Tagged With "Medical students"
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Trauma-informed groups rev up to address race, inclusion
Eighteen-year-old Kia Hanson has always enjoyed her time as a youth leader at the East Oakland Youth Development Center (EOYDC). She’s worked mostly with five- and six-year-olds since she began in 2016. Recently, she tapped into new skills, especially if the kids were having a meltdown. Kia Hanson “If they’re off, we ask them, ‘What’s wrong?’ ‘Do you want to talk about anything?’,” she explains. “Basically asking before assuming they’re mad at the world for no reason.” What made the...
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Trauma presents unique challenges to ELL students [PilotTribune]
photo by Liz/ CC2.0 Editor's note: This excerpt from an article in the Storm Lake Pilot-Tribune in Storm Lake, Iowa highlights how teachers in the Storm Lake School District are being trained in how to recognize trauma in their English Language Learners, which make up the majority of the student population . "With 63 percent of Storm Lake’s students being English language learners (ELL), cultural diversity is a given for teachers. But the trauma inherent with immigrants and refugees in...
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Two Parkland Suicides Highlight the Lasting Impact of Trauma. Here's How Parents and Teachers Can Help Teens Who Are Struggling [time.com]
A pair of recent suicide deaths in Parkland, Fla., serve as a stark reminder of the lingering effects of trauma — and underscore the importance of providing long-term support to those who are living with its consequences. Just days after 19-year-old Sydney Aiello, who survived the mass shooting at Parkland’s Marjory Stoneman Douglas High School last year, died by suicide , police confirmed that an unnamed current student at the high school had also died by “apparent suicide .” Police did not...
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U.S. campaigns/organizations
U.S. Commission to Eliminate Child Abuse and Neglect Fatalities - Entity created under the Protect our Kids Act to give recommendations to Congress on how to address child maltreatment fatalities. Site has an overview of the group's work...
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Update on bills re: childhood adversity in California Legislature
Below is an updated table of bills that address childhood adversity in the Legislature in 2019. The list is not exhaustive, so please email Kelly Hardy with Children Now if you think a bill is missing and/or if you have any questions. Email: khardy @childrennow.org . Here are key dates for the remainder of the legislative session: July 10 = last day for bills to pass out of policy committees July 12 – August 12 = Summer recess August 30 = last day for fiscal bills to pass out of committee...
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Want to end ACEs? Ask a young student how.
Adverse childhood experiences (ACEs) are a huge threat to our students, diminishing their capacity to learn and succeed. In all thirty-three counties of New Mexico, an epidemic of trauma exists, spreading like a virus as it is passed down generation after generation. We know from the research that our students suffer when they endure ACEs in the form of abuse, neglect, hunger, and living with parents who misuse substances, are violent, and have untreated mental health challenges. We know in...
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Youth incarceration: bad ROI [BaltimoreSun.com]
As a venture investor who has invested in companies with proven approaches to improving student outcomes in Maryland and across the country, my job it is provide strong returns on the dollars I invest on behalf of my clients. My approach to...
Ask the Community
Seeking trauma-informed medical care
On the chance that someone here can offer a referral or advice, I'm looking for a trauma-informed medical doctor who can be my wife's Primary Care Physician. She is 39 years old and has gone without medical care for over 27 years as a result of her childhood trauma which involved severe neglect and long-term social isolation. I need to find a physician who is willing to communicate with me before her first appointment so I can fully explain her condition and what kind of approach will best...
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Re: Cover Story November Issue of Journal of Family Practice: Childhood Adversity and Lifelong Health
Dear Audrey, What a terrific summary and highlighting of the major points about ACEs, including the often minimized risk for autoimmune and other chronic diseases. Congrats on this huge success of getting ACEs in front of family docs and other primary care providers. I'm so thrilled to see it and am sharing on my chronic illness trauma blog and FB page and more!!
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ACE cases.pptx
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Re: Seeking trauma-informed medical care
Dear Chris, I just saw your request and that you posted this question perhaps a year ago. Seeing no other comments I wanted to check in to see if you've found good care with someone who can connect well with your wife. I was once a family doctor and ended up retraining as a trauma therapist and specializing in chronic illness. If additional support is helpful I'd suggest your wife get support for healing some of these effects of trauma she has around events from childhood as they could make...
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ParentingBook.pdf
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Medical Authorities with Academic Blinders look the other Way: Reject ACES
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
No we should not be asking these ACEs in the Peds office. I don’t think that any of our patients should have their name, DOB, medicaid number and a billing code sent to the state documenting 4 or more or less than 4 ACEs. This HAS A REAL POSSIBILITY of misuse. We took an OATH to do no harm and this could cause real harm. Also your second “expert” is Dr. Nemeroff. He has been a real proponent for psychotropic use in kids. That right there is a red flag to me.
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
Jeoffry, I share your frustrations. I give credit to JAMA for publishing several articles, over the last six months, on ACEs, but am disappointed they didn't see the value of printing your letter. No doubt all of us, who have been bitten by the ACEs bug, have multiple stories of disappointment in how others don't "get it". (Last year, I submitted a Point of View paper to JAMA, describing my experience in addressing ACEs with my patients, and it was denied.) My frustration now, as in those...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
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
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: Medical Authorities with Academic Blinders look the other Way: Reject ACES
Thank you for being so concerned and so passionate. As an advocate for good medicine and good therapy and for helping traumatized kids, I recognize some of your concerns, but others, in my experience, are not as significant as you think. (1) There is a lot of family violence, We have to do everything we can to prevent it and to treat its effects. (2) CYW is definitely not the government, Dr. BH may be part of government now but I see that as a great success in changing public policy to deal...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
I can see this information used to discriminate against disadvantaged people. Pediatricians should not be collecting scores that can be used in a harmful way against children or parents. You are basically asking a parent to put a number on the chart associated with their name that represents the "parental risk factors" for child abuse and neglect that we all know about from the various medical textbooks we use. I was looking at Zitelli and the ACE questions are listed in the section as...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
Billing Codes Directly Associated with a Score Less than 4 or 4 or more.: DHCS Operational Implementation Element Description\ Payment Effective Date January 1, 2020 Attest to Completing Training By July 1, 2020 Target Population Children and adults up to 65 Provider Types Almost all Rate $29 HCPCS Codes • G9919: ACEs score of 4 or greater, high risk • Screening performed – result indicates patient at high risk for toxic stress; education and interventions (as necessary) provided • G9920:...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
Is it Social Justice to take disadvantaged kids (or any kids) and to collect their Name, DOB, Medicaid Number and a Billing Code representing 4 or more ACES or Less than 4 ACES and send that information to the state? Can you tell me Jeff please; is that your idea of Social Justice? It is not my idea of Social Justice and all I have seen from the California community is getting a score - nothing about how to talk to parents about the score or anything.... Just GET THAT SCORE DOCTOR. This does...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
But, Alas, pediatricians are medical clinicians, not police. If they did not ask about language skills they may never uncover a hearing problem that could be treated. If they do not ask about home environment, they may overlook abuse -which they have the responsibility and skills to treat.This is not prejudice, punishment or stigmatization but caring outreach and risk assessment in the vast majority of circumstances.
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
You are correct.
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
You DO NOT NEED AN ACE SCORE to get a psychosocial history. You do not need to put a family at risk to do a psychosocial history and provide services to patients. I know. I have been doing it for 20 years. All this score can be used for when put in the medical record is to harm children, parents and families. If I were forced to get this score, I would tell all my patients that the government is forcing me to ask you questions that could put you at risk for having your children removed from...
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Emergency departments look inward to deepen practices that support traumatized patients
An interdisciplinary team of clinicians from Brigham and Women’s Hospital had a bold idea in 2017. They would completely change the way things worked in their hospital’s emergency department so that the care provided to their patients was infused with a trauma-informed approach. That means recognizing how widespread trauma is and using a myriad of techniques to mitigate its harmful effects among patients, providers and staff. The realization of just how widespread trauma is came to light in...
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Back-to-School in a Pandemic? Questions, Concerns, and Discussion with School Nurse, Robin Cogan
Robin is a brilliant, passionate, and vocal school nurse with almost two decades of experience as a New Jersey school nurse in the Camden City School District. She is the Legislative Co-Chair for the New Jersey State School Nurses Association and she joined us last week for A Better Normal community discussion about back-to-school (or not) plans families are facing this school year. Robin serves as faculty in the School Nurse Certificate Program at Rutgers University-Camden School of Nursing...
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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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Making the Case for Love, Compassion, and Positive Childhood Experiences [positiveexperience.org/blog]
Dr. Kanwaljeet Anand and Chloe Yang, 10/14/20, positiveexperience.org/blog A growing body of work recognizes the important health effects of highlighting and creating positive childhood experiences. Today’s blog post makes the scientific case for this, based off of an interview with Dr. Kanwaljeet Anand, professor of pediatrics and anesthesiology at Stanford School of Medicine. Below, Dr. Anand details how positive childhood experiences buffer against adverse ones and explains the biological...
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A New Hippocratic Oath Asks Doctors To Fight Racial Injustice And Misinformation [NPR]
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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The Relentless School Nurse: Please SAVE OUR SCHOOLS
WHYY photo credit[/caption] My school district announced that four more schools will be closed at the beginning of the 2021-2022 school year. This devastating news prompted me to write this letter that will be combined with other school staff, families, and students to ask our state and national leaders to SAVE OUR SCHOOLS. This is my twentieth year as a school nurse serving the students, families, and staff of the Camden City School District. My first twelve years were spent at Cooper’s...
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Youth Advocates are Speaking Out to Reimagine our Mental Health System
Dear Friends and Allies, This is a moment for transformation led by youth advocates—those with lived experience—to reimagine a mental health system centered on equity and justice. While concerns remain with the state's proposals on both Telehealth and CalAIM, there are some hopeful signs of reform on the horizon including: $700 million proposed in the Governor’s budget to support student mental health in schools. The updated CalAIM proposal which advocates for the removal of a diagnosis for...
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The Voices Of Youth Locked In San Francisco's Soon-To-Be-Shuttered Juvenile Hall
By Taylor Walker, WitnessLA, February 22, 2021 On Tuesday, June 4, 2019, the San Francisco Board of Supervisors voted in favor of legislation to shutter the local juvenile hall by December 2021. The ordinance, which SF supes authored in partnership with the Young Women’s Freedom Center (YWFC), made SF the first major urban jurisdiction to choose to abolish juvenile incarceration. The city-county’s lone 150-bed youth lockup is already so close to empty — on August 15, 2020, there were 13...
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The Relentless School Nurse: Feeling Simultaneously Empowered and Disempowered
When I power up the Zoom room for my bi-weekly school nurse support groups, I am never sure who will join me and what we will discuss. The conversations are confidential, no names or school districts are collected. We come together to decompress from the impact of COVID. Through the months and months of conversations, I have learned that our colleagues, me included, are experiencing moments of extremes. One school nurse shared that she can feel simultaneously empowered and disempowered. That...
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Join the movement: Significant new legislation and funding to find solutions to youth mental health crisis
There is unprecedented momentum to tackle the mental health crisis affecting our children. The universally felt isolation and suffering caused by the pandemic are helping to strip away the stigma of mental illness. In its place is an energized movement, led by advocates, that is transforming the way California provides mental health services for its most vulnerable children—the majority of whom are black and brown. This movement has captured the attention of state and local policymakers,...
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CALIFORNIA ACES ACADEMY - ACES PANEL PRESENTATION | May 13 [avahealth.org]
Thursday, May 13, 2021 | 12:00 pm - 1:30 pm (PT) Our multidisciplinary team has developed a training program to help health care trainees learn how to better address the sequelae of childhood trauma in their adult patients. We will describe the history of this program and our experiences from over 800 simulated patient encounters. ○ Describe development of an ACEs training program for health trainees caring for adult patients ○ Describe the components of the Professional ACEs Informed...
Member
Priscilla Wong
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Erin McGee
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Jessica Fagan
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Kristy Mallon
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Brittany Witt
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cynthia preston
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Dena Tartaro
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Ezekiel Park
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