As of Jan. 1, 2020, almost 100,000 physicians in 8,800 clinics will be reimbursed for routinely screening Medi-Cal patients for adverse childhood experiences (ACEs), in an effort California hopes will help prevent ongoing ACEs-related stress and disease. Here are nine big questions surrounding the change.
California must not stand alone in its commitment to trauma-informed primary care. Every state should look to California as their North Star and embrace trauma-informed care as the norm, not the exception, writes Chuck Ingoglia for CalMatters.
On January 1, 2020 California began the first U.S. state to screen for adverse childhood experiences. The project is not just a public health initiative, but a vast experiment, writes Emily Underwood from Science Magazine in an exploration of this pioneering initiative.
“Family physicians have helped patients deal with adversity and its complications since our inception as a specialty, for we have always intuitively addressed not just the disease but also the context in which our patients live. Now there is a name for one of these sources of trauma — adverse childhood experiences — with a growing body of science behind it.”
Dr. Dayna Long talks with ACEs Connection staff reporter Laurie Udesky about ACEs science, what led to the PEARLS tool, and how training in trauma-informed practices is an ongoing process.
“Adverse Childhood Experiences and toxic stress will cost California over a trillion dollars in the next 10 years,” said California Surgeon General Dr. Nadine Burke Harris. “This research demonstrates that our imperative is not only ethical and moral, we have a strong economic imperative as well.”
There’s more research than ever on Adverse Childhood Experiences since the original study was released in the late 90s. Read what experts have discovered when it comes to ACE consequences, who’s most at risk, and how parents can help.
Jim Hickman, CEO of the Center for Youth Wellness, discusses the need to remove barriers to care and prevent intergenerational ACEs by addressing social inequities at the systems level — something that is essential to the success of interventions and healing.
By screening children, health providers hope to intervene earlier in treating their traumas and preventing chronic stressors in order to put the child on a better pathway through life.