Implementation of the Whole Child Assessment to Screen for Adverse Childhood Experiences

Pediatricians are encouraged to screen for adverse childhood experiences (ACEs). The current study developed and implemented a tool to screen for Child-ACEs at a pediatric resident clinic in San Bernardino, California. Development of the tool, named the Whole Child Assessment (WCA), was based on an...

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Main Authors:	Ariane Marie-Mitchell MD, PhD, MPH, Joshua Lee MD, Christopher Siplon MD, Francis Chan MD, Sharon Riesen MD, Chad Vercio MD
Format:	Article
Language:	English
Published:	SAGE Publishing 2019-07-01
Series:	Global Pediatric Health
Online Access:	https://doi.org/10.1177/2333794X19862093

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spelling	doaj-7541aa72d6de4627bfe74d2d6902e9922020-11-25T03:03:22ZengSAGE PublishingGlobal Pediatric Health2333-794X2019-07-01610.1177/2333794X19862093Implementation of the Whole Child Assessment to Screen for Adverse Childhood ExperiencesAriane Marie-Mitchell MD, PhD, MPH0Joshua Lee MD1Christopher Siplon MD2Francis Chan MD3Sharon Riesen MD4Chad Vercio MD5Loma Linda University, Loma Linda, CA, USALoma Linda University, Loma Linda, CA, USALoma Linda University, Loma Linda, CA, USALoma Linda University, Loma Linda, CA, USALoma Linda University, Loma Linda, CA, USALoma Linda University, Loma Linda, CA, USAPediatricians are encouraged to screen for adverse childhood experiences (ACEs). The current study developed and implemented a tool to screen for Child-ACEs at a pediatric resident clinic in San Bernardino, California. Development of the tool, named the Whole Child Assessment (WCA), was based on an iterative process that incorporated triangulation of references, patient data, and physician feedback. Implementation of the WCA occurred over the course of 6 improvement cycles that involved obtaining and responding to stakeholder feedback, streamlining paperwork and workflow, and providing physician education. Over the course of our study, we reviewed 1100 charts from well-child visits. We demonstrated that use of the WCA increased identification of multiple Child-ACEs compared with no screening and that reports of multiple Child-ACEs increased with age. These results suggest that use of the WCA provides an acceptable and feasible way to screen for Child-ACEs during routine pediatric practice.https://doi.org/10.1177/2333794X19862093
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Ariane Marie-Mitchell MD, PhD, MPH Joshua Lee MD Christopher Siplon MD Francis Chan MD Sharon Riesen MD Chad Vercio MD
spellingShingle	Ariane Marie-Mitchell MD, PhD, MPH Joshua Lee MD Christopher Siplon MD Francis Chan MD Sharon Riesen MD Chad Vercio MD Implementation of the Whole Child Assessment to Screen for Adverse Childhood Experiences Global Pediatric Health
author_facet	Ariane Marie-Mitchell MD, PhD, MPH Joshua Lee MD Christopher Siplon MD Francis Chan MD Sharon Riesen MD Chad Vercio MD
author_sort	Ariane Marie-Mitchell MD, PhD, MPH
title	Implementation of the Whole Child Assessment to Screen for Adverse Childhood Experiences
title_short	Implementation of the Whole Child Assessment to Screen for Adverse Childhood Experiences
title_full	Implementation of the Whole Child Assessment to Screen for Adverse Childhood Experiences
title_fullStr	Implementation of the Whole Child Assessment to Screen for Adverse Childhood Experiences
title_full_unstemmed	Implementation of the Whole Child Assessment to Screen for Adverse Childhood Experiences
title_sort	implementation of the whole child assessment to screen for adverse childhood experiences
publisher	SAGE Publishing
series	Global Pediatric Health
issn	2333-794X
publishDate	2019-07-01
description	Pediatricians are encouraged to screen for adverse childhood experiences (ACEs). The current study developed and implemented a tool to screen for Child-ACEs at a pediatric resident clinic in San Bernardino, California. Development of the tool, named the Whole Child Assessment (WCA), was based on an iterative process that incorporated triangulation of references, patient data, and physician feedback. Implementation of the WCA occurred over the course of 6 improvement cycles that involved obtaining and responding to stakeholder feedback, streamlining paperwork and workflow, and providing physician education. Over the course of our study, we reviewed 1100 charts from well-child visits. We demonstrated that use of the WCA increased identification of multiple Child-ACEs compared with no screening and that reports of multiple Child-ACEs increased with age. These results suggest that use of the WCA provides an acceptable and feasible way to screen for Child-ACEs during routine pediatric practice.
url	https://doi.org/10.1177/2333794X19862093
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Implementation of the Whole Child Assessment to Screen for Adverse Childhood Experiences

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