Grant Status: Active
Grant Title: ACEs to ACEs: Accelerating Community Engagement to Address Adverse Childhood Experiences
Web Site: The Nemours Foundation Project
Lee M. Pachter, D.O.
The Nemours Foundation
1801 Rockland Rd
Wilmington, DE 19803
Phone: (302) 651-4000
Increase the capacity across the state of Delaware to effectively address the needs of children and families who have been exposed to adverse childhood experiences (ACEs), potentially traumatic events that have occurred in an individual's life before age 18.
The goal of ACEs to ACEs is to increase Delaware's capacity to address the needs of children and families who have been exposed to adverse childhood experiences. This project will ensure that every child in Delaware's ACEs "hot spots" has access to a trauma-informed medical home, access to neighborhood supports, and improved parental mental health. Objective #1: There will be a 10% increase in percentage points above baseline for report of child access to a trauma informed medical home* that is coordinated, ongoing, and comprehensive, as measured by a composite score of items from the National Survey for Children's Health (NSCH). Objective #2: There will be a 10% increase in percentage points above baseline for reported excellent neighborhood supports as measured by the % "strongly agree" with each of 4 questions drawn from the NSCH survey. Objective #3: There will be a 10% increase in percentage points above baseline for report of "excellent" mental/emotional health as measured in the NSCH survey.
Through the project, the Nemours Foundation will build on existing infrastructure and ongoing work to increase the capacity in the state of Delaware to ensure that every child has access to these protective factors. Nemours will do the following: 1) train pediatric primary care practices in delivering care using a trauma-informed approach, 2) engage local community advisory councils around ACEs "hot spots" to guide community training in trauma, identification of children and families with unmet needs, and connection of these families to services, and 3) develop partnerships for effective referrals to community mental health providers.
Nemours will partner with Delaware's Division of Public Health, Henrietta Johnson Medical Center, Delaware's Division of Substance Abuse and Mental Health, Delaware's Division of Health and Social Services, United Way of Delaware, Delaware Family Voices, Children and Families First, and the Delaware Coalition against Domestic Violence, CHILD Inc, People's Place, and the Sussex County Health Coalition.
Nemours will administer the Delaware Capacity for Trauma Informed Care Survey. It is a 10-item anonymous cross-sectional survey administered annually through email dissemination to the Delaware Chapter of the AAP, the Delaware Medical Society, and the Delaware School Nurse Association. The survey will capture professionals' (pediatricians and school nurses') practices around screening for unmet needs and familiarity with implementing a trauma informed approach to the care they provide. Nemours also will administer the Supportive Communities Survey. This anonymous cross-sectional survey will be completed by 30 randomly selected patients (parents) at each practice annually. Guided by the project director and project coordinator, the front desk staff at each primary care practice will offer the survey to a randomly selected sample of patients over the course of a week each year. As patients check in, the front desk staff will use a random number generated opaque envelope selection system to determine whether to offer the patient's parent an anonymous survey. The 22-item survey adapted from the 2011 NSCH will be self-administered on an electronic tablet computer collecting data directly into a Red Cap survey. Participants unable to complete the survey on the tablet may choose to complete it on paper, or to have the questions read by a trained practice staff member.