Tagged With "childhood trauma"
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September 2017 Special Issue of Academic Pediatrics: Child Well-Being and Adverse Childhood Experiences in the US
The United States is on the threshold of advancing much needed improvements in child and population well-being by addressing the epidemic of adverse childhood experiences and finding ways to come together, use what we know, and heal and catalyze a new epidemic of child and family flourishing. A special issue of Academic Pediatrics highlights new national research with inspiring commentaries across a wide range of leaders, each of whom calls out the critical importance of an immediate, strong...
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Beyond Paper Tigers is Back!
Back for the second year, Beyond Paper Tigers conference will take place June 28th and 29th in Walla Walla, WA. Featuring Dr. Ken Ginsburg from Children's Hospital of Philadelphia as the keynote speaker, BPT builds on the story of one community and how they've learned that embracing trauma-informed care and implementing ACEs science truly takes a village. Operationalizing the latest in brain science, BPT will provide concrete strategies for intervention with youth, families, and communities...
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Beyond Trauma: Building Resilience to ACEs (brochure)
Wish you had a fairly easy and short way to share all about ACEs? Wish it was in-depth enough to share with teachers, doctors, nurses and therapists but not so long or jargony it puts family and friends to sleep? Here's the perfect thing to share when you've been all up in the faces with ACEs and want to back up your words before, during or after. This brochure is comprehensive but not so long that it remains in the "I'll get to it later," pile. Please feel free to print, forward, download...
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Bill On Governor’s Desk Aims To Reduce Childhood Trauma By Diverting Parents Into Treatment, Instead Of Prison [witnessla.com]
By Taylor Walker, Witness LA, September 13, 2019 An estimated 10 million US children have parents who are currently locked up, or who have previously been incarcerated. A bill currently on Governor Gavin Newsom’s desk, SB 394, seeks to reduce the number of parents and children separated by incarceration by boosting diversion. Children arguably suffer the worst consequences of mass incarceration. In 2014, a UC Irvine study found that having a parent behind bars can be more damaging to a kid’s...
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Book: Integrated Early Childhood Behavioral Health in Primary Care: A Guide to Implementation and Evaluation
Edited by Dr. Rahil Briggs, Integrated Early Childhood Behavioral Health in Primary Care: A Guide to Implementation and Evaluation , the book focuses the primary care environment as an ideal venue in which to promote preventive, two-generation, behavioral health efforts. The book, with a foreword from Dr. Jack Shonkoff and published by Springer in 2016, Outlines the implementation of integrated early childhood behavioral health programming into pediatric primary care, Explores the process of...
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Book review: "Once I was very, very scared," a book on childhood trauma
The past few years have brought a wealth of evidence for the impact of childhood trauma on lifelong health. The AAP has recognized the importance of childhood trauma with conferences (2015 Violence, Abuse and Toxic Stress: An Update on Trauma-informed Care in Children and Youth) and resources ( AAP Trauma Toolbox for Primary Care .) Like many pediatricians, I have been grateful for the attention to and evidence base for an area of pediatrics I see on a daily basis but for which I have felt...
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Book review: "Once I was very, very scared," a book on childhood trauma
The past few years have brought a wealth of evidence for the impact of childhood trauma on lifelong health. The AAP has recognized the importance of childhood trauma with conferences (2015 Violence, Abuse and Toxic Stress: An Update on Trauma-informed Care in Children and Youth) and resources ( AAP Trauma Toolbox for Primary Care .) Like many pediatricians, I have been grateful for the attention to and evidence base for an area of pediatrics I see on a daily basis but for which I have felt...
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Boston’s architect of community well-being: Pediatrician Renée Boynton-Jarrett
She talks with parents about the relationship between childhood adversities they have experienced and how that may have an impact on parenting.
“I frame things a bit more broadly than ACEs,” she said, “because I think it’s very important to reflect on a broader number of exposures than were covered in the original study, such as poverty or structural violence and racism.”
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Bringing trauma-informed care to children in need can ease toxic stress [statnews.com]
During my 22 years as a pediatrician in an urban area, I have seen the worst of what America’s children must sometimes endure. Severe medical illness in children is thankfully rare. But severe adversity in homes and communities is all too common and causes toxic stress that has long-term consequences for my patients and future generations. A 6-year-old patient of mine called 911 on the third day that she and her younger siblings couldn’t wake their intoxicated mother. We cared for their...
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Building a Movement to Birth a More Just and Loving World [Groundswell March 2018]
The National Perinatal Task Force: Building a Movement to Birth a More Just and Loving World - In my 20 years as a public health nurse, I've never seen race called out so clearly in a report like this. Data has shown disparities, however the data was presented in a tidy way — very apolitical, purposely written to not ruffle any feathers or point fingers - " persistent racial gap ". This report written by The National Perinatal Task Force is refreshingly honest and this is important. We need...
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Building a Trauma-Informed Approach with Pediatric Physical Therapists
In the profession of physical therapy (PT), the word "trauma" typically leads one to think of the physical manifestations of a catastrophic injury, subsequent emergency medical care, and lengthy rehabilitation services. However, the psychological aspects of trauma are not always as visible. Throughout an individual’s lifespan, PTs will provide services to restore function, manage pain, and increase physical activity. We provide education, hands-on care, and therapeutic exercise to improve...
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Building Resilience Grant
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Building trust is now a critical part of health care
In a video clip , a hospital patient turns away in protest as a physician enters the room. “Why do you all keep coming in my room!” she asks in frustration. The physician moves a chair out of the way and sits down at eye level with the patient. “You’ve had to see so many people,” he acknowledges. “And I’m tired of it!” she yells. “I already know I have to get both of my legs cut off. That’s what they keep saying. I don’t have a choice!” “You don’t feel like you have a choice,” he repeats...
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CA announces robust perinatal depression prevention for Medi-Cal recipients
Melinda Coates experienced a tumultuous pregnancy. “I was really mentally upset literally from day one (of the pregnancy),” she says. (Melinda Coates is a pseudonym. To protect her and her children’s privacy and safety, we are not using her real name.) Coates had hoped to get counseling last October, when she was seven months pregnant. That’s when she enrolled in the state’s Medi-Cal program, shortly after she and her abusive husband moved to California, “but nobody was able to get me in...
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CA announces robust perinatal depression prevention for Medi-Cal recipients
Melinda Coates experienced a tumultuous pregnancy. “I was really mentally upset literally from day one (of the pregnancy),” she says. (Melinda Coates is a pseudonym. To protect her and her children’s privacy and safety, we are not using her real name.) Coates had hoped to get counseling last October, when she was seven months pregnant. That’s when she enrolled in the state’s Medi-Cal program, shortly after she and her abusive husband moved to California, “but nobody was able to get me in...
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CA pediatrician develops, tests, gets state OK for whole-child assessment tool that includes ACEs
Over the last dozen years or so, many pediatricians, astounded by the ramifications of the science of adverse childhood experiences (ACEs) on the children they care for, began integrating this science into their practices. The most common approach has been to ask parents about ACEs using a questionnaire, and to use this information to counsel parents and identify resources for the family. Different practices have been using different questionnaires: Some ask parents for their ACE scores...
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CA pediatrician develops, tests, gets state OK for whole-child assessment tool that includes ACEs
[Editor's note: This blog was first posted in April 2017. Dr. Marie-Mitchell updated the assessment by modifying a few of the questions, so we are republishing with the new assessment, one in Spanish and one in English.] Over the last dozen years or so, many pediatricians, astounded by the ramifications of the science of adverse childhood experiences (ACEs) on the children they care for, began integrating this science into their practices. The most common approach has been to ask parents...
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CA Surgeon General and DHCS Launch ACEs Aware Initiative and Website
Join a live webinar with California Surgeon General Dr. Nadine Burke Harris and Dr. Karen Mark Medical Director, Department of Health Care Services for a Medi-Cal provider introduction to the new ACEs Aware Initiative and the www.ACEsAware.org website. The Office of the California Surgeon General and the Department of Health Care Services (DHCS), in the first public unveiling of the initiative, will host a live webinar to share details of the new ACEs Aware Initiative for Medi-Cal providers...
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CA to reimburse for only one of three ACEs screeners
California health care providers will soon begin to learn how many of the 13.2 million California children and adults in the state’s MediCal program have been exposed to adverse childhood experiences (ACEs). But the state’s proposed decision to reimburse only one of three recommended options for screening children has drawn mixed reactions from pediatricians. “If we have mandated legislation that only looks at one screening tool, it really limits the opportunity to improve that screening...
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California ACES Learning & Quality Improvement Collaborative (CALQIC) - Opportunity to be a part of the Learning Collaborative!
Apply to be a part of ACEs Aware's California ACES Learning & Quality Improvement Collaborative (CALQIC) In partnership with the UCSF Center to Advance Trauma-Informed Healthcare and other key partners, we'll select 15 organizations across California to participate in this 18-month learning collaborative to support clinics in screening for and responding to adverse childhood experiences (ACEs) in children and adults. This is a challenging time, and we know that many of our health care...
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California has Begun Screening for Early Childhood Trauma, But Critics Urge Caution [sciencemag.org]
By Emily Underwood, Science, January 29, 2020 On 1 January, California became the first U.S. state to screen for adverse childhood experiences (ACEs)—early life hardships such as abuse, neglect, and poverty, which can have devastating health consequences in later life. The project is not just a public health initiative, but a vast experiment. State officials aim to cut the health impacts of early life adversity by as much as half within a generation. But critics say the health benefits of...
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California healthcare providers adapt ACEs screening from in-person to virtual environment
Dr. Amy Shekarchi, a pediatrician based in Los Angeles, CA, was helping to lead the rollout of ACEs screening among 50 health care providers at six clinics affiliated with the L.A. County Department of Health Services when the COVID-19 pandemic hit—days before she was set to launch the effort. “We had trained everybody in doing face-to-face [ACEs screening], and when COVID-19 happened we thought, let’s not throw the screening out. Everybody was ready,” says Shekarchi, who is the pediatric...
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California Is Giving Doctors Incentives To Ask Patients About Childhood Trauma [capradio.org]
By Sammy Caiola, Capital Public Radio, December 9, 2019 California health officials want children and adults on Medi-Cal to get screened for traumatic childhood events that can cause negative health effects down the line. Now the state has started giving doctors and nurses tools to do the screenings. People who experience adversity early in life have much higher chances of substance abuse, depression, or chronic diseases than their peers, according to national research. Gov. Gavin Newsom’s...
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California Looks To Lead Nation In Unraveling Childhood Trauma [witnessla.com]
Imagine identifying a toxin so potent it could rewire a child’s brain and erode his immune system. A substance that, in high doses, tripled the risk of heart disease and lung cancer and reduced life expectancy by 20 years. And then realizing that tens of millions of American children had been exposed. Dr. @Nadine Burke Harris, California’s newly appointed surgeon general, will tell you this is not a hypothetical scenario. She is a leading voice in a movement trying to transform our...
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California unveils ACEs Aware initiative to screen for trauma
Will screening for adverse childhood experiences (ACEs) in California be mandatory? No, but it’s recommended. Will there be training for physicians and staff on how to screen? Yes. Who will be reimbursed for screening patients in California? Physicians who serve patients in the state’s Medi-Cal program — for now. For more answers to these and other questions that surfaced during a Dec. 4 webinar introducing Californians to a new statewide initiative, read on. Come January 1, California will...
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Call for Proposals Philadelphia Trauma Conference (March 6th)
CALL FOR PROPOSALS 4th Annual Philadelphia Trauma Training Conference Purposeful Action to Strengthen Families, Communities and Systems JULY 28-30, 2020 JEFFERSON'S EAST FALLS CAMPUS PHILADELPHIA, PA 19144 We are looking for: 90 minute presentations 3-hour intensive workshops, AND poster presentations Visit http://bit.ly/PTTCProposals to submit a proposal. DEADLINE: MARCH 6, 2020
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Call For Workshop and Poster Submissions: Third Philadelphia Trauma Training Conference
The 3rd Annual Philadelphia Trauma Training Conference: Promoting Equitable Access to High Quality Services for Vulnerable Children and Families , will be held on Thomas Jefferson University's East Falls Philadelphia Campus July 29 th -August 1st, 2019 . This unique training conference will provide an intensive, collaborative, and engaging experience to providers, educators, and leaders across health, education, and social service disciplines, as well as to community members invested in...
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Calling all People Interested in ACEs in Pediatrics
Image: courtesy of wikimedia Dear Aces in Pediatrics members: I want to let you all know that I have the honor of managing the ACEs in Pediatrics site. I began working with ACEs Connection in October. I came here with more than 25 years of experience as a health journalist, and a commitment to reporting on the remarkable shifts occurring in medicine and other sectors to promote trauma-informed and resiliency-building practices based on ACEs science . ACEs in Pediatrics is a forum for...
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Can people be saved from a terrible childhood? [theguardian.com]
When Sabrina Bugget-Kellum walked into a neighbourhood clinic in New York for a routine appointment in in 2016, she was desperate. Her son was in prison. She was trying to look after his two young children, who were aged one and two. Their mother was emotionally unstable. Bugget-Kellum did not want the chaos of the adults’ lives passed down to another generation. “We didn’t know if they would be safe with their mother,” she recalled recently. “I began to pray, please God, I need some help.
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'Can't Feel My Heart:' IG Says Separated Kids Traumatized [nytimes.com]
By The Associated Press, The New York Times, September 4, 2019 Separated from his father at the U.S.-Mexico border last year, the little boy, about 7 or 8, was under the delusion that his dad had been killed. And he thought he was next. Other children believed their parents had abandoned them. And some suffered physical symptoms because of their mental trauma, clinicians reported to investigators with a government watchdog. "You get a lot of 'my chest hurts,' even though everything is fine"...
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Care Provider Facilities Described Challenges Addressing Mental Health Needs of Children in HHS Custody [cmhnetwork.com]
By Joanne M. Chiedi, Department of Health and Human Services, September 18, 2019 Care Provider Facilities Described Challenges Addressing Mental Health Needs of Children in HHS Custody. Facilities that care for children in the Office of Refugee Resettlement’s (ORR’s) custody face the difficult task of addressing the mental health needs of all the children in their care, including children who have experienced intense trauma. According to those who treat them, many children enter the...
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Careful, It's Not Over Yet & Parenting with ACEs & PTSD
Note: Dawn Daum & Joyelle Bran dt are the featured guests on the live chat held in the Parenting with ACEs Group on Tuesday, June 13th at 10 AM PST / 1 PM PST. The topic is Parenting with PTSD & ACEs. Dawn and Joyelle are artists, activists and parents. They met a few years ago and set about creating an online community for parent survivors to working to break the cycle of abuse. Here's a small sample of the work they have done and are doing: Wrote a resource about Parenting as an...
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Caring adult relationships can make the difference for children in trauma [register-herald.com]
Social workers, law enforcement officers and other children’s advocates gathered Wednesday for the first day of the West Virginia Children’s Justice “Handle With Care” Conference to learn more about child trauma, intervention and ways to help children become successful. In a state that leads the nation for opioid overdose deaths and babies born with Neonatal Abstinence Syndrome, West Virginia children are often witnesses to and victims of trauma. The West Virginia Defending Childhood...
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Change Package is Now Available!
Click here for the Change Package : Fostering Resilience and Recovery: A Change Package for Advancing Trauma – Informed Primary Care Earlier this year, to help primary care address the impacts of trauma, the National Council for Behavioral Health, with the support of Kaiser Permanente, launched a three-year initiative, Trauma-Informed Primary Care: Fostering Resilience and Recovery . “Trauma work is not new to the National Council. With effects across the lifespan, we’ve spent the last...
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Chat Event TODAY! Menopause, Parenting & ACEs with Carey Sipp
How to Attend Chat Event on August 8th @ 10 AM PST / 1 PM EST : If You are a Member of the Parenting with ACEs Group Go to Parenting with ACEs Group on August 8th. Find Featured Chat at top. If You're Not a Member of the Parenting with ACEs Group Go to Groups, All Groups, find Parenting with ACEs Group , Join This Group. Find Featured Chat at top of page. More about the Chat: Carey Sipp is a health writer, parenting educator and trauma-informed communities advocate. She is the author of The...
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Chat Live with Sebern Fisher on ACEs Connection
"Evidence with neurofeedback suggests that trauma-informed treatment should also be brain-informed treatment- and not just to know that the brain is an issue, but to work with it directly.” Sebern Fisher, Neuofeedback in the Treatment of Developmental Trauma: Calming the Fear-Driven Brain. Neurofeedback for ACEs: Chat with Sebern Fisher Oct. 10th (10 AM PST / 1 PM EST) Chats are live, online discussions - not webinars. We gather and connect, via chat messaging to share stories, resources,...
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CHCS brief outlines foundational steps toward implementing trauma-informed care
A newly-released brief by the Center for Health Care Strategies details some practical strategies and recommendations for health care organizations seeking to implement trauma informed practices. “It draws from the experiences of pilot sites in Advancing Trauma-Inform ed Care , a CHCS-led national initiative made possible through support from the Robert Wood Johnson Foundation.” Here is a related video CHCS-organized webinar entitled Implementing Trauma-Informed Care in Pediatric and Adult...
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Chicago healthcare providers start center for ACEs science education; aim to reach all medical, health students by 2025
In 2017, Dr. Audrey Stillerman and three other women from the Chicago healthcare community founded the THEN Center . Its goal is lofty: By 2025, it wants every graduating student in medical and health sciences across the United States to apply core concepts of childhood adversity, neurobiology, resilience and health equity into their work. Dr. Audrey Stillerman Today, the THEN Center (The Collaborative Study of Trauma, Health Equity and Neurobiology) is well on its way. Its founders are...
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Child abuse could leave 'molecular scars' on its victims [medicalxpress.com]
Children who are abused might carry the imprint of that trauma in their cells—a biochemical marking that is detectable years later, according to new research from the University of British Columbia and Harvard University. The findings, based on a comparison of chemical tags on the DNA of 34 adult men, still need confirmation from larger studies, and researchers don't know if this tagging—known as methylation—affects the victims' health. But the difference in methylation between those who had...
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Child and youth advocacy centres: A change in practice that can change a lifetime [Journal of Paediatrics & Child Health]
"While often a silent and invisible issue, childhood trauma is pervasive, and has profound individual, societal and economic impacts. Many forms of childhood trauma exist, including child physical and sexual abuse. Given the prevalence, impact and availability of prevention and intervention approaches, child abuse deserves the same level of awareness, policy priority and investment as is directed to other issues of significant public health importance. The complex issue of child abuse...
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Child’s behavior may be linked to parent’s adverse childhood experiences [contemporarypediatrics.com]
Parents who have experienced adverse childhood experiences (ACEs), such as abuse, neglect, or household dysfunction, are more likely than parents without these experiences to have children with behavioral health problems, according to an analysis of data from several large, nationally representative surveys of US households that addressed ACEs and children’s behavioral problems and diagnoses. Of the more than 2500 children for whom researchers had data, one-fifth had a parent who reported...
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Childhood Stress and Adversity is Associated with Late-Life Dementia in Aboriginal Australians
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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Childhood trauma and Its lifelong health effects more prevalent among minorities [NPR Health Shots]
Photo: Woodleywonderworks/ CC 2.0 "When researchers first discovered a link in the late 1990s between childhood adversity and chronic health problems later in life, the real revelation was how common those experiences were across all socioeconomic groups. But the first major study to focus on adverse childhood experiences (ACEs) was limited to a single healthcare system in San Diego. Now a new study — the largest nationally representative study to date on ACEs — confirms that these...
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'Clear Link' Between Childhood Trauma and Substance Abuse, Addiction Doctor Says [johnsoncitypress.com]
By Jonathan Roberts, Johnson City Press, September 2, 2019 Almost half of all American children have experienced at least some form of childhood trauma. Many of these adverse childhood experiences, or ACEs, can be tied back to drug and substance abuse, but their impact may be more widespread than many perceive. In Tennessee, an estimated 49% of children have at least one adverse childhood experience, and 24.1% have at least two. Nationally, those numbers sit at 45% and 20.5%, respectively.
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Connecting with Families During Quarantine: Virtual Support and Telehealth
The New Jersey Chapter, American Academy of Pediatrics Healthy Spaces program offers this webinar to provide strategies for health care providers to provide trauma-informed care during virtual patient encounters. Drs. Nicole Leopardi and Ruth Gubernick will share guidance on outreach messaging, stress management, and positive discipline. Participants will also engage in thoughtful reflection on how to implement small tests of change to adapt patient care and support connections with families...
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Course credit for "Childhood Adversity and Toxic Stress in Medical Care: Promoting Health and Healing Throughout the Lifespan"
Dr. Beth Grady, a pediatrician at South San Francisco Clinic, developed a course called: "Childhood Adversity and Toxic Stress in Medical Care: Promoting Health and Healing throughout the Lifespan". She did the presentation on June 15, 2016, and the webinar was posted on June 22, 2016. The termination date for the webinar is June 22, 2019. Instructions for earning 1 AMA PRA Category 1 Credit TM for this enduring material: Watch the video of the presentation, which can be accessed via this...
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Cover Story November Issue of Journal of Family Practice: Childhood Adversity and Lifelong Health
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: The Trauma of Witnessing So Much Illness and Death Will Have Lasting Effects [medicinenet.com]
From MedicineNet, May 3, 2020 The tragic death by suicide this week of an emergency department physician who had been caring for COVID-19 patients in New York City underscores the huge psychological impact of the pandemic -- which will linger long after the virus is gone, experts say. "For frontline responders, the trauma of witnessing so much illness and death will have lasting effects for many," Bruce Schwartz, MD, president of the American Psychiatric Association (APA), said during the...
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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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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...