Tagged With "Child-led Play and its Benefits"
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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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Re: Dr. Claudia Gold: Empathy & Listening as ACE-Informed Practice
What a refreshing hope-filled read! I love this message - how it supports the development of the parent's self-efficacy and encourages them to develop confidence in their natural intuition. As a public health nurse, I've met many parents who were motivated to parent well- but who did not have role models that they could lean on or learn from. It is these parents who would benefit so much from this holistic approach. Thank you for sharing!
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Re: Wellness and Resiliency Toolkit for Kids with Trauma
This is great. May I print and give to patients who would benefit?
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Re: CA announces robust perinatal depression prevention for Medi-Cal recipients
This is awesome!!! So many women will benefit and the outcome will be healthy. Amazing.
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ParentingBook.pdf
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Re: ACEs screening is about building relationships, says early adopter
I have been thinking a lot about the current lively conversation. We have now known about the problem of the endemic of child abuse and neglect with the resulting traumatic stress contributing to mental and physical disease for a generation, but medicine has not yet dealt with it adequately. Taking a broad view I see we are having an enthusiastic dialogue among 3 groups of clinicians about how to deal with this problem and the 4th group. The fourth group is by far the largest - maybe 80 % of...
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Child Life specialists empower kids in hospitals, disasters and now the pandemic
In late May, Betsy Andersen’s 7-year-old son, Ezra, had a serious meltdown. He and his six-year-old sister Abby had been enjoying an online Zoom interaction with “Miss Eileen,” “Miss Savannah,” a couple of their colleagues, and a puppet. Betsy Andersen “I could see him trailing off and then he started crying,” says Andersen, who lives in Mundelein, Illinois. But before she swooped in, she heard Miss Eileen talking to him: “She was saying ‘Hey, I see you’re having some big emotions.” Speaking...
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ACEs screening pilot in L.A. County pivots, troubleshoots barriers to remote visits
This story is part of an occasional series about California-based pediatricians who are incorporating ACEs screening into their practices. In the first installment published in May, which you can find here , Dr. Amy Shekarchi and other team members had just launched their ACEs screening by phone. A community health worker from a clinic affiliated with Los Angeles County’s Department of Health Care Services recently called a teenage patient to find out if she ever felt unsafe in her home or...
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O’Donnell: Opening 'so many doors for families': COVID-19 underscores importance of wraparound care for new moms and children
For once, being a biracial, low income, Medicaid patient didn't work against Selina Martinez. In 2015, two weeks after giving birth at a Manhattan hospital, Martinez arrived at Montefiore Medical Center in the Bronx where she was diagnosed with salmonella. During a monthlong stay, hospital staff members learned times were tough for the new mom. She'd been getting psychiatric care since the stillbirth of her last child, her husband was recovering at home from pancreatic cancer treatment and a...
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New Grant Opportunity/Request for Applications — Virtual Care Innovation Network
The Virtual Care Innovation Network aims to bring together safety net organizations across nine states to redesign care so that virtual care models continue after the COVID-19 pandemic abates and beyond. The program will enable participants to learn from peers and experts, test new approaches, accelerate the work they have already started, and develop ways to sustain virtual care as an essential component for how care is delivered into the future. Check out the application to learn more...
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Think beyond ACEs screening, advises California funders workgroup in new report
Californians have experienced an alarming epidemic of adverse childhood experiences. Between 2011 and 2017, 60 percent of Californians reported experiencing at least one type of childhood adversity; about 16 percent experienced four or more. People who experience four or more ACEs are 1.5 times as likely to have heart disease, 1.9 times as likely to have a stroke, and 3.2 times as likely to have asthma as people who have experienced no ACEs. (For more information about ACEs and ACEs science,...
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New California preventive mental health coverage puts ACEs science front and center
A mother, frantic with worry, brought her newborn in for a checkup at the pediatric clinic at San Francisco General Hospital. But there wasn’t anything wrong with the baby. And over the next several months, no amount of reassurance could convince the mom that her child was eating, sleeping and growing just fine. If anything, the mother’s worry led to behavior that raised alarm bells for her health care providers. Dr. Kate Margolis “[The family] wasn’t returning calls from the provider, and...
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Sonoma County field nurses use ACEs science to educate families
Santa Rosa, CA, resident Lisa Marden watches her 15-month-old baby gleefully play with magic markers and relays how she’s been coping with feeling anxious. (We're using a pseudonym to protect the family's privacy.) “I’m just super stressed out with everything, and as soon as I eat anything, I get nauseous, so I’ve been eating snacks instead of meals,” she explains to Liz George, a field nurse with the Maternal/Child Field Nursing team of Sonoma County, CA, who has been seeing Marden on home...
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Berger, Dalton & Miller: How Much More Data Do We Need? Making the Case for Investing in Our Children
Child maltreatment is well recognized as one of the most significant contributors to pediatric morbidity and mortality throughout the world. 1 , 2 The effect of child maltreatment on morbidity and mortality in older adults has been documented for >20 years as demonstrated by the Adverse Childhood Experiences (ACEs) study. 3 The impact of maltreatment on teenage suicide and other mental health diagnoses is also well known. 4 , 5 To date, however, a direct relationship between maltreatment...
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Wellness for YOU, the Provider, hosted by Dovetail Learning
We Are Resilient is a practical hands-on approach to strengthening resilience and reducing stress. We can all benefit from recognizing what gets in the way of our resilience and learning how to practice these practical, research-based skills which promote our ability to be our most resilient self. We Are Resilient is particularly helpful for healthcare providers and staff to be more comfortable addressing ACEs, trauma, and providing trauma-informed care. The training helps providers manage...
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Research article on ACEs and immune cell gene expression in children
Sharing our recent publication of pilot data on ACEs (assessed using the Whole Child Assessment) and immune cell gene expression in children age 5-11 years old
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Youth Advocates are Speaking Out to Reimagine our Mental Health System
Dear Friends and Allies, This is a moment for transformation led by youth advocates—those with lived experience—to reimagine a mental health system centered on equity and justice. While concerns remain with the state's proposals on both Telehealth and CalAIM, there are some hopeful signs of reform on the horizon including: $700 million proposed in the Governor’s budget to support student mental health in schools. The updated CalAIM proposal which advocates for the removal of a diagnosis for...
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Protective Factors & ACEs: Meeting Families with Hope and Healing
Please join us for an interactive, virtual session to learn about the Five Protective Factors Framework and how to leverage a healing approach in the context of screening for Adverse Childhood Events (ACEs). REGISTER TODAY! *CME Credit Available SUMMARY This session will build the capacity of providers serving families with young children (physicians, behavioral health clinicians, social workers, case managers) to approach family interactions with a protective factors framework. As...
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Re: Research article on ACEs and immune cell gene expression in children
Thank you for sharing
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Adverse Babyhood Experiences (ABEs): 10 New Categories of Adversity Before a Child's 3rd Birthday (Free Downloadable Journal Article)
Adverse babyhood experiences (ABEs) are a new construct derived from large bodies of evidence that identify a different group of risk factors from adverse childhood experiences (ACEs). ABEs occur before a child’s 3rd birthday to influence infant and maternal morbidity and mortality. ABEs are also risk factors for chronic illnesses and other chronic conditions in the child as well as symptoms in parents.
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Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment
Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment Jeoffry B. Gordon, MD, MPH May 23, 2021 As a family doc practicing in San Diego I was privileged to hear Dr. Vincent Felitti talk about his inspired development of the ACEs questionnaire and its association with many adult mental and physical diseases directly from him only a few years after his original insight. Yet, although I had a lively clinic and learned how to manage a vast array of medical...
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Re: Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment
Bravo! This will be a very useful tool for those of us who interact with ACEs/PACEs hesitant health care professionals. Thank you!
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New Release: Humboldt County Home Visiting Program Environmental Scan
In partnership with First 5 Humboldt and funded by the First 5 California Home Visiting Coordination Grant, the California Center for Rural Policy has just released the Humboldt County Home Visiting Program Environmental Scan. The findings and recommendations in the environmental scan are grounded in partner workgroups, interviews, and surveys that occurred in 2020-21 and capture the impact of the COVID-19 pandemic on home visiting services. Excerpts: "The organizations that provide home...
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Child Abuse and Neglect: What It Is and What to Do About It
We all have a role to play in making sure children have the opportunity to thrive. In Child Abuse and Neglect: What It Is and What to Do About It , you will learn more about the types of child maltreatment, what to do when you think a child or family needs more support, and how to make a report if you suspect that a child has been abused or neglected. We all want children to be safe and healthy. However, the heartbreaking reality is that every year thousands of children are victims of child...
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Mindfulness for Children [nytimes.com]
By David Gelles and Sam Kalda, The New York Times, September 2021 Children of all ages can benefit from mindfulness, the simple practice of bringing a gentle, accepting attitude to the present moment. It can help parents and caregivers, too, by promoting happiness and relieving stress. Here, we offer basic tips for children and adults of all ages, as well as several activities that develop compassion, focus, curiosity and empathy. And remember, mindfulness can be fun. What Is Mindfulness,...
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Upcoming 6/9 Webinar and New Report and Brief: Community Strategies to Address California’s Digital Divide and Its Impact on Children and Families
PACEs Connection and the Essentials for Childhood (EfC) Initiative, a project of the California Department of Public Health (CDPH) and the California Department of Social Services (CDSS) have developed two new resources, “Community Strategies to Address California’s Digital Divide and Its Impact on Children and Families” Report and the “Digital Divide Brief: Community Strategies to Address California’s Digital Divide and Its Impact on Children and Families”
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American College of Preventive Medicine (ACPM) Recommends against Pediatric ACE Screening
A just-published article reports that the American College of Preventive Medicine (ACPM) recommends against pediatric ACE screening but strongly supports continuing surveillance of ACEs along with protective factors in the population as a way to identify public health and other policies that can prevent adversity and toxic stress. Their report highlights Dr. Robert Anda’s (and colleagues) commentary that notes that ACE scores are neither a diagnostic tool nor predictive at the individual...
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Jeoff Gordon sees PACEs science, PACEs Connection playing a vital role in ‘relieving some of the most anguishing pain in our society.’
Note: PACEs Connection is in dire financial straits. We are asking for support, from you, our 57,586 members, to help cover the loss of foundation funding that was promised and did not come through. Pay and hours have been cut for our staff—most of us will be laid off for the month of December. Another grant will pick up in January, but we will still be underfunded. Since sounding the alarm this summer, we’ve raised about $26,000 . Thankfully, about 25% of new donors are making monthly...
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Re: Exploring the Connection Between Adverse Childhood Experiences and Diabetes
Very good article. Important citation. The connection between childhood trauma and physical disease (as distinguished from psychological turmoil) is often overlooked, especially among medical doctors. If only they would appreciate this situation! See my article "The importance of child abuse and neglect in adult medicine," Jeoffry B. Gordon, Pharmacology, Biochemistry and Behavior 211 (2021) 173268 Available online 7 September 2021.
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Exploring the Connection Between Adverse Childhood Experiences and Diabetes
Life is hard. None of us makes it through unscathed. Unfortunately, though, some of us have a much tougher journey on this planet than others. Most distressingly of all, children and babies are by no means immune from the wounds that this world all too often inflicts. Indeed, for many children, trauma is not a future threat but a present reality. And these adverse childhood experiences (ACE) can have a devastating long-term impact across all domains of a child’s life. This includes...
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How much would the NAS poverty reduction packages reduce referrals to CPS and foster care placements? Would they reduce racial disproportionality in child welfare? (nasonline.org).
Because of a collaboration with Columbia University and UW-Madison, we have answers to these questions. By Peter Peter Pecora, Casey Family Programs, March 17, 2023 - Overview The National Academy of Sciences (NAS) recently released a “ roadmap ” to reduce child poverty by as much as half through the implementation of a series of social policy packages. The aim of this study was to simulate the reductions in Child Protective Services (CPS) involvement and foster care placements that are...
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PACEs Research Corner — May 2023, Part 2
[Editor's note: Dr. Harise Stein at Stanford University edits a web site — abuseresearch.info — that focuses on the effects of abuse, and includes research articles on PACEs. Every month, she posts the summaries of the abstracts and links to research articles that address only ACEs, PCEs and PACEs. Thank you, Harise!! — Rafael Maravilla] Domestic Violence – Effects on Children Makris G, Eleftheriades A, Pervanidou P. Early Life Stress, Hormones, and Neurodevelopmental Disorders. Horm Res...
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What Children Really Need Is Adults That Understand Development
The brain doesn’t fully develop until about the age of 25. This fact is sometimes quite surprising and eye opening to most adults. It can also be somewhat overwhelming for new parents and professionals who are interacting with babies and young children every day, to contemplate. It is essential to realize however, that the greatest time of development occurs in the years prior to kindergarten. And even more critical to understand is that by age three 85 percent of the core structures of the...
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Early Relational Health Innovators Partner In Program Supported by PACEs Connection Cooperative of Communities Members in Twelve California Counties
Christina Bethell, Ph.D, MBA, MPH, founder of the Child and Adolescent Health Measurement Initiative (CAHMI), principal author of the groundbreaking study on positive childhood experiences, and creator of the free Well Visit Planner, among other innovations. Two internationally-respected leaders and innovators in complementary aspects of early relational health and childhood and maternal health equity recently launched a partnership they believe will benefit everyone from newborn babies and...
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Empathy: Can It Make The Difference?
Emotion has an enormous impact on imprinting memory in our brains. I had an experience when I was 6 years old that included emotion and I have the memory of it all of these many years later. It was a 6 year old birthday sleepover party. There were 7 girls invited that lived near each other and played together most days. A girl new to the neighborhood was invited only due to the requirement of the birthday girl’s mother. I was also invited. I lived a block away but did play with these girls...
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Building Resilience is a Team Effort that Starts Early
“YES!” was the response of Gaile Osborne, executive director of Foster Family Alliance of North Carolina (FFANC), when asked for input on a new program to help foster and kinship care families learn how to support the brain development of young children. “I love these Brain Insights materials. How soon can we start?” said Osborne upon receiving the "The First 60 Days ” booklet on myths about newborns and their caregivers and the eight “ Neuro-Nurturing ” ringed books. The materials delivered...
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Trauma-Informed Competency Set for Undergraduate Medical Education
The National Collaborative on Trauma-Informed Health Care, Education and Research (TIHCER) presents: Trauma-Informed Competency Set for Undergraduate Medical Education Trauma is nearly universal and a root cause of numerous health and social problems, including 6 of the 10 leading causes of death. Research has substantiated the profound impact of trauma on the brain and body - and why trauma training is critical to the education and practice of health professionals. Yet a critical lag...
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Trauma-Informed Competency Set for Undergraduate Medical Education
The National Collaborative on Trauma-Informed Health Care, Education and Research (TIHCER) presents: Trauma-Informed Competency Set for Undergraduate Medical Education Trauma is nearly universal and a root cause of numerous health and social problems, including 6 of the 10 leading causes of death. Research has substantiated the profound impact of trauma on the brain and body - and why trauma training is critical to the education and practice of health professionals. Yet a critical lag...