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ACE Screening Implementation How-To Guide
The ACE Screening Implementation How-To Guide provides the information, tools, and resources you need to move your organization further along its ACE screening journey.
By implementing ACE screening and toxic stress treatment, your clinical team can play a key role in reducing exposure to Adverse Childhood Experiences (ACEs) and toxic stress in California by half in one generation.
Stage 1: Prepare the foundation
Stage 2: Select your approach
Stage 3: Implement the program
Stage 4: Build sustainability
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ACEs Screening Tools
Screening for ACEs helps primary care clinicians assess risk for toxic stress and guide effective responses. To receive Medi-Cal payment for conducting ACE screenings, clinical team members in California must use the following screening tools for children, adolescents, and adults.
The following tools are available in 17 languages and in de-identified and identified formats so providers can choose the approach that works best for them and their patients:
For Adults (18+)
Identified Screeners
De-identified Screeners
For Teens (12-19)
Identified Screeners
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PEARLS Teen Questionnaire (Parent-Caregiver Report) - English
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PEARLS Teen Questionnaire (Parent-Caregiver Report) - Spanish
De-identified Screeners
For Children (0-11)
Identified Screeners
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PEARLS Child Questionnaire (Parent-Caregiver Report) - English
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PEARLS Child Questionnaire (Parent-Caregiver Report - Spanish
De-identified Screeners
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Clinical Tools for Adult Patients
ACE Clinical Workflow, Algorithms & ACE Associated Health Conditions: Pediatric and Adults
This document includes the following materials developed by the Office of the California Surgeon General for both pediatric and adult patients: ACE Screening Clinical Workflow, ACEs and Toxic Stress Risk Assessment Algorithm, and ACE-Associated Health Conditions.
ACEs Aware Screening Tools Fact Sheet
This fact sheet explains why providers should screen for ACEs and describes the tools that should be used to screen children, adolescents, and adults for ACEs.
ACEs Aware Self-Care Tool: For Adults
An ACEs Aware-developed tool for patients to use in developing a self-care plan to enhance well-being and decrease stress — for adults.
Trauma-Informed Care
Understanding and caring for patients affected by toxic stress
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Clinical Tools for Pediatric Patients
ACE Clinical Workflows, Algorithms, & ACE-Associated Health Conditions: Pediatric and Adults
This document includes the following materials developed by the Office of the California Surgeon General for both pediatric and adult patients: ACE Screening Clinical Workflow, ACEs and Toxic Stress Risk Assessment Algorithm, and ACE-Associated Health Conditions.
ACEs Aware Sample School Health LetterThis is an ACEs Aware-developed sample school letter from a pediatrician to a school regarding a patient’s toxic stress symptoms and treatment plan.
ACEs Aware Screening Tools Fact SheetThis fact sheet explains why providers should screen for ACEs and describes the tools that should be used to screen children, adolescents, and adults for ACEs.
ACEs Aware Self-Care Tool for PediatricsAn ACEs Aware-developed tool for patients to use in developing a self-care plan to enhance well-being and decrease stress—for children and families.
Trauma-Informed CareUnderstanding and caring for patients affected by toxic stress
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ADDITIONAL RESOURCES
Find Additional Provider Resources
 Policy & Protocols |
 Discussion |
 Burnout/Resiliency Resources |
 Managed Care Resources |
