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Screening for Adverse Childhood Experiences: Literature Review and Practice Implications
The Journal for Nurse Practitioners : JNP
|September 23, 2020
Summary
Adverse childhood experiences (ACEs) screenings are feasible and acceptable to clinicians and patients. This review helps healthcare providers implement ACE screenings effectively, supporting child and adult health.
Area of Science:
- Pediatrics
- Public Health
- Clinical Medicine
Background:
- Adverse childhood experiences (ACEs) negatively impact child and adult health.
- Clinicians play a vital role in identifying childhood adversities and providing support.
Purpose of the Study:
- To systematically review the literature on the acceptability, feasibility, and implementation of ACE screenings.
- To examine ACE screening from both clinician and patient perspectives.
Main Methods:
- Systematic literature review of 13 studies examining ACE screening.
- Analysis focused on clinician and patient viewpoints regarding ACE screening.
Main Results:
- ACE screenings demonstrate acceptability and feasibility from both clinician and patient viewpoints.
- Key ethical and practical considerations for effective ACE screening implementation were identified.
Conclusions:
- ACE screening is a viable approach for clinicians to identify childhood adversities.
- Effective implementation requires addressing identified ethical and practical issues to support patient health outcomes.
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