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Reply to "Looking for Lessons Learned-Screening in Primary Care"

I am curious at the FQHC who will your screener be primarily screening. 

 

Adults

Parents of Children

Teenagers

Pregnant Mothers 

(all comers)

 

That makes a difference.  But also a letter to the effect that we screen all patients because new research shows that adverse experiences in childhood result in medical and mental health concerns and we want to provide the best care for our patients so this history is important to us and will be kept confidential.  Also is this screening to identify patients who could benefit from mental health care????  I am curious because I haven't seen ACEs screening used in mental health (but I have used it extensively with parents bringing in children for behavioral health concerns to get an idea of the parents risk due to their childhood but also take the relevant questions to present risk -- for example domestic violence, mental illness currently, addiction currently, physical abuse currently… you really cannot ask the parent of sexual abuse currently in the pedi patient obviously you are a mandated reporter and no one would answer that or they would bring in the child specifically for that reason….. 

 

Anyway those are a few questions I have and thoughts. 

 

Let me know. I am kind of interested in finding a group of ACEs screeners. This is important work to me… And there isn't lots of interest here. 

 

We kind of got the SEEK (safe environment for every kid) not totally in place but at least there is a large awareness. --- Howard Dubowitz University of Maryland…. 

 

Thanks Tina

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