We report
on the development of the evidence base by examining the ACE survey scores in relationship to the established
clinical measures of
clinical severity, global function, and problem severity collected routinely for children and adolescents referred and accepted for treatment.29, 30 Systemwide
implementation of the ACE survey, as a first step, positions CAAMHPP to become an evidence - based, trauma - informed service organization, because ACE survey scores necessarily must relate to
clinical outcomes in order to evaluate the effect of trauma - focused interventions in
clinical practice.
Careful preparation and
implementation as well as regular supervision seem to be critical success factors for blended interventions, 72 and as some studies
on online interventions show, more experience with a given treatment can result in better
outcomes.73 Third, even though
clinical interviews were conducted to assess participants» psychopathological status, other properties of our sample restrict generalisability.