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PACEs in Medical Schools

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One state. One year. (Partial) Cost of ACEs = $5.2 billion.

Jane Stevens ·
In looking at the impact of childhood trauma, you can’t get much clearer than this: In 2017, ACEs among Tennessee adults led to an estimated $5.2 billion in direct medical costs and lost productivity from employees missing work. That’s just one year, according to the new report, “ The Economic Cost of ACEs in Tennessee ," released on Feb. 1, 2019 by The Sycamore Institute in Nashville, Tenn. And to provide some perspective, $5.2 billion is one-seventh of the state’s annual budget . This $5.2...
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Parent Handouts updated and available In Dari, English & Spanish

Christine Cissy White ·
The updated parent handouts are now available in Spanish as well as English and Dari. Here's the blog post with links to all three versions of each flyer. All versions of the Understanding ACEs and Parenting to Prevent & Heal ACEs parent handouts can be downloaded, distributed, and used freely. Both flyers were made with generous support from Family Hui, a Program of Lead for Tomorrow, who is responsible for making the Spanish and Dari translations available. These are updates of the...
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TIC: News and Notes for November 2019

Scott A Webb ·
ACEs, Adversity's Impact Podcast: Dr. Nadine Burke Harris Vital Signs: Estimated proportion of adult health problems attributable to adverse childhood experiences and implications for prevention - 25 states, 2015-2017 Animal study shows how stress and mother's abuse affects infant brain LGBTQ, traumatized homeless youth more vulnerable to being trafficked: Report How do these pediatricians do ACEs screening?Early adopters tell all When family relationships become toxic: The trauma of...
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TIC: News and Notes for the Week of October 21, 2019 [dhs.wisconsin.gov]

Scott A Webb ·
ACEs, Adversity's Impact There is only one boat: The myth of normalcy by Dr. Gabor Mate Understanding historical trauma to strengthen community Childhood trauma linked to early, premarital childbirth and poor health for women Early life racial discrimination linked to depression, accelerated aging When mothers are killed by their partners, children often become 'forgotten' victims. It's time they were given a voice Children's language skills may be harmed by social hardship Does racism...
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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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When Hidden Grief Gets Triggered During COVID-19 Confinement

Tian Dayton ·
first published by The Meadows 4/15/20 Our sense of loss during the current COVID-19 crisis can trigger hidden emotions from when we experienced a sense of loss before. Whatever early losses you have had in your life — whether they be your own divorce, your parents, or both, or the abandonment of one parent, a childhood or parental illness or death, financial upheaval, constant moving around, or growing up with parental addiction or adverse childhood experiences (ACEs) — they are likely to...
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12 Things I Wish My Doctor Understood About Childhood Trauma

Anna Runkle ·
It doesn’t happen that often anymore, but one place where I almost always get triggered with my Childhood PTSD symptoms is when I visit the doctor. I could never even put this into words before. But now that I’m mostly healed from my Childhood PTSD symptoms, I want to express what I wish my doctors – all the doctors of my life – had understood about the effects of Childhood trauma, about me. Note: This is one of my most personal posts ever. Unless you’re someone who really prefers text, I...
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Cancer as a survivor

Christine Cissy White ·
Many people use the phrase CPTSD to stand for PTSD from complex trauma. To me, C-PTSD means cancer and PTSD. I have cancer and I’m a trauma survivor. I’m a survivor with cancer but not yet a cancer survivor. Will I be a survivor squared?
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Healing Hurt People: Helping Victims of Violence Heal from Their Trauma and Become Community Peer Health Workers [citywidestories.com]

By Michael Butler, City Wide Stories, November 1, 2019 Healing Hurt People started in 2008 as an initiative to help victims of violence heal and deal with the trauma of their injuries; more than a decade later the organization has created a sustainable model for hospitals across the city of Philadelphia. Young men that have dealt with violence are encouraged to go through training, become community peer health workers, and help those who have gone through similar experiences. We spoke with...
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Mount Sinai Announces Center for Stress, Resilience and Personal Growth [newswise.com]

Newswise — (New York, NY – April 30, 2020 ) -- Mount Sinai Health System (MSHS), one of New York’s largest integrated health systems, announced today the launch of the Mount Sinai Center for Stress, Resilience and Personal Growth, a first-of-its-kind initiative in North America that is designed to address the psychosocial impact of COVID-19 on the mental health and lives of frontline health care providers at Mount Sinai and will serve as a model for institutions and communities around the...
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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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What Do We Do? What Do We Do Now?

Jane Stevens ·
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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THURSDAY!! Cracked Up, The Evolving Conversation: Generational Trauma - Breaking the Cycle [crackedupmovie.com]

CRACKED UP THE EVOLVING CONVERSATION Episode 4: Generational Trauma - Breaking the Cycle with Darrell Hammond, Comedian, actor, SNL Legend Michelle Esrick, Filmmaker, activist Bessel van der Kolk, MD, Author of The Body Keeps the Score Jane Stevens, Founder of ACES Connection and special guest Jane Fonda Academy Award-winning actor, producer, author and activist Thursday June 25th at 1pm PDT / 2p MT / 3p CT / 4pm EDT Hosted by ACEs Connection THE PRICE OF THIS LIVE EVENT IS $12.50 We have...
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ACEs screening is about building relationships, says early adopter

R.J. Gillespie ·
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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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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Donald Trump is the product of abuse and neglect. His story is common, even for the powerful and wealthy.

Jane Stevens ·
“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

Carey Sipp ·
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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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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Implementing the Neurosequential Model of Therapeutics in Tennessee: Parent and Clinician Perspectives (Child Wefare)

Karen Clemmer ·
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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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]

Tasneem Ismailji ·
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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New Resource: Coping with Stress During the COVID-19 Pandemic One-Pager (English & Spanish!)

Elena Costa ·
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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Make “Giving Tuesday” your day to support the work of ACEs Connection. Help us meet our matching grant goal of $50K, and your gift will be matched, dollar-for-dollar!

Carey Sipp ·
"This Giving Tuesday, and every day, we thank you for your support," said members of the ACEs Connection staff on a recent "all staff Zoom." L-R (top row) Laurie Udesky, Carey Sipp, Gail Kennedy, Lara Kain (second row) Cissy White, Rafael Maravilla, Donielle Prince, Jenna Quinn (third row) Ingrid Cockhren, (off camera) Alison Cebulla, Jane Stevens. Out that day, and grateful all the same, were Karen Clemmer, Dana Brown, Elizabeth Prewitt, Marianne Avari, and Samantha Sangenito Called “the...
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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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Whole People Watch Weekend on ACEs Connection (Dec. 11th - 13th)

Christine Cissy White ·
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)

Christine Cissy White ·
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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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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The Adverse Childhood Experiences Recovery Workbook (Dr. Glenn Schiraldi)

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

Veronique Mead ·
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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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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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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StrongBrains Coaching: Using PACEs and Brain Science to Coach Kids for a Lifetime of Good Choices

Allison Wine ·
How can brain science help a Pop Warner football team of 10-year-olds win the big game, and avoid depression when they're adults? Join us for the August edition of the Up2Us Sports Lunch and Learn Series and find out. The monthly lunch and learn session, usually exclusively for UP2US member coaches, is now open to the public on a first-come, first-served basis. Register today using the link at the end of this post. The session is Wednesday, August 11 at noon CST, and features the Rev. Dr.
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The best way to start any meeting. Ever.

Carey Sipp ·
Following a brief mindfulness check-in, PACEs Connection staff meetings begin with the review of our Vision, Mission, and Values statements, as well as our Equity and Inclusion Statement. At a recent meeting, top row, L-R, Ingrid Cockhren, Carey Sipp, Donielle Prince, Jane Stevens. Middle row, L-R, John Flores, Porter Jennings-McGarity, Jenna Quinn, Gail Kennedy. Bottom row, L-R, Rafael Maravilla, Natalie Audage, Alison Cebulla, Samantha Sangenito. A couple of times last week I felt my body...
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ACEs, Sugar Addiction, and Weight Gain by Dr. Felitti & Dr. Alman

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

Carey Sipp ·
Our version of a “Path to a Just Society” is our first attempt at creating a common language and identifying points along the path to a just society. The Race and Equity workgroup of PACEs Connection started the project in early 2021, following a staff meeting where we realized that we, our organization and the movement needed this. We think it can help all of us gauge where we are, where we want to be, and what’s needed to get to the next level of integrating practices and policies based on...
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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...
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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...
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Parenting to Prevent & Heal ACEs Handout

Natalie Audage ·
This handout is based on the work of Donna Jackson Nakazawa , who worked with us and generously allowed us to paraphrase content from her book, Childhood Disrupted: How Your Biography Becomes Your Biology & How You Can Heal . Donna's book specifically addresses those of us parenting with ACEs (which she also does brilliantly in the powerful documentary, Wrestling Ghosts , which is about parenting and healing from ACEs). This handout can be downloaded, distributed, and used freely. It is...
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Today at noon: High Country Community Health - How An Integrated Model of Care Treats the Whole Person

Denise Presnell ·
Please join us today at noon for our WCCI Wednesday Conversation. We will be talking with Alysia Hoover-Thompson. She is a licensed psychologist and health service provider and the Director of Behavioral Health Integration at the High Country Community Health Center. She will be talking with us about how she sees trauma in the people she works with, how she helps them build resilience, and how she stays well. Read more here about HCCH: https://www.highcountrycommunityhealth.com/about-us Hope...
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January 19th CTIPP CAN Call - Trauma-Informed Initiatives in Baltimore and Maryland

Jesse Maxwell Kohler ·
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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Tune in March 3 for new PACEs Connection podcast—History. Culture. Trauma. — with guest Agnes Woodward

Carey Sipp ·
Hosted by PACES Connection CEO Ingrid Cockhren In consideration of Women's History month, the entire month of March will be dedicated to the women creating a legacy in the worldwide PACEs movement. In this episode, we will talk with Agnes Woodward. Agnes is using her knowledge of historical trauma and the healing power of the arts to raise awareness of the adversity indigenous women face and how they can also heal themselves, their families and future generations. About Agnes Woodward:...
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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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Neuroplasticity, Imagery, and Adverse Childhood Experiences

Dr. Glenn Schiraldi ·
The disturbing neural imprints from adverse childhood experiences need not be a life sentence. Imagery is an extremely helpful tool to modify the circuitry of the brain, utilizing the principle of neuroplasticity. Imagery strengthens and stabilizes the brain, while laying down alternative neural pathways.
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How Nature Helps Us Heal (greatergoodberkeley.edu)

A doctor explains why he prescribes time outside to his patients. I have been giving out old-school paper prescriptions for about two years now, where I prescribe non-pharmaceutical steps that have been proven to make people healthier. I had heard that nature can make people happier and healthier, but, embarrassingly, I envisioned it for more “outdoorsy” people like me, whatever that means. Also, I assumed it would offer just a slight bump in the happiness quotient. It took almost 150 years,...
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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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