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PACEs in Pediatrics

Tagged With "Center for Youth Wellness"

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Childhood Stress and Adversity is Associated with Late-Life Dementia in Aboriginal Australians

Colette Ryan ·
This was just sent by the RACP “Paediatric Pot-Pourri”. It continues the developing and worrying themes presented at the recent NBPSA and CCCH satellites days before the RACP Congress. I cannot see any reason to imagine that these same outcomes do not also apply to those children living anywhere in the world where ACE’s are flooding into their lives. John Goldsmith “All paediatricians, particularly those with an interest in child development, are aware of the Adverse Childhood Experiences...
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Children and US Federal Policy on Health and Health Care Seen but Not Heard

Former Member ·
  Children account for 73.5 million Americans (24%), but 8% of federal expenditures. Data on health and health care indicate that child well-being in the United States has been in decline since the most recent recession. Childhood poverty has...
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Children of Color Face Higher Barriers to Success, New Casey Report Says [jjie.org]

Alicia Doktor ·
The children of immigrants make up less than one-fourth of the nation’s youth population yet account for 30 percent of children living in poverty, a new report finds. More than that, young black and brown Americans were worse off compared to white and Asian-American children, the Annie E. Casey Foundation said. The foundation analyzed youth welfare along several axes, including education, health and economic indicators, to come up with an index of how well young people in various racial and...
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Children’s Defense Fund Child Poverty in America 2013: Federal safety net programs cut child poverty by 40 percent.

Former Member ·
According to data released by the U.S. Census Bureau on October 16, 2014, federal safety net programs kept 8.2 million children, more than 11 percent of children, out of poverty in 2013, and cut the child poverty rate from 27.5 percent to 16.4...
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Come Chat with Dr. Claudia M. Gold: An ACE-Informed Pediatrician

Christine Cissy White ·
Date: July 11th Time: 10 AM PST / 1 PM EST Location: Parenting with ACEs Group , Online Flyer: Attached below. Please share. Dr. Claudia M. Gold has practiced general and behavioral pediatrics for 25 years and specializes in early childhood mental health. She is on the faculty of the University of Massachusetts, Boston Infant-Parent Mental Health program, William James College, and the Austen Riggs Center where she is a Human Development consultant. Dr. Gold is author of the following...
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Commentary: Pediatricians called to address racism, intolerance to achieve health equity [AAPPublications.org]

Samantha Sangenito ·
As pediatricians, we champion the need to address social determinants of health, such as poverty and food insecurity, in an effort to achieve health equity. We emphasize screening for toxic stress. In our conversations about equity, we include data about racial and ethnic disparities. Because of our commitment to work for the health and well-being of all children, pediatricians are uniquely positioned to consider and address the needs and concerns of the at-risk communities for whom we care.
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Conversation-starting Resilience Project posters

Jane Stevens ·
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...
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Conversations about Emotional Health AAP

Former Member ·
  The AAP developed 2 promotional ads — Mom! Dad! Ask the doctor about my emotional development, too! — to promote the importance of mental health as part of a health supervision visit. - See more at:  ...
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Cover Story November Issue of Journal of Family Practice: Childhood Adversity and Lifelong Health

Audrey Stillerman ·
I was honored to have my review article, “Childhood Adversity and Lifelong Health: from research to action”, chosen as the November 2018 cover story of the Journal of Family Practice . Here is a link to the article. Access is free after registration with the journal and retrievable directly by anyone who has Medline PubMed access. https://www.mdedge.com/jfponline/article/178388/pediatrics/childhood-adversity-lifelong-health-research-action Highlights from the article include: - recognition...
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COVID-19's profound effects on children are on the horizon [dailymemphian.com]

By Bindiya Bagga and Jason Yaun, Daily Memphian, May 8, 2020 While the toll of the COVID-19 pandemic accelerates as the case and death totals continue to climb, children have fortunately been spared from the worst of the direct ravages of this virus. But as the pandemic continues and the effects on the health and financial well-being of caregivers mount, children are being impacted in a myriad of harmful ways that could have long-lasting consequences if not addressed. As parents and...
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Cultivating Deliberate Resilience During the Coronavirus Disease 2019 Pandemic [jamanetwork.com]

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

“We’re seeing an increase in anxiety that is related to kids’ concern about the personal consequences of U.S. immigration policy, and these are U.S.-born citizens,” said Brenda Eskenazi, the Brian and Jennifer Maxwell Endowed Chair in Public Health in UC Berkeley’s School of Public Health. “Further, these are kids in California, a sanctuary state with more protective policies for immigrant families, compared to many other states,” Eskenazi said. “So, this study is probably reflecting the...
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Developing Healthy Minds: It’s Never Too Early to Start! [Blog.SAMHSA.gov]

Samantha Sangenito ·
The human mind is one of the most complex structures in the universe. Even in early infancy, it is capable of taking in a wide variety of inputs. Still, in our early years, we’ve only unlocked a small portion of its potential. Our brains actually continue to develop into our twenties . Accordingly, the U.S. Government embraces a definition of youth that continues until we turn 25. Nurturing the development of young minds to stay healthy through adulthood is a primary goal of SAMHSA’s Project...
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Developmental Delay Referrals Improve With QI Plan

Former Member ·
  Children with developmental delays stand a better chance of getting the early-intervention services they need if clinicians take the time to document screening efforts and follow-up with a simple telephone call, investigators say.   When a...
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I am a general internist practicing in...

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

Bob Sege ·
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...
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12 Things I Wish My Doctor Understood About Childhood Trauma

Anna Runkle ·
It doesn’t happen that often anymore, but one place where I almost always get triggered with my Childhood PTSD symptoms is when I visit the doctor. I could never even put this into words before. But now that I’m mostly healed from my Childhood PTSD symptoms, I want to express what I wish my doctors – all the doctors of my life – had understood about the effects of Childhood trauma, about me. Note: This is one of my most personal posts ever. Unless you’re someone who really prefers text, I...
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2014's Best and Worst States for Underprivileged Children

Former Member ·
In an ideal world, children live carefree. They play with friends, eat nutritious food and receive a good education. They don’t worry about paying bills or searching for their next meal. They’re nurtured, protected and guided by caring...
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2018 PREVENTION RESOURCE GUIDE - KEEPING CHILDREN SAFE AND FAMILIES STRONG IN SUPPORTIVE COMMUNITIES

Gail Kennedy ·
The 2018 Prevention Resource Guide: Keeping Children Safe and Families Strong in Supportive Communities was recently released by the Office of Child Abuse and Neglect in the Children's Bureau of the US Department of Health and Human Services. This guide is designed to support service providers as they work with families to promote child well-being and prevent child maltreatment. It focuses on protective factors that build on family strengths to foster healthy child and youth development. In...
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Introducing NEW Becoming Trauma-Informed & Beyond Community

Christine Cissy White ·
Earlier this year @Dawn Daum wrote to us when she was ready to share ACEs science with people in the organization she works in to make a case for moving towards more trauma-informed care for the benefit of the staff and those they serve. She was frustrated because almost all the training and resources she found were geared towards schools, clinical staff or to organizations working with children and families rather than ACE-impacted adults in the workplace and who are...
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Iowa project aims to have all pediatricians, family docs screen for ACEs

Laurie Udesky ·
Dr. Amy Shriver is on a mission: to convince every pediatrician and family doctor in the State of Iowa to screen children for Adverse Childhood Experiences (ACEs). Dr. Amy Shriver The Des Moines-based Blank Children’s Hospital pediatrician is not alone. She’s part of Central Iowa ACES 360, a regional cross-sector coalition formed in 2011 that is working toward that ambitious goal. And they’re making substantial inroads. Central Iowa ACES 360 has just developed a one-hour trauma-informed...
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JAMA Forum: Building Blocks for Addressing Social Determinants of Health [newsatjama.jama.com]

Alicia Doktor ·
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...
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January 2019 NPPC Announcements

Leah Medoff ·
The NPPC team at the Center for Youth Wellness is excited to share details about our second cohort of Pilot Sites, our ACEs webinar series with OptumHealth education and our new podcast series: ‘Voices from the Field’. Read on to find out more. Apply for the National Pediatric Practice Community Pilot Site Cohort 2! The National Pediatric Practice Community(NPPC) is pleased to open the application process for NPPC's second cohort of pilot sites. Participation will not only support your...
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Join us in San Antonio for the 2019 AAP Trauma Informed Pediatric Provider course

Tammy Piazza Hurley ·
The American Academy of Pediatrics will once again be holding the Trauma-Informed Pediatric Provider Course: Addressing Childhood Adversity and Promoting Resilience March 2-5, 2019 in San Antonio, TX. The Trauma-Informed Pediatric Provider course will assist health care providers and those working in or with child servicing agencies to identify children who have experienced adversity, trauma and toxic stress and will discuss their presentation and the risk factors involved. This three and...
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Kaiser family medicine clinic launches 4-question ACE survey pilot for adults

Laurie Udesky ·
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...
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Latest ACEs science research from PubMed, May 7, 2019

Morgan Vien ·
Clinic and park partnerships for childhood resilience: A prospective study of park prescriptions. Razani N, Niknam K, Wells NM, Thompson D, Hills NK, Kennedy G, Gilgoff R, Rutherford GW. Health Place . 2019 May 3;57:179-185. doi: 10.1016/j.healthplace.2019.04.008. [Epub ahead of print] PMID:31060017 Family Resilience And Connection Promote Flourishing Among US Children, Even Amid Adversity. Bethell CD, Gombojav N, Whitaker RC. Health Aff (Millwood) . 2019 May;38(5):729-737. doi:...
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Launching a Revolution [hsph.harvard.edu]

By Madeline Drexler, Harvard Public Health, Winter 2020 In 2007, pediatrician Nadine Burke Harris, MPH ’02, set out on an idealistic mission: to deliver quality medical care to one of San Francisco’s poorest and most underserved neighborhoods—Bayview-Hunters Point, in the isolated southeastern corner of the city. Before Burke Harris arrived on the scene, only one pediatrician was serving the neighborhood’s 10,000 children. The community’s plight was starkly apparent in its ZIP code. In 17 of...
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Leaders in SF public housing deal with their own and community trauma head on

Laurie Udesky ·
Sengthong Sithounnolat, Jeris Woodson, Donald Greene, Ashley Blanco On a recent Saturday, 10 people gather around a table at the offices of Trauma Transformed in Oakland, Calif., where quotes from figures like Frederick Douglas, Nelson Mandela, and Coretta Scott King grace one wall as light streams in from a skylight above. The group is known as the Resident Warriors, which meets weekly. One participant talks of her recovery from addiction and her mother’s murder. Another mentions being...
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LGBTQ, Traumatized Homeless Youth More Vulnerable to Being Trafficked, Report Finds [jjie.org]

By Stell Simonton, Juvenile Justice Information Exchange, October 21, 2019 Understanding how homeless youth are trafficked is important information for the organizations offering them services. That’s the conclusion of a report released today based on a 2018 count of homeless and runaway young people ages 14-25 in Atlanta. “Clearly, talking about trafficking is critically important,” said Eric Wright, chairman of the sociology department at Georgia State University, who led the survey and...
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LGBTQ + Youth - a book reviewed in Journal of GLBT Family Studies

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

Former Member ·
I have done many of these courses over the years.  I think the National Child Traumatic Stress Network is a real gem, so I just wanted to put a link to their list here, so that you would all have access too and could share with others. Thanks...
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Love in the Time After Covid-19 [positiveexperience.org]

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

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

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

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

Laurie Udesky ·
When Marin Community Clinics (MCC) first considered screening their patients for adverse childhood experiences (ACEs) they already had decided that if they were going to prevent children from acquiring ACEs, they had to take a radical approach.
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Mark your calendar for March 10 tweet chat on CA ACEs screening!

Laurie Udesky ·
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:...
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Maternal Depression and Intimate Partner Violence: Impacts on Children [aappublications.org]

Alicia Doktor ·
Among the many adverse childhood experiences, one must consider are the effects of maternal depression and of mothers being the victim of physical or sexual violence. What is the toll of these on children? Neamah et al. ( 10.1542/peds.2017-3457 ) decided to evaluate this by looking at the strength of such an association on the cognitive development as well as physical growth of over a thousand toddlers between 18 to 36 months living in Tanzania. These children underwent developmental testing...
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May 10: SAMHSA Hosts Town Hall on Helping Children Who Experience Trauma

Jane Stevens ·
Nearly half of the nation’s youth report having experienced at least one traumatic event. The Substance Abuse and Mental Health Services Administration’s (SAMHSA) National Children’s Mental Health Awareness Day 2018 event in Washington, DC, will feature an interactive town hall on strategies to create an integrated health approach to support children, youth, and young adults who have experienced trauma. Awareness Day 2018: “Partnering for Health and Hope Following Trauma,” will take place on...
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Medical emergency department visits can indicate increased suicide risk among teens and young adults [medicalxpress.com]

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

Laurie Udesky ·
A national survey published in 2014 revealed a disturbing finding. Compared to college graduates pursuing other professions, medical students, residents and early career physicians experienced a higher degree of burnout. Citing that article, a group of researchers at University of California at Davis School of Medicine wondered whether medical students’ childhood adversity and resilience played a role in their burnout, said Dr. Andres Sciolla, an associate professor of psychiatry and...
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MIndful Healthcare Speakers Series: Resources for Healthcare Workers_Begins May 19

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

Christine Cissy White ·
I learned about a new research paper entitled, "Modifiable Resilience Factors to Childhood Adversity for Clinical Pediatric Practice" co-authored by Flora Taub and Renée Boynton-Jarret (pictured above). It was just published in Pediatrics which is the official journal of the American Academy of Pediatrics). Here's the link to the abstract. I'm not going to pretend I subscribe to Pediatrics. I don't. However, I have been interested in the work of Renée Boynton-Jarret ever since writing a...
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More Clinicians Need to Address Postpartum Depression and other Postpartum or Perinatal Mood and Anxiety Disorders

Robyn Brickel, M.A., LMFT ·
“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...
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Nadine Burke Harris debuts "The Deepest Well: Healing the Long-Term Effects of Childhood Adversity" in Philadelphia

Jane Stevens ·
Dr. Nadine Burke Harris debuted her book, The Deepest Well: Healing the Long-Term Effects of Childhood Adversity , at the Philadelphia Free Library this evening in a talk and book signing. This first stop in an ambitious book tour that crisscrosses the country reflects a mission that Burke Harris has pursued for nearly a decade: to spread the knowledge about the science of adverse childhood experiences, and about how people can use this knowledge to help solve our most intractable problems.
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Nadine Burke Harris' new book, The Deepest Well, weaves ACEs science and personal stories

Laurie Udesky ·
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.
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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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National Survey of Child and Adolescent Well-Being (Adverse Childhood Experiences in NSCAW # 20)

Former Member ·
Why We Should Assess for ACEs in kids in the child welfare system.  I don't know exactly how old this brief from the Administration on Children and Families from HHS is but the graphs say it all.  However I will add a few points:   1....
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New Federal Opportunities to Advance Two-Generation Approaches to Improving the Lives of Children and Parents [ascend.aspeninstitute.org]

Alicia Doktor ·
Because of recent legislation passed in February and March of this year, the federal government will be providing significant new funding to state and local governments in 2018 and future years through an array of programs serving low-income children and parents. These new funding streams, and the legislations’ increased focus on improving outcomes using evidence-based approaches, create a remarkable opportunity for path-breaking governors and local leaders to transform how government...
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