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State PACEs Action

Reply to "Improving the Adverse Childhood Experiences Study Scale"

Kathy, I very much appreciate the clarification of concerns, and objections you noted above. I wish that I had seen it sooner. I've had periodic discussions with one Vermont House member-who's a retired School Principal- and he didn't clarify the concerns as well as your post above. I believe you have articulated a reasonable argument as it applies to both the 2013 Vermont House Bill 762, and use of the ACE questions in the annual State BRFSS (Behavioral Risk Factor Survey Study)-even though not all 50 states may be trying to ascertain ACE data in their BRFSS. 

I am curious whether the World Health Organization (WHO) considered such factors when they adopted the ACE screening tool which they used in their 2013 assessment of the world's healthiest children.

The current WHO ACE International Questionaire , and accompanying guidebook, seem to have differently worded questions, which are arranged sequentially depending on previous answers, and seem to consider additional events and circumstances that might cause "toxic stress"-which were not among the CDC/Kaiser-Permanente original [8-10] questions. It is also available in a multitude of languages, on the WHO website.

Can we ACEsConnection.com members ascertain if our home state BRFSS personnel have also addressed similar concerns, as well as ascertain what alternative strategies may be being used to administer such questioning ? ? ?

Thank You Kathy, for addressing this matter.

Last edited by Robert Olcott
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