Tagged With "ACEs research"
Blog Post
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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Parental verbal affection and verbal aggression in childhood differentially influence psychiatric symptoms and wellbeing in young adulthood (Child Abuse and Neglect)
Abstract Previous research has shown that exposure to parental verbal aggression is common and associated with increased levels of depression, anxiety, dissociation, and drug use. A key question that has not been addressed is whether...
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Re: CANarratives.pdf
This presentation, aimed at health care professionals, was put together by: Frank Putnam, MD, UNC at Chapel Hill, NC William Harris, PhD, Children’s Research and Education Institute and New School for Social Research, NYC, NY Alicia Lieberman, PhD, UCSF, San Francisco, CA Karen Putnam, PhD, UNC at Chapel Hill, NC Lisa Amaya-Jackson, MD, Duke University, Durham, NC
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Re: Resource List -- Research & Reports
Here is an additional working paper that may be useful: Adopting ACEs Screening and Assessment in Child Serving Systems Drawing information from four research studies addressing adversity and trauma, CAFRU researchers share early lessons and findings documenting trauma effects with those in three service systems: early learning and K-12 education, primary health care, and youth development. Click here for the full PDF text .
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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: Pediatric Symposium at National ACEs conference offers lessons learned and the way forward
Hi Tina, Thanks for writing in and raising valid concerns and questions. The idea of informed consent is so critical. When I interviewed Dr. Jack Shonkoff about biomarkers and behavioral markers and the work of the JPB Research Network on Toxic Stress, he raised several of the points you make about informed consent and also about how ACEs scores provide population level data. Here's the link to that story: https://www.pacesconnection.com...silience-in-children . On the question of the value...
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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: The use of ACE scores for individuals
Have you joined the website NPPC ACEs? They have links to most of the relevant research there. I think your question shows a bit of a difference in thinking from those who are using ACEs screening. It is not as simple as an ACE of 4 needing a referral. That would be simple. It is possible that a person with an ACE of 6 has a good relationship with a caregiver, feels safe most of the time, has good school and church support, and no current medical or mental health issues. They don't currently...
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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: I’m Sick of Asking Children to Be Resilient [nytimes.com]
I am sick of it too. I am a Diaper Bank Member of the National Diaper Bank Network, a national non-profit founded by Joanne Goldblum in 2011. See Huggies Every Little Bottom Study/2010. One in three mothers continue to report they struggle to afford an adequate supply of diapers to diaper their babies. I first became aware of "diaper need" when I started working at a Food Bank after retiring from maternity nursing. Since then, I've learned that mothers who elect to bottle feed, may find...
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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
Blog Post
Doctor-patient role-playing featured in ACEs Connection webinar
On an ACEs Connection webinar on Monday, Dr. Andrew Seaman, an assistant professor at Oregon Health & Science University, showed how he navigates his students through the science of adverse childhood experiences (ACEs). And, in an unusual twist for a webinar, Seaman and O’Nesha Cochran, a peer mentor with the Mental Health Association of Oregon, role-played doctor-patient interactions to show how to develop the skills to communicate with patients with high ACE scores. About 90 people...
Blog Post
Doctor-patient role-playing featured in ACEs Connection webinar
On an ACEs Connection webinar on Monday, Dr. Andrew Seaman, an assistant professor at Oregon Health & Science University, showed how he navigates his students through the science of adverse childhood experiences (ACEs). And, in an unusual twist for a webinar, Seaman and O’Nesha Cochran, a peer mentor with the Mental Health Association of Oregon, role-played doctor-patient interactions to show how to develop the skills to communicate with patients with high ACE scores. About 90 people...
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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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DULCE helps pediatricians in Oakland, CA, prevent toxic stress in newborns
On a recent day in early March, Laura Lopez met a former patient of hers in the waiting room of Highland Hospital’s pediatric clinic in Oakland, CA. The patient had forgotten her Medi-Cal card and called Lopez asking for help. But in the brief conversation, Lopez, a family specialist with the DULCE program, learned about some dire changes in the patient’s life. Laura Lopez “Without me even asking, she shared with me that she had separated from her partner, that she needs to apply for food...
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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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Ending Child Poverty Now (Children's Defense Fund)
On Wednesday, the Children’s Defense Fund (CDF) released a new report titled, “ Ending Child Poverty Now .” In conjunction with the report release, the Academy joined CDF for a press conference on the...
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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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Family Resilience And Connection Promote Flourishing Among US Children, Even Amid Adversity [healthaffairs.org]
Flourishing and its predictors and links to health outcomes are well documented in adults, including among those facing adversities. Less is known about flourishing and its correlates among children, especially those who face circumstances such as adverse childhood experiences (ACEs), chronic illness, or poverty. Studies show that flourishing is distinct from an absence of physical or mental illness and other adversities; that flourishing can and does exist amid these circumstances; and that...
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Few doctors talk to patients about guns; experts say they want that to change [vcstar.com]
By Cheri Carlson, VC Star, June 15, 2019. Doctors and other health care providers often feel that they have a role in preventing firearm injury. But few talk to their patients about the risks. That’s what a group of physicians and researchers say prompted them to try to help. This month, a clinical guide to recognize patients' risk of firearm injury was published in the Annals of Internal Medicine’s “In the Clinic” series. Its authors came from the UC Davis Violence Prevention Research...
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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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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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Free webinar from Chandra Ghosh Ippen, PhD on "When We Are Scared..."
In this excellent free webinar, Chandra Ghosh Ippen, PhD, Associate Director of the Child Trauma Research Program at University of California, San Francisco, and Director of Dissemination and Implementation for Child-Parent Psychotherapy, talks about how to use her picture story book Once I Was Very Very Scared to help children and families heal from acute and chronic trauma. The webinar will be available in Spanish soon. https://www.youtube.com/watch?v=DcAPbDpgoso
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Governor Newsom announces Nadine Burke Harris to be CA's first-ever surgeon general
Governor Gavin Newsom today announced the appointment of Dr. Nadine Burke Harris, a national leader in pediatric medicine, to serve as California’s first-ever Surgeon General. There is overwhelming consensus in the scientific community around early warning signs and childhood determinants of serious health outcomes. As California's Surgeon General, Dr. Burke Harris will urge policymakers at every level of government and leaders across the state to consider the social determinants of health,...
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Health Care Reform as a Vehicle for Promoting Children’s Mental and Behavioral Health (IOM - Discussion Paper)
Most mental health conditions emerge in childhood and adolescence (Kessler and Wang, 2008; IOM and NRC, 2009), and many develop in the context of the same risk factors as physical disease (Mistry et al., 2012; Shonkoff et al., 2009). Similarly, many...
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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 New Parents Make Room for Uncertainty
A new program for parents and infants, thanks to generous support from Mill Town Capital , is coming to Pittsfield, Massachusetts. The Hello It’s Me Project shines a spotlight on these tender new relationships, investing resources around the birth of a baby with the long-term goal of building a healthy community from the bottom up. When world-renowned child development researcher Dr. Ed Tronick spoke in the spring of 2018 for an audience of a wide variety of practitioners in Berkshire County...
Blog Post
Helping New Parents Make Room for Uncertainty
A new program for parents and infants, thanks to generous support from Mill Town Capital , is coming to Pittsfield, Massachusetts. The Hello It’s Me Project shines a spotlight on these tender new relationships, investing resources around the birth of a baby with the long-term goal of building a healthy community from the bottom up. When world-renowned child development researcher Dr. Ed Tronick spoke in the spring of 2018 for an audience of a wide variety of practitioners in Berkshire County...
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Helping Young Children Exposed to Trauma: A Systems Approach to Implementing Trauma-Informed Care [chdi.org]
By Alysse Loomis, Ph.D. Kellie Randall, Ph.D. Jason Lang, Ph.D., CHDI, June 2019. This IMPACT provides a summary of the research on the effects of early trauma exposure, discusses what Connecticut is doing across systems to support young children who have experienced trauma, and outlines a framework to expand Connecticut's robust system of trauma-informed care for older children to include younger children. There are more than 228,000 children under the age of six years old in Connecticut,...
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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,...