"The ACE study was a landmark study involving 17,000 participants surveyed between 1995 and 1997 enrolled at Kaiser Permanente....
"So why isn’t this a major headline and why isn’t more being done to address this?
"My answer is that part of this is related to the stigma of abuse in our society....
"Although mental health providers are bearing the brunt of this unfair system, primary care providers also experience a significant share of the burden. In my own practice, 60% of my time was spent managing mental health issues, including depression, anxiety, bipolar disorder, chronic pain, addiction, and a large majority of that was related to a past history of childhood maltreatment. I can also attest that managing adults is much more challenging than children because positive change happens much more slowly. The neurological plasticity of children is the main reason why early intervention is so crucial and so cost efficient in the future if we actually paid attention (more time for providers to interface with the family and patient), and we directed health care costs towards early intervention that has been shown to work....
"Author [Dr. Michael Chen]: I am a family physician and previous medical director for a child abuse assessment center. I am now promoting my new electronic health record system (NOSH ChartingSystem) that I have developed and used for myself in my private practice since 2010 and now I want to share it to the rest of the doctoring world."
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