The adverse childhood experiences checklist: Can it serve as a clinical and quality indicator?
| Autor: | Yuanee Mary Wickramasinghe, Pankaj Garg, Kalpesh Jain, Shanti Raman, Romy Hurwitz |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Quality management Poison control Suicide prevention Occupational safety and health 03 medical and health sciences 0302 clinical medicine Adverse Childhood Experiences 030225 pediatrics Injury prevention Humans Medicine 030212 general & internal medicine Child Quality Indicators Health Care business.industry Human factors and ergonomics Child development Checklist Child Preschool Family medicine Pediatrics Perinatology and Child Health Feasibility Studies Female New South Wales business |
| Zdroj: | Journal of Paediatrics and Child Health. 55:1113-1118 |
| ISSN: | 1440-1754 1034-4810 |
| DOI: | 10.1111/jpc.14368 |
| Popis: | Aim There is strong evidence that adverse childhood experiences (ACE) are associated with poor short-, medium- and long-term health outcomes. In South Western Sydney, we trialled a modified ACE checklist in community paediatric clinics. Our aim was to design the best version of the ACE checklist for routine clinical use to serve as both a clinical and quality indicator. Methods We trialled two versions of the modified ACE checklist based on a pre-existing tool in child development (CD) and vulnerable child (VC) clinics over a 6-month period in 2012 (V1) and 7-month period in 2017 (V2). We analysed clinical and demographic data and correlated with ACE scores. We asked clinicians about the use of the ACE checklist and modified the checklist based on clinicians' recommendations. Results In phase 1, V1 was trialled in CD clinics only; 77 children were assessed, of whom 38 children (49%) had ACE score of ≥1, and 8 (10%) had a score of ≥4. In phase 2, of 279 children assessed, 178 (64%) had ACE ≥1, and 78 (28%) had ACE ≥4. In both phases, clinicians found the checklist simple to use and helpful in identifying especially vulnerable children. Conclusions The ACE checklist helps clinicians and managers identify the burden of exposure to trauma, violence and abuse of children attending paediatric clinics, both to facilitate intervention and aid service development. This version of the ACE checklist has the potential to be used across a variety of populations and settings as a clinical and quality indicator. |
| Databáze: | OpenAIRE |
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