Evaluation of a system wide approach to implementing routine enquiry about adversity in childhood (REACh) across Nottinghamshire (Interim report)
[Adverse childhood experiences (ACEs) include a range of stressful and potentially traumatic experiences that children can be exposed to. These can include experience of child maltreatment, or living in a dysfunctional household and/or community. Research consistently shows that ACEs are associated with increased risk of poor health and well-being across the lifecourse. In recent years, Nottinghamshire County Council and partners have increased efforts to prevent and respond to the impacts of ACEs, and in 2019 commenced a test and learn project to develop and implement the Routine Enquiry about Adversity in Childhood (REACh™) programme across services in the county. This report provides information from the first year of a two-year evaluation of the programme.