Tagged With "ACEs in Medical School"
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Parent Handouts: Understanding ACEs, Parenting to Prevent & Heal ACEs (English)
Please see the main post for these parent handouts in the ACEs Connection Resources Center. These two flyers ( Understanding ACEs and Parenting to Prevent & Heal ACEs ) can be downloaded, distributed, and used freely. One is brand new and the other is a revision. Both flyers were made with generous support from Family Hui, a Program of Lead for Tomorrow. Translations of these flyers are in progress and will be shared by Family Hui and updated on ACEs Connection when available.
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Re: The Relentless School Nurse: Pediatricians + School Nurses = Powerful Partners
Hi Robin, Thanks so much for linking to your blog here! I wonder if you know of any existing collaborations between pediatricians and school nurses around ACEs prevention? It's great that you're writing about this, particularly because so many who are involved in preventing ACEs understand the need for cross sector collaboration. I wonder if you saw my article that was posted in ACEs in Pediatrics about Kavitha Selvraj, a pediatrician and former teacher, who is also a member of this forum.
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Re: A New Documentary About Breaking the Cycle of Trauma is Launching This Fall!
Hi Charlotte, This sounds fantastic! I live in the UK, do you this it is possible atal to have access to this screening please? I work within Maternity and believe it is vital to screen Mothers (and fathers) for ACEs and intervene with appropriate supports to try break this cycle! Brilliant work👍🏻
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Re: A New Documentary About Breaking the Cycle of Trauma is Launching This Fall!
Hi, Just to add to my earlier post please. If possible I would love to show this screening to my University Cohort (1st 2nd and 3rd year Student Midwives). It is essential for all professionals to understand this information and be educated on the impact of parental/maternal ACEs and the intergenerational impact which can be mitigated by screening and having multidisciplinary supports in place! If possible I would love to help share your fantastic work within my community x
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Re: Boston’s architect of community well-being: Pediatrician Renée Boynton-Jarrett
Christine, thank you for this instructive and inspiring post. I just received an inquiry about ACEs and trauma-informed training for pediatric practices and wanted to know more about the training Dr. Boynton-Jarrett participated in that was "provided by an interdisciplinary group of clinicians and service providers at Boston Medical Center, with a Vital Village community resident partner at the table." Do you have a way to contact the trainers? Thank you, Elizabeth
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Re: 9 Big Questions as California Starts to Screen Kids for Trauma, ACEs [salud-america.org]
the links to read the whole article don't work
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Re: 9 Big Questions as California Starts to Screen Kids for Trauma, ACEs [salud-america.org]
HI Priya, Thank you. It should be fixed momentarily.
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Re: 12 Things I Wish My Doctor Understood About Childhood Trauma
Thank you, Anna. Patients' stories are so helpful to all of us clinicians. My colleagues and I are teaching students and residents about ACEs and how to talk to adults about ACEs. We are also working on a set of competencies that we hope will be adopted into medical school curricula all over the country. Physicians are starting to learn - but there is a long way to go!
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Re: 12 Things I Wish My Doctor Understood About Childhood Trauma
Re: 12 Things I Wish My Doctor Understood About Childhood Trauma
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Re: Webinar: Understanding Adverse Childhood Experiences: Perspectives on Hope & Resilience
Will this be available for viewing after it is first aired live for those who can’t tune in at that time? Thank you! On Tue, Apr 14, 2020 at 10:47 AM ACEsConnection < communitymanager@acesconnection.com> wrote:
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Re: Webinar: Understanding Adverse Childhood Experiences: Perspectives on Hope & Resilience
Hi Julia, Yes this will be recorded and available on www.njaap.org . Once it's available, we'll share the link. Thanks so much for your interest! Aldina
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Re: NJ medical school program requires all first-year students to learn about ACEs science
Bravo! Great work!!! This work improves patient care and builds resilience in medical students. A path to control stress and prevent burn out in medicine and the health care system. We need more physicians like Dr. Pletcher. Suzanne Frank,MD Santa Clara County,CA ACEs Network Steering Committee
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Re: So you've screened for ACEs...Now what?
Margaret, Thanks so much for posting this. I think the more discussion about ways to address the questions posed in this post, the easier it will be for health care providers to move forward on implementing ACEs screening.
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Re: As California Moves to Screen Children for Childhood Trauma, Poverty Has To Be Part of the Equation
Hi Jim, I completely agree that poverty is important, but add these two comments for consideration: 1) The AB340 work group already recommended that trauma screening include ACEs and other social determinants such as poverty. We recommended for use the Whole Child Assessment, the PEARLS, or any other tool that a pediatrician wants to use that meet these criteria; 2) While poverty is important, it is NOT the same as ACEs. The literature on ACEs guides us toward specific interventions. While...
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Re: Review of ACE studies confirms supporting parent-child relationship is key
Dear, Dr. Ariane Marie-Mitchell, Please contact Megan V. Smith PhD of Yale University. Diaper Need is an ACE. Add diaper need to the WCA. Calista Scott, MSN, Director Diaper Bank of Skagit County (WA) Member of the National Diaper Bank Network http://www.nationaldiaperbanknetwork.org
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Doctors and teachers could team up to reduce stress in schools [reuters.com]
(Reuters Health) - - Partnerships between teachers and doctors could help students and school staffers better deal with “toxic stress,” suggests a former teacher turned doctor. Pediatricians can help build resilience in both children and teachers to counter the effects of traumatic childhood experiences, poverty and violence, Dr. Kavitha Selvaraj of the Ann and Robert H. Lurie Children’s Hospital in Chicago writes in the journal Pediatrics. “Before I was a pediatrician, I was a teacher, and...
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Doctors, Is It O.K. if We Talk About Why Finger-Wagging Isn’t Working? [nytimes.com]
Doctors give a lot of very good advice. Over the years, my primary care doctors have suggested better eating habits, more exercise, improved sleep hygiene, not carrying such a heavy shoulder bag, even exercises to improve my posture. The problem is, I am not sure I have ever made any changes in my behavior as a direct result. That would not come as a surprise to Ken Resnicow, a professor at the University of Michigan School of Public Health. “Finger-wagging doesn’t work,” he said. “There’s...
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Documentary Broken Places uses archival footage to tell stories of ACEs and resilience over time
Why do children exposed to the same level of adversity in childhood have different outcomes? Why do some thrive and others become completely damaged? These were the kinds of burning questions that prompted filmmaker Roger Weisberg to produce the documentary Broken Places , which was shown in a private screening at the 2018 National ACEs Conference in San Francisco. The film delves into the adverse childhood experiences (ACEs) that each of the adults profiled in it endured first as children.
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Dozens of Kaiser Permanente pediatricians in Northern California screen three-year-olds for ACEs
Since August 2016, more than 300 three-year-olds who visited Kaiser Permanente’s pediatric clinics in Hayward and San Leandro have been screened for adverse childhood experiences (ACEs), such as living with a family member who is an alcoholic or losing a parent to separation or divorce. But when the idea to screen toddlers and their families for ACEs was first broached at the Kaiser Permanente Hayward Medical Center, the staff were, in a word, “angsty,” says Dr. Paul Espinas, who led the...
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Dozens of stakeholders representing thousands of practitioners send public comments on Calif. ACEs-screening plan
Update: We posted this story on Tuesday evening and received a response from the Department of Health Care Services Wednesday that clarifies additional information. DHCS information Officer Katharine Weir said that subject to budget approval by the legislature and the governor: The reimbursement rate will be $29. Federally Qualified Health Centers will also be reimbursed for screening pediatric patients for trauma through Prop 56 funds and federal matching funds. In response to a question...
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Dr. Nadine Burke Harris Presents at SCVMC-Pediatric Grand Rounds
Dr. Nadine Burke Harris presented today at Santa Clara Valley Medical Center during Pediatric Grand Rounds to a full room (standing room only) of pediatricians, nurse practitioners, physicians assistants, public health professionals and allied medical staff. With the show of hands, many of us in the room were familiar with ACEs science and the health impacts of toxic stress. With ease, Dr. Burke Harris dove into great detail of our bodies response to toxic stress and the multitude of...
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Early Bird registration ends Feb 2 for the AAP Trauma Informed Pediatric Provider Course
Early bird registration ends soon for the 2019 AAP Trauma Informed Pediatric Provider (TIPP) Course scheduled March 2-5, 2019 in San Antonio, TX. Learn from other pediatric healthcare providers about the recent science, evidence base and treatments of adversity, resiliency and toxic stress. AAP Past-President, Dr. Colleen Kraft, will deliver the keynote presentation Pediatricians as Leaders in Addressing Toxic Stress and Trauma in Children . For more information, a schedule of speakers and...
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Early childhood adversities linked to health problems in tweens, teens [medicalxpress.com]
Adverse experiences in childhood—such as the death of a parent, growing up in poverty, physical or sexual abuse, or having a parent with a psychiatric illness—have been associated with physical and mental health problems later in life. But new research at Washington University School of Medicine in St. Louis has shown that multiple adverse experiences in early childhood are linked to depression and physical health problems in kids as young as 9 to 15. Further, the researchers have identified...
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Employing an Adaptive Leadership Framework to Childhood Adversity Screening [pediatrics.aapublications.org]
By Susannah Stein, Arin Swerlick, and Binny Chokshi, Pediatrics, January 2020 Providers of pediatric health care have been motivated and inspired by the research on childhood adversity, which has shown that in the early stages of life, critical neurodevelopmental pathways can be disrupted through exposure to adverse childhood experiences (ACEs) and resultant toxic stress.1,2 Early detection of ACEs and subsequent intervention has the potential to decrease the development of associated poor...
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Even Infants Need Mental Health Care, so new Chicago Clinic Caters to Those 5 and Under [chicagotribune.com]
By Peter Nickeas, Chicago Tribune, September 20, 2019 In and around Chicago’s Little Village neighborhood, long-standing causes of friction like gun violence and poverty have for some families combined with newer fears of immigration crackdowns and deportation of loved ones — and mental health professionals hope to address toxic stress that can have long-term effects on the lives of very young children. Aiming to rectify the shortage of mental health care available to infants and children...
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Evidence-based therapies can ameliorate behavior problems in maltreated children [AAPPublications.org]
A father brings his 10-year-old to your office because the boy is having a hard time paying attention at school, gets in fights with classmates and is oppositional with his teacher. As you take the psychosocial history, it’s important to ask whether the child has been exposed to any abuse, neglect, abandonment or other traumas, according to the updated AAP clinical report Clinical Considerations Related to the Behavioral Manifestations of Child Maltreatment. [For more of this story, written...
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Expanding concepts of youth adversity: Relationships with a positive Patient Health Questionnaire-2 [Journal of Pediatric Health Care]
" Research suggests that diverse examples of adverse childhood experiences (ACEs) may link to health. This study examines relationships between conventional (abuse, neglect, household dysfunction) and expanded examples (bullying, safety perceptions) of ACEs and adolescent mental health among youth participating in a statewide school-based survey," To read more of the abstract and for full text access options, please click on the link: ...
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Explore NPPC’s New ACEs Screening Resources Website
Join the National Pediatric Practice Community on ACEs (NPPC) on Wednesday, April 25 at 12:00 PM PST for a Q&A session and a “sneak peek” of its new member website, which provides a wide range of resources to help pediatric practices make the case and implement screening for adverse childhood experiences (ACEs). NPPC is an initiative of the Center for Youth Wellness.
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First health-related cost of ACEs study shows $113 billion price tag for California; just one ACE costs $28 billion
Researchers who have been looking for a way to quantify the health toll of ACEs in dollar terms, now have an example in a newly-released study of California. ACEs exacted a toll costing an estimated $113 billion annually, according to the study in the journal PLOS One that was commissioned by the Center for Youth Wellness. ACEs-associated cardiovascular disease was the condition that lead author Ted Miller dubbed “the giant in the room.” It accounted for $29.6 billion in spending, more than...
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Five Things You Wish Your Community’s Early Childhood Programs Knew [CitiesSpeak.org]
By NLC Staff on May 10, 2019 Cities, towns, and villages are places of innovation and solution finding. If you want to improve early childhood wellbeing—local leaders are key partners. The Networks of Opportunity for Child Wellbeing (NOW) Learning Community is a program of Boston Medical Center’s Vital Village. The learning community’s goal is to support local early childhood coalitions and build their capacity to work together with the broader community to improve the wellbeing of our...
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For a pediatrician and former teacher ACEs awareness came from a punch in the face
Dr. Kavitha Selvaraj did not learn about adverse childhood experiences (ACEs) from a class in medical school. Her first awareness of ACEs came after a student slugged her in the face when she was a new teacher in a school in Los Angeles. She had heard a chorus in the hallway urging her students she refers to as “J” and “N” to “Fight! Fight! Fight,” she writes in an essay in a recent issue of the journal Pediatrics . The two were trading punches. When she stepped in the middle to break it up...
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FREE WEBINAR "Clinician Burnout or Wellness: Care Team Well-being and the Health of the Nation"
Join the Illinois ACEs Response Collaborative on Thursday, February 6th for this free webinar highlighting provider burnout and the role of team wellness in trauma-informed transformation!
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From aromatherapy to anger management: How schools are addressing the 'crisis' of childhood trauma [NBCNews.com]
Schools are experimenting with new ways to address behavior issues and support students who are struggling emotionally. By Elizabeth Chuck and Marshall Crook May 20, 2019, 11:24 AM EDT YAKIMA, Wash. — Instead of going outside for recess on a recent Friday, fifth-grader Thomas Stevenson walked down a hallway in Ridgeview Elementary School and entered a dimly lit room. Inside, lavender aromatherapy filled the air, spa-like music played and a projector broadcast clouds onto a screen. Passing by...
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Graduations, non-linear paths, & the importance of getting started
With graduation season upon us, I have been thinking a lot about one of my favorite graduation speeches. It’s the speech that Shonda Rhimes, creator of Grey’s Anatomy, gave in 2014 at Dartmouth College. She references the typical expected advice from a graduation speech: “Follow your dreams. Listen to your spirit. Change the world. Make your mark. Find your inner voice and make it sing. Embrace failure. Dream. Dream and dream big..." And then she says, “I think that’s crap.”
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Healthy Spaces December 2019 Webinars
Healthy Spaces: Promoting Healthy and Resilient Communities December 2019 Webinars The New Jersey Chapter, American Academy of Pediatrics (NJAAP) believes that all children deserve to feel safe and secure in their home, at school, and while at play. The Healthy Spaces program aims to address adverse childhood experiences (ACEs) through partnerships with pediatric/family healthcare teams, schools and communities. Preventing Child Abuse and Neglect (PCAN) Date & Time: Tuesday, December 10,...
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Hearing in House Education and Labor Early Childhood Subcommittee addresses intersection of trauma and education
Dr. Nadine Burke Harris (l) and Karina Chicote, Churchill Fellow from western Australia meet after congressional hearing After watching the hearing on a monitor in the overflow room, Karina Chicote, a Churchill Fellow from western Australia, and I hustled to the hearing room in hopes of speaking to the lead witness, Nadine Burke Harris, MD, the first Surgeon General of the State of California. She was deep in conversation with others, including a young woman who wanted to tell her how...
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Helping families cope with the trauma of school shootings
More than 214,000 students have experienced gun violence in their schools since the first tragic shooting at Columbine High School in 1998, according to data analysis by the Washington Post . The most recent incident occurred just days ago on May 18th; a student killed 10 people at Santa Fe High School in Sante Fe, Texas. The National Child Traumatic Stress Network has provided the following downloadable resources: Tips for parents on media coverage Parent Guidelines for helping youth after...
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Helping Teenagers Feel 'Connected' to School Yields Benefits 20 Years Later [blogs.edweek.org]
By Sarah Sparks, Education Week, June 24, 2019. Adolescents can be challenging for educators to keep engaged—but putting in the effort to make them feel connected to school can pay off well into adulthood. In a study published this morning in the journal Pediatrics, researchers at the federal Centers for Disease Control and Prevention tracked more than 14,000 middle and high school students over 20 years. They found that students who felt connected to their school and family as adolescents...
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Heyman Oo integrates ACEs science as foundation of pediatric care
Dr. Heyman Oo, a 34-year-old primary care pediatrician, first learned about the science of adverse childhood experiences in medical school at a grand rounds held around 2012 at Rady Children’s Hospital in San Diego, which she attended from 2009 to 2014. The presenter was none other than Dr. Nadine Burke Harris, a pediatrician who went on to become California’s first Surgeon General. The founder and former director of the Center for Youth Wellness drew millions of views for her TED talk on...
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HOPE, Engagement, and COVID19
As children grow and develop, engaging with the larger community around them provides a sense of “mattering” — a sense that their participation in the community really does matter. The emergency conditions now in effect provide numerous opportunities to children and teens to pitch in. Here are a few ideas . . .
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How collaboration helps clinic in San Mateo County, CA, tackle ACEs in children
Dr. Elizabeth Grady is a pediatrician at the South San Francisco Clinic, a community clinic of San Mateo Medical Center. She and Susana Flores , a senior public health nurse with San Mateo County Health, spoke with me about how the clinic and other health agencies in San Mateo have been able to craft ways to work together to prevent and heal toxic stress in children. Grady also talked about how she and Flores have been working with the Resilient Beginnings Collaborative (RBC), a group of...
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How do these pediatricians do ACEs screening? Early adopters tell all.
Last week, three pediatricians — with a combined experience of 15 years integrating ACEs science into their practices — reflected on the urgency they felt several years ago that prompted them to begin screening patients for childhood adversity and resilience when there was practically no guidance at all. Along their journey , they accumulated a list of lessons learned for other pediatricians and family clinics to use. The three pediatricians participated in the ACEs Connection webinar,...
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How Does Trauma Affect a Person’s Interaction with Their Child? (www.nicabm.com) & Commentary
Has anyone seen this video posted on the National Institute for the Clinical Application of Behavioral Medicine (NICAMB) blog? "According to Dr. Ruth Lanius, a parent's experience of trauma can impact their ability to form a close, intimate relationship with their child." Ruth Buczynski, PhD Those of us Parenting with ACEs sure know that's the truth. Developmental trauma impacts our ability to form close and intimate relationships with ourselves, other adults and our children. The video was...
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Hundreds Attend ACEs Town Hall Featuring California Surgeon General Nadine Burke Harris (with video) [northcoastjournal.com]
By Iridian Casarez, North Coast Journal, November 22, 2019 The Sequoia Conference Center on Humboldt County Office of Education’s campus was at capacity, 448 people had landed a seat — while at least another 100 watched from a live stream in a separate room. The draw was a conversation among California’s first Surgeon General Nadine Burke Harris and a panel of locals spearheading Humboldt County’s efforts to alleviate the impacts of Adverse Childhood Experiences, also known as ACEs. “Thank...
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Immigrant teens, parents explore ACEs, resilience in 5-week course with family doc
Dr. Angela Bymaster, a family doctor in San Jose, Calif., was determined to find a way to teach ACEs science to her patients. Teens would come to the Washington Neighborhood Clinic clearly depressed by a range of problems at home that were contributing to risky sexual behavior and marijuana use, as well as preventable health problems like extreme obesity.
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Researchers share learned lessons from screening for adverse childhood experiences in pediatric clinics
What are the reasons that parents or caregivers do not fully disclose their own or their young children’s ACEs when asked to fill out an ACE screening form in their child’s pediatrician’s office? That was one of the many questions raised in a recent webinar entitled Screening for Adverse Childhood Experiences in the Pediatric Primary Care Setting: Practical Considerations and Lessons Learned . Dr. Kavitha Selvaraj, an attending physician at the Ann & Robert H. Lurie Children’s hospital...
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In ACEs Connection webinar, physicians talk trauma, offer tips for helping pediatric immigrant patients
Dr. Raul Gutierrez, a pediatrician in the San Francisco Bay Area, said he and his fellow clinicians see constant fear and its health consequences every single day among the largely immigrant and Latino population they serve. It’s all the result of anti-immigrant policies and the news cycle that feeds the fear. Dr. Raul Gutierrez “It is almost inescapable with the repercussions of immigration policy on the radio, television, social media and from friends and family,” Gutierrez told the 69...
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Increasing Resilience: Primary Healthcare Providers' Opportunities to Promote Protective Factors Before and After Childhood Trauma [avahealth.org]
By Machelle D. Madsen Thompson and Bart Klika, Academy on Violence and Abuse, March 2020 Lifespan research reveals that although ACEs are common, many people are able to move toward recovery and achieve reportedly good functional status. This resilience does not occur in isolation but is supported by a composite of protective factors that empower a child to return to functional status following ACEs. Resilience is observed when a child is immersed in positive influences, such as supportive...
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Inequality in Children's Brain Development - UC Davis Center for Poverty Research
Friday, February 23, 2018 - 3:10pm - 4:30pm | 2203 SS&H, Andrews Conference Room Kimberly Noble, Associate Professor of Neuroscience and Education, Columbia University MORE INFO Dr. Kimberly Noble is a developmental cognitive neuroscientist and pediatrician who studies socioeconomic disparities in children’s neurocognitive development. She received her undergraduate, graduate, and medical degrees from the University of Pennsylvania and trained at the Sackler Institute for Developmental...