Adverse Childhood Experiences (ACEs) Kev Ntsuam Xyuas Hauv Cov Menyuam Yaus thiab Cov Hluas Cov Lus Qhia

Cov nyiaj txhawb siab yuav raug them rau tus kws kho mob uas txuas nrog (PCP) txhua xyoo, tom qab lub quarter 4 kawg. Yog xav paub ntxiv, saib mus rau CBI Technical Specifications.

Cov ntaub ntawv yuav tsum suav nrog cov cuab yeej tshuaj ntsuam xyuas ACE. Cov cuab yeej tshuaj ntsuam xyuas tsis txhob yuav tsum xa mus rau Alliance. Txawm li cas los xij, thov kom paub tseeb tias cov ntaub ntawv kho mob suav nrog cov cuab yeej tshuaj ntsuam xyuas ACE tus qauv siv, hnub tim ntawm kev tshuaj ntsuam xyuas, qhov kev tshuaj ntsuam ua tiav tau tshuaj xyuas, cov txiaj ntsig ntawm kev tshuaj ntsuam, kev txhais cov txiaj ntsig, dab tsi tau tham nrog Tus Tswv Cuab thiab / lossis tsev neeg. , thiab tej yam tsim nyog tau ua. qhab nias.

• Daim ntawv nug ACEs rau cov neeg laus (hnub nyoog 18 xyoo thiab laus dua).
• Pediatric ACEs thiab Related Life-events Screener (PEARLS) rau cov menyuam yaus (hnub nyoog 0 txog 19 xyoo).

Yog xav paub ntxiv txog hom kev tshuaj ntsuam xyuas, thov mus saib ACES AWARE Cov cuab yeej tshuaj ntsuam peev txheej.

Kev cob qhia online thiab ntawv pov thawj yuav tsum tau txais kev them nyiaj thiab ua raws li kev ntsuas. Cov kws kho mob yuav tsim nyog tau txais kev them nyiaj ib zaug los ua kom tiav qhov kev cob qhia thiab kev lees paub.

Tom qab kev cob qhia thiab kev lees paub tiav lawm, cov kws kho mob tuaj yeem pib xa daim ntawv thov tom qab lub hli tom ntej (piv txwv li, kev cob qhia thiab ntawv pov thawj tiav thaum Lub Xya Hli, pib xa daim ntawv thov rau lub Yim Hli) kom ntseeg tau tias kev them nyiaj yuav dhau mus..

Cov ntaub ntawv yuav raug sau los ntawm kev thov. Thaum kuaj tau ua tiav cov chaw muab kev pabcuam yuav tsum siv HCPCS cov lej hauv qab no nyob ntawm qhov ntsuas tau.

• g9919 ua - qhab nias 4 los yog ntau dua (muaj kev pheej hmoo siab), cov txiaj ntsig tau zoo.
• g9920 ua - qhab nias nruab nrab ntawm 0 - 3 (tsawg dua kev pheej hmoo), cov txiaj ntsig tsis zoo.

Nco tseg: FQHCs yuav tsum tau them nqi HCPCS cov lej teev saum toj no ntawm ib qho kev thov sib txawv dua li qhov chaw ua haujlwm mus ntsib.

https://www.acesaware.org/learn-about-screening/billing-payment/

• ACEs tau txuas rau cov teeb meem kev noj qab haus huv ntev, mob hlwb, thiab teeb meem siv yeeb tshuaj thaum laus. ACEs tseem tuaj yeem cuam tshuam tsis zoo rau kev kawm, kev ua haujlwm, thiab kev muaj peev xwm khwv tau. Txhua tus neeg ua haujlwm tsis yog chaw kho mob yuav tsum tau txais kev cob qhia ntawm ACEs uas yog ib feem ntawm cov neeg ua haujlwm tshiab, nrog rau muaj kev txhawb nqa txhua xyoo.
• Siv cov neeg ua haujlwm noj qab haus huv hauv zej zog los pab ua kom tiav ACE kev tshuaj ntsuam hauv thiab saib xyuas kev xa mus tiav.
  • California Department of Health Care Access and Information (HCAI) Daim Ntawv Qhia Txog Kev Noj Qab Haus Huv Hauv Zej Zog tau tshaj tawm hauv Xeev
  • Cov nyiaj pab los ntawm Alliance muaj nyob rau hauv Community Health Worker (CHW) Recruitment Program
• Xa mus Alliance cov tswv cuab rau Kev Tswj Xyuas Kev Kho Mob, suav nrog Complex Case Management thiab Care Coordination, hu rau Case Management ntawm 800-700-3874, ib. 5512 ib.
• Xa mus Alliance cov tswv cuab rau Txhim Kho Kev Tswj Xyuas Kev Kho Mob (ECM) Kev Pabcuam thiab Kev Pabcuam Zej Zog los ntawm Alliance Provider Portal, email ([email protected]), xa ntawv lossis fax, lossis hauv xov tooj ntawm 831-430-5512.
• Alliance txhais cov kev pab cuam muaj rau cov neeg muab kev pabcuam network:
• Kev pab txhais lus hauv xov tooj muaj los pab rau kev teem sij hawm cov tswv cuab.
• Cov neeg txhais lus ntsej muag tuaj yeem thov tau ntawm lub sijhawm teem nrog tus tswv cuab.
  Yog xav paub ntxiv txog peb qhov Kev Pabcuam Kab lis kev cai thiab lus Askiv, thov hu rau Alliance Health Education Line ntawm 800-700-3874, ib. 5580 ua los yog email rau peb ntawm [email protected].

• Xa cov neeg mob uas muaj teeb meem kev thauj mus los rau lub Alliance Tus Neeg Saib Xyuas Kev Thauj Mus Los ntawm 800-700-3874, ext. 5577 ib. Qhov kev pabcuam no tsis them rau cov chaw tsis khomob lossis rau kev teem sijhawm uas tsis tsim nyog khomob.
• Kuvtsis koom nrog kev tshuaj ntsuam xyuas mus rau kev kho mob tsis tu ncua ntawm cov menyuam yaus thiab cov tub ntxhais hluas. Qhov no ua rau muaj kev pheej hmoo uas yav dhau los tsis pom ACEs lossis kev ntxhov siab lom tuaj yeem raug txheeb xyuas[i].
• Rau cov tswv cuab 0-20 uas tau txais kev pabcuam dyadic, Medi-Cal kuj tseem them rov qab cov kev pabcuam dyadic caregiver nrog rau kev kuaj ACE, uas tau muab rau tus neeg saib xyuas kom tau txais txiaj ntsig ntawm tus menyuam. Thaum tus menyuam mus ntsib tus menyuam thiab tus neeg zov menyuam, qhov kev tshuaj ntsuam ACE yuav raug them nqi siv tus menyuam tus Medi-Cal ID thiab yuav tsum raug xaiv los siv Modifier U1.
• ACE Kev Ntsuam Xyuas Kev Ua Haujlwm Yuav Ua Li Cas-To-Guide. Xaiv ib qho ACE tshuaj ntsuam cov yeej los koom nrog cov neeg ua haujlwm thiab tsim ib pab pawg me rau kev txiav txim siab tseem ceeb ntawm cov txheej txheem ua. Cov neeg sib tw no yuav tsum sawv cev rau ntau lub chaw haujlwm hauv thiab sab nraud ntawm koj lub tsev kho mob. Piv txwv li, cov neeg sib tw tuaj yeem suav nrog cov neeg ua haujlwm kho mob (PCPs, cov kws pab kho mob, cov kws saib xyuas neeg mob), cov thawj coj hauv tsev kho mob (tus thawj coj hauv chaw ua haujlwm, cov thawj coj laus) thiab cov koom haum hauv zej zog (cov tsev kawm ntawv, kev pabcuam thaum ntxov, cov chaw xa mus los muab "tus neeg mob lub suab") .
• Pilot tswj xyuas ACE tshuaj ntsuams rau cov neeg mob thiab tom qab ntawd sib tham raws li lub tsev kho mob ntawm qhov kev txhim kho rau kev ua haujlwm tuaj yeem ua tau.
• Thaum twg yuav tsum reporters yog kuaj rau ACEs, lawv yuav tsum tau ceeb toom txog kev ua phem rau menyuam yaus; saib Tsab ntawv sib koom los ntawm California Department of Social Services thiab California Department of Health Care Services, thiab Office of California Surgeon General.
• Tsim kom muaj kev paub txog ACEs[ii]:
  • Txhim kho kev saib xyuas thawj zaug.
  • Cov kev pab cuam rau cov neeg raug tsim txom.
  • Kev kho kom txo qis kev phom sij ntawm ACEs.
  • Kev kho mob los tiv thaiv tus cwj pwm teeb meem thiab kev koom tes yav tom ntej hauv kev ua phem.
  • Kev kho mob hauv tsev neeg rau kev siv yeeb tshuaj.
• Muab cov niam txiv, cov neeg laus, thiab cov tub ntxhais hluas cov neeg mob Cov cuab yeej kho tus kheej:
  • ACEs Aware Self-Care Tool rau Cov Neeg Laus
  • ACEs Aware Self-Care Tool rau Pediatrics

[i] CDC-Kaiser ACE Study https://www.cdc.gov/violenceprevention/aces/about.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fviolenceprevention%2Facestudy%2Fabout.html

[ii] CDC's Tiv Thaiv Kev Nyuaj Siab Me Nyuam Yaus https://www.cdc.gov/violenceprevention/aces/fastfact.html

• Tsheb ciav hlau cov neeg ua haujlwm kho mob ntawm ACE thiab tshuaj ntsuam xyuas kev ntxhov siab:
  • Kev cob qhia tus kws kho mob (PCPs, kws kho mob pab, tus kws kho mob): Ua ACEs Aware hauv California Kev cob qhia.
  • Kev cob qhia cov neeg ua haujlwm hauv tsev kho mob (tus kws kho mob, kws saib xyuas neeg mob, tus thawj tswj hwm chaw ua haujlwm, thiab lwm yam): Kev Tshawb Fawb Txog Kev Ua Phem Rau Me Nyuam Yaus (ACEs) thiab ACE Kev Ntsuam Xyuas Kev Pabcuam Phau Ntawv Qhia.

• California cov ACEs Aware Kev pib muaj Medi-Cal cov kws kho mob kev cob qhia, tshuaj ntsuam cov cuab yeej, cov txheej txheem kho mob, thiab them nyiaj rau kev tshuaj xyuas menyuam yaus thiab cov neeg laus rau ACEs.
  • Pib txij Lub Ib Hlis 1, 2020, tsim nyog Cov kws kho mob Medi-Cal tsim nyog tau txais kev them nyiaj $29 rau kev tshuaj xyuas cov neeg mob txog hnub nyoog 65 xyoos nrog rau tag nrho-scope Medi-Cal siv cov cuab yeej tshuaj ntsuam xyuas tsim nyog.
  • Sau npe kom tau txais ACEs Aware xov xwm, hloov tshiab, thiab cov xwm txheej kev kawm.
  • ACEs Aware Training website suav nrog cov ntaub ntawv teev tseg hauv webinar yuav ua li cas los siv ACE kev tshuaj ntsuam xyuas, cov ntaub ntawv ntawm kev raug mob qhia txog kev saib xyuas, thiab lwm yam.
• California Surgeon General Nkag siab txog ACEs Toolkit
• Qhov chaw nyab xeeb lub vev xaib tsim los ntawm California Surgeon General yog tsim los rau kev cob qhia cov kws kho mob thaum ntxov (TK-12)
• ACEs Aware Number Story Exam Room Poster
• ACEs Aware Patient/Family Education Handouts
• ACE Overcomers muab kev cob qhia cov kws kho mob (nrog rau txhua lub nroog), cov niam txiv thiab cov chav kawm hauv zej zog, thiab tuav cov xwm txheej hauv zej zog rau kev paub txog ACEs thiab kev ntxhov siab.
• PACEs Connection: Niam Txiv Phau Ntawv Qhia
• Cov kauj ruam noj qab haus huv: ACEs, Toxic Stress & Resilience - Caregiver Handouts (English)
• CDC Kev Tiv Thaiv Kev Ua Phem Txhaum Cai - Kev Ua Phem Rau Me Nyuam Yaus
• CDC cov peev txheej ACE
• American Academy of Pediatrics (AAP) Trauma-Informed Care
• Video ntawm kev tswj hwm PEARLS Resilience De-identified, zoo thiab tsis zoo tshuaj ntsuam.
• Lub Burke Foundation: "Tsim Kev Sib Koom Tes Zoo rau Zej Zog thiab Kev Saib Xyuas hauv Thawj 1,000 Hnub”
• ACE Kev Ntsuam Xyuas Kev Kho Mob Ua Haujlwm.
• Trauma-Informed Network of Care Roadmap
• ACES Xov Xwm Kub Heev