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PACEs in Pediatrics

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How chapters are addressing pediatric mental health crisis [aappublications.org]

Approximately one in five youths ages 13-18 experiences a severe mental disorder at some point during their life, according to the National Alliance on Mental Illness. For children ages 8-15, the number is 13%. The AAP Arizona, California 3, Florida, New Jersey and Virginia chapters received Healthy People 2020 grants to develop programs to empower families, the media and/or communities to address the mental health crisis in children and youths. Following is an overview of each chapter’s...

Chicago healthcare providers start center for ACEs science education; aim to reach all medical, health students by 2025

In 2017, Dr. Audrey Stillerman and three other women from the Chicago healthcare community founded the THEN Center . Its goal is lofty: By 2025, it wants every graduating student in medical and health sciences across the United States to apply core concepts of childhood adversity, neurobiology, resilience and health equity into their work. Dr. Audrey Stillerman Today, the THEN Center (The Collaborative Study of Trauma, Health Equity and Neurobiology) is well on its way. Its founders are...

Psychology Needs New Concepts and Healing Models for Racial Trauma [madinamerica.com]

The American Psychologist journal published a new special issue that features the latest psychological research on racial trauma. Feminist psychologist and clinical practitioner, Dr. Lillian Comas-Díaz and her colleagues, introduced the special issue and its mission to foreground novel conceptual models of racial trauma, promote healing on individual and collective levels, and highlight consideration of historical racial injuries. The special issue provides a contemporary examination of...

CDC's 'Connecting the Dots' Tool

Great new Resource from CDC shared with me from Dr. Kevin Sherin, Health Officer & Director of Florida Department of Health in Orange County, Florida. Welcome to the Connections Selector! This tool makes it easier for you to connect the dots and explore the relationships between multiple types of violence and the risk and protective factors they share at each level of the social-ecological model (SEM). A clear understanding of these connections can help you plan strategies to prevent...

Q&A: Immigrant Children and Trauma [today.uconn.edu]

Newcomer immigrant youth – refugees, asylum seekers, and unaccompanied children – face unique challenges when involved with the juvenile justice system, say a team of mental health and legal experts who have published a new book on the topic. Co-authored by UConn Health psychiatrist Julian Ford, the book seeks to raise awareness about those challenges among some of the first people that the youth will meet: juvenile court judges and advocates. In A Trauma-Informed Approach to Judicial...

Helping New Parents Make Room for Uncertainty

A new program for parents and infants, thanks to generous support from Mill Town Capital , is coming to Pittsfield, Massachusetts. The Hello It’s Me Project shines a spotlight on these tender new relationships, investing resources around the birth of a baby with the long-term goal of building a healthy community from the bottom up. When world-renowned child development researcher Dr. Ed Tronick spoke in the spring of 2018 for an audience of a wide variety of practitioners in Berkshire County...

Helping New Parents Make Room for Uncertainty

A new program for parents and infants, thanks to generous support from Mill Town Capital , is coming to Pittsfield, Massachusetts. The Hello It’s Me Project shines a spotlight on these tender new relationships, investing resources around the birth of a baby with the long-term goal of building a healthy community from the bottom up. When world-renowned child development researcher Dr. Ed Tronick spoke in the spring of 2018 for an audience of a wide variety of practitioners in Berkshire County...

A tough childhood has a long-term effect on health [businesslive.co.za]

US-based pediatrician Nadine Burke-Harris had a glut of attention deficit hyperactivity disorder (ADHD) cases at the clinic where she worked in Bayview, a poor area in San Francisco. She felt in her bones that these cases didn’t come out of the blue, and were directly linked to high levels of toxic stress in the community. Toxic stress, experienced through consistent exposure to violence, abuse and the consequences of poverty and inequality, has a lasting effect on the brain, notably in the...

Validation of the Traumatic Events Screening Inventory for ACEs [pediatrics.aappublications.org]

OBJECTIVES: Our purpose in this study was to adapt and validate the Traumatic Events Screening Inventory (TESI) as a primary-care childhood adversity screening tool for children living in vulnerable neighborhoods using a community-partnered approach. METHODS: In this cross-sectional, descriptive study, we used a sample of 261 children (3–16 years old) who were seeking services at a Federally Qualified Health Center with colocated behavioral health services in Chicago and had a positive...

The Relentless School Nurse: What Happened at School Today?

Welcome to a new feature on the Relentless School Nurse website: "What Happened at School Today?" The idea for this view from different health offices is the result of discussions with school nurses across the country who wanted to share their practice settings. Last year, Abby Pelletier and I shared pictures taken from our perspective health offices. I am in an urban NJ school and she is in rural NH, so the differences were quite distinct. "What Happened at School Today?" will feature...

To understand early childhood homelessness, we need more consistent federal data collection [childtrends.org]

Homelessness in early childhood is a known risk factor for children’s health and well-being. Because high-quality early care and education (ECE) programs can buffer some of the negative effects of homelessness on a child’s development , federal ECE programs (such as child care subsidy, Head Start, and early intervention) have begun to prioritize these children for care. Unfortunately, ECE providers in the field often have difficulty identifying families eligible for child care slots that are...

Recent Legislation that Supports Better Children’s Health Outcomes [nichq.org]

In recent months, there has been a surge of legislative actions for children’s health advocates. New laws have been passed that provide funding for programs and research initiatives essential for improving the health and well-being of children and families across the country. Here, NICHQ provides an update on the legislation, as well as a brief analysis of the impact on children’s health. We share this update to help our readers stay informed about policies that influence children’s health...

New Member of Congress—Rep. Lauren Underwood (D-IL)—brings laser focus on toxic stress at hearing on immigration

At a March 6 hearing of the House Committee on Homeland Security, Rep. Lauren Underwood (D-IL) addressed the impact of family separation on the mental and physical health of children at the border. Her questions to Homeland Security Secretary Kirstjen Nielsen focused on the impact of toxic stress caused by family separation on short and long-term health outcomes for children. Sec. Nielsen was unfamiliar with the concept of “toxic stress.” Here’s a short description of the 6-minute exchange...

Parental Disengagement in Childhood and Adolescent Male Gun Carrying [pediatrics.aappublications.org]

OBJECTIVES: To examine the association between parental disengagement in childhood and adolescent gun carrying and determine whether this association is accounted for by externalizing problems and affiliation with delinquent peers during early adolescence. METHODS: The sample included 503 boys (55.7% African American, 40.6% white, 3.7% other) recruited from first-grade classrooms in Pittsburgh public schools. Multi-informant assessments were conducted regularly (semiannually then annually)...

Advocacy centers help abuse victims tell their story, regain trust, heal [National Catholic Reporter]

WASHINGTON — On a long, low shelf at Safe Shores in downtown Washington, colorful figurines of wild animals, army soldiers, a winged dragon and an angel appear to be the toy collection of an overly neat child. It's the "sand tray room," where young survivors of sexual assault arrange figures in a tray of sand to tell stories about their experiences, often, too difficult to put into words. One 10-year-old girl, abused by her father, remained silent through five sessions of therapy. Only after...

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