Tagged With "Community Resiliency Model"
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Interim report of the President’s opioid commission says its final report will address early intervention strategies for children with ACEs
On August 8, President Trump spoke to the opioid crisis in this country and declined to declare a national emergency as recommended by the “President’s Commission on Combating Drug Addiction and the Opioid Crisis.” Instead, the President emphasized the law and order aspects of the problem and the importance of preventing drug use in the first place since addiction is so hard to overcome. The Commission will make a final report in the fall. The recently released interim report makes eight...
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4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress
Four years ago, Dr. Leslie Dempsey would never have talked about ACEs — adverse childhood experiences — with her patients. Now ACEs is a common topic. “Just as I don’t feel awkward asking someone if they smoke or do intravenous drugs, I don’t really feel awkward talking about their childhood traumas in a way that it relates to their health. It’s just integrated into obtaining background and social history,” she says. Dr. Leslie Dempsey Dempsey is a physician in obstetrics who oversees a team...
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A Conversation with Nadine Burke Harris: How Should Pediatricians Address Childhood Adversity?
Pediatrician Nadine Burke Harris is a masterful storyteller. I learned in a conversation with her at Wheelock College before her presentation for the Brookline, MA organization Steps to Success , that before she decided to become doctor, Dr. Burke Harris wanted to be an author. Only after the smashing success of her TED talk: How childhood trauma affects health across a lifetime , when she was approached by a literary agent, did she find her way to writing. Her newly released book The...
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ACEs & African Americans Community on ACEs Connection
ACEs Connection envisions a resilient world where ALL people thrive. We are an anti-racist organization committed to the pursuit of social justice. In our work to promote resilience and prevent and mitigate ACEs, we intentionally embrace and uplift people who have historically not had a seat at the table. ACEs Connection celebrates the voices and tells the stories of people who have been barred from decision-making and who have shouldered the burden of systemic and economic oppression as the...
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ACEs Research Corner — November 2019
[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] Jackson DB, Chilton M, Johnson KR, Vaughn MG. Adverse Childhood Experiences and Household Food Insecurity. Am J Prev Med. 2019 Nov;57(5):667-674. PMID: 31522923...
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ACEs screening in CA — a Q and A with Dr. Dayna Long
Last year, the California Department of Health Care Services rolled out its plans for universal screening for trauma among its pediatric and adult Medicaid population. Beginning January 1, 2020, California physicians were able to receive an incentive payment of $29 for each pediatric patient screened for ACEs using the PEARLs ( Pediatrics Adverse Childhood and Resilience Study) tool. Dr. Dayna Long talked with ACEs Connection staff reporter Laurie Udesky about ACEs science, what led to the...
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Adverse Childhood Experiences (ACE) Study: Beyond Screening in Pediatrics
The evidence is clear. When bad things happen to us as young children, we are at significantly increased risk for not only mental health problems, but also a wide range of physical health problems including asthma, heart disease, and even early death. These "bad things" all involve disruptions in caregiving relationships. A national movement directed at screening for ACEs in pediatric practices has emerged from this work. My suggestion that the implication of the Adverse Childhood...
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After 5-year journey to integrate ACEs science, Santa Rosa, CA, pediatric clinic is trauma-informed, from head to toe
Dr. Meredith Kieschnick was among the first physicians in the U.S. to hear the term, "adverse childhood experiences". That was in 1998, early on in her career as a pediatrician, when the CDC-Kaiser Permanente Adverse Childhood Experiences Study (ACE Study) published its initial findings in the American Journal of Preventive Medicine . “I attended a conference at which (Dr. Vincent) Felitti spoke,” she recalls. Felitti, at that time director of the Health Appraisal Center at Kaiser Permanente...
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BABY ACES: When we consider the traumas that qualify as ACEs, babies need their own list.
Babies are obviously very different from older children developmentally, including their ability to understand and process trauma. Indeed, a baby may be completely unaware of an actual ACE— say, the incarceration of their father— which a middle schooler would be painfully aware of. Yet at the same time, the baby could be much-more-acutely impacted by the secondary effect of this same ACE: a sad, stressed, and distracted mother. Similarly, if a parent dies in a car accident when a child is in...
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Sesame Street in Communities Takes on Trauma
Just this morning, Sesame Street in Communities announced its initiative to support foster children, foster parents, and the providers who serve foster care. Further, more trauma related topics will be addressed soon. The upcoming programing is detailed in today’s The Atlantic article “For-Now Parents’ and ‘Big Feelings’: How Sesame Street Talks About Trauma: ‘The Muppets can often do what humans can’t. They’ve got this special power.’ ” “ "Through its Sesame Street in Communities...
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Solano County's (CA) ACEs initiative, a robust community effort, makes room for input from all
In a house called “Johanna’s House” on a tree-lined side street in Vallejo, Calif., four women are filling out the adverse childhood experiences (ACE) survey given to them by Maria Guevara, the founder of Vallejo Together, an organization that serves homeless residents in Vallejo. The house was named for Johanna Dilag, a homeless woman who was found dead along with her dog.
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Some 350 Florida Leaders Expected to Attend Think Tank with Dr. Vincent Felitti, Co-Principal Investigator of the ACE Study; Expert on ACEs Science
Leaders from across the Sunshine State will take part in a “Think Tank” in Naples, FL, on Monday, August 6, to help create a more trauma-informed Florida. The estimated 350 attendees will include policy makers and community teams made up of school superintendents, law enforcement officers, judges, hospital administrators, mayors, PTA presidents, child welfare experts, mental health and substance abuse treatment providers, philanthropists, university researchers, state agency heads, and...
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Strengths-based Approaches to Screening Families for Health-Related Social Needs in the Healthcare Setting [Center for the Study of Social Policy]
How do you screen families to determine whether they have enough to eat or if they feel safe in their homes or communities without alienating them? In this new brief, authors Dr. Renee Boynton-Jarrett and JoHannah Flacks describe strength-based approaches to screening for health related social needs.
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The Decline of Empathy: A Hopeful Solution (www.claudiamgoldmd.blogspot.com)
Here is an excerpt from a recent blog post by Dr. Claudia M. Gold. Pediatrician T. Berry Brazelton was among the first to recognize the tremendous capacity of the newborn for complex connection and communication. Developmental psychologist Ed Tronick, drawing on this observation, designed the famous Still-Face Experiment to show the devastation, for both parent and baby, when they struggle to connect. Extensive research at the interface of developmental psychology, neuroscience, and...
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The Power of Beliefs: What Babies Are Telling Us
Dr. Wendy Anne McCarty is a pioneer in prenatal and perinatal psychology and has worked with young families for over 40 years. She writes: "In 2002, I wrote a JOPPPAH article, The Power of Beliefs: What Babies are Teaching Us . In it I discuss how young babies already portray a sophisticated and established complex of beliefs and patterns of being in the world. I describe four clinical stories of babies in PPN-oriented BEBA therapy sessions who are expressing very difficult patterns based...
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The Relentless School Nurse: Brandy Bowlen Shares Her Message - From Seat to Feet
Brandy Bowlen has transformed her school community by first taking a stand for her own health and well-being. This is not an easy feat for nurses. Eight years ago, when Brandy was a new school nurse, she found herself overwhelmed, overstressed and overweight. She became a warrior for self-care, connecting the importance that her professional persona would be most impactful if she presented herself as an example. Brandy shares her journey to wellness for herself and her school community.
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The Relentless School Nurse: Full Disclosure: I am Fearful to Welcome Another September
School is about to begin and for the first time in my 18 years as a school nurse, I am fearful to welcome another September. I work in an urban district where community gun violence is sadly commonplace, but that is not my fear. I travel throughout the city from school to school where drug dealing is an open-air exercise, but that is not my fear. Emergencies are often solitary experiences because school nurses work independently, but that is not my fear. Families facing deportation from...
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The Relentless School Nurse: Pediatricians + School Nurses = Powerful Partners
Pediatricians and school nurses are powerful partners when we intentionally collaborate to improve the continuity of care in the populations we serve. It is the intentionality of relationship building that can bear the most fruitful outcomes to improve the health and well-being of our most vulnerable population, our children. We are far more effective working in concert than in our silos. School communities are looking for guidance, answers, and action to address the explosion of...
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Trauma Informed Care from the Baby's Perspective
The Association for Prenatal and Perinatal Psychology and Health is pioneering a model of care that includes the baby starting at conception. Our model also includes transgenerational and intergenerational trauma, prenatal experiences, birth and attachment and bonding. We have a conference on this topic October 5-7, 2018, in Denver, CO. See: https://birthpsychology.com/2018-conference/welcome I will be a the Zero to Three conference representing our programs for a poster session. If you are...
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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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Upcoming ACEs webinar hosted by National Pediatric Practice Community(NPPC) team - CME/MOC credits available!
Healthy Spaces Webinar Series (Two 1-Hour Webinars) Communicating About ACEs with Patients and Families presented by: Leena Singh, DrPH, MPH - Director of the NPPC Karissa Luckett, RN, MSW - NPPC Pilot Site Coach April 17, 2019 9:00-10:00 AM (PT) 12:00-1:00 PM (ET) Learner Outcome: The learner will be able to identify two evidence based tools and/or strategies to utilize in the pediatric healthcare setting to improve child care when addressing health concerned among children &...
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UT San Antonio Researchers Pilot Ways to Help Youth Deal with Trauma [expressnews.com]
(retrieved from https://www.expressnews.com/news/education/article/UT-San-Antonio-researchers-pilot-ways-to-help-15015016.php#photo-18954339 ) Before 12-year-old Rihanna Briseño started taking classes at Good Samaritan Community Services, she was quick to dislike people and get angry. The Rhodes Middle School sixth-grader didn’t know why, but sometimes her brain told her the right thing was to beat another kid up. “I would say those things that I’m not going to say now,” Rihanna told the...
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Webinar: Cultivating Our Best Selves in Response to COVID-19 | Tuesday, March 17 at Noon PDT
How to use the skills of the Community Resiliency Model (CRM) for self and others to be the calm in the storm as we face the unknown. Free Webinar Tuesday, March 17 at Noon PDT Speakers: Elaine Miller-Karas, LCSW Linda Grabbe, PhD, FNP-BC, PMHNP-BC Zoom Webinar Registration Link: https://zoom.us/j/715837300 Additional ways to join are listed at the bottom of this post. About the webinar leaders: Elaine Miller-Karas is the Executive Director and co-founder of the Trauma Resource Institute and...
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Webinar: How to Streamline ACEs Screening Using CHADIS
The idea of adding an adverse childhood experiences (ACEs) screening tool to your practice’s workflow can be daunting – which tool, will you have time, does it add enough value? The Child Health and Development Interactive System (CHADIS) is helping to address this challenge by partnering with the National Pediatric Practice Community on ACEs (NPPC) to add an ACEs questionnaire into its system. Join this webinar to learn more about how this collaboration can help support your efforts to...
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Webinar Invitation: National Pediatric Practice Community on Adverse Childhood Experiences (ACEs)
National Pediatric Practice Community on Adverse Childhood Experiences (ACEs) Dr. Nadine Burke Harris and the Center for Youth Wellness team invite you to attend the launch of the National Pediatric Practice Community on ACEs (NPPC) . NPPC is a network of medical providers focused on integrating ACEs screening and a toxic stress framework into pediatric medical practice. We will be kicking off the NPPC with an informational webinar on Monday, May 8th, 2017 at 12 noon (PST) . Webinar...
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Webinar: The Human Impact of Climate Change
The Community Resiliency Model Disaster Relief Program Climate change emergencies are real and the human toll during and in the aftermath impact children, teens and adults. This webinar will hear from Kelly Doty, a survivor, who lost her home in Paradise and is working in a community-based program to help the children and their parents in the aftermath. Elaine Miller-Karas, the key developer of the Community Resiliency Model Disaster Relief Program, will explain the program and how it helps...
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What Our Children Need Us to Know, Right Now
Teaching children how to better navigate crisis, right now.
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What the ACEs Screening Movement Can Learn from the Healthcare Hotspotting Movement
No brief intervention or short-term infusion of services is a silver bullet that will overcome the long-term harm caused by structural racism, poverty, and multi-generational trauma.
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When Parents Fear "It's All My Fault"
Many of my colleagues in the field of early childhood mental health work with what are termed "high risk" populations. Children of drug addicted parents, victims of child abuse, and families in abject poverty. While the challenges these families face are daunting, I find myself feeling some envy for my colleagues whose clients are in such obvious distress that the need for intensive treatment of parent and infant is not in question. In my rural, small-town population things are not so clear.
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Why We Suck (at Self-Soothing & Self-Care): Dr. Dawn O'Malley
Without yoga and coffee, I'm kind of a jerk. These are my personal "puppy uppers and doggie downers" and prevent me from being cranky, quick to cry, and ready for conflict. Coffee and calming make life more manageable. Humans even seem tolerable. Without them I might veer into hating humans for being so needy which is not a great trait for a parent, partner or a professional. Or a self. My partner says coffee and exercise are acts of kindness, service as promote public safety. In other...
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Wisconsin Dept of Health Services - Trauma-Informed Care News & Notes, Oct. 29, 2018
ACEs, Adversity's Impact Adverse childhood experiences increase prediabetes markers in adulthood How parenting affects antisocial behaviors in children Documentary broken places uses archival footage to tell stories of ACEs and resilience over time NYC's first lady urges reporters to tackle mental health issues A guide to toxic stress The quest to find biomarkers for toxic stress, resilience in children - A Q&A with Jack Shonkoff Parent-child bond predicts depression, anxiety in teens...
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Re: A community-based approach to supporting substance exposed newborns and their families
I'm wondering what members of this ACES Connection community with their pediatric lens, have to say about this model. Can you see pediatric engagement in this kind of collaboration? How can pediatric practices add in - how do they already add in? Alex Massachusetts Essentials for Childhood
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ACE cases.pptx
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Re: Nobel Winner’s Research Shows Home Nurse Visits for New Moms Boost Children’s Cognitive Skills [The74Million.org]
I love, LOVE this guy! Dr. Heckman is my public policy hero - I never thought I'd say that about an economist! Dr. Heckman is so well regarded, his research is impeccable, and the data has the potential to powerfully transform public policy with the end result of better lifelong outcomes for children and parents. AND in addition to cognitive skills, he recognizes " the importance of socioemotional skills, physical and mental health, perseverance, attention, motivation, and self-confidence .
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ParentingBook.pdf
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Re: Sesame Street in Communities Takes on Trauma
Quoting the story: “ What seems to me to be the active ingredient here is the normalization of these experiences for children,” Fisher said. “[It can be] really ostracizing and isolating for children to perceive that their circumstances are different than others’. It seems an extremely difficult communication goal [with kids at least] to "normalize" the experience, but at the same time say "what happened to you is not okay" -- soooo we should try to say that "what's wrong is 'normal'" ?...
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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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Pediatricians Can Help Prevent Adverse Childhood Experiences [vetoviolence.cdc.gov]
From VetoViolence, Centers for Disease Control and Prevention, June 2020 New Training Helps Pediatric Medical Providers Recognize and Prevent ACEs You’re invited to explore the new Preventing Adverse Childhood Experiences (ACEs) Training for Pediatric Medical Providers . This training focuses on the central role that pediatric medical providers play in understanding, recognizing, preventing, and treating ACEs and their consequences. Lesson topics include: The Biological Impact of ACEs The...
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New Model of Service Delivery and Supporting Toolkit for Identifying and Linking Systems of Care for Children and Youth
Service providers and the children, youth, and families whom they serve have long faced system barriers which often present more challenges than solutions. In today’s climate, the COVID-19 pandemic has further exacerbated many of these issues, forcing child and youth-serving providers to find unique ways to meet the needs of individuals and communities. For many reasons, the relevance and timing of the arrival of the Virginia HEALS model of service delivery could not have been more perfect.
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Perinatal Equity Initiative [cdph.ca.gov]
From California Department of Public Health, July 2020 In 2018, recognizing an alarming statewide gap in Black infant mortality, the state Legislature passed the Budget Act of 2018 which included the establishment of the California Perinatal Equity Initiative (PEI) within the Department of Public Health. While declines in infant mortality have been achieved, the statewide mortality rate for Black infants continues to be two to four times higher than rates for other groups. The PEI aims to...
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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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Think beyond ACEs screening, advises California funders workgroup in new report
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,...
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We've got a $50,000 matching grant!
A very generous donor, who prefers to remain anonymous, has given ACEs Connection a $50,000 matching grant! If ACEs Connection’s members contribute $50,000 between now and the end of this year, our donor will match it with $50,000. "Changing the world — our culture of how we deal with people —is a huge task and takes a very large village, “ the anonymous donor says of the challenge grant. “ACEs Connection is a superb and effective leader of our village." This is our first concerted effort to...