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PACEs in Medical Schools

Tagged With "EnACT! (Engagement in Action Framework)"

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

Karen Clemmer ·
By World Health Organization (photo by WHO/Malin Bring) The findings of a new study on the life-course health consequences and associated annual costs of adverse childhood experiences (ACEs) show that preventable trauma in childhood costs north America and the European Region US$ 1.3 trillion a year. The article, published in the Lancet and co-authored by Dinesh Sethi and Jonathon Passmore, Programme Manager, Violence and Injury Prevention, WHO/Europe, looks at the legacy of ACEs and their...
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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...
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The Relentless School Nurse: ACEs Impact Nurses More Than We Realized!

Robin M Cogan ·
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...
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Tools and how to use them is focus of second webinar on Community Resiliency Model, May 14, 2020

Carey Sipp ·
The second of two free Community Resiliency (CRM) webinars with Elaine Miller-Karas , key creator of the CRM, will be held Thursday, May 14, from 11 a.m. - 12:30 p.m. ET, (10 a.m. CT; 9 a.m. MT, and 8 a.m. PT) and will include the practical application of tools of the model. CRM is an ACEs science-based biological model for helping individuals become emotionally regulated during natural disasters and other dysregulating times. Miller-Karas will be joined by CRM trainers from Wilmington, NC:...
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University of Florida Graduate Public Health Course: Trauma-Informed Approaches for Individuals, Communities, and Public Health: Student Project Summaries

Lindsey King ·
The University of Florida College of Public Health and Health Professions partnered with Peace4Tarpon under the Robert Wood Johnson Mobilizing Action for Resilient Communities (MARC) grant. Together they created 2 online graduate courses that focus on addressing ACEs and creating trauma-informed and resilience-based programs from a public health approach. Peace4Gainesville and Peace4 TheBigBend have also contributed to these courses. This post is intended to showcase some of the work of the...
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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...
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ACEs Research Corner — November 2019

Harise Stein ·
[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...
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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...
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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...
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Announcing Trauma and Resilience Competencies for Nursing Education

Kathleen Wheeler ·
The authors are pleased to announce the Trauma and Resilience Competencies for Nursing Education. These competencies serve as a guideline of minimal expectations and reflect essential knowledge, skills and behaviors for three levels of nursing education: 1) undergraduate, 2) graduate, and 3) psychiatric nurse practitioner programs. The Trauma and Resilience Competencies, developed in 2018 at the Egan School of Nursing and Health Studies at Fairfield University in Connecticut by an Expert...
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At the scene of a house fire, ACEs cast long shadows

Peter Chiavetta ·
I am on the scene of a house fire in a town near where I live in Brant, NY. As part of my duties as EMT with my fire company ambulance (I'm first assistant chief firefighter), I make sure firefighters who are working a fire stay healthy while they’re fighting it, especially firefighters with ACEs.
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California unveils ACEs Aware initiative to screen for trauma

Laurie Udesky ·
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...
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Forsyth County Trauma Informed Care Network

Laneita Williamson ·
The Forsyth County Trauma Informed Network is taking great strides into recognizing and addressing community post Covid-19 impacts. PowerPoint attached.
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How do these pediatricians do ACEs screening? Early adopters tell all.

Laurie Udesky ·
Last week, three pediatricians — with a combined experience of 15 years integrating ACEs science into their practices — reflected on the urgency they felt several years ago that prompted them to begin screening patients for childhood adversity and resilience when there was practically no guidance at all. Along their journey , they accumulated a list of lessons learned for other pediatricians and family clinics to use. The three pediatricians participated in the ACEs Connection webinar,...
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My son was hospitalized and now he has PTSD

Stephanie Kennelly ·
“Grant, do you remember when you were in the hospital?” “Yes… they came to take the blood and I turned into a werewolf.” Original Post It happened quickly. A year ago my three year old had a collarbone fracture, it became infected and within 24 hours the situation was emergent. A week long hospital stay, one month with a PICC line and two months on oral antibiotics. Finally, the labs finally came back normal. The X-Ray was clean. Gillette Children’s Hospital closed our case. But the healing...
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NPPC shares lessons learned and results from ACEs screening pilot sites

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

Christina Bethell ·
We're proud to announce major research that suggests that positive childhood experiences — such as supportive family interactions, caring relationships with friends, and connections in the community — are associated with reductions in chances of adult depression and poor mental health, and increases in the chances of having healthy relationships in adulthood. This association was true even among those with a history of adverse childhood experiences.
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Forsyth County Trauma Informed Care Network

Laneita Williamson ·
The Forsyth County Trauma Informed Network is taking great strides into recognizing and addressing community post Covid-19 impacts. PowerPoint attached.
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Experience of emergency department use among persons with a history of adverse childhood experiences [bmchealthservres.biomedcentral.com]

By Eva Purkey, Colleen Davison, Meredith MacKenzie, et al., BMC Health Services Research, May 24, 2020 Background Adverse childhood experiences (ACEs) are associated with increased morbidity and mortality, lower levels of distress tolerance, and greater emotional dysregulation, as well as with increased healthcare utilization. All these factors may lead to an increased use of emergency department (ED) services. Understanding the experience of ED utilization among a group of ED users with...
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NEW Trauma-informed Care Podcast (CME provided)

Megan Gerber MD MPH ·
Join us as we delve into the paradigm-shifting ethos of trauma-informed care with renowned expert Dr. Megan Gerber. Dr. Gerber is an Associate Professor of Medicine at Boston University School of Medicine and serves as Medical Director of Women’s Health for VA Boston where she directs the Women’s Health Fellowship. Dr. Gerber edited the textbook, “Trauma-informed Health Care Approaches: A Guide for Primary Care.” We discuss the framework for trauma-informed universal precautions, as well as bas
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Academic Medicine and Black Lives Matter Time for Deep Listening (NEJM)

Karen Clemmer ·
By Clyde W. Yancy, MD, MSc 1 , JAMA. Published June 30, 2020. doi:10.1001/jama.2020.12532 E choes of “medicine as the noble profession” continue to resonate, now 35 years since my legendary Chair of Medicine imbued me with this guiding ethos. Nobility in medicine is not obsolete; the selflessness, courage, self-sacrifice, and altruism on gallant display in the response to COVID-19 reassures that at its core, this ethic of egalitarian service remains intact and deeply established in the DNA...
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Academic Medicine and Black Lives Matter Time for Deep Listening (NEJM)

Karen Clemmer ·
By Clyde W. Yancy, MD, MSc 1 , JAMA. Published June 30, 2020. doi:10.1001/jama.2020.12532 E choes of “medicine as the noble profession” continue to resonate, now 35 years since my legendary Chair of Medicine imbued me with this guiding ethos. Nobility in medicine is not obsolete; the selflessness, courage, self-sacrifice, and altruism on gallant display in the response to COVID-19 reassures that at its core, this ethic of egalitarian service remains intact and deeply established in the DNA...
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Reimagining Healthcare as a Community Investment

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

Becky Haas ·
The first time I ever heard the words trauma-informed care and the Adverse Childhood Experiences (ACEs) study was in the summer of 2014. At the time, I was working for the local Police Department as the Director of a grant-funded Crime Reduction Project aimed at reducing drug-related and violent crime. Of the many program goals, one was to develop a rehabilitative corrections program for felony offenders with addictions in order to reduce recidivism. Though I’ve lived in this region for...
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Health Disparity, Racial Weathering, and Social Determinants: How Do We Create Antiracist Healthcare? [saragottfriedmd.co]

By Sara Gottfried, Dr. Sara Gottfried MD, July 13, 2020 I take respectful care of my patients regardless of skin color, but in the past few years, I’ve realized that is not enough. There are many sources of information that have influenced me. Conversations, particularly a recent interview with integrative physician Andrea Pennington MD. Books, mentioned in this article, including How to Be an Antiracist by Boston University Professor Ibram X. Kendi and founder of the Antiracism Center for...
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Structural Racism, Social Risk Factors, and Covid-19 — A Dangerous Convergence for Black Americans (NEJM)

Karen Clemmer ·
Perspective by Leonard E. Egede, M.D., and Rebekah J. Walker, Ph.D. July 22, 2020, DOI: 10.1056/NEJMp2023616 . *Author Affiliations: From the Division of General Internal Medicine, Department of Medicine, and the Center for Advancing Population Science, Medical College of Wisconsin, Milwaukee. Current protests throughout the United States are highlighting the history of marginalization of and discrimination against Black Americans, including 250 years of slavery, 100 years of Jim Crow laws,...
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Trauma informed pain treatment

bennet davis ·
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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Does VP Candidate Kamala Harris know about ACEs?  You bet!

Nadine Burke Harris, California’s Surgeon General, has a lot in common with the vice presidential candidate Kamala Harris—Jamaican heritage, surname, home state—and a commitment to addressing ACEs and toxic stress. As reported in the New Yorker article by Paul Tough, “The Poverty Clinic,” Dr. Harris told Kamala Harris, then San Francisco district attorney, about ACEs in 2008 and in response, she offered to help. District Attorney Harris then introduced her to professor of child and...
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Free 2020 Virtual Trauma-Informed Care Conference

Bharat Sanders ·
Each year, STAR hosts a Trauma-Informed Care Conference to help educate the next generation of leaders and build a strong network of Trauma-Informed professionals in the state of Georgia. The conference will be held on Saturday, October 3rd from 10:00am- 1:00pm EST and Sunday, October 4th , 2020 from 2:00pm-5:00pm EST conducted virtually via Zoom.
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'A Better Normal:' Can universal ACEs screening be equitable? -- Concerns and solutions

Laurie Udesky ·
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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The Intersection of Systematic Racism, the Pandemic, and SDoMH: Reality Mandates Change

Ellen Fink-Samnick ·
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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"A Better Normal" Community Discussion: Suicide Awareness and Community Cafes

Karen Clemmer ·
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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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 Connection/CTIPP Southeastern Leaders’ call: State updates, funding information, and “mind-blowing” information about helping people out of poverty

Carey Sipp ·
Southeastern ACEs Connection and national CTIPP leaders on the quarterly leader call welcomed guest speaker Rebecca Lewis-Pankratz (top left) for their quarterly call. Also among those present were (top row l-r) Carey Sipp, Jesse Kohler, Jesse Hardin, (second row, l-r) Patti Tiberi, Mebane Boyd, Jen Drake-Croft, Dan Press, (third row, l-r) Mimi Graham, Christopher Freeze, Margaret Stagmeier, (fourth row, l-r) Emily Marsh, Liz Peterson, Alyssa Koziarski and Janet Pozmantier. Also present was...
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COVID Relief law creates a $82 billion Education Stabilization Fund for local schools and higher education institutions

While the 5,000-page $900 billion COVID Relief Bill ( H.R. 133, Div. M and N) fell short on some fronts (e.g., did not provide direct fiscal relief to cash-strapped states and localities), it does provide $82 billion in Education Stabilization Funds for states, school districts, and higher education institutions—crucial support for education as students return to school after the holiday. Funding of this magnitude makes a trauma-informed COVID response possible, giving advocates the...
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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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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

Christine Cissy White ·
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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We’ve changed our name to PACEs Connection! 

Jane Stevens ·
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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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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ACEs Parent Handouts & ACEs One Pagers & Link to GRC (UPDATED 4/28/21)

Christine Cissy White ·
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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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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The Wait is Over! - The Vital Village NOW Playbook [vitalvillage.org]

Gail Kennedy ·
Please make a commitment to personal use ONLY! NOW Playbook Transformative Community Capacity to Advance Equity We are excited to share the Vital Village Networks of Opportunity for Child Wellbeing (NOW) Playbook . The NOW Playbook is a resource guide designed to provide tools for local leaders, community coalitions and networks, educators, practitioners, and policymakers working to promote the wellbeing of children and families, advance equity, and align systems of care and education in...
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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".
Comment

Re: Path to a Just Society: Our new infographic shares common language and an aspirational path.

Jeoffry Gordon ·
This is a great graphic, but is field of view needs to be expanded. In my opinion to minimize, prevent trauma, you have to get beyond individual and family focused remediation. An improved graphic would include attention to poverty, racism, homelessness, and poor education, among others as factors needing attention to minimize trauma and get to a "just society." This view expands to include not only individual support, therapy, social work, and empathy, but also political action.
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Ethical Self-Care

GWENDOLYN DOWNING ·
Hello, The Ethical Self-Care training has been updated, and while I don't have it set up as a webinar yet for CEUs, the video of the live training from 12.29.21 is available here https://www.youtube.com/watch?v=ktkBwFjh5HA for learning purposes. Whether you want to be as ethical as possible in your field, or be more informed and able to hold others accountable as needed, the materials provided in this training are for you. Description for the training: To optimize ethical practice, it is...
 
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