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PACEs in Pediatrics

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Rural Pregnant Women with Opioid Addiction Find a Doctor, Not a Judge (chcf.org)

With her husband and two young children, (Dr. Candy) Stockton packed up and moved hundreds of miles north to rural Shasta County. Today, Stockton, 42, practices family medicine at the Shingletown Medical Center in a tiny town in the shadow of Mt. Lassen, 30 miles east of Redding. The majority of Stockton’s patients live in poverty. “The economy is terrible,” she said, adding that the lack of educational opportunities for kids creates a cycle of despair that can afflict families for...

Researchers share learned lessons from screening for adverse childhood experiences in pediatric clinics

What are the reasons that parents or caregivers do not fully disclose their own or their young children’s ACEs when asked to fill out an ACE screening form in their child’s pediatrician’s office? That was one of the many questions raised in a recent webinar entitled Screening for Adverse Childhood Experiences in the Pediatric Primary Care Setting: Practical Considerations and Lessons Learned . Dr. Kavitha Selvaraj, an attending physician at the Ann & Robert H. Lurie Children’s hospital...

Health status of adolescents reporting experiences of adversity [Global Pediatric Health]

Photo: Verkeorg/ creativecommons ______________________________________________________________ "This study examines relationships between adverse childhood experiences (ACEs) and adolescent health indicators among a sample of 8th, 9th, and 11th graders participating in the 2016 Minnesota Student Survey." Read more about this study in the journal Global Pediatric Health .

Resource List -- Training (whole practice)

Screening Time [AAP.org]-- " The American Academy of Pediatrics developed this site - which includes video-based training modules, conversation simulations, a screening tool selector, and a resource center - to help you learn more about the screening process for maternal depression, developmental concerns, and social determinants of health. Useful for doctors, nurses, front office staff, care coordinators, and others involved in the process, this resource will help you gain a better...

Explore NPPC’s New ACEs Screening Resources Website

Join the National Pediatric Practice Community on ACEs (NPPC) on Wednesday, April 25 at 12:00 PM PST for a Q&A session and a “sneak peek” of its new member website, which provides a wide range of resources to help pediatric practices make the case and implement screening for adverse childhood experiences (ACEs). NPPC is an initiative of the Center for Youth Wellness.

Prevention: Bringing Baby Home Training of Facilitators

A friend of mine recently referred her grandchild and his pregnant wife to a Bringing Baby Home class, because she noticed that the wife had a horrible background of abuse and at times had difficulty functioning. What the grandmother noticed with this couple was a change in the family dynamics. the couple knows how to get along, the father is engaged in parenting, and the baby thriving. This is really starting at the root of the problem. 20 years ago, Drs. John and Julie Gottman worked with...

Screening for childhood adversity: the what and when of identifying individuals at risk for lifespan health disparities [Journal of Behavioral Medicine]

"Existing research on childhood adversity and health risk across the lifespan lacks specificity regarding which types of exposures to assess and when. The purpose of this study was to contribute to an empirically-supported framework to guide practitioners interested in identifying youth who may be at greatest risk for a lifelong trajectory of health disparities. We also sought to identify the point in childhood at which screening for adversity exposure would capture the largest group of at...

Addressing Child Trauma at the Mexican Border [MedPageToday.com]

On the day after the 2016 presidential election, a group of pediatricians arrived at the Customs and Border Protection processing center here. Their host was Marsha Griffin, MD, a pediatrician who practices in this border town and is co-chair of the American Academy of Pediatrics (AAP) Immigrant Health Special Interest Group. Griffin had been at work with two fellow AAP members on a policy statement for the academy calling on the government to stop separating families who've been apprehended...

New Grant Opportunity & Program for Bay Area Health Centers: Resilient Beginnings Collaborative

In partnership with Genentech Charitable Giving, the Center for Care Innovations is excited to launch the Resilient Beginnings Collaborative . We’ll select 5-7 Bay Area organizations to participate in this 24-month learning and action community dedicated to addressing childhood adversity in pediatric safety net care settings. We’ll provide access to technical expertise, in-person convenings, site visits to exemplars, and coaching, as well as $80,000 grants to each participating team. If you...

For a pediatrician and former teacher ACEs awareness came from a punch in the face

Dr. Kavitha Selvaraj did not learn about adverse childhood experiences (ACEs) from a class in medical school. Her first awareness of ACEs came after a student slugged her in the face when she was a new teacher in a school in Los Angeles. She had heard a chorus in the hallway urging her students she refers to as “J” and “N” to “Fight! Fight! Fight,” she writes in an essay in a recent issue of the journal Pediatrics . The two were trading punches. When she stepped in the middle to break it up...

A plethora of journal articles on ACEs science

As the community manager of ACEs in Pediatrics, I comb the web looking for pertinent studies and information that may be of interest to ACEs in Pediatric members. In the last several days the journals Pediatrics, the North Carolina Medical Journal, Child Abuse & Neglect and the Journal of Women's Health have published a number of articles on ACEs science. Here is a list of some of the articles and commentary featured in each journal: ACEs and Pregnancy: Time to Support All Expectant...

When Parents Have Experienced Adverse Childhood Experiences, What is the Effect on Their Children? [aappublications.org]

Our journal and others have published a myriad of studies on the deleterious effects of adverse childhood experiences (ACEs) on the developmental and physical well-being of infants and children. But what about the generational effect on offspring of parents who experienced ACEs growing up? Two studies we are early releasing this week shed some light on answering this question. First Racine et al. ( 10.1542/peds.2017-2495 ) present the results of their examination of maternal ACEs on the...

2018 PREVENTION RESOURCE GUIDE - KEEPING CHILDREN SAFE AND FAMILIES STRONG IN SUPPORTIVE COMMUNITIES

The 2018 Prevention Resource Guide: Keeping Children Safe and Families Strong in Supportive Communities was recently released by the Office of Child Abuse and Neglect in the Children's Bureau of the US Department of Health and Human Services. This guide is designed to support service providers as they work with families to promote child well-being and prevent child maltreatment. It focuses on protective factors that build on family strengths to foster healthy child and youth development. In...

Parental Adverse Childhood Experiences and Offspring Development at 2 Years of Age [Pediatrics]

photo by D. Sharon Pruitt, Creative Commons "OBJECTIVES: The study objective was to determine if maternal and paternal exposure to adverse childhood experiences (ACEs) have a significant association with negative offspring development at 24 months of age in a suburban pediatric primary care population." Find out more about this study in the March 2018 issue of the journal PediatrIcs .

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