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PACEs in Pediatrics

Tagged With "Racism is a Factor"

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Pediatric Mental Health Care Must Be Family Mental Health Care [jamanetwork.com]

By Matthew G. Biel, Michael H. Tang, Barry Zuckerman, JAMA Pediatrics, April 6, 2020 Pediatric mental health (MH) concerns, including depression, anxiety, loneliness and social isolation, and suicide, have increased markedly in the last decade and are critical factors associated with population health. While effective interventions for these conditions have been developed and pediatric health care professionals increasingly address MH concerns as a central component of clinical practice, our...
Blog Post

We Stand in Solidarity with the Worldwide Protests for Racial Justice

In response to the police brutality and racism that caused the deaths of George Floyd , Ahmaud Arbery , Breonna Taylor and countless other African Americans and people of color, ACEs Connection supports the worldwide protests demanding racial justice. Integrating practices and policies based on the science of adverse childhood experiences (ACES) — being trauma-informed — requires us to be racially just. Our organization's vision is a world where all people thrive. Our goal is to prevent...
Comment

Re: We Stand in Solidarity with the Worldwide Protests for Racial Justice

Michael McCarthy ·
I just saw this will be airing on CBC Canada. Birth of a Family WATCH FULL EPISODE NOW< https://gem.cbc.ca/media/cbc-d.../38e815a-00d30a8d6e1 > Sunday, June 21, 2020 at 7 PM on CBC-TV THE SIXTIES SCOOP EXPLAINED [ https://www.cbc.ca/cbcdocspov/...hofafamily_scoop.jpg ] https://www.cbc.ca/cbcdocspov/...ties-scoop-explained
Blog Post

ACEs Research Corner — June 2020

Harise Stein ·
[Editor's note: Dr. Harise Stein at Stanford University edits a web site — abuseresearch.info — that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she's posting the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens] Tang R, Howe LD, Suderman M, et. al. Adverse childhood experiences, DNA methylation age acceleration, and cortisol in UK children. Clin Epigenetics. 2020 Apr...
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Re: We Stand in Solidarity with the Worldwide Protests for Racial Justice

Michael McCarthy ·
Thank you, I'm sharing these resources on social media.
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Re: We Stand in Solidarity with the Worldwide Protests for Racial Justice

Laurie Udesky ·
Thanks Michael for sharing these resources!
Blog Post

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

Jeoffry Gordon ·
Recently a family doc published a "Viewpoint" in the Journal of the American Medical Association suggesting restraint and caution in using the ACEs screening tool (Campbell TL. Viewpoint, Screening for Adverse Childhood Experiences (ACEs) in Primary Care: A Cautionary Note , JAMA Published Online: May 28, 2020, doi:10.1001/jama.2020.4365) because (1) there were no evidenced based treatments, (2) asking the questions would offend patients and parents, and (3) risk of labeling people with such...
Comment

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

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

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

Daun Kauffman ·
This Link seems to be 'off' " Co‐Occurring Youth Profiles of Adverse Childhood Experiences and Protective Factors: Associations with Health, Resilience, and Racial Disparities , American Journal of Community Psychology" ?
Blog Post

ACEs research roundup: ACEs, racism, promoting equity and resilience

Laurie Udesky ·
Racial /Ethnic Disparities in Health Care Access Are Associated with Adverse Childhood Experiences , Journal of Racial and Ethnic Health Disparities Racism , Psycho-Social Stress, and Health-related Quality of Life International Journal of Maternal Child Health and AIDS Promoting equity and resilience: Wellness navigators' role in addressing adverse childhood experiences American Psychological Association Co‐Occurring Youth Profiles of Adverse Childhood Experiences and Protective Factors:...
Comment

Re: ACEs research roundup: ACEs, racism, promoting equity and resilience

Laurie Udesky ·
Thanks Daun for letting me know. The link is fixed now!
Blog Post

The Pandemics of Racism and COVID-19 [pediatrics.aappublications.org]

By Tina L. Cheng and Alison M. Conca-Cheng, Pediatrics, August 31, 2020 COVID-19 is a recent crisis. Racism is an enduring crisis which is inflamed in the presence of other crises. The Chinese word for "crisis” is composed of two characters, one signifying "danger" and the other, "opportunity." The pandemics of COVID-19 and racism present clear danger. Our duty is to make sense of the opportunity by learning, understanding, and taking action. In this issue of Pediatrics, Cheah et al.1...
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'I don’t know how we can really achieve racial equity if we’re not hearing the voices of those whom we hope to serve'

Laurie Udesky ·
Dr. Shandi Fuller recalls that when she first assembled an all-staff meeting at the Solano County Family Health Services to show how equity and ACEs screening should go hand in hand, some staff members were bewildered. “Why are we talking about equity?” they asked. As Fuller explained to attendees at “A Better Normal,” an ACEs Connection webinar on Oct. 13, the question led her and a colleague to develop training for medical providers on this concept. The webinar was also based on extensive...
Blog Post

A Better Normal Community Discussion - Reimagining Health Care

Gail Kennedy ·
In a conversational style, join physician Drew Factor who will speak with Dr. Tracy Gaudet, Liza Guroff and An é Watts in a discussion entitled "Reimagining Health Care". Dr. Gaudet will speak about her experience engaging in transformational change at the Veterans Administration and how this has shaped the development of her own Functional Medicine Institute, while Ms. Guroff and Ms. Watts will speak about their knowledge of a Trauma-Informed Approach both at a systems (National Council for...
Blog Post

A Better Normal Community Discussion - Reimagining Health Care

Gail Kennedy ·
In a conversational style, join physician Drew Factor who will speak with Dr. Tracy Gaudet, Liza Guroff and An é Watts in a discussion entitled "Reimagining Health Care". Dr. Gaudet will speak about her experience engaging in transformational change at the Veterans Administration and how this has shaped the development of her own Functional Medicine Institute , while Ms. Guroff and Ms. Watts will speak about their knowledge of a Trauma-Informed Approach both at a systems (National Council...
Blog Post

Think beyond ACEs screening, advises California funders workgroup in new report

Jane Stevens ·
Californians have experienced an alarming epidemic of adverse childhood experiences. Between 2011 and 2017, 60 percent of Californians reported experiencing at least one type of childhood adversity; about 16 percent experienced four or more. People who experience four or more ACEs are 1.5 times as likely to have heart disease, 1.9 times as likely to have a stroke, and 3.2 times as likely to have asthma as people who have experienced no ACEs. (For more information about ACEs and ACEs science,...
Blog Post

A New Hippocratic Oath Asks Doctors To Fight Racial Injustice And Misinformation [NPR]

Jennifer A Walsh ·
First-year medical student Sean Sweat "didn't want to tiptoe around" issues of race when she sat down with 11 of her classmates to write a new version of the medical profession's venerable Hippocratic oath. "We start our medical journey amidst the COVID-19 pandemic, and a national civil rights movement reinvigorated by the killings of Breonna Taylor, George Floyd and Ahmaud Arbery," begins the alternate version of the oath, rewritten for the class of 2024 at the University of Pittsburgh...
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Intersections of Adverse Childhood Experiences, Race and Ethnicity and Asthma Outcomes: Findings from the Behavioral Risk Factor Surveillance System [mdpi.com]

By Tristen Hall, Ronica Rooks, and Carol Kaufman, International Journal of Environmental Research and Public Health, November 7, 2020 Abstract Racial and ethnic minority subpopulations experience a disproportionate burden of asthma and adverse childhood experiences (ACEs). These disparities result from systematic differences in risk exposure, opportunity access, and return on resources, but we know little about how accumulated differentials in ACEs may be associated with adult asthma by...
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New nonprofit breast milk bank launches in San Diego (sandiegouniontribune.com)

San Diego — Every year, about 260 of the tiniest premature babies in California hospitals develop an often-fatal bowel disease known as necrotizing enterocolitis, or NEC. Nobody knows what causes NEC, but a common factor in many cases is the use of formula to feed these very low-birth-weight babies because the mother’s breast milk is not available. Replacing that formula with pasteurized breast milk in every California hospital newborn intensive care unit could be a positive step in reducing...
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Launching Today, New ‘All In For Kids Fund’ Will Work to Prevent Childhood Adversity [futureswithhoutviolence.org]

Effort Aims to Prevent Childhood Trauma, Break the Cycle of Domestic Violence and Promote Healing During COVID-19 and beyond Genentech, Blue Shield of California Foundation Team with Futures Without Violence to Support Community-Led Approaches to Protect Children, Support Communities Virtual Event Series Kick-Offs New Initiative Today SAN FRANCISCO – Futures Without Violence today announced the launch of the All In For Kids Fund with a $5 million seed investment from Genentech and $1.5...
Blog Post

8 Categories of Adversity That Shape Health: Adverse Babyhood Experiences (ABEs), ACEs and ACEs+, ACREs, and More

Veronique Mead ·
As I've discovered since leaving my career as a family doctor, retraining as a somatic trauma therapist, and scouring the research for 20 years - adversity of all kinds, in all phases of our lives, and in past generations influences our health. As does discrimination. Like ACEs, these 7 additional categories of adversity shape health. They increase opportunities for prevention, identify early indicators of risk, and offer more tools for healing chronic illness and other effects of trauma.
Blog Post

Research article on ACEs and immune cell gene expression in children

Ariane Marie-Mitchell ·
Sharing our recent publication of pilot data on ACEs (assessed using the Whole Child Assessment) and immune cell gene expression in children age 5-11 years old
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Jordan Hoerr

Jordan Hoerr
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Drew Factor

Drew Factor
Blog Post

To solve the Black maternal mortality crisis, start with upending racist practices

Laurie Udesky ·
It’s been all over the news for months: Black women in the United States are dying from complications during their pregnancies or in childbirth at alarming rates, and those deaths are preventable. Less well explored is how systemic racism and historical trauma have been at the core of what’s driven up these rates over several decades. A March 20 conference entitled The Impact of ACEs on Black Maternal Health took an in-depth look into why Black maternal mortality and complications during...
Comment

Re: To solve the Black maternal mortality crisis, start with upending racist practices

Teresa Conboy ·
Thank you for the informative blog on Black maternal mortality. I am an advocate for individuals with Fetal Alcohol Spectrum Disorders (FASD). In a recent conversation with an ACEs researcher, I mentioned the strong association between prenatal alcohol exposure and childhood trauma and, in fact, suggested that FASD be considered ACEs. This suggestion is currently under consideration by her and other ACEs experts. And to the point of Black maternal health and FASD, based on the words of the...
Blog Post

Adverse Babyhood Experiences (ABEs): 10 New Categories of Adversity Before a Child's 3rd Birthday (Free Downloadable Journal Article)

Veronique Mead ·
Adverse babyhood experiences (ABEs) are a new construct derived from large bodies of evidence that identify a different group of risk factors from adverse childhood experiences (ACEs). ABEs occur before a child’s 3rd birthday to influence infant and maternal morbidity and mortality. ABEs are also risk factors for chronic illnesses and other chronic conditions in the child as well as symptoms in parents.
Blog Post

Considering Your Child's Mental Health as an Immigrant

Stanley Clark ·
Immigration can be complex. It may have different repercussions for families and individuals, especially children. Some immigrant families have the money to consult third-party advisers for their move to another country. But most immigrant families have experienced hardships, such as financial difficulties, social inequality, cultural barriers. These factors affect different generations of their family (1) . The individuals most susceptible to mental issues are the children. Even though...
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New Release: Humboldt County Home Visiting Program Environmental Scan

Jennifer Mager ·
In partnership with First 5 Humboldt and funded by the First 5 California Home Visiting Coordination Grant, the California Center for Rural Policy has just released the Humboldt County Home Visiting Program Environmental Scan. The findings and recommendations in the environmental scan are grounded in partner workgroups, interviews, and surveys that occurred in 2020-21 and capture the impact of the COVID-19 pandemic on home visiting services. Excerpts: "The organizations that provide home...
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Upcoming 6/9 Webinar and New Report and Brief: Community Strategies to Address California’s Digital Divide and Its Impact on Children and Families

Natalie Audage ·
PACEs Connection and the Essentials for Childhood (EfC) Initiative, a project of the California Department of Public Health (CDPH) and the California Department of Social Services (CDSS) have developed two new resources, “Community Strategies to Address California’s Digital Divide and Its Impact on Children and Families” Report and the “Digital Divide Brief: Community Strategies to Address California’s Digital Divide and Its Impact on Children and Families”
Blog Post

Can government policy reduce trauma?

Ariane Marie-Mitchell ·
One of the most radical implications of the literature on early childhood trauma is that abuse needs to be eliminated from all of our relationships—with our families, teachers, colleagues, and government . When government leaders create a new policy, they can proceed in a way that dis-empowers constituents, or they can proceed in a way that fosters dialogue and shared decision-making. Ironically, the development and implementation of California’s policy to address childhood trauma provides...
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Jeoff Gordon sees PACEs science, PACEs Connection playing a vital role in ‘relieving some of the most anguishing pain in our society.’

Carey Sipp ·
Note: PACEs Connection is in dire financial straits. We are asking for support, from you, our 57,586 members, to help cover the loss of foundation funding that was promised and did not come through. Pay and hours have been cut for our staff—most of us will be laid off for the month of December. Another grant will pick up in January, but we will still be underfunded. Since sounding the alarm this summer, we’ve raised about $26,000 . Thankfully, about 25% of new donors are making monthly...
Blog Post

Exploring the Connection Between Adverse Childhood Experiences and Diabetes

Charlie Fletcher ·
Life is hard. None of us makes it through unscathed. Unfortunately, though, some of us have a much tougher journey on this planet than others. Most distressingly of all, children and babies are by no means immune from the wounds that this world all too often inflicts. Indeed, for many children, trauma is not a future threat but a present reality. And these adverse childhood experiences (ACE) can have a devastating long-term impact across all domains of a child’s life. This includes...
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How much would the NAS poverty reduction packages reduce referrals to CPS and foster care placements? Would they reduce racial disproportionality in child welfare? (nasonline.org).

Carey Sipp ·
Because of a collaboration with Columbia University and UW-Madison, we have answers to these questions. By Peter Peter Pecora, Casey Family Programs, March 17, 2023 - Overview The National Academy of Sciences (NAS) recently released a “ roadmap ” to reduce child poverty by as much as half through the implementation of a series of social policy packages. The aim of this study was to simulate the reductions in Child Protective Services (CPS) involvement and foster care placements that are...
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Health Equity and the Social Determinants of Health Are NOT Synonyms

Ellen Fink-Samnick ·
Successful health equity strategies must be inclusive, and focus on all marginalized and minoritized persons and their communities. Any lesser view will continue to yield a faulty health equity equation.
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Trauma-Informed Competency Set for Undergraduate Medical Education

Ellen Goldstein ·
The National Collaborative on Trauma-Informed Health Care, Education and Research (TIHCER) presents: Trauma-Informed Competency Set for Undergraduate Medical Education Trauma is nearly universal and a root cause of numerous health and social problems, including 6 of the 10 leading causes of death. Research has substantiated the profound impact of trauma on the brain and body - and why trauma training is critical to the education and practice of health professionals. Yet a critical lag...
Blog Post

Trauma-Informed Competency Set for Undergraduate Medical Education

Ellen Goldstein ·
The National Collaborative on Trauma-Informed Health Care, Education and Research (TIHCER) presents: Trauma-Informed Competency Set for Undergraduate Medical Education Trauma is nearly universal and a root cause of numerous health and social problems, including 6 of the 10 leading causes of death. Research has substantiated the profound impact of trauma on the brain and body - and why trauma training is critical to the education and practice of health professionals. Yet a critical lag...
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