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PACEs in Medical Schools

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"A Better Normal" Community Discussion: Suicide Awareness and Community Cafes

Join us on Friday November 6, 2020 from noon to 1:00 PST as we come together and join Satya Chandragiri MD, Bonnie O’Hern RN, Denise Proudfoot RN, & Michael Polacek RN for a discussion around the tender issue of suicide. Together we will discuss ways people and providers can support each other and encourage communities to take action to support one another around suicide prevention, crisis intervention, and the layers of culture and structural barriers to care. A special emphasis will be...

New Resource: Coping with Stress During the COVID-19 Pandemic One-Pager (English & Spanish!)

English: The California Department of Public Health, Injury and Prevention Branch (CDPH/IVPB) and the California Department of Social Service, Office of Child Abuse Prevention’s (CDSS/OCAP) , Essentials for Childhood (EfC) Initiative , ACEs Connection , and the Yolo County Children’s Alliance have co-created a newly developed resource, “Coping with Stress During the COVID-19 Pandemic” in both English and Spanish. This material is intended for Californian families experiencing the severe...

Adverse Childhood Experiences and Decreased Renal Function: Impact on All-Cause Mortality in U.S. Adults (AJPM)

Mukoso N. Ozieh, MD, MSCR, Emma Garacci, MS, Jennifer A. Campbell, MPH, Rebekah J. Walker, PhD, Leonard E. Egede, MD, MS. RESEARCH ARTICLE | VOLUME 59, ISSUE 2 , E49-E57, AUGUST 01, 2020. DOI: https://doi.org/10.1016/j.amepre.2020.04.005 Introduction Evidence suggests that individuals with a history of adverse childhood experiences have higher odds of developing kidney disease than individuals with no adverse childhood experiences. However, no study has examined the influence of coexisting...

Top 5 Social Determinants of Health Domains for Payers to Address (Health Payer Intelligence)

By Kelsey Waddill, October 23, 2020, Health Payer Intelligence. To employ a comprehensive social determinants of health approach, payers can devise innovative solutions that tackle each of the five social determinants of health domains. October 23, 2020 - There are five social determinants of health domains, according to the Office of Disease Prevention and Health Promotion (ODPHP) Healthy People 2030 website . While certain domains will at times require more urgent attention than others, a...

The Intersection of Systematic Racism, the Pandemic, and SDoMH: Reality Mandates Change

Systematic racism is at the core of mental health disparities and social determinants of mental health (SDoMH).Upstream factors obstruct patient access to needed and appropriate assessment, timely intervention, with treatment for these populations often reflecting poorer quality, and ending prior to completion of treatment. COVID-19 and the recent pandemic have only amplified meso and micro-level gaps in care. considered, provided, and reimbursed.

Unconscious Bias in Health Care (Califoria Healthline)

By April Dembosky, October 19, 2020, KQED. In mid-March, Karla Monterroso flew home to Alameda, California, after a hiking trip in Utah’s Zion National Park. Four days later, she began to develop a bad, dry cough. Her lungs felt sticky. The fevers that persisted for the next nine weeks grew so high — 100.4, 101.2, 101.7, 102.3 — that, on the worst night, she was in the shower on all fours, ice-cold water running down her back, willing her temperature to go down. [ Please click here to read...

A Better Normal Community Discussion - Reimagining Health Care

In a conversational style, join physician Drew Factor who will speak with Dr. Tracy Gaudet, Liza Guroff and An é Watts in a discussion entitled "Reimagining Health Care". Dr. Gaudet will speak about her experience engaging in transformational change at the Veterans Administration and how this has shaped the development of her own Functional Medicine Institute, while Ms. Guroff and Ms. Watts will speak about their knowledge of a Trauma-Informed Approach both at a systems (National Council for...

Hope and Progress, No Matter What! — an ACEs Connection/Cambia Health Foundation “Better Normal”, Oct. 22, 2020

The election is upon us. In two short weeks, we voters in this country decide who will lead us for the next four years. We have the opportunity to embrace — as a national priority — the tenets of understanding, nurturing and healing that underlie the science of adverse childhood experiences and move in a direction that embraces cultural and racial equity and anti-racism. Or not. What is clear is that no matter what, the ACEs movement will continue.

An exploration of medical student attitudes towards disclosure of mental illness (Medical Education Online)

By Ian Fletcher , Michael Castle , Aaron Scarpa , Orrin Myers , and Elizabeth Lawrence , Published online 2020 Feb 13. doi: 10.1080/10872981.2020.1727713 . ABSTRACT Background : Medical students are reluctant to access mental health services, despite having high rates of anxiety and depression. This reluctance persists through residency and into practice. Physicians and trainees who are unwell deliver lower quality patient care, behave less professionally, communicate less effectively and...

Medical students’ perceptions of stress due to academic studies and its interrelationships with other domains of life: a qualitative study (PMC)

By Christin Bergmann , Thomas Muth , Adrian Loerbroks , 2019 Dec;24(1):1603526. doi: 10.1080/10872981.2019.1603526. Abstract Background: Medical students have been found to experience considerable stress due to their academic studies. The high demands associated with academic studies may interfere with demands in other domains of life. Conversely, demands in those other domains of life may conflict with academic studies. Objective: We aimed to better understand the potential...

Addressing the caste system in U.S. healthcare in the era of COVID-19 (International Journal for Health Equity)

Sivashanker, K., Couillard, C., Goldsmith, J. et al. Addressing the caste system in U.S. healthcare in the era of COVID-19. Int J Equity Health 19, 184 (2020). https://doi.org/10.1186/s12939-020-01298-x Abstract In healthcare, we find an industry that typifies the unique blend of racism, classism, and other forms of structural discrimination that comprise the U.S. caste system—the artificially-constructed and legally-reinforced social hierarchy for assigning worth and determining opportunity...

Supporting Patients in Pregnancy: ACEs and Maternal Health [acesaware.org]

This webinar will offer information around the importance of ACE screening as it relates to maternal health. Speakers will share resources for providers looking to introduce ACE screening, examples of how to create a healing environment for patients, and case studies on how to respond with trauma-informed care. Upon completion of the activity, participants should be better able to: • Recognize the science and impact of ACEs and toxic stress, understand the value of ACE screening, and apply...

'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),...

NOW AVAILABLE ON DEMAND: The Repressed Role of Adverse Childhood Experiences in Adult Well-Being, Disease and Social Functioning: Turning Gold into Lead (Dr. Vincent J. Felitti) [avahealth.org]

The ACE Study reveals how typically unrecognized adverse childhood experiences are not only common, but causally underlie a number of the most common causes of adult social malfunction, biomedical disease, and premature death. Moreover, it enables one to see that the Public Health Problem is often an individual’s attempted Solution to childhood experiences about which we keep ourselves unaware. A renowned physician and researcher, Dr. Vincent J. Felitti is one of the world’s foremost experts...

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