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PACEs in Maternal Health

Tagged With "Families First Coronavirus Response Act"

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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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Maternal Depression and Intimate Partner Violence: Impacts on Children [aappublications.org]

Alicia Doktor ·
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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“Momnibus” Bill Package Targets Black Maternal Health Disparities (Patient Engagment)

Karen Clemmer ·
By Sarah Heath, March 12, 2020, Patient Engagement A package of legislative proposals aims to prop social determinants of health funding to target black maternal health disparities. The package of nine bills, titled the Black Maternal Health Momnibus Act of 2020 , is sponsored by Representatives Lauren Underwood and Alma Adams, as well as Senator Kamala Harris. The legislation builds on existing laws focusing on black maternal health disparities specifically by supplanting efforts to address...
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More Clinicians Need to Address Postpartum Depression and other Postpartum or Perinatal Mood and Anxiety Disorders

Robyn Brickel, M.A., LMFT ·
“It’s okay to tell me that you’re not okay.” Postpartum depression (PPD) and postpartum or perinatal mood and anxiety disorders (PMADs) are the most common medical concerns for women after childbirth. Yet few medical and mental health professionals really know how prevalent and serious PPD and PMADs are. There is a great need for better screening to identify women struggling with postpartum disorders. Likewise, more therapists and mental health providers need to know about treatment...
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Need 45 Trauma-Informed Practitioners or Clinicians For Study on Using a Brain Regulation Headband-Bellabee Designed To Help Trauma Survivors Regulate Their Brains.

Mary Giuliani ·
Need 45 Trauma-Informed Practitioners or Clinicians For Study on Using a Brain Regulation Headband-Bellabee Designed To Help Trauma Survivors Regulate Their Brains. All trauma informed practitioners who are suffering with or who work with adults or children suffering with C-PTSD, PTSD, Developmental Trauma, Depression, Anxiety, ADHD & Sleep Disorders are welcome to apply to be considered for this study. We currently have 41 applicants, and applicantions are approved on a first come first...
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New Postpartum Depression Drug Could Be Hard To Access For Moms Most In Need [NPR]

Karen Clemmer ·
One in nine women in the United States suffer from depression after childbirth. For some women, postpartum depression is so bad that they struggle to care for their children and may even consider or attempt suicide. This week, the Food and Drug Administration approved a new drug that can help, the first drug approved specifically for postpartum depression. While researchers and clinicians are excited about the drug's potential, some foresee obstacles to making it available to women who need...
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No ACEs, low resilience worse than high ACE and resilience scores, study finds

Laurie Udesky ·
What does measuring resilience tell us about pregnant women who have experienced ACEs? For one thing, it affirms that understanding how a mom-to-be weathers difficult experiences gives greater meaning to her ACE score and what it might mean for her children. That was one of the takeaways from a recent study in the Journal of Women’s Health entitled “ Adverse Childhood Experiences and Mental and Behavioral Health Conditions During Pregnancy: The Role of Resilience ,” says Dr. Carey Watson,...
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Nobel Winner’s Research Shows Home Nurse Visits for New Moms Boost Children’s Cognitive Skills [The74Million.org]

Samantha Sangenito ·
When medical professionals make home visits to first-time mothers, their children’s cognitive skills and socio-emotional development improve, reports a new paper authored by acclaimed economist James Heckman. The study is the latest evidence from the Nobel Prize winner that such initiatives, while benefiting children of both genders, make a greater impact on boys. Heckman’s research focuses on one of the first implementations of the Nurse-Family Partnership, a home visitation program that...
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NPPC shares lessons learned and results from ACEs screening pilot sites

Laurie Udesky ·
For Dr. Mercie Digangi, a pediatrician at Kaiser Southern California in Downey, CA, ACEs screening provided a crystal clear before-and-after in how she changed treatment plans for her pediatric patients, she explained to attendees of a December 2 webinar organized by the National Pediatric Practice Community on ACEs (NPPC) and cosponsored by ACEs Connection. Dr. Mercie Digangi One case that turned ACEs screening into a never-go-back moment for her was a three-year-old who was speech-delayed.
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One way Childhood Trauma Leads to Poorer Health for Women [news.osu.edu]

By Jeff Grabmeier, Ohio State News, September 17, 2019 Researchers have long known that childhood trauma is linked to poorer health for women at midlife. A new study shows one important reason why. The national study of more than 3,000 women is the first to find that those who experienced childhood trauma were more likely than others to have their first child both earlier in life and outside of marriage – and that those factors were associated with poorer health later in life. The findings...
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Opinion: To End Intimate Partner Violence, We Must Focus on Racial Justice and Healing [calhealthreport.org]

By Marc Philpart and Jacquie Marroquin, California Health Report, November 13, 2019 Like millions of Californians, the crisis of intimate partner violence has had a profound impact on our lives. The violence our family members experienced has created a ripple effect, setting us each on a unique journey for healing—as individuals, as families and as a community. While our journeys have been distinct, they have led to a similar understanding: Ending domestic violence is possible, but only if...
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Opioid-Dependent Newborns Get New Treatment: Mom Instead of Morphine [CHCF]

Karen Clemmer ·
Aug 1, 2019, Dana G. Smith, for CHCF When babies are born dependent on opioids, typically they are whisked away from their mothers, put into the neonatal intensive care unit (NICU), dosed with morphine to get them through withdrawal, and gradually weaned off the drug—a process that can take weeks. Research now suggests that this long-established standard of care may be the worst way to care for a newborn with opioid dependency, or neonatal abstinence syndrome (NAS). The NICU is busy, noisy,...
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Overdose and suicide among top causes of death for new moms in California, study finds [Sacramento Bee]

Gail Kennedy ·
By Elizabeth Shwe, The Sacramento Bee, June 14, 2019 Drug overdose and suicide are leading causes of death among California mothers within the first year after delivery, a recent study shows. Professor Sidra Goldman-Mellor of UC Merced and Professor Claire Margerison of Michigan State University found that drug overdoses were the second-leading cause of postpartum death and suicide was the seventh in California. Both constitute around 20% of all California postpartum deaths from 2010-2012.
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Paid leave for parents during COVID-19 Emergency

Catherine H. Myers ·
Paid leave for parents during COVID-19 emergency
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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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Parents of premature babies face a further trauma - PTSD [BBC News]

Karen Clemmer ·
BBC News July 28, 2018 Suzanne Ruart's son Aiden spent three months in a neonatal unit as a result of being born three months early. A year after her son came home Suzanne realised she'd been suppressing symptoms of post-traumatic stress disorder (PTSD). "After the first time I saw him resuscitated I developed a crippling anxiety that every time I walked into the neonatal unit there would be bad news, and this anxiety has never really left me since. "I manage it now because I talk a lot...
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Penn Nursing Conference Stresses Need for Mental Health Awareness in Health Care [thedp.com]

By Anya Tullman, The Daily Pennsylvanian, October 21, 2019 A student-run conference in the School of Nursing Saturday drew nearly 200 students and community members to talk about incorporating mental health awareness into health care. The "Reimagining Mental Health" conference featured speakers from across the Philadelphia and Penn communities who discussed harm reductionist and trauma-informed approaches to health care. "Harm reduction" refers to the practice of medical professionals...
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Perinatal Trauma Informed Care and the Trauma Sensitive Intake

Kate White ·
Monday, March 4, marks the beginning of Birth Psychology Month for the Association for Prenatal and Perinatal Pyschology and Health (APPPAH). This monthlong celebration features a panel of speakers around trauma informed practices for pregnancy, birth, and postpartum care. APPPAH received a grant for this project, so live lectures are free. Our first two speakers will be on Monday at 7 pm and 8:30 pm Eastern time. Jennie Birkholz, Principal of Breakwater Light, LLC, Trauma informed educator...
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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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Please stop saying parenting is hard for everyone & read Parenting with PTSD instead

Christine Cissy White ·
Sometimes, we feel anxious, intrusive, or afraid when changing or bathing or own babies. Sometimes, we feel sick to our stomachs and worried while potty training, nurturing, or disciplining our toddlers. Sometimes, we feel shame-filled and ill-equipped when talking about puberty, body parts, or sexuality because of how and where we were compromised by caregivers as children as in our bodies, homes, and families. P arenting is brutally hard for some. If affection, attention and intimacy have...
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Pregnant Behind Bars: What We Do And Don't Know About Pregnancy And Incarceration [NPR]

Karen Clemmer ·
There are 111,616 incarcerated women in the United States, a 7-fold increase since 1980. Some of these women are pregnant, but amid reports of women giving birth in their cells or shackled to hospital beds , prison and public health officials have no hard data on how many incarcerated women are pregnant, or on the outcomes of those pregnancies. A study published in The American Journal of Public Health Thursday changes that. The study included 57 percent of the US prison population (New...
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Prenatal Strategies to Support Families in Iowa

Sarah Welch ·
How can we build a sturdy foundation for children from the start? This updated white paper from the Iowa ACEs 360 Coalition examines the stress expecting mothers in Iowa are experiencing and prenatal strategies to create the best outcomes for the whole family.
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Preventable trauma in childhood costs north America and Europe US$ 1.3 trillion a year [WHO]

Karen Clemmer ·
By World Health Organization (photo by WHO/Malin Bring) The findings of a new study on the life-course health consequences and associated annual costs of adverse childhood experiences (ACEs) show that preventable trauma in childhood costs north America and the European Region US$ 1.3 trillion a year. The article, published in the Lancet and co-authored by Dinesh Sethi and Jonathon Passmore, Programme Manager, Violence and Injury Prevention, WHO/Europe, looks at the legacy of ACEs and their...
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What pandemic dreams may come (The Harvard Gazette)

Karen Clemmer ·
By Colleen Walsh, May 14, 2020, Staff Writer, The Harvard Gazette. Harvard researcher says many having nights full of bugs, masks, and natural disasters This is part of our Coronavirus Update series in which Harvard specialists in epidemiology, infectious disease, economics, politics, and other disciplines offer insights into what the latest developments in the COVID-19 outbreak may bring. Much of Deirdre Barrett’s work has involved the study of dreams, particularly the distressing dreams...
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What You and Your Family Need to Know About Maternal Depression [nytimes.com]

Alicia Doktor ·
For the first time, a national health panel has recommended a way to prevent depression during and after pregnanc y. This condition, known as perinatal depression, affects up to one in seven women and is considered the most common complication of pregnancy. The panel, the United States Preventive Services Task Force, said two types of counseling can help keep symptoms at bay. Its recommendation means that under the Affordable Care Act, such counseling must be covered by insurance with no...
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When Parents Fear "It's All My Fault"

Claudia Gold ·
Many of my colleagues in the field of early childhood mental health work with what are termed "high risk" populations. Children of drug addicted parents, victims of child abuse, and families in abject poverty. While the challenges these families face are daunting, I find myself feeling some envy for my colleagues whose clients are in such obvious distress that the need for intensive treatment of parent and infant is not in question. In my rural, small-town population things are not so clear.
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When Your Kid is Too Good for Brené Brown

Christine Cissy White ·
Childhood, like literature, lasts." Lance Woolaver, paraphrased from his book, Maud Lewis: The Heart at the Door. Even in the midst of conflict, I have known moments of maternal bliss. I had one just recently when my daughter and I hit a snag. It wasn't one of the ugly, awful or prolonged kinds. That's not due to me though. That's mostly because my kid has a practical, logical and rational nature which does not clash with my more emotional, reactive and fearful one. We are alike enough to...
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Why Aren't We Talking About Postpartum Mood Disorders in Immigrant Women [PMag.com]

Samantha Sangenito ·
About six weeks after she gave birth to her first son, Jaya, an immigrant from India to the United States, began to suffer feelings of inadequacy as a mother. She felt sad, helpless, useless to her newborn and husband. She imagined her death and described it to her mother over long-distance calls. "I told her that I felt reckless," she says. "I didn't feel the need to be careful about myself and my safety." Jaya (not her real name) began to cross busy intersections with less caution, hoping...
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Why pregnant women with depression often slip through the cracks [theconversation.com]

Alicia Doktor ·
Judy’s first pregnancy was planned, and she was looking forward to having a baby. Yet, halfway through the pregnancy, something changed. She began to feel down and bad about herself. She had less energy and struggled to concentrate. Thinking this was a normal part of pregnancy, she ignored it. After she delivered her son, it all got worse. She felt as if she was in a black hole of sadness. She often gave her son to her mother, thinking he was better off without her. It wasn’t until a year...
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Why Treating Postpartum Depression As Trauma is Key to Good Care

Robyn Brickel, M.A., LMFT ·
Most health professionals understand postpartum depression (PPD) and other mood disorders are a serious mental health concern. Raising awareness of postpartum mood and anxiety disorders (PMADs) is so important for two reasons. First, professionals need to be more proactive with evaluation and diagnosis. Women very often hide their struggle with overwhelming anxiety, worry and depression. Just because a new mom arrives for a checkup, nicely dressed and with her makeup on, it’s not safe to...
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Why We Suck (at Self-Soothing & Self-Care): Dr. Dawn O'Malley

Christine Cissy White ·
Without yoga and coffee, I'm kind of a jerk. These are my personal "puppy uppers and doggie downers" and prevent me from being cranky, quick to cry, and ready for conflict. Coffee and calming make life more manageable. Humans even seem tolerable. Without them I might veer into hating humans for being so needy which is not a great trait for a parent, partner or a professional. Or a self. My partner says coffee and exercise are acts of kindness, service as promote public safety. In other...
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Yoga Transformed Me After Trauma and Sexual Assault [yogajournal.com]

Laura Pinhey ·
Laura's note: This story of sheer determination of transformation of self and community in the face of personal trauma AND systemic racism is breathtaking. Be warned: it may blow you away, as it did me. As a child, Ebony Smith survived sexual assault but didn’t have the tools to cope with the trauma until years later, when she found yoga. Now, she’s bringing the practice to her community, and others in crisis. Exactly 247 people came to practice yoga with me today. Why is that such a big...
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Yolo County Mental Health Services Act (MHSA) 3 year proposed budget includes MMH and Trauma Informed Care for training!

Anna Sutton ·
Yolo County's progressive and collaborative nature once again allows for critical issues to be addressed and proposed for funding. Proud to be in Yolo and thanks to our Yolo County MHSA team and stakeholders for lifting up trauma informed care and Perinatal Mental Health as training needs! While the 3 year budget has not been approved, we are thrilled that these two topics have made it into the proposal under WET funds (Workforce, Education & Training!). As a stakeholder, you have a...
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Yolo Crisis Nursery: The power of partnership [davisenterprise.com]

Alicia Doktor ·
Sara is a young, pregnant, single mom who didn’t know where to start. There were so many wolves at the door and she had no clue as to which one to take on first, or even if any of them could be driven away. Her toddler son had just been removed from another child-care center due to behavioral challenges. Without child care, Sara was on the brink of losing her job, which meant the family would be evicted from their apartment and forced to live on the streets. It seemed she had nowhere to...
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Young adults with PTSD may have a higher risk of stroke in middle age (UNC Healthcare)

Karen Clemmer ·
Lindsey Rosman, Ph.D., assistant professor in the division of cardiology, is the lead author of the study, the story was published on Oct 17, 2019, for UNC Healthcare and UNC School of Medicine. CHAPEL HILL, N.C. — Oct. 17, 2019 — Young adults who suffer from posttraumatic stress disorder (PTSD) may be more likely to experience a transient ischemic attack (TIA) or major stroke event by middle age, raising the risk as much as other better-known risk factors , according to new research...
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Babies born to mothers using WIC are 33% less likely to die in 1st year of life: Study (ABC News)

Karen Clemmer ·
By Dr. Monica Saxena, December 5, 2019, ABC News. The study compares mothers who are on the program to those who aren't. The children of low-income mothers who benefit from the federal government's Special Supplemental Nutrition Program for Women, Infants and Children are one-third less likely to die during their first year of life than babies born to mothers without WIC benefits, according to a new study. The study, published in the Journal of American Medicine, comes as many federal...
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BBC News: Third of mothers' experience mental health issues

Karen Clemmer ·
More than a third of mothers have experienced mental health issues related to parenthood, according to an online survey of 1,800 British parents by the BBC Radio 5 live and YouGov. The study revealed that, in comparison, 17% of fathers had experienced similar issues. More than two-thirds of the affected mothers sought professional help - suffering from conditions such as acute stress, severe anxiety and postpartum depression. 'All mums feel like that' Lauren Doyle experienced post-traumatic...
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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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Beyond The Preventing Maternal Deaths Act: Implementation And Further Policy Change [Health Affairs]

Karen Clemmer ·
By Katy B. Kozhimannil, Elaine Hernandez, Dara D. Mendez, Theresa Chapple-McGruder. Feb 4, 2019, Health Affairs Maternal mortality is a death that occurs during pregnancy or within one year postpartum from “a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy.” In the United States, maternal mortality is a clinical, public health, and social crisis. Between 1990 and 2013, maternal mortality...
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CA announces robust perinatal depression prevention for Medi-Cal recipients

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

By Jade Hindmon, KPBS, September 12, 2019 California has the lowest maternal mortality rate in the country, according to the United Health Foundation's health rankings. But black women in California continue to die at a rate three to four times higher than white women from pregnancy or delivery complications. Several advocacy groups believe racial bias in the health care system in to blame. To address the disparity, California lawmakers approved Senate Bill 464, the California Dignity in...
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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 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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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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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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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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Congress Passes Groundbreaking Postpartum Depression Legislation [HuffingtonPost.com]

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