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PACEs in Pediatrics

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Freedom From Trauma – Powerful & Profound Practices To Heal Trauma & Consciously Create The Body, Mind, Spirit You Truly Desire

We are living in complicated and stressful times. What needs to be healed seems more palpable than ever. It feels like the call to release what no longer serves has never been louder and we are feeling that tug at our core. While the founder of The League of Extraordinary People, Alfred White, has been gaining more clarity everyday on this, he was invited to be part of an event, more like a movement, to help others find freedom from what has been holding them back. It is a free, online...

ACEs Aware Seeking Applicants to Support Clinical Work [acesaware.org]

ACEs Aware Seeking Applicants to Support Clinical Work Apply by September 15, 2020 ACEs Aware , led by the Office of the California Surgeon General (CA-OSG) and the California Department of Health Care Services (DHCS), is hiring for three new positions to further the mission of supporting Medi-Cal providers across California with training, clinical protocols, and payment for screening children and adults for Adverse Childhood Experiences (ACEs). Aurrera Health Group is the project management...

Plans of US Parents Regarding School Attendance for Their Children in the Fall of 2020 [jamanetwork.com]

By Emily Kroshus, Matt Hawrilenko, Pooja S. Tandon, et al., JAMA Pediatrics, August 14, 2020 Key Points Question What do parents plan to do about school attendance in the fall of 2020, and what factors are influencing these plans? Findings In this survey study of 730 US parents of school-aged children, 31% of parents indicated they will probably or definitely keep their child home this fall if schools open for in-person instruction. Factors associated with planning to keep children home were...

The Pandemics of Racism and COVID-19 [pediatrics.aappublications.org]

By Tina L. Cheng and Alison M. Conca-Cheng, Pediatrics, August 31, 2020 COVID-19 is a recent crisis. Racism is an enduring crisis which is inflamed in the presence of other crises. The Chinese word for "crisis” is composed of two characters, one signifying "danger" and the other, "opportunity." The pandemics of COVID-19 and racism present clear danger. Our duty is to make sense of the opportunity by learning, understanding, and taking action. In this issue of Pediatrics, Cheah et al.1...

Addressing students' social, emotional and behavioral stress -- not truama -- when they return to school [smartbrief.com]

By Howie Knoff, SmartBrief, August 31, 2020 Throughout this pandemic, the American public has sometimes had to choose between science and beliefs, between objective data and personal testimonials. And while the medical, social, economic and educational toll from the COVID-19 virus is unprecedented, some of the effects have been politicized by our leaders, and sensationalized by the press. Sadly, the latter has occurred when discussing the emotional status of our students as districts prepare...

Health advocates highlight extreme COVID burnout, stark inequities and strong call for action

Dr. Elisa Nicholas, a pediatrician and chief executive officer of TCC Family Health Clinics in Long Beach, California, relays an example of how the COVID-19 pandemic has wreaked havoc on the lives of the clinics’ patients. Most had already been struggling financially prior to the pandemic. “Both the mother and father came down with coronavirus,” said Nicholas. “Their child was in on a telephone visit with one of our doctors. They did not have any way to get food. They had no money to pay for...

Asking the Right Questions: Implementing Behavioral Health Screening in a Pediatric Emergency Department

Jessica Williams wants you to know that depressed kids don’t have a “look”. As the lead social worker in charge of the behavioral health screening protocol at Nemours/Alfred I duPont Hospital for Children, it’s her job to educate clinicians, staff, and families about the one thing they can do to identify kids in crisis: ask them the right questions. “Kids that appear to be depressed, whatever you think that might look like, they might not actually be depressed,” she explains. “And sometimes...

Wellness navigators in clinics screening for ACEs help prevent crises in patients' lives

A patient came into the Goleta location of the Santa Barbara Neighborhood Clinics pleading with people at the front desk to speak to Mayra Garcia, a wellness navigator at the clinic, despite not having an appointment. The clinic is part of a network of four clinics in the Santa Barbara region of California that serve mainly patients on Medi-Cal, the state’s Medicaid program, or patients who are uninsured. Mayra Garcia “She was crying. Her husband had been deported. She couldn’t pay the rent,...

Effects of a Brief Mindfulness-Based Program on Stress in Health Care Professionals at a US Biomedical Research Hosptial [jamanetwork.com]

By Rezvan Ameli, Ninet Sinaii, Colin P. West, et al., JAMA Network Open, August 25, 2020 Key Points Español 中文 (Chinese) Question Is a brief mindfulness-based program effective and feasible in reducing stress among health care professionals during work hours? Findings In this randomized clinical trial including 78 participants randomized to a 5-session (7.5-hour total) mindfulness program or a life-as-usual control, participants in the mindfulness program reported reduced stress and anxiety...

Participation of Children and Adolescents in Live Crisis Drills and Exercises [pediatrics.aappublications.org]

By David J. Schonfeld, Marlene Melzer-Lange, Andrew N. Hashikawa, et al., Pediatrics, August 2020 Abstract Children and adolescents should be included in exercises and drills to the extent that their involvement advances readiness to meet their unique needs in the event of a crisis and/or furthers their own preparedness or resiliency. However, there is also a need to be cautious about the potential psychological risks and other unintended consequences of directly involving children in live...

Fighting Food Insufficiency in the Time of Covid-19 [positiveexperience.org/blog]

Loren McCullough, 8/26/20, positiveexperience.org/blog HOPE involves a change in mindset. For many of us, our professional training and inclinations lead us to discover risks, problems, and deficits. In this blog (the first from our new team member, Loren McCullough), we examine national data that points to severe problems with the food supply – as experienced by families. Hidden within the data, we also see evidence for hope. Family and community engagement have buffered some of these...

California ACEs Academy Event: The Repressed Role of Adverse Childhood Experiences in Adult Well-Being, Disease and Social Functioning: Turning Gold into Lead

Thursday, September 3, 2020 12:00pm - 1:00pm PDT | presented by Dr. Vincent J. Felitti *Priority will be given to Medi-Cal providers* 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...

Newly Launched Page: Stories of HOPE [positiveexperience.org/blog]

By Chloe Yang, 8/19/20, positiveexperience.org/blog As the pandemic stretches far into the foreseeable future, with jobs, schooling, housing, and almost every other aspect of life a swirl of uncertainty, it is easy to fixate on the negative. Here at HOPE, we do not deny the devastating severity of the pandemic’s effect on lives across the nation. We do not deny Covid-19’s exacerbation of long-standing systemic inequities in healthcare, housing, education, employment, and more. However, we...

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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