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PACEs in 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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Confronting depression, anxiety, Navy moms with new babies get help in Norfolk [Navy Times]

Karen Clemmer ·
Kimberly Barnard-Bracey turned to a small group of women inside a room at Portsmouth Naval Medical Center on a recent weekday afternoon. "So what's the topic this week?" said Barnard-Bracey, a licensed clinical social worker. "What've you guys got going on?" Ashley Beer, holding her 7-month-old son, Travis, launched into a story of how she snapped at her husband recently — she was feeling overwhelmed as tasks like cleaning started to add up. "When my kid was that age, I couldn't even get out...
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Consequences of Military Sexual Trauma for Perinatal Mental Health: How Do We Improve Care for Pregnant Veterans with a History of Sexual Trauma?

Megan Gerber MD MPH ·
Sharing our recent editorial which includes a call for TIC in maternity care: "Nevertheless, there are ways in which VA may be able to augment the maternity care pregnant veterans receive to empower and facilitate more trauma-informed approaches to obstetric care. These include investing in programs to ensure peer support, possibly through use of mobile health technology; facilitating collaboration with maternity care providers through provision of handheld/electronic maternity records...
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Coronavirus Threatens an Already Strained Maternal Health System (The New York Times)

Karen Clemmer ·
By Eileen Guo, March 26, 2020, NYT “I didn’t feel like it was unfair of the hospital. I thought it was unfair of the universe.” — Smita Nadia Hussein, a mother of two, who gave birth on March 17 in Morristown, N.J. [This article is a partnership between The New York Times and The Fuller Project . In Her Words is available as a newsletter. Sign up here to get it delivered to your inbox .] On Wednesday, March 18, 28-year-old Latoyha Young and her mother, Thomasina Hayten, rushed to Sutter...
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Donna Jackson Nakazawa Chats Live with Jane Stevens & You: Nov. 14th

Christine Cissy White ·
Featured Guest: @Donna Jackson Nakazawa Topic: Well-Being, Self-Care & ACEs Date: November 14th, 2017 Time: 10 AM PST / 1 PM EST Where: Here / Chats Donna Jackson Nakazawa is an winning researcher, writer and public speaker on health and family issues. She explores the intersection between neuroscience, immunology, and the deepest inner workings of the human heart. Her most recent book, Childhood Disrupted: How Your Biography Becomes Your Biology, and How You Can Heal , examines...
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Doulas & Covid-19: A toolkit for doulas (DONA International)

Karen Clemmer ·
Please the attached toolkit for more information. From the toolkit: Best practices when working with clients Given how new this virus is, we currently have very little data on how it might affect pregnant people and newborns. Guidelines from the CDC outline recommendations for how to support pregnant and laboring people with Coronavirus. (3) There is currently no evidence that the virus is spread from mother to baby in utero, or that it is transmitted in human milk. (4)
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Dr. Gabor Maté & Full-Potential Parenting, Even When It Is Hard

Christine Cissy White ·
Note: Allison Morris had dozens of experts in her summit series through Full-Potential Parenting. I took notes only on those by Donna Jackson Nakazawa , Gabe Maté and Sebern Fisher (coming later this month). Though the audios are no longer available, for free, they can be purchased for $100. or less (depending on the year), here. Forgive me for sounding like an advertisement, I don't know Allison personally. I am a huge fan of all parent-led resources and wish I discovered this series...
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Effects of Preterm Birth

Alicia Losier ·
A baby born prematurely often spends that crucial time for attachment and development of neural pathways in the NICU
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Family First Scholarships for 21st Annual Families and Fathers Conference

James Rodriguez ·
21st Annual Families and Fathers National Conference February 24-27, 2020 Hilton Los Angeles Airport 5711 West Century Boulevard Los Angeles, California 90045 I am honored to announce The Family First Scholarship supported by the Annie E. Casey Foundation as a Title Sponsor and State of California First 5 as a Co-Sponsor for the 21 st Annual Families and Fathers Conference, Next Level 2020! the terms "putting family first" and "it takes a village to raise a child" parallels with why we have...
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Fathers & ACEs with Trauma Dad & Father's Uplift CEO: Tuesday, September 12th

Christine Cissy White ·
What supports exist to "uplift" fathers who have survived abandonment, abuse or torture as children? Where can men go to discuss the joys, struggles and issues of being a father with ACEs? Where are the men who face hard, heavy and complicated realities to make life easier and lighter for all who come after? We found two of them and they will be the featured guests in the next Parenting with ACEs chat . Meet Charles Clayton Daniels, Jr. of Father's Uplift and "Trauma Dad" Byron Hamel. Both...
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Flint’s Children Suffer in Class After Years of Drinking the Lead-Poisoned Water

By Erica L. Green, The New York Times, November 6, 2019 Nakiya Wakes could not understand how her wiry, toothy-grinned 6-year-old had gone from hyperactive one school year to what teachers described as hysterical the next. Then, in 2015, the state of Michigan delivered a diagnosis of sorts: Ms. Wakes’s neighborhood’s water — which her son, Jaylon, had been drinking and bathing in for more than a year — was saturated with lead, at some of the highest levels in the city. Jaylon would cycle...
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For Community Health Centers, a Hands-On Guide to Building Partnerships [chcf.org]

By Carlina Hansen, California Health Care Foundation, October 15, 2019 Before joining CHCF, I spent almost 20 years as executive director of the Women’s Community Clinic in San Francisco. In my time there, we forged some valuable partnerships to serve our clients and community, including our merger with another community health center, HealthRIGHT 360. It was during the merger process that I learned first-hand one of the biggest challenges to forging such partnerships — and it wasn’t what I...
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Foster Care Entries for Parental Drug Use Surge [usnews.com]

Marianne Avari ·
By Katelyn Newman, US News & World Report, July 15, 2019. INCIDENTS OF CHILDREN entering America's foster system as a result of their parents' drug use have surged since 2000, new research shows, coinciding with the country's recent opioid crisis. Using case data from the federally mandated Adoption and Foster Care Analysis and Reporting System, researchers from Cornell and Harvard universities found that 1,162,668 – or nearly 24% – of 4,972,911 entries of children into foster care...
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From Treatment to Healing: Inquiry and Response to Recent and Past Trauma in Adult Health Care [Institute of Women's Health]

Karen Clemmer ·
Abstract: In 2015, a national working group developed and published a conceptual framework for trauma-informed primary care (Machtinger, Cuca, Khanna, Dawson-Rose, & Kimberg, 2015). Since that publication, there has been increasing recognition that childhood and adult trauma underlie and perpetuate many physical and behavioral health conditions seen in health care settings and that addressing trauma could fundamentally improve the experience and efficacy of care for both patients and...
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H.R. 4215 Excellence in Maternal 5 Health Act of 2019

Karen Clemmer ·
IN THE HOUSE OF REPRESENTATIVES Introduced in House (08/30/2019) Mr. Bucshon (for himself, Mr. Carson of Indiana, Mr. Burgess , Mr. Bilirakis , Mrs. Brooks of Indiana, Ms. Herrera Beutler , Mr. Long , Mrs. McBath , and Mr. Walden ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To improve maternal health care quality, to improve the training of health care professionals to reduce or prevent discrimination in certain health care services, to...
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Healthy Spaces December 2019 Webinars

Aldina Hovde ·
Healthy Spaces: Promoting Healthy and Resilient Communities December 2019 Webinars Funding provided by the New Jersey Department of Children and Families The New Jersey Chapter, American Academy of Pediatrics (NJAAP) believes that all children deserve to feel safe and secure in their home, at school, and while at play. The Healthy Spaces program aims to address adverse childhood experiences (ACEs) through partnerships with pediatric/family healthcare teams, schools and communities.
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Healthy Spaces December 2019 Webinars

Aldina Hovde ·
Healthy Spaces: Promoting Healthy and Resilient Communities December 2019 Webinars Funding provided by the New Jersey Department of Children and Families The New Jersey Chapter, American Academy of Pediatrics (NJAAP) believes that all children deserve to feel safe and secure in their home, at school, and while at play. The Healthy Spaces program aims to address adverse childhood experiences (ACEs) through partnerships with pediatric/family healthcare teams, schools and communities.
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Helping women have a better birth and breastfeeding experience during COVID

Rosanne Gephart ·
We at Better Beginnings are actively working to help women have a better birth and breastfeeding experience. Our virtual doulas are available everyday to support women one-to-one through their cell phones. This service is free to the mother call 415-663-6852. We also have taken the Breastfeeding Cafes virtual and continue to see women one on one for serious problems on Mondays by appointment (this requires pre-screening for risk factors). Women need to know their rights during this pandemic...
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Helping Young Children Exposed to Trauma: A Systems Approach to Implementing Trauma-Informed Care [chdi.org]

Marianne Avari ·
By Alysse Loomis, Ph.D. Kellie Randall, Ph.D. Jason Lang, Ph.D., CHDI, June 2019. This IMPACT provides a summary of the research on the effects of early trauma exposure, discusses what Connecticut is doing across systems to support young children who have experienced trauma, and outlines a framework to expand Connecticut's robust system of trauma-informed care for older children to include younger children. There are more than 228,000 children under the age of six years old in Connecticut,...
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Hillary Clinton’s Comprehensive Agenda on Mental Health [The Briefing—Fact Sheets]

The first bullet under Early Diagnosis and Intervention of today’s release of Hillary Clinton’s mental health agenda is titled “ Increase public awareness and take action to address maternal depression, infant mental health, and trauma and stress in the lives of young children.” It states “We also know that infant mental health depends on children forming close and secure relationships with the adults in their lives, and that too many children are growing up in environments that cause them...
Comment

Re: How a famous hospital turned around its low rate of screening moms for depression [CenterForHealthJournalism.org]

Anna Sutton ·
I commend Cedars Sinai for the incredible work they are doing and we can all learn from successful models that screen, refer, diagnose and link to services. We need to learn from them and look closely at all the pieces they put in place to make it work because it can work! BUT.... One of my biggest concerns about proposed legislation which requires an unfunded mandate for screening is this...There has been and continues to be a HUGE shortage in system capacity to refer, diagnosis, treat and...
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A call to action for public health nurses during the COVID‐19 pandemic (Wiley Online Library)

Karen Clemmer ·
Joyce K. Edmonds PhD, MPH, RN , Shawn M. Kneipp PhD , Lisa Campbell DNP . First published: 12 April 2020. https://doi.org/10.1111/phn.12733 Public health nurses (PHNs) are on the frontline of the public health crisis the world now knows as the COVID‐19 pandemic. They serve on mobile strike teams investigating case‐contacts, deliver education on self‐isolation and quarantine through hotlines and home visits, and interpret the rapidly shifting guidance from the Centers for Disease Control and...
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A Conversation with Nadine Burke Harris: How Should Pediatricians Address Childhood Adversity?

Claudia Gold ·
Pediatrician Nadine Burke Harris is a masterful storyteller. I learned in a conversation with her at Wheelock College before her presentation for the Brookline, MA organization Steps to Success , that before she decided to become doctor, Dr. Burke Harris wanted to be an author. Only after the smashing success of her TED talk: How childhood trauma affects health across a lifetime , when she was approached by a literary agent, did she find her way to writing. Her newly released book The...
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A mental health crisis ends in tragedy when police shoot a young mother wielding a gun [Monterey County NOW]

Karen Clemmer ·
For weeks, the 20-year-old had been trying to climb out of an ever-deepening hole. On Feb. 8, she gave birth to her first child, a daughter she named Victoria Guadalupe, but the baby was placed in the care of the Monterey County Social Services Department because, her mother says, Rodriguez Mendoza was found to have drugs in her system and because she had no place to live. She created such a ruckus when the baby was taken from her that she was placed in the psychiatric ward at Natividad,...
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A Message from the President of the Illinois Chapter, American Academy of Pediatrics

Elise Groenewegen ·
Dear Illinois ACE Connection members, Children and families from all demographic and socioeconomic backgrounds in Illinois experience trauma, adversity, and chronic stress. Social determinants such as where we live, work, and play, can further exacerbate positive or negative physical, emotional, and behavioral health issues. The critical factor that determines if a child, family, and/or community can manage trauma, adversity, and chronic stress successfully is resilience : the process by...
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A Wakeup Call About Children's Sleep and What To Do About It [psychologytoday.com]

By Robyn Koslowitz, Psychology Today, November 3, 2019 Only half of children in the United States routinely get enough sleep each night, and this has significant effects on their academic performance and social, and emotional well-being. A comprehensive study analyzed responses from parents or caregivers of 49,050 children, 6 to 17 years old, who were part of the 2016-2017 cohort of the National Survey of Children’s Health. They were queried about how many nights of sleep a randomly selected...
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ACEs Connection, our Cooperative of Communities, and....Pando!

Jane Stevens ·
Last month, we officially launched the ACEs Connection Cooperative of Communities. We are SO excited about this! And the communities that are part of the handful of ACEs initiatives that are piloting the Cooperative are, too! Before describing the Cooperative, I want to reassure our 40,000+ members and 277 ACEs initiatives (plus another 100 in development) that have communities on ACEs Connection that nothing on ACEsConnection.com changes! Membership is and remains free ! And it will remain...
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ACEs Research Corner — November 2019

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

Karen Clemmer ·
ACOG’s Maternal Mental Health Expert Work Group (MMHEWG) is a multidisciplinary collaboration of specialists in women’s health, obstetrics, psychiatry, psychology, nursing, social work, and public health whose aim is to promote the integration of maternal mental health into the delivery of perinatal care. Through efforts focused on current clinicians as well as the next generation of providers, the MMHEWG will lead provider education and support resource identification, vetting, and...
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Adverse Childhood Experiences (ACEs)…Why is Hugging Sooo Very Critical?

Steve Sparks ·
"The reality of my own “adverse childhood experiences” is just catching up with me at age 73. My guess is I’m not alone."
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Aligning, Leveraging Medicaid Across Sectors to Improve Early Childhood [AJMC]

Karen Clemmer ·
Eight states are participating in a project from the Center for Health Care Strategies (CHCS) that aims to break down the silos and the barriers that exist among different agencies and better connect Medicaid to early childhood programs. An infant is born into poverty, and then later, as a young child, may interact with multiple different government agencies and systems—not only Medicaid, but also perinatal health care, early intervention, child care, preschool education, and more.
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Aligning Systems for Health: 2019 Call for Proposals [rwjf.org]

By Robert Wood Johnson Foundation, November 1, 2019 Required Components Aligning Systems for Health will explore the degree to which health equity is impacted or results from current models of collaboration incorporating health care, public health, and social services. Gaps in health are large, persistent and increasing, and RWJF is committed to a system that meets people’s goals and needs and addresses these gaps that many populations face. Studies should include a focus on health equity by...
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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...
Comment

Re: 'They Took My Kid': Rural Docs Help Moms Fight Addiction [medpagetoday.com]

Karen Clemmer ·
From the article: As anyone who's ever been pregnant knows, you have to go to the doctor a lot. If you are someone with a limited income, maybe limited money for gas or unreliable transportation, the ability to come one place and get money through WIC for your food so you can eat enough and have a healthy pregnancy, to see your behavioral health clinician if you're struggling with postpartum depression or a mood disorder. To see an addiction specialist and a doctor who can prescribe...
Comment

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

Rosanne Gephart ·
We at Better Beginnings are actively working to help women have a better birth and breastfeeding experience. Our virtual doulas are available everyday to support women one to one through their cell phones. This service is free to the mother. 415-663-6852. We also have taken the Breastfeeding Cafes virtual and continue to see women one on one for serious problems on Mondays by appointment (this requires pre-screening for risk factors). Women need to know their rights during this pandemic so...
Comment

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

Karen Clemmer ·
Hi Alex, Centering Pregnancy is the model you are referencing, and there is tremendous evidence of the benefits for families, and fiscally for healthcare organizations. HERE is an example. Centering empowers patients, strengthens patient-provider relationships, and builds communities through these three main components: health assessment, and interactive learning community building. Additionally, there is a Centering Pediatrics model that is similar. HERE is more information. This LINK...
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Re: Helping Young Children Exposed to Trauma: A Systems Approach to Implementing Trauma-Informed Care [chdi.org]

Karen Clemmer ·
Marianne, Thanks for sharing this important information! The video is interesting. The attached infographic and the report with talks about cost-savings are also very useful and informative. Nice! The goal of CONCEPT (The Connecticut Collaborative on Effective Practices for Trauma) is to minimize the effects of trauma exposure and improve overall health and well-being for all children in Connecticut’s child welfare system who were exposed to abuse, violence and other forms of trauma...
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Mental Health Awareness: When Suffering Is Not an Illness

Lori Chelius ·
When I was an adolescent and young adult, I struggled with depression. As I reflect back on that time, so much of what I was experiencing was deeply tied to coming to terms with my sexuality. Growing up in the 1980’s in a relatively conservative town, I was closeted (even to myself) until I was a young adult. The pain and fear of being different, of not belonging, of being judged or rejected for who I was more than my adolescent brain could wrap its conscious head around.
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You're Invited: “A Call To Action, A Call To Heal: Understanding the Impact of Complex Trauma in Communities" June 17 and 18.

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

Victoria Burns ·
Unbecoming an Armadillo By: Victoria F. Burns, PhD, LSW Victoriafrances49@gmail.com Instagram: @betesandbites “When you are traumatized, you are basically in a permanent defensive mode” — Gabor Mate I’m sitting across from Meg on her charcoal grey love seat. My forearms are resting on a velvety mustard-yellow throw cushion and I’m holding crescent shaped pulsers in each hand. Meg’s my psychologist; a rare gem who specializes in chronic illness and trauma. Every two weeks, we spend an hour...
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State budget signed [childrennow.org]

Kelly Hardy ·
Hello 4CA friends – Sending a quick update on the state budget. Please add on if you have more/different information – thanks! The short story is that many of the worst cuts that were discussed were NOT enacted in the final budget, which is good news. Some of the items most related to childhood trauma include: The final budget rejects the May Revise proposal to reduce $4.5 million General fund from the Black Infant Health Program . While there will be no cuts to Prop 56 Medi-Cal supplemental...
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How stress causes metabolic changes and reduces disease tolerance (Science Mission)

Karen Clemmer ·
By News Editor, July 1, 2020, Science Mission. In their search for what triggers the damaging side-effects caused by acute psychological stress, the researchers found an answer by doing a fat check. In the face of psychological stress, an immune system response that can significantly worsen inflammatory responses originates in brown fat cells, the team reports in the journal Cell . Since the hormones associated with stress, cortisol and adrenaline, generally decrease inflammation, it has...
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Why the dean of early childhood experts wants to get beyond the brain [centerforhealthjournalism.org]

By Ryan White, Center for Health Journalism, July 23, 2020 Harvard’s Jack Shonkoff, a luminary in the field of early childhood, has spent years showing that events in the earliest years of life have profound implications for how budding brains develop, and in turn, shape a child’s later potential at school and work. Now, Shonkoff says it’s time to connect the brain to the rest of the body. “The message now is to say that there is a revolution going on in molecular biology and genomics and in...
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Upcoming 4CA Webinar on 8/27/20: The Impacts of COVID-19 on California’s Children, Families, and Communities

Elena Costa ·
The California Campaign to Counter Childhood Adversity (4CA) invites your participation in an upcoming 1.5 hour interactive webinar entitled “ The Impacts of COVID-19 on California’s Children, Families, and Communities ” on August 27, 2020, from 1:30 PM – 3:00 PST that will explore the economic impacts of COVID-19 and how it has affected, and continues to affect, California communities. Featuring a panel of experts, Dr. Flojaune Cofer, Public Health Advocates, All Children Thrive, California...
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Children Missing Out On Developmental Services Because Of Labyrinth System [calhealthreport.org]

Mai Le ·
By Claudia Boyd-Barrett • Sep 29, 2020 As Karla Garcia of San Francisco watched her third child grow, she had a feeling something was different. At 4 months old, Brianna still couldn’t keep her head steady or lift it up when she was on her stomach, a milestone babies typically reach by 2 months old. She also didn’t hold her mother’s gaze or look intently at other familiar faces. That’s something babies normally do within their first month of life. But when Garcia raised her concerns with...
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'A Better Normal:' Can universal ACEs screening be equitable? -- Concerns and solutions

Laurie Udesky ·
Can universal ACEs screening be equitable? A conversation about concerns and solutions. When: Tuesday, Oct. 13, 2-3:30 pm PDT/5-6:30 pm EDT This webinar explores what it takes to ensure that equity is built into the process of screening and providing support for families who have experienced trauma and want help. REGISTER HERE Background At the beginning of this year, California, through the ACEs Aware initiative began rolling out universal screening for adverse childhood experiences (ACEs),...
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Report on WIC Role in Reducing Maternal Mortality (California WIC Association)

Karen Clemmer ·
CWA Flash Newsletter - October 13, 2020 (Blue text=hyperlinks) Report on WIC Role in Reducing Maternal Mortality The National WIC Association released a report titled " The Role of WIC in Reducing Maternal Mortality ." NWA’s Maternal Mortality Task Force created the report to consider ways in which maternal mortality is addressed and discussed with program participants throughout the WIC appointment, as well as explore opportunities for additional focus on the topic. The report highlights...
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