The adverse childhood experiences checklist: Can it serve as a clinical and quality indicator?
J Paediatr Child Health
; 55(9): 1113-1118, 2019 Sep.
Article
em En
| MEDLINE
| ID: mdl-30604573
ABSTRACT
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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Indicadores de Qualidade em Assistência à Saúde
/
Lista de Checagem
/
Experiências Adversas da Infância
Tipo de estudo:
Evaluation_studies
/
Guideline
/
Prognostic_studies
Limite:
Child
/
Child, preschool
/
Female
/
Humans
/
Male
País/Região como assunto:
Oceania
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article