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Searching PACEs Connection for this has proven challenging, so I'd love to hear others' experiences:   If you're screening using an ACE-based questionnaire, are you using the identified or de-identified version, and why?  (please also respond with your population:  adult primary care?  peds? behavioral health setting?)

Identified provides more detail / more data which might be useful for determining the most useful intervention or is simply more conducive to therapeutic discussions with providers.

But, this is potentially sensitive information.  Patients might be less likely to participate if they fear judgement or repercussions, and some of the questions could be re-traumatizing.  This is why some organizations have opted to go the de-identified route.

Also, if anyone is aware of an official publication about this, I'd love to know about it - thanks!

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Please remember that on the original ACES assessment each of the  ACES questions had low levels of correlation with an individual's health outcomes.  It is only in the aggregate that relationships within populations existed.

In spite of this an individual's ACE score might provide an excuse for discrimination.  If ACES evaluations where medical tests they would be protected from this.  Currently they are not.

I suggest treating them with a high degree of confidentially. 

As I recall some practitioners deluded the ACES questions amongst many others in an initial assessment.

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