A new article about possible dangers to ACES screening that references a 2017 study on the subject.
An excerpt from the referenced study (and generally the tone of the article):
Any screening around childhood adversities should make sure that sufficient evidence based treatment resources are available to
handle likely referrals. Since many communities have a limited supply of these resources, screening is not justified unless funding to
assure the needed additional resource is in place. It is not ethical to have a “Field of Dreams” attitude that if we manifest the need, the
resources will magically appear.
I understand general concerns - and the need to have somewhat settled on which ACE screenings are most appropriate for whom - and the kind of support needed for those interpreting the results. What I struggle with, and I can't really pinpoint why it bothers me as much as it does, is the notion that people knowing information without knowing exactly how to deal with it is worse than not knowing. An ignorance is bliss sort of approach.
It is not just ACES where this occurs. I'm in the juvenile justice field and while we know we need to focus efforts on juveniles with the greatest risk (to themselves and others) we often say - why should I know this young person is a high risk - when we aren't sure what local services yet (or maybe we do not have the funds or capacity to bring in a recognized best practice service) to best meet their needs. So that we can measure, refine, and figure out what is best? I'm sure there are other examples. It doesn't make sense to me for instance that a Dr. would find a disease but not have a cure and say - I better not let this patient know.
I sort of lean on Dr. Felliti's own words - paraphrased - listening to someone talk about their ACEs history, without judgement, is in itself a powerful intervention. When we normalize that most of us have an ACEs history and that not dealing with it could have adverse impacts - and maybe says something about the source of our current struggles - it makes us human. And realizing that we need others to get through a tough world is a great thing. I'm sure that there are good reasons for concern - but sticking our head in the sand brings even more for me.