Tagged With "maternal infant separation"
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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)
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,...
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Assembly Appropriations Committee Advances Maternal Health Bills that Address Disparities in NJ Maternal Mortality Rates [Insider NJ]
Assembly Appropriations Committee Advances Maternal Health Bills that Address Disparities in NJ Maternal Mortality Rates (TRENTON) – As part of a statewide effort to address disparities in maternal mortality rates between African-American and white women, and to reverse the trend that ranks New Jersey 47 th among the states in maternal mortality with 37.3 deaths per 100,000 live births, a maternal health package introduced last month continues to advance in the Assembly with 16 measures...
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Association of Exposure to Civil Conflict With Maternal Resilience and Maternal and Child Health and Health System Performance in Afghanistan [jamanetwork.com]
By Nadia Akseer, Arjumand Rizvi, Zaid Bhatti, et al., JAMA Network Open, November 8, 2019 Key Points Question: Is conflict severity associated with the performance of health systems and population health outcomes in Afghanistan during the 2003 to 2018 reconstruction period? Findings: In this survey study of 64 815 women in Afghanistan, notable health and health system improvements were made despite increasing conflict after 2010. However, regions with greater conflict had lower gains in...
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Re: Doulas & Covid-19: A toolkit for doulas (DONA International)
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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Re: Opioid exposed Newborns - are we missing the mark and forgetting about MOM?
Hello Anna Thanks for the posting and the IDEA of the The Mother-Infant dyad is really a interest of mine. Not so much about my own biological mothers chemical addictions , but more from the perspective her being a Untreated-incest survivor and the daughter of a raging alcoholic mother. My biological grandmother had her own demons that I am not yet aware of. However I would like to listen to learn from the many of you who can connect me with other heterosexual men who have had to overcome...
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Re: Opioid exposed Newborns - are we missing the mark and forgetting about MOM?
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...
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Re: Learning To Care For My Newborn Was A Humbling Experience [npr.org]
Becoming a parent is a humbling experience - so much more incredible and complicated than I ever imagined. New parents need a circle of support - as often happens in other countries. And, in the US we need maternity leave policies that support families. Families that feel supported report feeling less stressed. Reduced stress is linked to decreased risk for child abuse. Lovingly caring for an infant that is awake and crying for nearly 48 hours is stressful! let's find ways to support...
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Re: A community-based approach to supporting substance exposed newborns and their families
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...
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Re: NICU Moms 70% More Likely to get a Maternal Mental Health Disorder [huffingtonpost.com]
Jessica, thank you for bravely sharing the back story to your interest in maternal mental health! I wonder if you will be the person who helps another mom seek help? Just like from the article, " i t was a friend who had struggled with PPD herself who finally urged her to get help " . Thank you so much! Karen
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Re: NICU Moms 70% More Likely to get a Maternal Mental Health Disorder [huffingtonpost.com]
Thank you for posting this and sharing a little of your story Jessica. Powerful article that we need for health care providers to see!
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Re: Adverse Childhood Experiences (ACE) Study: Beyond Screening in Pediatrics
Claudia Gold thank you for your post, blog, book and presentations. I work for APPPAH, the Association for Prenatal and Perinatal Psychology and Health. We developed an Aderse Early Experience questionnaire and Resilience score. Here is the link: https://birthpsychology.com/we...liency-questionnaire . I have developed a model of infant trauma informed care that starts preconception and am proposing to present at the next Zero to Three. I would love to talk further with you. Kate White
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Experts Fear Increase in Postpartum Mood and Anxiety Disorders [nytimes.com]
By Pooja Lakshmin, The New York Times, May 27, 2020 After going through a harrowing bout of postpartum depression with her first child, my patient, Emily, had done everything possible to prepare for the postpartum period with her second. She stayed in treatment with me, her perinatal psychiatrist, and together we made the decision for her to continue Zoloft during her pregnancy. With the combination of medication, psychotherapy and a significant amount of planning, she was feeling confident...
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State budget signed [childrennow.org]
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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The Cinderella Phenomenon: When One Child Is the Target of Abuse
Photo credit Unsplash.com/🇸🇮 Janko Ferlič (The article below is an excerpt from my book, Crazy Was All I Ever Knew: The Impact of Maternal Mental Illness on Kid s. I have used a pseudonym to protect the privacy of family members.) As a child, I lived in dread that something would set my mother off and she’d fly into a violent rage, unleashing a torrent of physical abuse. There never was any reason for the abuse. There didn’t have to be. Something would invariably infuriate my mother. I...
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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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Role Definitions for Perinatal Mental Health (Maternal Mental Health Scotland)
By Clare Thompson, August 25, 2020, Maternal Mental Health News. The Perinatal Mental Health Network have published Role Definitions to support NHS Boards develop their specialist perinatal mental health services. Here are some highlights – the full document is available here . PERINATAL MENTAL HEALTH NURSES PERINATAL MENTAL HEALTH MIDWIVES PERINATAL PARENT-INFANT THERAPISTS PERINATAL MENTAL HEALTH NURSERY NURSES PERINATAL CLINICAL PSYCHOLOGISTS [ Please click here to read more. ]
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CBT-Based Group Intervention Improves Perinatal Depression and Maternal Sensitivity
By MGH Center for Women’s Mental Health, August 26, 2020. Previous research has shown that higher levels of depressive symptoms during pregnancy may be associated with lower levels of maternal-fetal attachment (MFA). Other studies have indicated that poor MFA is a significant predictor of worse outcomes in terms of mother-infant interactions and infant attachment security. A new study looks at an intervention designed to treat maternal depression and assesses the impact of this intervention...
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Infant Feeding During COVID: Strategic Planning for Pregnancy, Postpartum and Beyond [ucsf.edu]
Nationally, Black women have the lowest rates of breastfeeding initiation in comparison to any other racial/ethnic groups. Black babies are dying at twice the rate of White babies and according to the CDC, increasing breastfeeding among Black women can decrease infant mortality rates up to 50 percent. In honor of Black Breastfeeding Week (August 25th – 31st), we partnered with the BreastFriends Mommy Group in West Oakland to explore why these rates look different for Black women and...
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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
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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Report on WIC Role in Reducing Maternal Mortality (California WIC Association)
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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Maternal Mental Health
Like many of you, I’m a bit out of sorts and somewhat disoriented right now. Our collective mental health is deteriorating during Covid-19. Recent stats report an increase from 20-40% of adults struggling with mental illness since the advent of the pandemic. Maternal mental health is particularly at risk. Helping children with distance learning, navigating exposure to the news, trying to keep life a bit “normal”, keeping family members fed and supplied, juggling career and income loss, all...
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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
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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Re: 8 Categories of Adversity That Shape Health: Adverse Babyhood Experiences (ABEs), ACEs, and More
Gosh @Veronique Mead -- THANK YOU for this -- what a tremendous resource document you've created.
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Re: 8 Categories of Adversity That Shape Health: Adverse Babyhood Experiences (ABEs), ACEs, and More
So glad it feels helpful Lisa!! I plan to share a more detailed post on ABEs here in the future!!
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Attachment Trauma: The Unique Impact of ACEs in Infancy
"Attachment Trauma is the severe disruption or dysfunction of the infant-maternal bond. This can result from stress and dysfunction in the family, mental health problems in the mother, and/or extended separation from the mother. These are traumatic experiences regardless of when they occur during childhood. However, when they occur during the first 2 years of life they have a uniquely damaging impact, leading to Attachment Trauma." Originally posted at CPTSDFoundation.org: ...
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To solve the Black maternal mortality crisis, start with upending racist practices
It’s been all over the news for months: Black women in the United States are dying from complications during their pregnancies or in childbirth at alarming rates, and those deaths are preventable. Less well explored is how systemic racism and historical trauma have been at the core of what’s driven up these rates over several decades. A March 20 conference entitled The Impact of ACEs on Black Maternal Health took an in-depth look into why Black maternal mortality and complications during...
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New ACEs Aware Training Activity - Maternal Mental Health
Maternal Mental Health: Addressing the Impact of ACEs, Toxic Stress and Intergenerational Trauma (TWO DAY TRAINING) WEDNESDAY, MAY 19th & THURSDAY, MAY 20th 9:00 AM - 11:00 AM __________ PLEASE NOTE: This training was created with providers in mind BUT anyone interested in maternal mental health will benefit from the training. *These training activities are available at no cost to participants thanks to a grant through ACEs Aware* SIGN UP TODAY...
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Maternal Health’s Ongoing Mandate for Women of Color: The Call for Wholistic Health Equity
Last month’s CDC declaration that Racism is a public health crisis was long overdue. Yet, vital health and mental health disparities for women of color rage on amid this latest societal call to arms. Too many women of color, their families, and friends lay victim to gaping wounds, residual scars, and profound trauma from egregious maternal health experiences. Current facts speak volumes. The U.S. has the highest rate of maternal mortality among developed nations, rising steadily the past 40...
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Adverse Babyhood Experiences (ABEs): 10 New Categories of Adversity Before a Child's 3rd Birthday (Download Journal Article)
Adverse babyhood experiences (ABEs) are a new construct derived from large bodies of evidence that identify a different group of risk factors from adverse childhood experiences (ACEs). ABEs occur before a child’s 3rd birthday and influence infant as well as maternal morbidity and mortality. ABEs are also risk factors for chronic illnesses and other chronic conditions in the child , symptoms such as postpartum depression and PTSD in parents and offer opportunities for prevention and repair.
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New Child Trends reserach examines how racism drives disparities in maternal and child health
New Child Trends research uses data from Zero to Three’s State of Babies Yearbook 2021 to examine disparities in maternal and child health, and discusses why these disparities exist. The researchers also highlight strategies that policymakers and practitioners can use to promote racial and ethnic equity to improve maternal and child health. For example, paid family leave is tied to lower rates of infant mortality and maternal depression and increased rates of breastfeeding and infant...
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Sensory and Emotional Experience: Linked from Birth (Claudia M. Gold, MD)
Katie and Jason came to me at their wits’ end over four-year-old Mabel’s frequent meltdowns. “She’s been like this from birth,” Katie explained at our first visit. She described needing to nurse Mabel as an infant in a dark, quiet room because she was so easily distracted by sights and sounds. When I asked them to tell me about a recent specific moment of disruption, they described a visit to a county fair. Mabel was clearly so hungry that she was falling apart, yet despite the abundance of...
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Mothers' depression impacts mother-infant relationships (sciencedaily.com)
Research has found that women with depression during pregnancy, or with a history of depression, had a reduced quality of mother-infant interaction at both eight weeks and 12 months after their babies were born. In a study funded by National Institute for Health Research (NIHR) Maudsley Biomedical Research Centre (BRC) researchers examined whether depression, either before or during pregnancy, affects the mother-infant relationship. The research was published Tuesday 25 May in BJPsych Open.
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Creating Space to Discover a Baby’s Intentions (Claudia M. Gold, MD)
At the outset of a Zoom visit with 7-week-old son James in my behavioral pediatrics practice, his mother Sondra explained to me that he is “stiff because of my medication.” While feeding him a bottle she told me she was unable to breastfeed due to the effects of MAT (medicated assisted treatment, now called medication for opioid use disorder, or MOUD.) It was not concern about her current use of methadone, which is widely considered to be safe for breastfeeding, but rather the in-utero...
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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]
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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Rural Hospital Closures Prompt Maternal and Infant Mortality Concerns, Psychological Birth Trauma
This article was initially published in RACmonitor and appears with the publisher’s permission The country’s smallest hospitals continue to be in peril, as are the patients who rely on them. This issue continues to be the reality for rural health with major challenges for the patients and providers in those regions. 7.4% of babies born in the US are birthed at hospitals handling 10 to 500 births a year, or “low-volume” hospitals. In the context of our industry’s fiscal focus, that number...
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Willis & Friends: Transforming Health Systems to Ensure Maternal Well-Being [cssp.org]
Willis & Friends is a monthly webseries on early relational health. About this event The COVID pandemic has highlighted ongoing and long-standing racial inequities in maternal and child health care and financing, as well as the lack of systematic and widespread approaches for the prevention and promotion efforts in ensuring the future wellbeing of U.S. children and youth. Our U.S. populations fare substantially less well than those in other advanced countries in maternal, infant and...
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Self-Care during Pregnancy: Counteracting Negative Impacts of Stress
Upon learning that you are expecting to welcome a new life into this world, you may be hit with a mixture of emotions; sometimes you are unsure how to feel. One emotion every parent is bound to feel is some degree of stress. Stress, the result of a person feeling incapable of coping with a negative situation, affects people differently, and yet no one is immune to the dangers of too much stress. With the growing amount of research on adverse childhood experiences, or ACEs, and their...
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Caring for your mental health after giving birth is about more than postpartum depression (upworthy.com)
Nowadays, postpartum depression is so widely known that people who have never birthed a child know many of the warning signs. But when I had my first child, I was unaware that what I was experiencing wasn’t normal. I was young, and living away from family who could’ve picked up on the signs. Doctors were not as vigilant then as they have been in recent years. I was given a postpartum depression screening at my six-week checkup, and no one asked me any follow-up questions. They handed...
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The Dismal State of Maternal Wholistic Health for Women of Color
Change is long overdue for this massive maternal health chasm of wholistic health disparities, transcending physical, behavioral, and psychosocial health, and particularly for women of color (WOC)
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Multi-level Public Health Resilience Building Intervention For Perinatal Mental Health: Building Maternal Resilience Through Mindfulness Mobile App
Multi-level Public Health Resilience Building Intervention Building Maternal Resilience Through Mindfulness Mobile App Section 1: Background and Epidemiology of the Critical Public Health Issue of Perinatal Mental Health Section 2:Priority population and rationale for geography Section 3: Marketing/Theme Products and Recruitment – Intervention Poster & Radio Ad Section 4: CDC Social Ecological Levels Postpartum depression is a critical public health issue that has been intensified in the...
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I’m a Motherhood Expert. My Ambivalence Is Normal. [nytimes.com]
By Pooja Lakshmin, M.D., The New York Times, May 7, 2022 I’m not someone who dreamed of motherhood as a girl. Quite the opposite. In my early 30s, I had a recurring nightmare in which I was unknowingly pregnant and the fetus felt like a parasite invading my body. Growing up in South Asian culture, which valorizes women’s childbearing and mothering responsibilities above all else, was one reason for my fear. I also got divorced in my late 20s. Becoming a mom didn’t seem like it was in the...
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Patients Lift Their Voices To Advance Maternal Health [www.healthaffairs.org]
By Michele Cohen Marill, Photograph by Michael Thomas, Health Affairs Vol. 41, No. 8, August 2022 Abstract: Designed by and for Black women, a St. Louis–based group prenatal care program incorporates trauma-informed care and behavioral health services. Article: Fluorescent bulbs bathe the basement room in bright light as cheerful as sunshine, even though the windows only look out onto office corridors. Richelle Smith stands before a projection screen, her hands clasped, her voice loud and...
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Program to Strengthen Mother-Infant Bond May Improve Preemie Brain Development [medpagetoday.com]
by Amanda D'Ambrosio, Enterprise & Investigative Writer, MedPage Today September 29, 2022 Bedside counseling aimed at boosting the emotional connection between moms and their newborns was associated with better neurodevelopmental outcomes among preterm babies, according to a trial from Finland. Infants (average age 30 weeks' gestation) whose mothers participated in the Family Nurture Intervention (FNI) experienced frequency-specific network effects in the brain, mainly observed in the...
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Black Maternal Mental Health - Film Screening & Fireside Chat
We invite you to join us on Wednesday, November 9 th at 5:15PM for a documentary screening and conversation on maternal mental health in the Black community. Constructed with service providers in mind (but, open to all), we hope that this virtual offering informs your practice and supports you in providing culturally-responsive and equitable care. We hope to see you there! LINK TO REGISTER: From the Ashes Screening & Fireside Chat Registration About the film: From The Ashes is a...
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A Little Money for Mothers Improves Babies' Brain Development
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).
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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Supporting Infant and Early Childhood Professionals and Community Resilience
In January, Resilient Georgia and the Center for Interrelational Science and Pediatrics received a Georgia Department of Early Care and Learning Community Transformation Grant to launch an Infant and Early Childhood Professional Development Course and Guidebook. Across Resilient Georgia’s 16 regional coalitions , there is a documented need to support the early childhood care and education (ECCE) workforce. Leveraging statewide support for training Georgia’s workforce in the Community...
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Register Now for Inaugural Statewide Summit: Leveraging North Carolina’s Assets to Prevent Childhood Trauma — Virtually & In Raleigh April 27-28!
Information from Summit Brochure and registration site available here . North Carolina’s first Statewide Trauma Summit – a virtual and in-person summit – will beheld Thursday and Friday, April 27-28, in Raleigh, at The McKimmon Conference and Training Center, Summit leaders announced recently. “Momentum is growing in NC for building trauma-informed systems that strengthen resilience and weed out systemic and often intergenerational sources of child trauma. To advance this work, it is...