Adverse Childhood Experiences Part II: ACE Screening in Pediatrics
Substantial exposure to traumatic events impacts an estimated 50% to 75% of the population today. Trauma is linked to adversity, posttraumatic stress disorder, mental illness, interpersonal problems, substance abuse and chronic disease, which in turn drive up health care costs. The Adverse Childhood Experiences (ACEs) Study shows a connection between an individual’s physiologic stress response and subsequent neurologic alterations, as well as changes in metabolic and immune function and increased risk of complex medical conditions.
Recent, national, population-based data show that one-half of children in the U.S. have ACE exposure, and yet a national survey noted that the majority of health care professionals (HCPs) are not knowledgeable about ACEs and lack understanding of how to assess and respond to information about ACEs reported by children or family members.
This activity, part II in a series, will discuss the importance of and rationale behind ACE screening along with the available tools and resources to enable HCPs to utilize appropriate referral, treatment and intervention services for individuals.
This activity is jointly provided by OptumHealth Education and UnitedHealthcare.
There was no commercial support received for this activity.
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This activity is designed to meet the educational needs of case managers, counselors, educators, nurses, nurse practitioners, pharmacists, pharmacy technicians, PAs, physicians, psychologists, social workers (all practice types), therapists and other HCPs who have an interest in the current science on ACEs and developmental pediatrics.
At the end of this educational activity, participants should be able to:
- Compare and contrast protocols and practices for ACE screening.
- Identify the steps to integrate ACE screening into medical practice.
- Apply and utilize appropriate ACE referrals, services and treatment and intervention strategies.
- List the supports and opportunities offered by the National Pediatric Practice Community to facilitate integration of ACE screening into practice.
Lisa Gutierrez Wang, PhD
Center for Youth Wellness
San Francisco, CA
Karissa M. Luckett, RN, BSN, MSW, CPHQ
Luckett Healthcare Consulting, LLC
About the presenters
Dr. Lisa Gutierrez Wang is the Director of Clinical Programs at the Center for Youth Wellness (CYW). She is responsible for managing a multidisciplinary team to treat children/youth who are referred by pediatricians at the Bayview Child Health Center because they exhibit signs and symptoms of toxic stress related to exposure to early life adversity. She holds a PhD in clinical psychology and a Master's degree in counseling psychology from the University of California, Santa Barbara. She completed her pre- and post-doctoral fellowship at the Child Trauma Research Program (CTRP) at the University of California, San Francisco under the mentorship of Drs. Alicia F. Lieberman and Patricia van Horn. Dr. Gutierrez Wang's work has focused primarily on assessing and treating the effects of complex psychological trauma in ethnically and linguistically diverse populations. Her prior clinical experience includes work with trauma-impacted children, adolescents and adults in outpatient, day, residential, inpatient and psychiatric emergency treatment settings. Prior to joining CYW in 2015, Dr. Gutierrez Wang was the Behavioral Health Director for Intensive Services at the Edgewood Center for Children and Families.
Karissa M. Luckett obtained her nursing license and Bachelor of Science in nursing in 1994. She started her career as a rehabilitation nurse and subsequently obtained her CRRN. She moved on from there to a case management role while pursuing a Master’s degree in social work. Ms. Luckett then went on to work in a large pediatric academic facility where she developed a Population Health Department. During this time, she oversaw the Asthma Management Program, obtained her asthma educator certification and served as the President of the Asthma Coalition of Texas. Ms. Luckett has most recently been serving as a health care quality consultant, and she has developed primary care programs for pursuing patient-centered medical home recognition, physician quality incentive programs and developing organizational quality dashboards. In 2011, she obtained a certification in healthcare quality in 2011. Ms. Luckett currently serves on the Board of the Dallas-Ft. Worth Alliance for Healthcare Excellence.
Sarah Chart, RN
Disclosures of relevant financial relationships
In accordance with the ACCME Standards for Commercial SupportSM, OptumHealth Education (OHE) requires all those in the control of activity content to disclose their relevant financial relationships. An individual has a relevant financial relationship if such person (or his/her spouse/partner) has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services relate to the activity content. OHE ensures that the content is independent of commercial bias.
Ms. Chart and Ms. Gleason have indicated that they are employees of and own stock in UnitedHealth Group.
The remaining activity faculty or planners have no financial relationships to disclose.
Method for calculating CE credit
CE credit was calculated by the complexity of content.
In support of improving patient care, this activity has been planned and implemented by OptumHealth Education and UnitedHealthcare. OptumHealth Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE) and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Credit designation statements
This activity was planned by and for the health care team, and learners will receive 1.00 Interprofessional Continuing Education (IPCE) credits for learning and change.
The participant will be awarded up to 1.00 contact hour(s) of credit for attendance and completion of supplemental materials.
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.
This activity is approved for 1.00 contact hour ([0.10] CEU) in states that recognize ACPE.
Attending the full program will earn 1.00 contact hour.
Unique Activity Number(s): JA0007123-9999-21-040-H04-P/T
OptumHealth Education designates this enduring activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME.
The Commission for Case Manager Certification has approved this program for a maximum of 1.00 clock hour for Certified Case Managers (CCM).
Counselors, psychologists, social workers and/or marriage and family therapists
Participants must have attended the entire Web-based activity and completed an evaluation to receive a certificate. Partial credit is not available.
OptumHealth Education is approved by the American Psychological Association (APA) to offer continuing education for psychologists. OptumHealth Education maintains responsibility for this program. 1.00 CE hour.
As a Jointly Accredited Organization, OptumHealth Education is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. OptumHealth Education maintains responsibility for this course. Social workers completing this course receive 1.00 enduring continuing education credits.
Counselors and/or marriage and family therapists
CA: The Board of Behavioral Sciences has deferred CE course approvals to APA and ASWB for its licensees. See those approvals under Psychologists and Social Workers.
Other States: If your state is not specifically listed, nearly all state Counselor and MFT boards accept either APA or ASWB approval, or are reciprocal with other state licensing board approvals, such as those listed below. Check with your board to be sure.
A certificate of attendance will be provided to learners upon completion of activity requirements, enabling participants to register with licensing boards or associations that have not been preapproved for credits. To apply for credit types not listed above, participants should use the procedure established by the specific organization from which they wish to obtain credit.
- 1.00 ACPE - Pharmacists
- 1.00 ACPE - Pharmacy Technicians
- 1.00 AMA - Physicians
- 1.00 ANCC - Nurses
- 1.00 APA - Psychologists
- 1.00 Attendance - General Attendance
- 1.00 CCMC - General - Case Managers
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