lessons learned from 5 years of aces screening · lessons learned from 5 years of aces screening....
TRANSCRIPT
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Deirdre Bernard-Pearl, MDMedical Director
Pediatrics and Elsie Allen
Lessons Learned from 5 Years of ACES Screening
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What is ACE?
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Lesson #1
ACE Screening can be emotional –so give the questionnaire in the
privacy of an exam room
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All Teens had zero ACEs???
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Flip the workflow? (Lesson #2)
1. Teen + guardian first2. Teen alone
1. Teen alone2. Teen + guardian
Standard Model Flipped
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Medical Model of Screening
Screening Test
-
+ Intervention
No Intervention
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Medical Model of Screening
Screening Test
-
+ Intervention
No Intervention
Applies to ACEs?
Depends how you define “intervention”
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3 Lessons Learned•ACE Screening can be emotional – so give the
questionnaire in the privacy of an exam room• Teens are more truthful without their parent looking
over their shoulder. Try rooming teens alone.•Ditch the medical model – not every positive screen
needs a referral. Try asking patients what they need.
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