ArticleJournal of the American Board of Family Medicine : JABFM
Screening for Adverse Childhood Experiences in a Family Medicine Setting: A Feasibility Study.
Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.
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41 citing papers in PubMed, 117 citations in OpenAlex.
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- Exploring Provider Perspectives on Gaps in Trauma-Informed Care Delivery Within the Acute Care Surgery Timeline at a Federally Qualified Health Center: Human-Centered Design Study.JMIR perioperative medicine · 2026Article
- From Childhood Trauma to Adult Mental Health Difficulties: Exploring the Role of Intimate Partner Violence Among Rural Indian Women.Journal of family violence · 2025Article
- Cannabis Use and Adverse Childhood Experiences Among Cancer Survivors.Cancer medicine · 2025Article
- Adverse childhood experiences and common mental disorders among young people in Ethiopia: a cross-sectional study using WHO ACE-IQ.BMJ open · 2025Article
- The utility of trauma history and current psychopathology in predicting preventive health behaviors.Scientific reports · 2025Article
- Adverse Childhood Experiences (ACEs) Screening in Primary Care Settings for Adults: A Systematic Review.Journal of child & adolescent trauma · 2025Article
- A National Trauma-Informed Adverse Childhood Experience Screening and Intervention Evaluation Project.Children (Basel, Switzerland) · 2025Article
- ACE Enquiry in Primary care: A Qualitative Exploration of the Perspective of General Practitioners in Northern Ireland.Journal of child & adolescent trauma · 2025Article
- The California adverse childhood experiences screening roll-out: a survey study of ACEs screening implementation in primary care.Frontiers in public health · 2025Article
- The effect of adverse childhood experience training, screening, and response in primary care: a systematic review.EClinicalMedicine · 2023Review
- Awareness of Toxic Stress and Adverse Childhood Experiences among Dutch Pediatric Health Care Providers: A National Survey.Clinical medicine & research · 2022Article
- Commonly occurring adversities in families as risk factors for developing psychosocial and psychiatric morbidities: evidence from general practice.BJPsych open · 2022Article
- Inter-Clinician Variability in Primary Care Providers' Adverse Childhood Experience Knowledge, Training, Screening Practices, and Perceived Intervention Barriers: an Exploratory Cross-Sectional Study.Journal of child & adolescent trauma · 2022Article
- Establishing Trauma-Informed Primary Care: Qualitative Guidance from Patients and Staff in an Urban Healthcare Clinic.Children (Basel, Switzerland) · 2022Article
- Beliefs as Mediators of Relations Between Exposure to Violence and Physical Aggression During Early Adolescence.The Journal of early adolescence · 2022Article
- Racial Differences in the Risk of Prenatal Depression Among Women Experiencing Childhood and Adult Stressors.Maternal and child health journal · 2022Article
- Adverse childhood experiences and health among indigenous persons experiencing homelessness.BMC public health · 2021Article
- Screening for Adverse Childhood Experiences: Literature Review and Practice Implications.The journal for nurse practitioners : JNP · 2021Article
- Private well water testing promotion in pediatric preventive care: A randomized intervention study.Preventive medicine reports · 2020Article
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3 authors at 1 institution in 1 country.
Funding
Abstract
introductionThe role of adverse childhood experiences (ACEs) in predicting later adverse adult health outcomes is being widely recognized by makers of public policy. ACE questionnaires have the potential to identify in clinical practice unaddressed key social issues that can influence current health risks, morbidity, and early mortality. This study seeks to explore the feasibility of implementing the ACE screening of adults during routine family medicine office visits.
methodsAt 3 rural clinical practices, the 10-question ACE screen was used before visits with 111 consecutive patients of 7 clinicians. Clinician surveys about the use of the results and the effect on the visits were completed immediately after the visits. The presence of any ACE risk and "high-risk" ACE scores (≥4) were compared with clinician survey responses.
resultsA risk of ACEs was present in 62% of patients; 22% had scores ≥4. Clinicians were more likely to have discussed ACE issues for high-risk patients (score 0-3, 36.8%; score ≥4, 83.3%; P =. 00). Clinicians also perceived that they gained new information (score 0-3, 35.6%; score ≥4, 83.3%; P = .00). Clinical care changed for a small proportion of high-risk patients, with no change in immediate referrals or plan for follow-up. In 91% of visits where a risk of ACEs was present, visit length increased by ≤5 minutes.
conclusionsIncorporation of ACE screening during routine care is feasible and merits further study. ACE screening offers clinicians a more complete picture of important social determinants of health. Primary care-specific interventions that incorporate treatment of early life trauma are needed.
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