Introduction: Long-term, negatives effects on health are linked to adverse childhood experiences (ACEs) (CDC, 2020). Chronic toxic stress caused by ACEs may lead to complex trauma, which in children can manifest as increased anxiety, difficulty self-regulating, limited positive coping skills, and difficulty with social skills and communication (van der Kolk, 2003). These are skills that can impact a child’s performance in their occupations of education, play, social participation, rest and sleep, and leisure (AOTA, 2020). An occupational therapy directed Doctoral Capstone Experience (DCE) addressing the negative mental health implications of ACEs for children will add to the body of literature supporting the role of occupational therapists in preventing or preventing and addressing the negative outcomes linked to ACEs. Theoretical Framework: The occupation-based model (OBM), Ecology of Human Performance (EHP); along with the Psychodynamic frame of reference (FOR), and Daniel Goleman’s Theory of Emotional Intelligence guided professional reasoning and program development throughout the DCE. Methods: The culmination of this 14-week Doctoral Capstone project is an implementable, occupational therapy driven, emotional literacy program for children at a local community center aimed to improve the children’s knowledge of their own emotions, how their emotions impact others, and coping mechanisms to aid in self-regulation. There are six total program sessions, with one session completed each week of program implementation. Results: All three participants showed an increase in total GAS score following program completion. The Youth Directors' satisfaction with program structure, duration, materials ranged from very satisfied to extremely satisfied. The following overall program themes were found: Positive Participant Reactions, Difficulty with Written Tasks and Attention to Task, and Remembering Visual/Kinesthetic Activities. Conclusions: There is a need to address and mitigate ACE-related negative outcomes in children from marginalized and economically disadvantaged groups. Addressing how ACE’s and complex trauma impacts a child’s participation in their occupations is within Occupational Therapy’s scope of practice.