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Screening Children for Adverse and Positive Childhood Experiences in Primary Care

Amy Szacilo1, Shannon D Chaplo2, James Caringi1

  • 1School of Public and Community Health Sciences, University of Montana, Missoula, MT 59812, USA.

Pediatric Clinics of North America
|May 7, 2025
PubMed

Insights

Pediatricians can promote trauma resilience and identify childhood trauma using practical screening tools for positive childhood experiences (PCEs). Early identification and intervention are key for better child health outcomes.

Area of Science:

  • Pediatrics
  • Child Psychology
  • Trauma Studies

Background:

  • Pediatric care teams have unique opportunities to foster trauma resilience.
  • Early identification of childhood trauma and stress is crucial for intervention.
  • Positive Childhood Experiences (PCEs) are vital for child development and resilience.

Purpose of the Study:

  • To provide an overview of practical screening measures for pediatric providers.
  • To highlight tools for assessing trauma exposure and posttraumatic stress.
  • To discuss the integration of PCEs screening into pediatric practice.

Main Methods:

  • Review of historical trauma screening in primary care.
  • Description of validated screening tools for pediatric settings.
  • Analysis of clinical, training, and research implications.

Main Results:

  • Several practical screening measures for trauma and PCEs are available for pediatric use.
  • Screening can facilitate early identification and response to childhood adversity.
  • The integration of these tools can enhance pediatric care.

Conclusions:

  • Pediatric providers are well-positioned to implement trauma and PCEs screening.
  • Screening tools can support the promotion of trauma resilience in children.
  • Further training and research are needed to optimize implementation.

Keywords:
Adverse childhood experiencesChildrenPositive childhood experiencesPrimary careScreeningTraumaTrauma-informed careTraumatic stress

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