Department of Pediatrics, Nemours/Alfred I duPont Hospital for Children, Wilmington, Del; Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pa.
Health Federation of Philadelphia, Philadelphia, Pa.
Acad Pediatr. 2017 Sep-Oct;17(7S):S130-S135. doi: 10.1016/j.acap.2017.04.012.
The Philadelphia ACE Task Force is a community based collaborative of health care providers, researchers, community-based organizations, funders, and public sector representatives. The mission of the task force is to provide a venue to address childhood adversity and its consequences in the Philadelphia metropolitan region. In this article we describe the origins and metamorphosis of the Philadelphia ACE Task Force, which initially was narrowly focused on screening for adverse childhood experiences (ACEs) in health care settings but expanded its focus to better represent a true community-based approach to sharing experiences with addressing childhood adversity in multiple sectors of the city and region. The task force has been successful in developing a research agenda and conducting research on ACEs in the urban context, and has identified foci of local activity in the areas of professional training and workforce development, community education, and local practical interventions around adversity, trauma, and resiliency. In this article we also address the lessons learned over the first 5 years of the task force's existence and offers recommendations for future efforts to build a local community-based ACEs collaborative.
费城 ACE 工作组是一个由医疗保健提供者、研究人员、社区组织、资助者和公共部门代表组成的社区合作组织。该工作组的使命是为解决费城大都市区的儿童逆境及其后果提供一个场所。在本文中，我们描述了费城 ACE 工作组的起源和演变，该工作组最初的重点是在医疗保健环境中筛查儿童逆境经历（ACEs），但后来扩大了重点，以更好地代表一种真正的基于社区的方法，在城市和地区的多个部门分享解决儿童逆境的经验。该工作组成功地制定了一个研究议程，并在城市环境中开展了 ACEs 研究，确定了在专业培训和劳动力发展、社区教育以及逆境、创伤和复原力方面的地方活动重点。在本文中，我们还讨论了工作组成立头 5 年中所吸取的经验教训，并为今后建立基于本地社区的 ACEs 合作组织提出了建议。
