Sub-task 6.3.3 Adapt, pilot, and translate a web-based screening tool for assessments of Adverse Childhood Experiences (ACEs) and other factors impacting mental health in children and youth.

Summary

ACEs represent significant threats to the mental health and wellbeing in children, potentially leading to lifelong negative impacts on health. Despite increasing awareness of its harmful effects, there remains a lack of comprehensive understanding regarding the prevalence and types of ACEs that children are exposed to. This knowledge is imperative for preventative action. In response, this task aims to develop and pilot a web-based instrument for assessing ACEs and other factors impacting children’s mental health and well-being. The tool will be piloted in Hungary and subsequently made available to other MSs participating in this JA. The proposed instrument will leverage the digital version of the ACE International Questionnaire (ACE-IQ), developed by the WHO. The ACE-IQ is a comprehensive measure that assesses 13 types of childhood adversity, allowing for evaluation of ACE scores based on both frequency and severity of adverse experiences. The measure evaluates the responses on a continuous scale with a maximum score of 13. By translating the ACE-IQ into national languages, scores and prevalence rates can be compared across participating countries. The digital version of the ACE-IQ could be integrated into the web-based self-administered screening instrument outlined in Task 6.3.2, or existing platforms such as https://ec.europa.eu/eusurvey/ may be used. The comprehensive screening instrument incorporating the ACE questionnaire, will be administered to a representative sample of primary- and secondary school students aged 12-19. Previous studies have demonstrated the applicability of the ACE questionnaire in this population. Since comprehensive data is lacking in assessing the prevalence of ACEs in this population the findings of this assessment could be an important input for policymakers. By identifying marginalized (disadvantaged or Roma) or particularly vulnerable subgroups (migrants, refugees, or displaced persons from Ukraine) within the school population through this digital measure, policymakers can gain a better understanding of vulnerabilities and special needs, thereby informing targeted intervention and prevention programs. This task seeks to contribute to a more comprehensive understanding of ACEs and their impact on children’s mental health, ultimately guiding evidence-based policy and intervention strategies to support the well-being of children and youth across Europe.