Tagged With "Adverse Childhood Experiences"
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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...
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Child and youth advocacy centres: A change in practice that can change a lifetime [Journal of Paediatrics & Child Health]
"While often a silent and invisible issue, childhood trauma is pervasive, and has profound individual, societal and economic impacts. Many forms of childhood trauma exist, including child physical and sexual abuse. Given the prevalence, impact and availability of prevention and intervention approaches, child abuse deserves the same level of awareness, policy priority and investment as is directed to other issues of significant public health importance. The complex issue of child abuse...
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Child neglect linked with changes to brain's white matter (MNT)
Past studies have shown that traumatic experiences in childhood can have negative implications for brain development. Now, a new study published in JAMA Pediatrics finds severe childhood neglect may cause structural changes to white...
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Child’s behavior may be linked to parent’s adverse childhood experiences [contemporarypediatrics.com]
Parents who have experienced adverse childhood experiences (ACEs), such as abuse, neglect, or household dysfunction, are more likely than parents without these experiences to have children with behavioral health problems, according to an analysis of data from several large, nationally representative surveys of US households that addressed ACEs and children’s behavioral problems and diagnoses. Of the more than 2500 children for whom researchers had data, one-fifth had a parent who reported...
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Childhood Anxiety Linked to Later Problems With Alcohol [psychcentral.com]
New research has found evidence that children and adolescents with higher levels of anxiety may be at a greater risk of developing alcohol problems. Many studies have investigated the relationship between anxiety and alcohol use, but the evidence has been unclear, say researchers at the University of Bristol in the U.K.. Some studies found higher anxiety is linked to greater alcohol use, while others found anxiety is linked to lower alcohol use, or there was no association. For their study,...
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Childhood Stress and Adversity is Associated with Late-Life Dementia in Aboriginal Australians
This was just sent by the RACP “Paediatric Pot-Pourri”. It continues the developing and worrying themes presented at the recent NBPSA and CCCH satellites days before the RACP Congress. I cannot see any reason to imagine that these same outcomes do not also apply to those children living anywhere in the world where ACE’s are flooding into their lives. John Goldsmith “All paediatricians, particularly those with an interest in child development, are aware of the Adverse Childhood Experiences...
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Childhood trauma and Its lifelong health effects more prevalent among minorities [NPR Health Shots]
Photo: Woodleywonderworks/ CC 2.0 "When researchers first discovered a link in the late 1990s between childhood adversity and chronic health problems later in life, the real revelation was how common those experiences were across all socioeconomic groups. But the first major study to focus on adverse childhood experiences (ACEs) was limited to a single healthcare system in San Diego. Now a new study — the largest nationally representative study to date on ACEs — confirms that these...
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Children and US Federal Policy on Health and Health Care Seen but Not Heard
Children account for 73.5 million Americans (24%), but 8% of federal expenditures. Data on health and health care indicate that child well-being in the United States has been in decline since the most recent recession. Childhood poverty has...
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Chronic Stress Exposure Among Young African American Children with Asthma: Racism is a Factor [annallergy.org]
By Bridgette L. Jones, Vincent Staggs, and Brianna Woods-Jaeger, Annals of Allergy, Asthma & Immunology, September 17, 2019 African American and Hispanic children are more likely to have a diagnosis of asthma and significantly higher disease related morbidity in comparison to non-Hispanic white children. Mortality rates are likewise higher as African American children are 8 times more likely than non-Hispanic white children to die from asthma 1. The cause of this striking health...
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'Clear Link' Between Childhood Trauma and Substance Abuse, Addiction Doctor Says [johnsoncitypress.com]
By Jonathan Roberts, Johnson City Press, September 2, 2019 Almost half of all American children have experienced at least some form of childhood trauma. Many of these adverse childhood experiences, or ACEs, can be tied back to drug and substance abuse, but their impact may be more widespread than many perceive. In Tennessee, an estimated 49% of children have at least one adverse childhood experience, and 24.1% have at least two. Nationally, those numbers sit at 45% and 20.5%, respectively.
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Come Chat with Dr. Claudia M. Gold: An ACE-Informed Pediatrician
Date: July 11th Time: 10 AM PST / 1 PM EST Location: Parenting with ACEs Group , Online Flyer: Attached below. Please share. Dr. Claudia M. Gold has practiced general and behavioral pediatrics for 25 years and specializes in early childhood mental health. She is on the faculty of the University of Massachusetts, Boston Infant-Parent Mental Health program, William James College, and the Austen Riggs Center where she is a Human Development consultant. Dr. Gold is author of the following...
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Conversation-starting Resilience Project posters
The American Academy of Pediatrics has created several posters to use as conversation starters to recognize toxic stress and adverse childhood experiences in children and build their resilience. Pediatricians are encouraged to hang the...
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Course credit for "Childhood Adversity and Toxic Stress in Medical Care: Promoting Health and Healing Throughout the Lifespan"
Dr. Beth Grady, a pediatrician at South San Francisco Clinic, developed a course called: "Childhood Adversity and Toxic Stress in Medical Care: Promoting Health and Healing throughout the Lifespan". She did the presentation on June 15, 2016, and the webinar was posted on June 22, 2016. The termination date for the webinar is June 22, 2019. Instructions for earning 1 AMA PRA Category 1 Credit TM for this enduring material: Watch the video of the presentation, which can be accessed via this...
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Cover Story November Issue of Journal of Family Practice: Childhood Adversity and Lifelong Health
I was honored to have my review article, “Childhood Adversity and Lifelong Health: from research to action”, chosen as the November 2018 cover story of the Journal of Family Practice . Here is a link to the article. Access is free after registration with the journal and retrievable directly by anyone who has Medline PubMed access. https://www.mdedge.com/jfponline/article/178388/pediatrics/childhood-adversity-lifelong-health-research-action Highlights from the article include: - recognition...
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Cumulative childhood risk is associated with a new measure of chronic inflammation in adulthood [The Journal of Child Psychology and Psychiatry]
The CDC/Kaiser Permanente landmark ACEs study showed a dose-dependent association between ACEs and health outcomes in adulthood. In this study of 837 patients, researchers examined the association between childhood predictors, including higher ACE scores, with levels of inflammation in adulthood. Read more about the study that appeared in the Journal of Child Psychology and Psychiatry here .
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Data-for-Equity Research Brief [nichq.org]
Child care offers a safe space for children to grow and learn while their families are at work, making it a critical resource to support healthy development. However, child care is unaffordable for the majority of working parents, especially for low-income and black and Hispanic working parents. This research brief provides insight and analysis about the challenges families face in affording childcare, which can exacerbate inequities in early childhood health and development. [For more on...
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Department of Pediatrics Grand Rounds - “Adverse Childhood Experiences (ACEs): Where are we now?”
Rebecca Ives, M.D. of UC Davis Pediatrics Residency Program gives a detailed and thorough description of the ACE study and how to integrate it into pediatric settings. Take a listen! LINK HERE
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Developing Healthy Minds: It’s Never Too Early to Start! [Blog.SAMHSA.gov]
The human mind is one of the most complex structures in the universe. Even in early infancy, it is capable of taking in a wide variety of inputs. Still, in our early years, we’ve only unlocked a small portion of its potential. Our brains actually continue to develop into our twenties . Accordingly, the U.S. Government embraces a definition of youth that continues until we turn 25. Nurturing the development of young minds to stay healthy through adulthood is a primary goal of SAMHSA’s Project...
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Do The Roots Of Mental Health Issues Lie In Early Childhood? [WAMU.org]
Rahil Briggs, a child psychologist, is walking the corridors of the Pediatrics department at the Montefiore Comprehensive Healthcare Center . We’re in the South Bronx, New York. It’s one of the poorest urban areas in the country. Crying babies don’t faze Briggs. She looks serene — like she’s just finished a yoga class. Briggs says babies’ brains are “sticky.” “Their brains are disproportionately receptive. So whatever we throw sticks. That’s why they can learn Spanish in six months when it...
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10 ways to avoid ACEs (during the pandemic)
How can we reduce ACEs and toxic stress during the COVID-19 pandemic? Many of us are concerned that increased stress might increase the risk for ACEs. For example, most child abuse happens when adults reach their breaking point. However, we are not powerless in the face of these challenges. Using HOPE ( Healthy Outcomes from Positive Experiences ) as a guide, here are 10 suggestions to reduce ACEs now: Think about social connection and physical distance , not social distance. Continuing to...
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12 Things I Wish My Doctor Understood About Childhood Trauma
It doesn’t happen that often anymore, but one place where I almost always get triggered with my Childhood PTSD symptoms is when I visit the doctor. I could never even put this into words before. But now that I’m mostly healed from my Childhood PTSD symptoms, I want to express what I wish my doctors – all the doctors of my life – had understood about the effects of Childhood trauma, about me. Note: This is one of my most personal posts ever. Unless you’re someone who really prefers text, I...
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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...
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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...
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Investment in a social pediatrics initiative
(Cissy's note: grateful for all our Atlantic Canada Community is sharing with us all!) MONCTON (GNB) – The provincial government is investing $350,000 in the establishment of a social pediatrics demonstration site. “Social pediatrics promotes a multisectoral, interdisciplinary approach that takes into account the 12 determinants of health simultaneously to meet a variety of needs of children and their families,” said Health Minister Benoît Bourque. The demonstration site will be located in...
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Iowa project aims to have all pediatricians, family docs screen for ACEs
Dr. Amy Shriver is on a mission: to convince every pediatrician and family doctor in the State of Iowa to screen children for Adverse Childhood Experiences (ACEs). Dr. Amy Shriver The Des Moines-based Blank Children’s Hospital pediatrician is not alone. She’s part of Central Iowa ACES 360, a regional cross-sector coalition formed in 2011 that is working toward that ambitious goal. And they’re making substantial inroads. Central Iowa ACES 360 has just developed a one-hour trauma-informed...
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January 2019 NPPC Announcements
The NPPC team at the Center for Youth Wellness is excited to share details about our second cohort of Pilot Sites, our ACEs webinar series with OptumHealth education and our new podcast series: ‘Voices from the Field’. Read on to find out more. Apply for the National Pediatric Practice Community Pilot Site Cohort 2! The National Pediatric Practice Community(NPPC) is pleased to open the application process for NPPC's second cohort of pilot sites. Participation will not only support your...
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Join us in San Antonio for the 2019 AAP Trauma Informed Pediatric Provider course
The American Academy of Pediatrics will once again be holding the Trauma-Informed Pediatric Provider Course: Addressing Childhood Adversity and Promoting Resilience March 2-5, 2019 in San Antonio, TX. The Trauma-Informed Pediatric Provider course will assist health care providers and those working in or with child servicing agencies to identify children who have experienced adversity, trauma and toxic stress and will discuss their presentation and the risk factors involved. This three and...
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Kaiser family medicine clinic launches 4-question ACE survey pilot for adults
In July, medical residents in family medicine at Kaiser Permanente in San Jose, CA, began screening adult patients for adverse childhood experiences (ACEs). But it’s an ACE survey with a twist: it’s shorter, not the 10-question survey of the original CDC-Kaiser Permanente ACE Study , according to Dr. Kathryn Ridout who is leading the pilot along with Dr. Francis Chu and Dr. Alec Uy . Why a shorter ACE survey? Dr. Kathryn Ridout “When we were doing our initial discussions with stakeholders in...
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Latest ACEs science research from PubMed, March 25, 2019
Adverse Childhood Experiences and Household Out-of-Pocket Healthcare Costs. Schickedanz AB, Escarce JJ, Halfon N, Sastry N, Chung PJ. Am J Prev Med . 2019 Mar 13. pii: S0749-3797(18)32445-0. doi: 10.1016/j.amepre.2018.11.019. [Epub ahead of print] PMID: 30905486 Similar articles A Systematic Review of Trials to Improve Child Outcomes Associated With Adverse Childhood Experiences. Marie-Mitchell A, Kostolansky R. Am J Prev Med . 2019 Mar 13. pii: S0749-3797(19)30031-5. doi:...
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Latest ACEs science research from PubMed, May 7, 2019
Clinic and park partnerships for childhood resilience: A prospective study of park prescriptions. Razani N, Niknam K, Wells NM, Thompson D, Hills NK, Kennedy G, Gilgoff R, Rutherford GW. Health Place . 2019 May 3;57:179-185. doi: 10.1016/j.healthplace.2019.04.008. [Epub ahead of print] PMID:31060017 Family Resilience And Connection Promote Flourishing Among US Children, Even Amid Adversity. Bethell CD, Gombojav N, Whitaker RC. Health Aff (Millwood) . 2019 May;38(5):729-737. doi:...
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Leaders in SF public housing deal with their own and community trauma head on
Sengthong Sithounnolat, Jeris Woodson, Donald Greene, Ashley Blanco On a recent Saturday, 10 people gather around a table at the offices of Trauma Transformed in Oakland, Calif., where quotes from figures like Frederick Douglas, Nelson Mandela, and Coretta Scott King grace one wall as light streams in from a skylight above. The group is known as the Resident Warriors, which meets weekly. One participant talks of her recovery from addiction and her mother’s murder. Another mentions being...
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Life Expectancy by Zip Code: Where You Live Affects How Long You Live
Life expectancy is highly correlated with ACE scores and complex childhood trauma. Enter your address or zip code to know what the health outcomes are in your neighborhoods and communities. Robert Wood Johnson Foundation Life Expectancy Calculator
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Marin Community Clinics in California screen babies for ACEs, provide support in effort to prevent trauma
When Marin Community Clinics (MCC) first considered screening their patients for adverse childhood experiences (ACEs) they already had decided that if they were going to prevent children from acquiring ACEs, they had to take a radical approach.
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Maternal Depression and Intimate Partner Violence: Impacts on Children [aappublications.org]
Among the many adverse childhood experiences, one must consider are the effects of maternal depression and of mothers being the victim of physical or sexual violence. What is the toll of these on children? Neamah et al. ( 10.1542/peds.2017-3457 ) decided to evaluate this by looking at the strength of such an association on the cognitive development as well as physical growth of over a thousand toddlers between 18 to 36 months living in Tanzania. These children underwent developmental testing...
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Medical students' ACE scores mirror general population, study finds
A national survey published in 2014 revealed a disturbing finding. Compared to college graduates pursuing other professions, medical students, residents and early career physicians experienced a higher degree of burnout. Citing that article, a group of researchers at University of California at Davis School of Medicine wondered whether medical students’ childhood adversity and resilience played a role in their burnout, said Dr. Andres Sciolla, an associate professor of psychiatry and...
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Mitigating the Effects of Trauma among Young Children of Immigrants and Refugees: The Role of Early Childhood Programs [migrationpolicy.org]
A child’s early years are a time of exceptional growth, and ones that can be profoundly affected by traumatic experiences. Research has firmly disproven the idea that infants and toddlers are “too young” to be affected by such experiences, leading to an increased awareness of the need for trauma-informed services for children. Early childhood education and care (ECEC) programs have the potential to play a central role in identifying and addressing the effects of trauma, with lifelong...
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Modifiable Resilience Factors to Childhood Adversity for Clinical Pediatric Practice / Abstract Link
I learned about a new research paper entitled, "Modifiable Resilience Factors to Childhood Adversity for Clinical Pediatric Practice" co-authored by Flora Taub and Renée Boynton-Jarret (pictured above). It was just published in Pediatrics which is the official journal of the American Academy of Pediatrics). Here's the link to the abstract. I'm not going to pretend I subscribe to Pediatrics. I don't. However, I have been interested in the work of Renée Boynton-Jarret ever since writing a...
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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...
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Montefiore Medical in Bronx screens 12,000+ kids for ACEs
Creative Commons/Flickr/Family drawing by Meggy ____________________________________ Since 2016, more than 12,000 children beginning at the age of 1-years-old have been screened for adverse childhood experiences (ACEs) at Montefiore Medical Center in Bronx, New York, according to Miguelina German, the director of Quality & Research in the Pediatric Behavioral Health Integration Program and project director of Trauma Informed Care at the center. Parents of infants are asked to fill out...
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Montefiore to test out lower ACE score cut-off in pediatric patients
photo/ CCO 1.0 Screening their pediatric patients for Adverse Childhood Experiences (ACEs) showed researchers at Montefiore Medical Center that their cut-off score of 4 for referring children and families for help was too high, says Dr. Dana Crawford, a pediatric psychologist and the director of the Trauma-Informed Care Program at Montefiore Medical Center in Bronx, NY. Dr. Dana Crawford Their analysis of the results not only confirmed what pediatricians had suspected, it helped them...
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More American children and teens aren't just obese. They're morbidly obese. [Vox.com]
Public health researchers cheered an encouraging trend recently : Childhood obesity rates, which rose steadily through the 1980s and 1990s, seemed to have plateaued in the 2000s. But new research suggests a different, troubling problem lurking behind that plateau — a steep rise in the rates of severe obesity, particularly among older and minority children. The fraction of adolescents with severe obesity — a body mass index of 40 or greater — has more than doubled from 0.9 percent in 1999 to...
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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...
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Mr. Rogers, Trauma-Informed Care, and the Limits of Information
Fred Rogers, in his 1969 testimony before the Senate subcommittee on communications in defense of public television, transforms a clearly skeptical Senator Pastore from, "Alright Rogers you've got the floor" to, "Looks like you just earned the 20 million dollars." How does he accomplish this transformation? One line from Senator Pastore gives us some insight. Several minutes into Mr. Rogers testimony he says, "This is the first time I've had goosebumps in the last two days," to which Rogers...
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Nadine Burke Harris debuts "The Deepest Well: Healing the Long-Term Effects of Childhood Adversity" in Philadelphia
Dr. Nadine Burke Harris debuted her book, The Deepest Well: Healing the Long-Term Effects of Childhood Adversity , at the Philadelphia Free Library this evening in a talk and book signing. This first stop in an ambitious book tour that crisscrosses the country reflects a mission that Burke Harris has pursued for nearly a decade: to spread the knowledge about the science of adverse childhood experiences, and about how people can use this knowledge to help solve our most intractable problems.
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National collaborative provides roadmap for doctors to ask about adult patients' ACEs, current trauma
How do you ask patients about current and past trauma? And how do you respond to their disclosures? Those are two key questions that members of a national collaborative who are among the early adopters of trauma-informed care practices have answered in a recent article in the journal Women’s Health Issues. Dr. Edward Machtinger To Dr. Edward Machtinger, the lead author of the paper entitled, “ From treatment to Healing: Inquiry and response to recent and past trauma in adult health care” ,...
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National Mandate for ACE Testing for ALL New Parents!
It was about three years ago when I first heard about ACEs on NPR. It truly legitimized everything I had written about family and relationships with the outside world. I read The Teenage Brain and Childhood Disrupted. We are making huge strides in sharing the scientific findings about childhood trauma in as many avenues as we can it appears. Yet, I have a deep sadness at times that ACEs is an after the fact scorecard of traumas inflicted on our children. My most significant moment in reading...
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National Survey of Child and Adolescent Well-Being (Adverse Childhood Experiences in NSCAW # 20)
Why We Should Assess for ACEs in kids in the child welfare system. I don't know exactly how old this brief from the Administration on Children and Families from HHS is but the graphs say it all. However I will add a few points: 1....
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New Alaska ACEs data reinforces importance of investment in early childhood
Pat Sidmore, our expert for all things data and ACEs and a planner for the Alaska Mental Health Board, Advisory Board on Alcoholism and Drug Abuse, has collected new data that outlines when Alaska's children (0-17) acquire their ACEs. The slide below paints a pretty grim picture showing that our children are accumulating 50 percent of their ACEs before the age of 3, and more than 26% of them before the age of 1. Please feel free to share this slide as you see fit.
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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...
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New Health Resiliency Stress Questionnaire debuts for pediatricians, family practice, internal medicine...but anyone can use it
There's a new ACEs-resiliency survey in town! It came out of a conversation between two physicians having a conversation on a bus. Here's the story about how it was developed, and how to use it. Pilots were done in a pediatric clinic, internal medicine, addiction treatment center, group therapy, and psychiatric practice. It's now being used in two community clinics.