Evidence map›Paper›PMID 40185638›Full record

ArticleJournal of the American Board of Family Medicine : JABFM2025

Integrating Adverse Childhood Experiences and Social Risks Screening in Adult Primary Care.

India Gill, Ariana Thompson-Lastad, Denise Ruvalcaba, Laura M Gottlieb, Danielle Hessler Jones

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Research on the Social Context of Medicine and the Modern Family Physician.Journal of the American Board of Family Medicine : JABFM
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

India GillFrom the Social Interventions Research and Evaluation Network, University of California San Francisco, San Francisco, CA (IG, LMG, DHJ); Osher Center for Integrative Health, University of California San Francisco, San Francisco, CA (AT-L, DR); Department of Family and Community Medicine, University of California San Francisco, San Francisco, CA (LMG, DHJ, AT-L). india.gill@ucsf.edu.
Ariana Thompson-LastadFrom the Social Interventions Research and Evaluation Network, University of California San Francisco, San Francisco, CA (IG, LMG, DHJ); Osher Center for Integrative Health, University of California San Francisco, San Francisco, CA (AT-L, DR); Department of Family and Community Medicine, University of California San Francisco, San Francisco, CA (LMG, DHJ, AT-L).
Denise RuvalcabaFrom the Social Interventions Research and Evaluation Network, University of California San Francisco, San Francisco, CA (IG, LMG, DHJ); Osher Center for Integrative Health, University of California San Francisco, San Francisco, CA (AT-L, DR); Department of Family and Community Medicine, University of California San Francisco, San Francisco, CA (LMG, DHJ, AT-L).
Laura M GottliebFrom the Social Interventions Research and Evaluation Network, University of California San Francisco, San Francisco, CA (IG, LMG, DHJ); Osher Center for Integrative Health, University of California San Francisco, San Francisco, CA (AT-L, DR); Department of Family and Community Medicine, University of California San Francisco, San Francisco, CA (LMG, DHJ, AT-L).
Danielle Hessler JonesFrom the Social Interventions Research and Evaluation Network, University of California San Francisco, San Francisco, CA (IG, LMG, DHJ); Osher Center for Integrative Health, University of California San Francisco, San Francisco, CA (AT-L, DR); Department of Family and Community Medicine, University of California San Francisco, San Francisco, CA (LMG, DHJ, AT-L).

Funding

Produce Prescriptions and Group Medical Visits: Addressing Food Insecurity and Social Isolation in Primary CareK01MD015766 · NIMHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Ariana Lauren Thompson-Lastad · 2022 to 2026
$687k
NIMHD NIH HHS K01 MD015766
6 · The paper itself

Abstract

backgroundIn 2020, the state of California started financially incentivizing primary care practices to screen for adverse childhood events (ACEs). In its current Medicaid 1115 waiver, the state also has encouraged health care teams to screen for social risks (SR) - (eg, food, housing, and transportation insecurity). In this qualitative study, we explore community health center (CHC) staff and patient perspectives about opportunities and barriers to integrating adult screening for ACEs and SR.

methodsWe identified eligible California CHCs through Medicaid claims data on ACEs screening and/or participation in ACEs or SR-related learning collaboratives. Staff and/or patients in 12 clinics participated in semistructured interviews exploring opportunities and barriers to integrated ACEs and SR screening. Interviews were analyzed using a rapid qualitative data analysis approach.

resultsThirty-nine clinic staff (including clinic leaders, allied health professionals, licensed clinicians) and 10 patients participated. While staff and patients often conceptually endorsed integrated ACEs and SR screening, they identified substantial practical barriers to integration. Barriers primarily related to different screening frequencies and workflows. Other barriers reflected broader primary care time constraints and workforce shortages. Participants shared multiple recommendations to improve screening programs, including strategies for combining ACEs and SR screening. DISCUSSION: California CHC staff and patients described several conceptual benefits of integrating ACEs and SR screening, but longstanding primary care challenges make it complicated to integrate these activities. Standardizing the integration of ACEs and SR screening will require institutional and structural shifts to overcome common barriers to providing whole person care.

Indexed as

Adverse Childhood ExperiencesMass ScreeningPrimary Health CareAdultCaliforniaCommunity Health CentersFemaleHumansMaleMedicaidMiddle AgedQualitative ResearchUnited StatesYoung AdultAdverse Childhood ExperiencesCommunity Health CentersIntegrated Health Care SystemsPatient-Centered CarePhysician-Patient RelationsSocial Risk Factors

Identifiers

PMID40185638
PMCPMC12096384

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.