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Clinical Summary

Can clinicians support prevention of adverse childhood experiences?

Takeaway

  • Clinicians have ways to contribute to the prevention of adverse childhood experiences (ACEs), the authors of this commentary argue.
  • The first step is to become educated and be able to recognise them, and then screen for them.

Why this matters

  • ACEs are tied to a long list of negative outcomes in later life, and social determinants of health can influence them, as well.
  • Even though long-term studies are needed, current evidence suggests that clinicians have something to contribute when it comes to ACE prevention.

Key points

  • These authors recommend:
    • Talking to parents and caregivers about a safe, stable environment for children.
    • Discussing positive parenting techniques, coping skills in every routine visit.
    • Referring to local parenting programmes where warranted, including home-visitation programmes.
  • Different specialists can recognise different types of ACEs.
  • One upshot of screening and engaging with parents is that it can break a multigenerational cycle of ACEs.
  • It is important to understand and apply trauma-informed care in clinical practice.
  • Colocating mental health and primary care is ideal.

References


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