Evaluation of a Clinical Quality Improvement Pilot of Adverse Childhood Experiences Screening and Brief Intervention in Pediatric Primary Care

This study will evaluate a quality improvement pilot project being conducted at pediatrics departments in the greater Kaiser Permanente Southern Alameda County area. The pilot project involves screening children at 1-to-5-year-old well child visits for adverse childhood experiences or trauma exposure and providing clinical follow-up and information and referral services for those who screen positive. This project aims to 1) evaluate the acceptability to clinicians of screening for adverse childhood experiences, 2) measure screening rates for adverse childhood experiences following the change in workflow, 3) evaluate the acceptability of such screening to parents, and 4) examine overall prevalence of adverse childhood experiences or trauma exposure among parents of patients receiving pediatric care. The study will test how demographic characteristics (race and ethnicity, age, gender, socio-economic status, insurance type) and clinical factors, including medical and psychiatric diagnoses, relate to prevalence and number of adverse childhood experiences and examine associations between such experiences and health and mental health comorbidities, as well as care services utilization.

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