Tagged With "Child-ACE"
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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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Webinar: Crossroads of Adverse Childhood Experiences (ACEs) and Developmental Disabilities
Physicians, nurses, psychologists, social workers, child life professionals, and other patient service providers are invited and encouraged to join a webinar entitled: "Crossroads of Adverse Childhood Experiences (ACEs) and Developmental Disabilities" Increased levels of toxic stress, which can be caused by recurrent or chronic exposure to adverse childhood experiences (ACEs), can impair neurodevelopment, behavior, and overall health of a child (Substance Abuse and Mental Health Services...
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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: Leveraging Advances in Science to Achieve Breakthrough Impacts at Scale for Young Children Facing Adversity
DATE: Thursday, February 21, 2019 TIME: 11:00-11:45am Jack P. Shonkoff, M.D., Director of the Center on the Developing Child at Harvard University, will address how new science is changing how we think about early childhood adversity and resilience – and how early experiences affect lifelong health and development. He will emphasize the need to address (and measure) individual differences in response to adversity and to intervention in very young children. He will also show how we can move...
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Webinar — Moving to universal ACEs screening: Findings from a CA advisory group on screening children for trauma
On April 23rd, 2019 from 12:00pm-1:30pm PST the National Pediatric Practice Community on ACEs (NPPC) , an initiative of the Center for Youth Wellness, will be hosting a webinar to support efforts to screen all children for adverse childhood experiences (ACEs) and additional adversities. This webinar will summarize the findings of a state advisory group assigned to review tools and protocols for screening children for trauma, and provide an introduction to two tools the advisory group...
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Webinar Recording and Resources - Crossroads of Adverse Childhood Experiences (ACEs) and Developmental Disabilities
For many healthcare providers, it can be challenging to distinguish between behaviors associated with a developmental disability and behaviors resulting from adverse childhood experiences (ACEs). It takes coordination across multiple disciplines to ensure early and accurate diagnosis and treatment of ACEs and/or developmental disabilities. Research has shown that individuals with disabilities are at increased risk for experiencing violence of all types, especially physical violence and...
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Webinar: Understanding Adverse Childhood Experiences: Perspectives on Hope & Resilience
Webinar: Understanding Adverse Childhood Experiences: Perspectives on Hope & Resilience Thursday, April 16, 2020 from 12:00PM - 1:00PM EDT “Adverse childhood experiences are the single greatest unaddressed public health threat facing our nation today.”- Robert Block, former President of the American Academy of Pediatrics. Join Shaina Groisberg, MD, Child Abuse pediatrician, and learn about Adverse Childhood Experiences (ACEs), how they impact the health of your pediatric patients, and...
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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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Why Kids With ACEs Shouldn't Get a Pass on Chores
Don't worry that chores are too stressful for kids with ACEs, says trauma researcher Bob Sege, MD. “You don’t want to coddle them,” Sege said, “because the message they will get is that they are damaged goods. They need to know that the adversity they suffered is only one part of them; it’s not all of them.”
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Why screen if there are no services? (Barbara J. Howard - Pediatric News)
Why screen if there are no services? By: DR. BARBARA J. HOWARD OCTOBER 6, 2014 Behavioral Consult Do you remember the discussion of the ethical dilemma of Huntington’s disease you probably participated in during medical school? The...
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Working with UCSF, California Surgeon General Aims to Cut Adverse Childhood Experiences by Half [ucsf.edu]
By Rebecca Wolfson, University of California San Francisco, February 18, 2020 Nadine Burke Harris, MD, California’s first surgeon general, has a bold goal: cut adverse childhood experiences and toxic stress in half within one generation. She spoke about her vision and her groundbreaking work to reduce adverse childhood experiences across the state during a speech at the UC San Francisco Parnassus Heights campus. The lecture at Cole Hall on Feb. 13 was part of Chancellor Sam Hawgood’s health...
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Re: ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)
Dr. Mead, This is such a great collection of resources. I so appreciate you putting it all together.
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Re: ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)
Thank you, Veronique, for your prolific and powerful post! Thank you for your creative initiative of developing two ACEs Fact Sheets. Thank you for streamlining the pathway for patients to be well-informed and prepared to advocate for their well-being during their doctors' visits. Thank you for lifting up our amazing ACEs Connection Cissy White. "In addition to the commenter who wished for an ACE form (thank you for being so courageous and clear about what you needed), I was also inspired to...
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Re: ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)
Thanks Dana! It feels great to share resources that can be truly empowering and helpful. I hadn't thought of translating the fact sheets but absolutely. Let me know if you know anyone who would like to help me do so!
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Re: ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)
Laurie you are so welcome - you and pediatricians and the world working with kids have been on my mind :-)
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Re: ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)
Please know I'll reach out to my colleagues in higher education to see if any of their students' can translate (Spanish, Tagalong, Vietnamese, etc.) and need additional hours for internships or field placements. Thank you again, Dr. Mead, for your exceptional ACEs Fact Sheets.
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Re: ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)
PS - everyone please call me Veronique!! (pronounced Vair-uh-neek) :-)
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Re: ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)
Dana that's terrific - what a wonderful fit!!
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Re: For a pediatrician and former teacher ACEs awareness came from a punch in the face
I am writing a short piece about the webinar that Dr. Selvaraj participated in this morning: Screening for Adverse Childhood Experiences in the Pediatric Primary Care Setting: Practical Considerations and Lessons Learned and am wanting to interview people in pediatrics who listened in on the webinar about their impressions. Please private message me and let me know when would be a good time to reach you and a contact number. I'll be finishing it on Monday. I'm on Pacific time.
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Re: Prevention: Bringing Baby Home Training of Facilitators
I am sorry that I posted the wrong dates: May 17-18 in Sacramento. Thank you Carolyn
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Re: Montefiore Medical in Bronx screens 12,000+ kids for ACEs
I’m certain as the ACE score increases - so does the score of the PSC-17. It does when I have looked at them both at the same time and it only makes sense. Also lots of poor parents have a hard time reading. That puts more risk for stress on the parent.
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Re: Montefiore Medical in Bronx screens 12,000+ kids for ACEs
ACEs Science application, explanation, and example of evidence-based effectiveness! Great post. Thank you!
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Re: Montefiore Medical in Bronx screens 12,000+ kids for ACEs
Approximately what percent of families take advantage of the option to be surveyed ?
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Re: 4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress
What a hopeful article, thanks for sharing the journey. This shift takes time, attention, resources, dedication and belief that we are in this for the long haul.
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Re: CYW's Provider Training Courses now available online
Hi Jim, Thanks so much for sharing. Can you say how long each of these first two courses are? Is it all video for example? Are there reading materials as well? Thanks!
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Re: 4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress
Hi, thank you for this information. There doesn't seem to be a link to the actual report... Harise
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Re: 4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress
Hi Harise, I see that it may be easy to miss, so I'll embed another link to the report in the story. If you look at the story under the photos, the link to the SCAN report is there. Thanks for writing!
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Re: All hands on deck (from a distance): remote care for traumatized moms and babies
I would like to see infant mental health folks comment on this because what you are proposing is very serious and can have serious lifelong adverse consequences. How about any of the Pediatric Doctors out of Ed Tronick’s UMass program? How about anyone from that program or similar programs comment here? What would Dr. Brazelton think? There is so much you can do face to face with the mother and baby that you just cannot do on a screen because it is the actual feeling of presence and...
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Re: 10 ways to avoid ACEs (during the pandemic)
Really appreciate the reframe on social distancing to social connection and physical distancing!
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Re: 10 ways to avoid ACEs (during the pandemic)
Thank you so much! I am really concerned about how families are coping right now. I especially worry about children at risk for abuse/neglect, away from any eyes or supports who might protect them.
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Re: 10 ways to avoid ACEs (during the pandemic)
Hi Patricia, I likely will be organizing a brainstorming session for health care providers. I'm also going to be doing a story looking at the issues of prevention tools, workaround for vulnerable families -- those at risk for child abuse or intimate partner violence. Please let me know what other information I can gather in order to support you in your work. In the meantime, I'll be posting here and cloning other articles I think may be helpful.
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Re: 10 ways to avoid ACEs (during the pandemic)
Thanks Elizabeth for your comment!. I agree with you about the reframe. Physical distancing feels more accurate and less daunting to me!
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Re: WEBINAR - NPPC's Pilot Site Case Studies: Lessons Learned from ACEs Screening Implementation
I find it impossible to believe the necessary resources .are available through “tweeting” already available resources and systems. We do not have the resources needed for kids already identified to have mental health concerns much less for newly identified kids. I’m sure most doctors working for any period of time in low resource areas already know this. I guess my biggest concern is believing that what we do right now is all we really need to treat these severely and complexly traumatized...
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Re: Opinion: All Doctors Should Practice Trauma-Informed Care [calhealthreport.org]
“Thus, it should be standard practice for medical professionals to screen and assess for trauma in a safe environment. It is critical that primary and behavioral health systems have communication channels to inform each other about a person’s trauma and its effect on their mental health and physical wellbeing. In order to achieve this outcome, we are proposing state legislation to mandate trauma-informed care education in all California medical, dental and nursing programs. In addition, we...
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Re: Healthy Spaces December 2019 Webinars
Do you all role out SEEK. I think it had a greater evidence base than Screening for ACEs. Thanks.
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Re: [Repost] Trauma-informed Care: It Takes More Than a Clipboard and a Questionnaire
Thank you Jim for this article. It is exactly what we need to address health care providers and community concerns regarding ACEs work. This should help us overcome barriers and resistance as AB 340 launches. Is there a lead agency in each California County to coordinate ACEs work and provide consultation/expertise? Perhaps this could be delegated to County Public Health Departments.
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Screening for Adverse Childhood Experiences (ACEs) in Primary Care [jamanetwork.com]
By Thomas L. Campbell, JAMA, May 28, 2020 Adverse childhood experiences (ACEs), such as experiencing or witnessing violence or abuse or living with a parent with mental illness or substance use disorder, have been shown to have a powerful influence on subsequent mental and physical health and life expectancy. Exposure to ACEs has been linked to more than 40 negative health conditions, including poor mental health, substance use disorder, adverse health behaviors, chronic physical disease,...
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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...
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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.