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Reply to "Screening for ACEs in Emergency Rooms"

I am an Emergency Room Case Manager. In my area I do not know of anyone who officially does the ACE. Having said that I have started doing it lately and documenting the positive's in my note. It is interesting as I work in an urban area where people are so used to Trauma that they do not even recognize they have experienced it until they answer the questions. Many health care professionals don't even recognize it in themselves.  Many are drawn to the field based on what they have gone through.   

Mass. is the state who best incorporates competencies into health care professional training. I am currently advocating around my state to implement the AVAhealth.org HealthCare Competencies for healthcare workers. I have been ask how it fits with other initiatives such as domestic violence. I answer that it is like with driving, first the slogan was don't drive drunk, then don't drive and text, then Don't Drive Distracted. Trauma Informed Care is the umbrella under which subsets like domestic violence fit.  I have been handing out the AVAhealth booklet along with Bessel Van der Kolk and Donna Jackson Nakazawa's book. Donna was kind enough to autograph several of them for me which went over well with the recipients. 

My next step is to visit the clergy in the Health Empowerment zones in my state. Bessel Van der Kolk highly recommends Drama as a path to resilience. To that audience I am taking a copy of Donna's book along with the play The Last days of Judas Iscariot which I think will resonate well with the post-incarceration population in the area. 

Feedback welcome.

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