Tagged With "mental health"
Blog Post
One state. One year. (Partial) Cost of ACEs = $5.2 billion.
In looking at the impact of childhood trauma, you can’t get much clearer than this: In 2017, ACEs among Tennessee adults led to an estimated $5.2 billion in direct medical costs and lost productivity from employees missing work. That’s just one year, according to the new report, “ The Economic Cost of ACEs in Tennessee ," released on Feb. 1, 2019 by The Sycamore Institute in Nashville, Tenn. And to provide some perspective, $5.2 billion is one-seventh of the state’s annual budget . This $5.2...
Blog Post
Opinion: All Doctors Should Practice Trauma-Informed Care [calhealthreport.org]
By Bob Erlenbusch and Drew Factor, California Health Report, November 20, 2019 “Adverse childhood experiences are the single greatest unaddressed public health threat facing our nation today,” Dr. Robert Block, former president of the American Academy of Pediatrics, has been widely quoted as saying. According to the Adverse Childhood Experiences Study, conducted in the 1990’s by the Centers for Disease Control & Prevention and Kaiser Permanente, adverse childhood experiences are common,...
Blog Post
Parent Handouts updated and available In Dari, English & Spanish
The updated parent handouts are now available in Spanish as well as English and Dari. Here's the blog post with links to all three versions of each flyer. All versions of the Understanding ACEs and Parenting to Prevent & Heal ACEs parent handouts can be downloaded, distributed, and used freely. Both flyers were made with generous support from Family Hui, a Program of Lead for Tomorrow, who is responsible for making the Spanish and Dari translations available. These are updates of the...
Blog Post
Penn Nursing Conference Stresses Need for Mental Health Awareness in Health Care [thedp.com]
By Anya Tullman, The Daily Pennsylvanian, October 21, 2019 A student-run conference in the School of Nursing Saturday drew nearly 200 students and community members to talk about incorporating mental health awareness into health care. The "Reimagining Mental Health" conference featured speakers from across the Philadelphia and Penn communities who discussed harm reductionist and trauma-informed approaches to health care. "Harm reduction" refers to the practice of medical professionals...
Blog Post
Population-Based Analysis of Temporal Trends in the Prevalence of Depressed Mood Among Sexual Minority and Heterosexual Youths From 1999 Through 2017 [jamanetwork.com]
By Alexandra H. Bettis, Richard T. Liu, Jama Pediatrics, October 21, 2019 Depression in adolescence is highly prevalent and associated with negative long-term outcomes.1 Despite decades of research on treatment for adolescent depression, sexual minority youths remain a particularly at-risk group.2 Temporal trends inform progress in addressing the need to eliminate health disparities among sexual minority populations.3 To our knowledge, this study presents the first population-representative...
Blog Post
Preventable trauma in childhood costs north America and Europe US$ 1.3 trillion a year [WHO]
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...
Blog Post
Primary Care & Telehealth Strategies for Addressing the Secondary Health Impacts of COVID-19
From ACEs Aware, May 13, 2020 This webinar will focus on building understanding and identifying primary care and telehealth strategies and tools to address the secondary health effects of the COVID-19 emergency. Widespread stress and anxiety regarding COVID-19, compounded by the economic distress due to lost wages, employment and financial assets; mass school closures; and necessary physical distancing measures can result in an increase of stress-related health conditions. These secondary...
Blog Post
School Nurses Share Their Voices, Trauma, and Solutions by Sounding the Alarm on Gun Violence [link.springer.com]
By Robin Cogan, Donna M. Nickitas, Donna Mazyck, Sunny G. Howell, Springer Link, November 22, 2019 Abstract Purpose of Review The purpose of this review is to discuss the impact of gun violence within schools from the perspective of school nurses. School nurses are first responders whose skills are crucial to ensuring the health and safety of students, staff, and faculty within schools and the surrounding community. Recent Findings In the USA, fear has long dictated how schools invest their...
Blog Post
Screening for ACEs in Pediatric Practice [American Academy of Pediatrics - CA Chapter 2]
By Ariane Marie-Mitchell, American Academy of Pediatrics, October 2019 In the August newsletter, we provided an overview of the definition and impact of adverse childhood experiences (ACEs) (http://aapca2.org/aces). In this article, we will explore the argument in favor of screening for ACEs in pediatric practice, and describe the process and results of a California state advisory group on screening for trauma. The American Academy of Pediatrics (AAP) recommended screening for toxic stress...
Blog Post
Seeing Birth From Baby's Perspective (online course) Class Womb
We are happy to announce our newest online course being offered through APPPAH’s ClassWomb ! We now know that the baby's experience of conception, pregnancy, birth, and attachment can provide a lifelong template for health and a foundation of resiliency to life’s challenges. Yet, the baby's experience often remains unconscious but profoundly alive in the body. Healing and integrating these early overwhelming events is possible. This course is especially geared towards therapists, educators,...
Blog Post
Sheltering in Place: ACEs-Informed Tips for Self-Care During a Pandemic
Millions of lives have been affected in unprecedented ways by the Coronavirus (COVID-19). We are all grappling with uncertainty—our daily routines interrupted, not knowing what is to come. For those of us who have Adverse Childhood Experiences (ACEs), these times can be particularly distressing. At the Center for Youth Wellness (CYW), we know that childhood trauma can have a significant impact on an individual’s health and well-being – both physiologically and psychologically. Since the...
Blog Post
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...
Blog Post
The Black Community, COVID-19 & Trauma [sdvoice.com]
By Latanya West, San Diego Voice, May 15, 2020 In January 2019, Governor Gavin Newsom appointed Dr. Nadine Burke Harris as California’s first-ever Surgeon General. An award-winning physician, researcher and advocate, Dr. Burke Harris’ career has been dedicated to serving vulnerable communities and combating the root causes of health disparities. Her work is equally dedicated to changing the way our society responds to one of the most serious, expensive and widespread public health crises of...
Blog Post
The Center for Youth Wellness Launches Childhood Adversity Screening Program with Leading North Carolina Health Systems [PR Newswire]
Charlotte pilot program with Atrium Health and Novant Health supports state's goal to address social, economic and environmental health to improve child and family health outcomes The Center for Youth Wellness (CYW) announced it is partnering with two leading U.S. health systems in the Southeast to launch a screening program on childhood adversity. CYW's National Pediatric Practice Community (NPPC) has done on-site training at the headquarters of Atrium Health and Novant Health in Charlotte,...
Blog Post
The Challenges and Blessings of My Dissociative Disorder: A new Journal article for Medical Practitioners
A remarkable coping mechanism helped me survive the ACE parts of my childhood, and I find I need to give a heads-up about it to anyone who treats me in a medical setting. While chatting at last year’s ACEs Conference in San Francisco, Dr. Vince Felitti asked me to write an article for The Permanente Journal about my experiences with the medical community, as a person with a childhood-trauma-related, but mostly invisible, mental health disorder. And, of course, who can say “No” to Dr.
Blog Post
The Impact of Childhood Adversity on Health and COVID-19 [acpm.org]
By Kevin Sherin, American College of Preventive Medicine, May 7, 2020 There is a growing dialog about COVID-19 and its impacts on childhood adversity (ACEs), chronic stress, and mental health across the lifespan. The fear and social isolation associated with COVID-19 commonly exacerbates existing chronic stresses. Reports are surfacing of increased mental health problems, anxiety, partner violence, depression, suicidality, child abuse, opioid use disorder, other substance abuse, drug...
Blog Post
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.
Blog Post
The Relentless School Nurse: ACEs Impact Nurses More Than We Realized!
I ran across this message on www.acesconnection.com and not only did it catch my attention, but it also made me want to dig deeper. Could it be true that nurses have a higher ACEs score than other healthcare professionals? It seemed true in this small survey, but was this a representation of a trend? If it was, the implications in nursing practice could be tremendous and concerning. What I found was that there is a grand canyon gap in research. The minimal studies that do exist confirm that...
Blog Post
The Relentless School Nurse: When the Health Office Pass Includes Emotions
The collaboration between school counselors and school nurses creates safe spaces for students at school. Building a coalition between school counselors and school nurses creates a safety net for our most complex and challenging students while benefiting the whole school community. Promoting connections through intentional relationship building, and ensuring a school environment that is physically, emotionally and psychologically safe changes the culture and climate. Read about an amazing...
Blog Post
TIC: News and Notes for November 2019
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...
Blog Post
TIC: News and Notes for the Week of October 21, 2019 [dhs.wisconsin.gov]
ACEs, Adversity's Impact There is only one boat: The myth of normalcy by Dr. Gabor Mate Understanding historical trauma to strengthen community Childhood trauma linked to early, premarital childbirth and poor health for women Early life racial discrimination linked to depression, accelerated aging When mothers are killed by their partners, children often become 'forgotten' victims. It's time they were given a voice Children's language skills may be harmed by social hardship Does racism...
Blog Post
Tools and how to use them is focus of second webinar on Community Resiliency Model, May 14, 2020
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:...
Blog Post
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...
Blog Post
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...
Blog Post
Understanding and Addressing Sources of Anxiety Among Health Care Professionals During the COVID-19 Pandemic [jamanetwork.com]
By Tait Shanafelt, Jonathan Ripp, Mickey Trockel, JAMA, April 7, 2020 The coronavirus disease 2019 (COVID-19) pandemic has become one of the central health crises of a generation. The pandemic has affected people of all nations, continents, races, and socioeconomic groups. The responses required, such as quarantining of entire communities, closing of schools, social isolation, and shelter-in-place orders, have abruptly changed daily life. Health care professionals of all types are caring for...
Blog Post
University of Florida Graduate Public Health Course: Trauma-Informed Approaches for Individuals, Communities, and Public Health: Student Project Summaries
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...
Blog Post
Vital Signs: Estimated Proportion of Adult Health Problems Attributable to Adverse Childhood Experiences and Implications for Prevention [cdc.gov]
By Melissa T. Merrick, Derek C. Ford, Katie A. Ports, et al., Centers for Disease Control and Prevention, November 5, 2019 Summary What is already known about this topic? Adverse childhood experiences are common and are associated with many poor health and life outcomes in adulthood. What is added by this report? Nearly 16% of adults in the study population reported four or more types of adverse childhood experiences, which were significantly associated with poorer health outcomes, health...
Blog Post
Webinar: Cultivating Our Best Selves in Response to COVID-19 | Tuesday, March 17 at Noon PDT
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...
Blog Post
WEBINAR - NPPC's Pilot Site Case Studies: Lessons Learned from ACEs Screening Implementation
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...
Blog Post
Webinar Oct. 17 — Integrating ACEs science in pediatrics: Early adopters share lessons from the field
An ACEs Connection webinar co-sponsored with 4 CA In 2017, California became the first state in the country to pass a law supporting universal screening for adverse childhood experiences (ACEs) in the 5.3 million children in the state’s Medicaid program. As clinicians around California await the state’s announcement of what this new policy will entail, many are wondering what it takes to integrate ACEs science in a pediatric practice. Meet Drs. Deirdre Bernard-Pearl, R.J. Gillespie and...
Blog Post
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...
Blog Post
When Hidden Grief Gets Triggered During COVID-19 Confinement
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...
Blog Post
Why Emotional Eating Can Be a Consequence of Trauma
Research suggests that trauma can be a cause of emotional eating, or the drive to consume “comfort foods,” to manage the negative emotions directly related to past negative events.
Blog Post
Why Is the Pandemic Killing So Many Black Americans [podcasts.apple.com]
By The Daily, The New York Times, May 20, 2020 Some have called the pandemic “the great equalizer.” But the coronavirus is killing black Americans at staggeringly higher rates than white Americans. Today, we explore why. Guest: Linda Villarosa, a writer for The New York Times Magazine covering racial health disparities, who spoke to Nicole Charles in New Orleans, La. about the death of her husband, Cornell Charles, known as Dickey. He was 51. For more information on today’s episode, visit...
Blog Post
12 Things I Wish My Doctor Understood About Childhood Trauma
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...
Blog Post
5 Tips for Supporting College Age Students' Mental Health [blogs.psychcentral.com]
By Andrea Schneider, PsychCentral, February 7, 2020 Did you know that the second leading cause of death in people ages 15-22 is suicide (ACHA, 2020)? Those are some sobering statistics. After a recent move from S CA to N Ca, I am currently serving in a new role in which I am the Lead Counselor on a college campus for this age range. Unfortunately, those statistics don’t lie. I am deeply involved in creating new programs, strategies, and direct clinical support for the students my campus...
Blog Post
7 Ways to Help a Child Deal with Traumatic Stress
Traumatic stress feels awful. Thankfully, there are small things we can all do to help relax a hyperaroused nervous system.
Blog Post
A Nurse Survivor Shares Her Story and Concerns
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...
Blog Post
A View From the Sharp End of New Zealand's Suicide Problem [thespinoff.co.nz]
By Gawen Carr, The Spinoff, October 21, 2019 Last week, as I left yet another 3am crisis interview in ED as a psychiatric doctor for a suicidal teenager, I felt drained and weary. This was partly due to the time, but mostly something else: although I felt I had helped keep the young person safe in the imminent future, I was frustrated that I was unable to meaningfully address the reasons why they felt that way. I thought I’d look through the recently released Ministry of Health authored...
Blog Post
AAP Policy Statement Stresses Pediatrician's Role in Mental Health [healio.com]
By Healio, October 21, 2019 An updated policy statement and a technical report issued by the AAP highlighted the need for increased involvement among pediatricians in their patients’ mental health care and increased mental health care training in medical education programs. “Pediatricians — whether in primary care or subspecialty practice — typically have longitudinal, trusting relationships with their patients and families and, as a result, unique opportunities to promote social-emotional...
Blog Post
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...
Blog Post
ACEs Community Spotlight Series: Dr. Richard Honigman, Central Nassau Pediatrics
For our second community spotlight interview, I spoke with Dr. Richard Honigman, a pediatrician at Central Nassau Pediatrics in Levittown and infant mental health advocate. We discussed the importance of addressing childhood adversity and the relevant work he is doing both inside and outside his practice. Please note that responses have been adjusted for length and clarity. Dr. Honigman is also the first recipient of the 2019 Ed Tronick Award for Distinguished Contribution to Infant-Parent...
Blog Post
ACEs Research Corner — November 2019
[Editor's note: Dr. Harise Stein at Stanford University edits a web site -- abuseresearch.info -- that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she's posting the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens] Jackson DB, Chilton M, Johnson KR, Vaughn MG. Adverse Childhood Experiences and Household Food Insecurity. Am J Prev Med. 2019 Nov;57(5):667-674. PMID: 31522923...
Blog Post
Action needed today by trauma advocates to urge Congress to address mental health and trauma in current COVID-19 legislation
The follow is a message from Dan Press, Legal Advisor to the Campaign for Trauma-Informed Policy and Practice ), about the need to contact Congress regarding a COVID 19 funding bill being considered this weekend. He is urging ACEs science/trauma advocates and leaders to send emails to their U.S. Senators and Representatives immediately to address the mental health and trauma implications of this pandemic. All – I hate to bother you on a Sunday, but we urgently need you to contact Congress to...
Blog Post
Aligning Systems for Health: 2019 Call for Proposals [rwjf.org]
By Robert Wood Johnson Foundation, November 1, 2019 Required Components Aligning Systems for Health will explore the degree to which health equity is impacted or results from current models of collaboration incorporating health care, public health, and social services. Gaps in health are large, persistent and increasing, and RWJF is committed to a system that meets people’s goals and needs and addresses these gaps that many populations face. Studies should include a focus on health equity by...
Blog Post
Announcing Trauma and Resilience Competencies for Nursing Education
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...
Blog Post
Association of Exposure to Civil Conflict With Maternal Resilience and Maternal and Child Health and Health System Performance in Afghanistan [jamanetwork.com]
By Nadia Akseer, Arjumand Rizvi, Zaid Bhatti, et al., JAMA Network Open, November 8, 2019 Key Points Question: Is conflict severity associated with the performance of health systems and population health outcomes in Afghanistan during the 2003 to 2018 reconstruction period? Findings: In this survey study of 64 815 women in Afghanistan, notable health and health system improvements were made despite increasing conflict after 2010. However, regions with greater conflict had lower gains in...
Blog Post
Becoming Trauma Informed (Millstein JGIM 2020)
When I look at Victoria through a clearer lens, there are many clues—her anxiety, troubled marriage and family life, avoidance of physically intrusive examina- tions. I realize that I hardly know her at all. I focus on her health issues, and despite many stumbles, we have a nice rapport. I accept whatever she is willing to share about her tumultuous home life, but I do not ask how it all came to be so. Now I float with her in a reservoir of pain and shame.
Blog Post
Borderline Personality Disorder has Strongest Link to Childhood Trauma [eurekalert.org]
By Mike Addelman, EurekAlert!, November 18, 2019 People with Borderline Personality Disorder are 13 times more likely to report childhood trauma than people without any mental health problems, according to University of Manchester research. The analysis of data from 42 international studies of over 5,000 people showed that 71.1% of people who were diagnosed with the serious health condition reported at least one traumatic childhood experience. The study was carried out by researchers at The...
Blog Post
California unveils ACEs Aware initiative to screen for trauma
Will screening for adverse childhood experiences (ACEs) in California be mandatory? No, but it’s recommended. Will there be training for physicians and staff on how to screen? Yes. Who will be reimbursed for screening patients in California? Physicians who serve patients in the state’s Medi-Cal program — for now. For more answers to these and other questions that surfaced during a Dec. 4 webinar introducing Californians to a new statewide initiative, read on. Come January 1, California will...