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
References