I think it's important for people to know about ACEs science, including the ACE Study, the 10 questions and the additional questions that have been added by subsequent ACE studies (racism, bullying, gender discrimination, witnessing violence outside the home, involvement with the foster care system, living in an unsafe neighborhood, losing a parent to deportation, etc.).
Basically, it's a social justice issue.
It's also a health issue. I think it's appropriate for ACE and resilience surveys to be used in health organizations that are integrating trauma-informed and resilience-building practices based on ACEs science for their own organization, their employees, as well as the people they serve. In health, having four ACEs has potentially different consequences than having one ACE, and it's important for people and their health care providers to know this.
I also think it's important for organizations to know the ACEs burden of their employees. That doesn't mean that employees need to identify their ACEs to the organization. It's better that they do this anonymously, and only if they're educated about ACEs science and the organization starts the journey to becoming self-healing.
I don't think it's necessary for any organization outside health care — whether it's schools, prisons, foster care, etc — to record the ACE scores of its students, prisoners, etc. Again, anonymous surveys, combined with education, will provide individuals with the information they need to start addressing their own ACEs, as well as provide the organization with information about the ACEs burden of the population it's serving or educating.
I agree with Cissy on this point: If an organization is doing an ACE survey (and resilience surveys should be done at the same time), the question for the person participating in the ACE survey to ask those conducting the survey: Is this organization becoming self-healing...i.e., is it taking the steps necessary to educate staff, change policies, etc. Are all staff becoming educated about ACEs science, taking ACE and resilience surveys, and making the necessary changes to become self-healing organizations? If not, don't participate.