NextGen Knowledge Center

Documenting the PEARLS Screening Tool

You can document the details in the PEARLS screening tool to screen for the Adverse Childhood Experiences (ACEs) and Toxic Stress in children and teens.

The Pediatric ACEs and Related Life-events Screener (PEARLS) is used to screen children and adolescents ages 0-19 for ACEs. PEARLS was developed by the Bay Area Research Consortium on Toxic Stress and Health (BARC), a partnership between the Center for Youth Wellness, the University of California, San Francisco (UCSF), and UCSF Benioff Children’s Hospital Oakland. The PEARLS tool includes screening for ACEs (Part 1) as well as screening for additional adversities (Part 2). There are three versions of the tool available based on age and reporter.

  • PEARLS child tool, for ages 0-11, to be completed by a parent/caregiver.
  • PEARLS adolescent tool, for ages 12-19, to be completed by a parent/caregiver.
  • PEARLS for adolescent self-report tool, for ages 12-19, to be completed by the adolescent.