
The National Pediatric Practice Community on Adverse Childhood Experiences (NPPC), an initiative of the Center for Youth Wellness, aims to enhance the overall quality of pediatric care and improve health outcomes by integrating a toxic stress framework and Adverse Childhood Experiences (ACEs) screening and intervention into pediatric medicine. This initiative is part of a national effort to transform clinical understanding and practice for children exposed to early adversity and toxic stress.
As a 3-year initiative, the NPPC has the goal of supporting 1,000 pediatric medical providers in making ACEs screening and intervention part of their routine clinical practice.
The NPPC is guided by the following principles:
The NPPC embraces a co-designed approach that ensures that materials and training are responsive to member needs and that lessons learned as a community are disseminated widely to advance medical practice.
Collectively we will:
NPPC members will receive monthly updates and quarterly webinar communications. The information shared will drawn from the identified interests and needs of the community. The NPPC will become an informational hub tools and resources relevant ACEs in medical practice.
Potential topics for communications include:
Virtual coaching and training opportunities will allow NPPC members to learn from experts in the field and each other. These trainings will focus on building practice skills required for ACEs screening and follow up. Member will have opportunities to participate in “sub-studies” around this issue and apply to become pilot sites for individualized coaching and technical assistance.
NPPC members will be at various stages of implementation of an ACEs screening protocol and with varied experience with models that may support the optimal patient care for children and their families. Sharing our lessons learned and disseminating opportunities to advance practices will be an integral part of the NPPC offerings.
As part of our learning about the integration of ACEs screening practices in clinical settings, we will be working with a select number of medical practices representing diverse healthcare delivery models, providing tailored support.
For our 2017 cohort, we will be working with sites that have yet to adopt an ACEs screening protocol. These sites will be facilitated through the process of adopting an ACEs screening and intervention protocol relevant to their delivery model and patient population, using a clinical quality improvement (CQI) methodology. We will be ensuring an ongoing CQI at these sites, sharing lessons learned and resources developed with these pilot sites with the broader NPPC membership.
We are currently recruiting sites who are interested in integrating ACEs screening into their practice but have yet to set up a protocol. If you are a clinic located in California interested in becoming a pilot site, please contact us for more information. Sites outside California, please stay tuned as we release more opportunities to become a pilot site in the near future.
The National Pediatric Practice Community on ACEs is led by the Center for Youth Wellness, with funding from The JPB Foundation, Genentech, Google, and the Packard Foundation.