What Caregivers Want: Preferences for Behavioral Health Screening Implementation Procedures in Pediatric Primary Care

Screening for adverse childhood experiences in preventive medicine settings: a scoping review

“…Johnson et al reported that screening most effectively prompts honest responses when conducted by a professional who has existing rapport with the patient, and when the rationale for screening is explained to alleviate potential concerns based on stigmatization (Johnson et al 2017). One study reported that patients expressed discomfort with ancillary medical staff administering the ACE screen, and expressed the highest level of comfort with primary care providers or mental/behavioral health providers conducting and discussing the ACE screen (Schneider 2020). Gillespie and Folger reported that parents completing screens on behalf of their children were more likely to disclose ACEs in aggregate level reporting than in item-level reporting (i.e., across items rather than based on individual items), indicating that trauma disclosure was more likely if patients did not have to reveal specific details regarding their trauma history (Gillespie and Folger 2017).…”

Bridging the gap: improving correspondence between low-field and high-field magnetic resonance images in young people

“…Also, for neuroimaging to have practical prognostic and diagnostic utility, we must be able to obtain MRI scans in a variety of settings, not only in urban research centers. Incorporating community settings into risk assessment programs is crucial to identify at-risk individuals earlier, reach individuals traditionally underserved by medical research centers, and progress towards the goal of universal screening and prevention (Garner et al, 2012; Murray et al, 2021; Schneider et al, 2020). This approach will also satisfy service users’ preference for community settings and easily implemented assessments (Schneider et al, 2020).…”

“…Incorporating community settings into risk assessment programs is crucial to identify at-risk individuals earlier, reach individuals traditionally underserved by medical research centers, and progress towards the goal of universal screening and prevention (Garner et al, 2012; Murray et al, 2021; Schneider et al, 2020). This approach will also satisfy service users’ preference for community settings and easily implemented assessments (Schneider et al, 2020). Finally, in young people in particular, increasing diversity in neuroscience is essential to improving our ability to understand inter-individual differences in brain development, identify emerging neurodevelopmental and psychiatric disorders, and discover biomarkers that are generalizable to diverse populations (Burkhard et al, 2021; Garcini et al, 2022).…”

Streamlining primary care screening for adverse childhood experiences

“…Despite recognizing that ACEs cause immediate and long-term health consequences, pediatricians have not yet implemented widespread ACE screening, 3,6 identifying barriers such as insufficient clinic time 5,11,12 and discomfort in asking difficult questions during already compressed face-to-face visit times. 12 This study reveals that a pre-visit, EHR-based brief screener is feasible, efficient, and yields potentially actionable responses.…”

“…1,2 Screening for ACEs remains elusive given the challenges of knowing who, what, and when to screen and how, with limited clinic time, to support identified families. [3][4][5][6] An analysis of the 2016 cross-sectional National Survey of Children's Health (NSCH; http://childhealthdata.org/learn/nsch) found that parent responses to two of the nine ACE questions, (parental divorce/separation and family income instability) was associated with a fourfold increase in emotional, behavioral, and developmental problems in their children. 7 This study was a first to suggest a brief preliminary universal screener as a start to the process of providing trauma-informed care to children as they grow.…”