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ACEs are prevalent in the caseload though figures are likely an under-representation because currently this information is assessed informally and is clinician-dependant. The CSA assessment is an opportunity to talk to CYP and families about mental health, ACEs and trauma with appropriate signposting. It is also an opportunity to work on building resilience in collaboration with a dedicated psychologist, social care, police, school and health visitors. Proposals. Focused mental health risk questions incorporated into the CSA proforma guiding onward intervention. Develop a patient-led tool assisted by CYP user groups for collecting a robust ACE enquiry. A bespoke 'Resilience plan' for each child.. ACE-special interest group for sharing information and collaborating with other teams and multi-agencies.

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