When I administered health care systems, I was working towards a multi pronged approach. Health care is only one entry portal for healing from ACE's and schools, juvenile social programs, non-profits like Big Brothers and Big Sisters, among others, can contribute to identifying ACE victims.
For health care and physicians, I believe that through an algorithm combining a variety of information sources can be devised to detect levels of trauma in patients (Dr. Felitti recommends a questionnaire, and I agree with this approach). Then I would advise that Physicians discuss 3 items with the patient: (1) that the level of ACE's might contribute to higher levels of disease in the patient; (2) that a variety of behaviors (Negative, Neutral and Positive in impact) might have developed in the patient as a response to their higher levels of ACE's; and (3) referral to a comprehensive program designed to help heal from the trauma. I visited Cherokee Health Systems (CHS) in Tennessee years ago while searching for models that dealt with behavioral issues. CHS has Behavioral Health Specialists (BHS) and MD's working together as a team. If they detect behavioral issues, the MD hands the patient off to the BHS immediately and helps the client deal with immediate issues and helps develop a longer term strategy for address those issues. I added a nutritional specialist to the model I advocate to address issues that might be corrected by supplementation. There are a number that can be assisted or corrected by nutrition. Good question.