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Reply to "Does anyone have research or information on ACEs or trauma screenings being used before prescribing opiates in a healthcare setting?"

Our internal medicine clinic no longer provides chronic opioids but we do have a primary care-based opioid addiction treatment program using buprenorphine.  We surveyed 48 of those patients regarding ACEs.  We found that 58% had 4 or more ACEs and 78% had a family member with a substance abuse issue.  It really makes sense that an ACEs screen should be done prior to opioid prescription, but I am not aware of a pain management program that does that routinely.  Our former program did use the Opioid Risk Tool which has questions about childhood sexual abuse and family history of substance abuse, but does not ask the full complement of ACE questions.  Would be interested learning more about any program that is doing ACE screening - and what they do with the info.

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