Select the appropriate screening tool
Screening for ACEs helps primary care clinicians assess risk for toxic stress and guide effective responses. To receive Medi-Cal payment for conducting ACE screenings, clinical team members in California must use the following screening tools for children, adolescents, and adults.
The tools are available in 17 languages and in de-identified and identified formats so providers can choose the approach that works best for them and their patients:
- De-Identified Screening: Respondents count the number of ACE categories on the screening tool and indicate only the total score — without identifying which ACE(s) they or their child experienced.
- Identified Screening: Respondents count the number of ACE categories on the screening tool and indicate which ACE(s) they or their child have experienced.
Pilots of the pediatric ACE screening tool in a large pediatric setting indicate that randomization via the de-identified (as opposed to the identified) format may facilitate higher rates of disclosure and greater patient comfort with the screening experience.