Tagged With "ACEs"
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
I can see this information used to discriminate against disadvantaged people. Pediatricians should not be collecting scores that can be used in a harmful way against children or parents. You are basically asking a parent to put a number on the chart associated with their name that represents the "parental risk factors" for child abuse and neglect that we all know about from the various medical textbooks we use. I was looking at Zitelli and the ACE questions are listed in the section as...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
Billing Codes Directly Associated with a Score Less than 4 or 4 or more.: DHCS Operational Implementation Element Description\ Payment Effective Date January 1, 2020 Attest to Completing Training By July 1, 2020 Target Population Children and adults up to 65 Provider Types Almost all Rate $29 HCPCS Codes • G9919: ACEs score of 4 or greater, high risk • Screening performed – result indicates patient at high risk for toxic stress; education and interventions (as necessary) provided • G9920:...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
Is it Social Justice to take disadvantaged kids (or any kids) and to collect their Name, DOB, Medicaid Number and a Billing Code representing 4 or more ACES or Less than 4 ACES and send that information to the state? Can you tell me Jeff please; is that your idea of Social Justice? It is not my idea of Social Justice and all I have seen from the California community is getting a score - nothing about how to talk to parents about the score or anything.... Just GET THAT SCORE DOCTOR. This does...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
But, Alas, pediatricians are medical clinicians, not police. If they did not ask about language skills they may never uncover a hearing problem that could be treated. If they do not ask about home environment, they may overlook abuse -which they have the responsibility and skills to treat.This is not prejudice, punishment or stigmatization but caring outreach and risk assessment in the vast majority of circumstances.
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
You are correct.
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
You DO NOT NEED AN ACE SCORE to get a psychosocial history. You do not need to put a family at risk to do a psychosocial history and provide services to patients. I know. I have been doing it for 20 years. All this score can be used for when put in the medical record is to harm children, parents and families. If I were forced to get this score, I would tell all my patients that the government is forcing me to ask you questions that could put you at risk for having your children removed from...
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Pediatricians Can Help Prevent Adverse Childhood Experiences [vetoviolence.cdc.gov]
From VetoViolence, Centers for Disease Control and Prevention, June 2020 New Training Helps Pediatric Medical Providers Recognize and Prevent ACEs You’re invited to explore the new Preventing Adverse Childhood Experiences (ACEs) Training for Pediatric Medical Providers . This training focuses on the central role that pediatric medical providers play in understanding, recognizing, preventing, and treating ACEs and their consequences. Lesson topics include: The Biological Impact of ACEs The...
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Child Life specialists empower kids in hospitals, disasters and now the pandemic
In late May, Betsy Andersen’s 7-year-old son, Ezra, had a serious meltdown. He and his six-year-old sister Abby had been enjoying an online Zoom interaction with “Miss Eileen,” “Miss Savannah,” a couple of their colleagues, and a puppet. Betsy Andersen “I could see him trailing off and then he started crying,” says Andersen, who lives in Mundelein, Illinois. But before she swooped in, she heard Miss Eileen talking to him: “She was saying ‘Hey, I see you’re having some big emotions.” Speaking...
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ACEs and Gynecological Problems - A Conversation Starter
Gynecological problems as a result of ACEs, and particularly of Childhood Sexual Abuse (CSA), are rarely discussed in books and articles about the ACEs. The author would like to see that issue become part of the ACEs conversation.
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Re: ACEs and Gynecological Problems - A Conversation Starter
Thank you for your posts. It's scary when I hear people say "it's all about choices," as if babies and children have agency.
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Re: ACEs and Gynecological Problems - A Conversation Starter
Hi Dianne, Thanks so much for your comments, thoughts and questions, and being brave enough to share your personal history! It reinforces in my mind why it's so necessary that health care systems should be trained in trauma-informed practices. I recently interviewed a nurse practitioner, Annie Lewis-O'Connor about another project. But she founded and directs the C.A.R.E. clinic at Brigham and Women's Hospital in Boston. It's a trauma-informed clinic that serves girls and women who have...
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How a Pandemic Could Advance the Science of Early Adversity [jamanetwork.com]
By Danielle Roubinov, Nicole R. Bush, and W. Thomas Boyce, JAMA Pediatrics, July 27, 2020 The reach of the coronavirus disease 2019 (COVID-19) pandemic is global, a health crisis with a ubiquity never before experienced. While the physical health consequences of COVID-19 appear to affect proportionally fewer children compared with adults, its psychosocial consequences may be magnified within families who consistently weather a landscape of severe stressors or adverse childhood experiences...
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Family Well-being in Grandparent- Versus Parent-Headed Households [pediatrics.aappublications.org]
By Eli Rappaport, Nallammai Muthiah, Sarah A. Keim, and Andrew Adesman, Pediatrics, August 2020 Abstract BACKGROUND AND OBJECTIVES: Little is known about the 2% of US children being raised by their grandparents. We sought to characterize and compare grandparent- and parent-headed households with respect to adverse childhood experiences (ACEs), child temperament, attention-deficit/hyperactivity disorder (ADHD), and caregiver aggravation and coping. METHODS: Using a combined data set of...
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Emergency departments look inward to deepen practices that support traumatized patients
An interdisciplinary team of clinicians from Brigham and Women’s Hospital had a bold idea in 2017. They would completely change the way things worked in their hospital’s emergency department so that the care provided to their patients was infused with a trauma-informed approach. That means recognizing how widespread trauma is and using a myriad of techniques to mitigate its harmful effects among patients, providers and staff. The realization of just how widespread trauma is came to light in...
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The Resilient Beginnings Network Is Taking Grant Applications!
Interested SF Bay Area safety net organizations can apply for funding to participate in this three-year program on resilience and trauma-informed care.
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Re: ACEs research roundup: ACEs, racism, promoting equity and resilience
This Link seems to be 'off' " Co‐Occurring Youth Profiles of Adverse Childhood Experiences and Protective Factors: Associations with Health, Resilience, and Racial Disparities , American Journal of Community Psychology" ?
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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,...
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ACEs research roundup: ACEs, racism, promoting equity and resilience
Racial /Ethnic Disparities in Health Care Access Are Associated with Adverse Childhood Experiences , Journal of Racial and Ethnic Health Disparities Racism , Psycho-Social Stress, and Health-related Quality of Life International Journal of Maternal Child Health and AIDS Promoting equity and resilience: Wellness navigators' role in addressing adverse childhood experiences American Psychological Association Co‐Occurring Youth Profiles of Adverse Childhood Experiences and Protective Factors:...
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Re: ACEs research roundup: ACEs, racism, promoting equity and resilience
Thanks Daun for letting me know. The link is fixed now!
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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...
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WEBINAR: Parental ACEs and Pediatrics: Transforming Well Care on 9/17
12-1pm on September 17 Registration for the CALIFORNIA ACES ACADEMY- Second Free Live Webinar with Free CME/CE is now available. Dr. RJ Gillespie will present Parental ACEs and Pediatrics: Transforming Well Care. This is a supplemental training. For Aces Aware Medi-Cal certification visit ACEsAware.org . Please see the attachment for more information
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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.
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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...
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'A Better Normal:' Can universal ACEs screening be equitable? -- Concerns and solutions
Can universal ACEs screening be equitable? A conversation about concerns and solutions. When: Tuesday, Oct. 13, 2-3:30 pm PDT/5-6:30 pm EDT This webinar explores what it takes to ensure that equity is built into the process of screening and providing support for families who have experienced trauma and want help. REGISTER HERE Background At the beginning of this year, California, through the ACEs Aware initiative began rolling out universal screening for adverse childhood experiences (ACEs),...
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'I don’t know how we can really achieve racial equity if we’re not hearing the voices of those whom we hope to serve'
Dr. Shandi Fuller recalls that when she first assembled an all-staff meeting at the Solano County Family Health Services to show how equity and ACEs screening should go hand in hand, some staff members were bewildered. “Why are we talking about equity?” they asked. As Fuller explained to attendees at “A Better Normal,” an ACEs Connection webinar on Oct. 13, the question led her and a colleague to develop training for medical providers on this concept. The webinar was also based on extensive...
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New California preventive mental health coverage puts ACEs science front and center
A mother, frantic with worry, brought her newborn in for a checkup at the pediatric clinic at San Francisco General Hospital. But there wasn’t anything wrong with the baby. And over the next several months, no amount of reassurance could convince the mom that her child was eating, sleeping and growing just fine. If anything, the mother’s worry led to behavior that raised alarm bells for her health care providers. Dr. Kate Margolis “[The family] wasn’t returning calls from the provider, and...
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From Wildfires to Childhood Trauma, a Resilience Cooperative Transformed the Way Clinics Face the Unthinkable
What helped Sonoma health center staffers navigate one catastrophe after another was what they had learned about trauma in the Resilient Beginnings Collaborative.
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Sonoma County field nurses use ACEs science to educate families
Santa Rosa, CA, resident Lisa Marden watches her 15-month-old baby gleefully play with magic markers and relays how she’s been coping with feeling anxious. (We're using a pseudonym to protect the family's privacy.) “I’m just super stressed out with everything, and as soon as I eat anything, I get nauseous, so I’ve been eating snacks instead of meals,” she explains to Liz George, a field nurse with the Maternal/Child Field Nursing team of Sonoma County, CA, who has been seeing Marden on home...
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Re: Sonoma County field nurses use ACEs science to educate families
the most important 'teach a man to fish' work we can do to break the cycle - bravo!
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Berger, Dalton & Miller: How Much More Data Do We Need? Making the Case for Investing in Our Children
Child maltreatment is well recognized as one of the most significant contributors to pediatric morbidity and mortality throughout the world. 1 , 2 The effect of child maltreatment on morbidity and mortality in older adults has been documented for >20 years as demonstrated by the Adverse Childhood Experiences (ACEs) study. 3 The impact of maltreatment on teenage suicide and other mental health diagnoses is also well known. 4 , 5 To date, however, a direct relationship between maltreatment...
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8 Categories of Adversity That Shape Health: Adverse Babyhood Experiences (ABEs), ACEs and ACEs+, ACREs, and More
As I've discovered since leaving my career as a family doctor, retraining as a somatic trauma therapist, and scouring the research for 20 years - adversity of all kinds, in all phases of our lives, and in past generations influences our health. As does discrimination. Like ACEs, these 7 additional categories of adversity shape health. They increase opportunities for prevention, identify early indicators of risk, and offer more tools for healing chronic illness and other effects of trauma.
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Research article on ACEs and immune cell gene expression in children
Sharing our recent publication of pilot data on ACEs (assessed using the Whole Child Assessment) and immune cell gene expression in children age 5-11 years old
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The Impact of ACEs on Black Maternal Health
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Medical Board of California Features AAP-CA3, Dr. Wendy Pavlovich and Dr. Pradeep Gidwani
In a recent article titled, " Adverse Childhood Experiences: Breaking the Cycle in a Time of COVID-19 ," the Medical Board of California newsletter highlighted the work being done by the American Academy of Pediatrics, California Chapter 3 , Dr. Wendy Pavlovich and Dr. Pradeep Gidwani.
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Re: Research article on ACEs and immune cell gene expression in children
Thank you for sharing
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Local Organizations Join Together To Build HOPE and Resiliency in San Diego’s Children
April is National Month of Hope. While hope is something we all need right now as we surpass one year of the COVID pandemic, HOPE (Healthy Outcomes from Positive Experiences) means something different in our work as ACEs Aware grantees. The YMCA of San Diego County , San Diego State University Social Policy Institute , San Diego Accountable Community for Health (SDACH) and American Academy of Pediatrics – California Chapter 3 are combining efforts as ACEs Aware grantees to work with...
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HOPE Summit speakers show how positive childhood experiences offset adversity
The Rev. Darrell Armstrong, pastor of the historic Shiloh Baptist Church in Trenton, New Jersey, is an accomplished man. He graduated from Stanford University in public policy and went on to get his master’s degree in divinity studies at Princeton. As a former director in the New Jersey Department of Human Services, he was responsible for New Jersey’s statewide strategy for preventing child abuse and neglect. Armstrong has also worked as an entrepreneur, workshop facilitator, and radio host.
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How Trauma Affects the Body: Reflections from Dr. Eric Ball
AAP-OC Chapter Member, Dr. Eric Ball, MD, FAAP, from the CHOC Children's Primary Care Network, has shared a personal experience of the emotional, mental and physical impact after a recent traumatic event in his own life. His story provides insight on children who experience strong, frequent, or prolonged adversity and the impact it can have on their health and well-being if it is not identified and addressed. The ACEs Aware Initiative is equipping providers to take the lead in identifying...
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Re: How Trauma Affects the Body: Reflections from Dr. Eric Ball
Thanks for sharing such an emotion intimate tragedy.
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Interview with Dr. Nadine Burke Harris & Dave Ellis
We recently sat down with Dr. Nadine Burke Harris, California’s first surgeon general, and Dave Ellis, the first executive director of the Office of Resilience at the New Jersey Department of Children and Families. A pioneering voice on prevention, early identification, and treatment of Adverse Childhood Experiences (ACEs), Dr. Burke Harris gained national prominence with her viral 2015 TED talk on this topic. Dave Ellis made his name as a national leader in providing trainings and...
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Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment
Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment Jeoffry B. Gordon, MD, MPH May 23, 2021 As a family doc practicing in San Diego I was privileged to hear Dr. Vincent Felitti talk about his inspired development of the ACEs questionnaire and its association with many adult mental and physical diseases directly from him only a few years after his original insight. Yet, although I had a lively clinic and learned how to manage a vast array of medical...
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Re: Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment
Bravo! This will be a very useful tool for those of us who interact with ACEs/PACEs hesitant health care professionals. Thank you!
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How Meltdowns Can Manifest Resilience
As a primary care pediatrician, I spend most of my days talking about things that are hard for families. Parents ask what to do when their child won't poop on the potty. Or how to get their baby to sleep longer or how to get their teenager to wake up earlier. They ask how to get their child to sit in the car seat or what to do when they get car sick on long rides. And over the years I have developed a list of problem-solving strategies to help. But the one that has recently become my...
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What Pediatricians are Saying About Participating in the Trauma-Informed ACEs Screening and Intervention Evaluation (TASIE) Project
Earlier this month, the Trauma-Informed ACEs Screening and Intervention Evaluation (TASIE) Project completed its first 9-month quality-improvement ECHO program. Cohort 1 of the TASIE Project included 17 pediatric primary care practices consisting of 89 providers and 114 total team members, across eight states. These practices have successfully incorporated ACEs screening into their workflow and will use what they've learned through this program to spread awareness of ACEs and toxic stress...
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Re: American College of Preventive Medicine (ACPM) Recommends against Pediatric ACE Screening
The ACPM continues the high-minded academic tradition of castigating clinical research that does not meet precise research standards developed for biochemical pathophysiology and its treatment. In doing so it creates barriers to needed and overdue clinical intervention in a major behavioral pandemic with huge consequences for individual health and society. This policy statement impedes, impairs and delays attention to ACES, PACES, childhood abuse and neglect in the clinic as well as omits...
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Re: American College of Preventive Medicine (ACPM) Recommends against Pediatric ACE Screening
I'm pleased parenting education was mentioned.