Tagged With "health of black women"
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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...
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An Insurance Penalty From Postpartum Depression [NYTimes.com]
In January, a government-appointed panel recommended that all pregnant women and new mothers be screened for depression . Public health advocates rejoiced, as did untold numbers of women who had not known that maternal mental illness even existed before it hit them like a freight train. But the panel did not mention one possible consequence of a diagnosis: Life and disability insurance providers have sometimes penalized women with these mental illnesses by charging them more money, excluding...
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Anger overlooked as feature of postnatal mood disorders [sciencedaily.com]
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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Are we massively underestimating how many women have postpartum depression? [centerforhealthjournalism.org]
What if far more women experience postpartum depression than we think? According to the Centers for Disease Control and Prevention (CDC), 11 percent of women experience symptoms of depression after their baby is born. But that’s starting to look like a huge underestimate. [For more on this story by Adam Wolfberg, go to https://www.centerforhealthjournalism.org/2019/02/21/are-we-hugely-underestimating-how-many-women-have-postpartum-depression? ]
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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,...
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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...
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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...
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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...
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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
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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...
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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...
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Re: NICU Moms 70% More Likely to get a Maternal Mental Health Disorder [huffingtonpost.com]
Jessica, thank you for bravely sharing the back story to your interest in maternal mental health! I wonder if you will be the person who helps another mom seek help? Just like from the article, " i t was a friend who had struggled with PPD herself who finally urged her to get help " . Thank you so much! Karen
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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!
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Re: Postpartum Depression: Why The Word ‘Should’ Is So Dangerous [HuffingtonPost.com]
Thanks for sharing-we educate our NICU parents about Postpartum Mood Disorders as some people have described increased anxiety, intrusive and unwanted thoughts instead of or in combination with depressive symptoms. We also refer to the statistic (from Perinatal Support Washington) that 1 in 7 women AND 1 in 10 men experience PPMD. Paternal PPMD is real and needs attention as well.
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Lifelines: How Yoga is Helping Women at N.H. State Prison Manage Trauma During COVID-19 [nhpr.org]
By ALEX MCOWEN & PETER BIELLO • MAY 7, 2020, NHPR.org Because of COVID-19, the New Hampshire Department of Corrections suspended all visits and volunteer services at the state’s prisons on March 16, more than 7 weeks ago. Nicole Belonga has been serving time at the New Hampshire State Prison for women in Concord for 11 years. She says these efforts to slow the spread of the coronavirus have cut off almost all contact with the outside world, making stressful prison life even more so.
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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.
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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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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...
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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.
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:...
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Can Paid Maternal Leave Help Address the Disparities in Maternal Mortality? (NIH)
By Rada Dagher, Ph.D., M.P.H. Posted on June 28, 2020 , National Institute on Minority Health and Health Disparities. Maternal mortality rates in the United States have reached an all-time high. While these rates have dropped globally in the last few decades 1 , in the United States, they have more than doubled between 1987 and 2015 2 . The picture is even grimmer for racial and ethnic minority communities, where African American and American Indian/Alaska Native women have the highest...
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Pregnant in a pandemic [washingtonpost.com]
By May-Ying Lam, The Washington Post, June 30, 2020 For women who are pregnant amid a pandemic, a recession and racial turmoil, the future is an anxiety-stirring unknown. They began their pregnancies in the “other world” that promised baby showers, gender-reveal parties, visits with grandparents and browsing stores for onesies. Now, they contemplate how they would handle a novel coronavirus diagnosis, prepare to give birth while wearing a mask and fight through old traumas that the virus has...
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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...
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State budget signed [childrennow.org]
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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Structural Racism and its Impact on Black Maternal Health (New Security Beat)
By Deekshita Ramanarayan, July 21, 2020, New Security Beat. “The past months have been profoundly difficult for our nation, and for Black communities in particular,” said Representative Lauren Underwood (D-IL-14) at a recent March of Dimes event on the impact of structural racism on maternal health. COVID-19 has highlighted health outcome inequity caused by race and racism. Though Black people constitute 13 percent of the U.S. population, the CDC estimates they represent over 30 percent of...
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Adolescent antecedents of maternal and paternal perinatal depression: a 36-year prospective cohort (Psychologic Medicine)
Thomson KC, Romaniuk H, Greenwood CJ, et al. Adolescent antecedents of maternal and paternal perinatal depression: a 36-year prospective cohort [published online ahead of print, 2020 Apr 28]. Psychol Med . 2020;1-8. doi:10.1017/S0033291720000902. Abstract Background: Rates of common mental health problems (depression/anxiety) rise sharply in adolescence and peak in young adulthood, often coinciding with the transition to parenthood. Little is known regarding the persistence of common mental...
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Psychological impact of COVID-19 quarantine measures in northeastern Italy on mothers in the immediate postpartum period (Int J Gynsecol Obstet)
Zanardo V, Manghina V, Giliberti L, Vettore M, Severino L, Straface G. Psychological impact of COVID-19 quarantine measures in northeastern Italy on mothers in the immediate postpartum period. Int J Gynaecol Obstet . 2020;150(2):184-188. doi:10.1002/ijgo.13249 Abstract Objective: To explore whether quarantine measures and hospital containment policies among women giving birth in a COVID-19 "hotspot" area in northeastern Italy enhanced psycho-emotional distress in the immediate postpartum...
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Perinatal Equity Initiative [cdph.ca.gov]
From California Department of Public Health, July 2020 In 2018, recognizing an alarming statewide gap in Black infant mortality, the state Legislature passed the Budget Act of 2018 which included the establishment of the California Perinatal Equity Initiative (PEI) within the Department of Public Health. While declines in infant mortality have been achieved, the statewide mortality rate for Black infants continues to be two to four times higher than rates for other groups. The PEI aims to...
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ACEs and Gynecological Problems - A Conversation Starter
Gynecological problems as a result of ACEs, and particularly of Childhood Sexual Abuse (CSA), are rarely discussed in books and articles about the ACEs. The author would like to see that issue become part of the ACEs conversation.
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Why the dean of early childhood experts wants to get beyond the brain [centerforhealthjournalism.org]
By Ryan White, Center for Health Journalism, July 23, 2020 Harvard’s Jack Shonkoff, a luminary in the field of early childhood, has spent years showing that events in the earliest years of life have profound implications for how budding brains develop, and in turn, shape a child’s later potential at school and work. Now, Shonkoff says it’s time to connect the brain to the rest of the body. “The message now is to say that there is a revolution going on in molecular biology and genomics and in...
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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:...
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Re: Why the dean of early childhood experts wants to get beyond the brain [centerforhealthjournalism.org]
As I pointed out in my recent blog (ACEs and Gynecological Problems - A Conversation Starter) the disruption of hormones they talk about in the ACEs literature also affect women's reproductive organs and those recurring traumatic experiences trigger like none other. Since this happens to young women, who become the mothers of other young women, I feel it is critical that it deserves a place in the spotlight!
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Infant Feeding During COVID: Strategic Planning for Pregnancy, Postpartum and Beyond [ucsf.edu]
Nationally, Black women have the lowest rates of breastfeeding initiation in comparison to any other racial/ethnic groups. Black babies are dying at twice the rate of White babies and according to the CDC, increasing breastfeeding among Black women can decrease infant mortality rates up to 50 percent. In honor of Black Breastfeeding Week (August 25th – 31st), we partnered with the BreastFriends Mommy Group in West Oakland to explore why these rates look different for Black women and...
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SF announces pilot program to provide basic income to pregnant Black and Pacific Islander women [sfgate.com]
By Tessa McLean , SFGATE Updated 3:30 pm PDT, Wednesday, September 16, 2020 Mayor London Breed announced today the launch of a new pilot program that will provide a basic income to Black and Pacific Islander women during pregnancy and after giving birth. The 150 women chosen will receive a monthly income supplement of $1,000 for the duration of their pregnancy and for the first six months of their baby’s life, with the goal of eventually providing a supplement for up to two years...
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A new program in Mississippi is helping Black mothers breastfeed. Here's why it's crucial. (upworthy.com)
The Delta Baby Cafe in Sunflower County, Mississippi is providing breastfeeding assistance where it's needed most. Mississippi has the third lowest rate of breastfeeding in America. Only 70% of infants are ever-breastfed in the state, compared to 84% nationally. There are multiple reasons why Black women are less likely to breastfeed their children. First, according to the CDC , maternity wards that serve large Black populations are less likely to help Black women initiate breastfeeding...
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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...
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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.
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'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),...
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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...
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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...
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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...
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Maternal Mental Health
Like many of you, I’m a bit out of sorts and somewhat disoriented right now. Our collective mental health is deteriorating during Covid-19. Recent stats report an increase from 20-40% of adults struggling with mental illness since the advent of the pandemic. Maternal mental health is particularly at risk. Helping children with distance learning, navigating exposure to the news, trying to keep life a bit “normal”, keeping family members fed and supplied, juggling career and income loss, all...
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Low levels of choline in pregnant Black American women associated with higher levels of stress (Mirage News)
NOVEMBER 17, 2020 5:08 AM AEDT Women with lower levels of choline delivered prematurely by 2 weeks, increasing risk of later mental health problems for their offspring. Researchers at the University of Colorado Anschutz Medical Campu s have found that many pregnant Black Americans have low levels of choline, an essential nutrient that aids in prenatal brain development. Stress caused by institutional racism may play a role. The study, out now in Schizophrenia Bulletin , also found that these...
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New nonprofit breast milk bank launches in San Diego (sandiegouniontribune.com)
San Diego — Every year, about 260 of the tiniest premature babies in California hospitals develop an often-fatal bowel disease known as necrotizing enterocolitis, or NEC. Nobody knows what causes NEC, but a common factor in many cases is the use of formula to feed these very low-birth-weight babies because the mother’s breast milk is not available. Replacing that formula with pasteurized breast milk in every California hospital newborn intensive care unit could be a positive step in reducing...
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Tools to Mitigate Work Stress and Prevent Burnout: For Health Care Providers during COVID and Beyond
Whether you work in a hospital, a safety net clinic, or in another health care setting, no health care provider working during the COVID-19 pandemic needs to read the flurry of news stories that highlight the extreme stress experienced by people in this line of work – you already know it firsthand. This webinar will introduce health care providers to the Community Resiliency Model ( CRM ), an evidence-based method of managing traumatic stress, preventing burnout and building resiliency. This...
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8 Categories of Adversity That Shape Health: Adverse Babyhood Experiences (ABEs), ACEs, and More
When I assisted women and families during pregnancy, labor and birth as a family doctor, I often felt concern that the interventions commonly used, while potentially life saving, influenced outcomes in ways that could be negative. I've since learned about a vast body of evidence that helps identify risk and offers tools to help recognize potential risk and effects so we can improve prevention and treatment. "ABEs" are one of 7 categories of adversity I add to ACEs that I wish I'd known about.
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Re: 8 Categories of Adversity That Shape Health: Adverse Babyhood Experiences (ABEs), ACEs, and More
Gosh @Veronique Mead -- THANK YOU for this -- what a tremendous resource document you've created.
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Re: 8 Categories of Adversity That Shape Health: Adverse Babyhood Experiences (ABEs), ACEs, and More
So glad it feels helpful Lisa!! I plan to share a more detailed post on ABEs here in the future!!