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PACEs in Pediatrics

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Researchers Seek Reproductive Justice for Black Women [chcf.org]

By Vanessa Grubbs, California Health Care Foundation, September 25, 2020 Black mothers die in hospitals at nearly four times the rate of White mothers — an appalling disparity that has persisted for decades despite state and national quality improvement initiatives, clinical safety innovations, and technological advances. This disparity persists regardless of patient income, insurance, education, comorbid conditions, or prenatal care. The fact that many clinicians, decisionmakers, and...

Positive Childhood Experiences in Ojibwe Culture [positiveexperience.org/blog]

By Zhawin Gonzalez (compiled by Chloe Yang), 9/30/20, positiveexperience.org/blog HOPE knows that all families, communities, and cultures have inherent strengths. In recent webinars with The Montana Institute , we’ve learned real world examples of this from co-presenters at the Minnesota Indian Women’s Resource Center (MIWRC) . Zhawin Gonzalez, or Wasegabo, is the MIWRC Education and Resource Coordinator. In this blog post, Zhawin shares his insight on the long tradition of positive...

Why "Don't cry, be brave" Can Backfire - Parenting Center Tip of the Week [mountsinaiparenting.org]

Why "Don't cry, be brave" Can Backfire You may hear parents tell their children not to cry during stressful moments in the visit. Parents are often embarrassed that their child is upset, and feel pressure to get them to stop crying. In those instances, you can label and validate a child's emotions and let the parents know that it is OK for all feelings to be expressed in your office. You can say, "It's OK if you cry, I cry when I am scared too. You can sit on your mommy's lap and I will tell...

CALIFORNIA ACES ACADEMY: Parental ACEs and Pediatrics: Transforming Well Care [avahealth.org]

CALIFORNIA ACES ACADEMY (CAA) , funded by ACEs Aware, is providing free online training to Medi-Cal providers and others featuring: Practical strategies for integrating trauma-informed health care into your team’s practice that improves patients’ well being and the productivity of your practice. Meet colleagues with experience and success providing trauma-informed health care in their practices. Learn from national and local experts. Talk to other professionals from your region in small...

ACEs screening pilot in L.A. County pivots, troubleshoots barriers to remote visits

This story is part of an occasional series about California-based pediatricians who are incorporating ACEs screening into their practices. In the first installment published in May, which you can find here , Dr. Amy Shekarchi and other team members had just launched their ACEs screening by phone. A community health worker from a clinic affiliated with Los Angeles County’s Department of Health Care Services recently called a teenage patient to find out if she ever felt unsafe in her home or...

A new program in Mississippi is helping Black mothers breastfeed. Here's why it's crucial. (upworthy.com)

The Delta Baby Cafe in Sunflower County, Mississippi is providing breastfeeding assistance where it's needed most. Mississippi has the third lowest rate of breastfeeding in America. Only 70% of infants are ever-breastfed in the state, compared to 84% nationally. There are multiple reasons why Black women are less likely to breastfeed their children. First, according to the CDC , maternity wards that serve large Black populations are less likely to help Black women initiate breastfeeding...

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...

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...

New research shows many children with mental health conditions don't get follow-up care [statnews.com]

By Pratibha Gopalakrishna, STAT, September 22, 2020 A large new study finds that mental health care for many children in the U.S. falls far short, particularly when it comes to the follow-up treatment they receive. The study, published Monday in Proceedings of the National Academy of Sciences , examined insurance claims from children between the ages of 10 and 17 covered by Blue Cross Blue Shield. Of the more than 2 million children included in the study, nearly one in 10 had a claim related...

We Shouldn't Rely on Child Protective Services to Address Family Adversity [imprintnews.org]

By Kelley Fong, The Imprint, September 20, 2020 For many parents, it’s their worst fear: a knock on the door from a state social worker with the power to take their children. With 1 in 3 children nationwide experiencing a Child Protective Services (CPS) investigation during childhood following a report of child maltreatment, this experience is all too common for U.S. families, especially Black and Native American families. Child maltreatment conjures images of critically injured or severely...

Painful Questions: What Happens When Doctors Uncover Adverse Childhood Experiences?

This excellent article reviews arguments for and against universal pediatric screening for ACEs in California. It also highlights Dr. Nadine Burke Harris' concern concern that if we know ACEs science, it is irresponsible not to take action. She indicates that she has not heard alternative proposals for action from critics of screening. However, such alternatives exist and include universal pediatric developmental screening and policy initiatives aimed at primary prevention of adversity.

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...

CALIFORNIA ACES ACADEMY: Parental ACEs and Pediatrics: Transforming Well Care [avahealth.org]

CALIFORNIA ACES ACADEMY (CAA) , funded by ACEs Aware, is providing free online training to Medi-Cal providers and others featuring: Practical strategies for integrating trauma-informed health care into your team’s practice that improves patients’ well being and the productivity of your practice. Meet colleagues with experience and success providing trauma-informed health care in their practices. Learn from national and local experts. Talk to other professionals from your region in small...

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