Abstract
In 2012, there were 3.4 million referrals alleging childhood trauma to Child Protective Services in the United States.1 While this number is startling, it does not include the millions of undocumented cases, nor does it portray the long-term consequences of abuse. Providers of pediatric and adolescent care are on the front lines of identification and prevention of childhood trauma, and without proper tools, health care providers may be ill equipped to address the long-term negative health outcomes.2,3 However, the Adverse Childhood Experiences (ACEs) score is an available and perhaps underutilized tool that can better equip providers to recognize and understand the impact of childhood trauma on physical, mental, and behavioral health.
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