Tagged With "Administration for Children's Services"
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Rebecca Pearson: Mental health: depression and anxiety in young mothers is up by 50% in a generation
Back when it first started, 17% of young pregnant women in the Children of the 90s study reported symptoms severe enough to indicate clinical levels of depression. This figure was already worryingly high in the 1990s, but in their daughters’ generation it is even more common: 25% of the second generation of the study – women under the age of 24 who are becoming pregnant now – are reporting signs of depression and anxiety. Children of the 90s started following the mental and physical health...
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Reminder: Live Chat with Donna Jackson Nakazawa
"It's really not survival of the fittest - it's survival of the nurtured." Donna Jackson Nakazawa Date: Tuesday, November 14th, 2017 Time: 10 AM PST / 1 PM EST Where: Here / Chats ( featured chat ) Hosted by: @Jane Stevens Topics to be Covered: Parenting with ACEs. What parents need to know. Affordable self-care for stressed and busy parents. Healing from ACEs & family wellness. How to Attend Online Chats: M embers of ACEs Connection : Go to Chats (top of page). Find...
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[Repost] Trauma-informed Care: It Takes More Than a Clipboard and a Questionnaire
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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RSVP now for 2020 MOM Annual Forum!
Clinical Keynote: Pilyoung Kim, Ph.D. Motherhood and the Brain Pilyoung Kim, Ph.D., is an associate professor in the department of psychology and the Director of Family and Child Neuroscience Laboratory at the University of Denver . She and her team investigate the roles of prenatal and postnatal exposure to poverty and stress in (1) neural adaptation to parenthood in new mothers and (2) brain development in infants and young children. Her primary research method is pediatric neuroimaging...
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Senate Resolution re Diaper Banks and National Diaper Network
May 14, 2019: Resolution Recognizes The Importance Of Diaper Banks And Providing Diapers To Families In Need Senate Resolution re Diapers RESOLUTION Expressing the gratitude of the Senate for the people who operate or support diaper banks and diaper distribution programs in their local communities. Whereas the lack of a sufficient clean diaper supply can adversely affect the physical, mental, and economic wellbeing of infants, toddlers, and their families; Whereas diapers are a material...
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So how do you start to think and talk about ACEs and Maternal Mental Health?
Give them an info graphic to show the connection between toxic stress and health outcomes for moms and babies? Check out the attached 3 handouts! Have some talking points ready to get the conversation started with prenatal care staff? ...
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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
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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State Policy Solutions: Helping Children by Addressing Maternal Depression
Around 12 percent of mothers in the U.S. experience depression, and that number is even higher for minorities and those that live in poverty. Beyond affecting their own health, maternal depression can greatly impact mothers' capacity to care for their children. Members of PolicyLab’s Intergenerational Family Services portfolio wrote a brief on how states can address maternal depression through actionable, evidence-based policy solutions. We hope this can be helpful in your work as well. You...
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Strategies to Improve Maternal Mental Health in California [California Budget Bites]
(Posted May 1, 2019) Today marks World Maternal Mental Health Day and the start of Mental Health Awareness Month . Maternal mental health (MMH) is vital to the health and well-being of children and families. When mothers feel emotionally healthy and well supported, they are better able to develop strong bonds with their children, which promote children’s physical, mental, and emotional development. Conversely, when mothers experience mental health conditions during pregnancy or after giving...
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Symptoms of Depression During and After Pregnancy
In order to have the best chance of improving outcomes for the mother and infant, routine screening and treatment for depression should begin early in pregnancy, a time when women have increased contact with the health care system.
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The Body Remembers
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 Decision that Changed My Life
Four years ago, I decided to start a conversation about the long term impact of childhood abuse. More specifically, about what happens when those abused children grow up and have children of their own. When I had become a parent, I went looking for books on this topic, and I didn’t find anything. But I knew I couldn’t be the only one who was dealing with this. And once I found one other person who was willing to write about this, I said, let’s collect these stories. The stories of these...
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The Decline of Empathy: A Hopeful Solution (www.claudiamgoldmd.blogspot.com)
Here is an excerpt from a recent blog post by Dr. Claudia M. Gold. Pediatrician T. Berry Brazelton was among the first to recognize the tremendous capacity of the newborn for complex connection and communication. Developmental psychologist Ed Tronick, drawing on this observation, designed the famous Still-Face Experiment to show the devastation, for both parent and baby, when they struggle to connect. Extensive research at the interface of developmental psychology, neuroscience, and...
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The Developing Brain & Adverse Childhood Experiences (ACEs)
Thanks to an explosion in scientific research now possible with imaging technologies, such as fMRI and SPECT, experts can actually see how the brain develops. This helps explain why exposure to adverse childhood experiences can so deeply influence and change a child's brain and thus their physical and emotional health and quality of life across their lifetime. The above time-lapse study was conducted over 10 years. The darker colors represent brain maturity (brain development). I have added...
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The Hello It’s Me Project comes to Pittsfield: Dr. Claudia Gold at the helm of initiative to create healthy bonds between parents and infants (www./theberkshireedge.com)
Cissy's note: I am a huge fan of the way @Claudia Gold works with those of us Parenting with ACEs . The first time I read her writing I relaxed. She was speaking with and for parents not about or at us. Unfortunately, her approach is rare. Fortunately, she just launched a new project she's been dreaming of for years. I love the way she supports all families and how she centers the role of all parents in the lives of all children - especially those - not all except those...
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The impact of maternal depression
This is an interesting article about the impact of maternal depression children's neural empathic response to others' distress http://www.news-medical.net/news/20170103/Early-exposure-to-maternal-depression-impacts-childrens-neural-empathic-response-to-others-distress.aspx
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The importance of maternal well-being in relation to child unintentional injury
With National Mental Health Awareness Month coming up in May, I thought I would share an article that Grace Harris shared with me. With the hopes to better serve the children and families across both human services and mental health services this article helps bring awareness to the importance of maternal well-being. Children of depressed mothers at risk for unintentional injuries | Reuters "Children under age 5 are more likely to accidentally get injured if their mothers are having a...
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The prevalence and clinical correlates of adverse childhood experiences in a cross-sectional study of primary care patients with cardiometabolic disease or risk factors (BMC)
From the article: To our knowledge, this is the first study to investigate the incidence and clinical correlates of ACEs in primary care patients who already have cardiometabolic disease or are at elevated risk based on conventional risk factors. Open Access LINK to article Background Adverse childhood experiences (ACEs) are associated with risk of poor adult health, including cardiometabolic diseases. Little is known about the correlates of ACEs for adults who have already developed...
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The Relentless School Nurse: The Text Message No Parent Wants to Get - An Active Shooter is at School
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 Rise of the Trauma-Informed Mothers
The next generation is less likely to wear predisposed shackles of trauma because as trauma-informed parents we are re-wiring the traumatically stressed DNA that was passed down to us.
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The Trauma of Having a Newborn in the NICU [theatlantic.com]
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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The Trauma-Sensitive Parenting Summit & Commentary
"Having a history of trauma or loss does not by itself predispose you to have a child with disorganization. It is the lack of resolution that is the essential risk factor. It is never too late to move toward making sense of your experiences and healing your past. Not only you but also your child will benefit." That's a quote from the book Parenting from the Inside Out: How A Deeper Self-Understanding Can Help You Raise Children Who Thrive, which was published fifteen freaking years ago. It's...
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This woman's emotional postpartum depression story is actually incredibly common. (upworthy.com)
My constant companions were irritability, anxiety, an unending feeling of being overwhelmed, and sadness. Pure, shoulder-sobbing sadness. I cried a lot. Sometimes for hours on end — seemingly without reason. I sat on my couch, in my car, in the shower, virtually anywhere — willing myself to feel better. I thought I could fix it. That I could try harder, smile more, eat healthier, get a little sleep. I was certain I had to take care of this alone and that no one could know how horribly I was...
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Through a Trauma Lens: The Need for Doulas
Trigger warning: trauma, doctors, hospital, birth, sex It is very important to me to approach all of the work that I do from a trauma-informed perspective. Whether it is asking for consent before touching a student in yoga class, offering self-regulation skills to those I work with, or preparing clients for potential triggers*, I do my best to incorporate my on-going learning in the field of trauma into my professional practices. Recently, I began taking trauma classes for professionals...
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TIC: News and Notes for November 2019
ACEs, Adversity's Impact Podcast: Dr. Nadine Burke Harris Vital Signs: Estimated proportion of adult health problems attributable to adverse childhood experiences and implications for prevention - 25 states, 2015-2017 Animal study shows how stress and mother's abuse affects infant brain LGBTQ, traumatized homeless youth more vulnerable to being trafficked: Report How do these pediatricians do ACEs screening?Early adopters tell all When family relationships become toxic: The trauma of...
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TIC: News and Notes for the Week of October 21, 2019 [dhs.wisconsin.gov]
ACEs, Adversity's Impact There is only one boat: The myth of normalcy by Dr. Gabor Mate Understanding historical trauma to strengthen community Childhood trauma linked to early, premarital childbirth and poor health for women Early life racial discrimination linked to depression, accelerated aging When mothers are killed by their partners, children often become 'forgotten' victims. It's time they were given a voice Children's language skills may be harmed by social hardship Does racism...
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Toxic Stress: Issue Brief on Family Separation and Child Detention [immigrationinitiative.harvard.edu]
By Jack P. Shonkoff, Immigration Initiative at Harvard, October 2019 Background The separation of children from their parents and their prolonged detention for an indefinite period of time raise profound concerns that transcend partisan politics and demand immediate resolution. Forcibly separating children from their parents is like setting a house on fire. Preventing rapid reunification is like blocking the first responders from doing their job. And subjecting children to prolonged...
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Trauma-Informed Care as a Universal Precaution: Beyond the Adverse Childhood Experiences Questionnaire [jamanetwork.com]
By Nicole Racine, Teresa Killam, and Sheri Madigan, JAMA Pediatrics, November 4, 2019 Experiences of childhood adversity are common, with more than 50% of adults reporting having experienced at least 1 adversity as children and more than 6% exposed to 4 or more adverse childhood experiences (ACEs). There is currently a controversial debate in the medical field as to whether the ACEs questionnaire, which asks about abuse, neglect, and household dysfunction before age 18 years, should be...
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Trauma Mama: Little Girl Riding Shotgun in My Psyche
“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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Untreated perinatal paternal depression: Effects on offspring (www.ncbi.nlm.nih.gov)
Note: So many of us mistakingly believe hormone-related changes in pregnant women are the only cause of depression for new parents. Not so, as many fathers and adoptive parents know. This abstract suggests the following: Hence, facilitating access to vigorous and evidence based treatments is a public health opportunity for improving the quality of life of depressed parents and their children. Evidences emerging from this review actually suggest that the traditional gender-focused approach to...
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Vibrant and Healthy Kids: Aligning Science, Practice, and Policy to Advance Health Equity [nationalacademies.org]
By National Academies of: Science, Engineering, and Medicine, July 25, 2019 Early experiences and life circumstances shape prenatal and early childhood development, with powerful impacts on the developing brain and body that shape health outcomes across the life course and can span generations. The preconception, prenatal, and early childhood periods are critical phases of development that help set the odds for lifelong health and well-being. All children deserve the opportunity to meet...
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‘We are just destroying these kids’: The foster children growing up inside detention centers [Washington Post]
Photo credit and caption: Heard leaves the courtroom at the Boone County Courthouse in Madison. He hopes to train to be a tattoo artist. (Sarah L. Voisin/The Washington Post) Dec. 30, 2019 Though he's never been convicted of a crime, Geard Mitchell spent part of his childhood in a juvenile detention center, at times sleeping on cement floors under harsh fluorescent lights left on through the night during lockdowns. He attended high school by clicking through online courses and had “no one to...
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What a Pediatrician Can Do for a Child Seeking Asylum-And What She Can't [newyorker.com]
By Rachel Pearson, The New Yorker, October 8, 2019 On a cool spring afternoon, in a clinic that serves refugee and immigrant families, I sit across from a teen-age girl. She is otherwise known as an unaccompanied alien child, or U.A.C. She left her home in Central America, crossed the southern border, and was detained for a week—in Texas, she thinks—in a facility where breakfast was a cold bean burrito, lunch was a cup of microwavable noodle soup, and dinner was a cold bean burrito. She says...
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What If We Could Reach Families Before the Crisis? There Would Be Fewer Kids in Foster Care [chronicleofsocialchange.com]
It’s no secret that our foster care system is overburdened. More than 250,000 children enter foster care each year. We don’t have enough foster families to meet this demand, and we don’t have enough adoptive families either. At the end of 2017, 123,000 kids around the country were still waiting to be adopted into a family. But what if the only answer isn’t recruiting more foster and adoptive parents? Are there other things we can do? What if the answer is recruiting more communities to get...
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How a famous hospital turned around its low rate of screening moms for depression [CenterForHealthJournalism.org]
With two maternal mental health bills on the California governor’s desk and one already signed , a Los Angeles hospital’s work to screen new mothers for depression could soon become a statewide model. Cedars-Sinai in Los Angeles worked hard to bring up its low rate of screening postpartum women for depression. If signed, one of the new bills would require obstetric teams to do the same. The hospital’s screening success is largely due to the dogged persistence of clinical psychologist Eynav...
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How Does Trauma Affect a Person’s Interaction with Their Child? (www.nicabm.com) & Commentary
Has anyone seen this video posted on the National Institute for the Clinical Application of Behavioral Medicine (NICAMB) blog? "According to Dr. Ruth Lanius, a parent's experience of trauma can impact their ability to form a close, intimate relationship with their child." Ruth Buczynski, PhD Those of us Parenting with ACEs sure know that's the truth. Developmental trauma impacts our ability to form close and intimate relationships with ourselves, other adults and our children. The video was...
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How It Feels & How We Heal: Parenting with ACEs Chat Quotes (You Tube, Database, PDFs, Links)
Parenting with ACEs is sharing inspiration, information, and expertise from our chat series in 3 formats. Parenting with ACEs: How It Feels & How We Heal Quote Collection (pdf version below as well) Quotes Database (pdf version below as well) Links to Chat Transcripts and before and after-the-chat blog posts. Thanks to everyone who showed up, who shared, and who is doing the important work that is our mission (prevent ACEs, heal trauma, build resilience). We know that work happens...
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How to get more low-income moms screened for depression? CMS says, ‘Bill me!’ [CenterForHealthJournalism.com]
In recent years there’s been a surge in awareness of how common and debilitating maternal depression can be. As the research accumulates and media coverage keeps apace, the idea that depression and related disorders can wreak serious havoc on a mother and affect her baby’s development has given fresh urgency to efforts to get moms more help. Among policymakers, growing recognition of the problem has translated into new programs, with a number of states encouraging screenings and treatment.
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Hunger Moves to the Suburbs [sfchronicle.com]
By Tara Duggan, San Francisco Chronicle, November 4, 2019 Most people think of people lining up at food pantries and soup kitchens as an urban phenomenon. But in Alameda County, which has one of the highest rates of food insecurity in the Bay Area, an increasing number of people living in the suburbs are also having trouble affording food. That includes Livermore, a city in the Tri-Valley area that’s better known for its wineries. “When people think of homelessness and poverty, they don’t...
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I Thought My Kids Were Too Old for Me to Have Postpartum Depression. But I Couldn't Deny the Awful Reality (Time Magazine)
By Andrea Barber, November 6, 2019, Time Magazine I can’t exactly pinpoint one thing that led to my ultimate breakdown. Rather, I believe it was a collection of stressors that slowly eroded away my ability to cope. My son Tate, like most preschoolers, went through a period of one illness after another: fevers, double ear infections, respiratory problems, stomach pain that we feared was a ruptured appendix. Illness on top of illness led to a trip to the ER. And then an overnight stay at the...
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Immune Biomarkers of Early-Life Adversity and Exposure to Stress and Violence - Searching Outside the Streetlight [jamanetwork.com]
By Nicole R. Bush and Kirstin Aschbacher, JAMA Pediatrics, November 4, 2019 Evidence of an association between early-life adversity and heightened risk of chronic disease in adulthood has been found, but the optimal biomarkers for identifying vulnerable or resilient individuals remain unclear. Global trends, including widening socioeconomic disparities, the refugee crises, and climate change, increasingly sculpt trauma exposure and call for scalable early-risk identification and treatment...
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Intergenerational Impacts of Family Violence - Mothers and Children in a Large Prospective Pregnancy Cohort Study [thelancet.com]
By D. Gartland, R. Giallo, H. Woolhouse, F. Mensah, and S.J. Brown, August 18, 2019 Violence and other adversities commonly co-occur, yet are usually investigated individually. The primary objectives of this paper are to investigate: (i) the relationship between maternal exposure to violence (including childhood abuse and intimate partner violence) and postpartum mental and physical health; and (ii) the extent to which exposure to violence and poor maternal mental and physical health are...
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Introduce mental health checks for new mothers, ministers told Six-week checkup would help the 50% of UK mothers with mental health problems
New mothers should receive a mental health checkup six weeks after giving birth to help tackle possible postnatal depression and other problems related to having a baby, ministers have been told. A cross-party group of 60 MPs and peers have written to Steve Brine, the minister for public health and primary care, demanding that all mothers in England have an assessment of their emotional and mental health carried out by a GP, practice nurse or health visitor. They say that making such...
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Introducing NEW Becoming Trauma-Informed & Beyond Community
Earlier this year @Dawn Daum wrote to us when she was ready to share ACEs science with people in the organization she works in to make a case for moving towards more trauma-informed care for the benefit of the staff and those they serve. She was frustrated because almost all the training and resources she found were geared towards schools, clinical staff or to organizations working with children and families rather than ACE-impacted adults in the workplace and who are...
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Lesson learned integrating ACEs science into health clinics: Staff first, THEN patients
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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Love as Destiny: A Former Foster Youth's Journey in Motherhood [chronicleofsocialchange.org]
By Katarina Sayally, The Chronicle of Social Change, October 25, 2019 If you haven’t heard enough stories about what breaking the intergenerational cycle of foster care looks like, I want to share one. This is our story, and it’s a good one. When I found out I was pregnant, the only fear I had was, “What if my baby ends up in foster care?” As a former foster youth who works in the field, I am constantly reminded of this possibility. One study found that mothers in foster care were twice as...
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Making the Good Stuff Louder: Trauma Dad, Bryon Hamel
Byron Hamel, (AKA Trauma Dad ), is a filmmaker , children's rights and men's wellness advocate. He's also a father with "ACEs through the roof," who survived child torture at the hands of a man now on death row for infanticide. Before the Father & ACEs chat started last week (see full chat transcript ), we discussed if and how to give a trigger warning. Hamel's experienced horrific trauma during childhood. He didn't want to traumatize those on the chat but wanted to be honest.
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Maternal Depression and Intimate Partner Violence: Impacts on Children [aappublications.org]
Among the many adverse childhood experiences, one must consider are the effects of maternal depression and of mothers being the victim of physical or sexual violence. What is the toll of these on children? Neamah et al. ( 10.1542/peds.2017-3457 ) decided to evaluate this by looking at the strength of such an association on the cognitive development as well as physical growth of over a thousand toddlers between 18 to 36 months living in Tanzania. These children underwent developmental testing...
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Maternal Mental Health (CA) 2019 Legislation [2020mom.org]
2020 Mom Sponsors .... We are a sponsor of the following MMH bills: AB 845: CA Medical Board: Optional Obstetric Provider Mental Health Training – View fact sheet AB 1676: Telepsychiatry Consultation for Obstetricians, PCPs and Pediatricians – View fact sheet We support the following MMH bill: AB 577: Extends MediCal coverage to 12 Months for Moms Diagnosed with an MMH Disorder We support the following Mental Health bills: SB 66: FQHCs- Payment for Mental Health Services when Medical...
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Medicaid can vastly improve maternal health, study [Modern Healthcare]
Expanded access to Medicaid was associated with 1.6 f ewer maternal deaths per 100,000 women compared with states that didn't expand the program, according to a new study. The i nfant death rate also fell more dramatically in Medicaid expansion states—by more than 50% from 2010 to 2016. Those findings were in a report released Wednesday by the Georgetown University Center for Children and Families. Researchers found that expansion states saw greater drops in the uninsured rate among women...