Social/Environmental History

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Caregiver (Self Report)

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What it Measures

A checklist of adverse life experiences; total number of checks is the “ACEs Score,” which is known to be correlated with mental and physical health outcomes, and can be used for treatment planning.

Minimum Age
0

Maximum Age
17

Domains/Subscales
7 Categories(Original) (10 item includes loss of parent, Phys Neg, and Emot Neg)
Abuse:
-Psychological Abuse
-Physical Abuse
-Sexual Abuse
-Violence Against Mother
Household Dysfunction:
-Living with Household Member who were Substance Abusers
-Living with Household Member who were Mentally Ill/Suicidal
-Living with Household Member who were Imprisoned….

Number of Items
68…10 true false for 10-item ACEs scale https://www.acesaware.org/wp-content/uploads/2020/02/ACE-Questionnaire-for-Adults-Identified-English.pdf

Free or Cost
Free

Website for More Information

https://www.cdc.gov/violenceprevention/aces/index.html

Reviewer Notes
The measure linked here is the original tool used in ACE studies on adults self-reporting events from their childhoods. Most agencies working with youth use an in-house adapted checklist that is completed by youth or caregiver.

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