When Jeffery Brenner, MD, was in medical school and serving his residency he never learned about the emerging science of "trauma-informed" primary care that takes into account patients'adverse childhood experiences (ACEs) as well as their immediate physical symptoms.
It wasn't until 2003 when he founded his now-nationally famous "hot spotting" program of health care delivery innovation in Camden, N.J., that Brenner began to immerse himself in the medical literature of a research collaboration of the Centers for Disease Control and the Kaiser Permanente Health Maintenance Organization.
That collaboration's original ACE Study in the late 1990s has given rise to more than 50 additional scientific articles and 100 conferences and workshops. All focus on the clinical and health economics implications of the finding that there is "a strong graded relationship between the breadth of exposure to abuse or household dysfunction during childhood and multiple risk factors for several of the leading causes of death in adults."
[For more of this story, written by Hoag Levins, go to http://ldi.upenn.edu/news/cost...nformed-primary-care]
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