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

Andres F Sciolla, MD 5/1/182:38 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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