Being no expert in this arena - I'll simply rely on one. Dr. Felitti has commented about the power of acknowledging and responding to ACEs in a non-judgemental and empathetic way itself being a powerful intervention. When screening is done so infrequently on an issue that is seen as an epidemic possibly for our systems and health particularly later in life - not doing so out of "fear" feels quite overblown. In the same writing - Chapter 10 of "The lifelong effects of adverse childhood experiences" where Felitti says this about it being an intervention, it is related to asking simple follow up in a medical evaluation - and in seeing reductions in ER and office visits from those patients after follow up. I realize that is in a sense a relationship and it involves follow up - but we are not talking therapy in that context. Being careful is appropriate. Not moving out of fear - and without strong data to support the status quo - is baffling.