Abstract
This study was conducted to elicit clinicians’ and adolescents’ perspectives regarding adverse childhood experiences (ACEs) screening. Fourteen clinician interviews and 3 adolescent focus groups (n = 12 youth) were conducted, transcribed, coded, and analyzed using grounded theory. Participants noted scarcity of time and private space, adolescents’ disclosure concerns, importance of confidentiality, and benefits of opening adversity conversations. Engaging trust may facilitate teen disclosure and conversations about ACEs. Policies to protect confidentiality of screening and records, provide time for discussions about results, destigmatize trauma, and foster continuity and acceptance in provider-adolescent relationships are critical to successful implementation and adolescent acceptance of ACEs screening.
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