Currently the court I work in rural, Northern Michigan we are screening all youth in the county I work who enter the justice system. They are screened for ACEs in the pre-disposition phase. This is the same time they are screened for substance abuse issues, mental health issues, risk, etc. Any youth who scores a four or higher is considered a candidate to be sent to a new children's trauma center which recently opened in our community. Those with an ACE lower than a four may still be referred based on the outcomes from the other screenings completed.