Tagged With "higher risk of infection"
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Trauma informed pain treatment
A patient-centered approach to opioid tapers must account for the reality that many people who are given a prescription for an opioid to treat pain have significant mental health conditions—for which opioids act as a psychotropic agent. An opioid taper must therefore address psychological trauma, in particular.
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Psychological Trauma Is the Next Crisis for Coronavirus Health Workers [Scientific American]
After his roughest days in a New York City emergency room, physician Matthew Bai feels his whole body relax when he sees his wife and 17-month-old daughter. “My light at the end of the tunnel is going home to family,” Bai says. When Manhattan’s Mount Sinai Hospital started to overflow with COVID-19 patients in late March, however, Bai and his wife decided she should take their toddler and stay with her parents in New Jersey. The risk of spreading the virus to his family was too great. Now...
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Introducing ACEs (Adverse Childhood Experiences) and Resilience to First-Year Medical Students [mededportal.org]
By Edore Onigu-Otite, Sindhu Idicula, MedEdPORTAL, September 15, 2020 Abstract Introduction: Adverse childhood experiences (ACEs) are associated with negative mental and physical health outcomes and predictive of higher sociodemographic risk. Introducing ACEs into undergraduate medical education is key to prevention, early recognition, and intervention. Methods: In a 1-hour lecture, held live and viewed online, we delivered a condensed introduction to ACEs to first-year medical students.
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Addressing Childhood Poverty in Pediatric Clinical Settings [jamanetwork.com]
By Margaret G. Parker, Arvin Garg, Margaret A. McConnell, JAMA Pediatrics, September 14, 2020 Two in 5 children are poor or nearly poor, and childhood poverty is a key social determinant of heath that is associated with negative health and developmental outcomes across the life course. In 2016, the American Academy of Pediatrics published a policy statement on child poverty and health, emphasizing the importance of addressing poverty-related risk factors in the delivery of pediatric care.1...
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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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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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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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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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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...
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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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Exposure to Armed Conflict in Childhood vs Older Ages and Subsequent Onset of Major Depressive Disorder (JAMA)
By Corina Benjet, PhD; William G. Axinn, PhD; Sabrina Hermosilla, PhD; Paul Schulz, MS; Faith Cole, BA; Laura Sampson, PhD; Dirgha Ghimire, PhD. JAMA Netw Open. 2020; 3(11):e2019848. Question Is neighborhood-level violence associated with incidence of major depressive disorder (MDD) during and after armed conflict? Findings In a cohort study including 10 623 participants within 151 neighborhoods in Nepal, the occurrence of 2 or more beatings within 1 km was associated with incidence of MDD...
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USING RELATIONAL HEALTH DURING THE PANDEMIC TO HELP PREVENT TOXIC STRESS IN YOUR CHILD, PATIENTS, AND CLIENTS
This short and practical paper explains how relationships are vital to health, and what you can do as a health provider to help children and families be healthy in the face of increasing stress and physical distancing. The fear and social isolation associated with COVID-19 are worsening existing chronic stressors, as well as creating new ones for families who are experiencing new kinds of adversity. People are feeling isolated and alone and have less emotional support than they did prior to...
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Whole People Film Discussion on Tuesday, December 15th at 7p.m. EST
ACEs Connection, the Campaign for Trauma-Informed Policy & Practice ( CTIPP), and the Relentless School Nurse will be hosting a Zoom discussion on Tuesday, Dec, 15th at 7p.m. EST about parts 1, 2, and 3 of Whole People. We hope you can join us: Pre-Registration Link Quotes from Childhood Trauma (Part 1 of Whole People): If you have yet to watch the Whole People series, you can still do so by visiting the PBS website. There is no cost to watch. 101 | Childhood Trauma | 102 | Healing...
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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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Committed: How a 6-Year-Old Revealed Florida's Dysfunctional System of Baker Acting Kids [centerforhealthjournalism.org]
By JacqueLynn Hatter, Center for Health Journalism, December 13, 2020 The number of children who are taken for involuntary psychiatric evaluations in Florida increases every year. This is the first story in a five-part series about how the state's Baker Act affects children. Each day in Florida, about 100 kids are involuntarily committed for psychiatric exams under the state's Baker Act. The law was not designed for children, yet over the past few years, the number of minors taken for mental...
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Association Between Depressive Symptoms and Incident Cardiovascular Diseases (JAMA)
Eric L. Harshfield, PhD 1,2 ; Lisa Pennells, PhD 1 ; Joseph E. Schwartz, PhD 3,4 ; et al December 15, 2020, JAMA. 2020;324(23):2396-2405. doi:10.1001/jama.2020.23068 Abstract Importance It is uncertain whether depressive symptoms are independently associated with subsequent risk of cardiovascular diseases (CVDs). Objective To characterize the association between depressive symptoms and CVD incidence across the spectrum of lower mood. Design, Setting, and Participants A pooled analysis of...
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Doctor's Orders: Program Prescribes Fresh Fruits, Vegetables to Idahoans [publicnewsservice.org]
Eric Tegethoff, Public News Service (12/10/2020) BOISE, Idaho -- A pilot program that prescribes a trip to the produce aisle has been a success in Idaho. The Nebraska-based Gretchen Swanson Center for Nutrition evaluated the Idaho Hunger Relief Task Force's (IHRTF) Prescription for Fresh Fruits and Vegetables program, which offers vouchers to food-insecure patients with diabetes and prediabetes. It found significant improvements in participants' health; Julie Walker, manager of diabetes...
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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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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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We’ve changed our name to PACEs Connection!
We have some very exciting news! As of today, ACEs Connection is now PACEs Connection. PACEs stands for Positive and Adverse Childhood Experiences.
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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...
Comment
Re: Research from San Bernardino pediatric population
Since there is growing documentation of increased inflammatory response in adults who were abused as children (Schreier HMC, Kuras YI, McInnis CM,et al, (2020) Childhood Physical Neglect Is Associated With Exaggerated Systemic and Intracellular Inflammatory Responses to Repeated Psychosocial Stress in Adulthood. Front. Psychiatry 11:504.doi: 10.3389) this is an important study adding evidence for abuse altered physiology contributing to life long disease risk.
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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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When the heart takes a beating [news.harvard.edu]By
By Tracy Hampton, The Harvard Gazette, March 25, 2021 A new study uncovers potential mechanisms that may contribute to “broken heart syndrome,” or Takotsubo syndrome (TTS), a temporary heart condition that is brought on by stressful situations and emotions. The research, which was led by investigators at Harvard-affiliated Massachusetts General Hospital (MGH), indicates that a heart-brain connection likely plays a major role. For the study, published in the European Heart Journal, the team...
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To solve the Black maternal mortality crisis, start with upending racist practices
It’s been all over the news for months: Black women in the United States are dying from complications during their pregnancies or in childbirth at alarming rates, and those deaths are preventable. Less well explored is how systemic racism and historical trauma have been at the core of what’s driven up these rates over several decades. A March 20 conference entitled The Impact of ACEs on Black Maternal Health took an in-depth look into why Black maternal mortality and complications during...
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ACEs Parent Handouts & ACEs One Pagers & Link to GRC (UPDATED 4/28/21)
We have so many wonderfu https://www.acesconnection.com/fileSendAction/fcType/0/fcOid/508261416693856202/filePointer/508261416693856263/fodoid/507698389112989542/Coping%20With%20Stress%20During%20the%20COVID-19%20Pandemic%20One-Pager_Accesible_English.pdf l resources shared by members. However, a few of you have asked me for help in retrieving them. Here's several of the most commonly shared ACEs handouts, info graphics and one pagers, with links to download. PLEASE share yours! I'm working...
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Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment
Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment Jeoffry B. Gordon, MD, MPH May 23, 2021 As a family doc practicing in San Diego I was privileged to hear Dr. Vincent Felitti talk about his inspired development of the ACEs questionnaire and its association with many adult mental and physical diseases directly from him only a few years after his original insight. Yet, although I had a lively clinic and learned how to manage a vast array of medical...
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2011-2021—A decade of steady growth in ACEs and TI laws and resolutions in the states
In 2019 and 2020, dozens of states enacted nearly 60 laws and resolutions that reference adverse childhood experiences or trauma. In this post, there's an interactive map that shows them all.
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ACEs, Sugar Addiction, and Weight Gain by Dr. Felitti & Dr. Alman
In many cases, sugar addiction (just like other forms of addiction) can be linked to ACEs. When adverse childhood experiences go unresolved, sugar is easily accessible and can provide a temporary pressure relief valve from toxic stress. Sometimes, this way of coping is unconscious because the sugar-eating habits are reinforced by the brain’s altered hardwiring that craves that next dopamine hit. Then, there's the weight gain...
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Executive Summary: Eisner Health's Journey Through Implementing Trauma Informed Care
Eisner Health's Journey Through Implementing Trauma Informed Care Since July 2020, ACEs Aware has awarded 185 grants totaling $45.1 million to organizations statewide to augment the state of California’s work on the ACEs Aware initiative. Origins Training & Consulting received one of these grants to tell the story of Eisner Health's journey in implementing a trauma-informed approach as written by @Lori Chelius . Executive Summary “When we take care of ourselves, that’s when we can...
Member
Hendrieka Fitzpatrick MD
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A Trauma-Informed Approach to Vaccine Hesitancy (Sign On Letter Attached In First Line)
Please sign onto and share this memo supporting using a trauma-informed approach to decreasing vaccine hesitancy! Many of the challenges we are facing with vaccine hesitancy can be better understood by looking at the issue through a trauma-informed lens. The following memo has been developed with input from many of the clinical and academic thought leaders from the trauma healing field to offer supportive guidance to the Administration. To successfully address this challenge, we need to...
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A Trauma Informed Approach to Vaccine Fear
PLEASE SIGN ON TO THIS MEMO TO SUPPORT OUTREACH ALONG THESE LINES TO THE ADMINISTRATION! If the goal is to impact meaningful change, it might prove helpful to view vaccine fear through a trauma informed-lens. There is an intentional shift from the use of the word “hesitancy” and instead using the more specific and appropriate term “fear”. We are more likely to change that which we better define and understand. The following memo has been developed with input from an interdisciplinary team of...
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Nourishing a Brain Wounded by Childhood Adversity
The right mix of nutrients revitalizes the brain that's been wounded by ACEs. Good nutrition can quickly improve mood and functioning in the present, while improving the potential to rewire disturbing memories imprinted in childhood.
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PACEs Champion Dr. Lourdes Valdez uses Reach Out and Read as one way to integrate practices based on PACEs science
Our interview for this profile took place over two continents, from the U.S. to Lima, Peru, where Lourdes Valdez, pediatrician in Butte County, California, for 23 years, was attending to family affairs after the death of her mother. Valdez grew up in Lima, and later earned her medical degree in Peru before moving to Iowa City, Iowa, in 1992 for her residency. She said her mother helped make her a resilient person. Although working full time as an economist and statistician, her mother made a...
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January 19th CTIPP CAN Call - Trauma-Informed Initiatives in Baltimore and Maryland
Join us next Wednesday for two excellent CTIPP CAN presentations to begin our 2022 lineup. Baltimore Councilman Zeke Cohen will discuss the work, started by the late Congressman Elijah Cummings, that is making the city of Baltimore trauma-informed. Claudia Remington will describe new trauma informed initiatives by the State of Maryland, including legislation that created a Commission to develop a comprehensive strategy to make the State trauma informed. We will also report on the first...
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Adverse Childhood Experiences, the Brain, and Exercise: How exercise strengthens the brain wounded by toxic childhood stress
Even small amounts of exercise can quickly and dramatically improve mood, brain health, brain function, and the ability to cope with stress, while preparing the brain to rewire the hidden wounds from childhood.
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Adverse Childhood Experiences, the Brain, and Sleep
Sufficient, good quality sleep strengthens the brain wounded by ACEs in many ways. Intelligent sleep strategies improve mood, brain (and medical) health, brain function, and the capacity to rewire negative neural pathways imprinted in childhood.
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Nightmares and ACEs: They No Longer Need Rule the Night
Recurring nightmares lead to much needless suffering for survivors of adverse childhood experiences—suffering that goes well beyond disturbed sleep. Five steps help take back the night.
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ACEs and the Resilient Brain
Beyond the main pillars of sleep, exercise, and nutrition, these six practices optimize brain health and functioning in the present, while preparing the brain to adaptively rewire the hidden wounds from toxic childhood stress.
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Control in Healthcare: History and Reclamation of Bodily Autonomy (nonprofitquarterly.org)
This is the introduction and first installment of a five-part series, Reclaiming Control: The History and Future of Choice in Our Health , examining how healthcare in the US has been built on the principle of imposing control over body, mind, and expression. However, that legacy stands alongside another: that of organizers, healers, and care workers reclaiming control over health at both the individual and systems levels. Published in five monthly installments from July to November 2022,...
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California Set to Become First State in Nation to Expand Medicaid Services for Justice-Involved Individuals (DHCS)
SACRAMENTO – California today became the first state in the nation to offer a targeted set of Medicaid (Medi-Cal in California) services to youth and adults in state prisons, county jails, and youth correctional facilities for up to 90 days prior to release. Currently, Medi-Cal services are generally available only after release from incarceration. Through a federal Medicaid 1115 demonstration waiver, the Department of Health Care Services (DHCS) will establish a coordinated community...
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Exploring the Connection Between Adverse Childhood Experiences and Diabetes
Life is hard. None of us makes it through unscathed. Unfortunately, though, some of us have a much tougher journey on this planet than others. Most distressingly of all, children and babies are by no means immune from the wounds that this world all too often inflicts. Indeed, for many children, trauma is not a future threat but a present reality. And these adverse childhood experiences (ACE) can have a devastating long-term impact across all domains of a child’s life. This includes...
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The Campaign on Trauma-Informed Policy and Practice 2022 Trauma-Informed Policy Development Highlights. Join Wednesday's CAN Call for analysis!
By Whitney Marris, Trauma Therapist and CTIPP's Director of Practice & System Transformation 2022 marked a successful advocacy year for the Campaign for Trauma-Informed Policy and Practice’s (CTIPP) network. Federal and state leaders proposed and supported legislation to prevent and address trauma and create more long-term health, equity, and resilience in more significant numbers than in past years. There is no doubt that the continued commitment and efforts of advocates around the...
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How much would the NAS poverty reduction packages reduce referrals to CPS and foster care placements? Would they reduce racial disproportionality in child welfare? (nasonline.org).
Because of a collaboration with Columbia University and UW-Madison, we have answers to these questions. By Peter Peter Pecora, Casey Family Programs, March 17, 2023 - Overview The National Academy of Sciences (NAS) recently released a “ roadmap ” to reduce child poverty by as much as half through the implementation of a series of social policy packages. The aim of this study was to simulate the reductions in Child Protective Services (CPS) involvement and foster care placements that are...
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Register Now for Inaugural Statewide Summit: Leveraging North Carolina’s Assets to Prevent Childhood Trauma — Virtually & In Raleigh April 27-28!
Information from Summit Brochure and registration site available here . North Carolina’s first Statewide Trauma Summit – a virtual and in-person summit – will beheld Thursday and Friday, April 27-28, in Raleigh, at The McKimmon Conference and Training Center, Summit leaders announced recently. “Momentum is growing in NC for building trauma-informed systems that strengthen resilience and weed out systemic and often intergenerational sources of child trauma. To advance this work, it is...
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Teen Girls Are Not Alright. ADHD Magnifies the Crisis. (additudemag.com)
To read more of Nicole Kear's article, please click here. Teen girls in the U.S. are “engulfed in a growing wave of sadness, violence and trauma,” according to a report released last week by the Centers for Disease Control and Prevention (CDC) that found alarming increases in rates of rape, depression, suicidality, and cyberbullying among adolescents. 1 “The numbers are unprecedented,” said Kathleen Ethier, director of the CDC’s Division of Adolescent and School Health . “Our young people...
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How The Physician Shortage Is Impacting Children With ACEs
All children need a secure, safe, and stable environment as they grow up. Young kids must have the care and support they need to aid in their development. But children with adverse childhood experiences (ACEs) are especially prone to struggling as they age if they don’t have stability. While stability and support can come from a child’s housing situation and those who raise them, they also need quality care from the doctors in their lives. A lack of secure, safe, and stable healthcare for...
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PACEs Research Corner — May 2023, Part 2
[Editor's note: Dr. Harise Stein at Stanford University edits a web site — abuseresearch.info — that focuses on the effects of abuse, and includes research articles on PACEs. Every month, she posts the summaries of the abstracts and links to research articles that address only ACEs, PCEs and PACEs. Thank you, Harise!! — Rafael Maravilla] Domestic Violence – Effects on Children Makris G, Eleftheriades A, Pervanidou P. Early Life Stress, Hormones, and Neurodevelopmental Disorders. Horm Res...