Katzman Joanna G, Tomedi Laura E, Chari Krishna, Pandey Navin, Del Fabbro Anilla, Ramos Mary, Kazhe-Dominguez Briana
Department of Neurosurgery, School of Medicine, Health Sciences Center, University of New Mexico, Albuquerque, NM 87131, USA.
College of Population Health, Health Science Center, University of New Mexico, Albuquerque, NM 87131, USA.
Healthcare (Basel). 2025 Mar 14;13(6):638. doi: 10.3390/healthcare13060638.
Adverse childhood experiences (ACEs) are potentially traumatic experiences that may promote poor mental health, including substance use and suicidality, as well as chronic pain. Telementoring may be used to provide education to school-based health center (SBHC) clinicians and other health professionals in the community to identify and support youth with ACEs. This study was an evaluation of the novel ACEs ECHO telementoring program, which incorporates didactics, case-based learning, and a community of practice to serve school-based health clinicians in New Mexico, a rural state with a high prevalence of ACEs. In the program's first two years, there were 704 unique participants, including SBHC clinicians from 25 of New Mexico's 33 counties. The pre/post survey demonstrated that the participants reported increases in knowledge in identifying children that experienced ACEs (4.3 versus 3.7, = 0.001) and confidence in supporting children who may be at high risk (4.1 versus 3.3, = 0.001) compared with before they began attending the ACEs ECHO program. The participants also reported that they felt more hopeful that they could help youth with ACEs (4.2 versus 3.3, = 0.001). The ACEs ECHO telementoring program may be considered for other rural states and globally as a capacity-building model to educate SBHC clinicians and other health professionals to identify youth at risk for adverse childhood experiences.
童年不良经历（ACEs）是潜在的创伤性经历，可能会导致心理健康状况不佳，包括物质使用和自杀倾向，以及慢性疼痛。远程指导可用于为社区中的学校健康中心（SBHC）临床医生和其他卫生专业人员提供教育，以识别和支持有童年不良经历的青少年。本研究是对新颖的ACEs ECHO远程指导项目的评估，该项目结合了教学、基于案例的学习和实践社区，为新墨西哥州（一个ACEs患病率很高的农村州）的学校健康临床医生提供服务。在该项目的头两年，共有704名独特的参与者，包括来自新墨西哥州33个县中25个县的SBHC临床医生。前后调查显示，与开始参加ACEs ECHO项目之前相比，参与者报告在识别有童年不良经历的儿童方面的知识有所增加（4.3对3.7，P = 0.001），在支持可能处于高风险的儿童方面的信心有所增强（4.1对3.3，P = 0.001）。参与者还报告说，他们更有希望能够帮助有童年不良经历的青少年（4.2对3.3，P = 0.001）。ACEs ECHO远程指导项目可作为一种能力建设模式，供其他农村州乃至全球考虑，用于培训SBHC临床医生和其他卫生专业人员识别有童年不良经历风险的青少年。
