Adverse Childhood Experiences, Outcomes, and Interventions

Pediatr Clin North Am. 2020 Apr;67(2):259-273. doi: 10.1016/j.pcl.2019.12.001.

Abstract

Adverse childhood experiences (ACEs) are stressful or traumatic events that children experience before age 18 years. Studies have linked exposure to ACEs and negative health, and developmental and behavioral outcomes. Screening in pediatric medical settings provides a clear opportunity for early detection, intervention, and treatment. Providing anticipatory guidance on healthy relationships, sleep, exercise, nutrition, mindfulness, and nature is essential. Pediatric medical providers must screen and intervene. Primary care is the ideal setting for ACE screening because interacting with children and their families at regular intervals can allow patients and providers to develop a trusting relationship.

Keywords: ACEs; Adverse childhood experiences; Pediatric interventions; Pediatric stress; Pediatric trauma; Stress outcomes; Toxic stress.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adverse Childhood Experiences*
  • Child
  • Child, Preschool
  • Early Diagnosis
  • Humans
  • Infant
  • Life Change Events
  • Mass Screening
  • Pediatrics / methods*
  • Primary Health Care / methods*
  • Risk Factors