New Report: Meaningfully address the impacts of adverse childhood experiences to reduce health care costs [www.tmc.edu]

I must say "politely" that this is all "very interesting" but ...

It does seem, now some two decades or more after the initial ACEs studies that, despite these studies being done in the health care field, very little, if anything of substance has yet been done that is of relevance. Perhaps, apart from early intervention into the lives of those children affected by ACEs -- and I'm not minimizing the tremendous economic importance and humanitarian value of such interventions -- the lives of the great majority of those affected so far (read "adults") do not seem to have been meaningfully improved in any way and, without reading the details, the specific recommendation "Empower patients to be responsible for their own health and health care" in itself does not seem to be likely to have any significant future import for "case management (or some other intervention", at least in the foreseeable future.  sfaik despite some past reassurances ACEsC itself does not have any particular special "health care" sub-group.

I think these "deficits" reflect the tremendous difficulties in conceptualising, and operationalizing, health care structures which could respond better to the challenges presented by the knowledge that childhood adversities contribute to the later, enduring, health problems suffered by those affected.

So far as I know, no one on this forum has mentioned a "recent" (in fact a continuation of studies' results from a few years ago) study showing that yet another negative health outcome from childhood adversities is (mature age) neurodegenerative diseases such as Parkinson's Disease -- my apologies, I have been meaning to write a post on this but ...  I have a personal stake in this -- having both a high ACEs score and recently diagnosed PD.

So, what is to be done? Been busy lately trying to make my own website 
"responsive" to try to get the word out -- and I have some ideas, but ...

Lots of "maybe's", but so far very little of substance in place, and still only nascent theories of etiology and means by which "resilience" may be improved -- that forthcoming post of mine?

There have also been some preliminary studies on Medi-Cal superusers (the 5% of the Medi-Cal population that accounts for 50% of the costs) that strongly suggests that ACEs feature strongly in their backgrounds. The idea is that case management (or some other intervention) with this group could improve outcomes and have a really significant impact on rising costs.