Gilgoff R, Singh L, Koita K, Gentile B, Marques SS. Adverse Childhood Experiences, Outcomes, and Interventions.
Pediatr Clin North Am 2020;
67:259-273. [PMID:
32122559 DOI:
10.1016/j.pcl.2019.12.001]
[Citation(s) in RCA: 58] [Impact Index Per Article: 14.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Adverse childhood experiences (ACEs) are stressful or traumatic events that children experience before age 18 years. Studies have linked exposure to ACEs and negative health, and developmental and behavioral outcomes. Screening in pediatric medical settings provides a clear opportunity for early detection, intervention, and treatment. Providing anticipatory guidance on healthy relationships, sleep, exercise, nutrition, mindfulness, and nature is essential. Pediatric medical providers must screen and intervene. Primary care is the ideal setting for ACE screening because interacting with children and their families at regular intervals can allow patients and providers to develop a trusting relationship.
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