Client and Provider Discomfort With an Adverse Childhood Experiences Survey

Mersky, Joshua P.; Lee, Chien-Ti Plummer; Gilbert, Ross M.

doi:10.1016/j.amepre.2019.02.026

Cited by 31 publications

(32 citation statements)

References 33 publications

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“…A community assessment of available resources should be available for clinicians to provide patients who screen positive for ACEs. 22 Research findings support the need for clinician and staff education to successfully incorporate ACE screenings. One effective implementation strategy was a 4-hour training on ACE health impacts and trauma-informed care; the sessions increased clinician comfort, knowledge, and screening confidence.…”

Section: Implementation Of Ace Screeningmentioning

confidence: 69%

“…Over 80% of the 1,678 women assessed indicated they were not uncomfortable or minimally uncomfortable with finishing an ACE screen with the assessor. 22 Home screening acceptability offers an additional ACE screening platform for young families. 23 Johnson et al 23 proposed early intervention and linkage to resources are critical for young families given the importance of parent-child relationships and child development.…”

Section: Acceptability Of Ace Screeningmentioning

confidence: 99%

“…Although perceived barriers were noted before the implementation of ACE screenings, 8 studies echoed similar themes addressing feasibility postimplementation. 12,16,[19][20][21][22]25,26 Clinicians perceived ACE screenings to help develop a deeper clinician-patient relationship, highlight the mind and body connection, and foster integrated care. 25 In the study by Gillespie and Folger, 12 clinicians felt ACE screenings fostered a trusting relationship, increased their empathy toward patients, and led to better communication.…”

Section: Feasibility Of Ace Screeningmentioning

confidence: 99%

“…Client discomfort may be lessened by ensuring that the clinician is comfortable discussing ACE issues. 22 Clinician discomfort is evident to patients in verbal or nonverbal cues, which increases patients' discomfort in being screened. 22 Patients are willing to discuss trauma exposure and believe their clinicians will be able to provide assistance in a sensitive manner.…”

Section: Implementation Of Ace Screeningmentioning

confidence: 99%

“…22 Clinician discomfort is evident to patients in verbal or nonverbal cues, which increases patients' discomfort in being screened. 22 Patients are willing to discuss trauma exposure and believe their clinicians will be able to provide assistance in a sensitive manner. 20 Education and training on ACE screening can mitigate clinician discomfort, a sentiment echoed throughout the studies included in this review.…”

Section: Implementation Of Ace Screeningmentioning

confidence: 99%

See 4 more Smart Citations

Screening for Adverse Childhood Experiences: Literature Review and Practice Implications

Rariden¹,

SmithBattle²,

Yoo³

et al. 2021

The Journal for Nurse Practitioners

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Adverse childhood experiences (ACEs) are linked with negatively impacting child and adult health outcomes. Clinicians are integral in identifying childhood adversities and offering supportive measures to minimize negative effects. This systematic literature review included 13 ACE studies that examined the acceptability, feasibility, and implementation of ACE screenings from the perspectives of clinicians and patients. The findings of this review can assist clinicians in considering the appropriateness of ACE screenings for their patients and the ethical and practical issues that must be addressed for effective screening implementation.

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Section: Implementation Of Ace Screeningmentioning

confidence: 69%