Nearly 14,000 California health care professionals have completed the state’s ACEs Aware initiative’s core training program on delivering trauma-informed care for people with adverse childhood experiences (ACEs). About 8,300 (59%) of those trained as of September 2020 are Medi-Cal clinical professionals who are eligible to receive payment for providing ACE screenings for Medicaid beneficiaries. The initiative has released a new ACEs Aware Provider Directory to give consumers a way to find and connect with trained ACEs Aware medical professionals throughout the state.
The ACEs Aware initiative is led by the Office of the California Surgeon General (CA-OSG) and the California Department of Health Care Services (DHCS). It is a statewide effort that launched in December 2019 to train health care professionals on how to screen consumers for ACEs and treat the impacts of toxic stress to prevent the secondary health effects associated with stress. Effective January 1, 2020, qualified Medi-Cal providers who complete the certified “Becoming ACEs Aware in California” training and attest to completion can receive Medi-Cal payment for screening children and adults for ACEs.
On October 15, 2020, the CA-OSG and DHCS released a data report on the ACEs Aware training engagement. Key findings were as follows:
Nearly 14,000 health care professionals completed the core training, and 8,300 attested to completing the training.
- 58 % of those who completed the training are physicians; 12% are nurse practitioners, registered nurses, or advance practice nurses; 7% are social workers; 6% are psychologists; 4% are physician assistants; and 13% are in other specialties.
- 49% specialize in pediatric or family medicine; 15% in psychology or behavioral health; 10% in internal medicine; 9% in obstetrics/gynecology; 5% in social work; and 13% in other specialties.
- Of users who provided a National Provider Identifier, 86% participate in Medi-Cal (California’s Medicaid program).
Before participants took the training:
- 7% reported screening all patients for ACEs.
- 64% reported they had been screening less than 25% of their patients for ACEs.
- 35% reported they do not screen patients for ACEs.
After participants completed the training:
- 91% reported confidence that they would be able to make practice changes.
- 97% reported that they planned to implement changes in their practice to address ACEs, or that their current practice had been reinforced.
- 81% who were not previously screening patients for ACEs indicated that they planned to implement routine ACE screening for children and/or adults.
- 71% anticipated time constraints as a potential barrier to implementing change.
The report is posted online at https://www.acesaware.org/wp-content/uploads/2020/10/ACEs-Aware-Provider-Training-Data-Report-10-15-20.pdf (accessed November 15, 2020).
This was reported by ACEs Aware on October 15, 2020.
Contact information: Office of Public Affairs, California Department of Health Care Services, 1501 Capitol Avenue, MS 0000, Post Office Box 997413, Sacramento, California 95899; 916-440-7660; Email: DHCSPress@dhcs.ca.gov; Website: http://www.dhcs.ca.gov/