Table 1:

Clinic readiness for trauma-informed health care assessment tool

Item	Component
Our clinic provides education or training to all staff and clinician on trauma and resilience and implications for care	Foundation
Data related to trauma- and resilience-informed care is tracked, analyzed, and used to address challenges and/or reinforce programs	Foundation
Leadership expresses commitment to implementing trauma- and resilience-informed care	Foundation
Clinic champions/core team engages clinic staff in trauma-informed care activities (eg, solicits and incorporates feedback; communicates about progress related to education, screening, and assessment; and response for ACEs and other traumatic experiences)	Foundation
People at my clinic are comfortable talking to patients and caregivers about trauma	Environment
Our clinic understands how working with trauma survivors can affect staff	Environment
Patients and families receive information about current and past trauma (ACEs) and toxic stress and how they impact health and behavior	Patient education
The health care team clearly explains to patients and families why screening questions are being asked	Patient education
Our organization has a consistent screening or assessment process to identify individuals who have been exposed to trauma (eg, using PEARLS, ACE-Q in a structured screening and referral workflow)	Screening & assessment
Our organization defines the roles, responsibilities, and workflows for all health care team members related to screening and assessment processes	Screening & assessment
Our organization has clearly established electronic health record documentation and reporting practices and processes related to ACE screening and response	Screening & assessment
Our organization systematically screens for traumatic experiences or ACEs (eg, uses a set protocol or tool)	Screening & assessment
Designated care team members discuss screening results with patients and/or families to foster shared decision making and work with the patient and/or family to develop a plan	Response
Care team members do warm handoff to internal supports or resources (eg, co-located mental health personnel)	Response
Our clinic provides a warm handoff for referrals to community-based specialists	Response
Health care team plans post-screening follow-up visit or phone/video call with patient to assess whether referrals were successful and appropriately adjusts plan to ensure connection to desired resources and support	Response

ACE, adverse childhood experience; ACE-Q, ACE Questionnaire; PEARLS, Pediatric ACEs and Related Life Events Screener.