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PACEs in Maternal Health

Tagged With "Epidemic of child abuse"

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Rebecca Pearson: Mental health: depression and anxiety in young mothers is up by 50% in a generation

Linda Manaugh ·
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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Release of 2018 In-Hospital Breastfeeding Data [cdph.ca.gov]

By California Department of Public Health, Maternal, Child & Adolescent Health, October 2, 2019 The California Department of Public Health (CDPH), Center for Family Health is pleased to announce that the 2018 in-hospital breastfeeding data have been posted to the CDPH In-Hospital Breastfeeding Initiation Data website . We encourage all hospitals to utilize these data to integrate Quality Improvement (QI) efforts within the perinatal unit to ensure policies and practices are supportive of...
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[Repost] Trauma-informed Care: It Takes More Than a Clipboard and a Questionnaire

Jim Hickman ·
California is about to launch an ambitious campaign to train tens of thousands of Medi-Cal providers to screen children and adults up to age 65 for trauma, starting on January 1, 2020. It is well-established that the early identification of trauma and providing the appropriate treatment are critical tools for reducing long-term health care costs for both children and adults. Research has shown that individuals who experienced a high number of traumatic childhood events are likely to die...
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Research Review: Childhood Trauma and its Effects on Mothers in Home Visiting Programs [Prevent Child Abuse America]

Isabel Ruelas ·
Each month Prevent Child Abuse America's Chief Research and Strategy Officer, Dr. Bart Klika, does a quick run-down of emerging research related to child abuse and neglect prevention. In this inaugural installment, Dr. Klika walks through some of the recent research into the effects of childhood trauma and how the lasting effects of this trauma is impacting mothers who participate in home visiting programs. Watch the video here
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RSVP now for 2020 MOM Annual Forum!

Karen Clemmer ·
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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She Strived to Be the Perfect Mom and Landed in the Psych Ward [KQED]

Karen Clemmer ·
Lisa Abramson says that even after all she’s been through – the helicopters circling her house, the snipers on the roof, and the car ride to jail – she still wants to have a second child. Because, in the beginning, when her daughter was born, Lisa was smitten, just like the mom she’d imagined she would be. She’d look into her baby’s round, alert eyes and feel the adrenaline rush through her. She had so much energy. She was so excited. “I actually was thinking like, ‘I don’t get why other...
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Six Local Women Launch First Health Care Co-op Owned by Immigrants [Madison 365]

Karen Clemmer ·
By L. Malik Anderson, June 6, 2019, Madison 365 Six women sought out to serve their community as Promotores de Salud (Community Health Workers) but ended up founding Roots4Change / Raíces Para El Cambio, the first cooperative of its kind led by Latina and indigenous women. “All of them were interested in health. All of them were interested in making a difference in their lives first and the lives of their family and the lives in the community,” Mariela Quesada Centeno, the inaugural Centro...
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So how do you start to think and talk about ACEs and Maternal Mental Health?

Anna Sutton ·
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

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

Christine Cissy White ·
Cissy's note: I admire the work of this parent-led and parent-focused organization. I read everything they post. For those not familiar with what they do, this is a recent interview with three staffers and gives a really good look at what and how they work to support families and make systems change. Here's an excerpt. The full piece is here. To read more of this piece recently published in Rise Magazine, go here.
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States weigh bans on shackling jailed moms during childbirth [AP News]

Karen Clemmer ·
SALT LAKE CITY (AP) — Michelle Aldana gave birth to her first child chained to a hospital bed. Then serving time at the Utah state prison on a drug charge, she says she labored through the difficult 2001 birth for nearly 30 hours, her ankles bleeding as the shackles on both her legs and one arm dug in. “I felt like a farm animal,” she says. The practice of keeping inmates shackled during childbirth was once common around the United States, but that’s gradually been changing after women began...
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Suffering in Silence Mood Disorders Among Pregnant and Postpartum Women of Color

Karen Clemmer ·
Pregnancy and childbirth can bring joy and fulfillment to a woman's life. They can also bring anxiety, depression, and stress. If left untreated, postpartum depression and other mood disorders can grow severe and even fatal for both the mother and her child. The American Psychological Association estimates that 1 in 7 women experience postpartum depression, yet the true statistic is unknown, as most women do not recognize the symptoms associated with the condition. 1 According to the World...
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Symptoms of Depression During and After Pregnancy

Lori Turk ·
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

Joyelle Brandt ·
She had a poster of Where’s Waldo? on the wall, presumably there to distract her patients from what was happening while they lay on the exam table. This was my third appointment, and on the drive over I had fought down rising waves of panic at walking back in to this room, with Waldo and her gloved fingers. When my physiotherapist had first recommended this treatment after months of physio exercises had failed to produce the desired results, I went home and cried. I called Dawn and told her...
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The Decline of Empathy: A Hopeful Solution (www.claudiamgoldmd.blogspot.com)

Christine Cissy White ·
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)

Lisa Frederiksen ·
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)

Christine Cissy White ·
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 importance of maternal well-being in relation to child unintentional injury

Elizabeth Najmabadi ·
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 pandemic may be intensifying postpartum depression. But there are resources to help. (The Lily)

Karen Clemmer ·
By Juli Fraga, May 8, 2020, The Lily. On March 18 — a day before California became the first state to issue a stay-at-home order — Courtney Pladsen, 34, a nurse practitioner who lives in Portland, Me., gave birth to her first child. Like many of the hundreds of thousands of U.S. women who have given birth during the coronavirus pandemic, Pladsen’s life was turned upside down. In preparation for parenthood, Pladsen and her husband had lined up support: a lactation consultant to help with...
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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)

Karen Clemmer ·
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

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

Dawn Daum ·
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-Sensitive Parenting Summit & Commentary

Christine Cissy White ·
"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 is not a child safety crisis. It’s a poverty crisis, a racism crisis.’ – A social worker and former foster youth featured in HBO’s ‘Foster’ shares her vision of societal and system change (www.risemagazine.org)

Christine Cissy White ·
Excerpts from article by Sarah Harris from Rise Magazine . Q: What led you to work in the foster care system? A: I am a former foster youth and I’ve been a social worker at the L.A. Department of Child and Family Services for 5 years. I entered foster care through probation, and I got into probation through survival. I was breaking the law for clothes and food. In foster care, I bounced around a lot. For the most part I was AWOL. I was in group homes but I stayed with family or friends.
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Through a Trauma Lens: The Need for Doulas

Jenna Brown ·
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

Scott A Webb ·
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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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 and a Therapist Saved my Life

Cassidy Webb ·
Between 55 and 99 percent of women who attend addiction treatment and between 85 and 95 percent of women with a history of mental illness have a history of trauma. Among this trauma , the vast majority happened during childhood. Whether the trauma involves neglect, sexual assault, or dysfunction within the family, the need for trauma-informed care in both addiction treatment and in the mental health field is of great importance. When I found myself at a detox facility 1,300 miles away from...
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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

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

Former Member ·
  In recent years, there has been a surge  of research into early brain development. Neuroimaging technologies, such as magnetic resonance imaging (MRI), provide increased insight about how the brain develops and how early experiences affect...
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UNDOING HARM: plastic surgeons tackle reconstruction for circumcised women [Sarasota Herald Tribune]

Karen Clemmer ·
She called it her “deepest, darkest secret,” one she had never even shared with her husband. When Saffiatu Sillah was growing up in the West African nation of Sierra Leone, a ritual circumcision left her with scar tissue that caused pain with pain during sex and agony during childbirth. After her second child was born, Sillah, a pharmacist then living in Philadelphia, searched for medical help. To read the full article, written by Pam Belluck and Maddie McGarvey of the NYT, click click HERE
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Using Infant and Toddler Data to Support State Policymaking [NSCL Blog]

Brain development in the first years of life provides the foundation for all future learning and development, and yet the randomness of where a child is born or lives often determines whether they have access to the services they need to thrive in their earliest years. So how are infants and toddlers doing in your state? ZERO TO THREE and Child Trends has produced a first-of-its-kind publication to answer how the 12 million infants and toddlers are faring in the United States. The State of...
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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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How Does Trauma Affect a Person’s Interaction with Their Child? (www.nicabm.com) & Commentary

Christine Cissy White ·
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)

Christine Cissy White ·
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]

Samantha Sangenito ·
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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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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Introducing NEW Becoming Trauma-Informed & Beyond Community

Christine Cissy White ·
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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Is it PPD or PTSD? (www.parentingwithptsd.wordpress.com)

Christine Cissy White ·
Essay written by Joyelle Brandt. I stood in front of a room of strangers with kind eyes, and announced: “I have been struggling with postpartum depression.” Somehow it was easier to admit this to strangers than to my husband and friends, yet there it was. Since early in my pregnancy with my second child, I had struggled with my mental health. But it would take me years to realize that what I had was not postpartum depression, but a particularly acute flair up of the undiagnosed post...
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Lesson learned integrating ACEs science into health clinics: Staff first, THEN patients

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

Christine Cissy White ·
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 and Child Health Journal Call for Papers: The ACE Study: Implications for MCH Policy and Practice

Alicia St. Andrews ·
Findings of the ACE Study have had a swift and substantial impact on MCH policy, practice and research. This issue of the journal is intended to provide a forum to enhance knowledge of the Study and its implications across the field. Topics of interest include: The aims and findings of the ACE Study, The implications of the Study and use of Study findings to shape MCH practice in clinical, program and policy settings, The import of the Study in relation to life course theory and the social...
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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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Mothers’ Adverse Childhood Experiences and Their Young Children’s Development [ajpmonline.org]

Alicia Doktor ·
Introduction This study examined how mothers’ Adverse Childhood Experiences (ACEs) relate to their children’s developmental risk and assessed how the association is mediated through mothers’ depressive symptoms and fair/poor health. Methods Mothers of children aged between 4 months and 4 years were recruited from the emergency department of a children’s hospital between March 2012 and June 2015 and interviewed about ACEs, mothers’ depressive symptoms and health status, and children’s...
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My son was hospitalized and now he has PTSD

Stephanie Kennelly ·
“Grant, do you remember when you were in the hospital?” “Yes… they came to take the blood and I turned into a werewolf.” Original Post It happened quickly. A year ago my three year old had a collarbone fracture, it became infected and within 24 hours the situation was emergent. A week long hospital stay, one month with a PICC line and two months on oral antibiotics. Finally, the labs finally came back normal. The X-Ray was clean. Gillette Children’s Hospital closed our case. But the healing...
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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 psychology study finds adverse childhood experiences transfer from one generation to the next [UCalgary.ca]

Samantha Sangenito ·
Women who suffer four or more adverse childhood experiences before the age of 18 are more likely to face pregnancy and postpartum problems, which they may in turn pass on to their children in a “cascade of risk,” according to a new study in The Journal of Pediatrics. The study, led by the University of Calgary’s Sheri Madigan — Canada Research Chair in the Determinants of Child Development, a member of the Alberta Children’s Hospital Research Institute and an assistant professor in...
 
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