6 responses to “ACEs (Adverse Childhood Experiences): One Family Physician’s Experience”

  1. Though I work from this perspective I was delighted to read her article and how she transformed her approach and practice and began to screen every client. If this were the standard we’d be much further ahead in patient care excellence. I want all my students to read this article!

  2. Thank you, Dr. Ali, for your insights and for sharing some of your own personal journey. So much of this remains missing in medical practice (and medical training, and medical culture). I am grateful for the resources you’ve shared here and tips on how you’ve implemented this. I hope these practices can become more widespread.

  3. Working in a wealthy part of Vancouver I’m always struck by how prevalent childhood trauma and parenting dysfunction is. I was delighted to read how the author came across this body of research and the direct impact it had on her daily practice from her chair. I particularly like the way she screens all her patients with a questionnaire. If we all read this and changed our practice we would be light years ahead in clinical excellence. Thank you

  4. Mental health, family dysfunction, substance abuse etc are the visible tip of the iceberg. ACE’s are often the hidden, underlying part. Knowledge and understanding of ACE’s seems crucial to effective treatment and solving of these problems.

  5. Hi Dr. Ali,

    Thank you so much for writing this post! I am not usually one to comment in this way, but I really felt compelled to do so after reading this pearl. I am new to practice as of July, and had been directed to Nadine Burke-Harris’s book a few months prior. I also implemented ACE questionnaires at new patient visits and have had a very similar experience – no one is surprised when I explain the rationale, people are very supportive, and often grateful. (Coincidentally I have the exact same set up as you – laminated sheets with a wax pen, and I log the number in the “risks” portion of my CPP).

    Again, thanks for sharing!

  6. Wonderful post! I have been aware of ACE for years, working in the downtown eastside and in mental health where the ACE scores are routinely elevated – especially in the 1st nations population, and this knowledge has informed my practice, but I do not have scores on my charts. I admire your systematizing it – with the laminated sheets – and I can’t agree more that the score should be on all patients charts.
    Such important work you have done – your patients are very lucky to have you.
    I now plan to get the score on all my charts too.
    Thanks so much

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