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PACEs in Maternal Health

Tagged With "health care"

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California unveils ACEs Aware initiative to screen for trauma

Laurie Udesky ·
Will screening for adverse childhood experiences (ACEs) in California be mandatory? No, but it’s recommended. Will there be training for physicians and staff on how to screen? Yes. Who will be reimbursed for screening patients in California? Physicians who serve patients in the state’s Medi-Cal program — for now. For more answers to these and other questions that surfaced during a Dec. 4 webinar introducing Californians to a new statewide initiative, read on. Come January 1, California will...
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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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Can Trained, Paid Peer Support Help New York City Keep Foster Parents? [chronicleofsocialchange.org]

By Megan Conn, The Chronicle of Social Change, December 2, 2019 When Roxanne Williams became a foster parent four years ago, she started in the deep end of the parenting pool. New York City child welfare workers brought her a boy with limited English on a Friday afternoon and left after confirming her home was safe, leaving Williams to muddle through their first days together on her own. “It was rough – you weren’t getting the calls back [from her foster care agency] as fast as you wanted...
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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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Child Law Penalizes Moms for Abusive Partners [capitalandmain.com]

By Angelika Albaladejo, Capital & Main, October 16, 2019 Ingrid Archie thought she was doing everything right to protect her children. She got a restraining order against her abusive partner and moved into a domestic violence shelter with her kids. Then Archie got arrested for child endangerment. It had been only a month since she’d left the relationship and she was struggling to get back on her feet. She was stressed out and trying to run errands with her two youngest daughters. One of...
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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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Children 'failed in first 1,000 days', says MPs [BBC News]

Karen Clemmer ·
The Health and Social Care Committee said the first 1,000 days were critical, but not enough was done. It warned cuts to children's centres, health visiting and services to support parents had left families vulnerable. Nearly a third of children are not "school ready" by the time they reach five, because they have not developed the necessary skills and behaviours. The cross-party group wants the government to pay for extra contact with health visitors beyond the age of two-and-a-half. The...
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Civil Unrest in the Context of Chronic Community Violence: Impact on Maternal Depressive Symptoms [AJPH.AphaPublications.org]

Samantha Sangenito ·
Objectives. To examine changes in maternal–child health surrounding the April 2015 civil unrest in Baltimore, Maryland, following Freddie Gray’s death while in police custody. Methods. We conducted cross-sectional Children’s HealthWatch surveys January 2014 through December 2015 in pediatric emergency departments and primary care clinics on maternal–child health and June 2015 through October 2015 on daily and community routines. We used trend analysis and piecewise logistic regression to...
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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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Come Chat with Dr. Claudia M. Gold: An ACE-Informed Pediatrician

Christine Cissy White ·
Date: July 11th Time: 10 AM PST / 1 PM EST Location: Parenting with ACEs Group , Online Flyer: Attached below. Please share. Dr. Claudia M. Gold has practiced general and behavioral pediatrics for 25 years and specializes in early childhood mental health. She is on the faculty of the University of Massachusetts, Boston Infant-Parent Mental Health program, William James College, and the Austen Riggs Center where she is a Human Development consultant. Dr. Gold is author of the following...
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Commentary: Staying calm at a time of crisis (San Antonio Express News)

Karen Clemmer ·
By Stephanie McCain, March 26, 2020, San Antonio Express News If you asked me before this coronavirus crisis whether I was a “trauma survivor,” I would have replied with confidence that I was not. My family experienced hardship during our months of displacement following Hurricane Ike in 2008, but we were surrounded with abundant love from supportive family, friends and generous strangers. We came through the experience with no lasting scars. Within a year of the storm, we owned a home and...
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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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Deeper than the Deepest Well

Kate White ·
We now know that babies DO feel pain, and in fact, they are even more sensitive to it than adults. The study of baby’s experiences in utero and the first two years of life have led to the rise of early developmental trauma as a reality today, especially with the acceptance of implicit memory and that the body remembers.
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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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Donna Jackson Nakazawa Chats Live with Jane Stevens & You: Nov. 14th

Christine Cissy White ·
Featured Guest: @Donna Jackson Nakazawa Topic: Well-Being, Self-Care & ACEs Date: November 14th, 2017 Time: 10 AM PST / 1 PM EST Where: Here / Chats Donna Jackson Nakazawa is an winning researcher, writer and public speaker on health and family issues. She explores the intersection between neuroscience, immunology, and the deepest inner workings of the human heart. Her most recent book, Childhood Disrupted: How Your Biography Becomes Your Biology, and How You Can Heal , examines...
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Doulas & Covid-19: A toolkit for doulas (DONA International)

Karen Clemmer ·
Please the attached toolkit for more information. From the toolkit: Best practices when working with clients Given how new this virus is, we currently have very little data on how it might affect pregnant people and newborns. Guidelines from the CDC outline recommendations for how to support pregnant and laboring people with Coronavirus. (3) There is currently no evidence that the virus is spread from mother to baby in utero, or that it is transmitted in human milk. (4)
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Dr. Gabor Maté & Full-Potential Parenting, Even When It Is Hard

Christine Cissy White ·
Note: Allison Morris had dozens of experts in her summit series through Full-Potential Parenting. I took notes only on those by Donna Jackson Nakazawa , Gabe Maté and Sebern Fisher (coming later this month). Though the audios are no longer available, for free, they can be purchased for $100. or less (depending on the year), here. Forgive me for sounding like an advertisement, I don't know Allison personally. I am a huge fan of all parent-led resources and wish I discovered this series...
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Effects of Preterm Birth

Alicia Losier ·
A baby born prematurely often spends that crucial time for attachment and development of neural pathways in the NICU
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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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Family First Scholarships for 21st Annual Families and Fathers Conference

James Rodriguez ·
21st Annual Families and Fathers National Conference February 24-27, 2020 Hilton Los Angeles Airport 5711 West Century Boulevard Los Angeles, California 90045 I am honored to announce The Family First Scholarship supported by the Annie E. Casey Foundation as a Title Sponsor and State of California First 5 as a Co-Sponsor for the 21 st Annual Families and Fathers Conference, Next Level 2020! the terms "putting family first" and "it takes a village to raise a child" parallels with why we have...
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Family-Friendly Legislation Package Introduced [CWA Flash E Newsletter]

Karen Clemmer ·
Senator Tammy Duckworth has introduced a package of bills to make workplaces more family-friendly, improve childcare services, make it easier for low-income and middle-class families to obtain diapers for their children and close loopholes that prevent many educational support staff from being able to take medical leave through the Family Medical Leave Act . The package includes four pieces of legislation: the End Diaper Need Act , the ESP Family Leave Act , the Honoring Family-Friendly...
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Family Resilience And Connection Promote Flourishing Among US Children, Even Amid Adversity (www.healthaffairs.org)

Christine Cissy White ·
Abstract below and link to open access article written by Christina D. Bethell , Nangerel Gombojav , and Robert C. Whitaker and published in Health Affairs Link to open access article written by Christina D. Bethell , Nangerel Gombojav , and Robert C. Whitaker .
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Fathers affected by birthing process can get help on the NHS now [Daily Echo - UK]

Karen Clemmer ·
CAMPAIGNING Bournemouth University academic Dr Andy Mayers is celebrating after learning that fathers who have experienced stress or mental health issues as a result of the birthing process are to be provided with mental health support through the NHS for the first time. Speaking after the NHS announcement Dr Andrew Mayers, Principal Academic in Psychology at Bournemouth University, said, “Until this announcement, fathers were not formally considered for needing support for ‘perinatal’...
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Fathers & ACEs with Trauma Dad & Father's Uplift CEO: Tuesday, September 12th

Christine Cissy White ·
What supports exist to "uplift" fathers who have survived abandonment, abuse or torture as children? Where can men go to discuss the joys, struggles and issues of being a father with ACEs? Where are the men who face hard, heavy and complicated realities to make life easier and lighter for all who come after? We found two of them and they will be the featured guests in the next Parenting with ACEs chat . Meet Charles Clayton Daniels, Jr. of Father's Uplift and "Trauma Dad" Byron Hamel. Both...
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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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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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Flashback Halting Guide: 10 Tips to Halt Flashbacks for Yourself or a Loved One

Robyn Brickel, M.A., LMFT ·
Flashback Halting Guide: 10 Tips to Halt Flashbacks for Yourself or a Loved One. Includes a link to a printable Flashback Halting Guide
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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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Foster Care Entries for Parental Drug Use Surge [usnews.com]

Marianne Avari ·
By Katelyn Newman, US News & World Report, July 15, 2019. INCIDENTS OF CHILDREN entering America's foster system as a result of their parents' drug use have surged since 2000, new research shows, coinciding with the country's recent opioid crisis. Using case data from the federally mandated Adoption and Foster Care Analysis and Reporting System, researchers from Cornell and Harvard universities found that 1,162,668 – or nearly 24% – of 4,972,911 entries of children into foster care...
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FREE Webinar Series - register now for first webinar on Fri 2-10-19

Karen Clemmer ·
2019 Webinar Series Join us for a FREE webinar series deepening our understanding of specialized issues and populations in perinatal mental health! Designed for care providers who work with new families, join us as we learn about some of the complex issues impacting young families. The virtual trainings will take place quarterly on Fridays from 12-1pm (PST). The series is free to all but prior registration is required. Login information for each session will be provided upon registration.
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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 Trauma-Informed to Asset-Informed Care in Early Childhood [brookings.edu]

By Ellen Galinsky, Brookings Institute, October 23, 2019 The focus on “toxic stress,” ACEs (Adverse Childhood Experiences), and trauma-informed care have been game-changers in the field of early childhood development. They have helped us recognize the symptoms of trauma, provide appropriate assistance to children, and understand that prolonged adversity in the absence of nurturing relationships can derail a child’s healthy development. Just look at the media’s and the public’s reaction to...
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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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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 Someone with PTSD: Helping a Loved One While Taking Care of Yourself (www.helpguide.org/)

Alfredo Leano ·
"PTSD can take a heavy toll on relationships. It can be hard to understand your loved one’s behavior—why they are less affectionate and more volatile. You may feel like you’re walking on eggshells or living with a stranger. You may have to take on a bigger share of household tasks, deal with the frustration of a loved one who won’t open up, or even deal with anger or disturbing behavior. The symptoms of PTSD can also lead to job loss, substance abuse, and other problems that affect the whole...
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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...
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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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Hillary Clinton’s Comprehensive Agenda on Mental Health [The Briefing—Fact Sheets]

The first bullet under Early Diagnosis and Intervention of today’s release of Hillary Clinton’s mental health agenda is titled “ Increase public awareness and take action to address maternal depression, infant mental health, and trauma and stress in the lives of young children.” It states “We also know that infant mental health depends on children forming close and secure relationships with the adults in their lives, and that too many children are growing up in environments that cause them...
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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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“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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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 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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