Known tools to screen childhood adversity lack organizational will to use routinely.

Evidence

“We have known for twenty-five years that childhood adversity is a major driver of adult disease. We have known how to identify it. We have the tools to ask. What we lack is the organizational will to make the asking routine — because making the asking routine would require us to have the resources to respond, and having the resources would require us to acknowledge the scale of the problem, and acknowledging the scale of the problem would require us to take seriously what we have been doing to children, which we do not want to do. The scientific revolution has happened. The organizational revolution has not caught up.” — , The Rod and the Child, 9514