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PACEs in Pediatrics

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Childhood Anxiety Linked to Later Problems With Alcohol [psychcentral.com]

Alicia Doktor ·
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

Colette Ryan ·
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]

Laurie Udesky ·
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 of Color Face Higher Barriers to Success, New Casey Report Says [jjie.org]

Alicia Doktor ·
The children of immigrants make up less than one-fourth of the nation’s youth population yet account for 30 percent of children living in poverty, a new report finds. More than that, young black and brown Americans were worse off compared to white and Asian-American children, the Annie E. Casey Foundation said. The foundation analyzed youth welfare along several axes, including education, health and economic indicators, to come up with an index of how well young people in various racial and...
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Colorado Launches Two Generation Approach to Family Services [chronicleofsocialchange.org]

Alicia Doktor ·
Colorado is testing a new approach to providing services to struggling families in an effort to address the intergenerational cycle of poverty, incarceration and foster care. Two Generation (2Gen) is a new initiative by the state recognizing that children and their parents are best served by recognizing the needs of the entire family unit. “CDHS embedded the 2Gen approach into all of our services, recognizing that our clients only succeed when their providers or children also get the support...
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Come Chat with Dr. Claudia M. Gold: An ACE-Informed Pediatrician

Christine Cissy White ·
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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Connecting with Families During Quarantine: Virtual Support and Telehealth

Aldina Hovde ·
The New Jersey Chapter, American Academy of Pediatrics Healthy Spaces program offers this webinar to provide strategies for health care providers to provide trauma-informed care during virtual patient encounters. Drs. Nicole Leopardi and Ruth Gubernick will share guidance on outreach messaging, stress management, and positive discipline. Participants will also engage in thoughtful reflection on how to implement small tests of change to adapt patient care and support connections with families...
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Cover Story November Issue of Journal of Family Practice: Childhood Adversity and Lifelong Health

Audrey Stillerman ·
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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COVID-19 and our dialogue with death

Cristian Zanartu ·
[Editor's note: Dr. Cristian Zanartu, an internist and palliative medicine specialist, is currently volunteering at Bellevue Hospital during the pandemic.] I was angry. So angry. How come the smartest country in the world is acting like the dumbest? Why aren’t health authorities giving us clear guidelines now, before this starts? Like: how to quarantine, how to quarantine from a symptomatic loved one in the same household (we knew by late February from Chinese data that most spread happened...
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COVID-19: The Trauma of Witnessing So Much Illness and Death Will Have Lasting Effects [medicinenet.com]

From MedicineNet, May 3, 2020 The tragic death by suicide this week of an emergency department physician who had been caring for COVID-19 patients in New York City underscores the huge psychological impact of the pandemic -- which will linger long after the virus is gone, experts say. "For frontline responders, the trauma of witnessing so much illness and death will have lasting effects for many," Bruce Schwartz, MD, president of the American Psychiatric Association (APA), said during the...
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COVID-19: What’s equity got to do with it? [George Washington University Milken Institute School of Public Health]

Editor’s note: This illustration is a new COVID specific Pair of ACEs tree shown along with the original tree. The post is by Wendy Ellis, DrPH, MPH the Director of the Building Community Resilience Collaborative and Networks at the George Washington University Milken Institute School of Public Health. It took less than two months for a virus undetectable to the naked eye to lay bare what lies in plain sight — exposing long-standing inequities, driven by social policies that have created...
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Cultivating Deliberate Resilience During the Coronavirus Disease 2019 Pandemic [jamanetwork.com]

By Abby R. Rosenberg, JAMA Pediatrics, April 14, 2020 Coronavirus disease 2019 (COVID-19) is affecting our health care community in unprecedented ways. As a pediatric oncologist who studies resilience in the context of illness, I started thinking about what this pandemic means for our professional resilience a few weeks ago, when the first US patient with fatal COVID-19 died in my home city of Seattle, Washington. Promoting resilience among health care workers and organizations starts with...
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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]

Laurie Udesky ·
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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Daddy, Papi, Papa, or Baba: The Influence of Fathers on Young Children’s Development - Zero to Three

Former Member ·
In this podcast, Dr. Kyle Pruett talks about the important and unique role fathers play in the lives of young children.  Dr. Pruett is clinical professor of child psychiatry at the Yale School of Medicine and is a past president of ZERO TO...
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Deportation Worries Fuel Anxiety, Poor Sleep, Among U.S.-Born Latina/O Youth (scienceblog.com)

“We’re seeing an increase in anxiety that is related to kids’ concern about the personal consequences of U.S. immigration policy, and these are U.S.-born citizens,” said Brenda Eskenazi, the Brian and Jennifer Maxwell Endowed Chair in Public Health in UC Berkeley’s School of Public Health. “Further, these are kids in California, a sanctuary state with more protective policies for immigrant families, compared to many other states,” Eskenazi said. “So, this study is probably reflecting the...
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Depression, anxiety, suicide increase in teens and young adults, study finds (cbsnews.com)

More American teens and young adults appear to be struggling with mental health issues , and experts believe a number of cultural trends may help explain why. A new study found the percentage of teens and young adults with depression, anxiety and other mental health issues has increased sharply over the past decade. The same pattern was not seen in older adults. "We found significant increases in major depression, serious psychological distress which includes anxiety and hopelessness and...
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Developmental, behavioral issues more common among rural children [Healio.com]

Samantha Sangenito ·
“Indicators of poor mental health among adults — for example, serious mental illness among men, major depressive episodes among men and women, and recent serious psychological distress among women — have been found to be higher in large rural counties than in small, rural, suburban and urban counties,” Lara R. Robinson, PhD, from the National Center on Birth Defects and Developmental Disabilities at the CDC, and colleagues wrote. “Most studies examining children’s mental health in rural and...
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Disabled Kids at Higher Risk of Abuse, Study Finds [Consumer.HealthDay.com]

Samantha Sangenito ·
Children with certain mental or behavioral disorders are at increased risk of abuse or neglect, a new study suggests. The findings add to evidence that children with disabilities face higher abuse risks. But they also suggest those risks vary depending on the type of disorder a child has. "We've known for years that children with disabilities have an increased risk of abuse," said Dr. Vincent Palusci, a pediatrician at NYU Langone Medical Center, in New York City. But the new study "took a...
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Do The Roots Of Mental Health Issues Lie In Early Childhood? [WAMU.org]

Samantha Sangenito ·
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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Docs: Kids to Suffer Under Trump's Tough Immigration Policies [Consumer.Healthday.com]

Samantha Sangenito ·
U.S. pediatricians are taking President Donald Trump to task after he issued executive orders Wednesday that -- the doctors said -- will make the country a much less welcoming place for immigrant children. Not only will refugee children be harmed by the new policies, but children of immigrants already living in the United States will become frightened for their family's safety, according to the American Academy of Pediatrics (AAP). "Children do not immigrate, they flee," AAP President Dr.
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I am a general internist practicing in...

Drew Factor ·
I am a general internist practicing in Sacramento, California. I am doing a research study (case-control) to investigate the effects ON THE CLINICIAN of a trauma-informed / ACE forward practice. I am looking for approximately 100 clinicians to fill out a 3-4 page survey to assess how this has impacted their practice, their well-being as well as level of burnout. My intent is to have this published in JAMA, and/or the results to be perhaps hit new media to help spread the word and impact of...
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10 Things Every Parent Should Know about Play

Former Member ·
  1.  Children learn through their play. Don’t underestimate the value of play. Children learn and develop: cognitive skills – like math and problem solving in a pretend grocery store physical abilities – like balancing...
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12 Things I Wish My Doctor Understood About Childhood Trauma

Anna Runkle ·
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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19th Annual Conference on Child Abuse and Neglect (April 2014)

Former Member ·
Welcome to the archives of the webcasts broadcast live from the 19th National Conference on Child Abuse and Neglect April 30 – May 2 in New Orleans, Louisiana.   To watch the webcast, click on the ‘VIEW ARCHIVE’ button. ...
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Introducing myself, Morgan Vien & NEW Practicing Resilience Community

Morgan Vien ·
Hello! I’m a Community Manager for the Practicing Resilience for Self-Care & Healing community. This is an introduction to me and this new community. I graduated with a B.S. in Public Health from Santa Clara University June 2017. And I’m interested in preventing chronic diseases, such as type 2 diabetes, high blood pressure, and high cholesterol, at the community and population level by addressing biological, psychological, and social factors that affect chronic disease outcomes. As the...
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Introducing NEW Becoming Trauma-Informed & Beyond Community

Christine Cissy White ·
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

Denise Connors ·
(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

Laurie Udesky ·
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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It's More Than Pay: Striking Teachers Demand Counselors and Nurses [nytimes.com]

By Dana Goldstein, The New York Times, October 24, 2019 In a typical week, Adrienne Vaccarezza-Isla, a school counselor in Chicago, might help a dozen eighth graders apply to high schools across the city. Or try to convince a mother that her daughter, who had seen her get shot years earlier, should join a group for students dealing with trauma. Or work with sixth and seventh graders on time management. Even though she is the only counselor for 650 children at Avondale-Logandale Elementary...
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January 2019 NPPC Announcements

Leah Medoff ·
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

Tammy Piazza Hurley ·
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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Kinship care families: New policy can guide pediatricians to address needs [aappublications.org]

Alissa Copeland ·
A growing body of evidence suggests that children who cannot live with their biological parents fare better overall when living with extended family than with nonrelated foster parents. Acknowledging the benefits of kinship care arrangements, federal laws and public policies increasingly favor placing children with family members rather than in nonrelative foster care. Despite overall better outcomes, families providing kinship care endure many hardships, and the children experience many of...
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“Landmark” Maternal Health Legislation Clears Major Hurdle [propublica.org]

Alicia Doktor ·
Update, Dec. 13, 2018 at 8:15 p.m. ET: On Thursday evening, the Senate unanimously passed its version of the Preventing Maternal Deaths Act, sending it to the president to sign. Congress moved a big step closer on Tuesday toward addressing one of the most fundamental problems underlying the maternal mortality crisis in the United States: the shortage of reliable data about what kills American mothers. The House of Representatives unanimously approved H.R. 1318 , the Preventing Maternal...
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Leaders in SF public housing deal with their own and community trauma head on

Laurie Udesky ·
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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Left untreated, stress can affect kids’ health for a lifetime. Here’s how to help them cope. [WashingtonPost.com]

Clare Reidy ·
I woke up in an ambulance. The last thing I could remember was standing on a ledge in an auditorium and practicing for my school’s choir performance. I was in ninth grade, it was my first field trip in my new home here in the United States, and I was nervous. Then everything went black. I had fainted. Although my front teeth bore the brunt of my fall and saved me from serious injury, I had broken them all. As the paramedic gently explained to me why there was blood gushing from my mouth, he...
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Lesson learned integrating ACEs science into health clinics: Staff first, THEN patients

Laurie Udesky ·
Nearly two years ago, a team of colleagues at LifeLong Medical Clinics jumped at the opportunity to integrate practices based on ACEs science to prevent and heal trauma in their patients when it joined a two-year learning collaborative known as the Resilient Beginnings Collaborative (RBC). A few months after training began, the staff realized they had to put on the brakes.
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Let's meet at the National ACEs Conference Oct. 15-17th!

Laurie Udesky ·
Dear ACEs in Pediatrics members: I am looking forward to seeing many of you at the National ACEs Conference next week in San Francisco! I will be attending the Pediatric symposium. You'll recognize me as the person typing away on my computer, hoping to capture some of the highlights to share later on in blog posts here and elsewhere on ACEs Connection. I've spoken or corresponded with many of you over the last year. It's been my great pleasure in learning from the community, getting ideas...
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LGBTQ + Youth - a book reviewed in Journal of GLBT Family Studies

Dr. Lee-Anne Gray ·
LGBTQ youth are most vulnerable to the school to prison pipeline, which is a very severe ACE (Snapp et al, 2015.) To combat this problem, I wrote a clinical manual for educators and mental health clinicians. The book addresses the need for sensitive engagement with, and advocacy of, LGBTQ+ youth. LGBTQ+ Youth: A Guided Workbook to Support Sexual Orientation and Gender Identity was released in June 2018, endorsed by Jenny Finney Boylan, and #1 NEW RELEASE on Amazon in Teen and Young Adult...
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Listening to Killers: Bringing Developmental Psychology into the Courtroom in Murder Cases

Former Member ·
    Only 1/1000 have an ACE score of 9 or 10.  In his new book, James Garbarino, shows us how we as society creates killers through overwhelming ACEs .  He is empathetic and shows lets us know the reality, most killers are...
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Love in the Time After Covid-19 [positiveexperience.org]

Bob Sege ·
By Dr. Robert Sege, positiveexperience.org, April 23, 2020 A lot has happened in the month since we first published “ Love in the Time of Coronavirus ” in this blog space. We are now publishing regularly and have featured the perspectives of Drs. David Willis , Danielle Laraque-Arena , Heather Forkey, and Moira Szilagyi . We have also established our own community at ACEs Connection , and post contributions there frequently. Visit our blog to read all posts, our publications page for media...
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Love in the time of Coronavirus: HOPE-informed thoughts for parents

Bob Sege ·
This has been quite a week, and we are now facing major disruptions in our own family lives. There is no doubt that the events of this winter and spring will be memorable for children. In that spirit, here are a few ideas to help make those memories (at least somewhat) happy.
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Love in the TIme of Coronavirus: Inequities and Supporting Children

Bob Sege ·
This blog is re-posted from positiveexperience.org/blog/ Link there for associated resources, and for the other blogs in the series. Having safe, stable, and equitable environments to live, learn and play forms the second of the 4 Building Blocks of HOPE. Children need homes where they feel safe and secure and have their basic needs met. Children thrive in an environment that encourages curiosity and provides opportunities for learning to play and interact with other children. Today’s blog...
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Managing Post-Traumatic Stress in a Pandemic: Practices & Resources Updated Regularly

Christine Cissy White ·
[Ed. note: Cissy posted this in the Practicing Resilience community, and it's cross-posted here to make sure everyone sees it. We don't want anyone to miss out on these resources!] Are you looking for new ways to get connected, supported, or to manage stress while managing post-traumatic stress during this pandemic? I am. No matter what our past or present life circumstances, it's safe to say a whole bunch of us are feeling more stressed and if we live with chronic post-traumatic stress to...
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Marin Community Clinics in California screen babies for ACEs, provide support in effort to prevent trauma

Laurie Udesky ·
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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Medical emergency department visits can indicate increased suicide risk among teens and young adults [medicalxpress.com]

Alicia Doktor ·
A new study published in the American Journal of Preventive Medicine provides detailed insights on the increased risk of self-directed violence that patients aged 15-29 years visiting the emergency department (ED) for medical complaints subsequently experience. This underscores the importance of EDs in suicide prevention. The broad number of physical health conditions associated with an increased risk of self-directed violence may serve to support expanded or broader screening among teens...
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Medical students' ACE scores mirror general population, study finds

Laurie Udesky ·
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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Migrant Children Moved Under Cover of Darkness to a Texas Tent City [nytimes.com]

Alicia Doktor ·
In shelters from Kansas to New York, hundreds of migrant children have been roused in the middle of the night in recent weeks and loaded onto buses with backpacks and snacks for a cross-country journey to their new home: a barren tent city on a sprawling patch of desert in West Texas. Until now, most undocumented children being held by federal immigration authorities had been housed in private foster homes or shelters, sleeping two or three to a room. They received formal schooling and...
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MIndful Healthcare Speakers Series: Resources for Healthcare Workers_Begins May 19

Gail Kennedy ·
As healthcare workers continue to support us in the most crucial ways, it is our hope that we can support them as well at this time. If you or somebody you know is a healthcare professional, please check out our new free initiative, The Mindful Healthcare Speaker Series . We've created this series, in partnership with Mindful.org, to support healthcare workers during this challenging time. Please help make a difference by letting those you care about know that this free resource is available...
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Modifiable Resilience Factors to Childhood Adversity for Clinical Pediatric Practice / Abstract Link

Christine Cissy White ·
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 Medical in Bronx screens 12,000+ kids for ACEs

Laurie Udesky ·
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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