Tagged With "Hundreds of Miles From Home"
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A call to action for public health nurses during the COVID‐19 pandemic (Wiley Online Library)
Joyce K. Edmonds PhD, MPH, RN , Shawn M. Kneipp PhD , Lisa Campbell DNP . First published: 12 April 2020. https://doi.org/10.1111/phn.12733 Public health nurses (PHNs) are on the frontline of the public health crisis the world now knows as the COVID‐19 pandemic. They serve on mobile strike teams investigating case‐contacts, deliver education on self‐isolation and quarantine through hotlines and home visits, and interpret the rapidly shifting guidance from the Centers for Disease Control and...
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AMCHP Urges Congress to Support These Priorities for Maternal and Child Health in the Next COVID-19 Relief Package (AMCHP)
May 7, 2020. AMCHP Urges Congress to Support These Priorities for Maternal and Child Health in the Next COVID-19 Relief Package Additional Resources for the Title V Maternal and Child Health Services Block Grant Due to COVID-19, there are already gaps being felt in Maternal and Child Health services, with additional resources needed to address these issues both now and in the aftermath of the immediate crisis. These range from delays in initial newborn hearing and bloodspot screening to...
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Announcing Trauma and Resilience Competencies for Nursing Education
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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Cultivating Deliberate Resilience During the Coronavirus Disease 2019 Pandemic (JAMA Network)
JAMA Pediatr. Published online April 14, 2020. doi:10.1001/jamapediatrics.2020.1436 Coronavirus disease 2019 (COVID-19) is affecting our health care community in unprecedented ways. As a pediatric oncologist who studies resilience in the context of illness, I started thinking about what this pandemic means for our professional resilience a few weeks ago, when the first US patient with fatal COVID-19 died in my home city of Seattle, Washington. Promoting resilience among health care workers...
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Efforts to Reduce Black Maternal Mortality Complicated by COVID-19 [chcf.org]
By Xenia Shih Bion, California Health Care Foundation, April 20, 2020 Latoyha Young had a birth plan. She was going to have the baby in Sacramento with community doula Joy Dean by her side. Dean was funded by the county’s Black Child Legacy Campaign , which works to reduce the disproportional number of Black infant and child deaths in Sacramento. But in mid-March, when Young went into labor just as Governor Gavin Newsom ordered Californians to stay at home to avoid spreading the novel...
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Emotional Well-Being and Coping During COVID-19 [psychiatry.ucsf.edu]
From Weill Institute for Neurosciences, UCSF, May 2020 These are unprecedented times. We need to work extra hard to manage our emotions well. Expect to have a lot of mixed feelings. Naturally we feel anxiety, and maybe waves of panic, particularly when seeing new headlines. A recent article by stress scientist and Vice Chair of Adult Psychology Elissa Epel, PhD, outlines the psychology behind the COVID-19 panic response and how we can try to make the best of this situation. Our anxiety is...
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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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GABOR MATÉ JOINS EP. 3 on May 21 with Darrell Hammond and Filmmaker Michelle Esrick. [crackedupmovie.com]
CRACKED UP THE EVOLVING CONVERSATION TRAUMA AS THE ROOT CAUSE OF ADDICTION With DARRELL HAMMOND DIRECTOR MICHELLE ESRICK and RENOWNED TRAUMA AND ADDICTION EXPERT GABOR MATÉ, M.D. author of In the Realm of Hungry Ghosts: Close Encounters With Addiction MODERATED BY JANE STEVENS, FOUNDER OF ACES CONNECTION Hosted by ACES Connection Thursday May 21st at 2pm PDT / 3p MT / 4p CT / 5pm EDT FREE FOR ALL WHO REGISTER! IF YOU REGISTER, BUT CAN NOT ATTEND, YOU WILL RECEIVE A RECORDING WITHIN ONE WEEK.
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Hundreds of Miles From Home, Nurses Fight Coronavirus on New York's Front Lines [nytimes.com]
By Jenny Gross, The New York Times, April 28, 2020 Each night at dusk, in an otherwise desolate Times Square, hundreds of nurses in blue scrubs gather to board buses that take them to hospitals across New York City. Of the thousands of nurses who have come from other states to shore up New York’s hospitals, more than 4,000 are staying in Midtown Manhattan. During the day, many rest at their hotels, amid darkened Broadway marquees, quiet streets and boarded up shops. At night, they face...
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'I Can't Turn My Brain Off': PTSD and Burnout Threaten Medical Workers [nytimes.com]
By Jan Hoffman, The New York Times, May 16, 2020 The coronavirus patient, a 75-year-old man, was dying. No family member was allowed in the room with him, only a young nurse. In full protective gear, she dimmed the lights and put on quiet music. She freshened his pillows, dabbed his lips with moistened swabs, held his hand, spoke softly to him. He wasn’t even her patient, but everyone else was slammed. Finally, she held an iPad close to him, so he could see the face and hear the voice of a...
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Overview of the Community Resiliency Model, used worldwide to help trauma survivors re-regulate their central nervous system, offered in two, free 90-minute webinars.
Elaine Miller Karas , key creator of the Community Resiliency Model (CRM), will be joined by CRM trainers from Wilmington, NC, Allison Wine , behavioral specialist, and Kelly Purcell , instructional coach and multi-tiered support specialist for this free, two-part training. Register now for two, FREE 90-minute sessions May 7 from 11 a.m. - 12:30 p.m. EST and May 14 from 11 a.m. - 12:30 p.m. EST (The complete overview requires attendance at both sessions. Registration link below registers you...
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Primary Care & Telehealth Strategies for Addressing the Secondary Health Impacts of COVID-19
From ACEs Aware, May 13, 2020 This webinar will focus on building understanding and identifying primary care and telehealth strategies and tools to address the secondary health effects of the COVID-19 emergency. Widespread stress and anxiety regarding COVID-19, compounded by the economic distress due to lost wages, employment and financial assets; mass school closures; and necessary physical distancing measures can result in an increase of stress-related health conditions. These secondary...
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Study: Tough childhoods are tough on adult hearts (MedicalXpress)
Posted on May 7, 2020, MedicalXpress. Adults who had rough childhoods have higher odds for heart disease. That's the conclusion from a look at more than 3,600 people who were followed from the mid-1980s through 2018. Researchers found that those who experienced the most trauma, abuse, neglect and family dysfunction in childhood were 50% more likely to have had a heart attack, stroke or other heart problem in their 50s and 60s. The Northwestern University study, published recently in the...
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University of Florida Graduate Public Health Course: Trauma-Informed Approaches for Individuals, Communities, and Public Health: Student Project Summaries
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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Why Is the Pandemic Killing So Many Black Americans [podcasts.apple.com]
By The Daily, The New York Times, May 20, 2020 Some have called the pandemic “the great equalizer.” But the coronavirus is killing black Americans at staggeringly higher rates than white Americans. Today, we explore why. Guest: Linda Villarosa, a writer for The New York Times Magazine covering racial health disparities, who spoke to Nicole Charles in New Orleans, La. about the death of her husband, Cornell Charles, known as Dickey. He was 51. For more information on today’s episode, visit...
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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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Mental Health Awareness: When Suffering Is Not an Illness
When I was an adolescent and young adult, I struggled with depression. As I reflect back on that time, so much of what I was experiencing was deeply tied to coming to terms with my sexuality. Growing up in the 1980’s in a relatively conservative town, I was closeted (even to myself) until I was a young adult. The pain and fear of being different, of not belonging, of being judged or rejected for who I was more than my adolescent brain could wrap its conscious head around.
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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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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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Mental Health Outcomes Among Frontline and Second-Line Health Care Workers During Coronavirus Disease 2019 (COVID-19) Pandemic in Italy [jamanetwork.com]
By Rodolfo Rossi, Valentina Socci, and Francesca Pacitti, JAMA Network, May 28, 2020 Introduction Health care workers (HCWs) involved in the coronavirus disease 2019 (COVID-19) pandemic are exposed to high levels of stressful or traumatic events and express substantial negative mental health outcomes,1 including stress-related symptoms and symptoms of depression, anxiety, and insomnia. In this cross-sectional study, we report on mental health outcomes among HCWs in Italy. Methods This...
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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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NEW Trauma-informed Care Podcast (CME provided)
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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Recognizing history of Black nurses a first step to addressing racism and discrimination in nursing (The Conversation)
By Keisha Jefferies, May 11, 2020, The Conversation. During the coronavirus pandemic, nurses are among the nation’s front-line workers. Over the years and to this day, the contributions of Black nurses are hard-fought, unrecognized and under-appreciated. Nurses are essential in care delivery, policy directives and in shaping the health-care system. The year 2020 is the year of the nurse and midwife . Yet, Canada’s history of racism and segregation has contributed to residual anti-Black...
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How nurses are coping with the stress from the coronavirus — it isn’t easy (Miami Herald)
By Ana Veciana-Suarez, April 28, 2020, Miami Herald. Each has a compelling story about what inspired them to become a nurse. Now each of them has a gripping worry about contracting COVID-19. As these frontline healthcare workers mark another Nurses Week in May, it’s never been more stressful to help sick people get healthy — yet that hasn’t stopped nurses from going to work. “Typically,” says Barbara Bruce, a 42-year RN veteran who works for Memorial Healthcare System in Broward, “you don’t...
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Penn. Study Screens for PTSD in COVID-19 Front Line Workers (EMS World)
By Lisa Gartner, May 8, 2020 Tribune News Service. It was National Nurses Day on Wednesday, but that evening, as her neighbors stepped outside to bang their pots and pans, Maureen May’s mind was somewhere else. She was thinking about a recent day at Temple University Hospital, where she works in the infant intensive care unit. In a blur it became clear that a mother positive for COVID-19 would need an emergency C-section. The second the baby was born, May had to take the child away from her.
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If You’ve Lost Your Health Plan In The COVID Crisis, You’ve Got Options (Kaiser Health News)
By Julie Appleby, June 12, 2020, Kaiser Health Network. The coronavirus pandemic — and the economic fallout that has come with it — boosted health insurance enrollment counselor Mark Van Arnam’s workload. But he wants to be even busier. The loss of employment for 21 million Americans is a double blow for many because it also means the loss of insurance, said Van Arnam, director of the North Carolina Navigator Consortium, a group of organizations that offer free help to state residents...
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Nurse burnout, stress from COVID-19 pandemic pose challenge for leaders (nurse.com)
By Leslie Kelly, April 20, 2020, Nursing Careers. Leading during a crisis requires strength, perseverance and calm. The COVID-19 pandemic created a demand on healthcare professionals that led to nurse burnout, feelings of conflict, guilt and overwhelming stress and anxiety . As a nurse leader, increased stress comes from caring for your staff, patient care and administrative concerns. A discussion about recognizing and responding to nurse burnout and secondary traumatic stress must first...
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Racism's Effect on Health, and the Heartbreak of Being a Black Parent Right Now: California's Surgeon General Speaks [kqed.org]
By KQED Science, KQED, June 14, 2020 The coronavirus pandemic and the recent killing of George Floyd have brought longstanding racial inequities into sharp focus. One of those disparities concerns the high rate of coronavirus transmission among people of color. To talk about the intersection of race and health, KQED's Brian Watt spoke last week with California Surgeon General Dr. Nadine Burke Harris, who is known for her pioneering work on the role that childhood stress and trauma play on...
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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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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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Association of Parental Mental Illness With Child Injury Occurrence, Hospitalization, and Death During Early Childhood [jamanetwork.com]
By Shiow-Wen Yang, Mary A. Kernic, Beth A. Mueller, et al., JAMA Pediatrics, June 22, 2020 Key Points Question Are young children whose parents have severe mental illness, including schizophrenia, bipolar disorder, and major depressive disorder, at greater risk of injury compared with children of parents without severe mental illness? Findings In this cohort study of the 1 999 322 singleton births in Taiwan from 2004 to 2014, children of parents with severe mental illness had higher rates of...
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ACEs Connection Anti-Racism Resources
Hi everyone! We'd like to introduce our new ACEs Connection Anti-Racism Resources List c ulled from resources shared by Learn4Life, Prevention Institute., Rise Magazine , V A TICN , Vital Village , 10% Happier . and our own ACEs Connection members and staff . You can access them from this widget on the top right side of our home page or by clicking here. The list has the following categories of resources: Racial Trauma, Historical Trauma, & Healing Police Brutality & Reform...
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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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Academic Medicine and Black Lives Matter Time for Deep Listening (NEJM)
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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Hollowed-Out Public Health System Faces More Cuts Amid Virus (KHN)
By Lauren Weber and Laura Ungar and Michelle R. Smith, The Associated Press and Hannah Recht and Anna Maria Barry-Jester JULY 1, 2020 The U.S. public health system has been starved for decades and lacks the resources necessary to confront the worst health crisis in a century. The U.S. public health system has been starved for decades and lacks the resources to confront the worst health crisis in a century. Marshaled against a virus that has sickened at least 2.6 million in the U.S., killed...
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The Relentless School Nurse: 10 Things Parents Can Do Now to Help Prepare Children For Returning to School
School nurses have been industrious during COVID-19, using innovative skills to do one of the things we do best, providing information for our families. Everyone's health literacy has been tested through the pandemic. The messaging from our most trusted institutions like the CDC has been confusing and ever-changing. As states have released vague return to school guidelines, it is clear that the details for keeping our students and staff safe will depend on each school district to create...
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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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UCSF study shows health workers grappling with pandemic anxiety: 'It's exhausting' [sfchronicle.com]
By Mallory Moench, San Francisco Chronicle, July 21, 2020 Dr. Robert Rodriguez’s anxiety rises and falls with the number of coronavirus cases and deaths. Fear that he could get infected at his San Francisco General Hospital job, or bring the virus home, affects his sleep. He doesn’t hug his 16-year-old son as much. Other worried family members avoid interacting with him. The stress isn’t sustainable, he said. “If day after day, you’re waking up and dealing with patients that are extremely...
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ACEs and Gynecological Problems - A Conversation Starter
Gynecological problems as a result of ACEs, and particularly of Childhood Sexual Abuse (CSA), are rarely discussed in books and articles about the ACEs. The author would like to see that issue become part of the ACEs conversation.
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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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Confessions of a California Covid Nurse (Bloomberg)
By Michael Lewis, July 30, 2020, Bloomberg. Notes From A Pandemic: A California county’s efforts to stop the spread has also become a battle with the public’s denial. Erica Dykehouse will wait for minds to change. The Humboldt County Public Health department in California is inside what used to be a juvenile jail. The offices are former prison cells. A few of the doors still have the small windows with the sliding panels that allowed guards to observe prisoners. The basement is a dungeon,...
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Dear Nursing Education, If We Can’t Even Acknowledge the Institutional Racism Apparent in Our Policies…How Will We Do the Harder Work? (Medium)
By Rachel K. Walker, July 23, 2020, Medium. In recent weeks, professional nursing organizations such as ANA, AACN, Sigma Nursing, ONS, AAN, APHA and NLN released statements of solidarity voicing an “[end] hatred, discrimination, and racism in every form.” Some of these organizational statements were more direct than others. Practically none but the Nursology Theory Collective provided a description of specific resource investments or other steps being taken towards greater accountability to...
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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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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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‘Death by structural poverty’: US south struggles against Covid-19 [theguardian.com]
Monica McCasklill, left, and her daughter Kena Johnson, at their home in Greenwood, Missisppi. They respectively lost their grandmother and great grandmother, Ethel Huntley, to Covid-19. Huntley lived in a nearby nursing home and the family allege failings in her primary care. Photograph: Rory Doyle/The Guardian. By Oliver Laughland, The Guardian, August 5, 2020 Poor access to healthcare, failed political leadership and the endurance of segregation and racism have contributed to a surge in...
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Back-to-School in a Pandemic? Questions, Concerns, and Discussion with School Nurse, Robin Cogan
Robin is a brilliant, passionate, and vocal school nurse with almost two decades of experience as a New Jersey school nurse in the Camden City School District. She is the Legislative Co-Chair for the New Jersey State School Nurses Association and she joined us last week for A Better Normal community discussion about back-to-school (or not) plans families are facing this school year. Robin serves as faculty in the School Nurse Certificate Program at Rutgers University-Camden School of Nursing...
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Trajectories of childhood adversity and mortality in early adulthood: a population-based cohort study (The Lancet)
Prof Naja H Rod, PhD , Jessica Bengtsson, MS , Esben Budtz-Jørgensen, PhD , Clara Clipet-Jensen, MS , Prof David Taylor-Robinson, PhD , Prof Anne-Marie Nybo Andersen, PhD , et al. Published: August 15, 2020 DOI : https://doi.org/10.1016/S0140-6736(20)30621-8 Background Childhood is a sensitive period with rapid brain development and physiological growth, and adverse events in childhood might interfere with these processes and have long-lasting effects on health. In this study, we aimed to...