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PACEs in Pediatrics

Tagged With "human rights"

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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Veronique Mead ·
Jeoffry, Although I have concerns about required screening for ACEs in a society and medical culture that has little understanding of trauma, still commonly believes the only effects of trauma are psychological, often tells individuals with “functional” diseases, mental health conditions, low income or who are discriminated against that it’s all in their heads, does not provide health insurance and mental health treatment for all – I believe it is important to move forward because of all...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Jeoffry Gordon ·
Ms Mead I am so grateful for your heartfelt comments. It must have taken a lot of thought and energy to put together such an extensive essay. Your intimate passion and concern come through and I share it. I am glad you found a way (in spite of personal circumstances) to put your wisdom and caring to use. I would riff of your desire to see our society become "more trauma informed" to say I honestly think we live in a relatively brutal and unjust, selfish and violent society. Child abuse is...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Jeoffry Gordon ·
Thank you for being so concerned and so passionate. As an advocate for good medicine and good therapy and for helping traumatized kids, I recognize some of your concerns, but others, in my experience, are not as significant as you think. (1) There is a lot of family violence, We have to do everything we can to prevent it and to treat its effects. (2) CYW is definitely not the government, Dr. BH may be part of government now but I see that as a great success in changing public policy to deal...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Marie Archambeau ·
Is it Social Justice to take disadvantaged kids (or any kids) and to collect their Name, DOB, Medicaid Number and a Billing Code representing 4 or more ACES or Less than 4 ACES and send that information to the state? Can you tell me Jeff please; is that your idea of Social Justice? It is not my idea of Social Justice and all I have seen from the California community is getting a score - nothing about how to talk to parents about the score or anything.... Just GET THAT SCORE DOCTOR. This does...
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Back-to-School in a Pandemic? Questions, Concerns, and Discussion with School Nurse, Robin Cogan

Christine Cissy White ·
Robin is a brilliant, passionate, and vocal school nurse with almost two decades of experience as a New Jersey school nurse in the Camden City School District. She is the Legislative Co-Chair for the New Jersey State School Nurses Association and she joined us last week for A Better Normal community discussion about back-to-school (or not) plans families are facing this school year. Robin serves as faculty in the School Nurse Certificate Program at Rutgers University-Camden School of Nursing...
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Asking the Right Questions: Implementing Behavioral Health Screening in a Pediatric Emergency Department

Kelly M Scott ·
Jessica Williams wants you to know that depressed kids don’t have a “look”. As the lead social worker in charge of the behavioral health screening protocol at Nemours/Alfred I duPont Hospital for Children, it’s her job to educate clinicians, staff, and families about the one thing they can do to identify kids in crisis: ask them the right questions. “Kids that appear to be depressed, whatever you think that might look like, they might not actually be depressed,” she explains. “And sometimes...
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A new program in Mississippi is helping Black mothers breastfeed. Here's why it's crucial. (upworthy.com)

The Delta Baby Cafe in Sunflower County, Mississippi is providing breastfeeding assistance where it's needed most. Mississippi has the third lowest rate of breastfeeding in America. Only 70% of infants are ever-breastfed in the state, compared to 84% nationally. There are multiple reasons why Black women are less likely to breastfeed their children. First, according to the CDC , maternity wards that serve large Black populations are less likely to help Black women initiate breastfeeding...
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Making the Case for Love, Compassion, and Positive Childhood Experiences [positiveexperience.org/blog]

Chloe Yang ·
Dr. Kanwaljeet Anand and Chloe Yang, 10/14/20, positiveexperience.org/blog A growing body of work recognizes the important health effects of highlighting and creating positive childhood experiences. Today’s blog post makes the scientific case for this, based off of an interview with Dr. Kanwaljeet Anand, professor of pediatrics and anesthesiology at Stanford School of Medicine. Below, Dr. Anand details how positive childhood experiences buffer against adverse ones and explains the biological...
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New California preventive mental health coverage puts ACEs science front and center

Laurie Udesky ·
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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From Wildfires to Childhood Trauma, a Resilience Cooperative Transformed the Way Clinics Face the Unthinkable

Diana Hembree ·
What helped Sonoma health center staffers navigate one catastrophe after another was what they had learned about trauma in the Resilient Beginnings Collaborative.
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The Relentless School Nurse: The Unset Thanksgiving Table

Robin M Cogan ·
For almost thirty years, our family hosted Thanksgiving that included extended family and friends. My kids would laugh at me when I insisted on setting the Thanksgiving table a week before the holiday. It was a joyful time in our household and evokes the sweetest memories for me of our close-knit family that has now grown up. I began hosting Thanksgiving when I was in college. The tradition started one year when my parents and younger sister headed to Florida for a long Thanksgiving weekend,...
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8 Categories of Adversity That Shape Health: Adverse Babyhood Experiences (ABEs), ACEs and ACEs+, ACREs, and More

Veronique Mead ·
As I've discovered since leaving my career as a family doctor, retraining as a somatic trauma therapist, and scouring the research for 20 years - adversity of all kinds, in all phases of our lives, and in past generations influences our health. As does discrimination. Like ACEs, these 7 additional categories of adversity shape health. They increase opportunities for prevention, identify early indicators of risk, and offer more tools for healing chronic illness and other effects of trauma.
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The Voices Of Youth Locked In San Francisco's Soon-To-Be-Shuttered Juvenile Hall

Taylor Walker (Guest) ·
By Taylor Walker, WitnessLA, February 22, 2021 On Tuesday, June 4, 2019, the San Francisco Board of Supervisors voted in favor of legislation to shutter the local juvenile hall by December 2021. The ordinance, which SF supes authored in partnership with the Young Women’s Freedom Center (YWFC), made SF the first major urban jurisdiction to choose to abolish juvenile incarceration. The city-county’s lone 150-bed youth lockup is already so close to empty — on August 15, 2020, there were 13...
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Want to empower youth in communities of color during COVID? Let them lead.

Laurie Udesky ·
Widespread reporting has revealed that the COVID-19 pandemic has devastated many poor communities of color. Less widely known is how the pandemic has affected young people in those communities. “COVID-19 has had a particularly harsh impact on youth of color,” further traumatizing [juvenile-justice] system-impacted youth and their families already struggling with disproportionately high rates of disease, death, job loss and housing insecurity,” said Jim Keddy of Youth Forward . Keddy was...
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Speakers at children & youth conference call for systems change based in love, liberation

Laurie Udesky ·
California can support children and youth by tackling the state’s — and the country’s — legacy of White supremacy and replacing it with a trauma-informed approach of love, empathy, and support.
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Local Organizations Join Together To Build HOPE and Resiliency in San Diego’s Children

Sydney Brusewitz ·
April is National Month of Hope. While hope is something we all need right now as we surpass one year of the COVID pandemic, HOPE (Healthy Outcomes from Positive Experiences) means something different in our work as ACEs Aware grantees. The YMCA of San Diego County , San Diego State University Social Policy Institute , San Diego Accountable Community for Health (SDACH) and American Academy of Pediatrics – California Chapter 3 are combining efforts as ACEs Aware grantees to work with...
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PACEs Connection: Not just another social network

Jane Stevens ·
At last week’s fabulous HOPE Summit, one person told me that they didn’t realize all the things that PACEs Connection does.
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Re: PACEs Connection: Not just another social network

Veronique Mead ·
So wonderful to see ACEs / PACEs growing exponentially like this Jane and so glad to be part of this community, of getting the word out, making connections and more. My own passion is getting this information to the medical community and all those working with people with chronic illness so we can shift our lens and incorporate the empowering tools we now know about for prevention, repair, and treatment from the very beginnings in pregnancy, labor and birth (and previous generational...
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ACEs Research Corner — April 2021

Jane Stevens ·
[Editor's note: Dr. Harise Stein at Stanford University edits a web site — abuseresearch.info — that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she posts the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens] Ma J, Lee SJ, Grogan-Kaylor A. Adverse Childhood Experiences and Spanking Have Similar Associations with Early Behavior. Problems. J Pediatr. 2021 Feb...
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Policing in schools: Redefining public safety to be supportive & healing, instead of punitive & criminalizing

Laurie Udesky ·
A recent video , shared on the national news, shows a 16-year-old Florida student being slammed to the ground by a police officer working at her school. It’s one of many such incidents of school-based police violence against students captured in videos around the country. Some of the victims are as young as five years old. About 47% of U.S. schools employ armed police officers , known as school resource officers, who are there to keep students safe. But students who attend these schools...
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Childcare providers use two- generational approach to help preschoolers from being expelled

Laurie Udesky ·
It’s shocking: Preschoolers are three times more likely to be expelled than children in elementary, middle and high school, according to figures from the U.S. Department of Health & Human Services. Boys are four times more likely than girls to be kicked out, and African American children are twice as likely as Latinx and White children. One organization with childcare centers and mental health providers in Kentucky and Ohio began a long journey 15 years ago, when they began hearing about...
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California PACEs Connection initiatives spark new connections in regional meeting

Laurie Udesky ·
Among PACEs Connection initiatives around the country, it’s well known that our social network is something like a bustling, giant town square where people share ideas, resources and any number of conversations about how to prevent childhood adversity and promote positive childhood experiences. On May 14, PACEs Connection assembled a virtual town square gathering of PACEs initiatives in California, where we have 58 initiatives sparking action all across the state. Speakers at the gathering,...
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How Meltdowns Can Manifest Resilience

Gretchen Pianka ·
As a primary care pediatrician, I spend most of my days talking about things that are hard for families. Parents ask what to do when their child won't poop on the potty. Or how to get their baby to sleep longer or how to get their teenager to wake up earlier. They ask how to get their child to sit in the car seat or what to do when they get car sick on long rides. And over the years I have developed a list of problem-solving strategies to help. But the one that has recently become my...
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California advocates press for expansion of visiting rights to incarcerated loved ones

Laurie Udesky ·
In a recent nightmare, 8-year-old Jovina dreamt that her father got COVID-19. He was getting sicker, but she and her mother weren’t able to get there in time. “There,” in her father’s case, is a cell at the California Correctional Center (CCC) in Susanville, California, nearly 300 miles from where she lives in San Jose. In Jovina’s mind are a swarm of worries about her father’s welfare, her mother Benee Vejar reports. If an earthquake shakes the Bay Area, Jovina says, “What if the building...
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Bruce Perry, Melissa Merrick discuss "What Happened to You?"

Laurie Udesky ·
Child psychiatrist Dr. Bruce Perry and Oprah Winfrey have known each other for more than 30 years. Both are deeply interested in childhood trauma and healing. But it was following a 60 Minutes segment Winfrey did in 2018 on childhood trauma, for which she interviewed Perry, that the two decided to take their work together to the next level. They tapped Oprah’s star power and worldwide reach and Perry’s deep expertise in brain science to collaborate on a book project, the recently released,...
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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

Natalie Audage ·
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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How to Help Survivors of Extreme Climate Events (psychologytoday.com)

Carey Sipp ·
By Elaine Miller-Karas MSW, LCSW Building Resiliency to Trauma Psychology Today, September 30, 2022 Mental health can suffer after extreme climate events. KEY POINTS Mental health conditions exacerbated by natural disasters include post-traumatic stress disorder, depression, and anxiety. After a disaster, the number of people needing assistance from the mental health systems strains or exceeds community capacity. There are simple strategies helpers can use to help survivors restore...
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Pediatrician is changing the way we think about teens with 'lighthouse parenting' tips (upworthy.com)

Photo by Josh Hild on Unsplash 'Lighthouse parenting' can help make raising teens less rocky. To read more of Christine Organ's article, please click here. Dr. Ken Ginsburg’s advice for parents is like a hug, TED talk and Masterclass rolled into one. As a parent of teens, I often wonder: W hy didn’t anyone tell me it would be like this? I don’t mean the warnings and complaints about how challenging the teen years are. I don’t mean all of the “just you wait” admonitions. I don’t mean the...
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North Carolina moves closer to creating nation's first ACEs-informed courts system

Carey Sipp ·
(l-r) Judge J. Corpening; Ben David, district attorney, New Hanover County; Chief Justice Paul Newby; Judge Andrew Heath, executive director, Administrative Office of the Courts of the Chief Justice's ACEs Informed Courts Task Force. David and Heath serve as Task Force co-chairs . “There is not any more important work going on in the State of North Carolina,” said Ben David, District Attorney for New Hanover County and co-chair of the Chief Justice’s ACEs-Informed Task Force . The Task force...
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The 2023 Creating Resilient Communities Summer Curriculum is Now Open for Registration

PACEs Connection is excited to roll out our summer 2023 *CRC* curriculum dates. Members who complete the CRC will qualify for a fall 2023 fellowship program.
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A catatonic woman awakened after 20 years. Her story may change psychiatry. (washingtonpost.com)

Left: April Burrell at 19 as a bridesmaid in a family wedding in 1992. Right: April in 2022 during a family visit after treatment. (Illustration by Chelsea Conrad/The Washington Post; Family Photo; Tim Sorel) To read more of Richard Sima's article, please click here. New research suggests that a subset of patients with psychiatric conditions such as schizophrenia may actually have autoimmune disease that attacks the brain. The young woman was catatonic, stuck at the nurses’ station —...
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Patient Compliance vs. Adherence: Advancing the Health Equity Mandate

Ellen Fink-Samnick ·
Use of the term “compliance” instead of “adherence” by healthcare regulatory entities and organizations, plus practitioners, health systems and their and employees condones the blaming of patients for poor outcomes. It’s time to change this practice!
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What Children Really Need Is Adults That Understand Development

Deborah McNelis M.Ed ·
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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Empathy: Can It Make The Difference?

Deborah McNelis M.Ed ·
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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