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PACEs in Maternal Health

Tagged With "health of black women"

Blog Post

Beyond Mom: Postpartum depression can impact a partner’s well-being, too [WashingtonPost.com]

Samantha Sangenito ·
Like any expecting couple, Brett Pipitone and his wife, Laura, knew that having a child would upend their daily routine. But no research or planning prepared them for their biggest challenge: postpartum depression. “It was an incredibly stressful situation,” Brett said. After giving birth to their daughter in 2014, Laura found herself “wanting to disappear” and completely disengaged from her surroundings. She’d call Brett at work in tears, and he’d rush home to help. He wound up taking much...
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Beyond Paper Tigers is Back!

Jennifer Hossler ·
Back for the second year, Beyond Paper Tigers conference will take place June 28th and 29th in Walla Walla, WA. Featuring Dr. Ken Ginsburg from Children's Hospital of Philadelphia as the keynote speaker, BPT builds on the story of one community and how they've learned that embracing trauma-informed care and implementing ACEs science truly takes a village. Operationalizing the latest in brain science, BPT will provide concrete strategies for intervention with youth, families, and communities...
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Beyond The Preventing Maternal Deaths Act: Implementation And Further Policy Change [Health Affairs]

Karen Clemmer ·
By Katy B. Kozhimannil, Elaine Hernandez, Dara D. Mendez, Theresa Chapple-McGruder. Feb 4, 2019, Health Affairs Maternal mortality is a death that occurs during pregnancy or within one year postpartum from “a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy.” In the United States, maternal mortality is a clinical, public health, and social crisis. Between 1990 and 2013, maternal mortality...
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Black Mothers and Our COVID-19 Legacy (Medium)

Karen Clemmer ·
By Kendra F Montgomery Block, April 21, 2020 I have an urgent appeal from one Black mother to other Black mothers. Here are four things we can do to come out of this pandemic stronger — gleaned from my experience with the Black Child Legacy Campaign . The United States is a hard place to live if you are Black. Period. You can be old or young and Black; male, female or nonbinary and Black; poor or rich and Black. Our common Blackness subjects us to racial bias that negatively impacts our...
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Breastfeeding and COVID-19 Guidance Updated (California WIC Association)

Karen Clemmer ·
The CDC guidelines titled " Interim Considerations for Infection Prevention and Control of Coronavirus Disease 2019 (COVID-19) in Inpatient Obstetric Healthcare Settings " have been updated to clarify considerations related to visitors and essential support persons to pregnant women who have known or suspected COVID-19 infection; prioritized testing of pregnant women with suspected COVID-19 at admission or who develop symptoms of COVID-19 during admission; testing of infants with suspected...
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CA announces robust perinatal depression prevention for Medi-Cal recipients

Laurie Udesky ·
Melinda Coates experienced a tumultuous pregnancy. “I was really mentally upset literally from day one (of the pregnancy),” she says. (Melinda Coates is a pseudonym. To protect her and her children’s privacy and safety, we are not using her real name.) Coates had hoped to get counseling last October, when she was seven months pregnant. That’s when she enrolled in the state’s Medi-Cal program, shortly after she and her abusive husband moved to California, “but nobody was able to get me in...
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California Legislature Approves Bill To Reduce Maternal Mortality Rate For Black Women (Podcast) [kpbs.org]

By Jade Hindmon, KPBS, September 12, 2019 California has the lowest maternal mortality rate in the country, according to the United Health Foundation's health rankings. But black women in California continue to die at a rate three to four times higher than white women from pregnancy or delivery complications. Several advocacy groups believe racial bias in the health care system in to blame. To address the disparity, California lawmakers approved Senate Bill 464, the California Dignity in...
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Call for Abstracts for NCHDV 2020 conference

Karen Clemmer ·
The National Conference on Health and Domestic Violence (NCHDV) seeks submissions that highlight research reports, practice innovations, advocacy initiatives, educational advances, and/or community programs that address one or more aspects related to domestic/sexual violence, other forms of violence, and health. The Call for Abstracts (CFA) invites leaders working in the fields of health and domestic/sexual violence to present their work at the 2020 Conference. Submission Deadline: Monday,...
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Can Psychotherapy Reverse Post-Traumatic Epigenetic Changes? [psychologytoday.com]

By Grant H. Brenner, Psychology Today, October 29, 2019 Posttraumatic Stress Disorder (PTSD) is a condition affecting a subset of people exposed to traumatic experiences. Not all people who endure traumatic experiences will develop PTSD as most people are resilient due to biological, psychological, and social factors. Most responses to trauma are normal, including short-term stress responses, sleep disturbances, fears of trauma happening again, and related reactions, but they resolve after...
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CERCH: the connection between blood pressure and fear of deportation in women of Mexican origin

Karen Clemmer ·
MCAH professor Kim Harley and Brenda Eskenazi of Center for Environmental Research and Children's Health (CERCH), and MCAH program head Julianna Deardorff co-authored a recent study in the Journal of the American Heart Association on the positive correlation between fear of deportation and increased blood pressure among women of Mexican origin. The study was highlighted in an article on cnn.com . Read the CNN article about the study here .
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Child and Maternal Health in Rural Areas Lags the Nation, Highlighting Barriers to Access [PEW]

Karen Clemmer ·
By Stacey Millett, February 25, 2020, for PEW Trusts Cross-sector solutions needed to address complex challenges One in five Americans lives in a rural area, including about 18 million women of reproductive age, but key indicators, including mortality figures, show that the health of mothers and children in these communities lags behind that of their urban peers and is worsening. Nationwide, child mortality rates have declined over the past decade, but recent research shows that improvement...
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Childbirth Can be Another Source of Trauma for Women Who Were Abused [irishtimes.com]

By Arlene Harris, The Irish Times, February 7, 2020 While it may be an innate and mainly joyful event, many pregnant women feel anxious at the thought of going through labour and can suffer emotional and physical distress during the delivery itself. And there is one group of women for whom there is an extra level of trauma associated with the arrival of their unborn child – those who have been victims of sexual assault. Hazel Larkin is a sexual abuse survivor and over the coming months will...
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Circumstances of Overdose Among Street-Involved, Opioid-Injecting Women: Drug, Set, and Setting (PubMed)

Karen Clemmer ·
Conclusion: While all overdoses result from the pharmacological action of drugs, some overdoses were triggered by circumstances occurring in women's set or setting. Overdose prevention policies should embrace not only individual-level behavioral interventions, but also structural measures to address stress, social isolation, and risky drug use contexts that plague the lives of street-involved women who inject opioids. [ Please click here to access the full journal article. ]
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CMS Issue Brief: Improving Access to Maternal Health Care in Rural Communities

Karen Clemmer ·
In an ideal maternal health system, all women would have access to comprehensive, seamless medical care with links to behavioral, economic, and social supports. Additionally, they would be engaged with this system before, during, and after pregnancy. Across the United States, many women are not receiving care in this ideal system, and women in rural communities face unique challenges that make it harder for them to reach this ideal or any care at all in some cases. Because maternal health...
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Comics Shed Light On The 'Scary Thoughts' That Can Come With Motherhood [HuffPost]

Karen Clemmer ·
Maternal mental health expert Karen Kleiman is tackling the stigma of postpartum depression and anxiety, one comic at a time. Kleiman has a background in psychology and social work and is the founder of The Postpartum Stress Center, an institution based in Rosemont, Pennsylvania, that’s provided support to pregnant and postpartum women for 30 years. Collaborating with illustrator Molly McIntyre , Kleiman has released comics inspired by submissions to the center’s #speakthesecret campaign ,...
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Confronting depression, anxiety, Navy moms with new babies get help in Norfolk [Navy Times]

Karen Clemmer ·
Kimberly Barnard-Bracey turned to a small group of women inside a room at Portsmouth Naval Medical Center on a recent weekday afternoon. "So what's the topic this week?" said Barnard-Bracey, a licensed clinical social worker. "What've you guys got going on?" Ashley Beer, holding her 7-month-old son, Travis, launched into a story of how she snapped at her husband recently — she was feeling overwhelmed as tasks like cleaning started to add up. "When my kid was that age, I couldn't even get out...
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Congress Passes Groundbreaking Postpartum Depression Legislation [HuffingtonPost.com]

Samantha Sangenito ·
Over 400,000 women in the U.S. suffer from postpartum depression each year. Yet only an estimated 15 percent of those mothers receive treatment, and countless women who have suffered from PPD report feeling deeply alone in their struggles. But the federal government is offering families a glimmer of hope for the future of maternal mental health in the U.S. On Nov. 30, Rep. Katherine M. Clark (D-Mass.) announced that her maternal mental health legislation, the Bringing Postpartum Depression...
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Consequences of Military Sexual Trauma for Perinatal Mental Health: How Do We Improve Care for Pregnant Veterans with a History of Sexual Trauma?

Megan Gerber MD MPH ·
Sharing our recent editorial which includes a call for TIC in maternity care: "Nevertheless, there are ways in which VA may be able to augment the maternity care pregnant veterans receive to empower and facilitate more trauma-informed approaches to obstetric care. These include investing in programs to ensure peer support, possibly through use of mobile health technology; facilitating collaboration with maternity care providers through provision of handheld/electronic maternity records...
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Depression in pregnancy increases risk of mental health problems in children [ScienceDaily.com]

Samantha Sangenito ·
Depression in pregnancy increases the risk of behavioural and emotional problems in children, says a new review published in The Lancet Psychiatry. The authors of the review, which focused mainly on low and middle income countries, call for urgent interventions for mothers and children. Depression in pregnancy is thought to affect up to one in five women globally in the late stages of pregnancy and shortly after birth. It is characterised by low mood and feelings of hopelessness, and is...
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Disparities In Access To Health Care For Women

Karen Clemmer ·
Disparities in access to health care and outcomes are strikingly different between Blacks and white women, and policy changes being made in Washington will have enormous impacts on women's health . Black women have a much higher risk of pregnancy related complications and deaths a 12 fold higher than white women in New York City, for example. Some is due to poverty and lack knowledge about and access to healthy diets and good care. Read the full article written by Judy Stone: ...
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Effects of Massage on Mental Health [The Psych Talk]

Karen Clemmer ·
Massage therapy has been praised in recent years due to its effect on both physical and mental health. Massage is the manipulation of soft tissues in the body. Massage techniques are commonly applied with hands, fingers, elbows, knees, forearms, feet, or a device. The purpose of massage is generally for the treatment of body stress or pain however it can also alleviate some of the symptoms of mental illness and neurological disorders. Depression & Anxiety: In an immune study on breast...
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Efforts to Reduce Black Maternal Mortality Complicated by COVID-19 [chcf.org]

By Xenia Shih Bion, California Health Care Foundation, April 20, 2020 Latoyha Young had a birth plan. She was going to have the baby in Sacramento with community doula Joy Dean by her side. Dean was funded by the county’s Black Child Legacy Campaign , which works to reduce the disproportional number of Black infant and child deaths in Sacramento. But in mid-March, when Young went into labor just as Governor Gavin Newsom ordered Californians to stay at home to avoid spreading the novel...
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F.D.A. Approves First Drug for Postpartum Depression [nytimes.com]

Alicia Doktor ·
The first drug for women suffering postpartum depression received federal approval on Tuesday , a move likely to pave the way for a wave of treatments to address a debilitating condition that is the most common complication of pregnancy. The drug works very quickly, within 48 hours — a significant improvement over currently available antidepressants, which can take two to four weeks to have an effect, if they work at all. Experts say the new treatment will provide immediate relief for...
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Facing Postpartum Depression: The Honesty, Courage and Support It Takes to Seek Help for PPD

Robyn Brickel, M.A., LMFT ·
“Nobody would believe what an effort it is to do what little I am able” – Charlotte Perkins Gilman, the Yellow Wallpaper, 1892 It is wonderful to see the birth of a child greeted with warm enthusiasm and support. We celebrate the joy of a growing family, and the excitement of a new life. Relatives and friends often provide gifts and extra help. But for some new moms, motherhood brings on many complex emotions besides the happy ones. While we may greet a new baby with happiness and delight –...
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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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For Community Health Centers, a Hands-On Guide to Building Partnerships [chcf.org]

By Carlina Hansen, California Health Care Foundation, October 15, 2019 Before joining CHCF, I spent almost 20 years as executive director of the Women’s Community Clinic in San Francisco. In my time there, we forged some valuable partnerships to serve our clients and community, including our merger with another community health center, HealthRIGHT 360. It was during the merger process that I learned first-hand one of the biggest challenges to forging such partnerships — and it wasn’t what I...
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From the CDC: National Black Maternal Health Week

Karen Clemmer ·
According to data from the Centers for Disease Control and Prevention (CDC), the maternal mortality rate has more than doubled in the United States since 1987 , and approximately 700 women in the U.S. die each year of complications related to pregnancy. In addition, data shows that considerable racial and ethnic disparities in pregnancy-related mortality exist in the U.S. which disproportionately impact black women . We know that about 60% of pregnancy-related deaths are preventable , and...
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From the moms, partners and kids of all ages - Happy Father's Day!

Anna Sutton ·
While it should not just be today that we take time to honor, respect, remember and thank the Fathers of all generations (greats, grands, immediate, adopted, foster, neighbors and all), it is a day to say thank you to all the dads, uncles, foster dads, adopted dads, grand dads, favorite neighbors, and just cool and awesome men in our lives who support the mothers and women in their challenging transitions into and throughout motherhood. We salute all the dads in all generations! And we love...
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From Treatment to Healing: Inquiry and Response to Recent and Past Trauma in Adult Health Care [Institute of Women's Health]

Karen Clemmer ·
Abstract: In 2015, a national working group developed and published a conceptual framework for trauma-informed primary care (Machtinger, Cuca, Khanna, Dawson-Rose, & Kimberg, 2015). Since that publication, there has been increasing recognition that childhood and adult trauma underlie and perpetuate many physical and behavioral health conditions seen in health care settings and that addressing trauma could fundamentally improve the experience and efficacy of care for both patients and...
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Grant goes toward improving maternal mental health in Florida [Tallahassee Democrat]

Karen Clemmer ·
About 15 percent of all mothers in Florida report experiencing depression during pregnancy or after childbirth, but fewer than 20 percent of mothers seek or have access to professional help. Much of the problem lies in the lack of routine screening by prenatal care providers. A new grant from the Health Resources and Services Administration aims to improve maternal mental health outcomes by increasing screening rates and patient access to treatment and resources. Florida is one of seven...
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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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Health Benefits of California’s Paid Leave Policy Out of Reach for Black Women [LA Sentinel]

Karen Clemmer ·
By Tina McKinnor and Ashely Smith, June 13, 2019, LA Sentinel When you type “maternity leave” into Google images, White women dominate the search results. That is not a mistake. The algorithm is a reflection of who has been centered in policy conversations and benefited from paid family leave policies. We know personally: Black women in California are most in need of an inclusive paid family leave program, but least likely to have it. We come from different backgrounds. Tina worked for...
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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 Women, Babies and Families with a Trauma Sensitive Approach

Kate White ·
At the Association for Prenatal and Perinatal Psychology and Health (APPPAH), a celebration of support for the Mother-Baby Dyad and Trauma Healing is happening. All month, there have been lectures by esteemed experts in trauma sensitive and trauma healing approaches. From midwives who are trauma sensitive to baby bodyworkers, from family therapists who know how help you recognize trauma attachment to cultural competencies with marginal communities, you will find it in this free lecture...
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Helping women have a better birth and breastfeeding experience during COVID

Rosanne Gephart ·
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 call 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...
Comment

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...
Comment

Re: A good New Year's Resolution: Moms need to remember themselves.

Anna Sutton ·
You're so welcome. I am so blessed to have a whole army of amazing women, mothers, friends and colleagues to help me remember to take time for myself and remember ME. Happy new year to one of those amazing ladies
Blog Post

“2020 Mom Project” promotes awareness of perinatal mood disorders [Scopeblog.com]

Jane Stevens ·
  Having a baby is a huge life alteration – who wouldn’t be at least a bit anxious? The vast majority of women experience mood shifts surrounding pregnancy: Around  80 percent  experience “baby blues,” and in up...
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2020 Sex and Perinatal Mental Health Conference

Bonnie Berman ·
Sex & Perinatal Mental Health Conference on January 13th and 14th, 2020 at The California Endowment. This dynamic training will delve into areas such as postpartum sex, birth trauma, cultural attitudes about sex, gender and sexuality, gender affirming care, personal stories and more. We have an amazing lineup of speakers and wanted to introduce you to a few over the next couple of weeks. Two day training that will explore how sex and sexuality impact and interact with mental health...
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4th Annual Bay Area Maternal Mental Health Conference

By UCSF Continuing Medical Education, December 12, 2019 This is the fourth annual conference here in the Bay Area focusing on maternal mental health and well-being, with speakers from throughout the area covering important topics that will improve the care our patients are receiving. We welcome anyone with a personal or professional interest in maternal mental health. Participants will: Review the state of the current opioid crisis in this country and learn about tools to help identity...
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9 Women Who Have Experienced Postpartum Depression [Glamour.com]

Samantha Sangenito ·
It’s estimated that one in nine women will deal with postpartum depression, according to the Centers for Disease Control and Prevention . Chrissy Teigen is not the only star to have learned she had the condition: it can really happen to anyone—famous women included. While postpartum depression is a highly-personal experience and not everyone is comfortable speaking out about it, these strong mamas chose to share their stories—and we can all learn something from them. [For more of this story,...
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A Brief Overview of Post-Partum Obsessive Compulsive Disorder (mathewsopenaccess.com)

Christine Cissy White ·
Note: Parenting with ACEs can present us with extra challenges. Being pregnant, giving birth and breastfeeding can all be difficult for many of us. The stresses all parents experience can be compounded depending on our own emotional and physical well-being and the support we have (emotional, financial, family, community). In addition, we might have to consider thing such as going on, staying on or going off of drugs for some period of time during and following pregnancy. We don't talk a lot...
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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 Lifeline' For Doctors Helps Them Treat Postpartum Depression (NPR)

Karen Clemmer ·
By Ruth Chatterjee, January 15, 2020, for Morning Edition For 1 in 7 pregnant women and new moms, things can feel off. They can have trouble sleeping or feeling connected to their baby, feel weepy, have low energy. They could be clinically depressed, and depression during or after pregnancy is very treatable if it's diagnosed. But only a small percentage of those women get the treatment that they need. Massachusetts is trying to change that. NPR's Rhitu Chatterjee has this story about how...
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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 staggering one-in-three women experience physical, sexual abuse [un.org]

Alison Cebulla ·
24 November 2019, UN News Here is the grim reality, in numbers: A third of all women and girls experience physical or sexual violence in their lifetime, half of women killed worldwide were killed by their partners or family, and violence perpetrated against women is as common a cause of death and incapacity for those of reproductive age, as cancer, and a greater cause of ill health than road accidents and malaria combined. The prevalence of the issue, “means someone around you. A family...
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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 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...
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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...
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