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Advisor: M LaNoue, D Mautner Jefferson School of Population Health, Thomas Jefferson University, Philadelphia, PA


This study characterizes the small group of patients who account for a disproportionate share of health care expenditures, known as ‘super utilizers’, who have multiple Emergency Department visits and hospitalizations. This cross-sectional study compared a super utilizer sample to normative data on measures of adverse childhood experiences (ACEs), general self-efficacy, and resilience (n=23). Results indicated that the super utilizers’ scores for resilience and self-efficacy were comparable to those in normative samples, but that these individuals experienced a higher burden of ACEs than the general population. Within the super utilizer sample, 48% experienced 4 or more ACEs, and 83% experienced at least 1 ACE. This is significantly above baseline population prevalence; in the normative data 6.2% experienced 4 or more ACEs and 52% experienced at least 1 ACE (p

Presentation: 12 minutes