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Reply to "Are you screening for ACEs in schools? How are you responding?"

We administer this version in some schools in NYC - copied below in English and Spanish.

Counselors ask students the questions and record their answers as an interview rather than a survey format. If students report symptoms/distress or interest in meeting with a counselor, then we follow up with them and their families to complete a further assessment and offer additional support to meet the identified needs.

Many students take advantage of at least short-term counseling as a result of this process. Another outcome is that students know who to go to when something overwhelming happens because the counselor has already broken the ice on these topics that are difficult to bring up.

Schools we partner with were reluctant to include the question about sexual abuse so we didn't ask that in the first couple of administrations but we are working to include it this school year.  

 

ACE Questionnaire- ENGLISH

 

 

Directions: Please circle yes or no.
 
1. Did you ever live with a parent or guardian who got divorced or separated after you were born?
YES          NO

  1. Did you ever live with a parent or guardian who died?
    YES NO
  2. Did you ever live with a parent or guardian who served time in jail or prison after you were born?
    YES NO
  3. Did you ever see or hear any parents, guardians, or any other adults in your home slap, hit, kick, punch, or beat each other up?
    YES NO
  4. Were you ever the victim of violence or witnessed any violence in your neighborhood?
    YES NO
  5. Did you ever live with anyone who was mentally ill or suicidal, or severely depressed for more than a couple of weeks?
    YES NO

 

  1. Did you ever live with anyone who had a problem with alcohol or drugs?
    YES NO
  2. Have you been treated or judged unfairly due to race/ethnicity?
    YES NO
  3. Since you were born, how often has it been difficult to get by on your family's income, for example, was it hard to cover the basics like food or housing?


1: Very Often            2: Somewhat Often          3: Not Very Often          4: Never

 

 

National Survey of Children's Health (2011/2012). Data query from the child and adolescent health measurement initiative, data resource center for child and adolescent health website [Online query]. Retrieved from www.childhealthdata.org

Sacks, V., Murphey, D., & Moore, K. (2014). Adverse childhood experiences: National and state level prevalence [Research Brief]. Retrieved from http://www.childtrends.org/wp-...xperiences_FINAL.pdf

ACE Questionnaire- SPANISH

 

Directions: Please circle yes or no.

1.¿Alguna vez viviste con un padre que se divorció o separó después de que naciste?
Sí         NO

2.¿Alguna vez viviste con un padre que murió?
Sí         NO

  1. ¿Alguna vez viviste con un padre que pasó tiempo en la cárcel o prisión después de que naciste?
    Sí NO

4.¿Alguna vez viste o escuchaste alguno de tus padres u otros adultos en su casa dar una bofetada, golpear, patear, golpear, o se golpearon el uno al otro?
Sí         NO

5.¿Alguna vez fuiste la víctima de la violencia o viste violencia en su barrio?
Sí         NO

6.¿Alguna vez viviste con alguien que tenía problemas de salud mental o tendencias suicidas, o severamente deprimido por más de un par de semanas?
Sí         NO

 

7.¿Alguna viviste con alguien que tenía un problema de alcohol o drogas?
Sí         NO

  1. ¿Ha sido tratado injustamente debido a tu raza/etnicidad?
    Sí NO
  2. Desde que naciste, ¿Con que frecuencia tu familia ha tenido dificultad para mantenerse económico de tu hogar, por ejemplo, las veces que ha sido difícil de cubrir los aspectos básicos como comida o vivienda?

    1: Siempre 2: A Menudo    3: Pocas Veces       4: Nunca

 

National Survey of Children's Health (2011/2012). Data query from the child and adolescent health measurement initiative, data resource center for child and adolescent health website [Online query]. Retrieved from www.childhealthdata.org

Sacks, V., Murphey, D., & Moore, K. (2014). Adverse childhood experiences: National and state level prevalence [Research Brief]. Retrieved from http://www.childtrends.org/wp-...xperiences_FINAL.pdf

 

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