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Reply to "The use of ACE scores for individuals"

Elizabeth Fitzgerald posted:

Hi Andrew,

While I'm not aware of any validated studies on best practice use of ACE scores, some members of my clinical teams have been using the ACE screening with clients. What we've found, in particular with our adult population, is that when a person learns about ACE's and their ACE score they express a huge sense of relief, realizing their desire or need for treatment is not the result of some personal fault but the result of what they've lived through. They also often express a sense of pride, strength and recognition of their own resilience in having a high ACE score and still managing to work, raise a family, become sober or any other accomplishment they choose to recognize through guidance from their clinician.

One clinician in particular often cited ACE health outcome data to highlight her client's strengths in comparison to particular health disparities linked to specific ACE scores.

I see it as a tool to empower ourselves and others; what's predictable is preventable. If I know my ACE score and it's associated risks I can be more targeted in my healing and prevention. I can also be a voice of hope for others with high ACE scores, proof that resilience is possible!

Great question!

Thank you for sharing your experience. I have just started working in a clinic as a Trauma Informed Care Coordinator. Coming from a psychology background, we talk about ACEs and their utility in a similar way. I'm refreshed to hear that the response from your patients has been that they are proud of their resilience. I'm wondering what type of training they received or how the survey was introduced to them. Also, if the clinic is private practice or community based (though I'm not sure exactly of the difference, I believe there might be an excess of paperwork that seems to be a barrier for our providers to take the time that they would like with patients.) Happy to connect!

Andi

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