An Editorial: Screening for Childhood Adversities in Prenatal Care: What Works and Why

Andres F Sciolla, MD 5/1/182:29 PM

Despite the landmark ACEs study in 1998, ACEs screening is uncommon in medical clinics - barriers include lack of time, ACEs resources, confidence in addressing sensitive topics, etc. Flanagan et al. developed a training program for clinicians that addressed the barriers, added resilience measures, and included clinic-specific adjustments. The study found that conversations on ACEs and resilience improved women’s trust in and relationship with their clinicians. After the training, clinicians were more confident, but their support of ACE screening was contingent on several variables from resilience measures to standardized office work flow. The work done by Flanagan et al. is valuable in encouraging others to replicate the program in healthcare settings.

To read the full article and the study by Flanagan et al. you can view at https://www.liebertpub.com/doi/10.1089/jwh.2018.6995

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Michelle WrightMember

Hi, this is fantastic and I’m trying to access this article but it’s trying to charge $51 to view it, do you have a link where this is free atall? I am a Student Midwife and can’t really afford this money but desperately want to read this research, huge thanks Michelle xx

10/25/183:12 AM

Xiafei WangMember

Thank you Dr. Sciolla. I am a social work researcher studying the therapeutic strategies of breaking inter-generational trauma transmission in a local mental health agency. I also collected data to examine the pathways from parents' ACEs to child's behavior problems and functioning.

I always feel there is not sufficient discussions on parental ACEs, particularly its negative influences on child's exposure to ACEs. These is also a lack of studies on potential resilience resources people experiencing ACEs can develop to buffer the adversity. So it is great to know that the practice of screening parents' ACEs and resilience is becoming a health care practice. I really appreciate your editorial and Flanagan's study your shared. I hope you can share more cutting edge studies relate to this topic and I am keen to learn from you!

5/2/189:19 PM

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