Tagged With "health records"
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“I [STILL] can’t breathe”: Supporting kids of color amid racialized violence (www.embracerace.org)
Details about a webinar hosted by Embrace Race this Friday.
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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...
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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
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
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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How a Pandemic Could Advance the Science of Early Adversity [jamanetwork.com]
By Danielle Roubinov, Nicole R. Bush, and W. Thomas Boyce, JAMA Pediatrics, July 27, 2020 The reach of the coronavirus disease 2019 (COVID-19) pandemic is global, a health crisis with a ubiquity never before experienced. While the physical health consequences of COVID-19 appear to affect proportionally fewer children compared with adults, its psychosocial consequences may be magnified within families who consistently weather a landscape of severe stressors or adverse childhood experiences...
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Why the dean of early childhood experts wants to get beyond the brain [centerforhealthjournalism.org]
By Ryan White, Center for Health Journalism, July 23, 2020 Harvard’s Jack Shonkoff, a luminary in the field of early childhood, has spent years showing that events in the earliest years of life have profound implications for how budding brains develop, and in turn, shape a child’s later potential at school and work. Now, Shonkoff says it’s time to connect the brain to the rest of the body. “The message now is to say that there is a revolution going on in molecular biology and genomics and in...
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Health advocates highlight extreme COVID burnout, stark inequities and strong call for action
Dr. Elisa Nicholas, a pediatrician and chief executive officer of TCC Family Health Clinics in Long Beach, California, relays an example of how the COVID-19 pandemic has wreaked havoc on the lives of the clinics’ patients. Most had already been struggling financially prior to the pandemic. “Both the mother and father came down with coronavirus,” said Nicholas. “Their child was in on a telephone visit with one of our doctors. They did not have any way to get food. They had no money to pay for...
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ACEs Aware Seeking Applicants to Support Clinical Work [acesaware.org]
ACEs Aware Seeking Applicants to Support Clinical Work Apply by September 15, 2020 ACEs Aware , led by the Office of the California Surgeon General (CA-OSG) and the California Department of Health Care Services (DHCS), is hiring for three new positions to further the mission of supporting Medi-Cal providers across California with training, clinical protocols, and payment for screening children and adults for Adverse Childhood Experiences (ACEs). Aurrera Health Group is the project management...
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ACEs screening pilot in L.A. County pivots, troubleshoots barriers to remote visits
This story is part of an occasional series about California-based pediatricians who are incorporating ACEs screening into their practices. In the first installment published in May, which you can find here , Dr. Amy Shekarchi and other team members had just launched their ACEs screening by phone. A community health worker from a clinic affiliated with Los Angeles County’s Department of Health Care Services recently called a teenage patient to find out if she ever felt unsafe in her home or...
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NAMI Basics Parents of Youth Mental Health Education
NAMI Basics is a class for parents and other family caregivers of children and adolescents who have either been diagnosed with a mental health condition or who are experiencing symptoms but have not yet been diagnosed. A nationally-developed program taught by trained volunteers who have lived experience with children. The duration is 6 weeks. The cost is Free. Foster parents successfully completing all 6 sessions will receive CEU credit. Course Topics include - The biology of mental illness...
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From Wildfires to Childhood Trauma, a Resilience Cooperative Transformed the Way Clinics Face the Unthinkable
What helped Sonoma health center staffers navigate one catastrophe after another was what they had learned about trauma in the Resilient Beginnings Collaborative.
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The Path Forward for Telemental Health + Join Our Upcoming Webinars
NO GOING BACK: Providing Telemental Health Services to California Children and Youth After the Pandemic, is the first in a series of briefs outlining how technology can make mental health more accessible with concrete recommendations based on providers’ perspectives, and lessons learned during the pandemic. Read the Report When the shelter-in-place mandate started, California’s mental and behavioral health providers quickly pivoted to telehealth delivery for children and adolescents. Recent...
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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
Calendar Event
The Impact of ACEs on Black Maternal Health
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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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NJAAP Event- Keystones of Development: Using Well-Visits to Promote Early Relational Health
Calling all New Jersey Pediatricians! Join us on Monday, April 5th from Noon - 1 PM Eastern Time to learn about a new Healthy Spaces Project ECHO MOC Part 4 QI Program to learn how to promote children's brain development and help create nurturing parent environments during routine well-visits. Click here to register today!
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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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To solve the Black maternal mortality crisis, start with upending racist practices
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...
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Re: To solve the Black maternal mortality crisis, start with upending racist practices
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...
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Adverse Babyhood Experiences (ABEs): 10 New Categories of Adversity Before a Child's 3rd Birthday (Free Downloadable Journal Article)
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.
Ask the Community
PACES in Pediatric Practice
I hav just joined this group and am excited to find a community exists around PACES in pediatrics. I am wondering if there are any organizations or groups in your communities that focus on the implementation of trauma informed care in pediatric clinical practice as it relates to their patient’s emotional and behavioral health.
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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...