Tagged With "ACEs screening"
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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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Add the ACEs Connection “shortcut” to your phone and help make the world more ACEs Science aware. It’s as easy as 1, 2, 3!
Stay current with ACEs Connection -- and easily share stories via social media and email -- by accessing ACEs Connection and/or your community’s home page on your phone. Adding an ACEs Connection shortcut to your phone works for iPhone and Android systems and makes staying logged in, checking in, and sharing out quick and easy, on-the-go! Community managers: Share this post with community members, as using the shortcut is a great way to help your members stay abreast of what’s going on! On...
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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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All hands on deck (from a distance): remote care for traumatized moms and babies
Dear colleague, Coronavirus is forcing providers and allied professionals serving mothers and babies to make unprecedented decisions. Should pregnant women needing care go through our hospital quarantine entrance? Should moms deliver without partners, family or doulas present? Be sent home early before key screenings or jaundice treatment are completed? To make matters worse, our systems aren't ready for basic remote care of mothers and infants now "socially distanced". Prenatal, post-partum...
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Announcing a New Parenting and ACEs Blog from Stress Health, an Initiative of the Center for Youth Wellness
Research shows that the right kind of support and care can mitigate the impact of toxic stress in children and help them bounce back.
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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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BABY ACES: When we consider the traumas that qualify as ACEs, babies need their own list.
Babies are obviously very different from older children developmentally, including their ability to understand and process trauma. Indeed, a baby may be completely unaware of an actual ACE— say, the incarceration of their father— which a middle schooler would be painfully aware of. Yet at the same time, the baby could be much-more-acutely impacted by the secondary effect of this same ACE: a sad, stressed, and distracted mother. Similarly, if a parent dies in a car accident when a child is in...
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Bay Area Doctors Target Health Consequences of Childhood Trauma [sfchronicle.com]
By Erin Allday, San Francisco Chronicle, January 5, 2020 A screening tool developed by Bay Area pediatricians to identify adverse childhood experiences, ranging from homelessness and food insecurity to physical and sexual abuse, will now help doctors statewide address trauma affecting patients’ health. The California Department of Health Care Services approved the tool — called PEARLS, for Pediatric ACEs and Related Life-Events Screener — last month. As of Jan. 1, its use is covered by...
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Behavioral Medicine journal seeking manuscripts on resilience
An exciting opportunity for the ACEs community to submit a manuscript on resilience for a special issue of the journal Behavioral Medicine.
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Behavioral Medicine journal seeking manuscripts on resilience
An exciting opportunity for the ACEs community to submit a manuscript on resilience for a special issue of the journal Behavioral Medicine.
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Sesame Street will help Memphis kids with their ACEs
(Posted in the Commercial Appeal on December 5, 2018 ) Every child deserves to grow up with a strong connection to a caring adult and a loving family. But for one in four kids in Shelby County, a supportive relationship with a parent figure isn’t so easy to come by. The legacy of adverse childhood experiences (ACEs) — ranging from physical, emotional, or sexual abuse; physical or emotional neglect; the loss of a parent through illness, death, divorce, or incarceration; or domestic violence...
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Shasta Health Center Screening Parents for ACEs
Shasta Community Health Center The trust that many families feel for their child's doctor makes the primary care setting an essential place to screen for ACEs and begin the conversation with caregivers about potential risks to their child's health and well-being. Their experience has shown that when risk is identified and assessed early on, there is a better chance of offering interventions that prevent long-term health and behavioral problems. Screening for ACEs is also an opportunity to...
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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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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 kids to cope with stress
Everyone needs some stress in their lives to build mental strength and resilience, even children. However, chronic stress in kids damages both their psyche and their physiology. Here’s how one hospital’s innovative care models help...
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Teen Bullies And Their Victims Both Face A Higher Risk Of Suicide [NPR.org]
Bullying and cyberbullying are major risk factors for teen suicide. And both the bullies and their victims are at risk. That's according to a report from the American Academy of Pediatrics that urges pediatricians and family doctors to routinely screen teenagers for suicide risks. "Pediatricians need to be aware of the problem overall," says Benjamin Shain , a child and adolescent psychiatrist and lead author of the report published online Monday in the journalPediatrics. "They should be...
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The Connection between Asthma and Toxic Stress: Insights from the National Committee on Asthma and Toxic Stress
Children for whom ACEs and asthma co-occur may ultimately require different prevention and intervention strategies due to their ACEs-related physiology. As more pediatric clinics screen for ACEs, the field needs consensus and management guidelines that address the biological links between adversity and health outcomes. The National Committee on Asthma and Toxic Stress (NCATS), in partnership with the Center for Youth Wellness, the Sean N. Parker Center for Allergy and Asthma Research at...
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The quest to find biomarkers for toxic stress, resilience in children — A Q-and-A with Jack Shonkoff
The JPB Research Network on Toxic Stress , led by Dr. Jack Shonkoff, is working on developing biological and behavioral markers for adverse childhood experiences (ACEs) and resilience that they believe will be able to measure to what extent a child is experiencing toxic stress, and what effect that stress may be having on the child’s brain and development. The JPB Research Network on Toxic Stress is comprised of scientists, pediatricians and community leaders, and is a project of the Center...
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The Relentless School Nurse: ACEs Impact Nurses More Than We Realized!
I ran across this message on www.acesconnection.com and not only did it catch my attention, but it also made me want to dig deeper. Could it be true that nurses have a higher ACEs score than other healthcare professionals? It seemed true in this small survey, but was this a representation of a trend? If it was, the implications in nursing practice could be tremendous and concerning. What I found was that there is a grand canyon gap in research. The minimal studies that do exist confirm that...
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The Relentless School Nurse: Full Disclosure: I am Fearful to Welcome Another September
School is about to begin and for the first time in my 18 years as a school nurse, I am fearful to welcome another September. I work in an urban district where community gun violence is sadly commonplace, but that is not my fear. I travel throughout the city from school to school where drug dealing is an open-air exercise, but that is not my fear. Emergencies are often solitary experiences because school nurses work independently, but that is not my fear. Families facing deportation from...
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The Relentless School Nurse: Pediatricians + School Nurses = Powerful Partners
Pediatricians and school nurses are powerful partners when we intentionally collaborate to improve the continuity of care in the populations we serve. It is the intentionality of relationship building that can bear the most fruitful outcomes to improve the health and well-being of our most vulnerable population, our children. We are far more effective working in concert than in our silos. School communities are looking for guidance, answers, and action to address the explosion of...
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The Relentless School Nurse: Soap, Toothbrushes & Sleeping on Concrete Floors
Earlier in the year, I wrote a blog post about one of my newest students who was saving food that was served in school to bring home to her family. The 4-year-old girl, a recent immigrant from Guatemala, was storing food in her pants pockets instead of eating at school. Here is a link to the blog post: Pockets Filled With Chicken and Other Social Determinants of Health Yesterday, I was privileged to see this little girl welcome the guests for the end of year celebration as the students move...
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The Relentless School Nurse: The Ripple Effect - When Community Violence Comes to School
Elizabeth (Liz) Clark, MSN, RN NCSN is a school nurse's school nurse. Her leadership skills were honed as President of the CO Association of School Nurses. She served on the national level as the CO NASN Director, completing her term in 2017. Liz has a prominent presence on Twitter and uses the social media platform to elevate school nursing practice. Liz is a natural teacher and you can find her sharing the most recent peer-reviewed articles with colleagues to promote health and learning. A...
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Trauma education and mindfulness help youth living amid gun violence
Armon Hurst, 2nd from left, first row, Teens on Target, courtesy of YouthAlive! Eighteen-year-old Armon Hurst serves as vice president of the student body at Castlemont High School in Oakland, Calif. He has a 4.0 grade point average, is an avid baseball player, and is slated to go to college next year. But until a few years ago, Hurst would find himself waking from nightmares in the middle of the night. It was difficult to concentrate at school, and he wasn’t eating well. Armon Hurst “There...
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Trauma-Informed Care as a Universal Precaution: Beyond the Adverse Childhood Experiences Questionnaire [jamanetwork.com]
By Nicole Racine, Teresa Killam, and Sheri Madigan, JAMA Pediatrics, November 4, 2019 Experiences of childhood adversity are common, with more than 50% of adults reporting having experienced at least 1 adversity as children and more than 6% exposed to 4 or more adverse childhood experiences (ACEs). There is currently a controversial debate in the medical field as to whether the ACEs questionnaire, which asks about abuse, neglect, and household dysfunction before age 18 years, should be...
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Traumatic Experiences Widespread Among U.S. Youth, New Data Show
[This is a media release from the Robert Wood Johnson Foundation.] New national data show that at least 38 percent of children in every state have had at least one Adverse Childhood Experience or ACE, such as the death or incarceration of a parent, witnessing or being a victim of violence, or living with someone who has been suicidal or had a drug or alcohol problem. In 16 states, at least 25 percent of children have had two or more ACEs. Findings come from data in the 2016 National Survey...
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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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Updated scoring guide for the Whole Child Assessment
Calculating a Child-ACE score is not necessary for using the Whole Child Assessment to screen and counsel families. However, because we know some providers for different reasons may want to calculate a score, we have simplified and updated the scoring guide at the bottom of the WCA forms and provided scoring instructions. No changes to any questions were made. https://lluch.org/health-professionals/whole-child-assessment-wca
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Validation of the Traumatic Events Screening Inventory for ACEs [pediatrics.aappublications.org]
OBJECTIVES: Our purpose in this study was to adapt and validate the Traumatic Events Screening Inventory (TESI) as a primary-care childhood adversity screening tool for children living in vulnerable neighborhoods using a community-partnered approach. METHODS: In this cross-sectional, descriptive study, we used a sample of 261 children (3–16 years old) who were seeking services at a Federally Qualified Health Center with colocated behavioral health services in Chicago and had a positive...
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Want to end ACEs? Ask a young student how.
Adverse childhood experiences (ACEs) are a huge threat to our students, diminishing their capacity to learn and succeed. In all thirty-three counties of New Mexico, an epidemic of trauma exists, spreading like a virus as it is passed down generation after generation. We know from the research that our students suffer when they endure ACEs in the form of abuse, neglect, hunger, and living with parents who misuse substances, are violent, and have untreated mental health challenges. We know in...
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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: Cultivating Our Best Selves in Response to COVID-19 | Tuesday, March 17 at Noon PDT
How to use the skills of the Community Resiliency Model (CRM) for self and others to be the calm in the storm as we face the unknown. Free Webinar Tuesday, March 17 at Noon PDT Speakers: Elaine Miller-Karas, LCSW Linda Grabbe, PhD, FNP-BC, PMHNP-BC Zoom Webinar Registration Link: https://zoom.us/j/715837300 Additional ways to join are listed at the bottom of this post. About the webinar leaders: Elaine Miller-Karas is the Executive Director and co-founder of the Trauma Resource Institute and...
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Webinar: How to Streamline ACEs Screening Using CHADIS
The idea of adding an adverse childhood experiences (ACEs) screening tool to your practice’s workflow can be daunting – which tool, will you have time, does it add enough value? The Child Health and Development Interactive System (CHADIS) is helping to address this challenge by partnering with the National Pediatric Practice Community on ACEs (NPPC) to add an ACEs questionnaire into its system. Join this webinar to learn more about how this collaboration can help support your efforts to...
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Webinar Invitation: National Pediatric Practice Community on Adverse Childhood Experiences (ACEs)
National Pediatric Practice Community on Adverse Childhood Experiences (ACEs) Dr. Nadine Burke Harris and the Center for Youth Wellness team invite you to attend the launch of the National Pediatric Practice Community on ACEs (NPPC) . NPPC is a network of medical providers focused on integrating ACEs screening and a toxic stress framework into pediatric medical practice. We will be kicking off the NPPC with an informational webinar on Monday, May 8th, 2017 at 12 noon (PST) . Webinar...
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Webinar — Moving to universal ACEs screening: Findings from a CA advisory group on screening children for trauma
On April 23rd, 2019 from 12:00pm-1:30pm PST the National Pediatric Practice Community on ACEs (NPPC) , an initiative of the Center for Youth Wellness, will be hosting a webinar to support efforts to screen all children for adverse childhood experiences (ACEs) and additional adversities. This webinar will summarize the findings of a state advisory group assigned to review tools and protocols for screening children for trauma, and provide an introduction to two tools the advisory group...
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Webinar Recording and Resources - Crossroads of Adverse Childhood Experiences (ACEs) and Developmental Disabilities
For many healthcare providers, it can be challenging to distinguish between behaviors associated with a developmental disability and behaviors resulting from adverse childhood experiences (ACEs). It takes coordination across multiple disciplines to ensure early and accurate diagnosis and treatment of ACEs and/or developmental disabilities. Research has shown that individuals with disabilities are at increased risk for experiencing violence of all types, especially physical violence and...
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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 the ACEs Screening Movement Can Learn from the Healthcare Hotspotting Movement
No brief intervention or short-term infusion of services is a silver bullet that will overcome the long-term harm caused by structural racism, poverty, and multi-generational trauma.
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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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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 Kids With ACEs Shouldn't Get a Pass on Chores
Don't worry that chores are too stressful for kids with ACEs, says trauma researcher Bob Sege, MD. “You don’t want to coddle them,” Sege said, “because the message they will get is that they are damaged goods. They need to know that the adversity they suffered is only one part of them; it’s not all of them.”
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Why screen if there are no services? (Barbara J. Howard - Pediatric News)
Why screen if there are no services? By: DR. BARBARA J. HOWARD OCTOBER 6, 2014 Behavioral Consult Do you remember the discussion of the ethical dilemma of Huntington’s disease you probably participated in during medical school? The...
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Why the Nation Should Screen All Students for Trauma Like California Does [theconversation.com]
By Sunny Shin, The Conversation, November 18, 2019 As the first person to hold the new role of Surgeon General of California, Dr. Nadine Burke Harris is pushing an unprecedented plan to implement universal screenings for childhood trauma within the state’s schools. Childhood trauma is defined by the National Institute of Mental Health as an “emotionally painful or distressful” event that “often results in lasting mental and physical effects.” Burke Harris’ plan is already more than a dream:...
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Why We Suck (at Self-Soothing & Self-Care): Dr. Dawn O'Malley
Without yoga and coffee, I'm kind of a jerk. These are my personal "puppy uppers and doggie downers" and prevent me from being cranky, quick to cry, and ready for conflict. Coffee and calming make life more manageable. Humans even seem tolerable. Without them I might veer into hating humans for being so needy which is not a great trait for a parent, partner or a professional. Or a self. My partner says coffee and exercise are acts of kindness, service as promote public safety. In other...
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Working with UCSF, California Surgeon General Aims to Cut Adverse Childhood Experiences by Half [ucsf.edu]
By Rebecca Wolfson, University of California San Francisco, February 18, 2020 Nadine Burke Harris, MD, California’s first surgeon general, has a bold goal: cut adverse childhood experiences and toxic stress in half within one generation. She spoke about her vision and her groundbreaking work to reduce adverse childhood experiences across the state during a speech at the UC San Francisco Parnassus Heights campus. The lecture at Cole Hall on Feb. 13 was part of Chancellor Sam Hawgood’s health...
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Zero to Three New Resource - Screen Sense: Research Based Guidelines for Screen Use for Children Under Three Years Old
Babies today are born into a world of digital devices. And parents are trying to navigate this new reality—specifically figuring out what role these new gadgets should play in the lives of their young children. This is no small task given that...
Ask the Community
ACE's questionnaire in Pediatric emergency room
We are interested in conducting research in a Peds ER involving asking the 10 ACE questions to patients. Has anyone done this?