The Relationship of Adverse Childhood Experience and Clinical Outcomes for Admissions to Child and Adolescent Mental Health Services

Cheung Sandra,Cawthorpe David

doi:10.23937/2474-3631/1510034

Abstract

ACE survey data collected between 2016 and 2020 was linked with demographic, clinical profile, clinical system variables (eg, repeated admissions), and outcome data for those admitted for treatment. Improved and deteriorated categories of clinical outcome were defined (dependent variable) and their association with demographic and clinical profile data (independent variables) was examined employing bivariate and multivariable logistic regression analysis.

Highlights

The purpose of this paper is to examine the relationship of measured clinical outcomes and Adverse Childhood Experience (ACE) survey scores in a regional population of children and adolescents treated in the Child and Adolescent Addictions and Mental Health and Psychiatry Program (CAAMHPP)
Clinical outcome measurement occurred at the clinical treatment location on admission and discharge, and took the form of the measureable treatment plan (MTP) which consists of a function domain (Children’s Global Assessment Scale: CGAS) and a strength/concern domain labelled as problem severity (PS)
A minority of children admitted to child and adolescent mental health services with high ACE scores do poorly as indicated by the clinical variables measured on discharge

Summary

Introduction

The purpose of this paper is to examine the relationship of measured clinical outcomes and Adverse Childhood Experience (ACE) survey scores in a regional population of children and adolescents treated in the Child and Adolescent Addictions and Mental Health and Psychiatry Program (CAAMHPP). The results form the basis of future work employing ACEs as an indicator of Citation: Cheung S, Cawthorpe D (2022) The Relationship of Adverse Childhood Experience and Clinical Outcomes for Admissions to Child and Adolescent Mental Health Services. Accepted: March 03, 2022: Published: March 05, 2022. Int Arch Addict Res Med 2022, 7:034 Page 1 of 13 . Search Parameters (((trauma[Title]) AND (informed[Title])) AND (care[Title])) AND (mental[Title]) (((trauma[Title]) AND (focused[Title])) AND (care[Title])) AND (mental[Title]) (((trauma[Title]) AND (competency[Title])) AND (care[Title])) AND (mental[Title]) (((trauma[Title]) AND (competent[Title])) AND (care[Title])) AND (mental[Title])

Methods

Results

Discussion

Conclusion