Tagged With "ACEs screening"
Blog Post
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...
Blog Post
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...
Blog Post
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...
Blog Post
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...
Blog Post
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...
Blog Post
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...
Blog Post
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...
Blog Post
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...
Blog Post
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...
Blog Post
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...
Blog Post
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...
Blog Post
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...
Blog Post
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 &...
Blog Post
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
Blog Post
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...
Blog Post
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...
Blog Post
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...
Blog Post
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...
Blog Post
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...
Blog Post
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...
Blog Post
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...
Blog Post
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...
Blog Post
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...
Blog Post
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.
Blog Post
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,...
Blog Post
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...
Blog Post
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.”
Blog Post
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...
Blog Post
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:...
Blog Post
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...
Blog Post
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...
Blog Post
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...
Comment
Re: ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)
Dr. Mead, This is such a great collection of resources. I so appreciate you putting it all together.
Comment
Re: ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)
Thank you, Veronique, for your prolific and powerful post! Thank you for your creative initiative of developing two ACEs Fact Sheets. Thank you for streamlining the pathway for patients to be well-informed and prepared to advocate for their well-being during their doctors' visits. Thank you for lifting up our amazing ACEs Connection Cissy White. "In addition to the commenter who wished for an ACE form (thank you for being so courageous and clear about what you needed), I was also inspired to...
Comment
Re: ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)
Thanks Dana! It feels great to share resources that can be truly empowering and helpful. I hadn't thought of translating the fact sheets but absolutely. Let me know if you know anyone who would like to help me do so!
Comment
Re: ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)
Laurie you are so welcome - you and pediatricians and the world working with kids have been on my mind :-)
Comment
Re: ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)
Please know I'll reach out to my colleagues in higher education to see if any of their students' can translate (Spanish, Tagalong, Vietnamese, etc.) and need additional hours for internships or field placements. Thank you again, Dr. Mead, for your exceptional ACEs Fact Sheets.
Comment
Re: ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)
PS - everyone please call me Veronique!! (pronounced Vair-uh-neek) :-)
Comment
Re: ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)
Dana that's terrific - what a wonderful fit!!
Comment
Re: For a pediatrician and former teacher ACEs awareness came from a punch in the face
I am writing a short piece about the webinar that Dr. Selvaraj participated in this morning: Screening for Adverse Childhood Experiences in the Pediatric Primary Care Setting: Practical Considerations and Lessons Learned and am wanting to interview people in pediatrics who listened in on the webinar about their impressions. Please private message me and let me know when would be a good time to reach you and a contact number. I'll be finishing it on Monday. I'm on Pacific time.
Comment
Re: Prevention: Bringing Baby Home Training of Facilitators
I am sorry that I posted the wrong dates: May 17-18 in Sacramento. Thank you Carolyn
Comment
Re: Montefiore Medical in Bronx screens 12,000+ kids for ACEs
I’m certain as the ACE score increases - so does the score of the PSC-17. It does when I have looked at them both at the same time and it only makes sense. Also lots of poor parents have a hard time reading. That puts more risk for stress on the parent.
Comment
Re: Montefiore Medical in Bronx screens 12,000+ kids for ACEs
ACEs Science application, explanation, and example of evidence-based effectiveness! Great post. Thank you!
Comment
Re: Montefiore Medical in Bronx screens 12,000+ kids for ACEs
Approximately what percent of families take advantage of the option to be surveyed ?
Comment
Re: 4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress
What a hopeful article, thanks for sharing the journey. This shift takes time, attention, resources, dedication and belief that we are in this for the long haul.
Comment
Re: CYW's Provider Training Courses now available online
Hi Jim, Thanks so much for sharing. Can you say how long each of these first two courses are? Is it all video for example? Are there reading materials as well? Thanks!
Comment
Re: 4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress
Hi, thank you for this information. There doesn't seem to be a link to the actual report... Harise
Comment
Re: 4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress
Hi Harise, I see that it may be easy to miss, so I'll embed another link to the report in the story. If you look at the story under the photos, the link to the SCAN report is there. Thanks for writing!
Comment
Re: All hands on deck (from a distance): remote care for traumatized moms and babies
I would like to see infant mental health folks comment on this because what you are proposing is very serious and can have serious lifelong adverse consequences. How about any of the Pediatric Doctors out of Ed Tronick’s UMass program? How about anyone from that program or similar programs comment here? What would Dr. Brazelton think? There is so much you can do face to face with the mother and baby that you just cannot do on a screen because it is the actual feeling of presence and...
Comment
Re: 10 ways to avoid ACEs (during the pandemic)
Really appreciate the reframe on social distancing to social connection and physical distancing!