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PACEs in Medical Schools

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Blog Post

How U.S. Medical Schools Are Training a Post-Pandemic Generation of Doctors [time.com]

By Jamie Ducharme, Time, November 24, 2020 In February 2019, the Kaiser Permanente health system announced a new kind of medical school. The school would be built “from the ground up” to prepare students for the complexities of the U.S. medical system. The curriculum would emphasize cultural competency, patient and provider well-being, and the elimination of socioeconomic disparities in the medical system. Students would see patients right away, and hands-on learning would replace many...
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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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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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A Better Normal Friday, March 26, 2021: PACEs and HOPE with Dr. Christina Bethell

Jane Stevens ·
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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March CTIPP CAN Call

Jesse Maxwell Kohler ·
Thank you to Aidan Phillips from the WAVE Trust for his excellent and engaging presentation for attendees of our monthly Campaign for Trauma-Informed Policy and Practice (CTIPP) call for March. The information he shared is invaluable as we continue our work to influence change at the national level through the National Trauma Campaign . If you were unable to join, would like to watch again, or want to share with others, you can find the call recording here . Additionally, if you would like...
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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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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...
Member

Jana Towne

Blog Post

To solve the Black maternal mortality crisis, start with upending racist practices

Laurie Udesky ·
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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Learn how to secure federal funding for your community. A Better Normal with CTIPP, Dave Ellis, Dan Jurman

Carey Sipp ·
The nearly $2 trillion American Rescue Plan Act has several buckets of funding that can be used to promote trauma-informed and healing-centered projects. PACEs Connection communities can apply for this funding, according to leaders of the Campaign for Trauma-informed Policy and Practice (CTIPP), the National Trauma Campaign, and PACEs Connection. The “Better Normal” webinar on Friday, May 14 at 3 p.m. EST; Noon PST, Dan Press, Jesse Kohler and Marlo Nash of CTIPP will begin by describing...
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Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment

Jeoffry Gordon ·
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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PACEs Connection presents the "Historical Trauma in America" series

PACEs Connection's Race & Equity Workgroup will be examining historical trauma in the United States of America and its impact on American society in a series of virtual discussions. This series will highlight each unique region within the United States and outline how unresolved historical trauma has impacted every aspect of American life and directly shapes the socio-political landscape of today as well as the overall well-being of Americans. Discussions will make connections between...
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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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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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Free Resource for Nurses: Cultivating the Practice of Gratitude [mindful.org]

Gail Kennedy ·
We would like to provide you ongoing support and materials following the Mindfulness for Healthcare Summit . This week, we would like to share Gratitude Practice for Nurses —a joint initiative of the American Nurses Foundation and the Greater Good Science Center at the University of California, Berkeley. Decades of scientific research have shown that practicing gratitude is good for our minds, bodies, and relationships. Gratitude Practice for Nurses is a free initiative designed to provide...
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Pair of reports guides treatment of patients struggling with effects of trauma [aappublications.org]

By Heather C. Forkey and James H. Duffee, American Academy of Pediatrics, July 26, 2021 The COVID-19 pandemic and our nation’s racial reckoning have given new visibility to trauma and its impact on children. Even before the pandemic, it was understood that the most fundamental threats to health have their roots in adversities experienced by children without sufficient buffering of a caregiver. Behavior, development, relationships and physical health can be affected for a lifetime due to the...
Member

Yvette Miller

Blog Post

Trauma-Informed Early Childhood Initiatives [CTIPP]

Kelsey Visser ·
CTIPP CAN Call - Trauma-Informed Early Childhood Initiatives - September 15th, 2-3:30pm ET/11am-12:30pm PT - Join Zoom Meeting: https://us02web.zoom.us/j/742183645 Meeting ID: 742 183 645 One tap mobile +19292056099,,742183645# US (New York) Please join us for next week's CTIPP CAN Call, which will focus on building mental well-being for infants, toddlers and preschoolers and the adults who care for them. This month's presentation will feature Drs. Kaitlin Mulcahy and Gerry Costa, and Kelly...
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Supporting Mental Well-Being through Child Care Settings - 9/30, 1:30-3:00 ET

Jesse Maxwell Kohler ·
A webinar offered by the Campaign for Trauma-Informed Policy and Practice (CTIPP) Thursday, September 30, 1:30 - 3:00 pm EDT Register today . Addressing the mental health needs of child care providers and children in care is vital in the face of the pandemic, a population-level traumatic event. CTIPP is offering a "plug and play" framework to ease the process of developing a continuum of training, reflective coaching, and consultation to build the capacity for supporting relational health...
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Historical Trauma in the American Midwest Event Recap

Alison Cebulla ·
On September 16, 2021, PACEs Connection hosted our second event in our Historical Trauma in America series . This event was led by Ingrid Cockhren, the director of the PACEs Connection Cooperative of Communities; and Porter Jennings-McGarity, our community facilitator of the Midwest Region. It featured guest speaker Agnes Woodward who is Plains Cree from Kawacatoose First Nation, Saskatchewan, Canada. To download the slide deck from this presentation, click here. Then click "download file".
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Learning with Indigenous communities to advance health equity [rwjf.org]

On Indigenous People's Day, we celebrate the values, practices and policies of Tribal Nations, which treat land and water as an ancestral gift to be preserved and protected. As we cope with oil spills, wildfires, and historic droughts, that worldview can help guide us to a sustainable, equitable, and healthy future. Now more than ever, we need that wisdom to help us reclaim the health of the earth > More RWJF resources: Connecting Indigenous Knowledge and Practices webinar : Learn how...
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A Trauma-Informed Approach to Vaccine Hesitancy (Sign On Letter Attached In First Line)

Jesse Maxwell Kohler ·
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...
Comment

Re: A Trauma-Informed Approach to Vaccine Hesitancy (Sign On Letter Attached In First Line)

Jeoffry Gordon ·
It is really challenging to understand the vociferous rejection of powerful, effective, well proven medical therapies like vaccines even when your children are thus made vulnerable and even when people around you are getting ill and even dying. This obviously not a logical, rational process. Medicine and public health are to be faulted for trying to motivate a change in these attitudes by just repeating established clinical data. This post has a cogent and interesting analysis which adds to...
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A Trauma Informed Approach to Vaccine Fear

Jesse Maxwell Kohler ·
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...
Comment

Re: A Trauma-Informed Approach to Vaccine Hesitancy (Sign On Letter Attached In First Line)

Jeoffry Gordon ·
It is really challenging to understand the vociferous rejection of powerful, effective, well proven medical therapies like vaccines even when your children are thus made vulnerable and even when people around you are getting ill and even dying. This obviously not a logical, rational process. Medicine and public health are to be faulted for trying to motivate a change in these attitudes by just repeating established clinical data. This post has a cogent and interesting analysis which adds to...
Blog Post

PACEs Champion Dr. Lourdes Valdez uses Reach Out and Read as one way to integrate practices based on PACEs science

Sylvia Paull ·
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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Need to fund your resilience initiative? Here’s how.

Carey Sipp ·
Chart is sample page from county-by-county funding allocated as part of ARPA. Information is available by clicking here. This is the first of several articles on the importance of any resilience-focused entity, including your PACEs Connection community, seeking out the people in your area allocating ARPA funding and asking for money. Organizations do not necessarily have to be 501 C-3 nonprofits to receive funding. Thanks to federal American Rescue Plan Act (ARPA) funding to states in April...
Member

Wanda Berrios

Blog Post

Register now! Building the Movement in the Child Welfare and Justice Systems February 4, 2022

Jesse Maxwell Kohler ·
February 4th, 2022 - 1pm-5pm ET/10am-2pm PT - Building the Movement in the Child Welfare and Justice Systems Making these sectors trauma-informed, prevention-focused, and healing-centered You’re invited to participate in the third of eight remarkable workshops featured in the series, “Building a National Movement to Prevent Trauma and Foster Resilience”. This half-day workshop will occur virtually and focus on promising practices in the child welfare and justice systems, as well as teach...
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Workshop REMINDER: Building the Movement with Populations with High Prevalence of Trauma - Friday @ 1pm EST/10am PST [npscoaliton.org]

We are excited to present the fifth workshop session this Friday and hope you can join us live! Of note, we are now offering participation certificates to those who can be with us live on Friday afternoons and to make that easier we have also decided to shorten this workshop session to 3 hours ! Please help us in #BuildingTheMovement by sharing this workshop series with colleagues and help us reach our next milestone of 3K registered. Day 5 - Building the Movement with Populations with High...
Blog Post

Research shows only a tiny percentage of physicians integrating PACEs science

Jane Stevens ·
Three relatively recent studies from different parts of the U.S. show that only a tiny percentage of physicians, medical school faculty and other healthcare providers are integrating practices and policies based on the science of positive and adverse childhood experiences (PACEs). Why it matters: For people in the PACEs community, the following is news that’s 20 years old: Adverse childhood experiences are common, preventable and linked to six out of the top ten leading causes of death in...
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How Integrity Can Heal Burnout (mindful.org)

Struggling to make an organizational decision that could adversely impact employees, or feeling unable to provide your children with care and attention while balancing the demands of work and your own need for rest, represent situations where moral suffering could arise. Whatever the exact nature of the decisions and dilemmas we face, the feeling of being too pressured or undersupported to act in alignment with our values has real effects on our mental health, and on whether we reach a point...
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June 15th CTIPP CAN Call - Toward an Integrated Science of PACEs

Jesse Maxwell Kohler ·
Are you interested in learning about new research that integrates the latest brain and social science? Then please join CTIPP’s next Community Action Network (CAN) call on Wednesday, June 15, 2022, from 2:00 - 3:30 p.m. ET / 11:00 a.m. - 12:30 p.m. PT: https://us02web.zoom.us/j/ 742183645 Meeting ID: 742 183 645 +19292056099,,742183645# US (New York) Q&A session after presentations REGISTER / ADD TO CALENDAR The conversation will explore the integrated science of positive and adverse...
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A Nurse-Led, Well-Being Promotion Using the Community Resiliency Model, Atlanta, 2020–2021 [ajph.aphapublications.org]

Karen Clemmer ·
By Ingrid M. Duva, Jordan R. Murphy, and Linda Grabbe, Photo: Unsplash, American Journal of Public Health, June 9, 2022 Abstract The wrath of COVID-19 includes a co-occurring global mental health pandemic, raising the urgency for our health care sector to implement strategies supporting public mental health. In Georgia, a successful nurse-led response to this crisis capitalized on statewide organizations’ existing efforts to bolster well-being and reduce trauma. Partnerships were formed and...
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Vital Signs: Drug Overdose Deaths, by Selected Sociodemographic and Social Determinants of Health Characteristics — 25 States and the District of Columbia, 2019–2020 (cdc.gov)

Summary What is already known about this topic? Drug overdose deaths increased 30% in the United States from 2019 to 2020. Known health disparities exist in overdose mortality rates, particularly among certain racial/ethnic minority populations. What is added by this report? From 2019 to 2020, overdose death rates increased by 44% and 39% among non-Hispanic Black (Black) and non-Hispanic American Indian or Alaska Native persons, respectively. As county-level income inequality increased,...
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American Nurses Association Issues Apology For History Of Racism (binnews.com)

Photo : Getty Images The American Nurses Association (ANA) has issued an apology for the organization's history of racism against Black nurses . Last week, the ANA released a racial reckoning statement to acknowledge its past actions and apologize to nurses of color. “Our intention with this statement is to publicly identify and acknowledge our past actions while addressing the harms that continue today,” the racial reckoning statement reads in part, per the Atlanta Journal-Constitution .
Comment

Re: Why Are So Many Women Suddenly Being Diagnosed With ADHD? (refinery29.com)

Jeoffry Gordon ·
Everyone should read Dr. Ahsan's essay. Its perspective on the cultural, societal, and political causes of mental distress is eye-opening, insightful and very pertinent. She echoes the iconoclastic views of R.D. Liang 50 years ago, another open-minded Brit. As she says " The diagnosis of individual 'mental disorder' can make us believe there’s something wrong with us rather than the world around us, and that healing happens in isolation." This is true in many but by no means all cases. Like...
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How to Help Survivors of Extreme Climate Events (psychologytoday.com)

Carey Sipp ·
By Elaine Miller-Karas MSW, LCSW Building Resiliency to Trauma Psychology Today, September 30, 2022 Mental health can suffer after extreme climate events. KEY POINTS Mental health conditions exacerbated by natural disasters include post-traumatic stress disorder, depression, and anxiety. After a disaster, the number of people needing assistance from the mental health systems strains or exceeds community capacity. There are simple strategies helpers can use to help survivors restore...
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MEDICAL and ACADEMIC NARROWMINDEDNESS BLOCK PROGRESS

Jeoffry Gordon ·
As a clinician, researcher and policy specialist devoted to the prevention and treatment of the ill effects of child abuse and neglect (CAN) I read “Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the American College of Preventive Medicine” (Sherin KM, Stillerman A, Chandrasekar L, Went N, Niebuhr DW. Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the...
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MEDICAL and ACADEMIC NARROWMINDEDNESS BLOCK PROGRESS

Jeoffry Gordon ·
As a clinician, researcher and policy specialist devoted to the prevention and treatment of the ill effects of child abuse and neglect (CAN) I read “Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the American College of Preventive Medicine” (Sherin KM, Stillerman A, Chandrasekar L, Went N, Niebuhr DW. Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the...
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Medical and academic narrowmindedness block progress

Jeoffry Gordon ·
As a clinician, researcher and policy specialist devoted to the prevention and treatment of the ill effects of child abuse and neglect (CAN), I read “Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the American College of Preventive Medicine”, a position statement by the American College of Preventive medicine, with dismay . (Sherin KM, Stillerman A, Chandrasekar L, Went N, Niebuhr DW. Recommendations for Population-Based...
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Highly-honored school nurse and nurse educator Robin Cogan calls PACEs Connection her ‘north star’; urges each member’s support!

Carey Sipp ·
Note: PACEs Connection is in dire financial straits. We are asking for support, from you, our 57,505 members, to help cover the loss of foundation funding that was promised and did not come through. Pay and hours have been cut for our staff—most of us will be laid off for the month of December. Another grant will pick up in January. Since sounding the alarm this summer, we’ve raised about $24,000 . To get a sense of who your fellow members are, who is donating and why, please enjoy and share...
Comment

Re: Adverse Childhood Experiences and Care for the Soul

Jeoffry Gordon ·
Wonderful essay! Spirituality (but not necessarily organized religion) must be part of healing the trauma of childhood abuse or neglect. I would call your attention to the work of Leonard Shengold MD, a psychoanalyst who originally published an article on "Soul Murder" from child abuse or neglect in the Journal of the American Psychoanalytic Association 27(3) in 1979 with 2 following books on the subject. I agree with him that the depth of trauma to children by trusted party maltreatment can...
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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).

Carey Sipp ·
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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A Letter to Kyle

Neha Khanna ·
To mark the anniversary of the passage of the landmark legislation of the Georgia Mental Health Parity Act, we are sharing a letter written a year ago by Roland Behm, Co-founder of the Georgia Mental Health Policy Partnership, Board Member and Former Board Chair, American Foundation for Suicide Prevention (AFSP) Georgia Chapter. The letter is to his son, Kyle, who was diagnosed with bipolar disorder in 2010 as a junior in college and died by suicide in August 2019.
Comment

Re: How The Physician Shortage Is Impacting Children With ACEs

Jeoffry Gordon ·
Of course Charlie Fletcher is very right here; we all want to support and help our kids, especially those that have been traumatized. BUT speaking as a family doc the situation in the medical care system is very, very much worse than what is described in this essay: (1) Especially for the traumatized kids, the US has a 19th century mental health system. I say this because many behavioral health providers and the American Psychiatric Association do not even recognize the pathologic dynamic...
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