Tagged With "well child visits"
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My son was hospitalized and now he has PTSD
“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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New Study Reveals Annual Cost of Childhood Adversity in California Is Approximately $113 Billion [prnewswire.com]
SAN FRANCISCO , Jan. 28, 2020 /PRNewswire/ The Center for Youth Wellness announces the release of an in-depth study on the health-related cost of adverse childhood experiences (ACEs) in the state of California . A number of studies have investigated the cost of child maltreatment, but the current study, entitled " Adult health burden and costs in California during 2013 associated with prior adverse childhood experiences ," is the first to examine the cost associated with adult health...
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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. Beyond supporting these practices with the logistics of implementation, the broader goal was to discover and share real-world best practices,...
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NPPC shares lessons learned and results from ACEs screening pilot sites
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
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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Re: Becoming Trauma Informed (Millstein JGIM 2020)
As a family doc with 40 years of practice under my belt I heard the phrase "Trauma Informed Care." for the first time in 2019. This not so benign neglect is complimented by adult medicine's obliviousness to the pervasive morbidities caused by the fact that about 20% of our adult patients were abused as children. This affects both mental and physical health. Training in adult medicine is void of attention to both child abuse and TIC, much to the detriment of our patients.
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ACEs Research Corner — May 2020
[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] Williams AB, Smith ER, Trujillo MA, et. al. Common health problems in safety-net primary care: Modeling the roles of trauma history and mental health. J Clin...
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Forsyth County Trauma Informed Care Network
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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"Addiction begins with solving a problem, the problem of human pain, emotional pain"
In his groundbreaking book , In the Realm of Hungry Ghosts: Close Encounters with Addiction , trauma and addiction expert Dr. Gabor Maté writes, “There are almost as many addictions as there are people.” ACEs Connection founder and publisher Jane Stevens read that quote as a springboard to asking Maté to define addiction and explain whether or not it is always rooted in adverse childhood experiences. Maté, along with filmmaker Michelle Esrick and Saturday Night Live star Darrell Hammond,...
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What Do We Do? What Do We Do Now?
People’s response to the great chasms of structural inequities glaringly laid bare by the COVID-19 pandemic have been further inflamed by the murder of George Floyd and deaths of other African Americans in recent weeks. The acute emergency of the pandemic has eased, but the violence inflicted on racial minorities and now those who are protesting the inequities in our society has compounded the outrage. Right after the pandemic began running riot across the US, I often heard people ask: When...
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2020 Health Equity Call for Research (AAMC)
2020 Health Equity Call for Research: AAMC Consumer Survey of Health Care Access Introduction In recognition of the importance of research and the dissemination of evidence-based solutions to achieve health equity, the AAMC (Association of American Medical Colleges) founded the Collaborative for Health Equity: Act, Research, Generate Evidence (CHARGE), a forum for investigators, clinicians, and community partners to collaborate and improve upon research that aims to minimize disparities in...
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ACEs screening is about building relationships, says early adopter
Whether or not to screen for ACEs in primary care is an important debate—and I hear and respect the passion from both sides of the argument. I fall in the “pro-ACE assessments” camp, but with some important caveats. I think that assessments for ACEs are dramatically different from screening for autism or developmental delays. In my opinion, assessments for ACEs in primary care should be primarily about building relationships.
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Linda Grabbe: Helping her communities develop resilience through the Community Resilience Model
Grabbe searched for models that would help her homeless and addicted patients. “There are good body-based models for psychotherapy, which may be the most effective approach for trauma,” she says, “but hardly any of my patients were receiving any kind of therapy. There are thousands of people in our communities who have high ACE scores who will never get the years of psychotherapy they deserve. CRM is a self-mental wellness care tool and is exquisitely trauma-sensitive—so it can help enormously.”
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Childhood Physical Neglect Is Associated With Exaggerated Systemic and Intracellular Inflammatory Responses to Repeated Psychosocial Stress in Adulthood (PMC)
By Hannah M. C. Schreier, Yuliya I. Kuras, [...], and Nicolas Rohleder Abstract Experiences of child maltreatment are associated with a host of adverse mental and physical health outcomes in adulthood. Altered reactivity to psychosocial stress exposure may partially explain known associations between early experiences of maltreatment and later life health. The present study focuses on examining whether experiences of child maltreatment are associated with physiological reactions to initial...
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A Better Normal Tuesday, June 30th at Noon PDT: Reinterpreting American Identity, a Community Discussion
"I think that all of us, regardless of our racial or ethnic background, feel relieved that we no longer have to deal with the racism and the sexism associated with the system of slavery. But we treat the history of enslavement like we treat the genocidal colonization of indigenous people in North America, as if it was not that important, or worse, as if it never happened." —Angela Davis, "The Meaning of Freedom" Please join us for the ongoing community discussion of A Better Normal, our...
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Resilience for Children & Families: Being Brave When Things are Hard
Building Resilience with Children During Racial Discrimination & Violence: This attached Resilience Brief for Children has been the hardest one I have written yet. I have been an active advocate for the equal treatment of people from all backgrounds, religions, ethnic heritages, orientations, and families my entire life. It is hard to see the pain present today, not only due to COVID19 but also due to the harm and anger we see daily in the news. I want to share a story about the person...
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Re: Reimagining Healthcare as a Community Investment
Let us be clear: Guaranteeing medical services as a right to all Americans is not only a moral mandate, it is an investment in individual freedom and capacity, in family security and opportunity, as well as community solidarity and peace. The rest of the mature developed world places this priority along side fire departments, schools, and housing as collective public goods guaranteed by the government. Here in the USA this moral mandate has been retarded first by racism (those states which...
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Help Navigating the Road to Community Resiliency
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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Do safe, stable, and nurturing relationships work? New research has important findings for responding to ACEs
While we know that adverse childhood experiences (ACEs) can cause risk behaviors, research has told us that the presence of protective factors can help mitigate the effects of ACEs. Common risk behaviors such as smoking tobacco and alcohol misuse can be a result from the trauma of childhood disadvantage. In responding to ACEs, public health research proposes that protective factors such as safe, stable, nurturing relationships (SSNRs) with a caring adult can mitigate the long-term effects of...
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Donald Trump is the product of abuse and neglect. His story is common, even for the powerful and wealthy.
“In order to cope,” writes Mary Trump, “Donald began to develop powerful but primitive defenses, marked by an increasing hostility to others and a seeming indifference to his mother’s absence and father’s neglect….In place of [his emotional needs] grew a kind of grievance and behaviors—including bullying, disrespect, and aggressiveness—that served their purpose in the moment but became more problematic over time. With appropriate care and attention, they might have been overcome.”
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Baby courts: A proven approach to stop the multigenerational transmission of ACES in child welfare; new efforts to establish courts nationwide
The organization Zero To Three estimates that in the U.S., a child is taken into the child welfare system every six seconds. “Many of society’s most intractable problems can be traced back to childhood adversity. Being in the child welfare system increases the likelihood of more adversity and criminality. Baby court is a proven approach to healing the trauma of both child and parent, and breaking the cycle of maltreatment,” says Mimi Graham, Ed.D ., director of the Florida State University...
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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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Community-level changes can impact health outcomes (Contemporary Pediatrics)
By Rachael Zimlich, August 21, 2020, Contemporary Pediatrics. Improving neighborhood conditions in disadvantaged areas can help improve health outcomes, but these improvements may be modest and take a long time to see. Still, any improvement is a good improvement, concludes a new study. The report , 1 published in Pediatrics , reviews a collaboration by hospitals and community leadership in Ohio, where efforts were aimed at improving health outcomes by making communities better places to...
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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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NIHB Launches Adverse Childhood Experiences (ACES) Hub
The National Indian Health Board, in collaboration with CDC, has launched a new resource hub! Many Tribal individuals, families, and communities have been impacted by childhood experiences causing physical and mental health adversities throughout the lifespan. However, with understanding and effort, individuals and communities can confront Adverse Childhood Experiences (ACES) for positive health outcomes. This information hub, launched by the National Indian Health Board includes a "resource...
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New ACEs initiatives learn about strategic plan development from from New Hanover (NC) Resiliency Task Force executive director Mebane Boyd
The desire to see other ACEs initiatives grow and flourish was evident at a recent meeting of the Resilient Columbus County (North Carolina) ACEs initiative when Mebane Boyd, executive director of the New Hanover Resiliency Task Force (also in North Carolina), shared with the Columbus County and neighboring Pender County groups how New Hanover created and works on its strategic plan. In the spirit of sharing, Boyd agreed to let ACEs Connection post the strategic plan and the video of the...
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Researchers discover a specific brain circuit damaged by social isolation during childhood (Science Direct)
August 31, 2020, The Mount Sinai Hospital / Mount Sinai School of Medicine. Study in mice shows long-lasting effects and points the way to potential treatments Summary: Researchers have identified specific sub-populations of brain cells in the prefrontal cortex, a key part of the brain that regulates social behavior, that are required for normal sociability in adulthood and are profoundly vulnerable to juvenile social isolation in mice. [ Please click here to read more. ]
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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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Addiction Born Out of ACEs and The Return of Hope [avahealth.org]
The downstream effect of childhood trauma has been well documented regarding the biological and psychosocial impacts. This presentation will highlight the neurobiological changes associated with ACEs that function as a "primer" for the onset of addiction and related behaviors. It will conclude with principles for influencing these same pathways that assist with restoration of the mind and health downstream effect of childhood trauma has been well documented regarding the biological and...
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RSVP now! FREE Learning opportunity for CA healthcare providers: Oct 1, 2020 at noon PST
RSVP now for a presentation by Susie Wiet, MD who is an integrative developmental psychiatrist with expertise in holistic treatment of trauma-addiction, dual diagnosis, and complex psychiatric disorders. Target Audience T his activity is intended for CALIFORNIA physicians, physician assistants, registered nurses, nurse practitioners, psychologists and social workers engaged in the care of patients who have experienced violence or trauma. Educational Objectives After completing these...
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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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Free 2020 Virtual Trauma-Informed Care Conference
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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Implementing the Neurosequential Model of Therapeutics in Tennessee: Parent and Clinician Perspectives (Child Wefare)
Child Welfare publication, Child Trends, September 25, 2020. The QIC-AG is a five-year project working with eight sites that implemented evidence-based interventions or developed and tested promising practices which, if proven effective, can be replicated or adapted in other child welfare jurisdictions. Effective interventions are expected to achieve long-term, stable permanence in adoptive and guardianship homes for waiting children as well as children and families after adoption or...
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Synergistic adversities and behavioral problems in traumatized children and adolescents (Child Abuse & Neglect)
By Frank W. Putnam a Ernestine C. Briggs b https://doi.org/10.1016/j.chiabu.2020.104492 . Abstract Objective This study investigated synergy of commonly co-occurring pairs of childhood traumas/adversities to determine: 1) if synergistic pairings differ by gender and/or age grouping; and 2) if some traumas/adversities were more synergistically reactive. Methods A sample of 10,355 clinic-referred youth (1.5–18 years) from the National Child Traumatic Stress Network Core Data Set was divided by...
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'A Better Normal:' Can universal ACEs screening be equitable? -- Concerns and solutions
Can universal ACEs screening be equitable? A conversation about concerns and solutions. When: Tuesday, Oct. 13, 2-3:30 pm PDT/5-6:30 pm EDT This webinar explores what it takes to ensure that equity is built into the process of screening and providing support for families who have experienced trauma and want help. REGISTER HERE Background At the beginning of this year, California, through the ACEs Aware initiative began rolling out universal screening for adverse childhood experiences (ACEs),...
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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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New Resource: Coping with Stress During the COVID-19 Pandemic One-Pager (English & Spanish!)
English: The California Department of Public Health, Injury and Prevention Branch (CDPH/IVPB) and the California Department of Social Service, Office of Child Abuse Prevention’s (CDSS/OCAP) , Essentials for Childhood (EfC) Initiative , ACEs Connection , and the Yolo County Children’s Alliance have co-created a newly developed resource, “Coping with Stress During the COVID-19 Pandemic” in both English and Spanish. This material is intended for Californian families experiencing the severe...
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"A Better Normal" Community Discussion: Suicide Awareness and Community Cafes
Join us on Friday November 6, 2020 from noon to 1:00 PST as we come together and join Satya Chandragiri MD, Bonnie O’Hern RN, Denise Proudfoot RN, & Michael Polacek RN for a discussion around the tender issue of suicide. Together we will discuss ways people and providers can support each other and encourage communities to take action to support one another around suicide prevention, crisis intervention, and the layers of culture and structural barriers to care. A special emphasis will be...
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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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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 Watch Weekend on ACEs Connection (Dec. 11th - 13th)
The Transform Trauma with ACEs Sciences FREE Film Festival continues this weekend. Please join us to watch parts 1, 2, and 3 of the PBS Whole People series at your convenience, on ACEs Connection, by clicking play on the videos below: Whole People | 101 | Childhood Trauma | Episode 1 (27 min) Preview: Whole People | 102 | Healing Communities | Preview | Episode 2 Whole People | 102 |Healing Communities Episode 2 (27 min) Whole People | 103 |A New Response | Episode 3 (27 min) This is one of...
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Whole People Watch Weekend on ACEs Connection (Dec. 11th - 13th)
The Transform Trauma with ACEs Sciences FREE Film Festival continues this weekend. Please join us to watch parts 1, 2, and 3 of the PBS Whole People series at your convenience, on ACEs Connection, by clicking play on the videos below: Whole People | 101 | Childhood Trauma | Episode 1 (27 min) Preview: Whole People | 102 | Healing Communities | Preview | Episode 2 Whole People | 102 |Healing Communities Episode 2 (27 min) Whole People | 103 |A New Response | Episode 3 (27 min) This is one of...
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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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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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ACEs Connection/CTIPP Southeastern Leaders’ call: State updates, funding information, and “mind-blowing” information about helping people out of poverty
Southeastern ACEs Connection and national CTIPP leaders on the quarterly leader call welcomed guest speaker Rebecca Lewis-Pankratz (top left) for their quarterly call. Also among those present were (top row l-r) Carey Sipp, Jesse Kohler, Jesse Hardin, (second row, l-r) Patti Tiberi, Mebane Boyd, Jen Drake-Croft, Dan Press, (third row, l-r) Mimi Graham, Christopher Freeze, Margaret Stagmeier, (fourth row, l-r) Emily Marsh, Liz Peterson, Alyssa Koziarski and Janet Pozmantier. Also present was...
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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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Join Special Guest Father Paul Abernathy for a Zoom Discussion on March 16th, at 7p.m. EST to discuss the Whole People Documentary Series and Trauma-Informed Community Development
On behalf of ACEs Connection , the CTIPP (The Campaign for Trauma -Informed Policy & Practice), and the Relentless School Nurse , we want to invite you to the streaming of parts 4 and 5 of the Whole People documentary series on the weekend o f M arch 12th through March 14th, 2021. We will stream both parts on ACEs Connection in the Transforming Trauma with ACEs Sciences Film Festival community. The documentary viewing will be followed by a discussion with special guest, Father Paul...
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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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A Better Normal Friday, March 26, 2021: PACEs and HOPE with Dr. Christina Bethell
Please join us for our next installment of A Better Normal, our live webinar series in which we imagine and create our society as trauma-informed! You may have seen we changed our name recently from ACEs Connection to PACEs Connection. Please join us to learn all about the groundbreaking research of Positive Childhood Experiences and how this is going to transform the work we are all doing. >>Click here to register<< PACEs and HOPE Live Event Friday, March 26, 2021 Noon PT / 1pm...