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PACEs in Pediatrics

Tagged With "ACEs Aware Initiative Webinar"

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Doctor-patient role-playing featured in ACEs Connection webinar

Laurie Udesky ·
On an ACEs Connection webinar on Monday, Dr. Andrew Seaman, an assistant professor at Oregon Health & Science University, showed how he navigates his students through the science of adverse childhood experiences (ACEs). And, in an unusual twist for a webinar, Seaman and O’Nesha Cochran, a peer mentor with the Mental Health Association of Oregon, role-played doctor-patient interactions to show how to develop the skills to communicate with patients with high ACE scores. About 90 people...
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Dozens of stakeholders representing thousands of practitioners send public comments on Calif. ACEs-screening plan

Laurie Udesky ·
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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Employing an Adaptive Leadership Framework to Childhood Adversity Screening [pediatrics.aapublications.org]

By Susannah Stein, Arin Swerlick, and Binny Chokshi, Pediatrics, January 2020 Providers of pediatric health care have been motivated and inspired by the research on childhood adversity, which has shown that in the early stages of life, critical neurodevelopmental pathways can be disrupted through exposure to adverse childhood experiences (ACEs) and resultant toxic stress.1,2 Early detection of ACEs and subsequent intervention has the potential to decrease the development of associated poor...
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Explore NPPC’s New ACEs Screening Resources Website

Skylar Nahi ·
Join the National Pediatric Practice Community on ACEs (NPPC) on Wednesday, April 25 at 12:00 PM PST for a Q&A session and a “sneak peek” of its new member website, which provides a wide range of resources to help pediatric practices make the case and implement screening for adverse childhood experiences (ACEs). NPPC is an initiative of the Center for Youth Wellness.
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Findings from the Preventing and Addressing Intimate Violence when Engaging Dads (PAIVED) Study [futureswithoutviolence.org]

From Futures Without Violence, March 2020 Webinar Description: This webinar will explore findings from the Preventing and Addressing Intimate Violence when Engaging Dads (PAIVED) study , and presenters will identify approaches that fatherhood programs take or could take to help prevent and address intimate partner violence among fathers.The PAIVED study examines the approaches that fatherhood programs take to help prevent and address intimate partner violence (IPV) among fathers. The webinar...
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First health-related cost of ACEs study shows $113 billion price tag for California; just one ACE costs $28 billion

Laurie Udesky ·
Researchers who have been looking for a way to quantify the health toll of ACEs in dollar terms, now have an example in a newly-released study of California. ACEs exacted a toll costing an estimated $113 billion annually, according to the study in the journal PLOS One that was commissioned by the Center for Youth Wellness. ACEs-associated cardiovascular disease was the condition that lead author Ted Miller dubbed “the giant in the room.” It accounted for $29.6 billion in spending, more than...
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For a pediatrician and former teacher ACEs awareness came from a punch in the face

Laurie Udesky ·
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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FREE WEBINAR "Clinician Burnout or Wellness: Care Team Well-being and the Health of the Nation"

Madison Hammett ·
Join the Illinois ACEs Response Collaborative on Thursday, February 6th for this free webinar highlighting provider burnout and the role of team wellness in trauma-informed transformation!
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Free webinar from Chandra Ghosh Ippen, PhD on "When We Are Scared..."

Beth Grady MD ·
In this excellent free webinar, Chandra Ghosh Ippen, PhD, Associate Director of the Child Trauma Research Program at University of California, San Francisco, and Director of Dissemination and Implementation for Child-Parent Psychotherapy, talks about how to use her picture story book Once I Was Very Very Scared to help children and families heal from acute and chronic trauma. The webinar will be available in Spanish soon. https://www.youtube.com/watch?v=DcAPbDpgoso
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Healthy Spaces December 2019 Webinars

Aldina Hovde ·
Healthy Spaces: Promoting Healthy and Resilient Communities December 2019 Webinars The New Jersey Chapter, American Academy of Pediatrics (NJAAP) believes that all children deserve to feel safe and secure in their home, at school, and while at play. The Healthy Spaces program aims to address adverse childhood experiences (ACEs) through partnerships with pediatric/family healthcare teams, schools and communities. Preventing Child Abuse and Neglect (PCAN) Date & Time: Tuesday, December 10,...
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HOPE, Engagement, and COVID19

Bob Sege ·
As children grow and develop, engaging with the larger community around them provides a sense of “mattering” — a sense that their participation in the community really does matter. The emergency conditions now in effect provide numerous opportunities to children and teens to pitch in. Here are a few ideas . . .
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How do these pediatricians do ACEs screening? Early adopters tell all.

Laurie Udesky ·
Last week, three pediatricians — with a combined experience of 15 years integrating ACEs science into their practices — reflected on the urgency they felt several years ago that prompted them to begin screening patients for childhood adversity and resilience when there was practically no guidance at all. Along their journey , they accumulated a list of lessons learned for other pediatricians and family clinics to use. The three pediatricians participated in the ACEs Connection webinar,...
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Hundreds Attend ACEs Town Hall Featuring California Surgeon General Nadine Burke Harris (with video) [northcoastjournal.com]

By Iridian Casarez, North Coast Journal, November 22, 2019 The Sequoia Conference Center on Humboldt County Office of Education’s campus was at capacity, 448 people had landed a seat — while at least another 100 watched from a live stream in a separate room. The draw was a conversation among California’s first Surgeon General Nadine Burke Harris and a panel of locals spearheading Humboldt County’s efforts to alleviate the impacts of Adverse Childhood Experiences, also known as ACEs. “Thank...
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Researchers share learned lessons from screening for adverse childhood experiences in pediatric clinics

Laurie Udesky ·
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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In ACEs Connection webinar, physicians talk trauma, offer tips for helping pediatric immigrant patients

Laurie Udesky ·
Dr. Raul Gutierrez, a pediatrician in the San Francisco Bay Area, said he and his fellow clinicians see constant fear and its health consequences every single day among the largely immigrant and Latino population they serve. It’s all the result of anti-immigrant policies and the news cycle that feeds the fear. Dr. Raul Gutierrez “It is almost inescapable with the repercussions of immigration policy on the radio, television, social media and from friends and family,” Gutierrez told the 69...
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Increasing Resilience: Primary Healthcare Providers' Opportunities to Promote Protective Factors Before and After Childhood Trauma [avahealth.org]

By Machelle D. Madsen Thompson and Bart Klika, Academy on Violence and Abuse, March 2020 Lifespan research reveals that although ACEs are common, many people are able to move toward recovery and achieve reportedly good functional status. This resilience does not occur in isolation but is supported by a composite of protective factors that empower a child to return to functional status following ACEs. Resilience is observed when a child is immersed in positive influences, such as supportive...
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Intergenerational associations of parent adverse childhood experiences and child health outcomes [ Pediatrics]

Laurie Udesky ·
To what extent do parents' adverse childhood experiences (ACEs) affect ACEs and health status among their children? Linking data of 350 parents and their children from the 2012 Southeastern Pennsylvania Household Health Survey (HHS) and the Philadelphia ACE Survey, researchers found statistically significant correlations between parents' ACE scores and their children's health status. "Our results suggest that the full scope of health effects of ACEs is not limited to the exposed individual.
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4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress

Laurie Udesky ·
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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5 Things to Know as California Starts Screening Children for Toxic Stress [californiahealthline.org]

By Barbara Feder Ostrov, California Healthline, January 7, 2020 Starting this year, routine pediatric visits for millions of California children could involve questions about touchy family topics, such as divorce, unstable housing or a parent who struggles with alcoholism. California now will pay doctors to screen patients for traumatic events known as adverse childhood experiences, or ACEs, if the patient is covered by Medi-Cal — the state’s version of Medicaid for low-income families. The...
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8 Myths About Screening For Adverse Childhood Experiences

Laura Shamblin ·
I’d like to take this opportunity to address some of the objections to screening for ACEs that I have come across. It is true that some areas of research are still emerging, such as protocols, but in other ways we are twenty years behind using the information we have to make a positive difference in our patients lives and in training new physicians to be more comfortable addressing social and experiential determinants of health.
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9 Big Questions as California Starts to Screen Kids for Trauma, ACEs [salud-america.org]

By Amanda Merck, Salud America!, February 12, 2020 Early childhood adversity like abuse and divorce is a root cause of many of the greatest public health challenges we face today. But doctors don’t even screen children for exposure to adversity. That’s changing in California, thanks to Dr. Nadine Burke Harris and other child advocates. As of Jan. 1, 2020, almost 100,000 physicians in 8,800 clinics will be reimbursed for routinely screening Medi-Cal patients for adverse childhood experiences...
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A Health Problem and An Opportunity: Screening for Adverse Childhood Experiences [medium.com]

Dayna Long ·
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

Laurie Udesky ·
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 New Documentary About Breaking the Cycle of Trauma is Launching This Fall!

Charlotte Graham ·
We are thrilled to announce the premiere of Wrestling Ghosts , a documentary about breaking the cycle of trauma, at the LA Film festival on Sept. 27th. “Incredible. Haunting and strange and beautiful and incredibly moving.” -Dan Cogan, Founder Impact Partners Wrestling Ghosts follows the epic inner journey of Kim, a young mother who, over two heartbreaking and inspiring years, battles the traumas from her past in order to create a new present and future for her and her family. In this...
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ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)

Veronique Mead ·
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

Laurie Udesky ·
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 Aware: On Jan. 1, 2020, Medi-Cal Providers Can Receive Payment for ACEs Screenings

Gail Kennedy ·
ACEs and toxic stress represent a public health crisis that has been, until recently, largely unrecognized by our state’s health care system and society, but there’s hope. Together, we can screen for ACEs, respond with trauma-informed care, and significantly improve physical and mental health across the state. All Medi-Cal providers are encouraged to get trained today . Beginning on January 1, 2020, eligible Medi-Cal providers can receive a $29 payment for conducting qualifying ACEs...
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ACES Aware Webinar: Dec 13th, 12-1pm PT - Public Comments about soon-to-be-released Request for Proposal

Gail Kennedy ·
The Department of Health Care Services and the California Office of the Surgeon General are hosting a webinar of the Trauma-Informed Care Implementation Advisory Committee’s Provider Education and Engagement Subcommittee. Subcommittee members will discuss a draft Request for Proposal (RFP) released for public comment as part of the ACEs Aware initiative. The draft RFP invites external organizations to apply for grants to support provider training activities, provider engagement activities...
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ACEs Aware Webinar: Trauma-informed practices to address stress from COVID19

Laurie Udesky ·
How can health care providers take care of themselves, their colleagues and their patients during this COVID-19 pandemic? First and foremost is recognizing how the pandemic can stir up trauma from the past, said Dr. Alicia Lieberman, a psychologist specializing in trauma. “COVID19 is reawakening traumatic reminders in many of us and in the families we work with. And that often makes it difficult for parents to protect themselves and their children,” she noted. Lieberman, the director of the...
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ACEs, biomarkers and the cost of adversity

Laurie Udesky ·
How useful and necessary are biomarkers in telling the story of how toxic stress from adverse childhood experiences and resilience can impact a child’s long-term health? In the introduction to an article in the journal BioEssays , Dr. Kathryn Ridout, a Kaiser Permanente San Jose psychiatrist, and her co-authors examine what is known about two biomarkers and quote data on child maltreatment and its economic burden over time that says it all. “When totaling the costs of health care, child...
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All hands on deck (from a distance): remote care for traumatized moms and babies

Jonathan Joseph Goldfinger ·
Dear colleague, Coronavirus is forcing providers and allied professionals serving mothers and babies to make unprecedented decisions. Should pregnant women needing care go through our hospital quarantine entrance? Should moms deliver without partners, family or doulas present? Be sent home early before key screenings or jaundice treatment are completed? To make matters worse, our systems aren't ready for basic remote care of mothers and infants now "socially distanced". Prenatal, post-partum...
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Announcing a New Parenting and ACEs Blog from Stress Health, an Initiative of the Center for Youth Wellness

Diana Hembree ·
Research shows that the right kind of support and care can mitigate the impact of toxic stress in children and help them bounce back.
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As California Moves to Screen Children for Childhood Trauma, Poverty Has To Be Part of the Equation

Jim Hickman ·
In California, we are coming full circle in recognizing the connection between poverty and health.
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BABY ACES: When we consider the traumas that qualify as ACEs, babies need their own list.

Laura Haynes Collector ·
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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Bay Area Doctors Target Health Consequences of Childhood Trauma [sfchronicle.com]

By Erin Allday, San Francisco Chronicle, January 5, 2020 A screening tool developed by Bay Area pediatricians to identify adverse childhood experiences, ranging from homelessness and food insecurity to physical and sexual abuse, will now help doctors statewide address trauma affecting patients’ health. The California Department of Health Care Services approved the tool — called PEARLS, for Pediatric ACEs and Related Life-Events Screener — last month. As of Jan. 1, its use is covered by...
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Behavioral Medicine journal seeking manuscripts on resilience

Heather Gehlert ·
An exciting opportunity for the ACEs community to submit a manuscript on resilience for a special issue of the journal Behavioral Medicine.
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Behavioral Medicine journal seeking manuscripts on resilience

Heather Gehlert ·
An exciting opportunity for the ACEs community to submit a manuscript on resilience for a special issue of the journal Behavioral Medicine.
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Sesame Street will help Memphis kids with their ACEs

Tiffany Thomas-Turner ·
(Posted in the Commercial Appeal on December 5, 2018 ) Every child deserves to grow up with a strong connection to a caring adult and a loving family. But for one in four kids in Shelby County, a supportive relationship with a parent figure isn’t so easy to come by. The legacy of adverse childhood experiences (ACEs) — ranging from physical, emotional, or sexual abuse; physical or emotional neglect; the loss of a parent through illness, death, divorce, or incarceration; or domestic violence...
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So you've screened for ACEs...Now what?

Margaret Wayne ·
Docs for Tots has partnered with the Center for Youth Wellness (CYW) to bring together diverse pediatric offices across Long Island and assist them in implementing universal ACEs screening. CYW, national experts on ACEs, has demonstrated that by addressing ACEs and building resilience through community resources, behavioral therapy, and support, the health outcomes of individuals can improve. A key goal of CYW is to have every pediatrician universally screening for ACEs in order to identify...
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Survey: Healthcare providers, community organizations weigh in on California's ACEs screening program

Laurie Udesky ·
In January, California took a historic leap forward to promote universal ACEs screening of the state’s 13 million adults and children in the Medi-Cal program. The eventual goal is to promote ACEs screening for all patients, but this is a first step in dealing with a major issue that ACEs science has identified: that many children will develop serious health problems later in life because the healthcare system is not currently set up to detect the roots of those problems. The term ACEs, which...
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Taking Care of Our Patients, Our Teams, and Ourselves: Trauma-Informed Practices to Address Stress Related to COVID-19

Join ACEs Aware Webinar for a webinar on: Wednesday, March 25, 2020 Noon – 1 p.m. Register for the webinar Speakers: Edward Machtinger, MD Alicia Lieberman, PhD Brigid McCaw, MD, MPH, MS, FACP The webinar will cover how trauma-informed principles and practices can help providers and their teams sustain high quality care of patients, and take good care of themselves in the face of acute stress resulting from COVID-19. This includes ways to help patients increase buffering and protective...
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The Connection between Asthma and Toxic Stress: Insights from the National Committee on Asthma and Toxic Stress

Sarah Rock, JD ·
Children for whom ACEs and asthma co-occur may ultimately require different prevention and intervention strategies due to their ACEs-related physiology. As more pediatric clinics screen for ACEs, the field needs consensus and management guidelines that address the biological links between adversity and health outcomes. The National Committee on Asthma and Toxic Stress (NCATS), in partnership with the Center for Youth Wellness, the Sean N. Parker Center for Allergy and Asthma Research at...
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The Power of Beliefs: What Babies Are Telling Us

Kate White ·
Dr. Wendy Anne McCarty is a pioneer in prenatal and perinatal psychology and has worked with young families for over 40 years. She writes: "In 2002, I wrote a JOPPPAH article, The Power of Beliefs: What Babies are Teaching Us . In it I discuss how young babies already portray a sophisticated and established complex of beliefs and patterns of being in the world. I describe four clinical stories of babies in PPN-oriented BEBA therapy sessions who are expressing very difficult patterns based...
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The quest to find biomarkers for toxic stress, resilience in children — A Q-and-A with Jack Shonkoff

Laurie Udesky ·
The JPB Research Network on Toxic Stress , led by Dr. Jack Shonkoff, is working on developing biological and behavioral markers for adverse childhood experiences (ACEs) and resilience that they believe will be able to measure to what extent a child is experiencing toxic stress, and what effect that stress may be having on the child’s brain and development. The JPB Research Network on Toxic Stress is comprised of scientists, pediatricians and community leaders, and is a project of the Center...
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The Relentless School Nurse: Pediatricians + School Nurses = Powerful Partners

Robin M Cogan ·
Pediatricians and school nurses are powerful partners when we intentionally collaborate to improve the continuity of care in the populations we serve. It is the intentionality of relationship building that can bear the most fruitful outcomes to improve the health and well-being of our most vulnerable population, our children. We are far more effective working in concert than in our silos. School communities are looking for guidance, answers, and action to address the explosion of...
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TIC: News and Notes for the Week of March 18 2019

Scott A Webb ·
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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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 presents unique challenges to ELL students [PilotTribune]

Laurie Udesky ·
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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Traumatic Experiences Widespread Among U.S. Youth, New Data Show

Jane Stevens ·
[This is a media release from the Robert Wood Johnson Foundation.] New national data show that at least 38 percent of children in every state have had at least one Adverse Childhood Experience or ACE, such as the death or incarceration of a parent, witnessing or being a victim of violence, or living with someone who has been suicidal or had a drug or alcohol problem. In 16 states, at least 25 percent of children have had two or more ACEs. Findings come from data in the 2016 National Survey...
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