Tagged With "ACEs screening"
Blog Post
Conversation-starting Resilience Project posters
The American Academy of Pediatrics has created several posters to use as conversation starters to recognize toxic stress and adverse childhood experiences in children and build their resilience. Pediatricians are encouraged to hang the...
Blog Post
COVID-19 and our dialogue with death
[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...
Blog Post
CYW's Provider Training Courses now available online
In response to an overwhelming demand for information about ACEs science, screening tools, and guidance on how to implement ACEs screening, CYW has developed a suite of online courses in order to make our training more accessible to a broader audience. Developed by a team of pediatricians, research scientists, public health experts, and clinical quality improvement experts, these courses are the first of four online courses that will aid medical providers/practitioners in understanding and...
Blog Post
CYW's Provider Training Courses now available online
In response to an overwhelming demand for information about ACEs science, screening tools, and guidance on how to implement ACEs screening, CYW has developed a suite of online courses in order to make our training more accessible to a broader audience. Developed by a team of pediatricians, research scientists, public health experts, and clinical quality improvement experts, these courses are the first of four online courses that will aid medical providers/practitioners in understanding and...
Blog Post
10 Things Every Parent Should Know about Play
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...
Blog Post
10 ways to avoid ACEs (during the pandemic)
How can we reduce ACEs and toxic stress during the COVID-19 pandemic? Many of us are concerned that increased stress might increase the risk for ACEs. For example, most child abuse happens when adults reach their breaking point. However, we are not powerless in the face of these challenges. Using HOPE ( Healthy Outcomes from Positive Experiences ) as a guide, here are 10 suggestions to reduce ACEs now: Think about social connection and physical distance , not social distance. Continuing to...
Blog Post
12 Things I Wish My Doctor Understood About Childhood Trauma
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...
Blog Post
2017 Children's Mental Health Report
Of the 74.5 million children in the United States, an estimated 17.1 million have or have had a mental health disorder — more than the number of children with cancer, diabetes and AIDS combined. Half of all mental illness occurs before the age of 14, and 75 percent by the age of 24. In spite of the magnitude of the problem, lack of awareness and entrenched stigma keep the majority of these young people from getting help. Children and adolescents struggling with these disorders are at risk...
Blog Post
Iowa project aims to have all pediatricians, family docs screen for ACEs
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...
Blog Post
JAMA Forum: Building Blocks for Addressing Social Determinants of Health [newsatjama.jama.com]
Our health care system is waking up to the fact that the health of individuals and families does not depend solely on good coverage and good medical care; it also requires us to address social and other factors that are major contributors to a person’s physical and mental well-being. That’s why more and more clinics are screening incoming patients for challenges in areas ranging from housing conditions, nutrition, access to transportation, and even their ability to afford utilities . It’s...
Blog Post
January 2019 NPPC Announcements
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...
Blog Post
Kaiser family medicine clinic launches 4-question ACE survey pilot for adults
In July, medical residents in family medicine at Kaiser Permanente in San Jose, CA, began screening adult patients for adverse childhood experiences (ACEs). But it’s an ACE survey with a twist: it’s shorter, not the 10-question survey of the original CDC-Kaiser Permanente ACE Study , according to Dr. Kathryn Ridout who is leading the pilot along with Dr. Francis Chu and Dr. Alec Uy . Why a shorter ACE survey? Dr. Kathryn Ridout “When we were doing our initial discussions with stakeholders in...
Blog Post
Lesson learned integrating ACEs science into health clinics: Staff first, THEN patients
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.
Blog Post
LGBTQ + Youth - a book reviewed in Journal of GLBT Family Studies
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...
Blog Post
Life Expectancy by Zip Code: Where You Live Affects How Long You Live
Life expectancy is highly correlated with ACE scores and complex childhood trauma. Enter your address or zip code to know what the health outcomes are in your neighborhoods and communities. Robert Wood Johnson Foundation Life Expectancy Calculator
Blog Post
Love in the TIme of Coronavirus: Inequities and Supporting Children
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...
Blog Post
Marin Community Clinics in California screen babies for ACEs, provide support in effort to prevent trauma
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.
Blog Post
Mark your calendar for March 10 tweet chat on CA ACEs screening!
Hey ACEs Connection communities! Please join us for a boisterous tweet chat about ACEs screening in California on March 10 at 10 am Pacific/ 1 pm Eastern for #SaludTues, hosted by @saludamerica and co-hosted by @CYWSanFrancisco, @acesconnection and @CHCShealth. Get your thumbs ready, and spread the word! What: Tweet chat Who: Salud America, co-hosted by Center for Youth Wellness, ACEs Connection and Center for Health Care Strategies. When: Tuesday, March 10, 10am Pacific/ 1 pm Eastern Why:...
Blog Post
Medical students' ACE scores mirror general population, study finds
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...
Blog Post
Montefiore Medical in Bronx screens 12,000+ kids for ACEs
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...
Blog Post
Montefiore to test out lower ACE score cut-off in pediatric patients
photo/ CCO 1.0 Screening their pediatric patients for Adverse Childhood Experiences (ACEs) showed researchers at Montefiore Medical Center that their cut-off score of 4 for referring children and families for help was too high, says Dr. Dana Crawford, a pediatric psychologist and the director of the Trauma-Informed Care Program at Montefiore Medical Center in Bronx, NY. Dr. Dana Crawford Their analysis of the results not only confirmed what pediatricians had suspected, it helped them...
Blog Post
More Clinicians Need to Address Postpartum Depression and other Postpartum or Perinatal Mood and Anxiety Disorders
“It’s okay to tell me that you’re not okay.” Postpartum depression (PPD) and postpartum or perinatal mood and anxiety disorders (PMADs) are the most common medical concerns for women after childbirth. Yet few medical and mental health professionals really know how prevalent and serious PPD and PMADs are. There is a great need for better screening to identify women struggling with postpartum disorders. Likewise, more therapists and mental health providers need to know about treatment...
Blog Post
Nadine Burke Harris' new book, The Deepest Well, weaves ACEs science and personal stories
Dr. Nadine Burke Harris, MD, MPH, FAAP/Courtesy of Center for Youth Wellness In this short interview , pioneering pediatrician and author Dr. Nadine Burke Harris, the founder and CEO of the San Francisco-based Center for Youth Wellness , discusses her pivotal new book The Deepest Well. In the book Burke Harris weaves together the hard science behind adversity and trauma with personal stories. It was a particular patient, Burke Harris explains, that led her to shift her research and practice.
Blog Post
National collaborative provides roadmap for doctors to ask about adult patients' ACEs, current trauma
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” ,...
Blog Post
National Mandate for ACE Testing for ALL New Parents!
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...
Blog Post
New Health Resiliency Stress Questionnaire debuts for pediatricians, family practice, internal medicine...but anyone can use it
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.
Blog Post
New organization calls all pediatricians to end crisis that's "hiding in plain sight"
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
New Screenings for Childhood Trauma Raise Hopes, Questions [calhealthreport.org]
By Claudia Boyd-Barrett, California Health Report, December 20, 2019 California health officials are gearing up for the launch of a statewide screening effort that aims to help doctors measure children’s exposure to trauma and their risk of related health problems. Starting Jan. 1, California will become the first state in the nation to reimburse health care providers who screen patients enrolled in the Medi-Cal program for “adverse childhood experiences” or ACEs. The $40 million effort has...
Blog Post
New Website Provides ACEs Screening Resources for Pediatric Practitioners
The Center for Youth Wellness (CYW) has launched its new National Pediatric Practice Community on ACEs (NPPC) member website ( nppcaces.org ). The website supports CYW’s efforts to grow a national, co-designed peer group of pediatric-serving medical practitioners interested in ACES screening and in expanding knowledge, building capacity, accessing resources and shaping the field of ACEs research and trauma-informed care. NPPC’s goal is to support pediatric medical providers in making ACEs...
Blog Post
Next "A Better Normal" community discussion series: April 3, 2020/ Maternal health and pediatrics in the time of COVID-19
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...
Blog Post
NJ medical school program requires all first-year students to learn about ACEs science
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...
Blog Post
No ACEs, low resilience worse than high ACE and resilience scores, study finds
What does measuring resilience tell us about pregnant women who have experienced ACEs? For one thing, it affirms that understanding how a mom-to-be weathers difficult experiences gives greater meaning to her ACE score and what it might mean for her children. That was one of the takeaways from a recent study in the Journal of Women’s Health entitled “ Adverse Childhood Experiences and Mental and Behavioral Health Conditions During Pregnancy: The Role of Resilience ,” says Dr. Carey Watson,...
Blog Post
WEBINAR - NPPC's Pilot Site Case Studies: Lessons Learned from ACEs Screening Implementation
The Center for Youth Wellness' National Pediatric Practice Community on ACES (NPPC) is a co-designed community committed to collaborative learning. To promote this learning, we have been working with six pilot sites over the last year, representing practices of various sizes and service delivery settings, to implement ACEs screening and intervention. On Monday, December 2nd at 1pm PT , we will be holding a webinar to discuss the findings of these pilot site case studies. To attend, please...
Blog Post
NPPC shares lessons learned and results from ACEs screening pilot sites
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.
Blog Post
Nurturing Children During Times of Stress: A Guide to Help Children Bloom by Yolo CAPC and YCCA
The Yolo County Child Abuse Prevention Council (CAPC) and Yolo County Children’s Alliance (YCCA) are excited to share Nurturing Children During Times of Stress: A Guide to Help Children Bloom. This guide for parents and caregivers, which we are launching during Child Abuse Prevention Month, contains tips and resources that parents and caregivers can use to promote resilience in their children and themselves. Nurturing Children During Times of Stress explains the effects of intense stress or...
Blog Post
Opinion: All Doctors Should Practice Trauma-Informed Care [calhealthreport.org]
By Bob Erlenbusch and Drew Factor, California Health Report, November 20, 2019 “Adverse childhood experiences are the single greatest unaddressed public health threat facing our nation today,” Dr. Robert Block, former president of the American Academy of Pediatrics, has been widely quoted as saying. According to the Adverse Childhood Experiences Study, conducted in the 1990’s by the Centers for Disease Control & Prevention and Kaiser Permanente, adverse childhood experiences are common,...
Blog Post
Opinion: Screenings Alone Won’t Prevent Adverse Childhood Experiences—We Must Address Community Trauma [calhealthreport.org]
By Rachel A. Davis and Howard Pinderhughes, California Health Report, December 19, 2019 Earlier this month, California’s Surgeon General Nadine Burke Harris launched an ambitious campaign to reduce adverse childhood experiences, which can cause lifelong health problems. With more than 60 percent of Californians saying they were exposed to a traumatic childhood event, adverse childhood experiences are at crisis levels in the state. The ACEs Aware campaign will train and pay health care...
Comment
Re: Pediatricians screen parents for ACEs to improve health of their babies
Making progress. I just saw this today in my email.
Comment
Re: ACEsConsequencesAAP.pdf
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
Comment
Re: The Relentless School Nurse: Pediatricians + School Nurses = Powerful Partners
Hi Robin, Thanks so much for linking to your blog here! I wonder if you know of any existing collaborations between pediatricians and school nurses around ACEs prevention? It's great that you're writing about this, particularly because so many who are involved in preventing ACEs understand the need for cross sector collaboration. I wonder if you saw my article that was posted in ACEs in Pediatrics about Kavitha Selvraj, a pediatrician and former teacher, who is also a member of this forum.
Comment
Re: A New Documentary About Breaking the Cycle of Trauma is Launching This Fall!
Hi Charlotte, This sounds fantastic! I live in the UK, do you this it is possible atal to have access to this screening please? I work within Maternity and believe it is vital to screen Mothers (and fathers) for ACEs and intervene with appropriate supports to try break this cycle! Brilliant work👍🏻
Comment
Re: A New Documentary About Breaking the Cycle of Trauma is Launching This Fall!
Hi, Just to add to my earlier post please. If possible I would love to show this screening to my University Cohort (1st 2nd and 3rd year Student Midwives). It is essential for all professionals to understand this information and be educated on the impact of parental/maternal ACEs and the intergenerational impact which can be mitigated by screening and having multidisciplinary supports in place! If possible I would love to help share your fantastic work within my community x
Comment
Re: Pediatric Symposium at National ACEs conference offers lessons learned and the way forward
I’ve been starting to wonder, is pushing Pediatricians to screen for ACEs a way to increase the pharmaceutical market reach to kids? Poor urban and rural areas that have few resources generally do have one resource to “treat” behavioral symptoms associated with childhood trauma, Medicaid payments for psychotropic drugs. I believe doctors have to be very vigilant. I remember the time when pediatric bipolar did not exist. It became a thing after a Harvard physician and pharmaceutical spokes...
Comment
Re: Pediatric Symposium at National ACEs conference offers lessons learned and the way forward
Hi Tina, Thanks for writing in and raising valid concerns and questions. The idea of informed consent is so critical. When I interviewed Dr. Jack Shonkoff about biomarkers and behavioral markers and the work of the JPB Research Network on Toxic Stress, he raised several of the points you make about informed consent and also about how ACEs scores provide population level data. Here's the link to that story: https://www.pacesconnection.com...silience-in-children . On the question of the value...
Reply
Re: ACOG Policy Statements on Drug Use During Pregnancy and what Is Actually Happening in the Real World
Prenatal and Postpartum Care of Women with Substance Use Disorders Sarah Gorman, BA, MD (2014) KEYWORDS Prenatal care Substance abuse disorder Postpartum care Opioid dependence Opioid replacement therapy Pregnancy Opioid addiction KEY POINTS
Reply
Re: Resources You Provide to Parents to Reduce Adversity (and maybe screen time)...
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: Boston’s architect of community well-being: Pediatrician Renée Boynton-Jarrett
Christine, thank you for this instructive and inspiring post. I just received an inquiry about ACEs and trauma-informed training for pediatric practices and wanted to know more about the training Dr. Boynton-Jarrett participated in that was "provided by an interdisciplinary group of clinicians and service providers at Boston Medical Center, with a Vital Village community resident partner at the table." Do you have a way to contact the trainers? Thank you, Elizabeth
Comment
Re: Childhood Abuse, Brain Development and Psychopathology - Dr Martin Teicher
Alright - It's been a long time since I have added anything here so I can't remember how to upload a video from Vimeo. For all my fellow pediatricians ---and for all the psychiatrists and NP's and PA's and everyone else too --- If you want to watch a really great researcher and see his work concerning what happens to the developing brain when affected by child abuse and neglect, there is no better person to learn from than Dr. Teicher. So here is an excellent keynote he gave a few years ago.
Comment
Re: 9 Big Questions as California Starts to Screen Kids for Trauma, ACEs [salud-america.org]
the links to read the whole article don't work
Comment
Re: 9 Big Questions as California Starts to Screen Kids for Trauma, ACEs [salud-america.org]
HI Priya, Thank you. It should be fixed momentarily.