Tagged With "medication-assisted treatment"
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Immune Biomarkers of Early-Life Adversity and Exposure to Stress and Violence - Searching Outside the Streetlight [jamanetwork.com]
By Nicole R. Bush and Kirstin Aschbacher, JAMA Pediatrics, November 4, 2019 Evidence of an association between early-life adversity and heightened risk of chronic disease in adulthood has been found, but the optimal biomarkers for identifying vulnerable or resilient individuals remain unclear. Global trends, including widening socioeconomic disparities, the refugee crises, and climate change, increasingly sculpt trauma exposure and call for scalable early-risk identification and treatment...
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In one day I had lost everything that mattered to me (www.jezebel.com) with Rise Magazine
Cissy's note: Jezebel is working with Rise on a series sharing stories such as this one!!! There are already 100's of comments on this one piece. The tragic death of Zymere Perkins, a child who died at the hands of abusive parents even though the city's child welfare agency had repeatedly investigated his family, made headlines in New York City publications for months this past fall. In their coverage, many outlets focused on a familiar narrative of monstrous parents and failing caseworkers,...
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Inside the Adverse Childhood Experience Score: Strengths, Limitations, and Misapplications [ajpmonline.org]
By Robert F. Anda, Laura E. Porter, David W. Brown, et al., American Journal of Preventive Medicine, March 25, 2020 INTRODUCTION Despite its usefulness in research and surveillance studies, the Adverse Childhood Experience (ACE) score is a relatively crude measure of cumulative childhood stress exposure that can vary widely from person to person. Unlike recognized public health screening measures, such as blood pressure or lipid levels that use measurement reference standards and cut points...
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Interview: Trauma-Informed Care with Transition-Age Youth [psychologytoday.com]
Last month, an article titled “The Tragedy of Baltimore” in the New York Times Magazine described the upsurge in violence in a city long known for its “blight, suburban flight, segregation, drugs , racial inequality, [and] concentrated poverty.” At the center of the storm are transition-age youth, who too often face long odds and challenging futures in the communities where they live. I recently had the opportunity to talk with Patricia Cobb-Richardson , MS. For the past 20 years, she has...
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Introducing NEW Becoming Trauma-Informed & Beyond Community
Earlier this year @Dawn Daum wrote to us when she was ready to share ACEs science with people in the organization she works in to make a case for moving towards more trauma-informed care for the benefit of the staff and those they serve. She was frustrated because almost all the training and resources she found were geared towards schools, clinical staff or to organizations working with children and families rather than ACE-impacted adults in the workplace and who are...
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When Parents Fear "It's All My Fault"
Many of my colleagues in the field of early childhood mental health work with what are termed "high risk" populations. Children of drug addicted parents, victims of child abuse, and families in abject poverty. While the challenges these families face are daunting, I find myself feeling some envy for my colleagues whose clients are in such obvious distress that the need for intensive treatment of parent and infant is not in question. In my rural, small-town population things are not so clear.
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Who Decides if ACEs Science is Shared? We Do!
Hi Parenting with ACEs Community: There's always a lot of discussion about if, how, when and where the ACEs survey should be shared with people and it's an important topic. I get that it's sensitive. How medical providers share, is of course, an important discussion for medical providers to have (and ideally WITH patients, staff and medical providers guiding each other about what works best and is trauma-informed for all). IF medical providers share about the ACEs study and research, on the...
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Why Aren't We Talking About Postpartum Mood Disorders in Immigrant Women [PMag.com]
About six weeks after she gave birth to her first son, Jaya, an immigrant from India to the United States, began to suffer feelings of inadequacy as a mother. She felt sad, helpless, useless to her newborn and husband. She imagined her death and described it to her mother over long-distance calls. "I told her that I felt reckless," she says. "I didn't feel the need to be careful about myself and my safety." Jaya (not her real name) began to cross busy intersections with less caution, hoping...
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WHY FAMILY SUPPORT MATTERS? (Its Importance for Strengthening Resilience from Adverse Childhood Experiences-ACEs)
Graduation day - a picture of my mother and me after I received my Bachelor of Arts degree in Criminal Justice (Corrections) studies from Kent State University in June 1977. This was seven years after that fateful summer of 1970 when my mother and I realized that our family needed some help. When I look back at that time, I marvel at the love of GOD and the love from both parents as they began to realize that the harmful consequences of their domestic violence squabbles and of my father’s...
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Why Mandating Mental Health Education in Schools is a Band-Aid on a Gaping Wound
Don’t get me wrong: of course I care deeply about the mental and physical health of children, including my own son’s. I don’t want students to suffer in silence and shame. But I am very concerned about just how this topic will be taught in schools.
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Why We Suck (at Self-Soothing & Self-Care): Dr. Dawn O'Malley
Without yoga and coffee, I'm kind of a jerk. These are my personal "puppy uppers and doggie downers" and prevent me from being cranky, quick to cry, and ready for conflict. Coffee and calming make life more manageable. Humans even seem tolerable. Without them I might veer into hating humans for being so needy which is not a great trait for a parent, partner or a professional. Or a self. My partner says coffee and exercise are acts of kindness, service as promote public safety. In other...
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Writing to Heal, Yoga to Feel & Survivor-Led Resources Online
I love yoga and writing. I need yoga and writing. Both are relatively affordable and can be done alone and at home or in community. Both have been central to my survival, recovery and growth which I write about below. I also love sharing and supporting survivor-led resources created for survivors and others. Here are two links to those if you want to get to those right away. There are more details about each following the essay: Write Your Story, Heal Your Life Summit: Alaura O'Dell...
Ask the Community
Looking for schools that specialize in "Resilience trumps ACEs"
I am a volunteer in my community who are in the early stages of learning about trauma informed care. There are some teenagers in our community who have been impacted by ACEs and succumbed to using opioids. A few of them who could afford the expense have enrolled in out of state (expensive) residential treatment centers (RTC). I am not sure if some of these RTCs explicitly use trauma informed care. I am observing that the RTC "graduates" returning home may or may not be resilient, especially...
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Native American Children Protected in Groundbreaking Foster Care Settlement [youthtoday.org]
By Bette Fleishman, Youth Today, May 8, 2020 For decades, we have repeated and recapitulated: Our nation’s foster care system is broken. New Mexico, which receives the lowest markers of child wellbeing and the second-highest level of childhood poverty, has, not coincidentally, one the worst child welfare systems in the nation. It is largely coercive and punitive, and disproportionately targets low-income children of color. Further, 23 Native American tribes and pueblos are located in the...
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New Hampshire Mothers Struggling With Opioid Addiction Fight To Keep Their Children [npr.org]
Jillian Broomstein starts to cry when she talks about the day her newborn son Jeremy was taken from her by New Hampshire's child welfare agency. He was 2 weeks old. "They came into the house and said they would have to place him in foster care and I would get a call and we would set up visits," she says. "It was scary." Broomstein, who was 26 at the time, had not used heroin for months and was on methadone treatment. The clinic social worker told her that since Jeremy would test positive for...
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New Intervention Fact Sheet: Parent-Child Care [nctsn.org]
A 7-page fact sheet describing Parent-Child Care (PC-CARE) is now available. A dyadic psychotherapeutic intervention for enhancing the caregiver-child relationship and making behavior management more effective, PC-CARE combines teaching and coaching on how trauma exposure affects children’s mental health. Caregivers can be biological parents, relative caregivers, resource parents, grandparents, nannies, or anyone caring for a child. While caregivers play with the child, therapists coach...
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New Toolkit Issued to Help Providers Measure Trauma With ACES Survey [youthtoday.org]
A new toolkit is out that aims to help services providers give a survey about traumatic childhood experiences that are linked to negative effects on health and well-being. The toolkit, developed by The National Crittenton Foundation , offers recommendations about the Adverse Childhood Experiences survey, including how to talk to children and parents about the survey, track results and use the data for public education and policy advocacy. The toolkit also includes a sample protocol, case...
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Next "A Better Normal" community discussion series: April 7, 2020 — Tian Dayton
Therapist and author Dr. Tian Dayton, who first started writing about ACEs science more than 20 years ago, will address grief and maintaining emotional sobriety during COVID-19. Carey Sipp, Southeast community facilitator for ACEs Connection, will host this community conversation, and Alison Cebula, Northeastern regional community facilitator, will moderate.
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Next "A Better Normal" community discussion series: Tuesday, April 28, 2020 — Health equity and historical trauma
There are two "Better Normal" community discussions this week, on Tuesday and on Thursday. On Tuesday, Ingrid Cockhren, ACEs Connection community facilitator and DEI (Diversity, Equity & Inclusion) expert returns to continue the discussing health equity during the COVID-19 pandemic. On Thursday, Lara Kain will lead another education "Better Normal".
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“No Coincidence, No Story.” Lisa See Inspires (www.healwritenow.com)
(Cissy's note: This is a post my sister, Karyn White Doherty, wrote for my blog about an event she organized with her book club. I share it here because it's about loss, grief, and ACEs as well as about what heals - relationships, community, and sharing stories. If you have been dealing with extreme weather or life conditions the last few days, and find reading or writing to be a soothing and wonderful escape, I hope you enjoy this. My sister is the best!) How does an author bring about...
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Office of Children's Mental Health Focuses on Helping Communities Prioritize Children’s Mental Health with New Fact Sheet [children.wi.gov]
From Wisconsin Department of Health Services, May 6, 2020 Ahead of Children's Mental Health Awareness day tomorrow, May 7, Office of Children’s Mental Health Director Linda Hall today announces the publication of a new fact sheet focused on prioritizing children’s mental health in Wisconsin and how our communities can do that. Highlights include: Almost half of high school students in Wisconsin are feeling anxious A child typically experiences symptoms of emotional distress for 11 years...
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Opioid Addiction: Advice for Parents
Given the way the media portray opioid addiction, it's natural to react with panic or moral outrage when you discover your child struggling with the problem. It's not natural to calm down and try to view your child as someone who is using opioids to cope with serious problems, though that is likely the case, according to research.
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Opioid-Dependent Newborns Get New Treatment: Mom Instead of Morphine [CHCF]
Aug 1, 2019, Dana G. Smith, for CHCF When babies are born dependent on opioids, typically they are whisked away from their mothers, put into the neonatal intensive care unit (NICU), dosed with morphine to get them through withdrawal, and gradually weaned off the drug—a process that can take weeks. Research now suggests that this long-established standard of care may be the worst way to care for a newborn with opioid dependency, or neonatal abstinence syndrome (NAS). The NICU is busy, noisy,...
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Parent-Child Therapy Helps Young Children With Depression (scienceblog.com)
Children as young as 3 can be clinically depressed, and often that depression recurs as kids get older and go to school. It also can reappear during adolescence and throughout life. But new research from Washington University School of Medicine in St. Louis demonstrates that an interactive therapy involving parents and their depressed children can reduce rates of depression and lower the severity of children’s symptoms. The findings are published June 20 in The American Journal of...
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Parent Coaching is a Valuable Investment!
My response is often: "Parents are often living and parenting in a manner which is very similar to the way they (couple) were parented and sometimes because they have experienced adversity in childhood, in a fight, flight or freeze mode that has not been addressed." You don’t know what you don’t know.
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Parental Satisfaction at Work May Reduce Potential for Child Abuse or Neglect (chronicleofsocialchange.org)
While parental unemployment is a known risk factor for child abuse and neglect, a new study finds that a parent’s satisfaction in the workplace may play an even more important role. The findings , published this January in the Journal of Child and Family Studies , are based on a study of mothers referred by Child Protective Services to a treatment program for child neglect and substance abuse. To gauge a parent’s risk of being reported for child abuse researchers used an assessment tool...
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Parenting Matters: Supporting Parents of Children Ages 0-8 (The National Academies Press 2016)
A study published by The National Academies of Sciences in 2016 resulting in 10 Recommendations to build support for parents... "Over the past several decades, researchers have identified parenting- related knowledge, attitudes, and practices that are associated with improved developmental outcomes for children and around which parenting- related programs, policies, and messaging initiatives can be designed. However, consensus is lacking on the elements of parenting that are most important...
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Parenting, PTSD & ACES / Live Chat Event from Parenting with ACEs Series
Our next online chat event is fast approaching. All are welcome. Date: Tuesday, June 13th, 2017 (10 AM PST / 1 PM EST) Topic: Parenting, PTSD & ACEs. Guests: Dawn Daum & Joyelle Brandt are parents, writers, advocates and trauma survivors. Together, they edited the forthcoming Parenting with PTSD anthology and created an online community for parents recovering from childhood abuse. They educate mental health, human service and other professionals about the challenges and lived...
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Parenting’s Troubled History
As we learned from the CDC-Kaiser Permanente ACE Study , negative childhood experiences are often kept secret, downplayed, or repressed because of our powerful desire to put such things behind us. Unfortunately, our minds and our brains don’t work that way. Patterns can play out automatically, no matter how hard we try to be original and create our own realities. Just as it is important to know family medical history (e.g., diabetes or tuberculosis) it is equally important to know about our...
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Partnering for Excellence Model: Walking the Trauma-Informed Talk (www.healwritenow.com)
I wrote about my personal experience at the Partnering for Excellence conference earlier this month. Here, I write as an activist observing attempts at system change utilizing ACEs science and trauma-informed approaches. Please share your ideas, brainstorms and observations about what you see happening (or not happening) in organizations or agencies you rely on, work at or run. I’ll admit, as an activist, I’m often in fight the system mode. I approach even do-gooders with defensiveness. Why?
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Partners in Planning — When parents and caseworkers work together, families move in the right direction (www.risemagazine.org)
Link to entire piece here . Excerpt below:
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Permission to be actual humans during a pandemic, please
I have a single mom friend who is caring for a baby, a 16-year old, and working full-time. Her name is Heidi. This is the same friend, with an ACE score of 10, written about here a few years ago. This is what she posted on Facebook (and gave me permission to share) the day after Governor Charlie Baker announced the schools in MA will be closed, at least, until early May: The numerous and immediate comments and responses went something like this: I sighed in relief when I read Heidi's post. I...
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Pioneering Research Study on Child-Parent Psychotherapy Incorporates ACEs
The Child Parent Project , a five-year, $3 million federally funded project in Philadelphia, is the first research study in the U.S. partnering with public health agencies and family courts to gauge the impact of child-parent psychotherapy (CPP)...
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Playing Teen Sports May Protect From Some Damages Of Childhood Trauma (kqed.org)
When Easterlin became a pediatrician, she started seeing a lot of kids suffering from trauma, from physical abuse to emotional neglect. Many of these kids didn't respond fully to traditional treatment for trauma and depression. Frustrated and searching for answers , Easterlin turned to her own past. "I suspected that sports might have a powerful impact [on kids]," she says. Easterlin wanted to know: Could sports improve the lives of people with trauma the way they'd improved hers? Her...
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Population-Based Analysis of Temporal Trends in the Prevalence of Depressed Mood Among Sexual Minority and Heterosexual Youths From 1999 Through 2017 [jamanetwork.com]
By Alexandra H. Bettis, Richard T. Liu, Jama Pediatrics, October 21, 2019 Depression in adolescence is highly prevalent and associated with negative long-term outcomes.1 Despite decades of research on treatment for adolescent depression, sexual minority youths remain a particularly at-risk group.2 Temporal trends inform progress in addressing the need to eliminate health disparities among sexual minority populations.3 To our knowledge, this study presents the first population-representative...
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PTSD in Women Linked to Cognitive Impairment (www.medscape.com) & Commentary
This article below is about the impact of PTSD on cognitive function in middle-age women. It talks about possible cellular aging and of course I couldn't help but think of ACEs that happen in childhood for the women studied and how much and how early girls are impacted. We know the answer is a lot. Mostly, I'm filled with questions. What's the impact on puberty, periods and sexual health and development? What's the impact on childbearing, pregnancy, fertility post-partum experiences? What's...
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Quantifying the Cost of Perinatal Mood and Anxiety Disorders in the US [CHCF]
Maternal mental health disorders are the most common medical complication during and after childbirth, affecting at least one in seven pregnant and postpartum women in the US, and one in six in California. In addition — and alarmingly — half of perinatal women with a diagnosis of depression do not get the treatment they need. The lack of attention has stark human costs. Untreated mothers are more likely to deliver preterm and have a cesarean delivery than those without these disorders, which...
Comment
Re: Hillary Clinton’s Comprehensive Agenda on Mental Health [The Briefing—Fact Sheets]
At a Dartmouth [now Geisel] Medical School "Grand Rounds" continuing medical education presentation I attended in 2000, An Epidemiologist noted that "52% of Detroit Metropolitan Area Schoolchildren met the [then] DSM-IV criteria for PTSD". Similar numbers have recently been reported in Philadelphia, Baltimore, and Atlanta. I had heard/seen about such matters as far back as the early 1970's-[before 'civilian PTSD was conceptualized]-in the Southeast Bronx. Does this "Epidemic" in our Urban...
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Re: Hillary Clinton’s Comprehensive Agenda on Mental Health [The Briefing—Fact Sheets]
During the tenure of the "Consumer Majorities" required by the National Health Planning and Resources Development Act of 1974 (Public Law 93-641), we also had a Child health program known by the acronym of EPSDT (Early Periodic Screening, Diagnosis, and Treatment). Screening for "ACEs" or effects of "Toxic Stress" was not as comprehensive as our capabilities could be now. Do we need a national strategy and Public Policy to address such matters ? ? ?
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Re: ACEs-, Trauma-Informed, and Resilience-Building Parenting Programs
Another program addressing reducing ACEs, particularly related to addiction is Celebrating Families!™ - a family-centered, skill-building program serving children ages birth through 17, their parents, and caregivers. This evidence-based program, available from the National Association for Children of Alcoholics (NACoA),emphasizes healthy living skills including addiction prevention/recovery; attachment; the development of a sense of hope and expanded life view; reduction of stress/anxiety;...
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Re: ACEs-, Trauma-Informed, and Resilience-Building Parenting Programs
I added a comment on the site a few days ago. Would like NACoA's Celebrating Families! added to the list. Description (which I added to the site) attached. Rosemary Rosemary Tisch, Program Developer Celebrating Families! National Association for Children of Alcoholics (NACoA) rstisch@gmail.com, 408-406-0467 www.celebratingfamilies.net www.nacoa.org
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ACE education for parents - Jane's piece
Check out this encouraging bit of news in Jane's new story on ACES Too High entitled "Troubled moms and dads learn how to parent with ACEs." (It's also on ACEsConnection.com .) "Since April 2014, more than 1,100 parents have learned about ACEs in parenting classes in three jails and two treatment facilities in Davidson and Rutherford counties, and in four classes at the Family Center. The entire set of parenting classes lasts eight weeks; in the county jails, they last six weeks. After...
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ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)
I was first inspired to create a fact sheet summarizing the effects of adverse childhood experiences (ACEs) after reading a comment in “Got Your ACE score?” A reader wished she had a form to give her doctor that documented the vast body of evidence explaining how early trauma increases risk for chronic physical and mental health conditions and much more.
I could relate.
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ACE Study Treatment Techniques for Stress: When You Need A Helping Hand, Look At The End Of Your Wrist
#Mindfulness #Meditation #Stress #BurnOut #Sleep #Anxiety #Depression #ACE Study When you need a helping hand, look at the end of your wrist, says Dr. Brian Alman Everybody tells you to breathe, let go of stress, chill out, relax & be strong,,,,have balls,,, But who gives you an exact technique that works & it is simple as well as calming? Stress Balls technique integrated with Entrance-Exit method: https://vimeo.com/237576298 Try this at home & on an as-needed basis. A tennis...
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ACEs Research Corner — February 2020
Editor's note: Dr. Harise Stein at Stanford University edits a web site — abuseresearch.info — that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she's posting the summaries of the abstracts and links to research articles that address only ACEs science. Thank you, Harise!! -- Jane Stevens] Kambeitz C, Klug MG, Greenmyer J, Popova S, Burd L. Association of adverse childhood experiences and neurodevelopmental disorders in people with fetal alcohol...
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ACEs Research Corner — January 2020
Research papers this month include links between ACEs and bullying, dropping out of high school, adult disability, and the effects of countering ACEs.
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ACEs Research Corner — July 2018
[Editor's note: Dr. Harise Stein at Stanford University edits a web site -- abuseresearch.info -- that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she's posting the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens] Tilson EC. Adverse Childhood Experiences (ACEs): An Important Element of a Comprehensive Approach to the Opioid Crisis. N C Med J. 2018 May-Jun;79(3):166-169.
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ACEs Research Corner — November 2019
[Editor's note: Dr. Harise Stein at Stanford University edits a web site -- abuseresearch.info -- that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she's posting the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens] Jackson DB, Chilton M, Johnson KR, Vaughn MG. Adverse Childhood Experiences and Household Food Insecurity. Am J Prev Med. 2019 Nov;57(5):667-674. PMID: 31522923...
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ACEs Science and Racism
This is a collection of resources regarding structural racism and trauma. This list aims to give a broad overview and is not all-inclusive. We welcome suggestions; if you have any, please comment below! The titles below and the PDFs in attachments are in alphabetical order. BSC Full Report Trauma Resilient Informed City Baltimore: This is the full report of the work, data, lessons, and direct quotes from several teams of people from various backgrounds in the Baltimore community as they...
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Addiction Isn't the Problem, It's the Symptom [pesi.com]
Note: You may receive an unsolicited invite to a class when downloading the article. By Gabor Mate, PESI, May 2, 2020 Have you ever wondered, as I have, how someone with an addiction could go through 21 detox centers and 5 treatment facilities, yet continue to relapse? It wasn’t until I started working in Vancouver’s Downtown Eastside—one of the most concentrated areas of drug use, mental illness, and poverty in North America—that I realized... The reason these treatments do NOT work is...