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PACEs in Pediatrics

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Trauma-informed Temporary Assistance for Needy Families (TANF): A Randomized Controlled Trial with a Two-Generation Impact

Caregivers of young children enrolled in the federal Temporary Assistance for Needy Families program (TANF) who participated in a trauma-informed peer support group are more likely to gain self-sufficiency, overcome depressive symptoms and reduce the burden of developmental problems in their children than TANF enrollees who do not have access to trauma-informed peer support, according to a newly-released study in the Journal of Child and Family Studies.

Montefiore Integrated Pediatric Behavioral Health Training Institute, May 14 & 15, 2018

Monday, May 14, 2018 Albert Einstein College of Medicine Michael F. Price Center 1300 Morris Park Center, 4th Floor Bronx, NY 10461 PROGRAM DESCRIPTION Learn about our model of Integrated Pediatric Behavioral Health Services, including HealthySteps for children birth through age 5, and our evidence-informed, short-term, modularized treatment protocols for school age and adolescent: • Anxiety • ADHD • Trauma • Depression • Conduct Problems One full day of training, including electronic and...

The Power of Beliefs: What Babies Are Telling Us

Dr. Wendy Anne McCarty is a pioneer in prenatal and perinatal psychology and has worked with young families for over 40 years. She writes: "In 2002, I wrote a JOPPPAH article, The Power of Beliefs: What Babies are Teaching Us . In it I discuss how young babies already portray a sophisticated and established complex of beliefs and patterns of being in the world. I describe four clinical stories of babies in PPN-oriented BEBA therapy sessions who are expressing very difficult patterns based...

Doctors and teachers could team up to reduce stress in schools [reuters.com]

(Reuters Health) - - Partnerships between teachers and doctors could help students and school staffers better deal with “toxic stress,” suggests a former teacher turned doctor. Pediatricians can help build resilience in both children and teachers to counter the effects of traumatic childhood experiences, poverty and violence, Dr. Kavitha Selvaraj of the Ann and Robert H. Lurie Children’s Hospital in Chicago writes in the journal Pediatrics. “Before I was a pediatrician, I was a teacher, and...

Parenting Matters: Supporting Parents of Children Ages 0-8 (The National Academies Press 2016)

A study published by The National Academies of Sciences in 2016 resulting in 10 Recommendations to build support for parents... "Over the past several decades, researchers have identified parenting- related knowledge, attitudes, and practices that are associated with improved developmental outcomes for children and around which parenting- related programs, policies, and messaging initiatives can be designed. However, consensus is lacking on the elements of parenting that are most important...

Sesame Workshop to Address Refugee Children's Trauma With Help From Elmo and $100 Million [blogs.edweek.org]

The Sesame Workshop and the International Rescue Committee, a refugee aid group, won a first-of-its kind $100 million grant from the John D. and Catherine T. MacArthur Foundation Wednesday for an ambitious education and outreach program designed to address the needs of displaced Syrian children. The program was selected for the five-year grant from a list of finalists for the foundation's 100&Change competition, which asked organizations to propose "bold solutions to critical problems of...

Adverse Childhood Experiences (ACE) Study: Beyond Screening in Pediatrics

The evidence is clear. When bad things happen to us as young children, we are at significantly increased risk for not only mental health problems, but also a wide range of physical health problems including asthma, heart disease, and even early death. These "bad things" all involve disruptions in caregiving relationships. A national movement directed at screening for ACEs in pediatric practices has emerged from this work. My suggestion that the implication of the Adverse Childhood...

Mothers’ Adverse Childhood Experiences and Their Young Children’s Development [ajpmonline.org]

Introduction This study examined how mothers’ Adverse Childhood Experiences (ACEs) relate to their children’s developmental risk and assessed how the association is mediated through mothers’ depressive symptoms and fair/poor health. Methods Mothers of children aged between 4 months and 4 years were recruited from the emergency department of a children’s hospital between March 2012 and June 2015 and interviewed about ACEs, mothers’ depressive symptoms and health status, and children’s...

The CHIP Program Is Beloved. Why Is Its Funding in Danger? [nytimes.com]

WILMINGTON, Del. — Laquita Gardner, a sales manager at a furniture rental store here, was happy to get a raise recently except for one problem. It lifted her income just enough to disqualify her and her two young sons from Medicaid, the free health insurance program for the poor. She was relieved to find another option was available for the boys: the Children’s Health Insurance Program, known as CHIP, that covers nearly nine million children whose parents earn too much for Medicaid, but not...

Bringing trauma-informed care to children in need can ease toxic stress [statnews.com]

During my 22 years as a pediatrician in an urban area, I have seen the worst of what America’s children must sometimes endure. Severe medical illness in children is thankfully rare. But severe adversity in homes and communities is all too common and causes toxic stress that has long-term consequences for my patients and future generations. A 6-year-old patient of mine called 911 on the third day that she and her younger siblings couldn’t wake their intoxicated mother. We cared for their...

Introducing NEW Becoming Trauma-Informed & Beyond Community

Earlier this year @Dawn Daum wrote to us when she was ready to share ACEs science with people in the organization she works in to make a case for moving towards more trauma-informed care for the benefit of the staff and those they serve. She was frustrated because almost all the training and resources she found were geared towards schools, clinical staff or to organizations working with children and families rather than ACE-impacted adults in the workplace and who are...

Addressing Social Risk Factors through Intergenerational Services in Pediatric Settings

While there is growing national recognition of the value of intergenerational family services – or services that identify and address parents’ and caregivers’ physical, social and mental health needs to improve child health – they are not common in pediatrics because of barriers to reimbursement and training for caregiver-focused services. PolicyLab at Children's Hospital of Philadelphia and our partners are interested in breaking down those barriers by building evidence for sustainable...

Reminder: Live Chat with Donna Jackson Nakazawa

"It's really not survival of the fittest - it's survival of the nurtured." Donna Jackson Nakazawa Date: Tuesday, November 14th, 2017 Time: 10 AM PST / 1 PM EST Where: Here / Chats ( featured chat ) Hosted by: @Jane Stevens Topics to be Covered: Parenting with ACEs. What parents need to know. Affordable self-care for stressed and busy parents. Healing from ACEs & family wellness. How to Attend Online Chats: M embers of ACEs Connection : Go to Chats (top of page). Find...

Dozens of Kaiser Permanente pediatricians in Northern California screen three-year-olds for ACEs

Since August 2016, more than 300 three-year-olds who visited Kaiser Permanente’s pediatric clinics in Hayward and San Leandro have been screened for adverse childhood experiences (ACEs), such as living with a family member who is an alcoholic or losing a parent to separation or divorce. But when the idea to screen toddlers and their families for ACEs was first broached at the Kaiser Permanente Hayward Medical Center, the staff were, in a word, “angsty,” says Dr. Paul Espinas, who led the...

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