Despite growing attention to Adverse Childhood Experiences (ACEs) in healthcare, clinical responses remain limited. This study explores the integration of the Adult Protective and Compensatory Experiences (PACEs) Plan to enhance patient well-being in an inpatient rehabilitation setting. We guided participants in selecting protective factors, creating personalized plans, and following up on their progress. Findings highlight increased self-rated health and high engagement with the PACEs Plan, offering insights into trauma-informed, patient-centered interventions.
Abby E. Caldwell, BS, East Carolina University, Greenville, NC
Natalia Sira, PhD, East Carolina University, Greenville, NC
Küçükardalı-Cansever, B., Lamson, A. L., Sira, N., Bridgland, S. A., Eagan, S., & Roberts, E. (2025). Adverse childhood experiences (ACEs) screening in primary care settings for adults: A systematic review. Journal of Child and Adolescent Trauma. https://doi.org/10.1007/s40653-025-00691-4
Hays-Grudo, J., & Morris, A. S. (2020). Adverse and protective childhood experiences: A developmental perspective. American Psychological Association. https://doi.org/10.1037/0000177-000
Morris, A. S., & Hays-Grudo, J. (2023). Protective and compensatory childhood experiences and their impact on adult mental health. World psychiatry : official journal of the World Psychiatric Association (WPA), 22(1), 150–151. https://doi.org/10.1002/wps.21042
Goddard, A. (2021). Adverse childhood experiences and trauma-informed care. Journal of Pediatric Health Care, 35(2), 145–155. https://doi.org/10.1016/j.pedhc.2020.09.001
Zarnello L. (2023). Implementing trauma-informed care across the lifespan to acknowledge childhood adverse event prevalence: best clinical practices. The Nurse practitioner, 48(2), 14–21. https://doi.org/10.1097/01.NPR.0000000000000002