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PACEs in Maternal Health

Tagged With "Poverty Go Hand in Hand"

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[Repost] Trauma-informed Care: It Takes More Than a Clipboard and a Questionnaire

Jim Hickman ·
California is about to launch an ambitious campaign to train tens of thousands of Medi-Cal providers to screen children and adults up to age 65 for trauma, starting on January 1, 2020. It is well-established that the early identification of trauma and providing the appropriate treatment are critical tools for reducing long-term health care costs for both children and adults. Research has shown that individuals who experienced a high number of traumatic childhood events are likely to die...
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Some 350 Florida Leaders Expected to Attend Think Tank with Dr. Vincent Felitti, Co-Principal Investigator of the ACE Study; Expert on ACEs Science

Carey Sipp ·
Leaders from across the Sunshine State will take part in a “Think Tank” in Naples, FL, on Monday, August 6, to help create a more trauma-informed Florida. The estimated 350 attendees will include policy makers and community teams made up of school superintendents, law enforcement officers, judges, hospital administrators, mayors, PTA presidents, child welfare experts, mental health and substance abuse treatment providers, philanthropists, university researchers, state agency heads, and...
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The Body Remembers

Joyelle Brandt ·
She had a poster of Where’s Waldo? on the wall, presumably there to distract her patients from what was happening while they lay on the exam table. This was my third appointment, and on the drive over I had fought down rising waves of panic at walking back in to this room, with Waldo and her gloved fingers. When my physiotherapist had first recommended this treatment after months of physio exercises had failed to produce the desired results, I went home and cried. I called Dawn and told her...
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The Relentless School Nurse: The Text Message No Parent Wants to Get - An Active Shooter is at School

Robin M Cogan ·
Many blog readers know that my niece Carly is a survivor of the Parkland shootings at Marjory Stoneman Douglas High School. You may know that my father also survived a mass murder, and like Carly, hid in a closet until the police arrived. Almost 70 years separated the two tragedies. Our guest blogger this week is my sister Merri, Carly's mom. Merri shares her first-hand account of what happened the afternoon of February 14, 2018, when Carly sent this text, “Mom don’t freak out but we are on...
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The Trauma of Having a Newborn in the NICU [theatlantic.com]

Alicia Doktor ·
When Kelli Kelley awoke from her C-section 17 years ago, having delivered her son after just 24 weeks of pregnancy, her husband gave her a Polaroid of their baby. He was tiny, underdeveloped, eyes still fused shut, with translucent skin covered in fine hair, and lying in a sea of medical equipment and lines. To Kelley, he looked like a baby bird. Cut to her first visit to the neonatal intensive-care unit ( nicu ) to meet him: a cacophony of beeping machines, harsh lighting,...
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Trauma Mama: Little Girl Riding Shotgun in My Psyche

Christine Cissy White ·
“I love you,” I say to my daughter. “Of course you do,” she says, I’m awesome.” She was twelve. The mother in me smiled. The girl I was shook her head inside and wondered h ow would it have been to feel both loved and lovable while a child? I do not know. I will never know. It does not matter how wonderful my present. It does not matter who I will become. I can’t change the past. The past is a country I never want my daughter to travel near or in. I am an exile, from my past, my child self.
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We Need to Talk about PTSD in NICU Parents (themighty.com)

Given the nature of NICU, the pain of leaving your fragile baby each day, the feelings of emptiness and grief , the uncertainty and ups and downs, the lines, wires, monitors and alarms, not to mention the security buzzers at the entrance of the unit or the constant rigorous hand-washing, it came as no surprise to me that parents who have experienced premature birth are at greater risk of postnatal depression , anxiety and post-traumatic stress disorder (PTSD) . You see, more than 40 percent...
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Lesson learned integrating ACEs science into health clinics: Staff first, THEN patients

Laurie Udesky ·
Nearly two years ago, a team of colleagues at LifeLong Medical Clinics jumped at the opportunity to integrate practices based on ACEs science to prevent and heal trauma in their patients when it joined a two-year learning collaborative known as the Resilient Beginnings Collaborative (RBC). A few months after training began, the staff realized they had to put on the brakes.
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Mother-Baby Workplace Awards a Great Success! [CWA E Newsletter]

Karen Clemmer ·
CWA was proud to again be a part of the California Breastfeeding Coalition's Mother-Baby Friendly Workplace Awards , recognizing businesses throughout California for their efforts to support lactating employees by creating lactation accommodation policies and working to come up with comfortable, appropriate solutions to meet the breastfeeding needs of staff when they return to work. We were encouraged that several California legislators were on hand this year to personally congratulate...
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My son was hospitalized and now he has PTSD

Stephanie Kennelly ·
“Grant, do you remember when you were in the hospital?” “Yes… they came to take the blood and I turned into a werewolf.” Original Post It happened quickly. A year ago my three year old had a collarbone fracture, it became infected and within 24 hours the situation was emergent. A week long hospital stay, one month with a PICC line and two months on oral antibiotics. Finally, the labs finally came back normal. The X-Ray was clean. Gillette Children’s Hospital closed our case. But the healing...
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Parent Handouts updated and available In Dari, English & Spanish

Christine Cissy White ·
The updated parent handouts are now available in Spanish as well as English and Dari. Here's the blog post with links to all three versions of each flyer. All versions of the Understanding ACEs and Parenting to Prevent & Heal ACEs parent handouts can be downloaded, distributed, and used freely. Both flyers were made with generous support from Family Hui, a Program of Lead for Tomorrow, who is responsible for making the Spanish and Dari translations available. These are updates of the...
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Parental Depression and Its Impact on Child and Family Well-Being [CANTASD]

Karen Clemmer ·
Parental Depression and Its Impact on Child and Family Well-Being On March 9, 2018, The National Child Abuse and Neglect Technical Assistance and Strategic Dissemination Center ( CANTASD ) hosted a Digital Dialogue with Jessica Dym Bartlett, the Deputy Program Area Director for Early Childhood Development & Child Welfare at Child Trends . The conversation focused on the impact of parental depression on child and family well-being . This [ ARTICLE ] document summarizes the conversation...
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Petaluma Health Center leads effort to link women to services

Karen Clemmer ·
Sonoma County was one of six sites selected nationally to participate in a CityMatCH practice collaborative to prevent substance exposed pregnancies. In 2012 Rebecca Munger CNM, PHN the Sonoma County Maternal, Child, Adolescent Health Coordinator lead a broad coalition of reproductive health champions who worked across sectors and settings to develop a trio of strategies to reduce substance exposed pregnancies. The first strategy developed with CDC and WHO technical support was a bundled...
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Post-natal PTSD: 'I relived childbirth over and over again' [BBC News]

Karen Clemmer ·
Anna Simpson says the therapy she went through has helped her recover
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Youth Suicides, County-Level Poverty Go Hand in Hand [medpagetoday.com]

By Elizabeth Hlavinka, MedPage Today, October 28, 2019 Suicides among children were more concentrated in high-poverty areas, a researcher said here. Of 20,982 suicides to occur from 2007 to 2016, poverty-stricken counties had significantly higher suicide rates than counties with lower levels of poverty, and the rate increased along with poverty concentration, such that children in areas with the highest poverty levels (≥20%) were more than one-third more likely to die by suicide than kids in...
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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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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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Careful, It's Not Over Yet & Parenting with ACEs & PTSD

Christine Cissy White ·
Note: Dawn Daum & Joyelle Bran dt are the featured guests on the live chat held in the Parenting with ACEs Group on Tuesday, June 13th at 10 AM PST / 1 PM PST. The topic is Parenting with PTSD & ACEs. Dawn and Joyelle are artists, activists and parents. They met a few years ago and set about creating an online community for parent survivors to working to break the cycle of abuse. Here's a small sample of the work they have done and are doing: Wrote a resource about Parenting as an...
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Coronavirus Threatens an Already Strained Maternal Health System (The New York Times)

Karen Clemmer ·
By Eileen Guo, March 26, 2020, NYT “I didn’t feel like it was unfair of the hospital. I thought it was unfair of the universe.” — Smita Nadia Hussein, a mother of two, who gave birth on March 17 in Morristown, N.J. [This article is a partnership between The New York Times and The Fuller Project . In Her Words is available as a newsletter. Sign up here to get it delivered to your inbox .] On Wednesday, March 18, 28-year-old Latoyha Young and her mother, Thomasina Hayten, rushed to Sutter...
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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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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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Hearing "trauma-informed" during Dr. Ford's testimony gives me some hope

Karen Clemmer ·
All politics aside, the testimony delivered by Dr. Christine Blazy Ford is both triggering and hopeful. Triggering for obvious reasons. Hopeful because ACEs science was so clearly woven to the testimony. Dr. Ford brought the neurobiology of sexual assault into her description regarding how her brain and body responded to trauma. I find listening this testimony triggering, however, I am holding onto the silver-lining is that trauma science may be elevated to a national platform. As difficult...
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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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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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Announcing the Parenting with ACEs Monthly Chat Series!

Christine Cissy White ·
I'm thrilled to announce our NEW Live Chat series!!! Starting in May, once a month, we will have a live Chat Event. It will take online in the Parenting with ACEs Group the second Tuesday of the month at 10 a.m. PST (1 p.m. EST). We'll learn from our featured guests (below) about ACE-related issues. We'll have discussions and share experiences, stories, and resources with each other. Here is who and what we have scheduled for 2017. 2017 Monthly Chat Schedule / Time is Always: @ 10 AM PST (1...
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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...
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Unbecoming an Armadillo: Recovering from Trauma with EMDR

Victoria Burns ·
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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Re: The importance of care coordination [medcitynews.com]

Dianne Couts ·
I didn't even know there were care managers. Thanks for this enlightening article. A frequent comment my husband and I make after making an appointing, seeing a doctor or having a medical procedure is, "Wow! The right hand sure doesn't know what the left hand is doing!" That is fine as long as we are able to connect all the dots for those caring for us. However, that is not always the case.
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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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8 Categories of Adversity That Shape Health: Adverse Babyhood Experiences (ABEs), ACEs, and More

Veronique Mead ·
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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Anxiety, Depression and Working Moms in a Pandemic

Arslan Hassan ·
Covid-19 is a challenging time for all of us. People are limited to their homes, and social distancing is the requirement of the time to stay protected from this contagious virus. Although social distancing is the only thing stopping the spread of the virus, it is also becoming the number 1 cause of anxiety and depression. People worldwide from all walks of life are suffering the psychological effects of isolation, and working moms are not an exception. They experienced a unique pressure...
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'Living Paycheck to Paycheck, Living Diaper to Diaper' [nytimes.com]

By Jessica Grose, The New York Times, March 17, 2021 If your child is not potty trained, how many diapers do you have on hand right now? That’s a question I certainly wouldn’t have been able to answer with any specificity when my children were babies. But it’s a question that parents who struggle to afford the expense — about $70-$80 per month, per baby — can answer easily, because managing diaper need is among their most significant anxieties. That’s what a new study from Jennifer Randles,...
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I Gave Birth, but My Husband Developed Postpartum Depression [nytimes.com]

Natalie Audage ·
By Kim Hooper, The New York Times, July 19, 2021 When I was pregnant with my daughter, my husband and I took a parent prep class in which they talked at length about the signs of maternal postpartum depression. My husband took detailed notes. After all, I had a history of depression and occasionally fell down dark, deep rabbit holes from which only medication and therapy could pull me out. My husband, on the other hand, is the epitome of stable. When his parents died in our first few years...
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Every Mother Counts and partners launched JustBirth Space, a free, virtual platform, to connect more birthing people to comprehensive and person-centered support. [everymothercounts.org]

Alison Cebulla ·
JustBirth Space is free, virtual support in the palm of your hand. The platform offers responsive and compassionate perinatal support through text and video chat, as well as virtual support groups and classes for moms, pregnant people and families all free of charge. JustBirth Space’s team of Connectors includes community-based doulas, lactation consultants, childbirth educators and postpartum experts–all providing warm, welcoming, and responsive support that is inclusive and safe for all...
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Minnesota Will No Longer Take Newborns from Incarcerated Parents [talkpoverty.org]

Porter Jennings-McGarity ·
By Lizzie Tribone, Talk Poverty, October 5, 2021 When Jennifer Brown left Minnesota Correctional Facility-Shakopee on a work-release program, it had been six-and-a-half months since she had seen her son, Elijah. The last time they’d been together was when she gave birth to him, under the watch of two prison guards, in a hospital near the prison. Brown had forty-eight hours with her newborn before she had to hand him over to a family chosen by Together for Good, a religious nonprofit that...
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Criminalization of pregnancy has already been happening to the poor and women of color [npr.org]

Natalie Audage ·
By Sandhya Dirks, NPR, August 3, 2022 Haley McMahon says every time she hears someone say "you can't ban abortions, only safe abortion," she shakes her head a little. McMahon studies abortion access and she says while women will certainly die because of the Supreme Court's decision, this idea of women dying from back alley abortions is stuck in the past. "I understand why people go to that talking point," she says. "But that's just not where the evidence points." Medicine has advanced over...
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A Little Money for Mothers Improves Babies' Brain Development

Craig McEwen ·
The on-going Baby’s First Years research ( https://www.babysfirstyears.com/ ) examines the impact on mothers and babies of modest cash gifts as a model of poverty reduction. It turns out that a little money goes a long way and affects the development of babies’ brains. “Early childhood poverty is a risk factor for lower school achievement, reduced earnings, and poorer health, and has been associated with differences in brain structure and function. Whether poverty causes differences in...
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How much would the NAS poverty reduction packages reduce referrals to CPS and foster care placements? Would they reduce racial disproportionality in child welfare? (nasonline.org).

Carey Sipp ·
Because of a collaboration with Columbia University and UW-Madison, we have answers to these questions. By Peter Peter Pecora, Casey Family Programs, March 17, 2023 - Overview The National Academy of Sciences (NAS) recently released a “ roadmap ” to reduce child poverty by as much as half through the implementation of a series of social policy packages. The aim of this study was to simulate the reductions in Child Protective Services (CPS) involvement and foster care placements that are...
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Building Resilience is a Team Effort that Starts Early

Porter Jennings-McGarity ·
“YES!” was the response of Gaile Osborne, executive director of Foster Family Alliance of North Carolina (FFANC), when asked for input on a new program to help foster and kinship care families learn how to support the brain development of young children. “I love these Brain Insights materials. How soon can we start?” said Osborne upon receiving the "The First 60 Days ” booklet on myths about newborns and their caregivers and the eight “ Neuro-Nurturing ” ringed books. The materials delivered...
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