Study objectives were to elicit feedback from clinical experts in areas with demonstrated health disparities to assess: (1) Perceptions of the relations among Adverse Childhood Experiences (ACEs), parenting, and childhood health disparities; and (2) Recommendations about pediatric health care services to address ACEs and toxic stress.
Qualitative interviews were conducted with clinical experts (n = 5) in pediatric primary care, asthma and allergy, obesity, and trauma. Interviews were transcribed and coded through iterative thematic extraction.
Two major themes emerged: (1) Need for improved health care access; and (2) Need for family-centered care. Clinicians reported several health care service implications to address the two themes.
Clinicians emphasized collaborative models that integrate physical and behavioral health services to meet needs of at risk populations in partnership with community centers (i.e. head start centers and schools). Strategies identified aim to prevent and address ACEs in specialty and primary care.
Journal of Family Medicine and Disease Prevention
Adverse childhood experiences, Toxic stress, Family-centered care, Integrated care, Qualitative research
Sexton, C. C., Woods-Jaeger, B. A., Cho, B., Goggin, K. Clinician attitudes about health care services addressing adverse childhood experiences Journal of Family Medicine and Disease Prevention 3, (2017).