Tagged With "Trauma Informed Care"
Blog Post
A call to action for public health nurses during the COVID‐19 pandemic (Wiley Online Library)
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...
Blog Post
A community-based approach to supporting substance exposed newborns and their families
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.
Blog Post
A Conversation with Nadine Burke Harris: How Should Pediatricians Address Childhood Adversity?
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...
Blog Post
A mental health crisis ends in tragedy when police shoot a young mother wielding a gun [Monterey County NOW]
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,...
Blog Post
A Message from the President of the Illinois Chapter, American Academy of Pediatrics
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...
Blog Post
A mother seeking help for her mental health loses custody of her children, instead—and it’s so wrong (Motherly)
By Heather Marcoux, Oct 15, 2019, for Motherly We've come a long way when it comes to talking about maternal mental health. These days celebrities speak openly about their experiences with perinatal mood disorders and many regular mothers share their experiences on social media. In 2019 it's okay to say "this is hard and I need help," but what actually happens when we ask for help varies and, in some instances, is downright unacceptable. Recently an Alabama mom to a 2-year-old and a...
Blog Post
AAP Policy Statement Stresses Pediatrician's Role in Mental Health [healio.com]
By Healio, October 21, 2019 An updated policy statement and a technical report issued by the AAP highlighted the need for increased involvement among pediatricians in their patients’ mental health care and increased mental health care training in medical education programs. “Pediatricians — whether in primary care or subspecialty practice — typically have longitudinal, trusting relationships with their patients and families and, as a result, unique opportunities to promote social-emotional...
Blog Post
AAP reports: Perinatal depression screening, referral needed [aappublications.org]
“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...
Blog Post
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...
Blog Post
ACEs Science Champion Series: Dr. Angela Bymaster: This Faith-Based Physician Integrates ACEs Science with Healing Arts
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.”
Blog Post
ACOG Maternal Mental Health Expert Work Group
ACOG’s Maternal Mental Health Expert Work Group (MMHEWG) is a multidisciplinary collaboration of specialists in women’s health, obstetrics, psychiatry, psychology, nursing, social work, and public health whose aim is to promote the integration of maternal mental health into the delivery of perinatal care. Through efforts focused on current clinicians as well as the next generation of providers, the MMHEWG will lead provider education and support resource identification, vetting, and...
Blog Post
Adverse Childhood Experiences (ACE) Study: Beyond Screening in Pediatrics
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...
Blog Post
Aligning, Leveraging Medicaid Across Sectors to Improve Early Childhood [AJMC]
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.
Blog Post
Aligning Systems for Health: 2019 Call for Proposals [rwjf.org]
By Robert Wood Johnson Foundation, November 1, 2019 Required Components Aligning Systems for Health will explore the degree to which health equity is impacted or results from current models of collaboration incorporating health care, public health, and social services. Gaps in health are large, persistent and increasing, and RWJF is committed to a system that meets people’s goals and needs and addresses these gaps that many populations face. Studies should include a focus on health equity by...
Blog Post
All hands on deck (from a distance): remote care for traumatized moms and babies
Dear colleague, Coronavirus is forcing providers and allied professionals serving mothers and babies to make unprecedented decisions. Should pregnant women needing care go through our hospital quarantine entrance? Should moms deliver without partners, family or doulas present? Be sent home early before key screenings or jaundice treatment are completed? To make matters worse, our systems aren't ready for basic remote care of mothers and infants now "socially distanced". Prenatal, post-partum...
Blog Post
Announcing the Parenting with ACEs Monthly Chat Series!
I'm thrilled to announce our NEW Live Chat series!!! Starting in May, once a month, we will have a live Chat Event. It will take online in the Parenting with ACEs Group the second Tuesday of the month at 10 a.m. PST (1 p.m. EST). We'll learn from our featured guests (below) about ACE-related issues. We'll have discussions and share experiences, stories, and resources with each other. Here is who and what we have scheduled for 2017. 2017 Monthly Chat Schedule / Time is Always: @ 10 AM PST (1...
Blog Post
As Kentucky’s Only Black Woman in the Legislature, I Have a Plan to Address Racial Maternal Health Inequities (River City News)
March 30, 2020, River City News The following op-ed is written by State Rep. Attica Scott (D-Louisville) As the only Black woman member of Kentucky’s state legislature and single mother of two, I know the importance of representing all of my constituents and leaving no one behind. Far too often in Frankfort, bills are passed and signed into law that will actually harm children who look like mine, hurt moms like me who know what it’s like to live paycheck-to-paycheck or no check-to-no check,...
Blog Post
Assembly Appropriations Committee Advances Maternal Health Bills that Address Disparities in NJ Maternal Mortality Rates [Insider NJ]
Assembly Appropriations Committee Advances Maternal Health Bills that Address Disparities in NJ Maternal Mortality Rates (TRENTON) – As part of a statewide effort to address disparities in maternal mortality rates between African-American and white women, and to reverse the trend that ranks New Jersey 47 th among the states in maternal mortality with 37.3 deaths per 100,000 live births, a maternal health package introduced last month continues to advance in the Assembly with 16 measures...
Blog Post
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: 'They Took My Kid': Rural Docs Help Moms Fight Addiction [medpagetoday.com]
From the article: As anyone who's ever been pregnant knows, you have to go to the doctor a lot. If you are someone with a limited income, maybe limited money for gas or unreliable transportation, the ability to come one place and get money through WIC for your food so you can eat enough and have a healthy pregnancy, to see your behavioral health clinician if you're struggling with postpartum depression or a mood disorder. To see an addiction specialist and a doctor who can prescribe...
Comment
Re: Doulas & Covid-19: A toolkit for doulas (DONA International)
We at Better Beginnings are actively working to help women have a better birth and breastfeeding experience. Our virtual doulas are available everyday to support women one to one through their cell phones. This service is free to the mother. 415-663-6852. We also have taken the Breastfeeding Cafes virtual and continue to see women one on one for serious problems on Mondays by appointment (this requires pre-screening for risk factors). Women need to know their rights during this pandemic so...
Comment
Re: Nominate a Trauma-Informed Care Champion: #TICchampion
Is this a nomination- for some award- or is it a recognition? Please clarify. also- is twitter the oonly forum? its a great idea and I work with several organizations on helping them become trauma-informed but I am not on twitter- and not sure they are- low resourced organizations ay not be. anyway to participate and recognize or nominate for those not on twitter? Thanks Carmela J. DeCandia, PsyD www.artemisassoc.com
Comment
Re: A community-based approach to supporting substance exposed newborns and their families
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...
Comment
Re: Helping Young Children Exposed to Trauma: A Systems Approach to Implementing Trauma-Informed Care [chdi.org]
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...
Comment
Re: Improve Birth and Perinatal Outcomes with a Trauma Sensitive Approach
Kate, Thank you so much for sharing this important information regarding the work and focus of APPPAH. Often the preconception period is under appreciated as a key time to support women of reproductive age. Imagine helping women prepare for the birth of her baby and equipped to bond, attach, and care for the baby. This makes so much sense when compared to waiting until women and families struggle enough to come to the attention of social services. A Nobel prize winning economist developed a...
Comment
Re: NICU Moms 70% More Likely to get a Maternal Mental Health Disorder [huffingtonpost.com]
Thank you for posting this and sharing a little of your story Jessica. Powerful article that we need for health care providers to see!
Comment
Re: Adverse Childhood Experiences (ACE) Study: Beyond Screening in Pediatrics
Claudia Gold thank you for your post, blog, book and presentations. I work for APPPAH, the Association for Prenatal and Perinatal Psychology and Health. We developed an Aderse Early Experience questionnaire and Resilience score. Here is the link: https://birthpsychology.com/we...liency-questionnaire . I have developed a model of infant trauma informed care that starts preconception and am proposing to present at the next Zero to Three. I would love to talk further with you. Kate White
Comment
Re: I Thought My Kids Were Too Old for Me to Have Postpartum Depression. But I Couldn't Deny the Awful Reality (Time Magazine)
We love Kimmy Gibbler (and Andrea!). The headline in this Time Article is a great hook and a bit misleading in clinical terms. Andrea wasn't experiencing depression but anxiety, and also the postpartum period is clinically defined as one year post birth. We would call what Andrea went through severe maternal anxiety and want mothers (and providers for that matter) to know there is a range of maternal mental health disorders. We have heard from Andrea's publicist and Andrea may be joining the...
Comment
Re: I Thought My Kids Were Too Old for Me to Have Postpartum Depression. But I Couldn't Deny the Awful Reality (Time Magazine)
Thank you for the clarifications, Joy! Please feel free to share, clarify, or in any other way make more information available. Thank you for all you do to support moms and families! Karen
Blog Post
Mental Health Awareness: When Suffering Is Not an Illness
When I was an adolescent and young adult, I struggled with depression. As I reflect back on that time, so much of what I was experiencing was deeply tied to coming to terms with my sexuality. Growing up in the 1980’s in a relatively conservative town, I was closeted (even to myself) until I was a young adult. The pain and fear of being different, of not belonging, of being judged or rejected for who I was more than my adolescent brain could wrap its conscious head around.
Blog Post
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...
Blog Post
The Federal Military Moms’ Mental Health Assessment Act Is Introduced
By Crystal McAuley, May 28, 2020, 2020 MOM. 2020 Mom is proud to support the ‘‘ Military Moms’ Mental Health Assessment Act ’’ (“The Act”) which was introduced last week by Senators Richard Blumenthal (D-CT) and Tim Kaine (D-VA). The Act will require the Comptroller General of the United States to conduct a study of prenatal and postpartum mental health conditions among members of the Armed Forces and their dependents. The Bill Recognizes: The bill cites 2018 birth stats within the Armed...
Blog Post
2020 Mom Founder and Executive Director Joy Burkhard to Serve as Expert Advisor for AHRQ Rural Postpartum Mental Health Challenge (2020MOM)
May 21, 2020, News and Announcements, 2020 MOM & AHRQ Washington, DC – In May, the Agency for Healthcare Research and Quality ( AHRQ ) announced that Joy Burkhard, MBA was selected to serve as an expert advisor for their Cross-Sectional Innovation to Improve Rural Postpartum Mental Health Challenge. The challenge aims to drive both proposal and narrative submissions, allowing the initiative to highlight success stories in rural postpartum mental health and encourage future innovative...
Blog Post
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...
Blog Post
You're Invited: “A Call To Action, A Call To Heal: Understanding the Impact of Complex Trauma in Communities" June 17 and 18.
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
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.
Blog Post
Unbecoming an Armadillo: Recovering from Trauma with EMDR
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...
Comment
Re: Unbecoming an Armadillo: Recovering from Trauma with EMDR
Thank you for sharing this! I hear you, and I, too, am grateful for EMDR. Carey
Blog Post
ACEs research roundup: ACEs, racism, promoting equity and resilience
Racial /Ethnic Disparities in Health Care Access Are Associated with Adverse Childhood Experiences , Journal of Racial and Ethnic Health Disparities Racism , Psycho-Social Stress, and Health-related Quality of Life International Journal of Maternal Child Health and AIDS Promoting equity and resilience: Wellness navigators' role in addressing adverse childhood experiences American Psychological Association Co‐Occurring Youth Profiles of Adverse Childhood Experiences and Protective Factors:...
Blog Post
Exploring Prenatal Substance Exposure, Trauma, and Toxic Stress
Exploring Prenatal Substance Exposure, Trauma, and Toxic Stress Supporting Families to Build Hope and Resilience This 2-day Conference is designed to introduce and enhance the clinical care professional’s understanding and comprehension of the impact of in-utero exposure to substances, trauma and toxic stress on neurodevelopment, sensory needs, and attachment with children. You will recognize behaviors, emotions and thinking that are a result of prenatal exposure and understand how to...
Blog Post
Effect of Internet vs Face-to-Face Cognitive Behavior Therapy for Health Anxiety (JAMA)
By Erland Axelsson, PhD 1,2 ; Erik Andersson, PhD 1 ; Brjánn Ljótsson, PhD 1,3 ; et al JAMA Psychiatry. 2020;77(9):915-924. doi:10.1001/jamapsychiatry.2020.0940 Question In the treatment of health anxiety, can internet-delivered cognitive behavior therapy lead to comparable effects as conventional face-to-face cognitive behavior therapy while using less resources? Findings This randomized noninferiority clinical trial in a primary care setting included 204 adults with a principal diagnosis...
Blog Post
Addiction Born Out of ACEs and The Return of Hope [avahealth.org]
The downstream effect of childhood trauma has been well documented regarding the biological and psychosocial impacts. This presentation will highlight the neurobiological changes associated with ACEs that function as a "primer" for the onset of addiction and related behaviors. It will conclude with principles for influencing these same pathways that assist with restoration of the mind and health downstream effect of childhood trauma has been well documented regarding the biological and...
Blog Post
RSVP now! FREE Learning opportunity for CA healthcare providers: Oct 1, 2020 at noon PST
RSVP now for a presentation by Susie Wiet, MD who is an integrative developmental psychiatrist with expertise in holistic treatment of trauma-addiction, dual diagnosis, and complex psychiatric disorders. Target Audience T his activity is intended for CALIFORNIA physicians, physician assistants, registered nurses, nurse practitioners, psychologists and social workers engaged in the care of patients who have experienced violence or trauma. Educational Objectives After completing these...
Blog Post
Accessibility of perinatal mental health services for women from Ethnic Minority groups (The Strategy Unit)
By Jake Parsons, September 2020, source BMC Medicine. Mental illness is common during pregnancy and first postnatal year (perinatal period), and up to 20% of women experience a wide range of mental health conditions. Barriers to accessing mental health care during pregnancy and the first postnatal year (perinatal period) seem to be greater for ethnic minority women. As a consequence of these barriers, mental illness during the peri-natal period frequently remains untreated. This can have a...
Blog Post
COVID-19: Trauma-Informed Perinatal Care and Maternal Health [psychologytoday.com]
By Ann Diamond Weinstein, Psychology Today, September 28, 2020 The experience of life during the pandemic and the impact of COVID-19 guidelines for perinatal care have changed the maternal-fetal experience of pregnancy and birth, as well as the maternal-infant experience during the postnatal period. The neuroception (1) of danger and the potential threat to one’s own life and that of loved ones has been sustained since the magnitude and lethalness of the pandemic was fully appreciated.
Comment
Re: The importance of care coordination [medcitynews.com]
I didn't even know there were care managers. Thanks for this enlightening article. A frequent comment my husband and I make after making an appointing, seeing a doctor or having a medical procedure is, "Wow! The right hand sure doesn't know what the left hand is doing!" That is fine as long as we are able to connect all the dots for those caring for us. However, that is not always the case.
Blog Post
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...