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Reply to "States that reimburse medicaid providers for ACEs screening - help"

Tina Cain posted:

I wish someone would have screened my family members for attachment trauma and personality disorders.  That’s where this gets passed from  generation to generation, at least the most severe stuff we see in pediatrics.

I screened in my own informal way with carefully selected patients since 2004. Do you think that in a system with screening as performed by CYW that patients will really open up to these questions? I don’t but I don’t knw for sure.  I do know that I’m not sure that it’s wise asking patients each of these 10 questions in such a detached manner.   

I often find myself wondering why we aren’t trying to figure out which questions are most effective at getting the information that we need in pediatrics to provide the best care and break the cycle of generational transmission.  I wish Dr. Green were still alive. I’d really like to ask for his thoughts. 

When these 10 questions are set up in an Assembly Line fashion, I believe that many patients will not answer these questions honestly.  I don’t blame them.   I don’t believe I would answer honestly anymore. 

I often ask (apart from What happened?)

When did this begin ?  When did it start ?  or  Since when is it like this ?

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