Over the past four years, MaineHealth has stretched its understanding of and response to childhood trauma and ACEs in the patients we serve through a systematic implementation of child trauma screening and treatment response in pediatric practices across our large healthcare system. Led by pediatrician Steve DiGiovanni and supported by healthcare leadership, a framework using SAMSHA’s the 4 Rs (Realize, Recognize, Respond, & Resist Re-Traumatization) has been adopted and guided by trauma informed principles. Our system has catapulted forward responding to a public health crisis that demands attention. We have developed pathways to screening and responding to trauma in patients, along with data portals to track our progress and outcomes. We will walk you through our transformation on addressing trauma and ACES in our primary care settings, identifying success and challenges along the way, as well as lessons learned that have helped to shape workflows.
- Participants will be able to identify systemic interventions to incorporate ACES screening tools into usual care
- Participants will be able to describe a dyad arrangement that can be used to develop trauma informed programs
- Participants will have access to a toolkit of information that would support development of ACES screening implementation in other systems
- "The Biological Effects of Childhood Trauma"
- SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach.
- Center for Developing Child, Harvard University. https://developingchild.harvard.edu/
- The Lifelong Effects of Early Childhood Adversity and Toxic Stress, Pediatrics 2012;129;e232; December 26, 2011 . AAP Policy Statement 2018
- The National Child Traumatic Stress Network. https://www.nctsn.org/