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The adverse childhood experiences (ACEs) screening instrument is a validated, accessible screening tool that can be used for early detection of common childhood traumas.
ACEs can include violence, abuse, and growing up in a family with mental health or substance use problems. Toxic stress from ACEs can change brain development and affect how the body responds to stress. ACEs are linked to chronic health problems, mental illness, and substance misuse in adulthood.
28% of study participants reported physical abuse and 21% reported sexual abuse. Many also reported experiencing a divorce or parental separation, or having a parent with a mental and/or substance use disorder.
10 ACEs, as identified by the CDC-Kaiser study: Abuse. Neglect. Household Dysfunction. Physical. Physical. Mental Illness. Incarcerated Relative. Emotional. Emotional. ... 10 ACEs, as identified by the CDC-Kaiser study: Abuse. Physical. Emotional. Sexual. Neglect. Physical. Emotional. Household Dysfunction. Mental Illness.
Adverse Childhood Experiences (ACEs) affect nearly two million children in California across socioeconomic lines, putting them at risk for health, behavioral, and learning problems.
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The purpose of a complete ACE screening is to rapidly identify which patients are at highest risk for toxic stress and perform the next steps of a more complete, individualized assessment for each of them. A complete ACE screening involves assessing for the triad of: Adversity (the ACE score)
The ACE study found a direct link between childhood trauma and adult onset of chronic disease, incarceration, and employment challenges. The higher the number of ACEs, the greater the incident of negative outcomes as captured in the ACE Pyramid.
In their research Felitti et al 4 found that adults who had experienced 4 or more ACEs showed a 12 times higher prevalence of health risks such as alcoholism, drug use, depression, and suicide attempts. These findings raised awareness about the connection between childhood experiences and outcomes as an adult.
Promoting Awareness of Adverse Childhood Experiences (ACEs)
In October of 2021, California enacted the ACEs Equity Act. The law expanded ACEs screening by mandating it be covered by commercial insurance. Screening for Medi-Cal patients has been required since early 2020.

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