Trauma exposure is common; however, considerably higher rates are reported in some vulnerable groups including adults and children involved in child welfare systems. In this context, early screening and service linkage may ameliorate its negative impact on the physical and mental well-being of adults and children alike. Using data from two Ohio-based child welfare interventions targeting co-occurring maltreatment and substance use (Ohio START¹ and EPIC2), the purpose of this brief report was to first describe the rate of trauma exposure among participating adults (Adverse Childhood Experiences or ACEs, N = 402), children 0–5 years (CTAC, N = 271) and youth 6–18 years (CTAC, N = 177), and second to benchmark observed rates against reported rates in other child welfare or similar populations across the United States. Results show that adults were exposed to 4.2 ACEs on average, a 24% increase over previous child welfare estimates. While mean CTAC scores were not significantly different among young children ages 0–5, older children reported on average 5.6 exposures which is 27% higher than previously reported estimates. Our findings highlight the difference in risk profiles between families involved child welfare due primarily to substance misuse and those without substance misuse concerns, or where substance misuse was not the primary cause of entry. We discuss implications for service provision and time-sensitive child welfare requirements.

创伤暴露很常见；然而，据报道，一些弱势群体的比率要高得多，包括参与儿童福利系统的成人和儿童。在这种情况下，早期筛查和服务联系可能会减轻其对成人和儿童身心健康的负面影响。使用来自俄亥俄州的两项针对同时发生的虐待和物质使用的儿童福利干预措施（俄亥俄州 START ¹和 EPIC2）的数据，这份简短报告的目的是首先描述参与成人的创伤暴露率（不良童年经历或 ACE , N = 402)、0-5 岁儿童 (CTAC, N = 271) 和 6-18 岁青少年 (CTAC, N= 177），并在美国其他儿童福利或类似人群中将观察到的比率与报告的比率进行对比。结果显示，成年人平均接触 4.2 次 ACE，比之前的儿童福利估计值增加了 24%。虽然 0-5 岁幼儿的平均 CTAC 分数没有显着差异，但年龄较大的儿童平均报告了 5.6 次暴露，比之前报告的估计值高 27%。我们的研究结果强调了涉及儿童福利的家庭之间风险状况的差异，主要是由于药物滥用和那些没有药物滥用问题的家庭，或者药物滥用不是进入的主要原因。我们讨论了对服务提供和时间敏感的儿童福利要求的影响。