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Screening for Childhood Adversity: Contemporary Challenges and Recommendations

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Abstract

Childhood adversity is prevalent in the USA, affecting at least half of all children and youth. Growing awareness of its prevalence and harmful effects on individual health and development over the lifespan has prompted considerable interest among policymakers, program leaders, and other stakeholders in screening individual children for adversity as a first step in preventing and mitigating its negative effects. Given the vulnerability of this population, concerted efforts first should be made to ensure screening for adversity is beneficial to children and minimizes potential harm. Of particular concern is widespread use of screening tools that define adversity narrowly, failing to account for social and structural inequities (e.g., poverty, discrimination, forcible separation from a parent) or to take a child’s trauma symptoms, overall development, strengths, and culture into account. Furthermore, screening in the absence of a system for referral and treatment risks being ineffective, and even harmful, to children and their families. This paper reviews major challenges related to developing and selecting tools to screen for childhood adversity, and offers recommendations for a comprehensive, strengths-based, trauma-informed screening approach that incorporates sensitivity to a child’s development, environment, and culture.

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References

  • Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms & profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.

    Google Scholar 

  • Alisic, E., Zalta, A. K., van Wesel, F., Larsen, S. E., Hafstad, G. S., Hassanpour, K., & Smid, G. E. (2014). Rates of post-traumatic stress disorder in trauma-exposed children and adolescents: Meta-analysis. The British Journal of Psychiatry, 204, 335–340.

    PubMed  Google Scholar 

  • Almy, B., & Cicchetti, D. (2018). In M. H. Bornstein, M. E. Arterberry, K. L., & Fingerman, J. E. Landsford (Eds.), The Sage encyclopedia of lifespan human development. Thousand Oaks, Sage.

  • American Academy of Pediatrics. (2019). Screening recommendations. Retrieved October 17, 2019 from https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Screening/Pages/Screening-Recommendations.aspx.

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

    Google Scholar 

  • Ammerman, R. T., Putnam, F. P., Bosse, N. R., Teeters, A. R., & Van Ginkel, J. B. (2010). Maternal depression in home visitation: a systematic review. Aggression and Violent Behavior, 15(33), 191–200.

    PubMed  PubMed Central  Google Scholar 

  • Bair-Merritt, M. H., Giardino, A. P., Turner, M., Ganetsky, M., & Christian, C. W. (2004). Pediatric residency training on domestic violence: a national survey. Ambulatory Pediatrics, 4(1), 24–27.

    PubMed  Google Scholar 

  • Bair-Merritt, M. H., Lewis-O’Connor, A., Goel, S., Amato, P., Ismailji, T., Jelley, M., Lenahan, P., & Cronholm, P. (2014). Primary care-based interventions for intimate partner violence: a systematic review. American Journal of Preventive Medicine, 46(2), 188–194.

    PubMed  Google Scholar 

  • Bair-Merrit, M. H., Mandal, M., Garg, A., & Cheng, T. L. (2015). Addressing psychosocial adversity within the patient-centered medical home: expert-created measurable standards. Journal of Primary Prevention, 36(4), 213–225.

    Google Scholar 

  • Bartlett, J. D., Kotake, C., Fauth, R., & Easterbrooks, M. A. (2017). Intergenerational transmission of child abuse and neglect: do maltreatment type, perpetrator, and substantiation status matter? Child Abuse & Neglect, 63, 84–94.

    Google Scholar 

  • Bartlett, J. D., Griffin, J. L., Spinazzola, J., Goldman Fraser, J., Noroña, C. R., Bodian, R., et al., (2018). The impact of a statewide trauma-informed care initiative in child welfare on the well-being of children and youth. Children & Youth Services Review, 84, 110–117.

    Google Scholar 

  • Bartlett, J. D., & Sacks, V. (2019, April). Adverse Childhood Experiences are different than child trauma, and it’s critical to understand why. Bethesda, MD: Child Trends. Retrieved October 7, 2019 from https://www.childtrends.org/adverse-childhood-experiences-different-than-child-trauma-critical-to-understand-why.

  • Bartlett, J. D., & Steber, K. (2019, May). How to implement trauma-informed care to build resilience to childhood trauma. Bethesda, MD: Child Trends. Retrieved October 17, 2019 from https://www.childtrends.org/publications/how-to-implement-trauma-informed-care-to-build-resilience-to-childhood-trauma.

  • Bayley, N. (2006). Bayley Scales of Infant and Toddler Development: Bayley-III (Vol. 7). San Antonio, TX: Harcourt Assessment.

    Google Scholar 

  • Beidas, R. S., Marcus, S., Wolk, C. B., Powell, B., Aarons, G. A., Evans, A. C., & …Mandell, D. S. (2015). A prospective examination of clinician and supervisor turnover within the context of implementation of evidence-based practices in a publicly-funded mental health system. Administration and policy in mental health and mental health services research. Administration & Policy in Mental Health, 43(5), 640–649.

  • Berger, R. P., Dulani, T., Adelson, P. D., Leventhal, J. M., Richichi, R., & Kochanek, P. M. (2006). Identification of inflicted traumatic brain injury in well-appearing infants using serum and cerebrospinal markers: a possible screening tool. Pediatrics, 117, 325–332.

    PubMed  Google Scholar 

  • Bethell, C., Carle, A., Hudziak, J., Gombojav, N., Powers, K., Wade, R., & Braveman, P. (2017). Academic Pediatrics, 17(7 Suppl), S51–S69.

    PubMed  PubMed Central  Google Scholar 

  • Bethell, C., Jones, J., Gombojav, N., Linkenbach, J., & Sege, R. (2019). Positive childhood experiences and adult mental and relational health in a statewide sample: associations across Adverse Childhood Experiences levels. JAMA Pediatrics.

  • Bonanno, G. A. (2004). Loss, trauma, and human resilience: have we underestimated the human capacity to thrive after extremely aversive events? American Psychologist, 59, 20–28.

    Google Scholar 

  • Briere, J. (1996). Trauma Symptom Checklist for Children (TSCC) professional manual. Odessa, FL: Psychological Assessment Resources.

    Google Scholar 

  • Briere, J. (2005). Trauma Symptom Checklist for Young Children (TSCYC): professional manual, Psychological Assessment Resources, Inc. FL: Odessa.

    Google Scholar 

  • Boris, N. W., Larrieu, J. A., Zeanah, P. D., Nagle, G. A., Steier, A., & McNeill, P. (2006). The process and promise of mental health augmentation of nurse home-visiting programs: data from the Louisiana Nurse-Family Partnership. Infant Mental Health Journal, 27(1), 26–40.

    PubMed  Google Scholar 

  • Bouza, J., Camacho-Thompson, D. E., Carlo, G., Franco, X., García Coll, C., Halgunseth, L., White, R. M. B. (2018, June). The science is clear: separation families has long-term damaging psychological and health consequences for children, families, and communities. The Society for research in child development. Retrieved October 19, 2019 from https://www.srcd.org/briefs-fact-sheets/the-science-is-clear.

  • Brave Heart, M. Y. H. (2003). The historical trauma response among natives and its relationship with substance abuse: a Lakota illustration. Journal of Psychoactive Drugs, 35(1), 7–13.

    PubMed  Google Scholar 

  • Bronfenbrenner, U. (1979). The ecology of human development: experiments by nature and design. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Bronfenbrenner, U., & Morris, P. A. (2006). The bioecological model of human development. In R. M. Lerner & W. Damon (Eds.), Handbook of child psychology: theoretical models of human development (p. 793–828). John Wiley & Sons Inc..

  • Brymer, M. J., Tonya, H., Steinberg, A. M., Speier, A., Osofsky, J., & Osofsky, H. (2019). The Louisiana Spirit Hurricane Recovery Program: addressing the needs of children and adolescents after catastrophic hurricanes. Journal of Family Strengths, 19(1).

  • Burke Harris, N., Marques, S. S., Oh, D., Bucci, M., & Cloutier, M. (2017). Prevent, screen, heal: collective action to fight the toxic effects of early life adversity. Academic Pediatrics, 17(7S), S14–S15.

    PubMed  Google Scholar 

  • Ceballo, R., Dahl, T. A., Aretakis, M. T., & Ramirez, C. (2001). Inner-city children’s exposure to community violence: how much do parents know? Journal of Marriage and the Family, 63(4), 927–940.

    Google Scholar 

  • Centers for Disease Control and Prevention. (2019a). CDC Vital signs. Adverse Childhood Experiences (ACEs): preventing early trauma to improve adult health. Retrieved January 11, 2020 from https://www.cdc.gov/vitalsigns/ACEs/.

  • Centers for Disease Control and Prevention. (2019b). Developmental monitoring and screening for health professionals. Retrieved October 17, 2019 from https://www.cdc.gov/ncbddd/childdevelopment/screening-hcp.html.

  • Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. (2012). National action plan for child injury prevention. Atlanta, GA. Retrieved January 6, 2020 from https://www.cdc.gov/safechild/pdf/National_Action_Plan_for_Child_Injury_Prevention. pdf.

  • Chadwick Trauma-Informed Systems Project. (2012). Creating trauma-informed child welfare systems: a guide for administrators (1st ed.). San Diego, CA: Chadwick Center for Children and Families.

    Google Scholar 

  • Child Welfare Information Gateway. (2015). Developing a trauma-informed child welfare system. Washington, DC: U.S. Department of Health and Human Services, Children’s Bureau. Retrieved October 16, 2019 from https://www.childwelfare.gov.

  • Chu, A. T., & Lieberman, A. F. (2010). Clinical implications of traumatic stress from birth to age five. Annual Review of Clinical Psychology, 6, 469–494.

    PubMed  Google Scholar 

  • Cicchetti, D., & Lynch, M. (1993). Toward an ecological/transactional model of community violence and child maltreatment: consequences for children’s development. Psychiatry, 53, 96–118.

    Google Scholar 

  • Cicchetti, D., & Toth, S. L. (2005). Child maltreatment. Annual Review of Clinical Psychology, 1, 409–438.

    PubMed  Google Scholar 

  • Cohen, J. A., Deblinger, E., Mannarino, A. P., & de Arellano, M. A. (2001). The importance of culture in treating abused and neglected children: an empirical review. Child Maltreatment, 6(2), 148–157.

    PubMed  Google Scholar 

  • Copeland, W. E., Keeler, G., Angold, A., & Costello, J. (2007). Traumatic events and posttraumatic stress in childhood. JAMA Psychiatry, 64(5), 577–584.

    Google Scholar 

  • Crandall, A., Miller, J. R., Cheung, A., Novilla, L. K., Glade, R., Novilla, M. L. B., et al., (2019). ACEs and counter-ACEs: how positive and negative childhood experiences influence adult health. Child Abuse & Neglect, 96.

  • Della Femina, D., Yeager, C. A., & Lewis, D. O. (1990). Child abuse: adolescent records versus adult recall. Child Abuse and Neglect, 14, 227–231.

    PubMed  Google Scholar 

  • De Young, A. C., Kenardy, J. A., & Cobham, V. E. (2011). Trauma in early childhood: a neglected population. Clinical Child & Family Psychology Review, 14, 231–250.

    Google Scholar 

  • Drožđek, B., & Wilson, J. P. (2007). Wrestling with the ghosts from the past in exile. In J. P. Wilson & C. S. Tang (Eds.), Cross-cultural assessment of psychological trauma and PTSD (pp. 113–131). New York: Springer Science + Business Media, LLC.

    Google Scholar 

  • Dube, S. (2018). Continuing conversations about Adverse Childhood Experiences (ACEs) screening: a public health perspective. Child Abuse & Neglect, 85, 180–184.

    Google Scholar 

  • Dunn, E. C., Nishimi, K., Powers, A., & Bradley, B. (2017). Is developmental timing of trauma exposure associated with depressive and post-traumatic stress disorder symptoms in adulthood? Journal of Psychiatric Research, 84, 119–127.

    PubMed  Google Scholar 

  • Easterbrooks, M. A., Bartlett, J. D., Beeghly, M., & Thompson, R. A. (2012). Social and emotional development in infancy. In R.M. Lerner, M.A. Easterbrooks, & J. Mistry (Eds.), Handbook of psychology: Vol. 6. Developmental psychology (2nd ed.). Editor-in-Chief: I. B. Weiner. Hoboken, NJ: Wiley.

  • Eisen, M. (1997). The development and validation of a new measure of PTSD for young children. Unpublished Manuscript.

  • Eklund, K., Rossen, E., Koriakin, T., Chafouleas, S. M., & Resnick, C. (2018). A systematic review of trauma screening measures for children and adolescents. School Psychology Quarterly, 33(1), 30–43.

    PubMed  Google Scholar 

  • Elliot, K., & Urquiza, A. (2006). Ethnicity, culture, and child maltreatment. Journal of Social Issues, 62, 787–809.

    Google Scholar 

  • Eluvathingal, T. J., Chugani, H. T., Behen, M. E., Juhasz, C., Muzik, O., Maqbool, M., et al., (2006). Abnormal brain connectivity in children after early severe socio-emotional deprivation: a diffusion tensor imaging study. Pediatrics, 117(6), 2093–2100.

    PubMed  Google Scholar 

  • Engelbrecht, A., & Jobson, L. (2016). Exploring trauma associated appraisals in trauma survivors from collectivistic cultures. Springerplus, 5(1), 1565.

    PubMed  PubMed Central  Google Scholar 

  • Fallot, R. D., & Harris, M. (2001). A trauma-informed approach to screening and assessment. In M. Harris & R. D. Fallot (Eds.), Using trauma theory to design service systems (pp. 23–31). San Francisco, CA: Jossey-Bass.

    Google Scholar 

  • Fantuzzo, J., & Fusco, R. (2007). Children’s direct exposure to types of domestic violence crime: a population-based investigation. Journal of Family Violence, 22(7), 543–552.

    Google Scholar 

  • Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., & Edwards, … Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the Adverse Childhood Experiences (ACE) study. American Journal of Preventive Medicine, 14(4), 245–258.

  • Finkelhor, D. (2018). Screening for Adverse Childhood Experiences (ACEs): cautions and suggestions. Child Abuse & Neglect, 85, 174–179.

    Google Scholar 

  • Finkelhor, D., Ormond, R. K., & Turner, H. A. (2007). Poly-victimization: a neglected component of childhood victimization. Child Abuse & Neglect, 31, 7–26.

    Google Scholar 

  • Flaherty, E. G., & Stirling, J. (2010). Clinical report—the pediatrician’s role in child maltreatment prevention. Pediatrics, 126(4), 833–841.

    PubMed  Google Scholar 

  • Furstenberg, F., Cook, T., Eccles, J., Elder, G., & Sameroff, A. (1999). Managing to make it: urban families and adolescent success. Chicago, IL: University of Chicago Press.

    Google Scholar 

  • Futures Without Violence. (2018). Changing minds: preventing and healing childhood trauma. State policy guide. Retrieved July 7, 2019 from https://www.futureswithoutviolence.org.

  • Ghosh-Ippen, C. G., Ford, J., Racusin, R., Acker, M., Bosquet, M., Rogers, K., et al., (2002). Traumatic events screening inventory - parent report revised. San Francisco, CA: The Child Trauma Research Project of the Early Trauma Network and The National Center for PTSD Dartmouth Child Trauma Research Group.

    Google Scholar 

  • Gilbert, L. K., Breiding, M. J., Merrick, M. T., Thompson, W. W., Ford, D. C., Dhingra, S. S., & Parks, S. E. (2015). Childhood adversity and adult chronic disease: an update from ten states and the District of Columbia. American Journal of Preventive Medicine, 48, 345–349.

    PubMed  Google Scholar 

  • Gillies, D., Maiocchi, L., Bhandari, A. P., Taylor, F., Gray, C., & O’Brien, L. (2016). Cochrane Database of Systematic Reviews, 10, 1–188.

    Google Scholar 

  • Glascoe, F. P. (2001). Increasing identification of psychosocial problems. Pediatrics, 107(6), 1496.

    PubMed  Google Scholar 

  • Greenwald, R., & Rubin, A. (1999). Brief assessment of children’s post-traumatic symptoms: development and preliminary validation of parent and child scales. Research on Social Work Practice, 9, 61–75.

    Google Scholar 

  • Griffin, J., Bartlett, J. D., Howse-Kane, G., Todd, M., & Montagna, C. (2016). University of Massachusetts Medical School’s Child Trauma Training Center: final progress report. Worcester, MA: University of Massachusetts Medical School.

    Google Scholar 

  • Griffin, J., Bartlett, J. D., Kane-Howse, G., Rosinsky, K., Todd, M., Thomson, D., & Whitfield, B. (2018). University of Massachusetts Medical School’s Child Trauma Training Center: annual report. Worcester, MA: University of Massachusetts Medical School.

    Google Scholar 

  • Grossman, D. C. (2000). The history of injury control and the epidemiology of child and adolescent injuries. The Future of Children, 10(1), 23–52.

    PubMed  Google Scholar 

  • Hochstein, M., Sareen, H., Olson, L., O’Conner, K., Inkelas, M., & Halfon, N. A. (2001). Comparison of barriers to the provision of developmental assessments and psychosocial screenings during pediatric health supervision. Pediatric Research, 110, 1169–1176.

    Google Scholar 

  • Horwitz, S. W., Storfer-Isser, A., Kerker, B. D., Szilagy, M., Garner, A., O’Connor, K. G., & Stein, R. E. (2015). Barriers to the identification and management of psychosocial problems: changes from 2004 to 2013. Academic Pediatrics, 15(6), 613–620.

    PubMed  PubMed Central  Google Scholar 

  • Howe, M. L., Toth, S. L., & Cicchetti, D. (2006). Memory and developmental psychopathology. In D. Cicchetti & D. J. Cohen (Eds.), Developmental psychopathology, Developmental neuroscience (Vol. 2, pp. 629–655). Hoboken, NJ: Wiley.

    Google Scholar 

  • International Society for Traumatic Stress Studies. (n.d.). What is traumatic stress? Retrieved October 19, 2019 from http://www.istss.org/public-resources/what-is-traumatic-stress.aspx.

  • Jaycox, L., Stein, B. D., Kataoka, S. H., Wong, M., Fink, A., Escudero, P., & Zaragoza, C. (2002). Violence exposure, posttraumatic stress disorder, and depressive symptoms among recent immigrant school children. Journal of the American Academy of Child and Adolescent Psychiatry, 41(9), 1104–1110.

    PubMed  Google Scholar 

  • Jones Harden, B. (2015, January). Services for families of infants and toddlers experiencing trauma. Washington, DC: Network of Infant/Toddler Researchers, Office of Planning, Research, and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services. Retrieved October 16, 2019 from https://www.acf.hhs.gov/sites/default/files/opre/opre_nitr_brief_v07_508_2.pdf.

  • Kenardy, J. A., Spence, S. H., & Macleod, A. C. (2006). Screening for posttraumatic stress disorder in children after accidental injury. Pediatrics, 118(3), 1002–1009.

    PubMed  Google Scholar 

  • Kessler, R. C., McLaughlin, K. A., Green, J. G., Gruber, M. J., Sampson, N. A., Zaslavsky, A. M., & Williams, D. R. (2010). Childhood adversities and adult psychopathology in the WHO World Mental Health Surveys. British Journal of Psychiatry, 197(5), 378–385.

    Google Scholar 

  • Kiely, M., El-Mohandes, A. A. E., El-Khorazaty, M. N., Blake, S. M., & Gantz, M. G. (2010). An integrated intervention to reduce intimate partner violence in pregnancy: a randomized controlled trial. Obstetrics and Gynecology, 115(2, Part 1), 273–283.

  • Kissiel, C. L., Fehrenbach, T., Torgersen, E., Stolbach, B., McClelland, G., Griffin, G., & Burkman, K. (2014). Constellations of interpersonal trauma and symptoms in child welfare. Implications for a developmental trauma framework. Journal of Family Violence, 29, 1–14.

    Google Scholar 

  • Kobulsky, J. M., Kepple, N. J., Holmes, M. R., & Hussey, D. L. (2017). Concordance of parent and child-reported physical abuse following child protective service investigation. Child Maltreatment, 22(1), 24–33.

    PubMed  Google Scholar 

  • Koita, K., Long, D., Hessler, D., Benson, M., Daley, K., Bucci, M., Thakur, N., & Burke Harris, N. (2018). Development and implementation of a pediatric Adverse Childhood Experiences (ACEs) and other determinants of health questionnaire in the pediatric medical home: a pilot study. PLoS One, 13(12), e0208088.

    PubMed  PubMed Central  Google Scholar 

  • Kosterman, R., Mason, W. A., Haggerty, K. P., Hawkins, J. D., Spoth, R., & Redmond, C. (2011). Positive childhood experiences and positive adult functioning: prosocial continuity and the role of adolescent substance use. Journal of Adolescent Health, 49(2), 180–186.

    Google Scholar 

  • Kuhlman, K. F., Robles, F. R., Bower, J. E., & Caroll, J. E. (2018). Screening for childhood adversity: the what and when of identifying individuals at risk for lifespan health disparities. Journal of Behavioral Medicine, 41(4), 516–527.

    PubMed  PubMed Central  Google Scholar 

  • Kuo, M., Mohler, B., Raudenbush, S. L., & Earls, F. J. (2000). Assessing exposure to violence using multiple informants: application of hierarchical linear model. Journal of Child Psychology and Psychiatry, 41(8), 1049–1056.

    PubMed  Google Scholar 

  • Lang, J. M., & Connell, C. M. (2017). Development and validation of a brief trauma screening measure for children: the Child Trauma Screen. Psychological Trauma: Theory, Research, Practice, and Policy, 9(3), 390–398.

    Google Scholar 

  • Lang, J. M., & Connell, C. M. (2018). The Child Trauma Screen: a follow-up validation. Journal of Traumatic Stress, 31(4), 540–548.

    PubMed  Google Scholar 

  • Lapidus, G., Cooke, M. B., Gelven, E., Sherman, K., Duncan, M., & Banco, L. (2002). A statewide survey of domestic violence screening behaviors among pediatricians and family physicians. Archives of Pediatric and Adolescent Medicine, 156, 33233–33236.

    Google Scholar 

  • Larrieu, J. A., & Bellow, S. M. (2004). Relationship assessment for young traumatized children. In J. D. Osofsky (Ed.), Young children and trauma: intervention and treatment (pp. 155–172). New York: Guildford.

    Google Scholar 

  • Lecroy, C. W., & Whitaker, K. (2005). Improving the quality of home visitation: An exploratory study of difficult situations. Child Abuse & Neglect, 29(9), 1003–1013.

    Google Scholar 

  • Legault, L., Anawati, M., & Flynn, R. (2006). Factors favoring psychological resilience among fostered young people. Children & Youth Services Review, 28, 1024–1038.

    Google Scholar 

  • Levant, R. F., House, A. T., May, S., & Smith, R. (2006). Cost offset: past, present, and future. Psychological Services, 3(3), 195–207.

    Google Scholar 

  • Levendosky, A. A., Huth-Bocks, A. C., Semel, M. A., & Shapiro, D. L. (2002). Trauma symptoms in preschool-age children exposed to violence. Journal of Interpersonal Violence, 17, 150–164.

    Google Scholar 

  • Lieberman, A. F., Chu, A., Van Horn, P., & Harris, W. W. (2011). Trauma in early childhood: empirical evidence and clinical implications. Development and Psychopathology, 23, 397–410.

    PubMed  Google Scholar 

  • Lieberman, A. F., & Knorr, K. (2007). The impact of trauma: a developmental framework for infancy and early childhood. Psychiatric Annals, 37, 416–422.

    Google Scholar 

  • Lieberman, A. F., & Van Horn, P. (2009). Child-parent psychotherapy: a developmental approach to mental health treatment in infancy and early childhood. In C. H. Zeanah Jr. (Ed.), Handbook of infant mental health (p. 439–449). Guilford Press.

  • Litz, B. T., Miller, M., Ruef, A., & McTeague, L. (2002). Exposure to trauma in adults. In M. Antony & D. Barlow (Eds.), Handbook of assessment and treatment planning for psychological disorders. New York: Guilford Press.

    Google Scholar 

  • Luthar, S. S., Cicchetti, D., & Becker, B. (2000). The construct of resilience: a critical evaluation and guidelines for future work. Child Development, 71, 543–562.

    PubMed  PubMed Central  Google Scholar 

  • Manly, J. T., Kim, J. E., Rogosch, F. A., & Cicchetti, D. (2001). Dimensions of child maltreatment and children’s adjustment: contributions of developmental timing and subtype. Development and Psychopathology, 13(4), 759–782.

    PubMed  Google Scholar 

  • Masten, A. S. (2001). Ordinary magic: resilience processes in development. American Psychologist, 56, 227–238.

    Google Scholar 

  • Masten, A. S., Best, K. M., & Garmezy, N. (1990). Resilience and development: contributions from the study of children who overcome adversity. Development and Psychopathology, 2, 425–444.

    Google Scholar 

  • Masten, A. S., & Cicchetti, D. (2016). Resilience in development: progress and transformation. In D. Cicchetti (Ed.), Developmental psychopathology: risk, resilience, and intervention (pp. 271–333). Hoboken, NJ: John Wiley & Sons.

    Google Scholar 

  • McEwen, C. A., & Gregerson, S. F. (2019). A critical assessment of the Adverse Childhood Experiences study at 20 years. American Journal of Preventive Medicine, 56(6), 790–794.

    PubMed  Google Scholar 

  • Mersky, J. P., Janczewski, C. E., & Topitzes, J. (2017). Rethinking the measurement of adversity: moving toward second-generation research on Adverse Childhood Experiences. Child Maltreatment, 22(1), 58–68.

    PubMed  Google Scholar 

  • Moodie, S., Daneri, P., Goldhagen, S., Halle, T., Green, K., & LaMonte, L. (2014). Early childhood developmental screening: a compendium of measures for children ages birth to five. Washington, DC: Office of Planning, Research and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services.

    Google Scholar 

  • Morris, A. S., Hays-Grudo, J., Treat, A., Williamson, A., Huffer, A., Robyler, M. Z., & Staton, J. (2015, March). Assessing resilience using the protective and compensatory experiences survey (PACEs). Poster presented at the biennial meeting of the Society for Research in Child Development, Philadelphia, PA.

  • Morris, A. S., Treat, A., Hays-Grudo, J., Treat, A., Chesher, T., Williamson, A., & Mendez, J. (2018). Integrating research and theory on early relationships to guide intervention and prevention. In A. S. Morris & A. C. Williamson (Eds.), Building early social and emotional relationships with infants and toddlers: integrating research and practice (pp. 1–25). Cham, Switzerland: Springer.

    Google Scholar 

  • Murphey, D., & Bartlett, J. D. (2019, July). Childhood adversity screenings are just one part of an effective policy response to childhood trauma. Bethesda, MD: Child Trends. Retrieved October 7, 2019 from https://www.childtrends.org/publications/childhood-adversity-screenings-are-just-one-part-of-an-effective-policy-response-to-childhood-trauma.

  • National Child Traumatic Stress Network. (n.d.). What is a trauma screening tool or process? Retrieved October 14, 2019 from https://www.nctsn.org/treatments-and-practices/screening-and-assessments/trauma-screening.

  • National Child Traumatic Stress Network. (2008). Understanding traumatic stress in adolescents. Retrieved October 14, 2019 from https://www.nctsn.org/resources/understanding-traumatic-stress-adolescents.

  • National Child Traumatic Stress Network. (2016). What is a trauma-informed child and family service system? Retrieved October 19, 2019 from https://www.nctsn.org.

  • National Child Traumatic Stress Network Complex Trauma Task Force. (2003). Complex trauma in children and adolescence: white paper. Los Angeles, CA and Durham, NC: National Center for Child Traumatic Stress.

    Google Scholar 

  • National Institute for Health Care Management Foundation. (2009). Strategies to support the integration of mental health into pediatric primary care. Retrieved October 19, 2019 from http://www.nihcm.org/pdf/PediatricMH-FINAL.pdf.

  • National Scientific Council on the Developing Child. (2014). Excessive stress disrupts the architecture of the developing brain: working paper 3. Updated Edition. Retrieved January 13, 2020 from https://46y5eh11fhgw3ve3ytpwxt9r-wpengine.netdna-ssl.com/wp-content/uploads/2005/05/Stress_Disrupts_Architecture_Developing_Brain-1.pdf.

  • National Survey of Children’s Health. (2011/2012). Query from the Child and Adolescent Health Measurement Initiative, Data Resource Center for Child and Adolescent Health website. Retrieved October 7, 2019 from www.childhealthdata.org.

  • Newborg, J. (2005). Battelle developmental inventory (2nd ed.). Itasca, IL: Riverside Publishing Oh, D. L., Jerman P., Marques S. S., Koita, K., Boparai, S. K. P., Harris, N. B., Bucci, M. (2018). Systematic review of pediatric health outcomes associated with childhood adversity. BMC Pediatrics, 18(1), 1–19.

  • Oh, D., Jerman, S. M., Koita, P. B., Burke Harris N., & Bucci, M. (2018). Systematic review of pediatric health outcomes associated with childhood adversity. BMC Pediatrics, 18(1), 83.

  • Pascoe, J. M., Wood, D. L., Duffee, J. H., & AAP Committee on Psychosocial Aspects of Child and Family Health, Council on Community Pediatrics. (2016). Mediators and adverse effects of child poverty in the United States. Pediatrics, 137(4), e20160340.

    PubMed  Google Scholar 

  • Pynoos R. S., & Steinberg A. M. (2015). The University of California, Los Angeles, Post-traumatic Stress Disorder Reaction Index (UCLA PTSD index) for the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5). Los Angeles: University of California.

  • Pynoos, R., Steinberg, A. M., & Goenjian, A. (1996). Traumatic stress in childhood and adolescence: recent developments and current controversies. In B.Van der Kolk, A. C. McFarlane, & L. Weisaeth (Eds.), Traumatic stress: the effects of overwhelming experience on mind, body and society (pp. 331–358). New York: Guilford Press Pynoos, R. S., Steinberg, A. M., & Wraith, R. (1995). A developmental model of childhood traumatic stress. In D. Cicchetti & D. J. Cohen (Eds.), Wiley series on personality processes. Developmental psychopathology, Vol. 2. Risk, disorder, and adaptation (p. 72–95). John Wiley & Sons.

  • Pynoos, R., Steinberg, A. M., & Wraith, R. (1995). A developmental model of childhood traumatic stress. In D, Cicchetti, & J. Cohen (Eds.), Developmental Psychopathology (pp. 72–95). New York: John Wiley and Sons.

  • Quas, J. A., Davis, E. L., Goodman, G. S., & Myers, J. E. B. (2007). Repeated questions, deception, and children’s true and false reports of body touch. Child Maltreatment, 12, 60–67.

    PubMed  PubMed Central  Google Scholar 

  • Reynolds, C. R., & Kamphaus, R. W. (2015). Behavior assessment system for children (3rd ed.). Bloomington: NCS Pearson, Inc..

    Google Scholar 

  • Rutter, M. (1979). Maternal deprivation, 1972-1978: new findings, new concepts, new approaches. Child Development, 50(2), 283–305.

    PubMed  Google Scholar 

  • Sacks, V., & Murphey, D. (2018, February). The prevalence of adverse childhood experiences, nationally, by state, and by race or ethnicity. Bethesda, MD: Child Trends. Retrieved September 7, 2019 from https://www.childtrends.org/publications/prevalence-adverse-childhood-experiences-nationally-state-race-ethnicity.

  • Sameroff, A. J., Seifer, R., Barocas, R., Zax, M., & Greenspan, S. (1987a). Intelligence quotient scores of 4-year-old children: social environmental risk factors. Pediatrics, 79, 343–350.

    PubMed  Google Scholar 

  • Sameroff, A. J., Seifer, R., Zax, M., & Barocas, R. (1987b). Early indicators of developmental risk: the Rochester Longitudinal Study. Schizophrenia Bulletin, 13, 383–393.

    PubMed  Google Scholar 

  • Saxe, G., Chawla, N., Stoddard, F., Kassam-Adams, N., Courtney, D., Cunningham, K., et al., (2003). Child stress disorders checklist: a measure of ASD and PTSD in children. Journal of the American Academy of Child & Adolescent Psychiatry, 42(8), 972–978.

    Google Scholar 

  • Schreier, H., Ladakakos, C., Morabito, D., Chapman, L., & Knudson, M. M. (2005). Posttraumatic stress symptoms in children after mild to moderate pediatric trauma: a longitudinal examination of symptom prevalence, correlates, and parent-child symptom reporting. Journal of Trauma, 58(2), 353–363.

    Google Scholar 

  • Sege, R., Bethell, C., Linkenbach, J., Jones, J., Klika, B., & Pacora, P. (2017). Balancing adverse childhood experiences (ACES) with HOPE: new insights into the role of positive experience on child and family development. Boston, MA: The Medical Foundation.

    Google Scholar 

  • Sege, R. D., & Browne, C. H. (2017). Responding to ACEs with HOPE: health outcomes from positive experiences. Academic Pediatrics, 17(7), S79–S85.

    PubMed  Google Scholar 

  • Selph, S. S., Bougatsos, C., Blaina, I., & Nelson, H. D. (2013). Behavioral interventions and counseling to prevent child abuse and neglect: a systematic review to update the U.S. Preventive Services Task Force recommendation. Annals of Internal Medicine, 158(3), 179–190.

    PubMed  Google Scholar 

  • Sheidow, A. J., Jayawardhana, J., Bradford, W. D., Henggeler, S. W., & Shapiro, S. B. (2012). Money matters: cost-effectiveness of juvenile drug court with and without evidence-based treatments. Journal of Child & Adolescent Substance Abuse, 21, 69–90.

    Google Scholar 

  • Shemesh, E., Newcorn, J. H., Rockmore, L., Shneider, B. L., Emre, S., Gelb, B. D., & Yehuda, R. (2005). Comparison of parent and child reports of emotional trauma symptoms in pediatric outpatient settings. Pediatrics, 115, e582–e589.

    PubMed  Google Scholar 

  • Shephard, L., Kagan, S. L., & Wurtz, E. (Eds.). (1998). Principles and recommendations for early childhood assessments. Washington, DC: National Education Goals Panel.

    Google Scholar 

  • Shonkoff, J. P., Boyce, W. T., & McEwen, B. S. (2009). Neuroscience, molecular biology, and the childhood roots of health disparities: building a new framework for health promotion and disease prevention. JAMA, 301(21), 2252–2259.

    PubMed  Google Scholar 

  • Siegfried, C. B., Blackshear, K., & National Child Traumatic Stress Network. (2016). Is it ADHD or child traumatic stress? A guide for clinicians. Los Angeles, CA & Durham, NC: National Center for Child Traumatic Stress. Retrieved October 16, 2019 from https://www.nctsn.org/resources/it-adhd-or-child-traumatic-stress-guide-clinicians.

  • Slopen, N., Chen, Y., Guida, J. L., Albert, M. A., & Williams, D. R. (2017). Positive childhood experiences and ideal cardiovascular health in midlife: associations and mediators. Preventive Medicine, 97, 72–79.

    PubMed  PubMed Central  Google Scholar 

  • Squires, J., & Bricker, D. (2009). Ages & Stages Questionnaires: a parent-completed child-monitoring system. Brookes Publishing Company.

  • Squires, J., Bricker, D., Twombly, E., Yockelson, S., Davis, M. S., & Kim, Y. (2000). Ages & Stages Questionnaires: a parent-completed child-monitoring system for social-emotional behaviors. Brookes Publishing Company.

  • Stover, C. S., Hahn, H., Im, J. J. Y., & Berkowitz, S. (2010). Agreement of parent and child reports of trauma exposure and symptoms in the early aftermath of a traumatic event. Psychological Trauma: Theory, Research, Practice, and Policy, 2, 159–168.

    Google Scholar 

  • Substance Abuse and Mental Health Services Administration. (2014). Trauma-informed care in behavioral health services: tip 57. Rockville, MD: Author. Retrieved December 5, 2018 from https://www.integration.samhsa.gov/clinical-practice/SAMSA_TIP_Trauma.pdf.

  • Summerfield, D. A., Loughrey, G. C., Nikapota, A., & Parry-Jones, W. (1997). The effect of conflict on civilian populations. In D. Black, M. Newman, J. Harris-Hendriks, & G. Mezey (Eds.), Psychological trauma: a developmental approach (pp. 148–175). London, England: Gaskell/Royal College of Psychiatrists.

    Google Scholar 

  • Taber, S. M. (2010). The veridicality of children’s reports of parenting: a review of factors contributing to parent-child discrepancies. Clinical Psychology Review, 30, 999–1010.

    PubMed  Google Scholar 

  • Tandon, S. D., Parillo, K. M., Jenkins, C., & Duggan, A. K. (2005). Formative evaluation of home visitors’ role in addressing poor mental health, domestic violence, and substance abuse among low-income pregnant and parenting women. Maternal and Child Health Journal, 9(3), 273–283.

    PubMed  Google Scholar 

  • Tobach, E., & Schnierla, T. C. (1968). The biopsychology of social behavior of animals. In R. E. Cooke & S. Levin (Eds.), Biologic basis of pediatric practice (pp. 68–82). New York: McGraw-Hill.

    Google Scholar 

  • Traub, F., & Boynton-Jarrett, R. (2017). Modifiable resilience factors to childhood adversity for clinical pediatric practice. Pediatrics, 139, 1–14.

    Google Scholar 

  • U.S. Department of Health & Human Services. (2020). Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau. Child Maltreatment 2018. Retrieved February 2, 2020 from. https://www.acf.hhs.gov/cb/resource/child-maltreatment-2018.

  • U.S. Department of Health and Human Services. (2013). Letter to state Medicaid directors. Retrieved October 16 from https://www.medicaid.gov/federal-policy-guidance/downloads/smd-13-07-11.pdf.

  • U.S. Department of Health and Human Services, & U.S. Department of Education. (2014). An early care and education provider’s guide for developmental and behavioral screening. Retrieved October 10, 2019 from https://www.acf.hhs.gov/sites/default/files /ecd/ece_providers_guide_march2014.pdf.

  • Van Hook, S., Harris, S. K., Brooks, T., Carey, P., Kossack, R., Kulig, J., … New England Partnership for Substance Abuse Research. (2007). The “Six T’s”: barriers to screening teens for substance abuse in primary care. Journal of Adolescent Health, 40(5), 456–461.

  • Webster, J. (2006). Screening for domestic violence: the ‘evidence’ dilemma. Contemporary Nurse, 21(2), 163–164.

    PubMed  Google Scholar 

  • Werner, E. E., & Smith, R. S. (1992). Overcoming the odds: high risk children from birth to adulthood. Ithaca, NY: Cornell University Press.

    Google Scholar 

  • Whitney, D. G., & Peterson, M. D. (2019). U.S. national and state-level prevalence of mental health disorders and disparities of mental health care use in children. JAMA Pediatrics, 173(4), 389–391.

    PubMed  PubMed Central  Google Scholar 

  • Williams, S. C., & Sepulveda, K. (2019, March). Infants and toddlers are more likely than older children to enter foster care because of neglect and parental drug abuse. Bethesda, MD: Child Trends. Retrieved October 3, 2019 from https://www.childtrends.org/infants-and-toddlers-are-more-likely-than-older-children-to-enter-foster-care-because-of-neglect-and-parental-drug-abuse.

  • World Health Organization. (2016). World Health Organization [WHO]: Adverse Childhood Experiences International Questionnaire (ACE-IQ). Retrieved October 17, 2019 from https://www.who.int/violence_injury_prevention/violence/activities/adverse_childhood_experiences/en/.

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    Jessica Dym Bartlett

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Bartlett, J.D. Screening for Childhood Adversity: Contemporary Challenges and Recommendations. ADV RES SCI 1, 65–79 (2020). https://doi.org/10.1007/s42844-020-00004-8

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