Tagged With "ACEs Aware"
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Re: ACEs research roundup: ACEs, racism, promoting equity and resilience
Thanks Daun for letting me know. The link is fixed now!
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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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WEBINAR: Parental ACEs and Pediatrics: Transforming Well Care on 9/17
12-1pm on September 17 Registration for the CALIFORNIA ACES ACADEMY- Second Free Live Webinar with Free CME/CE is now available. Dr. RJ Gillespie will present Parental ACEs and Pediatrics: Transforming Well Care. This is a supplemental training. For Aces Aware Medi-Cal certification visit ACEsAware.org . Please see the attachment for more information
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Painful Questions: What Happens When Doctors Uncover Adverse Childhood Experiences?
This excellent article reviews arguments for and against universal pediatric screening for ACEs in California. It also highlights Dr. Nadine Burke Harris' concern concern that if we know ACEs science, it is irresponsible not to take action. She indicates that she has not heard alternative proposals for action from critics of screening. However, such alternatives exist and include universal pediatric developmental screening and policy initiatives aimed at primary prevention of adversity.
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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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'A Better Normal:' Can universal ACEs screening be equitable? -- Concerns and solutions
Can universal ACEs screening be equitable? A conversation about concerns and solutions. When: Tuesday, Oct. 13, 2-3:30 pm PDT/5-6:30 pm EDT This webinar explores what it takes to ensure that equity is built into the process of screening and providing support for families who have experienced trauma and want help. REGISTER HERE Background At the beginning of this year, California, through the ACEs Aware initiative began rolling out universal screening for adverse childhood experiences (ACEs),...
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'I don’t know how we can really achieve racial equity if we’re not hearing the voices of those whom we hope to serve'
Dr. Shandi Fuller recalls that when she first assembled an all-staff meeting at the Solano County Family Health Services to show how equity and ACEs screening should go hand in hand, some staff members were bewildered. “Why are we talking about equity?” they asked. As Fuller explained to attendees at “A Better Normal,” an ACEs Connection webinar on Oct. 13, the question led her and a colleague to develop training for medical providers on this concept. The webinar was also based on extensive...
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New California preventive mental health coverage puts ACEs science front and center
A mother, frantic with worry, brought her newborn in for a checkup at the pediatric clinic at San Francisco General Hospital. But there wasn’t anything wrong with the baby. And over the next several months, no amount of reassurance could convince the mom that her child was eating, sleeping and growing just fine. If anything, the mother’s worry led to behavior that raised alarm bells for her health care providers. Dr. Kate Margolis “[The family] wasn’t returning calls from the provider, and...
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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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Sonoma County field nurses use ACEs science to educate families
Santa Rosa, CA, resident Lisa Marden watches her 15-month-old baby gleefully play with magic markers and relays how she’s been coping with feeling anxious. (We're using a pseudonym to protect the family's privacy.) “I’m just super stressed out with everything, and as soon as I eat anything, I get nauseous, so I’ve been eating snacks instead of meals,” she explains to Liz George, a field nurse with the Maternal/Child Field Nursing team of Sonoma County, CA, who has been seeing Marden on home...
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Re: Sonoma County field nurses use ACEs science to educate families
the most important 'teach a man to fish' work we can do to break the cycle - bravo!
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Berger, Dalton & Miller: How Much More Data Do We Need? Making the Case for Investing in Our Children
Child maltreatment is well recognized as one of the most significant contributors to pediatric morbidity and mortality throughout the world. 1 , 2 The effect of child maltreatment on morbidity and mortality in older adults has been documented for >20 years as demonstrated by the Adverse Childhood Experiences (ACEs) study. 3 The impact of maltreatment on teenage suicide and other mental health diagnoses is also well known. 4 , 5 To date, however, a direct relationship between maltreatment...
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8 Categories of Adversity That Shape Health: Adverse Babyhood Experiences (ABEs), ACEs and ACEs+, ACREs, and More
As I've discovered since leaving my career as a family doctor, retraining as a somatic trauma therapist, and scouring the research for 20 years - adversity of all kinds, in all phases of our lives, and in past generations influences our health. As does discrimination. Like ACEs, these 7 additional categories of adversity shape health. They increase opportunities for prevention, identify early indicators of risk, and offer more tools for healing chronic illness and other effects of trauma.
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Research article on ACEs and immune cell gene expression in children
Sharing our recent publication of pilot data on ACEs (assessed using the Whole Child Assessment) and immune cell gene expression in children age 5-11 years old
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Medical Board of California Features AAP-CA3, Dr. Wendy Pavlovich and Dr. Pradeep Gidwani
In a recent article titled, " Adverse Childhood Experiences: Breaking the Cycle in a Time of COVID-19 ," the Medical Board of California newsletter highlighted the work being done by the American Academy of Pediatrics, California Chapter 3 , Dr. Wendy Pavlovich and Dr. Pradeep Gidwani.
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Re: Research article on ACEs and immune cell gene expression in children
Thank you for sharing
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Local Organizations Join Together To Build HOPE and Resiliency in San Diego’s Children
April is National Month of Hope. While hope is something we all need right now as we surpass one year of the COVID pandemic, HOPE (Healthy Outcomes from Positive Experiences) means something different in our work as ACEs Aware grantees. The YMCA of San Diego County , San Diego State University Social Policy Institute , San Diego Accountable Community for Health (SDACH) and American Academy of Pediatrics – California Chapter 3 are combining efforts as ACEs Aware grantees to work with...
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HOPE Summit speakers show how positive childhood experiences offset adversity
The Rev. Darrell Armstrong, pastor of the historic Shiloh Baptist Church in Trenton, New Jersey, is an accomplished man. He graduated from Stanford University in public policy and went on to get his master’s degree in divinity studies at Princeton. As a former director in the New Jersey Department of Human Services, he was responsible for New Jersey’s statewide strategy for preventing child abuse and neglect. Armstrong has also worked as an entrepreneur, workshop facilitator, and radio host.
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How Trauma Affects the Body: Reflections from Dr. Eric Ball
AAP-OC Chapter Member, Dr. Eric Ball, MD, FAAP, from the CHOC Children's Primary Care Network, has shared a personal experience of the emotional, mental and physical impact after a recent traumatic event in his own life. His story provides insight on children who experience strong, frequent, or prolonged adversity and the impact it can have on their health and well-being if it is not identified and addressed. The ACEs Aware Initiative is equipping providers to take the lead in identifying...
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Re: How Trauma Affects the Body: Reflections from Dr. Eric Ball
Thanks for sharing such an emotion intimate tragedy.
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Interview with Dr. Nadine Burke Harris & Dave Ellis
We recently sat down with Dr. Nadine Burke Harris, California’s first surgeon general, and Dave Ellis, the first executive director of the Office of Resilience at the New Jersey Department of Children and Families. A pioneering voice on prevention, early identification, and treatment of Adverse Childhood Experiences (ACEs), Dr. Burke Harris gained national prominence with her viral 2015 TED talk on this topic. Dave Ellis made his name as a national leader in providing trainings and...
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Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment
Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment Jeoffry B. Gordon, MD, MPH May 23, 2021 As a family doc practicing in San Diego I was privileged to hear Dr. Vincent Felitti talk about his inspired development of the ACEs questionnaire and its association with many adult mental and physical diseases directly from him only a few years after his original insight. Yet, although I had a lively clinic and learned how to manage a vast array of medical...
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Re: Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment
Bravo! This will be a very useful tool for those of us who interact with ACEs/PACEs hesitant health care professionals. Thank you!
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How Meltdowns Can Manifest Resilience
As a primary care pediatrician, I spend most of my days talking about things that are hard for families. Parents ask what to do when their child won't poop on the potty. Or how to get their baby to sleep longer or how to get their teenager to wake up earlier. They ask how to get their child to sit in the car seat or what to do when they get car sick on long rides. And over the years I have developed a list of problem-solving strategies to help. But the one that has recently become my...
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What Pediatricians are Saying About Participating in the Trauma-Informed ACEs Screening and Intervention Evaluation (TASIE) Project
Earlier this month, the Trauma-Informed ACEs Screening and Intervention Evaluation (TASIE) Project completed its first 9-month quality-improvement ECHO program. Cohort 1 of the TASIE Project included 17 pediatric primary care practices consisting of 89 providers and 114 total team members, across eight states. These practices have successfully incorporated ACEs screening into their workflow and will use what they've learned through this program to spread awareness of ACEs and toxic stress...
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Re: American College of Preventive Medicine (ACPM) Recommends against Pediatric ACE Screening
The ACPM continues the high-minded academic tradition of castigating clinical research that does not meet precise research standards developed for biochemical pathophysiology and its treatment. In doing so it creates barriers to needed and overdue clinical intervention in a major behavioral pandemic with huge consequences for individual health and society. This policy statement impedes, impairs and delays attention to ACES, PACES, childhood abuse and neglect in the clinic as well as omits...
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Re: American College of Preventive Medicine (ACPM) Recommends against Pediatric ACE Screening
I'm pleased parenting education was mentioned.
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American College of Preventive Medicine (ACPM) Recommends against Pediatric ACE Screening
A just-published article reports that the American College of Preventive Medicine (ACPM) recommends against pediatric ACE screening but strongly supports continuing surveillance of ACEs along with protective factors in the population as a way to identify public health and other policies that can prevent adversity and toxic stress. Their report highlights Dr. Robert Anda’s (and colleagues) commentary that notes that ACE scores are neither a diagnostic tool nor predictive at the individual...
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Re: American College of Preventive Medicine (ACPM) Recommends against Pediatric ACE Screening
In reading the ACPM report, I feel like the headline here on the PACEs site is a bit misleading. Yes, they recommend against ACE screening, but they do seem to provide fuel for advancing PACEs awareness within the health care system. That said, I definitely share Jeoffry's frustration on how the medical establishment is way too focused on having studies that meet strict evidence-based guidelines. And in this report, the authors probably feel like they are being supportive of addressing...
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Re: American College of Preventive Medicine (ACPM) Recommends against Pediatric ACE Screening
You know on the surface I could agree with you, but if you go a bit deeper: It is a bit trying to solve a clinical problem ignoring the rules of trauma informed care. First you ask "What's wrong? What do you need? How can I help?" One does not engage by criticizing, pointing out faults, and generally concluding you fell short and your behavior and attitude could even be harmful or dangerous!
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Re: Exploring the Connection Between Adverse Childhood Experiences and Diabetes
Very good article. Important citation. The connection between childhood trauma and physical disease (as distinguished from psychological turmoil) is often overlooked, especially among medical doctors. If only they would appreciate this situation! See my article "The importance of child abuse and neglect in adult medicine," Jeoffry B. Gordon, Pharmacology, Biochemistry and Behavior 211 (2021) 173268 Available online 7 September 2021.
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Exploring the Connection Between Adverse Childhood Experiences and Diabetes
Life is hard. None of us makes it through unscathed. Unfortunately, though, some of us have a much tougher journey on this planet than others. Most distressingly of all, children and babies are by no means immune from the wounds that this world all too often inflicts. Indeed, for many children, trauma is not a future threat but a present reality. And these adverse childhood experiences (ACE) can have a devastating long-term impact across all domains of a child’s life. This includes...
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North Carolina moves closer to creating nation's first ACEs-informed courts system
(l-r) Judge J. Corpening; Ben David, district attorney, New Hanover County; Chief Justice Paul Newby; Judge Andrew Heath, executive director, Administrative Office of the Courts of the Chief Justice's ACEs Informed Courts Task Force. David and Heath serve as Task Force co-chairs . “There is not any more important work going on in the State of North Carolina,” said Ben David, District Attorney for New Hanover County and co-chair of the Chief Justice’s ACEs-Informed Task Force . The Task force...