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Reply to "What would you say is the difference between TIC and ACEs informed care?"

I provide ACES awareness in my Emergency Medical Technician capacity. This year I shadowed CARE 7 teams in Tempe, AZ. They provide excellent trauma mitigation in a whole array of human traumatic experiences. Their clinicians, old and fresh out of college practice "Do no harm". Which I attempt to tip toe around when informing patients about ACES and how it has effected their lives. 

I told them of the interaction I had with someone in the peripheral of the scene we were dispatched to. An adult male that had physical signs of poor health and drinking Jack and Coke from a 32 oz. insulated sippy Cup. If you have never been to Tempe, It's hot there. I asked him of his childhood. He likened himself to a red headed hated step son. He was beaten regularly by his father and once so badly that he couldn't get out of bed for 3 days. I connected the dots for him and told him that his present health was connected to his childhood treatment. His reply "Your kidding me". I told him I was not. The clinicians thought it was horrible that I addressed such a horrible childhood trauma outside of a formal clinical setting.  Now understand, CARE 7 is TIC. But they have the overriding practice of Cause No Harm. When challenged by their CNH practice, I replied with how would he ever know about the connection of ACE and his present health. He would of taken his story to the grave. And probably is going to be buried by it.

TIC is the little secret that "I know something happened to you. So I won't judge you." Because of ACE Study the practice of TIC evolved. It is how you want to apply the study is the difference. 

I know of two people that went to the same facility for counseling. The two have different counselors. One counselor had intake questionnaire with childhood trauma. The other only started sometime after the third session, down the path of childhood trauma. Only after being prompted by the patient. Both patients are ACE informed. 

 

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