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PACEs in Medical Schools

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Preventable trauma in childhood costs north America and Europe US$ 1.3 trillion a year [WHO]

Karen Clemmer ·
By World Health Organization (photo by WHO/Malin Bring) The findings of a new study on the life-course health consequences and associated annual costs of adverse childhood experiences (ACEs) show that preventable trauma in childhood costs north America and the European Region US$ 1.3 trillion a year. The article, published in the Lancet and co-authored by Dinesh Sethi and Jonathon Passmore, Programme Manager, Violence and Injury Prevention, WHO/Europe, looks at the legacy of ACEs and their...
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Suicides among nurses are on the rise. Here's why one of America's fastest-growing jobs is facing a major crisis. (businessinsider.com)

Researchers from the University of California at San Diego recently conducted what they said is the first nationwide investigation into nurse suicides in more than 20 years. They found that both male and female nurses had higher rates of suicide than men and women in the US . The findings are consistent with the increasing rates of suicide across the country. The US suicide rate has risen in recent years, increasing by 28% in the past two decades , to the highest it's been since World War II...
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The Coronavirus’s Unique Threat to the South [theatlantic.com]

Carey Sipp ·
More young people in the South seem to be dying from COVID-19. Why? By Vann R. Newkirk II The Atlantic, April 2, 2020 In a matter of weeks, the coronavirus has gone from a novel, distant threat to an enemy besieging cities and towns across the world. The burden of COVID-19 and the economic upheaval wrought by the measures to contain it feel epochal. Humanity now has a common foe, and we will grow increasingly familiar with its face. Yet plenty of this virus’s aspects remain unknown. The...
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The Link Between Childhood Trauma and Sexual Abuse in Adulthood

ana joanes ·
Please check out our latest Healing Our Ghosts' podcast with ECHO's executive director and #metoo Harvey Weinstein's silence breaker Louise Godbold. Healing Our Ghosts shines light into the suffering we keep hidden. We are not alone in our struggles and when we share our pain, we lift the shame secrecy that keeps us alone and disconnected from each other and prevents us from healing. With humor and compassion, Ana Joanes interviews a wide variety of guests about their messy lives, how they...
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The missing link of emotional intelligence [indianapolisrecorder.com]

By James W. Dix III, Indianapolis Recorder, May 16, 2020 The entire world has been introduced to an invisible monster that has crippled our existence. The reported, unprecedented death tolls have been staggering with no foundational resolve near. In the midst of chaos, health care professionals continued to serve patience and uphold their professional creed. However, as the staggering number of deaths arise, in the shadows are emotionally wounded and traumatized health care professionals.
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Tools and how to use them is focus of second webinar on Community Resiliency Model, May 14, 2020

Carey Sipp ·
The second of two free Community Resiliency (CRM) webinars with Elaine Miller-Karas , key creator of the CRM, will be held Thursday, May 14, from 11 a.m. - 12:30 p.m. ET, (10 a.m. CT; 9 a.m. MT, and 8 a.m. PT) and will include the practical application of tools of the model. CRM is an ACEs science-based biological model for helping individuals become emotionally regulated during natural disasters and other dysregulating times. Miller-Karas will be joined by CRM trainers from Wilmington, NC:...
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Toxic stress from El Paso, Dayton, Gilroy shootings addressed in Thursday Community Resilience Model Webinar

Carey Sipp ·
An ACEs Connection webinar will offer helpful self-regulation tools to those rocked by recent shootings in Gilroy, CA, El Paso, TX , and Dayton, OH. The Building Resilient Communities webinar is offered by ACEs Connection this Thursday, August 9, at 10:00 AM PDT / 1 :00 PM E D and will last approximately 1 hour. Elaine Miller-Karas will teach her Community Resilienc y Mode l. Find registration details below. This webinar is free and open to the public. It serves professionals and community...
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University of Florida Graduate Public Health Course: Trauma-Informed Approaches for Individuals, Communities, and Public Health: Student Project Summaries

Lindsey King ·
The University of Florida College of Public Health and Health Professions partnered with Peace4Tarpon under the Robert Wood Johnson Mobilizing Action for Resilient Communities (MARC) grant. Together they created 2 online graduate courses that focus on addressing ACEs and creating trauma-informed and resilience-based programs from a public health approach. Peace4Gainesville and Peace4 TheBigBend have also contributed to these courses. This post is intended to showcase some of the work of the...
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Webinar: Cultivating Our Best Selves in Response to COVID-19 | Tuesday, March 17 at Noon PDT

Elaine Miller Karas ·
How to use the skills of the Community Resiliency Model (CRM) for self and others to be the calm in the storm as we face the unknown. Free Webinar Tuesday, March 17 at Noon PDT Speakers: Elaine Miller-Karas, LCSW Linda Grabbe, PhD, FNP-BC, PMHNP-BC Zoom Webinar Registration Link: https://zoom.us/j/715837300 Additional ways to join are listed at the bottom of this post. About the webinar leaders: Elaine Miller-Karas is the Executive Director and co-founder of the Trauma Resource Institute and...
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WEBINAR - NPPC's Pilot Site Case Studies: Lessons Learned from ACEs Screening Implementation

Molly Peterson ·
The Center for Youth Wellness' National Pediatric Practice Community on ACES (NPPC) is a co-designed community committed to collaborative learning. To promote this learning, we have been working with six pilot sites over the last year, representing practices of various sizes and service delivery settings, to implement ACEs screening and intervention. On Monday, December 2nd at 1pm PT , we will be holding a webinar to discuss the findings of these pilot site case studies. Please register...
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When Hidden Grief Gets Triggered During COVID-19 Confinement

Tian Dayton ·
first published by The Meadows 4/15/20 Our sense of loss during the current COVID-19 crisis can trigger hidden emotions from when we experienced a sense of loss before. Whatever early losses you have had in your life — whether they be your own divorce, your parents, or both, or the abandonment of one parent, a childhood or parental illness or death, financial upheaval, constant moving around, or growing up with parental addiction or adverse childhood experiences (ACEs) — they are likely to...
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World Premiere: Stress & Resilience: How Toxic Stress Affects Us, and What We Can Do About It [developingchild.harvard.edu]

By Center on the Developing Child, Harvard University, November 13, 2019 When the stress in your life just doesn’t let up, and it feels like you have no support to get through the day—let alone do everything you need to do to be the best parent you can be—it can seem like there’s nothing that can make it better. But there are resources that can help, and this kind of stress—known as “toxic stress”—doesn’t have to define your life. In this video, learn more about what toxic stress is, how it...
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12 Things I Wish My Doctor Understood About Childhood Trauma

Anna Runkle ·
It doesn’t happen that often anymore, but one place where I almost always get triggered with my Childhood PTSD symptoms is when I visit the doctor. I could never even put this into words before. But now that I’m mostly healed from my Childhood PTSD symptoms, I want to express what I wish my doctors – all the doctors of my life – had understood about the effects of Childhood trauma, about me. Note: This is one of my most personal posts ever. Unless you’re someone who really prefers text, I...
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7 Ways to Help a Child Deal with Traumatic Stress

Hilary Jacobs Hendel ·
Traumatic stress feels awful. Thankfully, there are small things we can all do to help relax a hyperaroused nervous system.
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A Nurse Survivor Shares Her Story and Concerns

Laneita Williamson ·
Yesterday was another trauma informed care training to nurses. I'm still very amazed at the biases that occur around sex, drugs, abortion, alcoholism, mental health or other challenges. As typical I received a follow up email from a survivor with their thoughts, not about the training but about the response of other humans around human behaviors and actions. The nurse survivor that emailed me felt so empowered to make a change that she has requested that I share her story with others in the...
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ACEs & African Americans Community on ACEs Connection

ACEs Connection envisions a resilient world where ALL people thrive. We are an anti-racist organization committed to the pursuit of social justice. In our work to promote resilience and prevent and mitigate ACEs, we intentionally embrace and uplift people who have historically not had a seat at the table. ACEs Connection celebrates the voices and tells the stories of people who have been barred from decision-making and who have shouldered the burden of systemic and economic oppression as the...
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Announcing Trauma and Resilience Competencies for Nursing Education

Kathleen Wheeler ·
The authors are pleased to announce the Trauma and Resilience Competencies for Nursing Education. These competencies serve as a guideline of minimal expectations and reflect essential knowledge, skills and behaviors for three levels of nursing education: 1) undergraduate, 2) graduate, and 3) psychiatric nurse practitioner programs. The Trauma and Resilience Competencies, developed in 2018 at the Egan School of Nursing and Health Studies at Fairfield University in Connecticut by an Expert...
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Child Abuse Doc: We Often Wish for a Different Explanation [medpagetoday.com]

By Antoinette Laskey, MedPage Today, December 1, 2019 I always knew I wanted to be a doctor. I also always knew working with children is what brought me the most joy. Finding the subspecialty of child abuse pediatrics was not something I had anticipated. In medical school, I had the opportunity to work with a child abuse pediatrician when a child was brought in for medical care after being sexually assaulted. We examined the child, calmed the obviously distressed parent, and talked with the...
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Did you know you can post a blog on ACEs Connection?

Did you know you can post a blog on ACEs Connection? Have you been wanting to share a news article? Tell us your story? Explain what you're doing in the ACEs world? Look below for videos & link to blog posts on how to post a blog! Plus, videos on how to add photos, documents, and videos to your blog post. Please leave questions or comments below! How-To: Post a Blog Add a How-To: Add a Title Image to your Blog Post How-To: Insert a Video into a Blog Post How-To: Add a Document to a Blog...
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Emotional Well-Being and Coping During COVID-19 [psychiatry.ucsf.edu]

From Weill Institute for Neurosciences, UCSF, May 2020 These are unprecedented times. We need to work extra hard to manage our emotions well. Expect to have a lot of mixed feelings. Naturally we feel anxiety, and maybe waves of panic, particularly when seeing new headlines. A recent article by stress scientist and Vice Chair of Adult Psychology Elissa Epel, PhD, outlines the psychology behind the COVID-19 panic response and how we can try to make the best of this situation. Our anxiety is...
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GABOR MATÉ JOINS EP. 3 on May 21 with Darrell Hammond and Filmmaker Michelle Esrick. [crackedupmovie.com]

CRACKED UP THE EVOLVING CONVERSATION TRAUMA AS THE ROOT CAUSE OF ADDICTION With DARRELL HAMMOND DIRECTOR MICHELLE ESRICK and RENOWNED TRAUMA AND ADDICTION EXPERT GABOR MATÉ, M.D. author of In the Realm of Hungry Ghosts: Close Encounters With Addiction MODERATED BY JANE STEVENS, FOUNDER OF ACES CONNECTION Hosted by ACES Connection Thursday May 21st at 2pm PDT / 3p MT / 4p CT / 5pm EDT FREE FOR ALL WHO REGISTER! IF YOU REGISTER, BUT CAN NOT ATTEND, YOU WILL RECEIVE A RECORDING WITHIN ONE WEEK.
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How Can a Doctor Stop from Burning Out in the Pandemic? (greatergood.berkeley.edu)

Over the din of the negative pressure machine, I shouted goodbye to my patient. I zipped my way out of one of the little plastic enclosures in our emergency department (ED). With disgust and a bit of fear, I carefully shed my gloves, gown, and face shield. Only my precious mask remained on my face. I thought, This is a whole new world, and I hate it . The problem is that I’m losing that deep feeling of connection with patients, which is such an important part of this work. A few weeks ago,...
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How do these pediatricians do ACEs screening? Early adopters tell all.

Laurie Udesky ·
Last week, three pediatricians — with a combined experience of 15 years integrating ACEs science into their practices — reflected on the urgency they felt several years ago that prompted them to begin screening patients for childhood adversity and resilience when there was practically no guidance at all. Along their journey , they accumulated a list of lessons learned for other pediatricians and family clinics to use. The three pediatricians participated in the ACEs Connection webinar,...
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Jones: Day 2: Soda, cigarettes and trauma: How Adverse Childhood Experiences alter brain chemistry, cultivate unhealthy habits and prompt premature death

Linda Manaugh ·
Patients would carry soda into Dr. Gerard Clancy’s office, with cigarettes tucked away for after therapy. Often victims of abuse or violent crime, they would seek soothing but risky behaviors to cope. Overweight. Chronic pain. Chronic obstructive pulmonary disease. Type II diabetes. His former patients will die younger than they should, he said. Clancy conducted therapy sessions until he became president of the University of Tulsa in 2016. At his psychiatry clinic, he saw firsthand how a...
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Mount Sinai Announces Center for Stress, Resilience and Personal Growth [newswise.com]

Newswise — (New York, NY – April 30, 2020 ) -- Mount Sinai Health System (MSHS), one of New York’s largest integrated health systems, announced today the launch of the Mount Sinai Center for Stress, Resilience and Personal Growth, a first-of-its-kind initiative in North America that is designed to address the psychosocial impact of COVID-19 on the mental health and lives of frontline health care providers at Mount Sinai and will serve as a model for institutions and communities around the...
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NPPC's Pilot Site Case Studies: Lessons Learned from ACEs Screening Implementation

Molly Peterson ·
The Center for Youth Wellness' National Pediatric Practice Community on ACES (NPPC) is a co-designed community committed to collaborative learning. To promote this learning, we have been working with six pilot sites over the last year, representing practices of various sizes and service delivery settings, to implement ACEs screening and intervention. Beyond supporting these practices with the logistics of implementation, the broader goal was to discover and share real-world best practices,...
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NPPC shares lessons learned and results from ACEs screening pilot sites

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

Jane Stevens ·
People’s response to the great chasms of structural inequities glaringly laid bare by the COVID-19 pandemic have been further inflamed by the murder of George Floyd and deaths of other African Americans in recent weeks. The acute emergency of the pandemic has eased, but the violence inflicted on racial minorities and now those who are protesting the inequities in our society has compounded the outrage. Right after the pandemic began running riot across the US, I often heard people ask: When...
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NEW Trauma-informed Care Podcast (CME provided)

Megan Gerber MD MPH ·
Join us as we delve into the paradigm-shifting ethos of trauma-informed care with renowned expert Dr. Megan Gerber. Dr. Gerber is an Associate Professor of Medicine at Boston University School of Medicine and serves as Medical Director of Women’s Health for VA Boston where she directs the Women’s Health Fellowship. Dr. Gerber edited the textbook, “Trauma-informed Health Care Approaches: A Guide for Primary Care.” We discuss the framework for trauma-informed universal precautions, as well as bas
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THURSDAY!! Cracked Up, The Evolving Conversation: Generational Trauma - Breaking the Cycle [crackedupmovie.com]

CRACKED UP THE EVOLVING CONVERSATION Episode 4: Generational Trauma - Breaking the Cycle with Darrell Hammond, Comedian, actor, SNL Legend Michelle Esrick, Filmmaker, activist Bessel van der Kolk, MD, Author of The Body Keeps the Score Jane Stevens, Founder of ACES Connection and special guest Jane Fonda Academy Award-winning actor, producer, author and activist Thursday June 25th at 1pm PDT / 2p MT / 3p CT / 4pm EDT Hosted by ACEs Connection THE PRICE OF THIS LIVE EVENT IS $12.50 We have...
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ACEs screening is about building relationships, says early adopter

R.J. Gillespie ·
Whether or not to screen for ACEs in primary care is an important debate—and I hear and respect the passion from both sides of the argument. I fall in the “pro-ACE assessments” camp, but with some important caveats. I think that assessments for ACEs are dramatically different from screening for autism or developmental delays. In my opinion, assessments for ACEs in primary care should be primarily about building relationships.
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Resilience for Children & Families: Being Brave When Things are Hard

Building Resilience with Children During Racial Discrimination & Violence: This attached Resilience Brief for Children has been the hardest one I have written yet. I have been an active advocate for the equal treatment of people from all backgrounds, religions, ethnic heritages, orientations, and families my entire life. It is hard to see the pain present today, not only due to COVID19 but also due to the harm and anger we see daily in the news. I want to share a story about the person...
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Reimagining Healthcare as a Community Investment

Jennifer A Walsh ·
At this point, COVID-19 has been a part of our lives for nearly six months now. While the most recent current events are not unfamiliar social problems, this pandemic has provided us with a stronger lens with which to see many of the underlying inequities within our communities. This article, “The Moral Determinants of Health,” explores these inequities by illustrating the systemic imbalances within the field of medicine and the amount of resources we allocate to solving problems as opposed...
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Re: Reimagining Healthcare as a Community Investment

Jeoffry Gordon ·
Let us be clear: Guaranteeing medical services as a right to all Americans is not only a moral mandate, it is an investment in individual freedom and capacity, in family security and opportunity, as well as community solidarity and peace. The rest of the mature developed world places this priority along side fire departments, schools, and housing as collective public goods guaranteed by the government. Here in the USA this moral mandate has been retarded first by racism (those states which...
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Donald Trump is the product of abuse and neglect. His story is common, even for the powerful and wealthy.

Jane Stevens ·
“In order to cope,” writes Mary Trump, “Donald began to develop powerful but primitive defenses, marked by an increasing hostility to others and a seeming indifference to his mother’s absence and father’s neglect….In place of [his emotional needs] grew a kind of grievance and behaviors—including bullying, disrespect, and aggressiveness—that served their purpose in the moment but became more problematic over time. With appropriate care and attention, they might have been overcome.”
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Re: Free 2020 Virtual Trauma-Informed Care Conference

Carey Sipp ·
Thanks, Bharat, for the post! I will help spread the word by posting on the Georgia ACEs Connection site as well as the SE Region on ACEs Connection. I invite you and others to please use the social media bar below the story to share this out on Facebook, Twitter, LinkedIn, etc. and or to copy the link and email this story to colleagues. If we want to have a trauma-informed world we need the medical community helping to drive demand to make it so. We are grateful for you work to take ACEs...
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Implementing the Neurosequential Model of Therapeutics in Tennessee: Parent and Clinician Perspectives (Child Wefare)

Karen Clemmer ·
Child Welfare publication, Child Trends, September 25, 2020. The QIC-AG is a five-year project working with eight sites that implemented evidence-based interventions or developed and tested promising practices which, if proven effective, can be replicated or adapted in other child welfare jurisdictions. Effective interventions are expected to achieve long-term, stable permanence in adoptive and guardianship homes for waiting children as well as children and families after adoption or...
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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]

Tasneem Ismailji ·
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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A college professor's Thanksgiving message to students is bringing people to tears (upworthy.com)

A college student on Twitter shared a pre-Thanksgiving e-mail she and her classmates received from a professor, and it's just the best example of real human-kindness. It reads: "Good morning. I know this has been a difficult time for a lot of you—some of you have had Covid, some of you are currently in quarantine, and some of you may not be able to go home for Thanksgiving as you have family members who are socially distancing. I don't want anyone to feel alone at Thanksgiving, or to miss...
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ACEs Connection/CTIPP Southeastern Leaders’ call: State updates, funding information, and “mind-blowing” information about helping people out of poverty

Carey Sipp ·
Southeastern ACEs Connection and national CTIPP leaders on the quarterly leader call welcomed guest speaker Rebecca Lewis-Pankratz (top left) for their quarterly call. Also among those present were (top row l-r) Carey Sipp, Jesse Kohler, Jesse Hardin, (second row, l-r) Patti Tiberi, Mebane Boyd, Jen Drake-Croft, Dan Press, (third row, l-r) Mimi Graham, Christopher Freeze, Margaret Stagmeier, (fourth row, l-r) Emily Marsh, Liz Peterson, Alyssa Koziarski and Janet Pozmantier. Also present was...
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Medicine Woman (visionmakermedia.org)

During a time where women were no more than stay-at-home housewives, Susan La Flesche Picotte broke through all barriers and became the first Native American woman to become a physician in the United States. Graduating from the Hampton Institute as valedictorian, Susan was determined to pursue her medical degree and was accepted at Woman’s Medical College of Pennsylvania. She wrote an appeal to the Connecticut Indian Association for finances and was the first person to receive financial aid...
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The Adverse Childhood Experiences Recovery Workbook (Dr. Glenn Schiraldi)

Dr. Glenn Schiraldi ·
A new guide for healing the hidden wounds from ACEs The Adverse Childhood Experiences Recovery Workbook Glenn R. Schiraldi, Ph.D. Oakland, CA: New Harbinger Publications, Inc., 2021, 232 pages Practical, powerful skills for healing the hidden wounds of childhood trauma “ Dr. Glenn Schiraldi is one of the world’s most trusted experts on stress and resilience. His Adverse Childhood Experiences Recovery Wor kbook is the most complete, accessible, and evidence-based healing resource available.
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8 Categories of Adversity To Help Medicine Better Understand, Prevent and Treat Chronic Illness: ACEs, ABEs, Discrimination and More

Veronique Mead ·
I was a family doctor when the first symptoms of what would turn out to become a disabling chronic illness first began to arise. I didn't know about ACEs back then and even if I had, I would have thought my score was zero and that ACEs didn't apply to me. What I've learned in the 20 years since then is that my ACE score is actually a two, which increases the chances of ever being hospitalized for an autoimmune disease by 70%.
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Tapping virtual reality to help drive equity in healthcare [globalhealthsciences.ucsf.edu]

By Institute for Global Health Sciences, UCSF, February 10, 2021 In 2020, the unequal impact of the COVID-19 pandemic, coupled with the state-sanctioned murders of George Floyd and Breonna Taylor, laid bare the persistent disparities in access to quality health care, education, and opportunity facing Black, Latinx, Indigenous and other people of color. IGHS has undertaken a number of new projects to reduce the inequities in our own house and backyard and across the world. Today, we are...
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Time to boost community based health worker programs in low-income countries [thehill.com]

Karen Clemmer ·
By Henry B. Perry, The Hill, April 5, 2021 As we all work together to overcome the current global COVID-19 pandemic and be better prepared for future ones, it is important to embrace the opportunity afforded by this crisis to “build back better,” as President Biden says, — not only for global health security but also for accelerating health improvements and socio-economic development for the poorest of the poor around the world. Now is the time for the United States to provide financial and...
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Research from San Bernardino pediatric population

Ariane Marie-Mitchell ·
Sharing our recent publication of data on ACEs and immune cell gene expression
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The Wisdom of Trauma - Encore Event - This Weekend until Midnight PST Sunday

Fritzi Horstman ·
If you missed the recent world premiere of The Wisdom of Trauma Movie with Dr. Gabor Maté, this weekend you can watch the encore of the movie plus get full access to the Talks on Trauma series including my talk with Dr. Gabor Maté and Nneka Jones Tapia on "A Vision for Compassionate Prison." The link is here (all donations will go to Compassion Prison Project by using this link!): https://fritzihorstman--sand.thrivecart.com/supporter/6080622415b14/ Opening Kick Off Introduction with Gabor...
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Eighteenth Edition: Preventing ACEs | Healing Adversity | Promoting Resilience

Cameron Bates ·
Aligning Resources Across Georgia To Support Resiliency To Our Resilient Georgia Partners and Stakeholders: Mark your calendars for our Lunch and Learn taking place July 21st from 12 to 12:45. We launched Resilient Georgia Lunch and Learn series this year to provide a place for our regional coalition partners, peers, and stakeholders to share opportunities for partnership across the state. Next month will feature Sewn Arts . Sewn Arts is a nonprofit organization working throughout Georgia...
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The best way to start any meeting. Ever.

Carey Sipp ·
Following a brief mindfulness check-in, PACEs Connection staff meetings begin with the review of our Vision, Mission, and Values statements, as well as our Equity and Inclusion Statement. At a recent meeting, top row, L-R, Ingrid Cockhren, Carey Sipp, Donielle Prince, Jane Stevens. Middle row, L-R, John Flores, Porter Jennings-McGarity, Jenna Quinn, Gail Kennedy. Bottom row, L-R, Rafael Maravilla, Natalie Audage, Alison Cebulla, Samantha Sangenito. A couple of times last week I felt my body...
 
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