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PACEs in Pediatrics

Tagged With "Center on the Developing Child"

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Course credit for "Childhood Adversity and Toxic Stress in Medical Care: Promoting Health and Healing Throughout the Lifespan"

Jane Stevens ·
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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Cumulative childhood risk is associated with a new measure of chronic inflammation in adulthood [The Journal of Child Psychology and Psychiatry]

Laurie Udesky ·
The CDC/Kaiser Permanente landmark ACEs study showed a dose-dependent association between ACEs and health outcomes in adulthood. In this study of 837 patients, researchers examined the association between childhood predictors, including higher ACE scores, with levels of inflammation in adulthood. Read more about the study that appeared in the Journal of Child Psychology and Psychiatry here .
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Daddy, Papi, Papa, or Baba: The Influence of Fathers on Young Children’s Development - Zero to Three

Former Member ·
In this podcast, Dr. Kyle Pruett talks about the important and unique role fathers play in the lives of young children.  Dr. Pruett is clinical professor of child psychiatry at the Yale School of Medicine and is a past president of ZERO TO...
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Data-for-Equity Research Brief [nichq.org]

Alicia Doktor ·
Child care offers a safe space for children to grow and learn while their families are at work, making it a critical resource to support healthy development. However, child care is unaffordable for the majority of working parents, especially for low-income and black and Hispanic working parents. This research brief provides insight and analysis about the challenges families face in affording childcare, which can exacerbate inequities in early childhood health and development. [For more on...
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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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Disabled Kids at Higher Risk of Abuse, Study Finds [Consumer.HealthDay.com]

Samantha Sangenito ·
Children with certain mental or behavioral disorders are at increased risk of abuse or neglect, a new study suggests. The findings add to evidence that children with disabilities face higher abuse risks. But they also suggest those risks vary depending on the type of disorder a child has. "We've known for years that children with disabilities have an increased risk of abuse," said Dr. Vincent Palusci, a pediatrician at NYU Langone Medical Center, in New York City. But the new study "took a...
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Do The Roots Of Mental Health Issues Lie In Early Childhood? [WAMU.org]

Samantha Sangenito ·
Rahil Briggs, a child psychologist, is walking the corridors of the Pediatrics department at the Montefiore Comprehensive Healthcare Center . We’re in the South Bronx, New York. It’s one of the poorest urban areas in the country. Crying babies don’t faze Briggs. She looks serene — like she’s just finished a yoga class. Briggs says babies’ brains are “sticky.” “Their brains are disproportionately receptive. So whatever we throw sticks. That’s why they can learn Spanish in six months when it...
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10 Nature Activities to Help Get Your Family Through the Coronavirus Pandemic [childrenandnature.org]

By Richard Louv, Children & Nature Network, March 16, 2020 If the coronavirus spreads at the rate that experts believe it will, schools, workplaces and businesses will continue to close. Here’s a thread of silver lining. We’ll have more time for each other and nature. And, at least so far, nature’s always open. Getting outside — but at a safe distance from other people — can be one way to boost your family’s resilience. If you spend too much time indoors, “your vitamin D level goes...
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10 Things Every Parent Should Know about Play

Former Member ·
  1.  Children learn through their play. Don’t underestimate the value of play. Children learn and develop: cognitive skills – like math and problem solving in a pretend grocery store physical abilities – like balancing...
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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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14 Ways to Show Your Child Love: Valentine's Day and Every Day [aap.org]

From the American Academy of Pediatrics, February 5, 2020 One of the most important parts of parenting is also the sweetest: showing your child plenty of love and affection. “Building strong bonds and a positive relationship with your child has a nurturing effect on their physical, emotional, and social development,” said Jennifer Shu, MD, FAAP, a spokesperson for the American Academy of Pediatrics (AAP) and medical editor of its parenting website, HealthyChildren.org. “As parents, the...
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19th Annual Conference on Child Abuse and Neglect (April 2014)

Former Member ·
Welcome to the archives of the webcasts broadcast live from the 19th National Conference on Child Abuse and Neglect April 30 – May 2 in New Orleans, Louisiana.   To watch the webcast, click on the ‘VIEW ARCHIVE’ button. ...
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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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2017 Children's Mental Health Report

Lisa Frederiksen ·
Of the 74.5 million children in the United States, an estimated 17.1 million have or have had a mental health disorder — more than the number of children with cancer, diabetes and AIDS combined. Half of all mental illness occurs before the age of 14, and 75 percent by the age of 24. In spite of the magnitude of the problem, lack of awareness and entrenched stigma keep the majority of these young people from getting help. Children and adolescents struggling with these disorders are at risk...
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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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Investment in a social pediatrics initiative

Denise Connors ·
(Cissy's note: grateful for all our Atlantic Canada Community is sharing with us all!) MONCTON (GNB) – The provincial government is investing $350,000 in the establishment of a social pediatrics demonstration site. “Social pediatrics promotes a multisectoral, interdisciplinary approach that takes into account the 12 determinants of health simultaneously to meet a variety of needs of children and their families,” said Health Minister Benoît Bourque. The demonstration site will be located in...
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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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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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Keeping Kids in Families [AECF.org]

Samantha Sangenito ·
In this data snapshot, the Annie E. Casey Foundation examines how placements for young people in foster care have changed from 2007 to 2017. Using data from all 50 states and the District of Columbia, Casey finds that child welfare systems are doing a better job of placing kids in families. At the same time, racial disparities persist for kids of all ages and progress eludes teens in care. To push for further progress, the four-page snapshot tells how states can leverage the federal Family...
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Latest ACEs science research from PubMed, March 25, 2019

Morgan Vien ·
Adverse Childhood Experiences and Household Out-of-Pocket Healthcare Costs. Schickedanz AB, Escarce JJ, Halfon N, Sastry N, Chung PJ. Am J Prev Med . 2019 Mar 13. pii: S0749-3797(18)32445-0. doi: 10.1016/j.amepre.2018.11.019. [Epub ahead of print] PMID: 30905486 Similar articles A Systematic Review of Trials to Improve Child Outcomes Associated With Adverse Childhood Experiences. Marie-Mitchell A, Kostolansky R. Am J Prev Med . 2019 Mar 13. pii: S0749-3797(19)30031-5. doi:...
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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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Lesson learned integrating ACEs science into health clinics: Staff first, THEN patients

Laurie Udesky ·
Nearly two years ago, a team of colleagues at LifeLong Medical Clinics jumped at the opportunity to integrate practices based on ACEs science to prevent and heal trauma in their patients when it joined a two-year learning collaborative known as the Resilient Beginnings Collaborative (RBC). A few months after training began, the staff realized they had to put on the brakes.
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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 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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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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Maternal and Child Health Journal Call for Papers: The ACE Study: Implications for MCH Policy and Practice

Alicia St. Andrews ·
Findings of the ACE Study have had a swift and substantial impact on MCH policy, practice and research. This issue of the journal is intended to provide a forum to enhance knowledge of the Study and its implications across the field. Topics of interest include: The aims and findings of the ACE Study, The implications of the Study and use of Study findings to shape MCH practice in clinical, program and policy settings, The import of the Study in relation to life course theory and the social...
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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 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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MOC - Part II - Foster Care Assessment (Ohio AAP)

Former Member ·
You can obtain 20 freef MOC II credits by completing this module from the Ohio AAP on Foster Care Assessment.  I just completed it and I think it is good especially for those who may not be all that familiar with the foster care system and how it...
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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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Montefiore Integrated Pediatric Behavioral Health Training Institute, May 14 & 15, 2018

Rahil Briggs ·
Monday, May 14, 2018 Albert Einstein College of Medicine Michael F. Price Center 1300 Morris Park Center, 4th Floor Bronx, NY 10461 PROGRAM DESCRIPTION Learn about our model of Integrated Pediatric Behavioral Health Services, including HealthySteps for children birth through age 5, and our evidence-informed, short-term, modularized treatment protocols for school age and adolescent: • Anxiety • ADHD • Trauma • Depression • Conduct Problems One full day of training, including electronic and...
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Montefiore Medical in Bronx screens 12,000+ kids for ACEs

Laurie Udesky ·
Creative Commons/Flickr/Family drawing by Meggy ____________________________________ Since 2016, more than 12,000 children beginning at the age of 1-years-old have been screened for adverse childhood experiences (ACEs) at Montefiore Medical Center in Bronx, New York, according to Miguelina German, the director of Quality & Research in the Pediatric Behavioral Health Integration Program and project director of Trauma Informed Care at the center. Parents of infants are asked to fill out...
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Montefiore to test out lower ACE score cut-off in pediatric patients

Laurie Udesky ·
photo/ CCO 1.0 Screening their pediatric patients for Adverse Childhood Experiences (ACEs) showed researchers at Montefiore Medical Center that their cut-off score of 4 for referring children and families for help was too high, says Dr. Dana Crawford, a pediatric psychologist and the director of the Trauma-Informed Care Program at Montefiore Medical Center in Bronx, NY. Dr. Dana Crawford Their analysis of the results not only confirmed what pediatricians had suspected, it helped them...
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Mother's attitude towards baby during pregnancy may have implications for child's development [medicalxpress.com]

Alicia Doktor ·
Mothers who 'connect' with their baby during pregnancy are more likely to interact in a more positive way with their infant after it is born, according to a study carried out at the University of Cambridge. Interaction is important for helping infants learn and develop. Researchers at the Centre for Family Research carried out a meta-analysis, reviewing all published studies in the field, in an attempt to demonstrate conclusively whether there was a link with the way parents think about...
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Mothers’ Adverse Childhood Experiences and Their Young Children’s Development [ajpmonline.org]

Alicia Doktor ·
Introduction This study examined how mothers’ Adverse Childhood Experiences (ACEs) relate to their children’s developmental risk and assessed how the association is mediated through mothers’ depressive symptoms and fair/poor health. Methods Mothers of children aged between 4 months and 4 years were recruited from the emergency department of a children’s hospital between March 2012 and June 2015 and interviewed about ACEs, mothers’ depressive symptoms and health status, and children’s...
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Mr. Rogers, Trauma-Informed Care, and the Limits of Information

Claudia Gold ·
Fred Rogers, in his 1969 testimony before the Senate subcommittee on communications in defense of public television, transforms a clearly skeptical Senator Pastore from, "Alright Rogers you've got the floor" to, "Looks like you just earned the 20 million dollars." How does he accomplish this transformation? One line from Senator Pastore gives us some insight. Several minutes into Mr. Rogers testimony he says, "This is the first time I've had goosebumps in the last two days," to which Rogers...
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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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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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NCTSN Resource List by Title

Former Member ·
The  NCTSN Resource List By Title  is an alphabetical listing of all products developed by the National Child Traumatic Stress Network. Each of the products listed is linked to provide easy access to all materials. The resource list was...
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New Health Resiliency Stress Questionnaire debuts for pediatricians, family practice, internal medicine...but anyone can use it

Susie Wiet ·
There's a new ACEs-resiliency survey in town! It came out of a conversation between two physicians having a conversation on a bus. Here's the story about how it was developed, and how to use it. Pilots were done in a pediatric clinic, internal medicine, addiction treatment center, group therapy, and psychiatric practice. It's now being used in two community clinics.
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