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PACEs in Maternal Health

Tagged With "National Public Radio"

Blog Post

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...
Blog Post

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...
Blog Post

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...
Blog Post

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...
Blog Post

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...
Blog Post

Council for a Strong America - Brain Science Speakers

Gail Kennedy ·
Council for a Strong America is a national, bipartisan nonprofit that unites five organizations comprised of law enforcement leaders, retired admirals and generals, business executives, pastors, and prominent coaches and athletes who promote solutions that ensure our next generation of Americans will be citizen-ready. Council for a Strong America has a 20-year track record of strengthening families, communities, the economy, and our national security. One if of the programs, ReadyNation is...
Blog Post

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...
Blog Post

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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Employer Behavioral Health Programs Need Opioid, Suicide Focus [Health Payer Intelligence]

Karen Clemmer ·
Most employers plan to highlight behavioral and mental health in the future, but they will need to address opioid abuse and suicide to succeed. April 02, 2019 - Seventy percent of employers are either currently addressing or plan to address behavioral health over the next few years, according to a recent survey from Willis Towers Watson, but many of these initiatives fail to focus strongly on opioid abuse and suicide prevention. Programs that do not offer enough support for employees at risk...
Blog Post

Fairness for Breastfeeding Mothers Act of 2019 Signed Into Law [Cal WIC]

Karen Clemmer ·
This Act may be cited as the ‘‘Fairness For Breastfeeding Mothers Act of 2019’’ A bill just signed into law by President Trump will require federal buildings that are open to the public and have public restrooms to also have designated lactation rooms for breastfeeding. The rooms will be available for use by members of the public as well as federal employees. The Fairness for Breastfeeding Mothers Act ( H.R. 866 ) was sponsored in the House by Congresswoman Eleanor Holmes Norton (D-DC) and...
Blog Post

Federal Funding for Maternal Mental Health released July 2, 2018

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

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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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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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...
Comment

Re: What if?

Jane Stevens ·
The public health nurses at the family clinic in Port Townsend , WA, have been doing this for several years. If you want a contact there, please let me know.
Blog Post

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...
Blog Post

A Conversation with Nadine Burke Harris: How Should Pediatricians Address Childhood Adversity?

Claudia Gold ·
Pediatrician Nadine Burke Harris is a masterful storyteller. I learned in a conversation with her at Wheelock College before her presentation for the Brookline, MA organization Steps to Success , that before she decided to become doctor, Dr. Burke Harris wanted to be an author. Only after the smashing success of her TED talk: How childhood trauma affects health across a lifetime , when she was approached by a literary agent, did she find her way to writing. Her newly released book The...
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A 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 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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ACEs Research Corner — November 2019

Harise Stein ·
[Editor's note: Dr. Harise Stein at Stanford University edits a web site -- abuseresearch.info -- that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she's posting the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens] Jackson DB, Chilton M, Johnson KR, Vaughn MG. Adverse Childhood Experiences and Household Food Insecurity. Am J Prev Med. 2019 Nov;57(5):667-674. PMID: 31522923...
Blog Post

ACOG Maternal Mental Health Expert Work Group

Karen Clemmer ·
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...
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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...
Blog Post

All hands on deck (from a distance): remote care for traumatized moms and babies

Jonathan Joseph Goldfinger ·
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]

Samantha Sangenito ·
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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As Kentucky’s Only Black Woman in the Legislature, I Have a Plan to Address Racial Maternal Health Inequities (River City News)

Karen Clemmer ·
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,...
Comment

Re: Doulas & Covid-19: A toolkit for doulas (DONA International)

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

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

Re: A community-based approach to supporting substance exposed newborns and their families

Karen Clemmer ·
Hi Alex, Centering Pregnancy is the model you are referencing, and there is tremendous evidence of the benefits for families, and fiscally for healthcare organizations. HERE is an example. Centering empowers patients, strengthens patient-provider relationships, and builds communities through these three main components: health assessment, and interactive learning community building. Additionally, there is a Centering Pediatrics model that is similar. HERE is more information. This LINK...
Comment

Re: May is Maternal Mental Health Awareness Month!

Karen Clemmer ·
Hi Jessica, Great question! In my past role working with community partners on perinatal mood disorder- we drafted a proclamation (whereas, whereas ... ). Partners who lived in various towns or cities- asked their government officials to formally recognize May as Maternal Mental Health month! More than 5 proclamations were passed! Lots of photo ops and positive press! This brought awareness to politians and community members. Public Health helped with providing meaningful data for the...
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.

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

State budget signed [childrennow.org]

Kelly Hardy ·
Hello 4CA friends – Sending a quick update on the state budget. Please add on if you have more/different information – thanks! The short story is that many of the worst cuts that were discussed were NOT enacted in the final budget, which is good news. Some of the items most related to childhood trauma include: The final budget rejects the May Revise proposal to reduce $4.5 million General fund from the Black Infant Health Program . While there will be no cuts to Prop 56 Medi-Cal supplemental...
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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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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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Upcoming 4CA Webinar on 8/27/20: The Impacts of COVID-19 on California’s Children, Families, and Communities

Elena Costa ·
The California Campaign to Counter Childhood Adversity (4CA) invites your participation in an upcoming 1.5 hour interactive webinar entitled “ The Impacts of COVID-19 on California’s Children, Families, and Communities ” on August 27, 2020, from 1:30 PM – 3:00 PST that will explore the economic impacts of COVID-19 and how it has affected, and continues to affect, California communities. Featuring a panel of experts, Dr. Flojaune Cofer, Public Health Advocates, All Children Thrive, California...
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Introducing the Transform Trauma with ACEs Science Film Festival & Follow-Up Discussions

Christine Cissy White ·
Transform Trauma with ACEs Sciences Film Festival & Follow-Up Discussions The following weekend watch parties and follow-up discussions are co-hosted by ACEs Connection, The Relentless School Nurse , and The Campaign for Trauma-Informed Policy & Practice (CTIPP) . We appreciated the filmmakers for making these films free to watch for our members and for the public programming of PBS. The films we’ll feature are as follows: Portraits of Professional Caregivers Whole People Part 1...
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SF announces pilot program to provide basic income to pregnant Black and Pacific Islander women [sfgate.com]

Mai Le ·
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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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

Laurie Udesky ·
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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NOW AVAILABLE ON DEMAND: The Repressed Role of Adverse Childhood Experiences in Adult Well-Being, Disease and Social Functioning: Turning Gold into Lead (Dr. Vincent J. Felitti) [avahealth.org]

Tasneem Ismailji ·
The ACE Study reveals how typically unrecognized adverse childhood experiences are not only common, but causally underlie a number of the most common causes of adult social malfunction, biomedical disease, and premature death. Moreover, it enables one to see that the Public Health Problem is often an individual’s attempted Solution to childhood experiences about which we keep ourselves unaware. A renowned physician and researcher, Dr. Vincent J. Felitti is one of the world’s foremost experts...
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Report on WIC Role in Reducing Maternal Mortality (California WIC Association)

Karen Clemmer ·
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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New California preventive mental health coverage puts ACEs science front and center

Laurie Udesky ·
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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New Resource: Coping with Stress During the COVID-19 Pandemic One-Pager (English & Spanish!)

Elena Costa ·
English: The California Department of Public Health, Injury and Prevention Branch (CDPH/IVPB) and the California Department of Social Service, Office of Child Abuse Prevention’s (CDSS/OCAP) , Essentials for Childhood (EfC) Initiative , ACEs Connection , and the Yolo County Children’s Alliance have co-created a newly developed resource, “Coping with Stress During the COVID-19 Pandemic” in both English and Spanish. This material is intended for Californian families experiencing the severe...
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Building resilient societies after COVID-19: the case for investing in maternal, neonatal, and child health (Lancet)

Karen Clemmer ·
Chandni Maria Jacob, MSc, Despina D Briana, MD , Prof Gian Carlo Di Renzo, MD , Prof Neena Modi, FMedSci , Flavia Bustreo, MD , Gabriella Conti, PhD , et al. September 21, 2020 DOI: https://doi.org/10.1016/S2468-2667(20)30200-0 Summary Resilient societies respond rapidly and effectively to health challenges and the associated economic consequences, and adapt to be more responsive to future challenges. Although it is only possible to recognise resilience retrospectively, the COVID-19 pandemic...
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Tools to Mitigate Work Stress and Prevent Burnout: For Health Care Providers during COVID and Beyond  

Laurie Udesky ·
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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Implementation of Hospital Practices Supportive of Breastfeeding in the Context of COVID-19 — United States, July 15–August 20, 2020

Summary What is already known about this topic? Evidence-based hospital practices supporting breastfeeding have sometimes conflicted with COVID-19 infection prevention and control measures. What is added by this report? During summer 2020, hospitals implemented a variety of practices intended to balance evidence-based maternity care with infection prevention and control. Because of the pandemic, 17.9% of hospitals reported that in-person lactation support had decreased, and 72.9% reported...
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