Tagged With "Dr. Dayna Long"
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Life Expectancy by Zip Code: Where You Live Affects How Long You Live
Life expectancy is highly correlated with ACE scores and complex childhood trauma. Enter your address or zip code to know what the health outcomes are in your neighborhoods and communities. Robert Wood Johnson Foundation Life Expectancy Calculator
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Little kids and 'toxic stress': we can solve this [cnn.com]
All children have incredible potential, most with parents, teachers and other adults in their lives who want the best for them. Unfortunately, many schools, particularly those that serve children with the greatest need, face obstacles that limit children's educational success -- rote curriculums, insufficient support for teachers and scant extracurricular options, to name a few. Educators, parents and policymakers have long acknowledged such obstacles, but we now know that there is another...
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Love in the TIme of Coronavirus: Inequities and Supporting Children
This blog is re-posted from positiveexperience.org/blog/ Link there for associated resources, and for the other blogs in the series. Having safe, stable, and equitable environments to live, learn and play forms the second of the 4 Building Blocks of HOPE. Children need homes where they feel safe and secure and have their basic needs met. Children thrive in an environment that encourages curiosity and provides opportunities for learning to play and interact with other children. Today’s blog...
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Managing Post-Traumatic Stress in a Pandemic: Practices & Resources Updated Regularly
[Ed. note: Cissy posted this in the Practicing Resilience community, and it's cross-posted here to make sure everyone sees it. We don't want anyone to miss out on these resources!] Are you looking for new ways to get connected, supported, or to manage stress while managing post-traumatic stress during this pandemic? I am. No matter what our past or present life circumstances, it's safe to say a whole bunch of us are feeling more stressed and if we live with chronic post-traumatic stress to...
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Montefiore Medical in Bronx screens 12,000+ kids for ACEs
Creative Commons/Flickr/Family drawing by Meggy ____________________________________ Since 2016, more than 12,000 children beginning at the age of 1-years-old have been screened for adverse childhood experiences (ACEs) at Montefiore Medical Center in Bronx, New York, according to Miguelina German, the director of Quality & Research in the Pediatric Behavioral Health Integration Program and project director of Trauma Informed Care at the center. Parents of infants are asked to fill out...
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Mr. Rogers, Trauma-Informed Care, and the Limits of Information
Fred Rogers, in his 1969 testimony before the Senate subcommittee on communications in defense of public television, transforms a clearly skeptical Senator Pastore from, "Alright Rogers you've got the floor" to, "Looks like you just earned the 20 million dollars." How does he accomplish this transformation? One line from Senator Pastore gives us some insight. Several minutes into Mr. Rogers testimony he says, "This is the first time I've had goosebumps in the last two days," to which Rogers...
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Nadine Burke Harris debuts "The Deepest Well: Healing the Long-Term Effects of Childhood Adversity" in Philadelphia
Dr. Nadine Burke Harris debuted her book, The Deepest Well: Healing the Long-Term Effects of Childhood Adversity , at the Philadelphia Free Library this evening in a talk and book signing. This first stop in an ambitious book tour that crisscrosses the country reflects a mission that Burke Harris has pursued for nearly a decade: to spread the knowledge about the science of adverse childhood experiences, and about how people can use this knowledge to help solve our most intractable problems.
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Nadine Burke Harris' new book, The Deepest Well, weaves ACEs science and personal stories
Dr. Nadine Burke Harris, MD, MPH, FAAP/Courtesy of Center for Youth Wellness In this short interview , pioneering pediatrician and author Dr. Nadine Burke Harris, the founder and CEO of the San Francisco-based Center for Youth Wellness , discusses her pivotal new book The Deepest Well. In the book Burke Harris weaves together the hard science behind adversity and trauma with personal stories. It was a particular patient, Burke Harris explains, that led her to shift her research and practice.
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New Health Resiliency Stress Questionnaire debuts for pediatricians, family practice, internal medicine...but anyone can use it
There's a new ACEs-resiliency survey in town! It came out of a conversation between two physicians having a conversation on a bus. Here's the story about how it was developed, and how to use it. Pilots were done in a pediatric clinic, internal medicine, addiction treatment center, group therapy, and psychiatric practice. It's now being used in two community clinics.
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New Member of Congress—Rep. Lauren Underwood (D-IL)—brings laser focus on toxic stress at hearing on immigration
At a March 6 hearing of the House Committee on Homeland Security, Rep. Lauren Underwood (D-IL) addressed the impact of family separation on the mental and physical health of children at the border. Her questions to Homeland Security Secretary Kirstjen Nielsen focused on the impact of toxic stress caused by family separation on short and long-term health outcomes for children. Sec. Nielsen was unfamiliar with the concept of “toxic stress.” Here’s a short description of the 6-minute exchange...
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New organization calls all pediatricians to end crisis that's "hiding in plain sight"
When the question of screening patients for adverse childhood experiences (ACEs) was first raised a couple of years ago, Santa Barbara pediatrician Andria Ruth had mixed feelings about it.
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Next "A Better Normal" community discussion series: April 3, 2020/ Maternal health and pediatrics in the time of COVID-19
Steve Sack • Star Tribune The "Better Normal" community discussion for Friday, April 3, 2020, features two wonderful staff members from ACEs Connection: Karen Clemmer, community facilitator for the Northwest, Far Northern California, Alaska and Hawaii; and reporter Laurie Udesky, who is also community manager for the ACEs in Pediatrics community on ACEsConnection.com. Karen Clemmer Join them at noon PT/ 1 pm MT/ 2 pm CT/ 3 pm ET and share your thoughts, ideas, questions, concerns, and...
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NJ medical school program requires all first-year students to learn about ACEs science
In 2015, Dr. Beth Pletcher, a pediatrician and associate professor specializing in genetics, was at the annual conference of the American Academy of Pediatrics in Washington D.C. when she heard two speakers that forever changed her work with medical students. Dr. Beth Pletcher “I went to two talks on adverse childhood experiences (ACEs) that were so mind-boggling to me that I decided on my drive back to New Jersey that I had to do something about it,”says Pletcher, director of the Division...
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NPPC shares lessons learned and results from ACEs screening pilot sites
For Dr. Mercie Digangi, a pediatrician at Kaiser Southern California in Downey, CA, ACEs screening provided a crystal clear before-and-after in how she changed treatment plans for her pediatric patients, she explained to attendees of a December 2 webinar organized by the National Pediatric Practice Community on ACEs (NPPC) and cosponsored by ACEs Connection. Dr. Mercie Digangi One case that turned ACEs screening into a never-go-back moment for her was a three-year-old who was speech-delayed.
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Nurturing relationships in childhood boost adult mental health, relationships
We're proud to announce major research that suggests that positive childhood experiences — such as supportive family interactions, caring relationships with friends, and connections in the community — are associated with reductions in chances of adult depression and poor mental health, and increases in the chances of having healthy relationships in adulthood. This association was true even among those with a history of adverse childhood experiences.
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One way Childhood Trauma Leads to Poorer Health for Women [news.osu.edu]
By Jeff Grabmeier, Ohio State News, September 17, 2019 Researchers have long known that childhood trauma is linked to poorer health for women at midlife. A new study shows one important reason why. The national study of more than 3,000 women is the first to find that those who experienced childhood trauma were more likely than others to have their first child both earlier in life and outside of marriage – and that those factors were associated with poorer health later in life. The findings...
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Parent Handouts: Understanding ACEs, Parenting to Prevent & Heal ACEs (English)
Please see the main post for these parent handouts in the ACEs Connection Resources Center. These two flyers ( Understanding ACEs and Parenting to Prevent & Heal ACEs ) can be downloaded, distributed, and used freely. One is brand new and the other is a revision. Both flyers were made with generous support from Family Hui, a Program of Lead for Tomorrow. Translations of these flyers are in progress and will be shared by Family Hui and updated on ACEs Connection when available.
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Re: Childhood Abuse, Brain Development and Psychopathology - Dr Martin Teicher
Alright - It's been a long time since I have added anything here so I can't remember how to upload a video from Vimeo. For all my fellow pediatricians ---and for all the psychiatrists and NP's and PA's and everyone else too --- If you want to watch a really great researcher and see his work concerning what happens to the developing brain when affected by child abuse and neglect, there is no better person to learn from than Dr. Teicher. So here is an excellent keynote he gave a few years ago.
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Re: 12 Things I Wish My Doctor Understood About Childhood Trauma
Thank you, Anna. Patients' stories are so helpful to all of us clinicians. My colleagues and I are teaching students and residents about ACEs and how to talk to adults about ACEs. We are also working on a set of competencies that we hope will be adopted into medical school curricula all over the country. Physicians are starting to learn - but there is a long way to go!
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Re: 12 Things I Wish My Doctor Understood About Childhood Trauma
Re: 12 Things I Wish My Doctor Understood About Childhood Trauma
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Donna Jackson Nakazawa Chats Live with Jane Stevens & You: Nov. 14th
Featured Guest: @Donna Jackson Nakazawa Topic: Well-Being, Self-Care & ACEs Date: November 14th, 2017 Time: 10 AM PST / 1 PM EST Where: Here / Chats Donna Jackson Nakazawa is an winning researcher, writer and public speaker on health and family issues. She explores the intersection between neuroscience, immunology, and the deepest inner workings of the human heart. Her most recent book, Childhood Disrupted: How Your Biography Becomes Your Biology, and How You Can Heal , examines...
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Dozens of Kaiser Permanente pediatricians in Northern California screen three-year-olds for ACEs
Since August 2016, more than 300 three-year-olds who visited Kaiser Permanente’s pediatric clinics in Hayward and San Leandro have been screened for adverse childhood experiences (ACEs), such as living with a family member who is an alcoholic or losing a parent to separation or divorce. But when the idea to screen toddlers and their families for ACEs was first broached at the Kaiser Permanente Hayward Medical Center, the staff were, in a word, “angsty,” says Dr. Paul Espinas, who led the...
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Dozens of stakeholders representing thousands of practitioners send public comments on Calif. ACEs-screening plan
Update: We posted this story on Tuesday evening and received a response from the Department of Health Care Services Wednesday that clarifies additional information. DHCS information Officer Katharine Weir said that subject to budget approval by the legislature and the governor: The reimbursement rate will be $29. Federally Qualified Health Centers will also be reimbursed for screening pediatric patients for trauma through Prop 56 funds and federal matching funds. In response to a question...
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Dr. Claudia Gold: Empathy & Listening as ACE-Informed Practice
"You are absolutely not doomed from having ACEs."
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Dr. Nadine Burke Harris Presents at SCVMC-Pediatric Grand Rounds
Dr. Nadine Burke Harris presented today at Santa Clara Valley Medical Center during Pediatric Grand Rounds to a full room (standing room only) of pediatricians, nurse practitioners, physicians assistants, public health professionals and allied medical staff. With the show of hands, many of us in the room were familiar with ACEs science and the health impacts of toxic stress. With ease, Dr. Burke Harris dove into great detail of our bodies response to toxic stress and the multitude of...
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DULCE helps pediatricians in Oakland, CA, prevent toxic stress in newborns
On a recent day in early March, Laura Lopez met a former patient of hers in the waiting room of Highland Hospital’s pediatric clinic in Oakland, CA. The patient had forgotten her Medi-Cal card and called Lopez asking for help. But in the brief conversation, Lopez, a family specialist with the DULCE program, learned about some dire changes in the patient’s life. Laura Lopez “Without me even asking, she shared with me that she had separated from her partner, that she needs to apply for food...
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Ending Child Poverty Now (Children's Defense Fund)
On Wednesday, the Children’s Defense Fund (CDF) released a new report titled, “ Ending Child Poverty Now .” In conjunction with the report release, the Academy joined CDF for a press conference on the...
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Even Infants Need Mental Health Care, so new Chicago Clinic Caters to Those 5 and Under [chicagotribune.com]
By Peter Nickeas, Chicago Tribune, September 20, 2019 In and around Chicago’s Little Village neighborhood, long-standing causes of friction like gun violence and poverty have for some families combined with newer fears of immigration crackdowns and deportation of loved ones — and mental health professionals hope to address toxic stress that can have long-term effects on the lives of very young children. Aiming to rectify the shortage of mental health care available to infants and children...
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Family Border Separation Policy Has Long-Term Effects on Child Health [medicalbag.com]
Despite a reversal of the Trump administration family separation policy, as of July 2018, more than 2000 children remain separated from their parents or legal guardians. 1 In an article published in JAMA, Howard A. Zucker, MD, JD, and Danielle Greene, DrPH, of the New York State Department of Health, suggest that child-parent separation during an already tumultuous and emotionally strenuous event may exert greater long-term physical and mental health effects on children than is currently...
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Fighting Compassion Fatigue with CONNECTION
As one of the Trauma Informed Care trainers for my region, I work with community based organizations daily and see first hand the extent of compassion fatigue and how it manifests itself through burn out and secondary trauma. How do we fight this silent, gradual killer? We build connections. Whether it's in our schools or agencies, the barriers to forming relationships are present. Time, communication skills, authenticity,etc- there are several barriers than can block developing organization...
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For a pediatrician and former teacher ACEs awareness came from a punch in the face
Dr. Kavitha Selvaraj did not learn about adverse childhood experiences (ACEs) from a class in medical school. Her first awareness of ACEs came after a student slugged her in the face when she was a new teacher in a school in Los Angeles. She had heard a chorus in the hallway urging her students she refers to as “J” and “N” to “Fight! Fight! Fight,” she writes in an essay in a recent issue of the journal Pediatrics . The two were trading punches. When she stepped in the middle to break it up...
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Harvard Center for the Developing Child Director, Jack P. Shonkoff, M.D., testifies before Congress on family separation
Harvard Center for the Developing Child Director, Jack P. Shonkoff, M.D., presented testimony at a hearing of the House Committee on Energy and Commerce, Subcommittee on Oversight and Investigations on Feb. 7. For a copy of the testimony that includes a video of his remarks, click here . To view the entire hearing, click here . A news bulletin from the Center included the following summary of Dr. Shonkoff’s testimony and links to other information of interest on family separation and related...
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Hearing in House Education and Labor Early Childhood Subcommittee addresses intersection of trauma and education
Dr. Nadine Burke Harris (l) and Karina Chicote, Churchill Fellow from western Australia meet after congressional hearing After watching the hearing on a monitor in the overflow room, Karina Chicote, a Churchill Fellow from western Australia, and I hustled to the hearing room in hopes of speaking to the lead witness, Nadine Burke Harris, MD, the first Surgeon General of the State of California. She was deep in conversation with others, including a young woman who wanted to tell her how...
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Helping New Parents Make Room for Uncertainty
A new program for parents and infants, thanks to generous support from Mill Town Capital , is coming to Pittsfield, Massachusetts. The Hello It’s Me Project shines a spotlight on these tender new relationships, investing resources around the birth of a baby with the long-term goal of building a healthy community from the bottom up. When world-renowned child development researcher Dr. Ed Tronick spoke in the spring of 2018 for an audience of a wide variety of practitioners in Berkshire County...
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Helping New Parents Make Room for Uncertainty
A new program for parents and infants, thanks to generous support from Mill Town Capital , is coming to Pittsfield, Massachusetts. The Hello It’s Me Project shines a spotlight on these tender new relationships, investing resources around the birth of a baby with the long-term goal of building a healthy community from the bottom up. When world-renowned child development researcher Dr. Ed Tronick spoke in the spring of 2018 for an audience of a wide variety of practitioners in Berkshire County...
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Helping Young Children Exposed to Trauma: A Systems Approach to Implementing Trauma-Informed Care [chdi.org]
By Alysse Loomis, Ph.D. Kellie Randall, Ph.D. Jason Lang, Ph.D., CHDI, June 2019. This IMPACT provides a summary of the research on the effects of early trauma exposure, discusses what Connecticut is doing across systems to support young children who have experienced trauma, and outlines a framework to expand Connecticut's robust system of trauma-informed care for older children to include younger children. There are more than 228,000 children under the age of six years old in Connecticut,...
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Heyman Oo integrates ACEs science as foundation of pediatric care
Dr. Heyman Oo, a 34-year-old primary care pediatrician, first learned about the science of adverse childhood experiences in medical school at a grand rounds held around 2012 at Rady Children’s Hospital in San Diego, which she attended from 2009 to 2014. The presenter was none other than Dr. Nadine Burke Harris, a pediatrician who went on to become California’s first Surgeon General. The founder and former director of the Center for Youth Wellness drew millions of views for her TED talk on...
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How collaboration helps clinic in San Mateo County, CA, tackle ACEs in children
Dr. Elizabeth Grady is a pediatrician at the South San Francisco Clinic, a community clinic of San Mateo Medical Center. She and Susana Flores , a senior public health nurse with San Mateo County Health, spoke with me about how the clinic and other health agencies in San Mateo have been able to craft ways to work together to prevent and heal toxic stress in children. Grady also talked about how she and Flores have been working with the Resilient Beginnings Collaborative (RBC), a group of...
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How "Sesame Street" is helping kids learn to cope with trauma [abcnews.go.com]
Big Bird and his " Sesame Street " buddies are taking on a new mission: helping kids learn to cope with stress and trauma. Sesame Workshop, the nonprofit offshoot of the long-running children's program "Sesame Street," launched the powerful new initiative, which was designed with the help of psychologists, the same week that the nation was rocked by the deadliest mass shooting in modern U.S. history. The initiative includes materials for parents, caregivers and social workers, as well as...
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How to Be More Resilient [nytimes.com]
As a psychiatrist, I’ve long wondered why some people get ill in the face of stress and adversity — either mentally or physically — while others rarely succumb. We know, for example, that not everyone gets PTSD after exposure to extreme trauma, while some people get disabling depression with minimal or no stress. Likewise, we know that chronic stress can contribute to physical conditions like heart disease and stroke in some people, while others emerge unscathed. What makes people resilient,...
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Immigrant teens, parents explore ACEs, resilience in 5-week course with family doc
Dr. Angela Bymaster, a family doctor in San Jose, Calif., was determined to find a way to teach ACEs science to her patients. Teens would come to the Washington Neighborhood Clinic clearly depressed by a range of problems at home that were contributing to risky sexual behavior and marijuana use, as well as preventable health problems like extreme obesity.
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Immune Biomarkers of Early-Life Adversity and Exposure to Stress and Violence - Searching Outside the Streetlight [jamanetwork.com]
By Nicole R. Bush and Kirstin Aschbacher, JAMA Pediatrics, November 4, 2019 Evidence of an association between early-life adversity and heightened risk of chronic disease in adulthood has been found, but the optimal biomarkers for identifying vulnerable or resilient individuals remain unclear. Global trends, including widening socioeconomic disparities, the refugee crises, and climate change, increasingly sculpt trauma exposure and call for scalable early-risk identification and treatment...
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Researchers share learned lessons from screening for adverse childhood experiences in pediatric clinics
What are the reasons that parents or caregivers do not fully disclose their own or their young children’s ACEs when asked to fill out an ACE screening form in their child’s pediatrician’s office? That was one of the many questions raised in a recent webinar entitled Screening for Adverse Childhood Experiences in the Pediatric Primary Care Setting: Practical Considerations and Lessons Learned . Dr. Kavitha Selvaraj, an attending physician at the Ann & Robert H. Lurie Children’s hospital...
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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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A Health Problem and An Opportunity: Screening for Adverse Childhood Experiences [medium.com]
By Dayna Long, Medium, May 19, 2020 A consensus of scientific research demonstrates that cumulative adversity, especially when experienced during critical and sensitive periods of development, is a significant contributing factor to some of the most harmful, persistent, and expensive health challenges facing our nation. Adverse Childhood Experiences (ACEs) are highly prevalent, experienced in all communities, and are likely to increase during the COVID-19 emergency [i] [ii] [iii] [iv] [v].
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A Kaiser pediatrician, wise to ACEs science for years, finally gets to use it
Dr. Suzanne Frank has known about the impact of childhood adversity on young lives for decades. She’s seen the fallout in the faces of young people huddled in beds at a children’s shelter where she worked years ago. She’s seen it as the regional child abuse services and champion for the Permanente Medical Group. And she’s seen it in hospital examination rooms where, as a member of the Santa Clara County’s Sexual Assault Response Team, she’s been called in to examine shell-shocked children...
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A Message from the President of the Illinois Chapter, American Academy of Pediatrics
Dear Illinois ACE Connection members, Children and families from all demographic and socioeconomic backgrounds in Illinois experience trauma, adversity, and chronic stress. Social determinants such as where we live, work, and play, can further exacerbate positive or negative physical, emotional, and behavioral health issues. The critical factor that determines if a child, family, and/or community can manage trauma, adversity, and chronic stress successfully is resilience : the process by...
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A National Agenda to Address Adverse Childhood Experiences
What are ACEs and Why Do They Matter? In 2016 1 , nearly half of U.S. children – 34 million kids – had at least one Adverse Childhood Experience (ACE) and more than 20 percent experienced two or more. The new brain sciences and science of human development explain how ACEs can have devastating, long-lasting effects on children’s health and wellbeing. These events resonate well beyond the individual child to have far-reaching consequences for families, neighborhoods, and communities. ACEs...