Routine Enquiry about Adverse Childhood Experiences Implementation pack pilot evaluation (final report) –

Department of Health and Social Care, May 2018

Report looking at pilot of a Lancashire Care Foundation Trust implementation pack to support services in developing, implementing and embedding routine enquiry about adversity in childhood (REACh).The report presents findings from the pilot study undertaken at three NHS Trusts. The pack includes three core components:

  • The Organisational Readiness Checklist and Action Plan (OR-CAP): Designed to enable services to self-assess whether they are ready to safely implement, and effectively embed, routine enquiry using the ACE-CSE questionnaire, and respond appropriately to disclosures.
  • A staff training package: Designed to support services in training staff to implement routine enquiry using the ACE-CSE questionnaire.
  • The ACE-CSE questionnaire: Designed to provide services with a standardised tool and list of questions to use when implementing routine enquiry.

Click here to view the full report.


Sources of resilience and their moderating relationships with harms from adverse childhood experiences

Public Health Wales, January 2018

People who have experienced abuse, neglect and other adverse childhood experiences (ACEs) such as living with domestic violence during their childhood are at much greater risk of mental illness throughout life. However, this study also found that some basic community measures help build resilience which can help protect individuals from developing the mental health problems that ACEs can cause.  Developing resilience through access to a trusted adult in childhood, supportive friends and being engaged in community activities, such as sports, reduced the risks of developing mental illness; even in those who experienced high levels of ACEs.

Click here to view the full report.