Screening for Traumatic Childhood Experiences in Health Care Settings Invited Commentary Invited Commentary David Finkelhor, PhD; Lucy Berliner, MSW The heartfelt essay by Dr Austin captures well the experi- tioning and need to be given advanced warnings and ence of many survivors of childhood sexual abuse and other options. traumatic and adverse experiences. Faced with medical his- In an ideal process, the infrastructure behind a fully com- tory questionnaires, they may feel ambivalent about disclos- prehensive response would include training for health care pro- ing and disappointed with the fessionals; having available informational resources such as follow-up when they do. pamphlets, videos, or websites; and the preplanning of a re- Related article ferral procedure. The exact options would depend on the re- As she points out, screen- ing for the variety of adverse experiences has been rapidly sources within the settings. Some practices now employ so- increasing, in wake of the recognition of their prevalence cial workers, care managers, and navigators who can contribute and their contribution to poor health. But while screening is to effective responses. But in other cases, referrals will need proliferating, it is not clear how beneficial it has been for pa- to be vetted
JAMA Internal Medicine – American Medical Association
Published: Jul 3, 2021
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