Background Adverse Childhood Experiences (ACEs) are traumatic events that occur before age 18 years. ACEs, associated with negative health behaviors and chronic health disorders, disproportionately impact people from poor and marginalized communities. Toxic stress from ACEs can be prevented and treated with trauma-informed care. Inadequate training prevents the maternal and child workforce from providing evidence-based trauma-informed care. Cross-sector collaboration between pediatric care sectors is crucial to providing systems-wide trauma-informed care, but significant barriers impede cross sector communication. Training and formal cross-sector communication networks are needed to create strong systems of trauma-informed care in communities.

中文翻译：

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Community ECHO (Extension for Community Healthcare Outcomes) 项目促进跨部门合作和循证创伤知情护理

背景童年不良经历 (ACE) 是发生在 18 岁之前的创伤性事件。ACE 与负面健康行为和慢性健康障碍有关，对来自贫困和边缘化社区的人们产生了不成比例的影响。ACE 的毒性压力可以通过创伤知情护理来预防和治疗。培训不足阻碍了母婴劳动力提供基于证据的创伤知情护理。儿科护理部门之间的跨部门合作对于提供全系统的创伤知情护理至关重要，但重大障碍阻碍了跨部门沟通。需要培训和正式的跨部门沟通网络，以在社区中创建强大的创伤知情护理系统。