COMING SOON: New ACEs Aware Grant Opportunity to Support Trauma-Informed Networks of Care [acesaware.org]

Rafael Maravilla(PACEs Connection Staff) 11/18/207:14 PM

In early December 2020, the Office of the California Surgeon General and the Department of Health Care Services plan to release a Request for Proposal (RFP) for a second round of ACEs Aware grant funds. The new grants will target communities that want to build or execute on a robust network of care to effectively respond to ACE screenings and meet the needs of patients and families.

This grant opportunity will support the continued development of networks of care designed to address ACEs and toxic stress across California. Funds will be available to create, augment, and sustain formal connections between health care providers, social service systems, and community partners to address the referral and response needs of children and families following an ACE screening, and to prevent future trauma, whenever possible.

Two types of grants will be available – network of care planning and network of care implementation. The planning grant will be targeted to communities that have a high prevalence of ACEs, rural areas, tribal communities, and other communities that do not have an existing ACEs Aware grant project underway. The implementation grant will be awarded to communities that demonstrate a high level of readiness to operate trauma-informed networks of care. More information about the RFP will be available at ACEsAware.org in the coming weeks.

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Vincent J. Felitti, MDMember

I would strongly suggest consideration of developing a comprehensive medical history questionnaire with ACEs integrated, to be placed on the Internet at no charge. Patients would add their names only after answering the questions and disconnecting, thereby guaranteeing privacy. A sample is attached of the questionnaire we developed in my Department at Kaiser Permanente in San Diego. Also attached is an anonymized actual patient output. This is what we knew before even meeting the patient.

If such a questionnaire were available on the Internet, any person who wished could fill it out and give this output to their physician. The Kaiser questionnaire is copyrighted, but exemplifies the concept to be redeveloped. It was highly accepted by patients and produced significant savings in subsequent medical care because of the uncommonly comprehensive medical data that was made routinely available for their care. There is much more to be said, but this may be a helpful start on an important discussion: how to affordably provide a comprehensive medical history in all patient care, and with routine incorporation of the questions pertaining to adverse childhood experiences.