Tagged With "ACEs"
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Re: ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)
Thank you, Veronique, for your prolific and powerful post! Thank you for your creative initiative of developing two ACEs Fact Sheets. Thank you for streamlining the pathway for patients to be well-informed and prepared to advocate for their well-being during their doctors' visits. Thank you for lifting up our amazing ACEs Connection Cissy White. "In addition to the commenter who wished for an ACE form (thank you for being so courageous and clear about what you needed), I was also inspired to...
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Re: ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)
Thanks Dana! It feels great to share resources that can be truly empowering and helpful. I hadn't thought of translating the fact sheets but absolutely. Let me know if you know anyone who would like to help me do so!
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Re: ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)
Laurie you are so welcome - you and pediatricians and the world working with kids have been on my mind :-)
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Re: ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)
Please know I'll reach out to my colleagues in higher education to see if any of their students' can translate (Spanish, Tagalong, Vietnamese, etc.) and need additional hours for internships or field placements. Thank you again, Dr. Mead, for your exceptional ACEs Fact Sheets.
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Re: ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)
PS - everyone please call me Veronique!! (pronounced Vair-uh-neek) :-)
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Re: ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)
Dana that's terrific - what a wonderful fit!!
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Re: For a pediatrician and former teacher ACEs awareness came from a punch in the face
I am writing a short piece about the webinar that Dr. Selvaraj participated in this morning: Screening for Adverse Childhood Experiences in the Pediatric Primary Care Setting: Practical Considerations and Lessons Learned and am wanting to interview people in pediatrics who listened in on the webinar about their impressions. Please private message me and let me know when would be a good time to reach you and a contact number. I'll be finishing it on Monday. I'm on Pacific time.
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Re: Prevention: Bringing Baby Home Training of Facilitators
I am sorry that I posted the wrong dates: May 17-18 in Sacramento. Thank you Carolyn
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Re: Montefiore Medical in Bronx screens 12,000+ kids for ACEs
I’m certain as the ACE score increases - so does the score of the PSC-17. It does when I have looked at them both at the same time and it only makes sense. Also lots of poor parents have a hard time reading. That puts more risk for stress on the parent.
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Re: Montefiore Medical in Bronx screens 12,000+ kids for ACEs
ACEs Science application, explanation, and example of evidence-based effectiveness! Great post. Thank you!
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Re: Montefiore Medical in Bronx screens 12,000+ kids for ACEs
Approximately what percent of families take advantage of the option to be surveyed ?
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Re: 4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress
What a hopeful article, thanks for sharing the journey. This shift takes time, attention, resources, dedication and belief that we are in this for the long haul.
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Re: CYW's Provider Training Courses now available online
Hi Jim, Thanks so much for sharing. Can you say how long each of these first two courses are? Is it all video for example? Are there reading materials as well? Thanks!
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Re: 4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress
Hi, thank you for this information. There doesn't seem to be a link to the actual report... Harise
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Re: 4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress
Hi Harise, I see that it may be easy to miss, so I'll embed another link to the report in the story. If you look at the story under the photos, the link to the SCAN report is there. Thanks for writing!
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Re: All hands on deck (from a distance): remote care for traumatized moms and babies
I would like to see infant mental health folks comment on this because what you are proposing is very serious and can have serious lifelong adverse consequences. How about any of the Pediatric Doctors out of Ed Tronick’s UMass program? How about anyone from that program or similar programs comment here? What would Dr. Brazelton think? There is so much you can do face to face with the mother and baby that you just cannot do on a screen because it is the actual feeling of presence and...
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Re: 10 ways to avoid ACEs (during the pandemic)
Really appreciate the reframe on social distancing to social connection and physical distancing!
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Re: 10 ways to avoid ACEs (during the pandemic)
Thank you so much! I am really concerned about how families are coping right now. I especially worry about children at risk for abuse/neglect, away from any eyes or supports who might protect them.
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Re: 10 ways to avoid ACEs (during the pandemic)
Hi Patricia, I likely will be organizing a brainstorming session for health care providers. I'm also going to be doing a story looking at the issues of prevention tools, workaround for vulnerable families -- those at risk for child abuse or intimate partner violence. Please let me know what other information I can gather in order to support you in your work. In the meantime, I'll be posting here and cloning other articles I think may be helpful.
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Re: 10 ways to avoid ACEs (during the pandemic)
Thanks Elizabeth for your comment!. I agree with you about the reframe. Physical distancing feels more accurate and less daunting to me!
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Re: WEBINAR - NPPC's Pilot Site Case Studies: Lessons Learned from ACEs Screening Implementation
I find it impossible to believe the necessary resources .are available through “tweeting” already available resources and systems. We do not have the resources needed for kids already identified to have mental health concerns much less for newly identified kids. I’m sure most doctors working for any period of time in low resource areas already know this. I guess my biggest concern is believing that what we do right now is all we really need to treat these severely and complexly traumatized...
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Re: Opinion: All Doctors Should Practice Trauma-Informed Care [calhealthreport.org]
“Thus, it should be standard practice for medical professionals to screen and assess for trauma in a safe environment. It is critical that primary and behavioral health systems have communication channels to inform each other about a person’s trauma and its effect on their mental health and physical wellbeing. In order to achieve this outcome, we are proposing state legislation to mandate trauma-informed care education in all California medical, dental and nursing programs. In addition, we...
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Re: Healthy Spaces December 2019 Webinars
Do you all role out SEEK. I think it had a greater evidence base than Screening for ACEs. Thanks.
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Re: [Repost] Trauma-informed Care: It Takes More Than a Clipboard and a Questionnaire
Thank you Jim for this article. It is exactly what we need to address health care providers and community concerns regarding ACEs work. This should help us overcome barriers and resistance as AB 340 launches. Is there a lead agency in each California County to coordinate ACEs work and provide consultation/expertise? Perhaps this could be delegated to County Public Health Departments.
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Screening for Adverse Childhood Experiences (ACEs) in Primary Care [jamanetwork.com]
By Thomas L. Campbell, JAMA, May 28, 2020 Adverse childhood experiences (ACEs), such as experiencing or witnessing violence or abuse or living with a parent with mental illness or substance use disorder, have been shown to have a powerful influence on subsequent mental and physical health and life expectancy. Exposure to ACEs has been linked to more than 40 negative health conditions, including poor mental health, substance use disorder, adverse health behaviors, chronic physical disease,...
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Medical Authorities with Academic Blinders look the other Way: Reject ACES
Recently a family doc published a "Viewpoint" in the Journal of the American Medical Association suggesting restraint and caution in using the ACEs screening tool (Campbell TL. Viewpoint, Screening for Adverse Childhood Experiences (ACEs) in Primary Care: A Cautionary Note , JAMA Published Online: May 28, 2020, doi:10.1001/jama.2020.4365) because (1) there were no evidenced based treatments, (2) asking the questions would offend patients and parents, and (3) risk of labeling people with such...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
No we should not be asking these ACEs in the Peds office. I don’t think that any of our patients should have their name, DOB, medicaid number and a billing code sent to the state documenting 4 or more or less than 4 ACEs. This HAS A REAL POSSIBILITY of misuse. We took an OATH to do no harm and this could cause real harm. Also your second “expert” is Dr. Nemeroff. He has been a real proponent for psychotropic use in kids. That right there is a red flag to me.
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
Jeoffry, I share your frustrations. I give credit to JAMA for publishing several articles, over the last six months, on ACEs, but am disappointed they didn't see the value of printing your letter. No doubt all of us, who have been bitten by the ACEs bug, have multiple stories of disappointment in how others don't "get it". (Last year, I submitted a Point of View paper to JAMA, describing my experience in addressing ACEs with my patients, and it was denied.) My frustration now, as in those...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
Jeoffry, Although I have concerns about required screening for ACEs in a society and medical culture that has little understanding of trauma, still commonly believes the only effects of trauma are psychological, often tells individuals with “functional” diseases, mental health conditions, low income or who are discriminated against that it’s all in their heads, does not provide health insurance and mental health treatment for all – I believe it is important to move forward because of all...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
Ms Mead I am so grateful for your heartfelt comments. It must have taken a lot of thought and energy to put together such an extensive essay. Your intimate passion and concern come through and I share it. I am glad you found a way (in spite of personal circumstances) to put your wisdom and caring to use. I would riff of your desire to see our society become "more trauma informed" to say I honestly think we live in a relatively brutal and unjust, selfish and violent society. Child abuse is...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
Thank you for being so concerned and so passionate. As an advocate for good medicine and good therapy and for helping traumatized kids, I recognize some of your concerns, but others, in my experience, are not as significant as you think. (1) There is a lot of family violence, We have to do everything we can to prevent it and to treat its effects. (2) CYW is definitely not the government, Dr. BH may be part of government now but I see that as a great success in changing public policy to deal...
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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:...