CSAC Bulletin Article

California Invites Counties to Review Trauma-Informed Network of Care Roadmap

December 17, 2020

The Office of the California Surgeon General and the Department of Health Care Services (DHCS) released their much anticipated draft guide on efforts needed to diminish the impact of adverse childhood experiences (ACEs) and toxic stress.

California is the first in the nation to begin a statewide ACEs Aware Initiative effort to train providers on screening for childhood trauma. This campaigned received funding from the state’s General Fund. The ACEs screening is designed to provide physicians with the important patient history to better determine the likelihood of an increased health risk. The screening assists providers in delivering trauma-informed care, and connecting patients with the resources and supports necessary to combat physical, behavioral, and environmental health concerns.

The newly released Trauma-Informed Network of Care Roadmap aims to build on the efforts of the provider awareness training, with concrete steps which can be utilized by stakeholders, including health care providers, social services agencies, and community-based organizations to create an effective cross-sector network of care for children and families. The Network of Care Subcommittee which worked to provide feedback on these specific strategies was co-chaired by Frank Mecca, executive director of the County Welfare Director’s Association of California.

The draft document is organized in what is being called milestones for both providers and clinics and for communities throughout the state. Some of these milestones include: conducting readiness assessments; defining clinical roles and tasks; monitoring, evaluating and improving referral processes; identifying or establishing a strong leadership and accountability structure; and considering financing and technology needs.

The full draft roadmap can be found here. For those interested in providing public comments, the deadline is January 15, 2021.

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