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Just Can’t Say No

How many times have you done this with a client or in some other situation where someone wants something from you or just has a different opinion than you? It might be in your personal life when you and your partner decide to buy a house and they fall in a love with a property that you can’t stand and you suck it up and agree to it anyway. It might be with an adult child who has moved back home, doesn’t have a job, isn’t paying rent and watches movies all day while leaving the house a mess. W

UnitedHealthcare, AMA unveil more medical codes for social determinants [Modern Healthcare]

UnitedHealthcare and the American Medical Association said Tuesday they want to e xpand the set of ICD-10 diagnostic codes to include more specific diagnoses related to a person's social determinants of health . The hope is that these codes would allow clinicians to document patients' social determinants in a standardized way, which would allow them to better tailor care plans or refer patients to community organizations that could meet those social needs..... Expanding diagnostic codes...

National Council for Behavioral Health Conference #NatCon19

Last month, I had the pleasure of attending the annual National Council for Behavioral Health Conference. I have been to my fair share of conferences but #NatCon19 was one of the best. First, I'm biased. It took place in my city, Nashville, TN . And the venue was the world renowned Opryland Hotel's Gaylord Convention Center . And, I love, love, love the Opryland Hotel ! As any seasoned conference goer, I had a strategy when it came to which sessions and events I wanted to attend. My game...

5 New Communities Join ACEs Connection: April, 2019

Please welcome these five initiatives from FL, CO, NY, and SC to our network: ACEs Connection Central Florida Denver Metro (CO) ACEs Connection Docs for Tots Long Island (NY) ACEs Connection Southeast Neighborhood San Diego ACEs Connection York County (SC) ACEs Connection You can find more details about each one of them below. Follow links, at the end of the post, to check out all of our ACEs Connection communities or to learn more about the process of starting and growing communities . ACEs...

The Decision that Changed My Life

Four years ago, I decided to start a conversation about the long term impact of childhood abuse. More specifically, about what happens when those abused children grow up and have children of their own. When I had become a parent, I went looking for books on this topic, and I didn’t find anything. But I knew I couldn’t be the only one who was dealing with this. And once I found one other person who was willing to write about this, I said, let’s collect these stories. The stories of these...

Starting Blocks: A 3-Part Series on California's Childhood Poverty

In a new 3 part series Starting Blocks, KQED examines the ways public policy often fails California’s youngest residents and their families, especially those living at or below the poverty line. They look at traditional issues like paid parental leave, subsidized child care and maternal health, but also issues like housing, criminal justice, immigration policy and even natural disasters to see how children are adversely affected, often in ways that are unexpected or unintended. Parents in...

Latest ACEs science research from PubMed, April 8, 2019

Association of Social Adversity with Comorbid Diabetes and Depression Symptoms in the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study: A Syndemic Framework. McCurley JL, Gutierrez AP, Bravin JI, Schneiderman N, Reina SA, Khambaty T, Castañeda SF, Smoller S, Daviglus ML, O'Brien MJ, Carnethon MR, Isasi CR, Perreira KM, Talavera GA, Yang M, Gallo LC. Ann Behav Med . 2019 Apr 5. pii: kaz009. doi: 10.1093/abm/kaz009. [Epub ahead of print] PMID:30951585 Similar...

Presentation: Are the Words "Toxic Stress" Toxic? Re-thinking the Narrative About Early Life Stress

The concepts of “toxic stress” and “adverse childhood experiences” (ACEs) have captured professional and public attention in recent years. While this has helped to bring more resources and interest to early childhood issues, it has also resulted in some harmful language and imagery that depicts children, families, or entire communities as “broken” or beyond healing and resilience. In our concern about adversity, are we selling short the capacity of individuals and communities to heal and...

CDC ACEs Research & Evaluation Fellowship application due April 24

This is a reminder that applications for the CDC Adverse Childhood Experience (ACEs) Research & Evaluation Fellowship ( announced last month on ACEs Connection ) are due April 24. The new fellowship position reflects a growing ACEs capacity within the CDC. The announcement states “The selected candidate will assist with research related to evaluating comprehensive community-based prevention strategies for primary prevention of ACEs (i.e., potentially traumatic experiences, such as child...

Announcing Trauma and Resilience Competencies for Nursing Education

The authors are pleased to announce the Trauma and Resilience Competencies for Nursing Education. These competencies serve as a guideline of minimal expectations and reflect essential knowledge, skills and behaviors for three levels of nursing education: 1) undergraduate, 2) graduate, and 3) psychiatric nurse practitioner programs. The Trauma and Resilience Competencies, developed in 2018 at the Egan School of Nursing and Health Studies at Fairfield University in Connecticut by an Expert...

17 states collect ACEs data in 2018; total now 42 states and DC

The US Department of Health and Human Services Centers for Disease Control and Prevention (CDC) recently updated information about the states' inclusion of the ACE module in the BRFSS (Behavioral Risk Factor Surveillance System Survey). The CDC reports that “…since 2009, 42 states plus the District of Columbia have included ACE questions for at least one year on their survey.” In 2018 alone, 17 states included the ACE module, four of them (Idaho, Indiana, New Jersey, and West Virginia) for...

It's Nothing But a Neuron...

Have you ever walked by a pie shop and, upon smelling a fresh baked pumpkin pie, been transported back in time to a fond memory of Thanksgiving? Or maybe caught a glimpse of a stranger with certain features and found yourself thinking about that girl or guy from way back when? How about a significant other who one day playfully wrestles with you, and all of a sudden you find yourself lashing out at him without really understanding why? What exactly is occurring neurologically and what are...

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