
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Event

The Results

Since its launch in 2024, Live Beyond has sparked a statewide conversation about ACEs and toxic stress, resilience, and collective healing.

IMPRESSIONS

Social media

$1.1 million

IMPRESSIONS

Paid media

$1.4 billion

EARNED MEDIA

Unique placements

50

WEBSITE

LiveBeyondCA.org unique users

$2.6 million

WEBSITE

$3.2 million

ADDITIONAL MEDIA VALUE

Earned media, sponsorships, bonus placements

$2.3 million

A RAND study showed Live Beyond’s significant impact on awareness and action. Caregivers’ ACEs knowledge increased by more than 50 percent, youth adoption of stress busters increased by 10 percent, and, of our priority populations, 60 to 70 percent reported that our ads made them want to learn more, protect their children from ACEs, and take steps to reduce negative effects.

[The Live Beyond campaign] is the first campaign about ACEs to directly focus messaging toward youth and young adults. We’re hearing that they want to understand the science behind ACEs, how these events can negatively impact their mental and physical health and show up in their lives and relationships well into adulthood, and how to heal with evidence-based strategies. That’s exactly what this campaign aims to do.
— Dr. Sohil Sud, Director of California’s Children and Youth Behavioral Health Initiative (CYBHI)
Live Beyond Chinese Poster Chinese poster
Live Beyond Healing Journal Healing journal
Live Beyond Spanish Spot Spotify playlist - Spanish
Live Beyond Social Media Social media posts
Live Beyond Website Website design and development
ACEs explainer video screenshot of symptoms Explainer video
Dr. Ramos video screenshot Dr. Ramos PSA
Valkyrae testimonial video Valkyrae testimonial
Youth standing with his friend in commercial Youth commercial
Spanish caregiver video screenshot of woman with a child in grass Spanish caregiver commercial

The Awards

Hermes Creative

Social Marketing Campaign

PLATINUM
SMANA Gold
SMANA

Overall Social Marketing

GOLD
Shorty Awards
Shorty Impact Awards

User Generated Content

GOLD
Shorty Awards
Shorty Impact Awards

Corp-Community Partnerships

SILVER
PR Daily Awards
PR Daily Awards

Public Health Campaign

OVERALL WINNER