This toolkit is a guide for primary care providers and care teams who intend to implement routine screening for ACEs into practice. It offers a framework for planning and implementing these screenings, provides context that is essential to effective implementation, describes change concepts and offers resources to support practice changes.
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This All Plan Letter provides Medi-Cal managed care health plans with guidance on directed payments, funded by Proposition 56, for the provision of standardized ACEs screening services.
The removal of children by the child welfare system is both a result and cause of ACEs. This paper outlines data which reveal inequities in the current child welfare system of California, reviews the evidence suggesting harms of over-surveillance and separation, and highlights policy actions and community-based solutions that have the potential to shift agency and resources to families who have been marginalized.
“How childhood trauma affects health across a lifetime.”
A presentation at the 2018 MIT Picower Institute Spring Symposium.
Eisner Health, a federally qualified health center in Los Angeles County, has incorporated trauma-informed principles into both patient care and internal practices since February 2019, resulting in reduced escalations, supported staff wellness, and improved the patient experience across three clinics.
Early Childhood OC collaborated with the Multi-Ethnic Collaborative of Community Agencies (MECCA) and Children’s Cause Orange County to develop an understanding of the perspective of community providers who are, and will be, implementing ACE screening tools. Additional insight was provided by content experts with knowledge related to the intersectionality between ACE screenings and structural racism.
Families Thrive is a Contra Costa, CA-based cross-sectoral partnership to address needs of children and families impacted by trauma, including intimate partner violence.
This paper expands on existing best practices around ACE screening, with a focus on family and local CBO experiences, to inform large-scale systems change of incorporating ACE screening into systems of care for children and families in L.A. County and other similar jurisdictions.
A review the evidence linking trauma to health and provide practical guidance to clinicians, researchers, and policymakers about the core components of an effective response to recent and past trauma in the setting of primary care. Written by Edward L. Machtinger, MD, Yvette P. Cuca, PhD, Naina Khanna, BS, Carol Dawson Rose, RN, PhD, Leigh S. Kimberg, MD.
Chapter 1: An Introduction to Trauma and Health, by Megan R. Gerber, MD, MPH, and Emily B. Gerber, PhD. Gerber MR, editor. Trauma-Informed Healthcare Approaches: A Guide for Primary Care. New York, NY: Springer Berlin Heidelberg, 2019. Posted with permission.
Chapter 2: Trauma and Trauma-Informed Care, by Leigh Kimberg, MD and Margaret Wheeler, MD, Posted with permission. Gerber MR, editor. Trauma-Informed Healthcare Approaches: A Guide for Primary Care. New York, NY: Springer Berlin Heidelberg, 2019. Posted with permission.
RJ Gillespie’s presentation on Identifying Toxi Stress in Pediatric Practices at the 2015 American Academy of Pediatrics Event.
This practice paper provides strategies for planning and implementing ACE screening in community-based clinics and organizations, including practical tools and templates.
A Carpinteria Children’s Project handout for adults on how to lower toxic stress.Also Available in: Spanish
A Carpinteria Children’s Project handout for parents and families on how to lower toxic stress and create safe, stable, nurturing environments (english).
Reviews of best rated 2019 meditation apps for adults.
Webpage on Social Determinants of Health, with emerging solutions
Article on the AAP Parenting website about self-care for mothers.
Article on AAP’s Parenting website to encourage parents to care for themselves and children.