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- Title
Trauma‐Responsive Care in a Pediatric Setting: Feasibility and Acceptability of Screening for Adverse Childhood Experiences.
- Authors
Kia‐Keating, Maryam; Barnett, Miya L.; Liu, Sabrina R.; Sims, Ginette M.; Ruth, Andria B.
- Abstract
Highlights: This study focused on implementation processes, and facilitators and barriers to ACEs screenings.There was high feasibility and acceptability of ACEs screenings at infants' pediatric visits.Almost half of families at well‐child pediatric visits indicated positive for ACEs.A majority of families with ACEs accepted prevention services in the pediatric setting.Wellness navigators provided a cultural bridge and service access in integrated behavioral health. Adverse childhood experiences (ACEs) have demonstrable negative effects on long‐term physical and mental health. Low‐income and ethnic minority communities face significant disparities in exposure to ACEs. Pediatric settings offer an opportune context to identify and address ACEs, with the potential to reduce barriers in access to resources and services. The current study examined the feasibility and acceptability of screening infants and their parents for ACEs at a community medical clinic. Feasibility data indicated that 151 (92%) of the 164 unique patients that presented for well‐child visits for infants (4‐ to 12‐months) across a 13‐month period were screened for infant and parent ACEs. Of these 151 patients, 47% met eligibility (infants with 1 + ACEs, parents with 2 + ACEs) deemed intermediate risk and indicated referral to prevention services. The majority of referred families (77%) accepted prevention services, including appointments with bilingual and bicultural wellness navigators who provided a cultural bridge and access to resources that could address patients' social determinants of health. Qualitative interviews with providers expand upon screening acceptability. Implications for integrated behavioral health, ACEs screening, and trauma‐responsive prevention in a pediatric setting are discussed.
- Subjects
ADVERSE childhood experiences; MEDICAL screening; PARENT-infant relationships; MENTAL health; CLINICS
- Publication
American Journal of Community Psychology, 2019, Vol 64, Issue 3/4, p286
- ISSN
0091-0562
- Publication type
Article
- DOI
10.1002/ajcp.12366