In search of

My DNP project is well conceptualized, but I'm seeking a SUD practice site to implement the project. Specifically, I'm seeking a SUD treatment center in Nashville, TN (or anywhere in the US), serving either adolescents and/or adults who use ACEs-10 but have not yet used PACEs in their assessment process.

Project Background

Adverse childhood experiences (ACEs) are strongly linked to chronic diseases, including SUD, with lasting effects on emotional and physical health (Felitti et al., 1998). Research shows that positive childhood experiences (PACEs) foster resilience, mitigating the effects of ACEs and acting as a protective factor (Hays-Grudo & Morris, 2020).

Specifically, the PACEs self-assessment tool identifies 10 modifiable factors related to relationships and resources that support resilience. Empirical data suggests PACEs are associated with (Armans et al., 2020; Ratliff et al., 2024):

• Improved emotional regulation and mental well-being
• Reduced stress levels
• Positive changes in substance use (SU) markers

The PACEs tool has also been adapted into a self-directed PACEs plan, empowering patients to set goals and action steps based on these 10 modifiable protective factors (Hays-Grudo & Morris, 2020).

Project Overview

The goal of the DNP project, PACEs (Protective and Compensatory Experiences) Self-Assessment Tool and Plan to Build Resilience in SUD, is to determine if a PACEs intervention can improve resilience over a 6-8 week period and improve readiness markers for discharge that could improve relapse rate (although relapse rates are not measured in this QI study).

Intervention & Evaluation

Intervention Tools (Hays-Grudo & Morris, 2020):

• PACEs Tool: Integrate the PACEs tool alongside the ACEs-10 tool to provide a broader understanding of childhood experiences.
• PACEs Plan: Implement a self-directed PACEs plan, allowing adults in SUD treatment to identify and build upon the 10 modifiable protective factors in their present lives.

Evaluation Tools:

• Pre- and post-assessments using a resilience scale (considering a new tool, Mount Sinai Resilience Survey), with follow-up 6-8 weeks after PACEs plan implementation.
• Qualitative feedback via a Likert scale (to be developed) assessing:
  • Learning/building resilience through PACEs
  • Readiness to change
  • Readiness for discharge
  • Increased confidence and motivation to remain substance-free
    (Note: Data collection will be aggregate only. No fees incurred by the practice site.)