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PACEs in Pediatrics

Tagged With "Bringing Baby Home"

Blog Post

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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Montefiore Integrated Pediatric Behavioral Health Training Institute, May 14 & 15, 2018

Rahil Briggs ·
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

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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National collaborative provides roadmap for doctors to ask about adult patients' ACEs, current trauma

Laurie Udesky ·
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 Homeless Youth Awareness Month (November 2014) Resources from the National Child Traumatic Stress Network

Former Member ·
Each year more than 1.6 million children are homeless at some point in their lives, and that number is increasing ( The National Center on Family Homelessness ). Along with losing their home, community, friends, and routines as well as their sense of...
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National Mandate for ACE Testing for ALL New Parents!

John Trayser ·
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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New Health Resiliency Stress Questionnaire debuts for pediatricians, family practice, internal medicine...but anyone can use it

Susie Wiet ·
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.
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New organization calls all pediatricians to end crisis that's "hiding in plain sight"

Laurie Udesky ·
When the question of screening patients for adverse childhood experiences (ACEs) was first raised a couple of years ago, Santa Barbara pediatrician Andria Ruth had mixed feelings about it.
Blog Post

Next "A Better Normal" community discussion series: April 3, 2020/ Maternal health and pediatrics in the time of COVID-19

Jane Stevens ·
Steve Sack • Star Tribune The "Better Normal" community discussion for Friday, April 3, 2020, features two wonderful staff members from ACEs Connection: Karen Clemmer, community facilitator for the Northwest, Far Northern California, Alaska and Hawaii; and reporter Laurie Udesky, who is also community manager for the ACEs in Pediatrics community on ACEsConnection.com. Karen Clemmer Join them at noon PT/ 1 pm MT/ 2 pm CT/ 3 pm ET and share your thoughts, ideas, questions, concerns, and...
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NJ medical school program requires all first-year students to learn about ACEs science

Laurie Udesky ·
In 2015, Dr. Beth Pletcher, a pediatrician and associate professor specializing in genetics, was at the annual conference of the American Academy of Pediatrics in Washington D.C. when she heard two speakers that forever changed her work with medical students. Dr. Beth Pletcher “I went to two talks on adverse childhood experiences (ACEs) that were so mind-boggling to me that I decided on my drive back to New Jersey that I had to do something about it,”says Pletcher, director of the Division...
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Nobel Winner’s Research Shows Home Nurse Visits for New Moms Boost Children’s Cognitive Skills [The74Million.org]

Samantha Sangenito ·
When medical professionals make home visits to first-time mothers, their children’s cognitive skills and socio-emotional development improve, reports a new paper authored by acclaimed economist James Heckman. The study is the latest evidence from the Nobel Prize winner that such initiatives, while benefiting children of both genders, make a greater impact on boys. Heckman’s research focuses on one of the first implementations of the Nurse-Family Partnership, a home visitation program that...
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NPPC shares lessons learned and results from ACEs screening pilot sites

Laurie Udesky ·
For Dr. Mercie Digangi, a pediatrician at Kaiser Southern California in Downey, CA, ACEs screening provided a crystal clear before-and-after in how she changed treatment plans for her pediatric patients, she explained to attendees of a December 2 webinar organized by the National Pediatric Practice Community on ACEs (NPPC) and cosponsored by ACEs Connection. Dr. Mercie Digangi One case that turned ACEs screening into a never-go-back moment for her was a three-year-old who was speech-delayed.
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Nurturing relationships in childhood boost adult mental health, relationships

Christina Bethell ·
We're proud to announce major research that suggests that positive childhood experiences — such as supportive family interactions, caring relationships with friends, and connections in the community — are associated with reductions in chances of adult depression and poor mental health, and increases in the chances of having healthy relationships in adulthood. This association was true even among those with a history of adverse childhood experiences.
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Parent Handouts: Understanding ACEs, Parenting to Prevent & Heal ACEs (English)

Christine Cissy White ·
Please see the main post for these parent handouts in the ACEs Connection Resources Center. These two flyers ( Understanding ACEs and Parenting to Prevent & Heal ACEs ) can be downloaded, distributed, and used freely. One is brand new and the other is a revision. Both flyers were made with generous support from Family Hui, a Program of Lead for Tomorrow. Translations of these flyers are in progress and will be shared by Family Hui and updated on ACEs Connection when available.
Comment

Re: Kenneth Ginsburg, M.D., M.S. Ed on “Using Trauma Informed Care and a Strength Based Approach to Reach Teenagers and Build Resilient Kids and Communities,” Tuesday October 28th 6-8 PM

Former Member ·
He is great and he has a book called " Building Resilience in Children and Teens: Giving Kids Roots and Wings" In fact I was going to post something from Healthychildren.org on resilience. I will just post it here. Building Resilience in Children ​The world can be a frightening place. As a parent, I am constantly aware of choices that I make to minimize my perception of fear and uncertainty. Death, illness, divorce, crime, war, child abductions, tsunamis, and terrorism — both here and abroad...
Comment

Re: ACEsConsequencesAAP.pdf

Tory Henderson ·
This is one of 6 short monographs that make up the AAP Trauma Toolbox for Primary Care: Adverse Childhood Experiences and the Lifelong Consequences of Trauma Addressing Adverse Childhood Experiences and Other Types of Trauma in the Primary Care Setting The Medical Home Approach to Identifying and Responding to Exposure to Trauma Bring Out the Best in Your Children (for parents) When Things Aren’t Perfect: Caring for Yourself and Your Children (for parents) Protecting Physician Wellness:...
Comment

Re: ACEsConsequencesAAP.pdf

Tory Henderson ·
ACEs and Primary Care Resource List that I put together. Let me know if you have suggestions for additional items. ACEs--> Flourishing Resource List - Resilience and Trauma-Informed Approach in Primary Care
Reply

Re: Resources You Provide to Parents to Reduce Adversity (and maybe screen time)...

Former Member ·
Thanks Kim. I haven't checked all these out yet but I will. I also like PBS kids their educational page which has science projects you can do at home with the kids. I would want to make sure the activities do not promote screen time but I did see an article some time back that Sesame Street Viewing promotes pro-social behavior in toddlers. The AAP doesn't recommend any screen time before the age of two and then It should be limited. thanks for the Post. I will check back with you and let you...
Comment

Re: Review of ACE studies confirms supporting parent-child relationship is key

Calista Scott ·
Dear, Dr. Ariane Marie-Mitchell, Please contact Megan V. Smith PhD of Yale University. Diaper Need is an ACE. Add diaper need to the WCA. Calista Scott, MSN, Director Diaper Bank of Skagit County (WA) Member of the National Diaper Bank Network http://www.nationaldiaperbanknetwork.org
Blog Post

Donna Jackson Nakazawa Chats Live with Jane Stevens & You: Nov. 14th

Christine Cissy White ·
Featured Guest: @Donna Jackson Nakazawa Topic: Well-Being, Self-Care & ACEs Date: November 14th, 2017 Time: 10 AM PST / 1 PM EST Where: Here / Chats Donna Jackson Nakazawa is an winning researcher, writer and public speaker on health and family issues. She explores the intersection between neuroscience, immunology, and the deepest inner workings of the human heart. Her most recent book, Childhood Disrupted: How Your Biography Becomes Your Biology, and How You Can Heal , examines...
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Dozens of Kaiser Permanente pediatricians in Northern California screen three-year-olds for ACEs

Laurie Udesky ·
Since August 2016, more than 300 three-year-olds who visited Kaiser Permanente’s pediatric clinics in Hayward and San Leandro have been screened for adverse childhood experiences (ACEs), such as living with a family member who is an alcoholic or losing a parent to separation or divorce. But when the idea to screen toddlers and their families for ACEs was first broached at the Kaiser Permanente Hayward Medical Center, the staff were, in a word, “angsty,” says Dr. Paul Espinas, who led the...
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Dozens of stakeholders representing thousands of practitioners send public comments on Calif. ACEs-screening plan

Laurie Udesky ·
Update: We posted this story on Tuesday evening and received a response from the Department of Health Care Services Wednesday that clarifies additional information. DHCS information Officer Katharine Weir said that subject to budget approval by the legislature and the governor: The reimbursement rate will be $29. Federally Qualified Health Centers will also be reimbursed for screening pediatric patients for trauma through Prop 56 funds and federal matching funds. In response to a question...
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Dr. Claudia Gold: Empathy & Listening as ACE-Informed Practice

Christine Cissy White ·
"You are absolutely not doomed from having ACEs."
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Dr. Nadine Burke Harris Presents at SCVMC-Pediatric Grand Rounds

Charisse Feldman ·
Dr. Nadine Burke Harris presented today at Santa Clara Valley Medical Center during Pediatric Grand Rounds to a full room (standing room only) of pediatricians, nurse practitioners, physicians assistants, public health professionals and allied medical staff. With the show of hands, many of us in the room were familiar with ACEs science and the health impacts of toxic stress. With ease, Dr. Burke Harris dove into great detail of our bodies response to toxic stress and the multitude of...
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DULCE helps pediatricians in Oakland, CA, prevent toxic stress in newborns

Laurie Udesky ·
On a recent day in early March, Laura Lopez met a former patient of hers in the waiting room of Highland Hospital’s pediatric clinic in Oakland, CA. The patient had forgotten her Medi-Cal card and called Lopez asking for help. But in the brief conversation, Lopez, a family specialist with the DULCE program, learned about some dire changes in the patient’s life. Laura Lopez “Without me even asking, she shared with me that she had separated from her partner, that she needs to apply for food...
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Even Infants Need Mental Health Care, so new Chicago Clinic Caters to Those 5 and Under [chicagotribune.com]

By Peter Nickeas, Chicago Tribune, September 20, 2019 In and around Chicago’s Little Village neighborhood, long-standing causes of friction like gun violence and poverty have for some families combined with newer fears of immigration crackdowns and deportation of loved ones — and mental health professionals hope to address toxic stress that can have long-term effects on the lives of very young children. Aiming to rectify the shortage of mental health care available to infants and children...
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Families Are Still Being Separated at the Border, Months After “Zero Tolerance” Was Reversed [propublica.org]

Alicia Doktor ·
The Trump administration has quietly resumed separating immigrant families at the border, in some cases using vague or unsubstantiated allegations of wrongdoing or minor violations against the parents, including charges of illegally re-entering the country, as justification. Over the last three months, lawyers at Catholic Charities, which provides legal services to immigrant children in government custody in New York, have discovered at least 16 new separation cases. They say they have come...
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Family Border Separation Policy Has Long-Term Effects on Child Health [medicalbag.com]

Alicia Doktor ·
Despite a reversal of the Trump administration family separation policy, as of July 2018, more than 2000 children remain separated from their parents or legal guardians. 1 In an article published in JAMA, Howard A. Zucker, MD, JD, and Danielle Greene, DrPH, of the New York State Department of Health, suggest that child-parent separation during an already tumultuous and emotionally strenuous event may exert greater long-term physical and mental health effects on children than is currently...
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Fathers & ACEs with Trauma Dad & Father's Uplift CEO: Tuesday, September 12th

Christine Cissy White ·
What supports exist to "uplift" fathers who have survived abandonment, abuse or torture as children? Where can men go to discuss the joys, struggles and issues of being a father with ACEs? Where are the men who face hard, heavy and complicated realities to make life easier and lighter for all who come after? We found two of them and they will be the featured guests in the next Parenting with ACEs chat . Meet Charles Clayton Daniels, Jr. of Father's Uplift and "Trauma Dad" Byron Hamel. Both...
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For a pediatrician and former teacher ACEs awareness came from a punch in the face

Laurie Udesky ·
Dr. Kavitha Selvaraj did not learn about adverse childhood experiences (ACEs) from a class in medical school. Her first awareness of ACEs came after a student slugged her in the face when she was a new teacher in a school in Los Angeles. She had heard a chorus in the hallway urging her students she refers to as “J” and “N” to “Fight! Fight! Fight,” she writes in an essay in a recent issue of the journal Pediatrics . The two were trading punches. When she stepped in the middle to break it up...
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From aromatherapy to anger management: How schools are addressing the 'crisis' of childhood trauma [NBCNews.com]

Clare Reidy ·
Schools are experimenting with new ways to address behavior issues and support students who are struggling emotionally. By Elizabeth Chuck and Marshall Crook May 20, 2019, 11:24 AM EDT YAKIMA, Wash. — Instead of going outside for recess on a recent Friday, fifth-grader Thomas Stevenson walked down a hallway in Ridgeview Elementary School and entered a dimly lit room. Inside, lavender aromatherapy filled the air, spa-like music played and a projector broadcast clouds onto a screen. Passing by...
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GunderKids: Design of a clinical care management program for parents with substance abuse and their newborn children with a focus on preventing child abuse [Health Innovations]

Laurie Udesky ·
Photo/CreativeCommons "In response to an increased need to care for babies born to mothers with substance abuse issues, we developed GunderKids, a care management program that provides integrated medical care beyond standard-of-care, well-child appointments for these socially complex families. Methods: The program incorporates frequent visits to the pediatrician and the care team, which includes pediatric nurses, a pediatric social worker, and a child psychologist. Enrollment is volun- tary.
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Healthy Spaces December 2019 Webinars

Aldina Hovde ·
Healthy Spaces: Promoting Healthy and Resilient Communities December 2019 Webinars The New Jersey Chapter, American Academy of Pediatrics (NJAAP) believes that all children deserve to feel safe and secure in their home, at school, and while at play. The Healthy Spaces program aims to address adverse childhood experiences (ACEs) through partnerships with pediatric/family healthcare teams, schools and communities. Preventing Child Abuse and Neglect (PCAN) Date & Time: Tuesday, December 10,...
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Hearing in House Education and Labor Early Childhood Subcommittee addresses intersection of trauma and education

Dr. Nadine Burke Harris (l) and Karina Chicote, Churchill Fellow from western Australia meet after congressional hearing After watching the hearing on a monitor in the overflow room, Karina Chicote, a Churchill Fellow from western Australia, and I hustled to the hearing room in hopes of speaking to the lead witness, Nadine Burke Harris, MD, the first Surgeon General of the State of California. She was deep in conversation with others, including a young woman who wanted to tell her how...
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Helping New Parents Make Room for Uncertainty

Claudia Gold ·
A new program for parents and infants, thanks to generous support from Mill Town Capital , is coming to Pittsfield, Massachusetts. The Hello It’s Me Project shines a spotlight on these tender new relationships, investing resources around the birth of a baby with the long-term goal of building a healthy community from the bottom up. When world-renowned child development researcher Dr. Ed Tronick spoke in the spring of 2018 for an audience of a wide variety of practitioners in Berkshire County...
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Helping New Parents Make Room for Uncertainty

Claudia Gold ·
A new program for parents and infants, thanks to generous support from Mill Town Capital , is coming to Pittsfield, Massachusetts. The Hello It’s Me Project shines a spotlight on these tender new relationships, investing resources around the birth of a baby with the long-term goal of building a healthy community from the bottom up. When world-renowned child development researcher Dr. Ed Tronick spoke in the spring of 2018 for an audience of a wide variety of practitioners in Berkshire County...
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Heyman Oo integrates ACEs science as foundation of pediatric care

Sylvia Paull ·
Dr. Heyman Oo, a 34-year-old primary care pediatrician, first learned about the science of adverse childhood experiences in medical school at a grand rounds held around 2012 at Rady Children’s Hospital in San Diego, which she attended from 2009 to 2014. The presenter was none other than Dr. Nadine Burke Harris, a pediatrician who went on to become California’s first Surgeon General. The founder and former director of the Center for Youth Wellness drew millions of views for her TED talk on...
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Home Gun Safety Queries in Well-Child Visits [jamanetwork.com]

By Carole H. Stipelman, Greg Stoddard, Kyle Bata, et al., JAMA Pediatrics, October 28, 2019 Firearms are a leading cause of death in US children, and the rate of suicide by firearms in people aged 10 to 19 years has increased since 2008.1 In the United States, 4.6 million children (approximately 7%) live in households with at least 1 gun that is stored loaded and unlocked.2 Safe storage of guns and ammunition may decrease the occurrence of self-inflicted or unintentional firearm injury to...
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Home Visits Help Parents Overcome Tough Histories, Raise Healthy Children [NPR.org]

Samantha Sangenito ·
Seated at a kitchen table in a cramped apartment, Rosendo Gil asks the parents sitting across from him what they should do if their daughter catches a cold. Blas Lopez, 29, and his fiancée, Lluvia Padilla, 28, are quick with the answer: Check her temperature and call the doctor if she has a fever they can't control. "I'm very proud of both of you knowing what to do," Gil says, as 3-year-old Leilanie Lopez plays with a pretend kitchen nearby. Padilla says that's not a question they could have...
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HOPE, Engagement, and COVID19

Bob Sege ·
As children grow and develop, engaging with the larger community around them provides a sense of “mattering” — a sense that their participation in the community really does matter. The emergency conditions now in effect provide numerous opportunities to children and teens to pitch in. Here are a few ideas . . .
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How can we help people understand that asking for help is a strength?

John Trayser ·
I keep thinking the best way to change our current problems with ACE issues is to make a national MANDATORY use of the ACE Survey at all pediatric practices. Yet, someone today said..."Is there any follow-up to the Portland pediatric story?" Are parents following through on getting counseling, etc. after sharing their ACE results? " Does anyone have that information? Because I was getting push back today from the CEO of a big, respected Corporate Wellness coaching firm. He found the ACEs...
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How collaboration helps clinic in San Mateo County, CA, tackle ACEs in children

Laurie Udesky ·
Dr. Elizabeth Grady is a pediatrician at the South San Francisco Clinic, a community clinic of San Mateo Medical Center. She and Susana Flores , a senior public health nurse with San Mateo County Health, spoke with me about how the clinic and other health agencies in San Mateo have been able to craft ways to work together to prevent and heal toxic stress in children. Grady also talked about how she and Flores have been working with the Resilient Beginnings Collaborative (RBC), a group of...
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How do these pediatricians do ACEs screening? Early adopters tell all.

Laurie Udesky ·
Last week, three pediatricians — with a combined experience of 15 years integrating ACEs science into their practices — reflected on the urgency they felt several years ago that prompted them to begin screening patients for childhood adversity and resilience when there was practically no guidance at all. Along their journey , they accumulated a list of lessons learned for other pediatricians and family clinics to use. The three pediatricians participated in the ACEs Connection webinar,...
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How Does Trauma Affect a Person’s Interaction with Their Child? (www.nicabm.com) & Commentary

Christine Cissy White ·
Has anyone seen this video posted on the National Institute for the Clinical Application of Behavioral Medicine (NICAMB) blog? "According to Dr. Ruth Lanius, a parent's experience of trauma can impact their ability to form a close, intimate relationship with their child." Ruth Buczynski, PhD Those of us Parenting with ACEs sure know that's the truth. Developmental trauma impacts our ability to form close and intimate relationships with ourselves, other adults and our children. The video was...
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Immigrant teens, parents explore ACEs, resilience in 5-week course with family doc

Laurie Udesky ·
Dr. Angela Bymaster, a family doctor in San Jose, Calif., was determined to find a way to teach ACEs science to her patients. Teens would come to the Washington Neighborhood Clinic clearly depressed by a range of problems at home that were contributing to risky sexual behavior and marijuana use, as well as preventable health problems like extreme obesity.
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Improving Child Well-Being: Strengthening Collaboration Between the Child Welfare and Health Care Systems

Former Member ·
Improving the well-being of children involved with child welfare requires close collaboration between the child welfare and health care systems. Annually in the United States, approximately 6 million children are referred to child protective services...
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Researchers share learned lessons from screening for adverse childhood experiences in pediatric clinics

Laurie Udesky ·
What are the reasons that parents or caregivers do not fully disclose their own or their young children’s ACEs when asked to fill out an ACE screening form in their child’s pediatrician’s office? That was one of the many questions raised in a recent webinar entitled Screening for Adverse Childhood Experiences in the Pediatric Primary Care Setting: Practical Considerations and Lessons Learned . Dr. Kavitha Selvaraj, an attending physician at the Ann & Robert H. Lurie Children’s hospital...
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In ACEs Connection webinar, physicians talk trauma, offer tips for helping pediatric immigrant patients

Laurie Udesky ·
Dr. Raul Gutierrez, a pediatrician in the San Francisco Bay Area, said he and his fellow clinicians see constant fear and its health consequences every single day among the largely immigrant and Latino population they serve. It’s all the result of anti-immigrant policies and the news cycle that feeds the fear. Dr. Raul Gutierrez “It is almost inescapable with the repercussions of immigration policy on the radio, television, social media and from friends and family,” Gutierrez told the 69...
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Interim report of the President’s opioid commission says its final report will address early intervention strategies for children with ACEs

On August 8, President Trump spoke to the opioid crisis in this country and declined to declare a national emergency as recommended by the “President’s Commission on Combating Drug Addiction and the Opioid Crisis.” Instead, the President emphasized the law and order aspects of the problem and the importance of preventing drug use in the first place since addiction is so hard to overcome. The Commission will make a final report in the fall. The recently released interim report makes eight...
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4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress

Laurie Udesky ·
Four years ago, Dr. Leslie Dempsey would never have talked about ACEs — adverse childhood experiences — with her patients. Now ACEs is a common topic. “Just as I don’t feel awkward asking someone if they smoke or do intravenous drugs, I don’t really feel awkward talking about their childhood traumas in a way that it relates to their health. It’s just integrated into obtaining background and social history,” she says. Dr. Leslie Dempsey Dempsey is a physician in obstetrics who oversees a team...
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