Tagged With "primary care"
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Implementing the Neurosequential Model of Therapeutics in Tennessee: Parent and Clinician Perspectives (Child Wefare)
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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Teaching Doctors In Training To Connect Climate Change And Health Care (WBUR)
By Martha Bebinger, September 24, 2020, WBUR. It was low tide on the North Shore of Boston when Steve Kearns felt the mosquito bite that would land him in a hospital with West Nile Virus disease for a week. “For at least six months after that, I felt like every five minutes I was being run over by a truck,” Kearns says. “I couldn’t work, I couldn’t walk very well, and I couldn’t focus. I wondered for a bit if I’d ever get better.” Kearns recounts the experience during a check-up with his...
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Just in TIME: Trauma-Informed Medical Education [link.springer.com]
By Aneesah McClinton & Cato T Laurencin, Journal of Racial and Ethnic Health Disparities, October 1, 2020 Abstract Numerous organizations implement a trauma-informed approach. This model assists institutions in providing care and education that delivers support to members who have undergone traumatic experiences, and many institutions apply the principles as a universal precaution. Student and trainee experiences in medical education reveal a hidden curriculum that may deliver...
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The importance of care coordination [medcitynews.com]
By Brooke Sabia, MedCity News, September 30, 2020 Some may ask the question, “What does a care coordinator do for my personal well-being?” There is no short answer as to what a patient can benefit from by receiving assistance from a care coordinator. Their job is to connect with high-risk individuals to uncover and identify needs in a patient-centered manner and in a way that takes into account whether the patient has endured any trauma. When people think of care coordination, they typically...
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'A Better Normal:' Can universal ACEs screening be equitable? -- Concerns and solutions
Can universal ACEs screening be equitable? A conversation about concerns and solutions. When: Tuesday, Oct. 13, 2-3:30 pm PDT/5-6:30 pm EDT This webinar explores what it takes to ensure that equity is built into the process of screening and providing support for families who have experienced trauma and want help. REGISTER HERE Background At the beginning of this year, California, through the ACEs Aware initiative began rolling out universal screening for adverse childhood experiences (ACEs),...
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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...
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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...
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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.
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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...
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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...
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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.
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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...
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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...
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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...
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A New Hippocratic Oath Asks Doctors To Fight Racial Injustice And Misinformation [NPR]
First-year medical student Sean Sweat "didn't want to tiptoe around" issues of race when she sat down with 11 of her classmates to write a new version of the medical profession's venerable Hippocratic oath. "We start our medical journey amidst the COVID-19 pandemic, and a national civil rights movement reinvigorated by the killings of Breonna Taylor, George Floyd and Ahmaud Arbery," begins the alternate version of the oath, rewritten for the class of 2024 at the University of Pittsburgh...
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In medical schools, students seek robust and mandatory anti-racist training [washingtonpost.com]
By Elizabeth Lawrence, The Washington Post, November 8, 2020 Betial Asmerom, a fourth-year medical student at the University of California at San Diego, didn’t have the slightest interest in becoming a doctor when she was growing up. As an adolescent, she helped her parents — immigrants from Eritrea who spoke little English — navigate the health-care system in Oakland, Calif. She saw physicians who were disrespectful to her family and uncaring about treatment for her mother’s cirrhosis,...
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Combating Health Inequities Through EHR Data Collection (EHR Intelligence)
November 13, 2020, EHR Intelligence. A lack of standardization can lead to gaps and inaccuracies in EHR data collection, resulting in inequitable care delivery. But providers are finding ways to overcome this challenge to deliver more equitable care to patients. Inequities in the healthcare system are abundant. From care delivery to health outcomes, there is a large divide in patient response and outcomes based on demographics such as gender, race and ethnicity, sexual identity, and even zip...
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Tools to Mitigate Work Stress and Prevent Burnout: For Health Care Providers during COVID and Beyond
Whether you work in a hospital, a safety net clinic, or in another health care setting, no health care provider working during the COVID-19 pandemic needs to read the flurry of news stories that highlight the extreme stress experienced by people in this line of work – you already know it firsthand. This webinar will introduce health care providers to the Community Resiliency Model ( CRM ), an evidence-based method of managing traumatic stress, preventing burnout and building resiliency. This...
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Doctor Comforts Distraught Coronavirus Patient on Thanksgiving Day in Heartbreaking Photo (people.com)
The photo was taken on the doctor's 252nd straight day of working in the hospital. A photo of a doctor in full personal protective equipment, hugging an elderly patient suffering from the novel coronavirus , serves as a reminder of the human toll and impact of the virus during the holiday season. The photo, taken on Thanksgiving, shows Dr. Joseph Varon cradling a patient in the COVID-19 intensive care unit of Houston's United Memorial Medical Center. Thursday marked Varon's 252nd straight...
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Opportunity to sign on to “A Trauma-Informed Agenda for the First 100 Days of the Biden-Harris Administration”—Deadline Dec. 8th
The Campaign for Trauma-Informed Policy and Practice ( CTIPP ) is inviting individuals and organizations to express their support for a set of executive actions for the Biden-Harris Administration to take “to address trauma and build resilience throughout the country.” Most of these actions could be taken early in the Administration and would not require congressional action with the exception of some recommendations that could be included in a new stimulus package. The recommendations are...
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ACEs Champion: The reintroduction of Michael Hayes — from ACEs awakening to ACEs community service
It wasn’t until his fifth prison term in a North Carolina county jail — his fourth conviction for driving under the influence — that Michael Hayes volunteered to take an ACE survey that changed his life. The 48-year-old father of six sons and one daughter had spent a number of years in and out of prison. During his last term, to get some time out of the cell where he spent 16 hours a day, he volunteered to attend a class offered by RHA Health Services, a nonprofit that incorporates the...
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ACEs Connection/CTIPP Southeastern Leaders’ call: State updates, funding information, and “mind-blowing” information about helping people out of poverty
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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Texas Lawmaker Wants to Require Trauma Training for Attorneys, Judges [imprintnews.org]
By Brittney Martin, The Imprint, January 6, 2021 Tara Hutton remembers how the little girl she had been fostering for a year began acting out on the day a new social worker came to their house in Magnolia, Texas. As Hutton and the social worker talked, the girl kept interrupting and trying to get Hutton’s attention. She insisted on bringing her Play-Doh outside, despite knowing it was an inside-only toy. Though the girl likely couldn’t explain why she felt rattled by the appearance of a new...
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The Adverse Childhood Experiences Recovery Workbook (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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Therapists Donate Their Time to Counsel Distressed Health Care Workers [jamanetwork.com]
By Mary Chris Jaklevic, JAMA, January 13, 2021 D aniel Hao, MD, wasn’t emotionally prepared for the crush of severely ill patients with coronavirus disease 2019 (COVID-19) who came under his care in March 2020. Many were young, sedated, and dying alone. Sometimes while FaceTiming with their families, Hao saw very young children on the screen. “It was frightening,” Hao, an anesthesia resident at Massachusetts General Hospital in Boston, said in an interview. “A lot of the things that we...
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A Comprehensive Policy Framework to Understand and Address Disparities and Discrimination in Health and Health Care: A Policy Paper From the American College of Physicians [acpjournal.org]
By Josh Serchen, Robert Doherty, and Omar Atiq, Annals of Internal Medicine, January 12, 2021 Abstract Racial and ethnic minority populations in the United States experience disparities in their health and health care that arise from a combination of interacting factors, including racism and discrimination, social drivers of health, health care access and quality, individual behavior, and biology. To ameliorate these disparities, the American College of Physicians (ACP) proposes a...
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8 Categories of Adversity To Help Medicine Better Understand, Prevent and Treat Chronic Illness: ACEs, ABEs, Discrimination and More
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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Prematurity: Transdisciplinary Approach to Understanding Early Trauma in Babies
Nearly one in 10 people born in the United States is premature (birth before 37 weeks of pregnancy), and its complications are the number one cause of death in babies. Those who survive premature birth often have long-term health issues. Surprisingly, the United States has one of the worst premature birth rates among high-resource nations (Source: March of Dimes ). Research has also shown that the countries with the highest prematurity rates also have high rates of depression and alcoholism...
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Join Special Guest Father Paul Abernathy for a Zoom Discussion on March 16th, at 7p.m. EST to discuss the Whole People Documentary Series and Trauma-Informed Community Development
On behalf of ACEs Connection , the CTIPP (The Campaign for Trauma -Informed Policy & Practice), and the Relentless School Nurse , we want to invite you to the streaming of parts 4 and 5 of the Whole People documentary series on the weekend o f M arch 12th through March 14th, 2021. We will stream both parts on ACEs Connection in the Transforming Trauma with ACEs Sciences Film Festival community. The documentary viewing will be followed by a discussion with special guest, Father Paul...
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An urgent need for primary care to engage with social and structural determinants of health
In The Lancet Public Health, Ruth Watkinson and colleagues report on ethnic inequalities in health among older adults (ie, those aged >55 years) by use of the large, nationally representative,
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A Better Normal Friday, March 26, 2021: PACEs and HOPE with Dr. Christina Bethell
Please join us for our next installment of A Better Normal, our live webinar series in which we imagine and create our society as trauma-informed! You may have seen we changed our name recently from ACEs Connection to PACEs Connection. Please join us to learn all about the groundbreaking research of Positive Childhood Experiences and how this is going to transform the work we are all doing. >>Click here to register<< PACEs and HOPE Live Event Friday, March 26, 2021 Noon PT / 1pm...
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Spreading HOPE Summit – Afternoon Session Feature, Pt. 5: Jane Stevens and Dr. David Willis [positiveexperience.org/blog]
Chloe Yang, 3/29/21, positiveexperience.org/blog Our first annual summit is less than a month away! Please register at this link , which you can also find on the Summit landing page (registration closes at 5:00 pm ET on Monday, April 5th). Our virtual summit seeks to inspire a group of leaders who will, together, champion a movement to shift how we support children and families, creating systems of care based on understanding, equity, and trust. Morning plenary sessions will feature Dr. Bob...
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The pandemic is changing how we think about domestic violence, new survey shows (centerforhealthjournalism.org)
Amid a pandemic that shined a harsh light on domestic violence , Californians are increasingly viewing these abuses as a pressing social issue, according to a new survey of nearly 2,000 adults. Two-thirds of Californians consider domestic violence a public issue rather than private family matter, and 91% of participants said domestic violence is a serious societal issue, the survey found. “This info has given some validation to things folks have been talking about for a long time...
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Time to boost community based health worker programs in low-income countries [thehill.com]
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
Sharing our recent publication of data on ACEs and immune cell gene expression
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Child Care Relief Funding in American Rescue Plan: State-by-State Estimates [CLASP]
March 10,2021 Editor’s note: This article includes CLASP estimates on child care relief funding each state, D.C., and Puerto Rico will receive of the $39 billion included in the American Rescue Plan Act (ARP Act) For decades, our country has had a child care crisis fraught with inequitable access for communities of color, unaffordable care for far too many families, poverty-level wages for early educators, and razorthin margins for providers. This long-term crisis has been exacerbated by the...
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