Pediatric Well Child Checks (WCCs) are routine points in medical care that offer opportunities for wellness promotion, broad screening, and further engagement of children and families in clinic services and ongoing care planning. WCCs allow the provision of targeted anticipatory guidance to address risk factors before they become clinical concerns. Adverse Childhood Experiences (ACEs) are known to be a risk factor for a variety of negative behavioral and physical health outcomes. Cherokee Health Systems (CHS) recently worked to identify and implement strategies to screen for and reduce the impact of ACEs on our patient population. This presentation will provide an overview of our process to identify and implement our current trauma informed approach with WCCs. The presentation will also provide preliminary data on how ACEs screening is helping improve understanding our patients and target efforts to improve continuity of care for our most at risk families.
- At the conclusion of this presentation participants will be able to identify adverse childhood experiences that commonly affect pediatric populations.
- At the conclusion of this presentation, participants will be able to list three strategies for promoting trauma informed care in their own agencies.
- At the conclusion of this presentation, participants will be able to identify and discuss at least two different strategies for screening for ACEs in WCC in Primary Care.
- Koita, K., Long, D., Hessler, D., Benson, M., Daley, K., Bucci, M., et al. (2018) Development and implementation of a pediatric adverse childhood experiences (ACEs) and other determinants of health questionnaire in the pediatric medical home: A pilot study. PLoS ONE 13 (12): e0208088. https://doi.org/10.1371/journal.pone.0208088
- Bellis, M., Hughes, K., Hardcastle, K., Ashton, K., Ford, K., Quigg, Z., & Davies, A. (2017). The impact of adverse childhood experiences on health service use across the life course using a retrospective cohort study. The Journal of Health Services Research & Policy, 22 (3).
- Korotana, L., Dobson, K., Pusch, & Josephson, T. (2016). A Review of Primary Care Interventions to Improve Health Outcomes in Adult Survivors of Adverse Childhood Experiences, Clinical Psychology Review, doi: 10.1016/j.cpr.2016.04.007
- Conn, A., Szilagyi, M., Jee, S., Manly, J., Briggs, R., Szilagyi, P. (2018). Parental perspectives of screening for adverse childhood experiences in pediatric primary care. Families, Systems, & Health, 36 (1).
- Gilbert, L., Breiding, M., Merrick, M., Thompson, W., Ford, D., Dhingra, S., & Parks, S. (2014). Childhood Adversity and Adult Chronic Disease: An update from ten states and the district of Columbia. American Journal of Preventive Medicine.