Disclosure: Charles P. Vega, MD, has disclosed the following relevant financial relationships:MD candidate, University of California, Irvine School of Medicine, Irvine, Californiadrawn from a family medicine practice about the effect of adverse childhood experiences on health. The widespread epidemiology and significant health consequences require a focus on the prevention and management of ACEs. in 2019.
"high doses of cumulative adversity experienced during critical and sensitive periods of early life development — without the buffering protections of trusted, nurturing caregivers and safe, stable environments." ACE-associated health conditions can be neurologic, endocrine, metabolic, or immune system–related. Early diagnosis and treatment of these conditions can help prevent long-term healthcare complications, costly for both patient and the healthcare system.
The burden of universal screenings in primary care is high. Without ACE screening, however, the opportunity to address downstream health effects from toxic stress may be lost.Utilize technology to implement a streamlined referral processing/tracking systemGather in-network and community-based resources for patients
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