Tagged With "African American"
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AAP Announces New Initiative to Confront Violence in Children's Lives [AAP.org]
The American Academy of Pediatrics (AAP) today announces a new initiative in the wake of the recent killings of two black men in St. Paul, Minn., and Baton Rouge, La., and of five police officers in Dallas. The AAP will convene a group of pediatrician experts to identify new approaches to protect children, adolescents and young adults from the epidemic of violence occurring in their everyday lives. The initiative's members, agenda and goals will be shared in the coming days, and will address...
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AAP reiterates its opposition to separating children and parents at the border, citing the long term health hazards of trauma
American Academy of Pediatrics President Dr. Colleen Craft recently visited a shelter for migrant children in Texas, according to an article in The Washington Post, and expressed concern that the traumatic separation of children from a trusted adult can have long-term health consequences for both the children and the parent. In an earlier op ed piece for the Los Angeles Times, Craft wrote, " Prolonged exposure to highly stressful situations — known as toxic stress — can disrupt a child's...
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AAP Statement in Response to Tear Gas Being Used Against Children at the U.S. Southern Border [aap.org]
“Images and news reports of tear gas being used on children and families seeking asylum at our border have stunned and shaken pediatricians just as they have so many others across the country. Our objection to this type of treatment of children and their parents is grounded in our own policy: “The American Academy of Pediatrics recommends that all immigrant children and families seeking safe haven are treated with dignity and respect to protect their health and well-being. Children who are...
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AAP: Trauma-informed pediatric provider course set for April
The American Academy of Pediatrics just released the agenda for its 2018 trauma-informed pediatric course, which will be held in Houston from April 5-8. Among the participants are Boston-based pediatrician, social epidemiologist. community advocate and founding director of Vital Village , Renee Boynton Jarrett . She will convene a breakout session on early life trauma. RJ Gillespie , a pediatrician who has surveyed parents and children for ACEs and analyzed the data at the Portland,...
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ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)
I was first inspired to create a fact sheet summarizing the effects of adverse childhood experiences (ACEs) after reading a comment in “Got Your ACE score?” A reader wished she had a form to give her doctor that documented the vast body of evidence explaining how early trauma increases risk for chronic physical and mental health conditions and much more.
I could relate.
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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 and resilience research roundup: Paternal ACEs, family resilience, reforming health care
CC by SA 3.0 Parental Adverse Childhood Experiences and Pediatric Healthcare Use by 2 Years of Age EA Eismann, AT Folger, NB Stephenson… - The Journal of Pediatrics , 2019 … ACEs and several child outcomes,8, 9, 10, 11, 12 but less is known about the intergenerational impact of paternal ACEs .7, 13 The … 12 months, 15 months, 18 months, and 24 months of age, based on Bright Futures and the American … Adverse childhood experiences ( ACEs ) are associated with forced and very early sexual...
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ACEs champion pediatricians talk about life and practice in a COVID-19 world
With the advent of the COVID-19 pandemic, healthcare providers everywhere are changing how they care for their patients. I asked a few members of the ACEs in Pediatrics community what they’re doing differently. Dr. R.J Gillespie, pediatrician at The Children’s Clinic in Portland, OR. Dr. R.J. Gillespie Gillespie says that, as much as possible, they’re switching to virtual visits, which allows them “to comfort and reassure our patients face-to-face as much as possible without risking their...
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ACEs Research Corner — January 2020
Research papers this month include links between ACEs and bullying, dropping out of high school, adult disability, and the effects of countering ACEs.
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ACEs Research Corner — July 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] Wang X, Maguire-Jack K. Family and Environmental Influences on Child Behavioral Health: The Role of Neighborhood Disorder and Adverse Childhood Experiences . J Dev...
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ACEs Research Corner — June 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 posts the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens] Wickramasinghe YM, Raman S, Garg P, Hurwitz R. Burden of adverse childhood experiences in children attending paediatric clinics in South Western Sydney, Australia: a...
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ACEs Research Corner — October 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] Zhang L, Zhang D, Sun Y. Adverse Childhood Experiences and Early Pubertal Timing Among Girls: A Meta-Analysis. Int J Environ Res Public Health. 2019 Aug 13;16(16).
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ACEs research roundup: preschool suspensions; trauma inquiry; foster youth; school success
Adverse childhood experiences and preschool suspension expulsion: A population study , Child Abuse & Neglect S Zeng, CP Corr, C O'Grady, Y Guan The state of the science on trauma inquiry , Women's Health A Lewis-O'Connor, A Warren, JV Lee, N Levy-Carrick A Positive Youth Development Approach to Improving Mental Health Outcomes for Maltreated Children in Foster Care: Replication and Extension of an RCT of the Fostering Healthy Futures Program , American Journal of Community Psychology...
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Addressing Child Trauma at the Mexican Border [MedPageToday.com]
On the day after the 2016 presidential election, a group of pediatricians arrived at the Customs and Border Protection processing center here. Their host was Marsha Griffin, MD, a pediatrician who practices in this border town and is co-chair of the American Academy of Pediatrics (AAP) Immigrant Health Special Interest Group. Griffin had been at work with two fellow AAP members on a policy statement for the academy calling on the government to stop separating families who've been apprehended...
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Adolescent Suicide Up 87 Percent Over Last Decade; LGBT and American Indian/Alaskan Native Teens at Highest Risk [prnewswire.com]
By Trust for America's Health, October 29, 2019 Adolescent suicide deaths have spiked over the last decade and substance misuse including vaping is exacting a heavy toll on teens according to a report released today by Trust for America's Health (TFAH) and Well Being Trust (WBT). The report, Addressing a Crisis: Cross-Sector Strategies to Prevent Adolescent Substance Misuse and Suicide finds that, while progress has been made in reducing some risky behaviors, adolescent suicide and substance...
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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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Alarming Suicide Trends In African American Children: An Urgent Issue [SAMHSA]
The suicide rate among African American children aged 5 to 11 years has increased substantially since 1993 and is persisting, according to Dr. Jeffrey Bridge, a leading researcher at the Nationwide Children’s Hospital. In 1993 suicide ranked as the 14 th leading cause of death among this population. Today it’s the 10 th leading cause of death—with rates nearly twice that of their White counterparts. While it is not intuitive and is difficult to understand, suicide ranks as a leading cause of...
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American Acad of Pediatrics Policy Statement - Immigration policies need to be trauma-informed [www.medpagetoday.com]
The American Academy of Pediatricians has made a bold statement about the proposed DHS policy to separate children from their parents and the use of detention - clearly linking these policies to their potential to traumatize children. To that end, children should never be separated from a parent unless it is for the child's safety, and the Department of Homeland Security should discontinue the use of family detention and use community-based alternatives to detention to treat immigrant...
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American Academy of Pediatrics Addresses Racism and Its Health Impact on Children and Teens [aap.org]
By Maria Trent, et. al., American Academy of Pediatrics, July 29, 2019 Racism has a profound impact on children’s health. With the goal of helping all children reach their full potential, the American Academy of Pediatrics (AAP) is publishing new recommendations on ways to lessen the impact of racism on children and teens. In the policy statement, “ Racism and Its Impact on Child and Adolescent Health ,” the AAP calls on pediatricians to create welcoming, culturally competent medical...
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American Academy of Pediatrics Friends of Children's Fund Update
Dear Friend of Children, At this time of year, we pause and give thanks for colleagues and friends like you who care deeply and passionately about the health and well-being of children. We sincerely thank you for your past support of the American...
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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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Sharpening the global focus on ethnicity and race in the time of COVID-19 [thelancet.com]
By Neeraj Bhala, Gwnetta Curry, et al., The Lancet, May 8, 2020 Tackling injustices, including those that result from prejudice and racism globally, is essential in the response to the coronavirus disease 2019 (COVID-19) pandemic. Here, we focus on UK South Asian and Black and African-American populations, using internationally recognised terminology and definitions, and consider the UK and the USA as globally relevant examples. We recognise other minorities also need consideration in the...
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Social policies to prevent adversity -- see Open Access link (until July 1) to “A Critical Assessment of the Adverse Childhood Experiences Study at 20 Years”— in the American Journal of Preventive Medicine
The ACEs research by Drs. Felitti, Anda and colleagues focused attention on the important consequences of childhood adversity for adult health. Of course, as many in the resilience-building movement recognize, adversities affect children’s health and life trajectories as well. When we recognize the powerful impacts of harsh life circumstances for children and families, it becomes clearer that social policies to strengthen household and community resources are needed as well as...
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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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Stopping Generational Trauma in Communities of Color [sundial.csun.edu]
By Michaella Huck, The Sundial, February 3, 2020 Over the past decade, clinicians and scholars have intensely studied and treated the effects of intergenerational trauma suffered by communities of color (i.e. one generation to the next — be it individual or collective) that is passed onto future generations. Intergenerational trauma is defined as the transmission of historical oppression and its negative consequences across generations. There is significant evidence of the impact of...
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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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STUDENT VOICE: ‘What haunts me is how easily everyone could picture us behind bars’ [hechingerreport.org]
In sixth grade, I went on a field trip to jail. Picture us: a bunch of Latino and African American kids sitting in a prison cell. I’ve never been able to shake the memory. Here I was, an 11-year-old Latina from Jersey City, and our teachers were telling us, dead straight: This could be your future. I certainly got the message. What haunts me is how easily everyone could picture us behind bars. We could picture it, too. When it came time for high school, my dad made the decision to move us to...
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Talking to Children About Tragedies & Other News Events [healthychildren.org]
After any disaster, parents and other adults struggle with what they should say and share with children and what not to say or share with them. The American Academy of Pediatrics (AAP) encourages parents, teachers, child care providers, and others who work closely with children to filter information about the crisis and present it in a way that their child can accommodate, adjust to, and cope with. No matter what age or developmental stage the child is, parents can start by asking a child...
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Talking to Children about Tragedy & Other News Events [healthychildren.org]
By Healthy Children, American Academy of Pediatrics, July 2019 After any disaster, parents and other adults struggle with what they should say and share with children and what not to say or share with them. The American Academy of Pediatrics (AAP) encourages parents, teachers, child care providers, and others who work closely with children to filter information about the crisis and present it in a way that their child can accommodate, adjust to, and cope with. No matter what age or...
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Tally of Children Split at Border Tops 5,400 in New Count [nytimes.com]
By The Associated Press, The New York Times, October 24, 2019 U.S. immigration authorities separated more than 1,500 children from their parents at the Mexico border early in the Trump administration, the American Civil Liberties Union said Thursday, bringing the total number of children separated since July 2017 to more than 5,400. The ACLU said the administration told its attorneys that 1,556 children were separated from July 1, 2017, to June 26, 2018, when a federal judge in San Diego...
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Teaching 6-Year-Olds About Privilege and Power (kqed.org)
On a sunny day in April, I drove to Head-Royce School in the hills of Oakland, California, to join circle time in Bret Turner ’s first-grade classroom. I had asked Turner if I could sit in on some lessons after reading an article he wrote describing how he teaches about some surprising topics -- like race and class -- in an elementary school classroom. I wanted to see what that looked like and what kind of conversations first-graders at this private school would have around such complicated...
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Teen Bullies And Their Victims Both Face A Higher Risk Of Suicide [NPR.org]
Bullying and cyberbullying are major risk factors for teen suicide. And both the bullies and their victims are at risk. That's according to a report from the American Academy of Pediatrics that urges pediatricians and family doctors to routinely screen teenagers for suicide risks. "Pediatricians need to be aware of the problem overall," says Benjamin Shain , a child and adolescent psychiatrist and lead author of the report published online Monday in the journalPediatrics. "They should be...
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The AAP opens up access to ACE studies to highlight long-term impact of family separations and detentions at the border
Photo by Gerald R. Nino/Wikimedia.org "We have created a collection of articles on toxic stress since the American Academy of Pediatrics Committee on Psychosocial Aspects of Child and Family Health, the Committee on Early Childhood, Adoption and Dependent Care, and the Section on Behavior and Developmental and Behavioral Pediatrics published their landmark policy statement, “ Early Childhood Adversity, Toxic Stress, and the Role of the Pediatrician: Translating Developmental Science into...
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The Academy of Pediatrics Calls to End Spanking, and APSAC agrees!
The American Academy of Pediatrics (AAP) advises parents against the use of spanking as a disciplinary tool, citing multiple potential hards. APSAC agrees and offers alternatives for parents
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The Impact of Racism on Child and Adolescent Health [pediatrics.aappublications.org]
By Maria Trent, Danielle G. Gooley, Jacqueline Douge, Pediatrics, August 31, 2019 Abstract The American Academy of Pediatrics is committed to addressing the factors that affect child and adolescent health with a focus on issues that may leave some children more vulnerable than others. Racism is a social determinant of health that has a profound impact on the health status of children, adolescents, emerging adults, and their families. Although progress has been made toward racial equality and...
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The Relentless School Nurse: The Ripple Effect - When Community Violence Comes to School
Elizabeth (Liz) Clark, MSN, RN NCSN is a school nurse's school nurse. Her leadership skills were honed as President of the CO Association of School Nurses. She served on the national level as the CO NASN Director, completing her term in 2017. Liz has a prominent presence on Twitter and uses the social media platform to elevate school nursing practice. Liz is a natural teacher and you can find her sharing the most recent peer-reviewed articles with colleagues to promote health and learning. A...
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Those who separate immigrant children from parents might as well be beating them with truncheons
Many people who see reports of children separated from their parents might think that, because they’re not crying, that they’ve adjusted. Or, if they are crying, they’ll eventually stop and get over it. But, the reality is that those who participate in separating children from their parents and those who are caring for them in the detainment centers might as well be beating them with truncheons.
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TIC: News and Notes for the Week of March 18 2019
ACEs, Adversity's Impact Screening for adverse child experiences in primary care Linked: Adverse childhood experiences, health + addiction Adults with childhood traumas 11 times more likely to be involved in drugs and violence, report says Warning of overload in childhood trauma data Mental health issues increased significantly in young adults over last decade New student group to give hope to those with traumatic childhoods How anxiety leads to disruptive behavior Brain and Biology...
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Toxic Childhoods [politico.com]
Often times, a pediatrician or medical professional well-versed in the effects of ACEs or toxic stress can be the initial bridge to services, support, and building resilience for children, youth and families served by child welfare. It's exciting and encouraging to read about more and more pediatricians grounding their medical practice within ACEs framework. A toddler came into my examination room recently at Bayview Child Health Center in Bayview Hunters Point, an underserved, largely...
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Trained or not, family doctors and pediatricians are on the front lines of mental health care [tennessean.com]
When a sick kid steps into the pediatrician’s office, it could be for just about anything: an ear infection, a twisted ankle or an upset stomach. And sometimes, behind all those outward symptoms, there is something deeper that needs attention. Pediatricians and family doctors have long served a crucial but largely undefined role in American mental health care, diagnosing and treating depression and anxiety in addition to everyday physical injuries and common diseases. But amid rising concern...
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Trauma education and mindfulness help youth living amid gun violence
Armon Hurst, 2nd from left, first row, Teens on Target, courtesy of YouthAlive! Eighteen-year-old Armon Hurst serves as vice president of the student body at Castlemont High School in Oakland, Calif. He has a 4.0 grade point average, is an avid baseball player, and is slated to go to college next year. But until a few years ago, Hurst would find himself waking from nightmares in the middle of the night. It was difficult to concentrate at school, and he wasn’t eating well. Armon Hurst “There...
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Trauma-Informed Care as a Universal Precaution: Beyond the Adverse Childhood Experiences Questionnaire [jamanetwork.com]
By Nicole Racine, Teresa Killam, and Sheri Madigan, JAMA Pediatrics, November 4, 2019 Experiences of childhood adversity are common, with more than 50% of adults reporting having experienced at least 1 adversity as children and more than 6% exposed to 4 or more adverse childhood experiences (ACEs). There is currently a controversial debate in the medical field as to whether the ACEs questionnaire, which asks about abuse, neglect, and household dysfunction before age 18 years, should be...
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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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Trauma presents unique challenges to ELL students [PilotTribune]
photo by Liz/ CC2.0 Editor's note: This excerpt from an article in the Storm Lake Pilot-Tribune in Storm Lake, Iowa highlights how teachers in the Storm Lake School District are being trained in how to recognize trauma in their English Language Learners, which make up the majority of the student population . "With 63 percent of Storm Lake’s students being English language learners (ELL), cultural diversity is a given for teachers. But the trauma inherent with immigrants and refugees in...
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Trump Administration has Separated 900 Migrant Children Despite Order to Stop Practice [latimes.com]
By Kristina Davis, Los Angeles Times, July 30, 2019 The Trump administration has separated 911 migrant children from their parents at the border since a San Diego federal judge last summer ordered an end to the systemic practice, the American Civil Liberties Union reported to the court Tuesday. The continuing separations are largely blamed on parental criminal history — an exception that U.S. District Judge Dana Sabraw has carved out in the ongoing litigation. But lawyers with the ACLU argue...
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U.S. Hospitals May Often Miss Signs of Child Abuse (consumer.healthday.com)
Less than half follow up on suspicious fractures among at-risk kids, study finds MONDAY, July 13, 2015 (HealthDay News) -- Many U.S. hospitals may miss an opportunity to detect physical abuse in babies and toddlers, a new study reveals. ...
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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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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 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...