Tagged With "American Academy of Pediatricians"
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ACEs Community Spotlight Series: Dr. Richard Honigman, Central Nassau Pediatrics
For our second community spotlight interview, I spoke with Dr. Richard Honigman, a pediatrician at Central Nassau Pediatrics in Levittown and infant mental health advocate. We discussed the importance of addressing childhood adversity and the relevant work he is doing both inside and outside his practice. Please note that responses have been adjusted for length and clarity. Dr. Honigman is also the first recipient of the 2019 Ed Tronick Award for Distinguished Contribution to Infant-Parent...
Blog Post
ACEs Community Spotlight Series: Dr. Richard Honigman, Central Nassau Pediatrics
For our second community spotlight interview, I spoke with Dr. Richard Honigman, a pediatrician at Central Nassau Pediatrics in Levittown and infant mental health advocate. We discussed the importance of addressing childhood adversity and the relevant work he is doing both inside and outside his practice. Please note that responses have been adjusted for length and clarity. Dr. Honigman is also the first recipient of the 2019 Ed Tronick Award for Distinguished Contribution to Infant-Parent...
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ACEs screening in CA — a Q and A with Dr. Dayna Long
Last year, the California Department of Health Care Services rolled out its plans for universal screening for trauma among its pediatric and adult Medicaid population. Beginning January 1, 2020, California physicians were able to receive an incentive payment of $29 for each pediatric patient screened for ACEs using the PEARLs ( Pediatrics Adverse Childhood and Resilience Study) tool. Dr. Dayna Long talked with ACEs Connection staff reporter Laurie Udesky about ACEs science, what led to the...
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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...
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Adolescent Suicide Up 87 Percent Over Last Decade; LGBT and American Indian/Alaskan Native Teens at Highest Risk [prnewswire.com]
By Trust for America's Health, October 29, 2019 Adolescent suicide deaths have spiked over the last decade and substance misuse including vaping is exacting a heavy toll on teens according to a report released today by Trust for America's Health (TFAH) and Well Being Trust (WBT). The report, Addressing a Crisis: Cross-Sector Strategies to Prevent Adolescent Substance Misuse and Suicide finds that, while progress has been made in reducing some risky behaviors, adolescent suicide and substance...
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After 5-year journey to integrate ACEs science, Santa Rosa, CA, pediatric clinic is trauma-informed, from head to toe
Dr. Meredith Kieschnick was among the first physicians in the U.S. to hear the term, "adverse childhood experiences". That was in 1998, early on in her career as a pediatrician, when the CDC-Kaiser Permanente Adverse Childhood Experiences Study (ACE Study) published its initial findings in the American Journal of Preventive Medicine . “I attended a conference at which (Dr. Vincent) Felitti spoke,” she recalls. Felitti, at that time director of the Health Appraisal Center at Kaiser Permanente...
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Alternative IHEBA with ACEs for California (and Other) Pediatricians
If you are a pediatrician serving Medicaid managed care patients in California, then you are required to use the Staying Healthy Assessment or an alternative IHEBA (Individual Health Education Behavioral Assessment) at all well-child visits. The bad news is that getting approval to use an alternative IHEBA is a tedious process. The good news is that as of October 27, 2016 the Whole Child Assessment (WCA) is available for use in English and Spanish. Most importantly, the WCA has been...
Blog Post
Alternative IHEBA with ACEs for California (and Other) Pediatricians
If you are a pediatrician serving Medicaid managed care patients in California, then you are required to use the Staying Healthy Assessment or an alternative IHEBA (Individual Health Education Behavioral Assessment) at all well-child visits. The bad news is that getting approval to use an alternative IHEBA is a tedious process. The good news is that as of October 27, 2016 the Whole Child Assessment (WCA) is available for use in English and Spanish. Most importantly, the WCA has been...
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American Acad of Pediatrics Policy Statement - Immigration policies need to be trauma-informed [www.medpagetoday.com]
The American Academy of Pediatricians has made a bold statement about the proposed DHS policy to separate children from their parents and the use of detention - clearly linking these policies to their potential to traumatize children. To that end, children should never be separated from a parent unless it is for the child's safety, and the Department of Homeland Security should discontinue the use of family detention and use community-based alternatives to detention to treat immigrant...
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Announcing the Parenting with ACEs Monthly Chat Series!
I'm thrilled to announce our NEW Live Chat series!!! Starting in May, once a month, we will have a live Chat Event. It will take online in the Parenting with ACEs Group the second Tuesday of the month at 10 a.m. PST (1 p.m. EST). We'll learn from our featured guests (below) about ACE-related issues. We'll have discussions and share experiences, stories, and resources with each other. Here is who and what we have scheduled for 2017. 2017 Monthly Chat Schedule / Time is Always: @ 10 AM PST (1...
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As California Moves to Screen Children for Childhood Trauma, Poverty Has To Be Part of the Equation
In California, we are coming full circle in recognizing the connection between poverty and health.
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Shifting the focus from trauma to compassion
photo: Rolf Schweitzer/CCO Dr. Arnd Herz, a self-described champion for ACEs science, would like nothing more than to witness a greater appreciation of how widespread adverse childhood experiences are. Herz, a pediatrician and director of Medi-Cal Strategy for the Greater Southern Alameda Area for Kaiser Permanente Northern California, would also like to encourage more people in health care to engage in a trauma-informed care approach, a change in practice that he says not only benefits...
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Sitler: Managing Depression and Anxiety in Children [newarkadvocate.com]
By Penny Sitler, Newark Advocate, March 1, 2020 There’s much conversation about mental health in children and youth these days. At Welsh Hills School, local pediatrician Dr. William Knobelach recently spoke about depression and anxiety in school aged children to a standing room only crowd at a parent education event. The Adverse Childhood Experiences Study (ACES), which looks at the impact of childhood trauma on health and well-being later in life, frequently comes up in talks about mental...
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So you've screened for ACEs...Now what?
Docs for Tots has partnered with the Center for Youth Wellness (CYW) to bring together diverse pediatric offices across Long Island and assist them in implementing universal ACEs screening. CYW, national experts on ACEs, has demonstrated that by addressing ACEs and building resilience through community resources, behavioral therapy, and support, the health outcomes of individuals can improve. A key goal of CYW is to have every pediatrician universally screening for ACEs in order to identify...
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Solano County's (CA) ACEs initiative, a robust community effort, makes room for input from all
In a house called “Johanna’s House” on a tree-lined side street in Vallejo, Calif., four women are filling out the adverse childhood experiences (ACE) survey given to them by Maria Guevara, the founder of Vallejo Together, an organization that serves homeless residents in Vallejo. The house was named for Johanna Dilag, a homeless woman who was found dead along with her dog.
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Some 350 Florida Leaders Expected to Attend Think Tank with Dr. Vincent Felitti, Co-Principal Investigator of the ACE Study; Expert on ACEs Science
Leaders from across the Sunshine State will take part in a “Think Tank” in Naples, FL, on Monday, August 6, to help create a more trauma-informed Florida. The estimated 350 attendees will include policy makers and community teams made up of school superintendents, law enforcement officers, judges, hospital administrators, mayors, PTA presidents, child welfare experts, mental health and substance abuse treatment providers, philanthropists, university researchers, state agency heads, and...
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Stopping Generational Trauma in Communities of Color [sundial.csun.edu]
By Michaella Huck, The Sundial, February 3, 2020 Over the past decade, clinicians and scholars have intensely studied and treated the effects of intergenerational trauma suffered by communities of color (i.e. one generation to the next — be it individual or collective) that is passed onto future generations. Intergenerational trauma is defined as the transmission of historical oppression and its negative consequences across generations. There is significant evidence of the impact of...
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Strengths-based Approaches to Screening Families for Health-Related Social Needs in the Healthcare Setting [Center for the Study of Social Policy]
How do you screen families to determine whether they have enough to eat or if they feel safe in their homes or communities without alienating them? In this new brief, authors Dr. Renee Boynton-Jarrett and JoHannah Flacks describe strength-based approaches to screening for health related social needs.
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Survey: Healthcare providers, community organizations weigh in on California's ACEs screening program
In January, California took a historic leap forward to promote universal ACEs screening of the state’s 13 million adults and children in the Medi-Cal program. The eventual goal is to promote ACEs screening for all patients, but this is a first step in dealing with a major issue that ACEs science has identified: that many children will develop serious health problems later in life because the healthcare system is not currently set up to detect the roots of those problems. The term ACEs, which...
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Teaching Parenting Skills At Doctor Visits Helps Children's Behavior [NPR.org]
As researchers have come to understand how poverty and its stresses influence children's brain development, they've begun untangling how that can lead to increased behavior problems and learning difficulties for disadvantaged kids. Rather than trying to treat those problems, NYU child development specialists Adriana Weisleder and Alan Mendelsohn want to head them off. They say they've found a way: Working with low-income parents when they bring babies and young children to the pediatrician.
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The AAP opens up access to ACE studies to highlight long-term impact of family separations and detentions at the border
Photo by Gerald R. Nino/Wikimedia.org "We have created a collection of articles on toxic stress since the American Academy of Pediatrics Committee on Psychosocial Aspects of Child and Family Health, the Committee on Early Childhood, Adoption and Dependent Care, and the Section on Behavior and Developmental and Behavioral Pediatrics published their landmark policy statement, “ Early Childhood Adversity, Toxic Stress, and the Role of the Pediatrician: Translating Developmental Science into...
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The Decline of Empathy: A Hopeful Solution (www.claudiamgoldmd.blogspot.com)
Here is an excerpt from a recent blog post by Dr. Claudia M. Gold. Pediatrician T. Berry Brazelton was among the first to recognize the tremendous capacity of the newborn for complex connection and communication. Developmental psychologist Ed Tronick, drawing on this observation, designed the famous Still-Face Experiment to show the devastation, for both parent and baby, when they struggle to connect. Extensive research at the interface of developmental psychology, neuroscience, and...
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Toxic Childhoods [politico.com]
Often times, a pediatrician or medical professional well-versed in the effects of ACEs or toxic stress can be the initial bridge to services, support, and building resilience for children, youth and families served by child welfare. It's exciting and encouraging to read about more and more pediatricians grounding their medical practice within ACEs framework. A toddler came into my examination room recently at Bayview Child Health Center in Bayview Hunters Point, an underserved, largely...
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Upcoming ACEs webinar hosted by National Pediatric Practice Community(NPPC) team - CME/MOC credits available!
Healthy Spaces Webinar Series (Two 1-Hour Webinars) Communicating About ACEs with Patients and Families presented by: Leena Singh, DrPH, MPH - Director of the NPPC Karissa Luckett, RN, MSW - NPPC Pilot Site Coach April 17, 2019 9:00-10:00 AM (PT) 12:00-1:00 PM (ET) Learner Outcome: The learner will be able to identify two evidence based tools and/or strategies to utilize in the pediatric healthcare setting to improve child care when addressing health concerned among children &...
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Upstreamist in Action: In a Texas Clinic, Lawyers Are Health Care Providers [Health Begins]
Upstreamists are changemakers pioneering practices that improve health by blending medical and social care . In this series of profiles, HealthBegins highlights some of these bold leaders and their innovations, in settings large and small. Their stories show us that the journey upstream is not only necessary — it’s possible. The People’s partnership began in 2012, when two puzzle pieces clicked together. The clinic’s Chief Medical Officer, Dr. Louis Appel, a pediatrician with an interest in...
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We Must Step Forward on Behalf of the Children at our Border [fsg.org]
By Lauren Smith, FSG, June 26, 2019. Everything I have learned in my almost three decades as a pediatrician and public health advocate caring for children and families tells me that what we are doing to migrant children at the border is morally and medically wrong. It goes against all that we know about how children should be treated. It is also not who we aspire to be as a nation. We are and must be better than this. Recent detailed reports of the appalling conditions in the detention...
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Webinar covered how to build trauma-informed connections via telehealth
When Dr. Erika Roshanravan, a family physician with CommuniCare in Woodland, CA, thinks back to her patient visits prior to the COVID-19 pandemic, one way she drew their deep-seated concerns was to ask the reason for the visit and to interject throughout, “Is there anything else?” And it’s asking that question during phone and video visits that has also helped her understand the true reason for her patients’ needs now, she told people who attended an ACEs Aware webinar on April 29 entitled:...
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Webinar: Crossroads of Adverse Childhood Experiences (ACEs) and Developmental Disabilities
Physicians, nurses, psychologists, social workers, child life professionals, and other patient service providers are invited and encouraged to join a webinar entitled: "Crossroads of Adverse Childhood Experiences (ACEs) and Developmental Disabilities" Increased levels of toxic stress, which can be caused by recurrent or chronic exposure to adverse childhood experiences (ACEs), can impair neurodevelopment, behavior, and overall health of a child (Substance Abuse and Mental Health Services...
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Webinar: School Nurses + Pediatricians = Powerful Partners
April 23, 2019 9:00 AM 10:00 AM PDT Webinar School Nurses + Pediatricians = Powerful Partners presented by: Dany Levy, MD, FAAP & Robin Cogan, MEd, RN, NCSN April 23, 2019 / 9:00-10:00 AM (PT) / 12:00-1:00 PM (ET) Objectives: Discuss the roles of the school nurse & pediatrician in the Pediatric Medical Home Discuss how communication between pediatricians in school nurses can be improved Discuss gaps in coordinating efforts on behalf of children and family Discuss and dispel myths...
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Webinar: Understanding Adverse Childhood Experiences: Perspectives on Hope & Resilience
Webinar: Understanding Adverse Childhood Experiences: Perspectives on Hope & Resilience Thursday, April 16, 2020 from 12:00PM - 1:00PM EDT “Adverse childhood experiences are the single greatest unaddressed public health threat facing our nation today.”- Robert Block, former President of the American Academy of Pediatrics. Join Shaina Groisberg, MD, Child Abuse pediatrician, and learn about Adverse Childhood Experiences (ACEs), how they impact the health of your pediatric patients, and...
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What a Pediatrician Can Do for a Child Seeking Asylum—and What She Can’t
Asylum Seekers in Tlaquepaque, Jalisco Migrant Refuge Center, photo by Daniel Arauz CC BY 2.0 On a cool spring afternoon, in a clinic that serves refugee and immigrant families, I sit across from a teen-age girl. She is otherwise known as an unaccompanied alien child, or U.A.C. She left her home in Central America, crossed the southern border, and was detained for a week—in Texas, she thinks—in a facility where breakfast was a cold bean burrito, lunch was a cup of microwavable noodle soup,...
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What’s in the well? Pediatrician probes ACEs and the biology of toxic stress in kids [seattletimes.com]
Boot-strapping types who believe that surmounting a difficult childhood is mainly a matter of will may be perplexed by an anecdote near the beginning of Nadine Burke Harris’s new book, “The Deepest Well: Healing the Long-Term Effects of Childhood Adversity.” In it, the pediatrician describes a 7-year-old boy named Diego, who showed up at her Bay Area clinic looking like an undersized 4-year old. He had been referred by a school nurse for suspected ADHD . But Burke Harris also noted that her...
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Who's integrating ACEs?
2015 article about Children's Clinic in Portland, OR, doing ACEs history on parents of four-month-old babies. 2014 article about pediatricians taking ACEs history on ACEsTooHigh.com. Center for Youth Wellness, San Francisco,...
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Whom do we call to report the mistreatment of children by the federal government? [washingtonpost.com]
By Nadine Burke Harris, Washington Post, July 11, 2019. Nadine Burke Harris is the surgeon general of California. Children in dirty clothes who haven’t been bathed in days. Eight-year-olds caring for toddlers out of necessity. Kids deprived of the safe, stable and nurturing care that’s fundamental to their health and well-being. As a pediatrician who has spent my career working to address childhood trauma, I’ve unfortunately seen it all. And I’ve had to make my share of reports to Child...
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Why Every Pediatrician Should Screen for Postpartum Depression (PsycheCentral)
I feel like I should be on a first-name basis with my kids’ pediatrician. It feels disrespectful to call her by her first name, but with three kids, there are quite a few visits — annual checkups, sick visits, my daughter’s repeated...
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Why it makes more sense to care for kids and parents at the same time [centerforhealthjournalism.org]
It’s the flu season, and David, a 4-month-old baby with a chronic lung disease, is with his pediatrician for a flu shot. David’s condition leaves him particularly vulnerable to respiratory illnesses like the flu. During the visit, David’s parents, Clare and Dave, discover that they need to make separate appointments to receive their own flu shots, which only complicates their already overwhelmed daily routine. Now imagine a place where David and his parents can receive a flu shot at the same...
Ask the Community
ACEs Screening in the Pediatric Office
Hi Everyone. We know several pediatric practices are screening for ACEs in the Pediatric Office. For example there is 1. The Children's Clinic in Portland, Oregon ...
Ask the Community
Resources You Provide to Parents to Reduce Adversity (and maybe screen time)...
Zero to Three Play Resources http://www.zerotothree.org/child-development/play/tips-and-tools-play.html To everyone on ACES in Pediatrics --Education, Social Work, Medicine, Law and I apologize to all those I left out: I like Resources especially free...
Calendar Event
AAP Advocacy Day Training
Comment
Re: How can we help people understand that asking for help is a strength?
Hi John, Thank you for sharing your thoughtful post. I have a few thoughts to share based upon my experience of screening for ACEs in pediatric practice and related research: 1) The first opportunity in Pediatric practice comes not through referrals, but through the patient care encounter itself. There is an opportunity for the pediatrician to form a supportive relationship with the parent and child, which is wholistic and healing when understanding factors like ACEs becomes an expected part...
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Re: How can we help people understand that asking for help is a strength?
Thanks Dr. Marie-Mitchell your comments are helpful and correct. Larry Schmitt
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Re: A Message from the President of the Illinois Chapter, American Academy of Pediatrics
Elise, Thanks for posting this event! I know that many members of ACEs in Pediatrics are interested in how cross sector collaborations are working to help prevent and mitigate ACEs. I am wondering if any of the sessions will be recorded?
![How childhood trauma affects health across a lifetime [16 min - ted.com]](https://www.pacesconnection.com/g/aces-in-pediatrics/fileSendAction/fcType/5/fcOid/476162897100373666/primaryPicture/true/fodoid/476162897100396687/imageType/LARGE_SQUARE_THUMBNAIL/inlineImage/true/thumbnail.jpg "How childhood trauma affects health across a lifetime [16 min - ted.com]")
Comment
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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