I'm looking for research or data that examines the relationship between ACEs and the likelihood someone is on Medicaid. Any suggestions are welcome. Thank you
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Both ACES and Medicaid insurance are strongly correlated with poverty and low SES so, of course, there would be a strong relationship but it does not mean anything. ACES AWARE in California only promoted ACES screening in Medicaid patients. DM me to help reframe your question. I have access to lots of articles on poverty and ACES and how relief of poverty is good remediation.
There is also huge variability across states in terms of who qualifies for Medicaid and why. I'm in NY and there are much more generous guidelines for qualifying and keeping coverage than many other states - particularly those in the south.
Trying to help people who've experienced unsupportive and harmful parenting is necessary, but it's hard and costly. Shouldn't we be putting more effort into finding ways to improve the overall quality of parenting? It might be much less expensive and it could prevent a lot of human suffering.
I agree one hundred percent. Primary prevention is actually expanding through the Families First federal and state efforts. The evidence for economic and concrete family support is overwhelming. However, government investment in this area is severely limited by our nation's racism. Meanwhile there are many children and adults suffering from child maltreatment trauma. They need care now (tertiary prevention). Unfortunately Medicaid is all we have, so this discussion has been about how to use Medicaid to serve them.
Also unlike some European countries, we do not have a national health system, so there is no macro-policy or macro-budgeting system where money saved by decreasing the need for medical or mental health intervention can be reallocated to primary prevention. The return on investment if this was done is 3 to 10 times.