Dr. Felitti,
I appreciate the Chadwick Chapter 10 you posted. I am disappointed that I can not find the book Lost Lives by Dr. Helander.
As noted earlier I work in an ER in Baltimore. My position was created to address 30 day readmissions. The system has really improved services for common I illnesses such as COPD and CHF. Digging deeper leads one to the ACE's. Unfortunately my boss specifically forbid me to ask the ACE's in the ER citing that the context of the ER is inappropriate and we don't have the services they need. (I was mostly asking those with substance issues).
I have backed it up a couple steps and am currently working on expanding the treatment resources in my state. I am fond of the work of Bessel Van der Kolk in forwarding our understanding of why we need to expand solutions beyond Cognitive Based Therapies such as the Creative Arts, Trauma Informed Yoga Therapy etc.
As a Case Manager I can only refer to practitioners who are recognized by the state which at this point is CBT and Art Therapist. I am trying to work to get more of the Creative Therapies recognized (http://www.nccata.org) in my state. The first goal is that Case Managers such as myself would be educated. My second goal is that patients would be educated so they could participate in picking a provider that most matches how they learn. Ideally Case Managers or a special 'Therapy gatekeeper' role would be created in Patient Navigation models whose role is to have an deep knowledge of the pros/cons of each therapy and do an initial screening of patients to point them to the provider most likely to facilitate permanent change.
Once some sort of community referral system is in place I hope to revisit question of Acute Care Hospitals asking the ACE questions.