What tool are you using? In California, we use he PEARLS ACES form from ACES Aware and OSG. Depending on your population and relationship with your families, disclosures may happen. The goal is to help folks with adversity, disclosures may happen. Our clinics have had a very high rate of disclosure. I have not found support from ACEs Aware grantees on this issue. or other clinics with high rates of disclosure for guidance.