Adverse Childhood Experiences in Non-Westernized Nations: Implications for Immigrant and Refugee Health

Solberg, Marvin A.; Peters, Rosalind M.

doi:10.1007/s10903-019-00953-y

Cited by 35 publications

(17 citation statements)

References 24 publications

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“…Lowincome, underserved communities are particularly susceptible. A history of trauma is almost universal among patients with mental health and substance use disorders, those experiencing homelessness, military veterans, those with a history of incarceration, and among refugees [5,[11][12][13][14][15][16]. Additionally, patients may be 1, 2 3 4 5, 3…”

Section: Introductionmentioning

confidence: 99%

Feasibility and Impact of Trauma-Informed Care Training in Internal Medicine Residency: A Pilot Study

Ramadurai¹,

Knoeckel²,

Stace³

et al. 2022

Cureus

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Introduction: Mounting evidence indicates that early life trauma is highly prevalent and associated with adverse health outcomes later in life. However, primary care providers report lacking the training to effectively address trauma encountered in daily practice. There is a paucity of research describing the implementation and evaluation of trauma-informed care (TIC) curricula within Graduate Medical Education.Methods: We piloted a three-hour TIC workshop facilitated by a community-based psychologist expert to assess the feasibility and impact of TIC training on Internal Medicine (IM) residents' knowledge, attitudes and skills related to TIC. Participants were a subset of IM residents in a health-equity-focused curricular pathway in the University of Colorado IM Residency. Residents completed anonymous surveys one week before and after the workshop, and a final survey 10 weeks later. Residents who did not participate in the workshop completed a similar baseline survey (control group). Data were analyzed using matched pair Ttests.Results: Fourteen of 20 residents (70%) who participated in the pilot workshop completed the initial survey. Of these, 10 (71%) completed the first post-workshop survey, and seven (50%) completed the final survey. We observed significant improvements in residents' self-reported knowledge, attitudes and skills related to TIC. The majority of residents in the control group reported a desire for TIC training.Conclusions: TIC is an important curricular gap in IM training. A single, brief TIC workshop was feasible and was associated with improved self-reported knowledge, attitudes and skills among IM residents.

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Section: Introductionmentioning

confidence: 99%

Feasibility and Impact of Trauma-Informed Care Training in Internal Medicine Residency: A Pilot Study

Ramadurai¹,

Knoeckel²,

Stace³

et al. 2022

Cureus

View full text Add to dashboard Cite

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“…A systematic review of the fourteen available studies of the ACE-IQ in low-and middle-income countries found that the proportion of children with high levels of exposure to adverse experiences was far greater in non-Western nations; 80% of individuals in Saudi Arabia had at least one ACE exposure [14]. Solberg et al concluded that the correlation between ACEs and negative health outcomes means that using the ACE-IQ is helpful for public health surveillance [14]. Solberg extends this idea to argue that migrant populations in the US should be the focus of enhanced access to mental health and social services-which suggests a policy leap on the basis of ACE scores.…”

Section: Synthesis Of Existing Research Into the Global Application Of The Ace-iqmentioning

confidence: 99%

The Relevance of the Adverse Childhood Experience International Questionnaire to Working Children: Knowledge Gaps and Implications for Policy Makers

Rutter

2021

Children

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(1) Adverse childhood experiences (ACE) are a global challenge, prioritized in the United Nations’ Sustainable Development Goals. The ACE questionnaire is widely adopted in the USA as a tool for measuring population-level trends, such as negative health, behavioral, and economic outcomes. Intuitively, children in resource-scarce settings are exposed to higher levels of trauma. To understand the global picture, the World Health Organization (WHO) adapted the ACE international questionnaire (ACE-IQ), to inform policy and target interventions. However, evaluation of whether the ACE-IQ captures the experiences of around 160 million working children remains limited. (2) I applied the ACE-IQ scoring tools to detailed case studies of working children, comparing issues highlighted by holistic assessment to those captured by the ACE-IQ. (3) The ACE-IQ struggles to capture nuance across cultural contexts. As a consequence, application of the ACE-IQ as a policy tool risks “policy failure”. The tool reflects prevalent Western concerns, such as school attendance and parental supervision, but global concerns affecting working children such as forced economic migration and famine are neglected. This limitation produces “policy myopia”, sidelining certain global challenges. (4) The ACE-IQ is a useful public health tool, increasingly used to define policy goals. However, given the limitations of the ACE-IQ, the consequences of prioritizing these particular policy goals need to be actively acknowledged and mitigated.

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“…When both groups arrive to the host country, they recognize an urgent need for information about housing, transportation, education, employment, social services, and healthcare. They are bound to receiving information from their small world (e.g., family, friends, ethnic society members) through informal channels, or through limited access to the outside world via formal sources of information (e.g., medical professionals, lawyers, social workers, mass media, public libraries, non‐governmental organizations, detention centers, refugee camps) (Fisher, Durrance & Hinton, 2004; Hassan & Wolfram, 2020; Oduntan & Ruthven, 2020; Solberg & Peters, 2020; Wang, Huang, Li, & Chen, 2020; Zimmerman & Beam, 2020; Zimmerman, 2018).…”

Section: Panel Formatmentioning

confidence: 99%

Conceptualizing Relevance of Information as a Social Justice Issue: An Interactive Panel Discussion

Winberry

Gray

Hardÿ

et al. 2021

Proceedings of the Association for Information Science and Tech

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Relevance is a notion whose meaning and purpose have been widely discussed in information retrieval research. The ultimate aim of relevance-what Tefko Saracevic has called the "you know" principle-is to ensure that users have the information necessary to meet their goals. What is often missing from this discussion is a critical assessment of who gets to decide what information is relevant, under what circumstances, and for what purposes-especially in relation to marginalized populations. The limited discussion of social justice in information relevance research is a gap this interactive panel discussion seeks to address. Five emerging, junior, and senior researchers will each identify and outline social justice themes of information relevance (e.g., intersectionality, Black feminist lens, geography, immigration status, and holistic critical relevance) that have been evident in their own scholarship. Audience members will have an opportunity to expand on one of the five themes in concert with a panelist before participants consider together future directions for relevance of information in a social justice context. While each participant may have different definitions of social justice, a broad interpretation of the term will frame the conversation by indicating how information relevance can move society towards a fairer and more equitable future.

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Adverse Childhood Experiences in Non-Westernized Nations: Implications for Immigrant and Refugee Health

Cited by 35 publications

References 24 publications

Feasibility and Impact of Trauma-Informed Care Training in Internal Medicine Residency: A Pilot Study

Feasibility and Impact of Trauma-Informed Care Training in Internal Medicine Residency: A Pilot Study

The Relevance of the Adverse Childhood Experience International Questionnaire to Working Children: Knowledge Gaps and Implications for Policy Makers

Conceptualizing Relevance of Information as a Social Justice Issue: An Interactive Panel Discussion

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