Tagged With "Child Assessment"
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Re: ACE's questionnaire in Pediatric emergency room
I’m kind of bad here because I didn’t read your entire reply but this area of somatic complaints and concerns over behavioral problems like ADHD - is really where I started asking the ACE questions mixed in with a bunch of other psychosocial questions - and the ACEs were always very high. I’ve been doing this since at least 2004. Rahil Briggs is awesome in this area as is NBHarris and they have a webinar coming up in a few days on integrating this into care. For Neurology - chronic...
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Child Life specialists empower kids in hospitals, disasters and now the pandemic
In late May, Betsy Andersen’s 7-year-old son, Ezra, had a serious meltdown. He and his six-year-old sister Abby had been enjoying an online Zoom interaction with “Miss Eileen,” “Miss Savannah,” a couple of their colleagues, and a puppet. Betsy Andersen “I could see him trailing off and then he started crying,” says Andersen, who lives in Mundelein, Illinois. But before she swooped in, she heard Miss Eileen talking to him: “She was saying ‘Hey, I see you’re having some big emotions.” Speaking...
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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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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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'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'
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...
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O’Donnell: Opening 'so many doors for families': COVID-19 underscores importance of wraparound care for new moms and children
For once, being a biracial, low income, Medicaid patient didn't work against Selina Martinez. In 2015, two weeks after giving birth at a Manhattan hospital, Martinez arrived at Montefiore Medical Center in the Bronx where she was diagnosed with salmonella. During a monthlong stay, hospital staff members learned times were tough for the new mom. She'd been getting psychiatric care since the stillbirth of her last child, her husband was recovering at home from pancreatic cancer treatment and a...
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Berger, Dalton & Miller: How Much More Data Do We Need? Making the Case for Investing in Our Children
Child maltreatment is well recognized as one of the most significant contributors to pediatric morbidity and mortality throughout the world. 1 , 2 The effect of child maltreatment on morbidity and mortality in older adults has been documented for >20 years as demonstrated by the Adverse Childhood Experiences (ACEs) study. 3 The impact of maltreatment on teenage suicide and other mental health diagnoses is also well known. 4 , 5 To date, however, a direct relationship between maltreatment...
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Research article on ACEs and immune cell gene expression in children
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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Re: Research article on ACEs and immune cell gene expression in children
Thank you for sharing
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HOPE Summit speakers show how positive childhood experiences offset adversity
The Rev. Darrell Armstrong, pastor of the historic Shiloh Baptist Church in Trenton, New Jersey, is an accomplished man. He graduated from Stanford University in public policy and went on to get his master’s degree in divinity studies at Princeton. As a former director in the New Jersey Department of Human Services, he was responsible for New Jersey’s statewide strategy for preventing child abuse and neglect. Armstrong has also worked as an entrepreneur, workshop facilitator, and radio host.
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Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment
Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment Jeoffry B. Gordon, MD, MPH May 23, 2021 As a family doc practicing in San Diego I was privileged to hear Dr. Vincent Felitti talk about his inspired development of the ACEs questionnaire and its association with many adult mental and physical diseases directly from him only a few years after his original insight. Yet, although I had a lively clinic and learned how to manage a vast array of medical...
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Re: Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment
Bravo! This will be a very useful tool for those of us who interact with ACEs/PACEs hesitant health care professionals. Thank you!
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California PACEs Connection initiatives spark new connections in regional meeting
Among PACEs Connection initiatives around the country, it’s well known that our social network is something like a bustling, giant town square where people share ideas, resources and any number of conversations about how to prevent childhood adversity and promote positive childhood experiences. On May 14, PACEs Connection assembled a virtual town square gathering of PACEs initiatives in California, where we have 58 initiatives sparking action all across the state. Speakers at the gathering,...
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Trauma-Informed Care [pediatrics.aappublications.org]
By Heather Forkey, Moira Szilagyi, Erin T. Kelly, and James Duffee, American Academy of Pediatrics, August 2021 Abstract Most children will experience some type of trauma during childhood, and many children suffer from significant adversities. Research in genetics, neuroscience, and epidemiology all provide evidence that these experiences have effects at the molecular, cellular, and organ level, with consequences on physical, emotional, developmental, and behavioral health across the life...
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New Release: Humboldt County Home Visiting Program Environmental Scan
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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Child Abuse and Neglect: What It Is and What to Do About It
We all have a role to play in making sure children have the opportunity to thrive. In Child Abuse and Neglect: What It Is and What to Do About It , you will learn more about the types of child maltreatment, what to do when you think a child or family needs more support, and how to make a report if you suspect that a child has been abused or neglected. We all want children to be safe and healthy. However, the heartbreaking reality is that every year thousands of children are victims of child...
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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
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”
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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.’
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...
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Re: Exploring the Connection Between Adverse Childhood Experiences and Diabetes
Very good article. Important citation. The connection between childhood trauma and physical disease (as distinguished from psychological turmoil) is often overlooked, especially among medical doctors. If only they would appreciate this situation! See my article "The importance of child abuse and neglect in adult medicine," Jeoffry B. Gordon, Pharmacology, Biochemistry and Behavior 211 (2021) 173268 Available online 7 September 2021.
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Exploring the Connection Between Adverse Childhood Experiences and Diabetes
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).
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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Introducing a practical and hands-on guide for clinicians working to improve emotion regulation of trauma-affected children
In Trauma-Informed Parenting Program: TIPs for Clinicians to Train Parents of Children Impacted by Trauma & Adversity , distinguished psychologist and renowned expert, Dr. Carryl P. Navalta, presents a practical and hands-on guide for clinicians working to improve emotion regulation of trauma-affected children. Readers will discover how to assess, conceptualize, and treat children dealing with the effects of exposure to various forms of trauma and adversity and to provide their clients'...
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Health Equity and the Social Determinants of Health Are NOT Synonyms
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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Patient Compliance vs. Adherence: Advancing the Health Equity Mandate
Use of the term “compliance” instead of “adherence” by healthcare regulatory entities and organizations, plus practitioners, health systems and their and employees condones the blaming of patients for poor outcomes. It’s time to change this practice!
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What Children Really Need Is Adults That Understand Development
The brain doesn’t fully develop until about the age of 25. This fact is sometimes quite surprising and eye opening to most adults. It can also be somewhat overwhelming for new parents and professionals who are interacting with babies and young children every day, to contemplate. It is essential to realize however, that the greatest time of development occurs in the years prior to kindergarten. And even more critical to understand is that by age three 85 percent of the core structures of the...
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Early Relational Health Innovators Partner In Program Supported by PACEs Connection Cooperative of Communities Members in Twelve California Counties
Christina Bethell, Ph.D, MBA, MPH, founder of the Child and Adolescent Health Measurement Initiative (CAHMI), principal author of the groundbreaking study on positive childhood experiences, and creator of the free Well Visit Planner, among other innovations. Two internationally-respected leaders and innovators in complementary aspects of early relational health and childhood and maternal health equity recently launched a partnership they believe will benefit everyone from newborn babies and...
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Empathy: Can It Make The Difference?
Emotion has an enormous impact on imprinting memory in our brains. I had an experience when I was 6 years old that included emotion and I have the memory of it all of these many years later. It was a 6 year old birthday sleepover party. There were 7 girls invited that lived near each other and played together most days. A girl new to the neighborhood was invited only due to the requirement of the birthday girl’s mother. I was also invited. I lived a block away but did play with these girls...
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Trauma-Informed Competency Set for Undergraduate Medical Education
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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Trauma-Informed Competency Set for Undergraduate Medical Education
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...