Trauma Informed Adult Primary Care

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Kerley, Jennifer
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Research Subject Categories::INTERDISCIPLINARY RESEARCH AREAS::Caring sciences::Nursing , Quality Improvement , Patient Health Questionnaire , Adverse Childhood Experiences , Depression , Anxiety , Primary Health Care
This project was a quality improvement project designed to implement trauma-focused care and adverse childhood experiences screening (ACEs) for adults in the primary care setting who were diagnosed with anxiety or depression. A toolkit including mental health resources and an ACEs screening tool was provided to 12 providers in the primary care clinic. Adult patients 18 years and older diagnosed with anxiety and depression in a private primary care practice were screened and provided community and mental health resources when appropriate. A feedback survey to qualitatively analyze the quality improvement initiative was given to the providers pre and post-project implementation. Outcome measures included the number of patients screened for ACEs, the number who met criteria for ACEs and correlation of ACEs scores with PHQ-9 and GAD-7 scores. Results indicated a positive correlation between PHQ-9 and GAD-7 scores with a p-value < .001.