Adverse Childhood Experiences: A Model for Effective 21st-Century Clinical–Community Partnerships

The recrafting of the American health care system is not for the faint of heart. The existing structures of care represent a $4 trillion enterprise with well-established systems of operation, finance, and development. International rankings suggest that the nation could improve outcomes by incorporating social determinants of health into the system’s scope of services. Adjusting the existing infrastructure provides both the opportunity for and significant inertia against the expansion of clinical–community collaborations as supported by the US Preventive Services Task Force as useful in providing evidence-based preventive interventions.