ACE Screening Implementation How-To Guide
About the Guide
The ACE Screening Implementation How-To Guide was developed to facilitate the adoption of ACE screening and trauma-informed care into practice at the organizational level. It provides practical, step-by-step guidance, as well as resources and tools to help clinics move further along their ACE screening implementation journey.
The structure of the How-To Guide and the focus of the content was informed by:
- Implementation science frameworks for the introduction, scaling, and sustaining of innovations in health care.
- Quality improvement strategies, which facilitate monitoring and improving on new health care practices.
- Adult learning principles, which inform how to engage adult learners.
The tips and tools in this guide were derived from various sources, including:
- Research on ACE screening implementation, including literature review and interviews with clinicians and clinical leadership of practices where screening has been implemented or tried.
- Lessons learned through learning collaboratives and pilot programs that focused on the implementation of ACE screening and trauma-informed care, including the California ACEs Learning and Quality Improvement Collaborative (CALQIC), National Pediatric Practice Community on ACEs (NPPC), Resilient Beginnings Network (RBN), and Trauma-Informed Primary Care: Fostering Resilience and Recovery.
- Research, reports, and dissemination tools from other screening implementation initiatives, including those related to intimate-partner violence screening, maternal depression screening, developmental screening, HIV risk assessment, and social needs assessment.
Acknowledgements
This How-To Guide was also developed and informed by contributions from ACEs Aware Subcommittee members, as well as several other key advisors and contributors. Each individual brought an invaluable perspective that informed the structure and content of this guide.
Sara Marques and Jennifer Marshall – Health+ Studio
Tanya Schwartz, Mallika Mahalingam, and Jennifer Ryan – Aurrera Health Group
Rachel Gilgoff, MD – ACEs Aware
Dayna Long, MD – UCSF Benioff Children’s Hospital Oakland
Mikah Owen, MD, MPH – UC Davis Health
Eric Ball, MD, FAAP – American Academy of Pediatrics – Orange County, California
Marti Baum, MD – California Medical Association – Board of Trustees
Kim Bower, MD – Blue Shield of California Promise Health Plan
Michelle Cabrera – California Behavioral Health Directors Association
Yvonne Choong, MPP (Co-Chair) – California Medical Association
Jerri Davis, CHCP – California Academy of Family Physicians
Lishaun Francis, MPP – Children Now1
Carey Watson, MD, FACOG – Kaiser Permanente (The Permanente Medical Group)
Amber Kemp, MBA – California Association of Health Plans
Lisa James – Futures Without Violence
Stephen Lockhart, MD, PhD – Sutter Health
Brigid McCaw, MD, MPH, MS, FACP – CALQIC
Demetria Malloy, MD, MSHS (Co-Chair) – Anthem Blue Cross
Mike Witte, MD – California Primary Care Association
Leon Altamirano, PsyD – North County Health Services
Deirdre Bernard-Pearl, MD – Santa Rosa Community Clinics
Tanya Dansky, MD (Facilitator) – ACEs Aware Clinical Advisor
Ken Epstein, PhD – University of California, San Francisco
Liza Eshilian-Oates, MD – Kaiser Permanente Southern California
Mike Flaningam, MD – Sutter Medical Group, Sacramento
Rachel Gilgoff, MD, MPH, FAAP – Stanford University
Nancy Goler, MD – The Permanente Medical Group
Lisa Gutierrez Wang, PhD – Santa Cruz County
Simone Ippoliti, PNP – Bayview Family Health Center
Dayna Long, MD – UCSF Benioff Children’s Hospital Oakland
Chris Longhurst, MD – University of California, San Diego
Eddy Machtinger, MD – University of California, San Francisco Medical School
Brigid McCaw, MD, MS, MPH – Senior Clinical Advisor, CALQIC, University of California, San Francisco
Connie Mitchell, MD, MPH – California Department of Public Health
Matt Pantell, MD, MS – University of California, San Francisco
Adia Scrubb, MD, MPP – California Academy of Family Physicians
Shannon Thyne, MD – University of California, Los Angeles Children’s Hospital
Linda Zane, MSN-FNP – Hill Country Community Clinic
Gregory Aarons, PhD, Professor, Department of Psychiatry, University of California, San Diego; Faculty, University of California, San Diego/San Diego State University Joint Doctoral Program in Clinical Psychology; Director, Child and Adolescent Services Research Center; Co-Director, Center for Organizational Research on Implementation and Leadership; Principal Investigator, National Institute of Mental Health and the Centers for Disease Control and Prevention
Mercie DiGangi DO, FAAP – Southern California Permanente Medical Group (SCPMG)
Meredith Evans and Rocio Rosas – Peach Tree Clinic