Strengths and Barriers in Implementing the ACE Screening Tool in Tribal, Urban Indian, and Rural Settings

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Report examining barriers to the implementation of consistent Adverse Childhood Experience (ACE) screening in rural, tribal, and urban Indian clinics through the California Medi-Cal ACES Aware program. Describes barriers and recommendations related to issues of addressing resiliency, administering screening during a crisis, potential to trigger trauma or other sensitivity in the patient, and cultural appropriateness based on 12 key informant interviews.

Becky Garrow, Maureen Wimsatt

06/2021

ACEs Aware

Abuse and violence · Health screening · Mental health · Mental health conditions · Tribal communities · California