A Conceptual Model to Guide Patient-to-Provider Communication of Adverse Childhood Experiences in Primary Care: The PPC-ACE Model.

Communicating with adults about childhood adversity is not an innate clinical skill nor is it a routine assessment element. Nurse practitioners may be aware of the significance adverse childhood experience (ACE) exposure has on adult health and well-being; however, they may not be prepared to identify, interpret, and subsequently act on that information. This article presents the development of a conceptual model to guide patient-to-provider communication of adverse childhood experiences in primary care (the PPC-ACE model). This includes a description of the model and its associated foundational elements, underlying assumptions, implications for nursing practice, and opportunities to use this model to guide future ACEs-related research.