Augmenting the ACEs Collaborative’s larger 2016 Environmental Scan, in 2018 we set out to offer a more in-depth snapshot of organizations working to address trauma. This report, based on an additional round of 27 interviews included five organizations that were part of the original scan and 22 that had not been previously interviewed. As with the 2016 scan, efforts were made to include organizations representing a wide variety of sectors; those that were at different points along the implementation journey; large and small organizations; those who provide direct service; and those that are facilitators of trauma training.