Jennifer,

 

Thanks for your post! Your work sounds really exciting. Have you checked out this story?

To prevent childhood trauma, pediatricians screen children and their parents…and sometimes, just parents…for childhood trauma

Another approach is universal education on ACEs, trauma, and resilience for all parents. I would be very interested in knowing if you are exploring that option, and what that might look like using a pictorial format. Here is the link to the parent handout that we are currently recommending for these efforts: 

 

https://www.pacesconnection.com/...tress-and-resilience

 

Many thanks and look forward to learning more about your work.

Jennifer, I think it was at the end of this excellent interview https://www.youtube.com/watch?v=bOrMMy41i6Y that  (Nadine Burke Harris) in a question about what her legacy will be, she humbly said "a screening tool that Doctors and Paediatricians will use to screen for ACEs" 

Nadine is in the advisory panel for the American Paediatric Association's "The Resilience Project" Check out their page and contact them about a screening tool.

You can also contact the Center for Youth Wellness and ask Nadine or her staff.

 

PS:

The second link is not available any more. Is there another link to the handout for parents?. 
Thanks

https://www.pacesconnection.com/...tress-and-resilience

Thank you Alicia, Leif and Tina!  I am hoping to contact Nadine, I heard her speak at the ACE Summit in Philly a couple of years back.  Just lovely!  I will absolutely reach out to the APA's Resilience Project, as well.

 

The handouts look great!  My pictorial format features a cartoon character (puppy, not child) who could potentially be featured in similar educational tools.  

 

Thanks folks! I fixed the link in my post too...

Hi Jennifer,

I think your tool is so needed - and I'd love to see it one day! We are a community-based mental health center, serving children ages 2 to 12 who have experienced trauma. We ask the parent/guardian to report on their own and their child's ACEs at intake, then their therapist completes an update report after several months when trust has been established and the parent and/or child may have shared more information.

 

I'm also interested in program feedback tools for kids. We have a parent/caregiver satisfaction survey, but we aren't asking our children directly. Would love to have their voices represented as well!

 

Best, Kris

Jennifer,

I'm an activist, mother and an adult who has a high ACE score.

As a mother, I'm trying to imagine my child being asked ACE questions and trying to imagine where, how and when that could happen and what if any benefit it would have to being done without the parent also taking the test.

Depending on the age of the kid I'm wondering how the info. could be used by a pediatrician without the parent's buy in as well as with it.

I'm also thinking of how teachers who did reach out to me when I was a kid seemed intrusive to me. I couldn't take it in or let them help. It was so odd to me and I ran the other way and shut down entirely. I guess I'm just trying to imagine the ways the info. could empower a pediatrician or a child and also parents. I have no answers. Just sharing some responses/reactions from my varied perspectives.

Warmly,

Cissy

I just came across another post re ACEs screening
https://www.pacesconnection.com/...ning-in-primary-care

https://www.pacesconnection.com/...6#416759214743396606

As far as the above post, I would be very Leary of the cairns resilience screener for the pediatric office I think that has a lot of problems associated with it.

If you look in the comments on this blog by Jane you can get my approach. For adolescents we are supposed to be giving them in private the HEADSSS screener you can google it or Minnesota dept of health has it also. These screeners all get into deeper stuff but unless the doc is supposed to be a plumber, we have to do this.

Here is HEADSSS (Dr. Rosen, now passed on, was my med school adolescent prof --- he stressed the Headsss screening and as I have a high ACE score I always thought it very important to use but as you ask some of these questions it is easy to put in the ace questions for example if an adolescent is suicidal why? Or is there violence at home - have you ever been hurt physically, sexually or emotionally by someone close to you? There are lots of ways to get at this.

http://www2.aap.org/pubserv/ps...ges/files/headss.pdf

Love hearing this information. The link to the Resilience Project at the AAP is www.aap.org/theresilienceproject. They have some tools and general questions to get conversations started. There are also some new resources in the AAP Trauma Tool Box for Primary Care at www.aap.org/traumaguide that folks may find helpful. Thanks for all the amazing work you all are doing!

 

Peace,

Heather Fitzpatrick

Jennifer, sorry I didn't see your post sooner. I submitted oral & written testimony to the Vermont Legislative Trauma Commission in Oct. 2000. During the 2013 Vermont legislative session, House Bill 762, requiring ALL health care providers in Vermont to screen for ACEs, had one of it's eight sections pass. One Vermont ACEsConnection member, that I knew of, was working on how to phrase the questions, and I don't know if gender specific, or age specific, or what eventually came out of that process.

Some years ago, my Primary Care provider, in New Hampshire, had a computerized trauma questionaire, administered by a dual resident (Psych & Internal Med) which reportedly originated with Stan Rosenberg, M.D. at NH Dartmouth Psychiatric Research. At least two NH Dartmouth Psych Research staff are also members of ACEsConnection, and could probably advise of its status. Also, the (VA) National Center for PTSD Library in White River Junction, Vt., reportedly the best collection of PILOTS (Published International Literature On Traumatic Stress) in the world, has an assortment of clinician assessment tools, on line, at their website. Since they are "affiliated" with Dartmouth.edu they may have ready access to the 2000 Rosenberg version, and their library may have critiques on its use. I don't know if they have the ACE screening tool adopted by the World Health Organization-which WHO used in their 2013 assessment of the World's Healthiest Children. WHO also recently screened Turkish College Students for ACEs, and may have used something different for college age. WHO's website has a report on the Turkish college Student ACE screening. Feel free to "[private] DIALOG" me for the names of particular ACEsConnection members noted above.

I just posted a video from Dr Wendy Tink, the video is a webinar for physicians. It includes a survey of what stops doctors from asking ACE related questions and suggestions to those doctors on how to reword the questions so they are less invasive or difficult to ask. 
https://www.pacesconnection.com/...d-experiences-28-min