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PACEs in Maternal Health

Tagged With "prevent child abuse"

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Fathers: Powerful Allies for Maternal and Child Health [nichq.org]

Marianne Avari ·
NICHQ . “Maternal and child health programs and professionals have become increasingly more cognizant of how fathers, specifically, affect their children’s health and development,” says NICHQ President and CEO Scott D. Berns, MD, MPH, FAAP. “Moving this conversation forward, and highlighting strategies that support father engagement and involvement, is a critical opportunity to improve children’s health outcomes in the decades to come. This is not because fathers matter more than any other...
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Federal Funding for Maternal Mental Health released July 2, 2018

Anna Sutton ·
HRSA - Maternal & Child Health Bureau has released a federal funding opportunity that will award up to 7 States to do work around increasing screening and treatment capacity for maternal depression and related behaviors (substance use). State entities may apply and letters of intent (LOI) are due Monday July 16, 2018. Applications are due to HRSA by 8/6/18 with funding starting September 30, 2018. Up to $650,000/year for 5 years will be available for up to 7 awardees. For more...
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First 5 CA 2018 Child Health, Education, and Care Summit - Call for Presentations Now Open!

Gail Kennedy ·
Share Your Knowledge, Ideas, and Experience! SUBMIT PROPOSAL HERE First 5 California is now accepting proposals for its 2018 Child Health, Education, and Care Summit on April 10-12, 2018, at the Hilton Los Angeles North/Glendale. Participants are eager to attend unique sessions that are innovative, interactive, and engaging . We are seeking sessions that delve into the Summit focus areas and goals with specific learning objectives. We hope you will consider submitting a proposal. Summit...
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For Addicted Women, the Year After Childbirth Is the Deadliest [pewtrusts.org]

Alicia Doktor ·
Katie Raftery was in a Massachusetts prison for drug-related crimes when she found out she was pregnant with her second child. A longtime heroin user, she was released to a residential drug treatment program where she stayed for seven months, until her baby was born. She got through pregnancy and drug treatment without a hitch and delivered a healthy baby boy with no complications. But at exactly six weeks after childbirth, Raftery said she started feeling lonely, empty and disengaged. The...
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H.R. 4215 Excellence in Maternal 5 Health Act of 2019

Karen Clemmer ·
IN THE HOUSE OF REPRESENTATIVES Introduced in House (08/30/2019) Mr. Bucshon (for himself, Mr. Carson of Indiana, Mr. Burgess , Mr. Bilirakis , Mrs. Brooks of Indiana, Ms. Herrera Beutler , Mr. Long , Mrs. McBath , and Mr. Walden ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To improve maternal health care quality, to improve the training of health care professionals to reduce or prevent discrimination in certain health care services, to...
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H.R. 4768, the Home Visiting to Reduce Maternal Mortality and Morbidity Act (Prevent Child Abuse)

Karen Clemmer ·
By Kathleen Strader, October 24, 2019, Director of Healthy Families America There is a maternal health and mortality crisis in this country. I have seen how it devastates families and staff in the communities we serve at our Healthy Families America (HFA) affiliate sites across the country. We mourn the lives that have already been lost—mothers, daughters, cousins, aunts, friends, community leaders, beloved employees, and so many more. To honor their memory, we in the home visiting field...
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Healthy Spaces December 2019 Webinars

Aldina Hovde ·
Healthy Spaces: Promoting Healthy and Resilient Communities December 2019 Webinars Funding provided by the New Jersey Department of Children and Families The New Jersey Chapter, American Academy of Pediatrics (NJAAP) believes that all children deserve to feel safe and secure in their home, at school, and while at play. The Healthy Spaces program aims to address adverse childhood experiences (ACEs) through partnerships with pediatric/family healthcare teams, schools and communities.
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Healthy Spaces December 2019 Webinars

Aldina Hovde ·
Healthy Spaces: Promoting Healthy and Resilient Communities December 2019 Webinars Funding provided by the New Jersey Department of Children and Families The New Jersey Chapter, American Academy of Pediatrics (NJAAP) believes that all children deserve to feel safe and secure in their home, at school, and while at play. The Healthy Spaces program aims to address adverse childhood experiences (ACEs) through partnerships with pediatric/family healthcare teams, schools and communities.
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Helping New Parents Make Room for Uncertainty

Claudia Gold ·
A new program for parents and infants, thanks to generous support from Mill Town Capital , is coming to Pittsfield, Massachusetts. The Hello It’s Me Project shines a spotlight on these tender new relationships, investing resources around the birth of a baby with the long-term goal of building a healthy community from the bottom up. When world-renowned child development researcher Dr. Ed Tronick spoke in the spring of 2018 for an audience of a wide variety of practitioners in Berkshire County...
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Helping Young Children Exposed to Trauma: A Systems Approach to Implementing Trauma-Informed Care [chdi.org]

Marianne Avari ·
By Alysse Loomis, Ph.D. Kellie Randall, Ph.D. Jason Lang, Ph.D., CHDI, June 2019. This IMPACT provides a summary of the research on the effects of early trauma exposure, discusses what Connecticut is doing across systems to support young children who have experienced trauma, and outlines a framework to expand Connecticut's robust system of trauma-informed care for older children to include younger children. There are more than 228,000 children under the age of six years old in Connecticut,...
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Home Gun Safety Queries in Well-Child Visits [jamanetwork.com]

By Carole H. Stipelman, Greg Stoddard, Kyle Bata, et al., JAMA Pediatrics, October 28, 2019 Firearms are a leading cause of death in US children, and the rate of suicide by firearms in people aged 10 to 19 years has increased since 2008.1 In the United States, 4.6 million children (approximately 7%) live in households with at least 1 gun that is stored loaded and unlocked.2 Safe storage of guns and ammunition may decrease the occurrence of self-inflicted or unintentional firearm injury to...
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Re: Hillary Clinton’s Comprehensive Agenda on Mental Health [The Briefing—Fact Sheets]

Grace Harris ·
It is so terrific to see maternal mental health and infant and child mental health included. We could prevent a lot of years of suffering if we could deal adequately with these issues. Yipee!
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Re: How a famous hospital turned around its low rate of screening moms for depression [CenterForHealthJournalism.org]

Anna Sutton ·
I commend Cedars Sinai for the incredible work they are doing and we can all learn from successful models that screen, refer, diagnose and link to services. We need to learn from them and look closely at all the pieces they put in place to make it work because it can work! BUT.... One of my biggest concerns about proposed legislation which requires an unfunded mandate for screening is this...There has been and continues to be a HUGE shortage in system capacity to refer, diagnosis, treat and...
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A call to action for public health nurses during the COVID‐19 pandemic (Wiley Online Library)

Karen Clemmer ·
Joyce K. Edmonds PhD, MPH, RN , Shawn M. Kneipp PhD , Lisa Campbell DNP . First published: 12 April 2020. https://doi.org/10.1111/phn.12733 Public health nurses (PHNs) are on the frontline of the public health crisis the world now knows as the COVID‐19 pandemic. They serve on mobile strike teams investigating case‐contacts, deliver education on self‐isolation and quarantine through hotlines and home visits, and interpret the rapidly shifting guidance from the Centers for Disease Control and...
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A community-based approach to supporting substance exposed newborns and their families

Alex Risley Schroeder ·
This information brief highlights a community-based approach to supporting families and newborns affected by substance use. MA EfC developed this brief to address the profound intersection between the Massachusetts opioid crisis, Federal mandates for the development of Plans of Safe Care for substance exposed newborns, and, the MA EfC focus on increasing social connectedness as a means to reduce child maltreatment.
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A Conversation with Nadine Burke Harris: How Should Pediatricians Address Childhood Adversity?

Claudia Gold ·
Pediatrician Nadine Burke Harris is a masterful storyteller. I learned in a conversation with her at Wheelock College before her presentation for the Brookline, MA organization Steps to Success , that before she decided to become doctor, Dr. Burke Harris wanted to be an author. Only after the smashing success of her TED talk: How childhood trauma affects health across a lifetime , when she was approached by a literary agent, did she find her way to writing. Her newly released book The...
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A mental health crisis ends in tragedy when police shoot a young mother wielding a gun [Monterey County NOW]

Karen Clemmer ·
For weeks, the 20-year-old had been trying to climb out of an ever-deepening hole. On Feb. 8, she gave birth to her first child, a daughter she named Victoria Guadalupe, but the baby was placed in the care of the Monterey County Social Services Department because, her mother says, Rodriguez Mendoza was found to have drugs in her system and because she had no place to live. She created such a ruckus when the baby was taken from her that she was placed in the psychiatric ward at Natividad,...
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A Message from the President of the Illinois Chapter, American Academy of Pediatrics

Elise Groenewegen ·
Dear Illinois ACE Connection members, Children and families from all demographic and socioeconomic backgrounds in Illinois experience trauma, adversity, and chronic stress. Social determinants such as where we live, work, and play, can further exacerbate positive or negative physical, emotional, and behavioral health issues. The critical factor that determines if a child, family, and/or community can manage trauma, adversity, and chronic stress successfully is resilience : the process by...
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A View From the Sharp End of New Zealand's Suicide Problem [thespinoff.co.nz]

By Gawen Carr, The Spinoff, October 21, 2019 Last week, as I left yet another 3am crisis interview in ED as a psychiatric doctor for a suicidal teenager, I felt drained and weary. This was partly due to the time, but mostly something else: although I felt I had helped keep the young person safe in the imminent future, I was frustrated that I was unable to meaningfully address the reasons why they felt that way. I thought I’d look through the recently released Ministry of Health authored...
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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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AAP reports: Perinatal depression screening, referral needed [aappublications.org]

Alicia Doktor ·
“I thought the blues were all part of being a new mom,” said the woman who was screened and referred for treatment at her pediatrician’s office after the birth of her second child. She told a news outlet in Raleigh, N.C., that she was grateful for the screening. “I’m able to be the mother that both my kids deserve,” she said. The story spotlighting postpartum depression (PPD) aired in February 2017, just after North Carolina Medicaid established payment for the new maternal depression...
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ACE-Aha Moments & Parenting: Meet Aprel Phelps Downey

Christine Cissy White ·
Aprel Phelps Downey What was your ACEs Aha moment? When did you first hear about ACEs and what impact did/does it have on you? How do ACEs impact you as a parent? How is your parenting impacted by past trauma? What’s been most helpful to you as a parent parenting with ACEs? What’s been most challenging for you as a parent parenting with ACEs? What has parenting taught you? What have you learned? How do you manage complex family relationships? What inspires/encourages and helps you? I know...
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ACEs Community Spotlight Series: Dr. Richard Honigman, Central Nassau Pediatrics

Margaret Wayne ·
For our second community spotlight interview, I spoke with Dr. Richard Honigman, a pediatrician at Central Nassau Pediatrics in Levittown and infant mental health advocate. We discussed the importance of addressing childhood adversity and the relevant work he is doing both inside and outside his practice. Please note that responses have been adjusted for length and clarity. Dr. Honigman is also the first recipient of the 2019 Ed Tronick Award for Distinguished Contribution to Infant-Parent...
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ACEs Research Corner — November 2019

Harise Stein ·
[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 Champion Series: Dr. Angela Bymaster: This Faith-Based Physician Integrates ACEs Science with Healing Arts

Sylvia Paull ·
Dr. Angela Bymaster, a family physician at Washington Elementary School in San Jose, CA, operates her clinic in a portable unit on the school property. Because the unit faces students as they are dropped off by their families, she gets to “pick up the kids” before they are sent to the clinic, practicing “upstream medicine.”
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Addicts Among Us - a hopeful documentary about ACEs and addiction in Humboldt County, California (YouTube Video)

Bonnie Berman ·
Addicts Among Us is a hour-long documentary investigating the connection between childhood trauma in Humboldt County and the region’s skyrocketing addiction rates. Addiction experts have zeroed in on adverse childhood experiences as a cause for addictive behavior. By examining local lives and stories, KEET examines this connection and efforts in the community to see this addressed. The associate producer of the video, James Faulk - one of the central interviewees of the film - attended First...
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Adverse Childhood Experiences (ACE) Study: Beyond Screening in Pediatrics

Claudia Gold ·
The evidence is clear. When bad things happen to us as young children, we are at significantly increased risk for not only mental health problems, but also a wide range of physical health problems including asthma, heart disease, and even early death. These "bad things" all involve disruptions in caregiving relationships. A national movement directed at screening for ACEs in pediatric practices has emerged from this work. My suggestion that the implication of the Adverse Childhood...
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Adverse Childhood Experiences (ACEs)…Why is Hugging Sooo Very Critical?

Steve Sparks ·
"The reality of my own “adverse childhood experiences” is just catching up with me at age 73. My guess is I’m not alone."
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Aligning, Leveraging Medicaid Across Sectors to Improve Early Childhood [AJMC]

Karen Clemmer ·
Eight states are participating in a project from the Center for Health Care Strategies (CHCS) that aims to break down the silos and the barriers that exist among different agencies and better connect Medicaid to early childhood programs. An infant is born into poverty, and then later, as a young child, may interact with multiple different government agencies and systems—not only Medicaid, but also perinatal health care, early intervention, child care, preschool education, and more.
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Anger overlooked as feature of postnatal mood disorders [sciencedaily.com]

Alicia Doktor ·
Women in the postpartum period should be screened for anger in addition to depression and anxiety, new research from the University of British Columbia suggests. Although anger has been recognized as an element of postpartum mood problems for some women, it has not been well studied and is not included in the widely used Edinburgh Postnatal Depression Scale screening tool. In a review of existing research, UBC nursing PhD student Christine Ou found anger to be a significant feature in...
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Association of Exposure to Civil Conflict With Maternal Resilience and Maternal and Child Health and Health System Performance in Afghanistan [jamanetwork.com]

By Nadia Akseer, Arjumand Rizvi, Zaid Bhatti, et al., JAMA Network Open, November 8, 2019 Key Points Question: Is conflict severity associated with the performance of health systems and population health outcomes in Afghanistan during the 2003 to 2018 reconstruction period? Findings: In this survey study of 64 815 women in Afghanistan, notable health and health system improvements were made despite increasing conflict after 2010. However, regions with greater conflict had lower gains in...
Comment

Re: Opioid exposed Newborns - are we missing the mark and forgetting about MOM?

Anna Sutton ·
Hi Rick - Thanks so much for reading and commenting! I am in awe of your resilience. You have survived a lot. The maternal infant dyad as a concept is very common in public health and those of us who specialize in Maternal Child & Adolescent Health (MCAH). There are organizations at the federal level who focus on this population as an opportunity for prevention and early intervention! Check out ACMHP and Maternal Child Health Bureau. Science, particularly research in epigenetics is...
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Re: Research Review: Childhood Trauma and its Effects on Mothers in Home Visiting Programs [Prevent Child Abuse America]

Grace Harris ·
This was great. Thanks for sharing. Makes me think more about increasing social supports for parents and we need the village to do that!!
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Re: Learning To Care For My Newborn Was A Humbling Experience [npr.org]

Karen Clemmer ·
Becoming a parent is a humbling experience - so much more incredible and complicated than I ever imagined. New parents need a circle of support - as often happens in other countries. And, in the US we need maternity leave policies that support families. Families that feel supported report feeling less stressed. Reduced stress is linked to decreased risk for child abuse. Lovingly caring for an infant that is awake and crying for nearly 48 hours is stressful! let's find ways to support...
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Re: A community-based approach to supporting substance exposed newborns and their families

Karen Clemmer ·
Hi Alex, Centering Pregnancy is the model you are referencing, and there is tremendous evidence of the benefits for families, and fiscally for healthcare organizations. HERE is an example. Centering empowers patients, strengthens patient-provider relationships, and builds communities through these three main components: health assessment, and interactive learning community building. Additionally, there is a Centering Pediatrics model that is similar. HERE is more information. This LINK...
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Re: Helping Young Children Exposed to Trauma: A Systems Approach to Implementing Trauma-Informed Care [chdi.org]

Karen Clemmer ·
Marianne, Thanks for sharing this important information! The video is interesting. The attached infographic and the report with talks about cost-savings are also very useful and informative. Nice! The goal of CONCEPT (The Connecticut Collaborative on Effective Practices for Trauma) is to minimize the effects of trauma exposure and improve overall health and well-being for all children in Connecticut’s child welfare system who were exposed to abuse, violence and other forms of trauma...
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Re: Prevention: Bringing Baby Home Training of Facilitators

Carolyn Curtis ·
I am sorry that I posted the wrong dates: Bringing Baby Home Facilitator training is May 17-18 in Sacramento. Thank you.
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Re: Prevention: Bringing Baby Home Training of Facilitators

Karen Clemmer ·
Hi Carolyn - I just corrected the dates! Thanks for posting! Karen
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Re: Nurturing Children During Times of Stress: A Guide to Help Children Bloom by Yolo CAPC and YCCA

Tina Faber ·
Colorful and engaging booklet! Great job!
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Parenting Students Get Extra Help During Remote Learning (learn4life.org)

Every year, 25,000 teens give birth in California – and 70 percent of teen moms don’t graduate high school. About 1,300 of Learn4Life students are pregnant or parenting, so we are doing everything we can to keep these young mothers engaged in school and learning parenting skills – even during remote learning. Before COVID-19 forced remote learning, parenting teens could bring their babies to school while they studied and took tests. A separate child-friendly area ensured they didn’t disrupt...
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Experts Fear Increase in Postpartum Mood and Anxiety Disorders [nytimes.com]

By Pooja Lakshmin, The New York Times, May 27, 2020 After going through a harrowing bout of postpartum depression with her first child, my patient, Emily, had done everything possible to prepare for the postpartum period with her second. She stayed in treatment with me, her perinatal psychiatrist, and together we made the decision for her to continue Zoloft during her pregnancy. With the combination of medication, psychotherapy and a significant amount of planning, she was feeling confident...
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Pediatric Mental Health Care Must Be Family Mental Health Care [jamanetwork.com]

By Matthew G. Biel, Michael H. Tang, Barry Zuckerman, JAMA Pediatrics, April 6, 2020 Pediatric mental health (MH) concerns, including depression, anxiety, loneliness and social isolation, and suicide, have increased markedly in the last decade and are critical factors associated with population health. While effective interventions for these conditions have been developed and pediatric health care professionals increasingly address MH concerns as a central component of clinical practice, our...
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You're Invited: “A Call To Action, A Call To Heal: Understanding the Impact of Complex Trauma in Communities" June 17 and 18.

Danette Glass ·
Register Now for This Free Trauma Awareness and Trauma Responsive Care Symposium The Collaboration As neighboring Healthy Start partners providing maternal and child health services for Metro Atlanta, the Atlanta Healthy Start Initiative (AHSI) of the Center for Black Women’s Wellness, Inc. and the Healthier Generations Project (HGP) of the Clayton County Health District collaborate on several initiatives to improve perinatal outcomes in the region. The “A Call to Action, A Call to Heal:...
Comment

Re: Unbecoming an Armadillo: Recovering from Trauma with EMDR

Elizabeth Perry ·
Thank you Victoria for sharing your experience of EMDR and for vulnerably sharing some of your childhood and residual experiences. I can relate on many levels. The more we actually articulate our experiences, the more opportunity we give others to realize we're not alone, and the more we actually provide examples of how so many of us learn lies about ourselves as a result of our parent child interactions. You're not alone. You have many allies on this journey to autonomy and empowerment.
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Unbecoming an Armadillo: Recovering from Trauma with EMDR

Victoria Burns ·
Unbecoming an Armadillo By: Victoria F. Burns, PhD, LSW Victoriafrances49@gmail.com Instagram: @betesandbites “When you are traumatized, you are basically in a permanent defensive mode” — Gabor Mate I’m sitting across from Meg on her charcoal grey love seat. My forearms are resting on a velvety mustard-yellow throw cushion and I’m holding crescent shaped pulsers in each hand. Meg’s my psychologist; a rare gem who specializes in chronic illness and trauma. Every two weeks, we spend an hour...
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State budget signed [childrennow.org]

Kelly Hardy ·
Hello 4CA friends – Sending a quick update on the state budget. Please add on if you have more/different information – thanks! The short story is that many of the worst cuts that were discussed were NOT enacted in the final budget, which is good news. Some of the items most related to childhood trauma include: The final budget rejects the May Revise proposal to reduce $4.5 million General fund from the Black Infant Health Program . While there will be no cuts to Prop 56 Medi-Cal supplemental...
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The Cinderella Phenomenon: When One Child Is the Target of Abuse

Alice Kenny ·
Photo credit Unsplash.com/🇸🇮 Janko Ferlič (The article below is an excerpt from my book, Crazy Was All I Ever Knew: The Impact of Maternal Mental Illness on Kid s. I have used a pseudonym to protect the privacy of family members.) As a child, I lived in dread that something would set my mother off and she’d fly into a violent rage, unleashing a torrent of physical abuse. There never was any reason for the abuse. There didn’t have to be. Something would invariably infuriate my mother. I...
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