Tagged With "Contemporary National Cohort Study"
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4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress
Four years ago, Dr. Leslie Dempsey would never have talked about ACEs — adverse childhood experiences — with her patients. Now ACEs is a common topic. “Just as I don’t feel awkward asking someone if they smoke or do intravenous drugs, I don’t really feel awkward talking about their childhood traumas in a way that it relates to their health. It’s just integrated into obtaining background and social history,” she says. Dr. Leslie Dempsey Dempsey is a physician in obstetrics who oversees a team...
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A Post in Honor of World Mental Health Day: ACEs - Childhood Traumas - Are the Mother of Almost All Addiction and Disease.
Community is the anti-trauma. Children who grow up in trauma are wired for trauma -- it is the lens through which they see the world -- unless that trauma is disrupted by a love of peace. That peace comes from quiet moments reading, time in nature, time when there is no fear or expectation. It takes a lot for a parent with high ACEs to learn how to calm the mind and body enough to provide that calm space for children. ACEs are crafty. Their impact pops up across the lifespan, and for women,...
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Exposure to Household Pet Cats and Dogs in Childhood and Risk of Subsequent Diagnosis of Schizophrenia and Bipolar Disorder [journals.plos.org]
By Robert Yolken, Cassie Stallings, Andrea Origoni, et al., Plos One, December 2, 2019 Abstract Background Serious psychiatric disorders such as schizophrenia and bipolar disorder have been associated with environmental exposures in early life. Contact with household pets such as cats and dogs can serve as a source of environmental exposure during these time periods. Methods We investigated the relationship between exposure to a household pet cat or dog during the first 12 years of life and...
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Going beyond asking what happened: building beloved community
“Our goal is to create a beloved community and this will require a qualitative change in our souls as well as a quantitative change in our lives.”- Dr. Martin Luther King, Jr. “beloved community is formed not by the eradication of difference but by its affirmation, by each of us claiming the identities and cultural legacies that shape who we are and how we live in the world.” –bell hooks One of the most notable descriptors of trauma-informed care is shifting the question of what is wrong...
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Health Care System Fails Many Transgender Americans (npr.org)
In the basement of Casa Ruby in Washington, D.C., transgender men and women in their late teens and 20s, mostly brown or black, shared snacks, watched TV, chatted or played games on their phones. Many of them, said Corado, are part of the 31 percent. That's 31 percent of transgender Americans who lack regular access to health care. The finding comes from a new poll by NPR, the Robert Wood Johnson Foundation and the Harvard T.H. Chan School of Public Health. Corado pointed to one crucial word...
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How It Feels & How We Heal: Parenting with ACEs Chat Quotes (You Tube, Database, PDFs, Links)
Parenting with ACEs is sharing inspiration, information, and expertise from our chat series in 3 formats. Parenting with ACEs: How It Feels & How We Heal Quote Collection (pdf version below as well) Quotes Database (pdf version below as well) Links to Chat Transcripts and before and after-the-chat blog posts. Thanks to everyone who showed up, who shared, and who is doing the important work that is our mission (prevent ACEs, heal trauma, build resilience). We know that work happens...
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The Trauma Resiliency Model: A “Bottom-Up” Intervention for Trauma Psychotherapy (Journal of the American Psychiatric Nurses Association)
Grabbe L, Miller-Karas E. The Trauma Resiliency Model: A “Bottom-Up” Intervention for Trauma Psychotherapy. Journal of the American Psychiatric Nurses Association. 2017; 24 (1): 76-84.
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TIC: News and Notes for March 2020
ACEs, Adversity's Impact Lessons learned integrating ACEs science into health clinics: Staff first, THEN patients Launching a revolution Stress is a key to understanding many social determinants of health Is trauma driving some eating disorders? Adverse childhood experiences: What we know, what we don't know, and what should happen next Childhood maltreatment initiates a developmental cascade that leads to relationship dysfunction in emerging adulthood Report reveals link between poverty,...
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TRAUMA INFORMED CARE Johnson City's trauma informed system of care is model for the country [Johnson City Press]
Becky Haas, community crime prevention manager for the Johnson City Police Department, hopes the Trauma Informed Care system created here will spread throughout the nation. Johnson City is on the verge of becoming a completely Trauma-Informed Care community, which local officials believe can improve the health, education and social lives of everyone who lives in the region. And Johnson City’s efforts to create this system of care could spur a national movement. That belief was apparent...
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WEBINAR: Fostering Equity: Creating Shared Understanding for Building Community Resilience
Struggling with how to Foster Equity Conversations in Community? Join the national partners of the Building Community Resilience Networks as we share our lessons learned in fostering equity as a strategy to prevent childhood adversity and build community resilience. Wednesday, February 26th 12pm-1:15pm Eastern More info at go.gwu.edu/EquityWebinar As a nation we have agonized over how to approach conversations on race, racism, inequity and racial justice. Too often we have opted to attempt...
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WEBINAR - NPPC's Pilot Site Case Studies: Lessons Learned from ACEs Screening Implementation
The Center for Youth Wellness' National Pediatric Practice Community on ACES (NPPC) is a co-designed community committed to collaborative learning. To promote this learning, we have been working with six pilot sites over the last year, representing practices of various sizes and service delivery settings, to implement ACEs screening and intervention. On Monday, December 2nd at 1pm PT , we will be holding a webinar to discuss the findings of these pilot site case studies. Please register...
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Webinar Slides and Recording: Building Resilient Communities with Elaine Miller-Karas
Recorded live August 8, 2019. Find the slides attached below. The 1 hour video recording can be found on our YouTube channel: https://youtu.be/BUyY0FMjv8s Speaker: Elaine Miller-Karas, MSW, LCSW, Executive Director and Co-founder, Trauma Resource Institute. Host: Carey Sipp, Southeast Community Facilitator, ACEs Connection. Webinar Description: This webinar will explore integrating a biological based model to reduce the impacts of toxic stress for children and adults. It is a model both for...
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What If I Told You?
What if I told you that I was a victim of child sex abuse? As a survivor of child sexual abuse , I have a clear understanding of the importance of addressing stigma and shame as it pertains to sexual abuse, sexual assault and rape. Victims, especially young children, often do not disclose sexual abuse. Those who are witnesses of child sexual abuse, or who are trusted by survivors enough that they confide in them, are often ill-equipped to handle the responsibility. And, many times, parents...
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The Absence of Punishment in Our Schools
Where to begin... My heart is full of hope and joy as I watch the trauma-informed schools movement swell across our nation and planet. The science of ACEs is mind-bending to say the least and we are now able to open up a much deeper dialogue about human behavior and health. Ultimately this work is about healing… All. Of. Us. A new consciousness is taking root around ending the “us vs them” construct. The idea is growing that we’re all on this journey together and that no matter where our...
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Registration Open - 2019 Families and Fathers Conference Early Rate and Hotel Discount Closing Please Share
In forty-eight days, we open our 20th convening of a powerful conference focused on strengthening families, improving outcomes for children, and strategies to engage families. The 20th Annual Families and Fathers Conference hosted by Fathers and Families Coalition of America Sponsorships allow the extended early rate for an exceptional experience in Los Angeles, California from March 4th (pre-conference institute credential) through the main conference dates of March 5th - 7th. Please share...
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Reimbursement for Parenting Education and Support Services
Unfortunately, regardless of training received and degrees earned, parenting educators can't serve families and get reimbursed by public and private insurers for their services. In an effort to bring light to this issue, I wrote the attached paper with two colleagues at NC State. Our (unpublished) paper outlines research supporting parenting education services and their efficacy to improve individual and family health and long term wellbeing and community prosperity. We highlight the fact...
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[Repost] Trauma-informed Care: It Takes More Than a Clipboard and a Questionnaire
California is about to launch an ambitious campaign to train tens of thousands of Medi-Cal providers to screen children and adults up to age 65 for trauma, starting on January 1, 2020. It is well-established that the early identification of trauma and providing the appropriate treatment are critical tools for reducing long-term health care costs for both children and adults. Research has shown that individuals who experienced a high number of traumatic childhood events are likely to die...
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Research roundup: ACEs among incarcerated women; testing technology to help reduce substance use; prenatal support as an intervention to prevent ACEs
photo by Rhoda Baer/Wikimedia Common Life as she knows it: The effects of adverse childhood experiences on intimate partner violence among women prisoners [Child Abuse & Neglect] "Most incarcerated women suffer from adverse childhood experiences (ACEs), such as abuse (e.g., physical, sexual, emotional), neglect, (e.g., physical, emotional), and chaotic home environments (e.g., witnessing domestic violence), and adult intimate partner violence (IPV). Yet the majority of research on the...
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RYSE Center's Listening Campaign: Young people in Richmond, CA help adults understand trauma, violence, coping, and healing
"My experience with violence is very brutal...I grew up with violence as if it were my sibling." - LC participant (youth) "We know we can't run the city- it's too complex- but our experience and our voices should count, especially because we're the most effected ." - LC participant (youth) "Our city's problems are shared by us all; we are all part of the problem AND the solution. Listening is a key component to healing." - LC Share Out partici pant (adult) Three years ago, RYSE Center in...
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SAMHSA's Concept of Trauma and Guidance for a Trauma-Informed Approach
Years in the making, this important piece of the trauma-informed pie is on the table! Check it out.
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Making Parenting Education A Priority
Hello. I wanted to introduce myself to this group. My name is Rene Howitt and I'm the founder a non-profit child advocacy organization, COPE24....Changing Our Parenting Experience. Our mission is "To significantly reduce incidences of child abuse and neglect." Our methodology is through parenting education. I've been working with Family Consumer Science (FACS) and health teachers since 2008. We believe that parenting education should be a priority in all of our high schools, reaching all of...
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Mental Health, Social Adversity, and Health-Related Outcomes in Sexual Minority Adolescents: A Contemporary National Cohort Study [thelancet.com]
By Background Sexual minority adolescents are more likely to have mental health problems, adverse social environments, and negative health outcomes compared with their heterosexual counterparts. There is a paucity of up-to-date population-level estimates of the extent of risk across these domains in the UK. We analysed outcomes across mental health, social environment, and health-related domains in sexual minority adolescents compared with their heterosexual counterparts in a large,...
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“Motherless Children Have the Hardest Time”: Epigenetic Programming and Early Life Environment [pediatrics.aappublications.org]
The Blind Willie Johnson blues song “Motherless Children” highlights the maternal bonds that we all know are critical to emotional and cognitive development. Authors of previous work looking at infant stress response have found that these bonds begin in utero and can be influenced by both maternal and paternal influences and across multiple generations. 1 The observations of Barker et al 2 on the Dutch famine birth cohort of World War II were perhaps the first published observations of this...
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The Emotional Toll of Childhood Obesity [psychologytoday.com]
Think about these questions: Where do people learn that it is okay to call someone fat? Where do kids learn that calling someone fat is tacitly acceptable bullying? Can you think of another health condition for which kids are so easily ridiculed? Somehow, being overweight creates an open season for merciless taunting. This is national childhood obesity awareness month. There will be all sorts of blogs and public service announcements about the problems of obesity in this nation, and special...
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The "F" Words: Fear & Forgiveness
“If your parent is the bear in the living room, it is biologically impossible to run to that parent when they are either over or under reacting. If your parent is scary you can’t run to them. And you also can’t run away from them because you are a child, you can’t function in the world on your own. You can’t make it out there." Donna Jackson Nakazawa We can get so lost in theory, data and facts that our language about trauma, abuse and adverse childhood experiences can become clinical and...
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'The Horse Nation is Here for Us': How Lakota Culture is Helping Treat Child Trauma in South Dakota [psmag.com]
Greg Grey Cloud stands in the middle of the arena, thumbs in his hip pockets, beside a black-and-white Paint who wanders and roots aimlessly in the dry sand. The space is slightly smaller than a high-school basketball court, walled in particle board with an arched roof of white plastic that seals in the warmth from the overworked radiant heaters on this chilly northern prairie morning. Mud from the pens outside clings to Grey Cloud's boots and to the bottoms of his jeans. He closes his eyes...
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The Job-Training Program Giving City Kids a Reason to Hope [nationswell.com]
As urban areas across the nation experience renewal and transformation, Camden, N.J., is at the beginning of its renaissance. The city — once known as America’s most dangerous — has been experiencing dramatic decreases in gun crime and violence, namely an 80 percent reduction in homicides during the first three months of 2017. That’s good news for Camden, which has also become a testing ground for tech nonprofits that want to help beleaguered youth find their way out of neighborhoods riddled...
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The Nurtured Parent Revolution: Transforming Trauma through Love, Healing, and Social Justice Activism
Many family courts across the nation routinely fail the most vulnerable in our society: mothers and their children in crisis seeking a life free from abuse. In 2012, the U.S. Department of Justice released the Saunders Report , a study that found the standard and required domestic violence training received by judges, lawyers, and custody evaluators, does not adequately prepare them to handle abuse cases. Inadequately trained professionals tend to believe the myth that mothers frequently...
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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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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 County Health Rankings Show Differences in Health and Opportunity by Place and Race [rwjf.org]
Princeton, N.J. and Madison, Wis .—For nearly a decade, the County Health Rankings have shown that where we live makes a difference in how well and how long we live. This year, our analysis shows that meaningful health gaps persist not only by place but also by race and ethnicity. These health gaps are largely influenced by differences in opportunities that disproportionately affect people of color, such as access to quality education, jobs, and safe, affordable housing. This year’s report...
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Not All Children Are Thriving: We Know That
I recently encountered a post by a Head of School who suggested all the positives of being quarantined for him and the children and families in his school. I know I am preaching to the choir here but I wanted folks to see what I wrote. We need to stomp out the perception that children are all enjoying time at home -- as if they were experiencing an extended snow day. I get silver linings. They do exist, including for trauma. But for a head of school to write what he wrote suggests to me that...
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NPPC's Pilot Site Case Studies: Lessons Learned from ACEs Screening Implementation
The Center for Youth Wellness' National Pediatric Practice Community on ACES (NPPC) is a co-designed community committed to collaborative learning. To promote this learning, we have been working with six pilot sites over the last year, representing practices of various sizes and service delivery settings, to implement ACEs screening and intervention. Beyond supporting these practices with the logistics of implementation, the broader goal was to discover and share real-world best practices,...
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Parenting: A Cultural Perspective from Dr. Darcia Narvaez and Others
My first foray into the world of social services led me to become involved with what I thought was an under-appreciated aspect of parenting: the role of a father and the problems caused by an absent father. I drew from my own experience growing up. My parents first separated when I was about four-and-a-half years old. There were four children in our family. The youngest was only about six months old when the separation happened. My parents reconciled long enough for a fifth child to be...
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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, Menopause & ACEs After-the-Chat Summary: Carey Sipp
Have you talked with friends, siblings or co-workers about Parenting with ACEs while going through the change? Do you have any fascinating facts to share about how your OBGYN prepared or supported you when thrown by midlife, hormonal shifts and emotional residue from traumatic stress? Me either. And it's a shame. A lot of people parent, go through menopause, and have survived a bunch of ACEs. Conversations and information shouldn't be so hard to find. But they are. T hat's the reason we...
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Philadelphia ends practice of billing parents for the time their children spend in detention
The city of Philadelphia announced Friday that it will stop billing parents for the cost of their children’s incarceration, just hours after a front-page Marshall Project story in The Washington Post highlighted the practice in the city and across the nation. Heather Keafer, a spokeswoman for the Philadelphia Department of Human Services, said the decision to stop charging parents will go into effect immediately. The agency already said late Thursday it plans to end its contract with Steve...
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Pueblo, CO, clinic rewrites the book on primary medical care by asking patients about their childhood adversity
In October 2015 in Pueblo, CO, the staff members of a primary care medical clinic – Southern Colorado Family Medicine at the St. Mary-Corwin Medical Center – start asking parents of newborn babies to kids five years old about the parents’ adverse childhood experiences and the resilience factors in their lives. They ask the same questions of pregnant women and their partners in the hospital’s high-risk obstetrics clinic. The results are so positive after the first year that the clinic starts...
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A Wakeup Call About Children's Sleep and What To Do About It [psychologytoday.com]
By Robyn Koslowitz, Psychology Today, November 3, 2019 Only half of children in the United States routinely get enough sleep each night, and this has significant effects on their academic performance and social, and emotional well-being. A comprehensive study analyzed responses from parents or caregivers of 49,050 children, 6 to 17 years old, who were part of the 2016-2017 cohort of the National Survey of Children’s Health. They were queried about how many nights of sleep a randomly selected...
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ACE Member Discount 18th Annual Families and Fathers National Conference Limited
I am sharing a 20% discount and that U.S. OCSE as well as trauma experts are actively participating with a special series on March 1st at the 18th Annual Families & Fathers National Conference, "Never Giving Up - Breakthrough 2017", will be hosted by Fathers & Families Coalition of America from February 27 - March 3, 2017 in Los Angeles, CA. Early Bird Registration is now open with full event, two-day or one-day options for individuals to customize their training. The focus of this...
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ACES Aware Webinar: Dec 13th, 12-1pm PT - Public Comments about soon-to-be-released Request for Proposal
The Department of Health Care Services and the California Office of the Surgeon General are hosting a webinar of the Trauma-Informed Care Implementation Advisory Committee’s Provider Education and Engagement Subcommittee. Subcommittee members will discuss a draft Request for Proposal (RFP) released for public comment as part of the ACEs Aware initiative. The draft RFP invites external organizations to apply for grants to support provider training activities, provider engagement activities...
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ACEs Connection's Inclusion Tool makes sure nobody's left out
We developed ACEs Connection's Diversity, Equity & Inclusion Tool — called the Inclusion Tool, for short — to ensure that ACEs initiatives across the world focus on being inclusive when forming a steering committee, recruiting leaders, providing education about ACEs science, recruiting members, or providing resources and services within their communities. The more inclusive your ACEs initiative is, the more diverse it will be, giving your initiative a real shot at achieving equity and...
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ACEs Research Corner — September 2017
[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 will post the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens] Altamimi D, Almuneef M, Albuhairan F, Saleheen H. Examining the relationship between child maltreatment and school performance in public schools in Saudi Arabia: A...
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ACEs Research Corner — September 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] Schickedanz A, Halfon N, Sastry N, Chung PJ. Parents' Adverse Childhood Experiences and Their Children's Behavioral Health Problems. Pediatrics. 2018 Aug;142(2).
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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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America: The Most Dangerous Wealthy Nation for Kids [wnyc.org]
A new study out this week finds that a child born in the United States has a 70 percent greater chance of dying before adulthood as compared to 19 other wealthy, democratic countries. Ashish Thakrar is the lead author on that study. He’s an internal medicine resident at Johns Hopkins Hospital, and he discusses who the most vulnerable groups are and why, and what needs to happen to fix the trend. [To listen to this story, go to https://www.wnyc.org/story/the-takeaway-2018-01-10 ]
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Association Between Posttraumatic Stress Disorder and Mortality Among Responders and Civilians Following the September 11, 2001, Disaster [jamanetwork.com]
By Ingrid Giesinger, Jiehui Li, Erin Takemoto, et al., Jama Network Open, February 5, 2020 Key Points Question What is the association of mortality with baseline and repeated assessments of posttraumatic stress disorder in a population exposed to the World Trade Center attacks on September 11, 2001, over 13 years of follow-up? Findings In this cohort study of 63 666 World Trade Center Health Registry enrollees, posttraumatic stress disorder was associated with an increased risk of mortality...