Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, Calif.
Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, Calif.
Acad Pediatr. 2017 Sep-Oct;17(7S):S108-S114. doi: 10.1016/j.acap.2017.01.008.
Adolescents exposed to adverse childhood experiences (ACEs) have unique developmental needs that must be addressed by the health, education, and social welfare systems that serve them. Nationwide, over half of adolescents have reportedly been exposed to ACEs. This exposure can have detrimental effects, including increased risk for learning and behavioral issues and suicidal ideation. In response, clinical and community systems need to carefully plan and coordinate services to support adolescents who have been exposed to ACEs, with a particular focus on special populations. We discuss how adolescents' needs can be met, including considering confidentiality concerns and emerging independence; tailoring and testing screening tools for specific use with adolescents; identifying effective multipronged and cross-system trauma-informed interventions; and advocating for improved policies.
青少年如果经历过不良的儿童期经历(ACEs),那么他们就有着独特的发展需求,需要为他们提供服务的医疗、教育和社会福利系统来满足。据报道,全国有一半以上的青少年都经历过 ACEs。这种经历可能会产生有害影响,包括增加学习和行为问题以及自杀意念的风险。因此,临床和社区系统需要仔细规划和协调服务,以支持经历过 ACEs 的青少年,特别关注特殊人群。我们讨论了如何满足青少年的需求,包括考虑保密问题和日益增强的独立性;为青少年量身定制和测试特定的筛查工具;确定有效的多管齐下和跨系统的创伤知情干预措施;以及倡导改善政策。