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PACEs in Maternal Health

October 2020

Social Science Framework Focuses Attention on Policy Initiatives to Reduce Childhood Adversity in California

An important report challenges California policy makers to move well beyond ACEs screening in order to achieve the state's "bold goal" of reducing exposure to childhood trauma. The report employs a broad social science framework to examine the sources of adversity in systemic racism, economic inequality, environmental hazards, and inadequate community resources to support community resilience.

New California preventive mental health coverage puts ACEs science front and center

A mother, frantic with worry, brought her newborn in for a checkup at the pediatric clinic at San Francisco General Hospital. But there wasn’t anything wrong with the baby. And over the next several months, no amount of reassurance could convince the mom that her child was eating, sleeping and growing just fine. If anything, the mother’s worry led to behavior that raised alarm bells for her health care providers. Dr. Kate Margolis “[The family] wasn’t returning calls from the provider, and...

Burnout From an Organizational Perspective [ssir.org]

Instead of pressuring already-stressed individuals to fix themselves, true wellness requires organization-level interventions. By Leah Weiss Oct. 20, 2020 The term “burnout” first came into use in the early 1970s in the context of air traffic control, after an increase in human error-precipitated collisions was linked to frustrations with increased traffic, poor human-machine interfaces, and the general monotony of the work. Described by the WHO as “resulting from chronic workplace stress...

For Pregnant Women, Stigma Complicates Opioid Misuse Treatment [thefix.com]

By Amarica Rafanelli 10/22/20, for The Fix.com New and expectant mothers face unique challenges when seeking treatment for an opioid use disorder. On top of preparing for motherhood, expectant mothers often face barriers to accessing treatment, which typically involves taking safer opioids to reduce dependency over time. The approach is called medication assisted therapy, or MAT, and is a key component in most opioid treatment programs. But with pregnant women, providers can be hesitant to...

A Better Normal Community Discussion - Reimagining Health Care

In a conversational style, join physician Drew Factor who will speak with Dr. Tracy Gaudet, Liza Guroff and An é Watts in a discussion entitled "Reimagining Health Care". Dr. Gaudet will speak about her experience engaging in transformational change at the Veterans Administration and how this has shaped the development of her own Functional Medicine Institute, while Ms. Guroff and Ms. Watts will speak about their knowledge of a Trauma-Informed Approach both at a systems (National Council for...

Colleges Must Accommodate Students Who Are Breastfeeding—Even in Zoom Classes (Ms Magazine)

By Autumn Green, October 20, 2020, Ms Magazine. There are multiple laws to protect the rights of pregnant and parenting students—but they are confusing to sort out. Yet, as educators learn to navigate new learning environments, understanding these laws, and how they apply to remote learning during a global pandemic, is critical. This month, CNN published a story about a Fresno City College student, Marcella Mares, who filed a complaint against an instructor who told her that it was...

Supporting Patients in Pregnancy: ACEs and Maternal Health [acesaware.org]

This webinar will offer information around the importance of ACE screening as it relates to maternal health. Speakers will share resources for providers looking to introduce ACE screening, examples of how to create a healing environment for patients, and case studies on how to respond with trauma-informed care. Upon completion of the activity, participants should be better able to: • Recognize the science and impact of ACEs and toxic stress, understand the value of ACE screening, and apply...

Report on WIC Role in Reducing Maternal Mortality (California WIC Association)

CWA Flash Newsletter - October 13, 2020 (Blue text=hyperlinks) Report on WIC Role in Reducing Maternal Mortality The National WIC Association released a report titled " The Role of WIC in Reducing Maternal Mortality ." NWA’s Maternal Mortality Task Force created the report to consider ways in which maternal mortality is addressed and discussed with program participants throughout the WIC appointment, as well as explore opportunities for additional focus on the topic. The report highlights...

Paying Attention to Mental Wellness

Here is a link to a recent post -- tied into Dak Prescott's injury and an article on post-partum depression. Key here is that if you can name feelings, then you can tame them. https://medium.com/age-of-awareness/we-dont-recognize-mental-distress-that-has-to-change-1e23074f2f19 Watch too for a new download: Trauma Toolbox Maker Kit at www.karengrosseducation.com. Should be available by week's end.

'A Better Normal:' Can universal ACEs screening be equitable? -- Concerns and solutions

Can universal ACEs screening be equitable? A conversation about concerns and solutions. When: Tuesday, Oct. 13, 2-3:30 pm PDT/5-6:30 pm EDT This webinar explores what it takes to ensure that equity is built into the process of screening and providing support for families who have experienced trauma and want help. REGISTER HERE Background At the beginning of this year, California, through the ACEs Aware initiative began rolling out universal screening for adverse childhood experiences (ACEs),...

NOW AVAILABLE ON DEMAND: The Repressed Role of Adverse Childhood Experiences in Adult Well-Being, Disease and Social Functioning: Turning Gold into Lead (Dr. Vincent J. Felitti) [avahealth.org]

The ACE Study reveals how typically unrecognized adverse childhood experiences are not only common, but causally underlie a number of the most common causes of adult social malfunction, biomedical disease, and premature death. Moreover, it enables one to see that the Public Health Problem is often an individual’s attempted Solution to childhood experiences about which we keep ourselves unaware. A renowned physician and researcher, Dr. Vincent J. Felitti is one of the world’s foremost experts...

The importance of care coordination [medcitynews.com]

By Brooke Sabia, MedCity News, September 30, 2020 Some may ask the question, “What does a care coordinator do for my personal well-being?” There is no short answer as to what a patient can benefit from by receiving assistance from a care coordinator. Their job is to connect with high-risk individuals to uncover and identify needs in a patient-centered manner and in a way that takes into account whether the patient has endured any trauma. When people think of care coordination, they typically...

Children Missing Out On Developmental Services Because Of Labyrinth System [calhealthreport.org]

By Claudia Boyd-Barrett • Sep 29, 2020 As Karla Garcia of San Francisco watched her third child grow, she had a feeling something was different. At 4 months old, Brianna still couldn’t keep her head steady or lift it up when she was on her stomach, a milestone babies typically reach by 2 months old. She also didn’t hold her mother’s gaze or look intently at other familiar faces. That’s something babies normally do within their first month of life. But when Garcia raised her concerns with...

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