As we move towards working with state legislatures, or thinking about this, I believe it is important to devise the best screening scale.  This should take into account rural vs urban ACEs. I believe we should seriously consider this because we don't want to have folks (especially the professionals who would be required to start this screening and who don't know of or are dubious of the efficacy of ACEs screening or especially pharmaceutical companies with deep pockets) questioning the screening instrument we use.  

In fact we want to be well positioned and with 10 years plus behind us --- we on ACEsconnection should be thinking hard .... what are the best screening questions that will "get the job done well?"

1. obtain the most accurate response

2. have the best specificity with best sensitivity....with the best positive predictive value... I am not a statistician!!!! But the point remains. It is time to think about our questions.  

I believe that we should have questions that cover the diversity of our population. A Harvard researcher is currently looking at this question...

My question is what do you think? 

If we move too quickly with the wrong screening instrument we could suffer a setback.

It is obvious that poverty, social isolation, lack of eduction are important ACEs (intuitively speaking) 

What do you think (my Myers Briggs is INFP and strongly so... Just an FYI.) ? This is no research article....It is a question.....That I consider seriously......Though this is a complex subject... I don't think we should wait to screen but I do believe we should pool our knowledge NOW to create the best screen to propose to the public.... If we are looking at legislative efforts in states but we do not have the best screen that we can have.... We may set ourselves back by decades and this has already been a decades long struggle. Thanks Tina

Improving the Adverse Childhood Experiences Scale