“Addressing Adverse Childhood Experiences (ACEs) in Adult Primary Care Patients”


Previous research has shown that adverse childhood experiences may be connected to later medical and behavioral issues. Screening for these adverse childhood experiences (ACEs) has been shown to be helpful and accepted by patients. Our practice is involved in a research study conducted by Ardis Olson, MD and Patricia Glowa, MD from the Department of Community & Family Medicine at Dartmouth College, Hanover, NH, USA. Using a brief survey, we would like to find out if patients with a history of ACEs are still bothered by any earlier ACE event(s), and if they are bothered might they want further help from their clinician.


Patricia T. Glowa, MD
Family Medicine
Dartmouth-Hitchcock Medical Center

Dr. Glowa has served the Dartmouth-Hitchcock Community since 1995. She has studied and contributed to the health care in several areas of focus including child sexual abuse evaluation, domestic violence, family centered maternity care, and gynecology. She is both an Assistant Professor of Community and Family Medicine and Assistant Professor of Pediatrics at Dartmouth Geisel School of Medicine. She also is an Assistant Professor of Obstetrics and Gynecology at Geisel. 

Patricia received her MD at the Harvard Medical School in Boston Massachusetts in 1977.  She did her residency in Family Medicine at Highland Hospital, University of Rochester in Rochester NY in 1980.  She holds a Family Medicine Board Certification that she earned in 1980 and again in 2004. She currently works with the Dartmouth CO-OP PBRN and serves as one of their board members. Her main area of focus is exploring how to addressing Adverse Childhood Experiences (ACEs) in adult primary care patients. She has worked to spearhead an ACEs workgroup within the Dartmouth CO-OP PBRN. 

Daniel Mitchell, PhD
Clinical Psychologist,
Central Vermont Medical Center

Daniel Mitchell, PhD received his Bachelor of Science degree Cum Laude from SUNY Brockport in Brockport, New York. He was awarded both his M.Ed. in School Counseling and his Ph. D.in Educational Psychology, with an emphasis in counseling psychology, from Northern Arizona University.

Dr. Mitchell has practiced in the mental health field since 2002. He most recently worked as Director of Behavioral Health at the North Country Family Health Center in Watertown, New York. He is a Vermont state licensed psychologist. He is well versed in the treatment of many psychological conditions including: anxiety, depression, ADHD, oppositionality, and the challenges of parenting difficult children. He also has extensive experience working with military families. Dan is trained in EMDR (Eye Movement Desensitization and Reprocessing), Cognitive Processing Therapy, Dialectical Behavior Therapy, and Cognitive Behavior Therapy, empirically supported approaches to the treatment of depression, anxiety, and trauma. Dr. Mitchell also is well versed in teaching mindful meditation as a means of stress reduction.

“I have been waiting a long time to work at UVM Health Network- Central Vermont Medical Center, a medical facility I consider cutting edge,” Dan said. “I am excited to be working with Integrative Family Health medical director Dr. Jeremiah Eckhaus to create a model of care that integrates behavioral health services directly into the patient work flow. For the patient, this means he or she can see a psychologist during their appointment with their primary care provider. This can reduce the hardships of travel and taking time away from work, school and family and will result in a more collaborative and holistic approach to mental health and wellness.

Dan loves the outdoors and looks forward to gardening, hiking and cross country skiing.

(Biography credit for Daniel Mitchell goes to Central Vermont Medical Center)

Presentation Video

Video of ACEs session from 2019 Dartmouth CO-OP PBRN Annual Meeting on January 26th.