Tagged With "health cost of ACEs"
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First health-related cost of ACEs study shows $113 billion price tag for California; just one ACE costs $28 billion
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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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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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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Integrating Healthcare and Early Childhood Systems Requires Capacity and Expertise [chapinhall.org]
By Angeline Spain, Angela Sander, and Amanda Brownd, Chapin Hall at the University of Chicago, 2020 Pediatric well-child visits represent a critical, often untapped opportunity to ask families about unmet social care needs and connect them with early childhood and other community services. Innovating in this space to address social determinants of health, early childhood organizations are increasingly building healthcare partnerships with the goal of increasing family access to services and...
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Interactive training on nature and health for health care providers, Oakland, Ca
October 27, 2018 8:45 AM 5:00 PM PDT Calling all health care providers! Save the date! Saturday October 27th, 2018 Join The Center for Nature and Health and Primary Care Clinic, UCSF Benioff's Children's Hospital: When: Saturday, October 27th, 2018, 8:30 a.m.–5:00 p.m. (Outdoor time included!) Where: CHORI Library, 5700 Martin Luther King Jr. Way, Oakland, Ca Register now: www.bitly.com/ucsf- nature2018 Featured speakers: Daphne Miller, MD, Physician and author Jose Gonzalez, Founder, Latino...
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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 Guide to Providing Telehealth During the COVID-19 Crisis
Many of us in the mental health field are being thrust into unfamiliar territory as clinicians in the midst of the COVID-19 response. We either risk personal health (and the health of our clients) by seeing people in person, or needing to utilize technologies that we may be unfamiliar with. Further, those technologies have fluid legal/ethical standards (and is even more fluid at present to accommodate the pandemic), and which require different skill sets that in-person therapy. I am...
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A Guide to Providing Telehealth During the COVID-19 Crisis
ACEs in Pediatrics community manager's note: Although this post by Daren Casagrande is geared toward mental health providers, I thought it had material that could be useful to a wider swath of health care providers. Please comment below if you have any questions or suggestions. --- Laurie Udesky Many of us in the mental health field are being thrust into unfamiliar territory as clinicians in the midst of the COVID-19 response. We either risk personal health (and the health of our clients) by...
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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 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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ACEs, biomarkers and the cost of adversity
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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ACEs Research Corner — March 2020
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 science. Thank you, Harise!! -- Jane Stevens] Brown SM, Bender K, Orsi R, McCrae JS, Phillips JD, Rienks S. Adverse childhood experiences and their relationship to complex health profiles among child...
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ACEs Research Corner — September 2018
[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] Schickedanz A, Halfon N, Sastry N, Chung PJ. Parents' Adverse Childhood Experiences and Their Children's Behavioral Health Problems. Pediatrics. 2018 Aug;142(2).
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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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Announcing a New Parenting and ACEs Blog from Stress Health, an Initiative of the Center for Youth Wellness
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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Association of behavioral health factors and social determinants of health with high and persistently high healthcare costs [Preventive Medicine Reports]
Editor's note: A common interest among ACEs in Pediatrics members is finding research that shows how ACE scores correlate with high cost health care utilization. This study in Preventive Medicine Reports looks into that correlation. " To our knowledge, no other studies have examined the e ff ects of ACEs on utilization and cost, independent of medical condition acuity. ACEs exposure emerged as the sole factor independently associated with both initial and persistent high-cost status, aside...
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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 Health Conference and ACEs
May 14, 2019 and May 15, 2019 there is a Behavioral Health Conference hosted by the United Way in Broward County. Be sure to stop by the Children's Services Council/ ACES Broward table to sign up to be a part of the ACE's Broward Community. At the conference, CSC President/CEO Cindy Arenberg Seltzer will be giving a brief introduction about ACE's. https://www.drugfreebroward.org/events/behavior-health-conference/
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Behavioral Medicine journal seeking manuscripts on resilience
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
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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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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Sitler: Managing Depression and Anxiety in Children [newarkadvocate.com]
By Penny Sitler, Newark Advocate, March 1, 2020 There’s much conversation about mental health in children and youth these days. At Welsh Hills School, local pediatrician Dr. William Knobelach recently spoke about depression and anxiety in school aged children to a standing room only crowd at a parent education event. The Adverse Childhood Experiences Study (ACES), which looks at the impact of childhood trauma on health and well-being later in life, frequently comes up in talks about mental...
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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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The Economic Cost of ACEs in Tennessee (SycamoreInstituteTN.org)
Adverse childhood experiences (ACEs) can increase a person’s risk of health, social, and economic problems throughout life. In 2017, ACEs among Tennessee adults led to an estimated $5.2 billion in direct medical costs and lost productivity from employees missing work. ACEs are associated with risky health behaviors and poorer health outcomes even after accounting for other factors. Over half of adult Tennesseans reported at least one ACE between 2014 and 2017, and about 17% had experienced 4...
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The Power of Beliefs: What Babies Are Telling Us
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
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: ACEs Impact Nurses More Than We Realized!
I ran across this message on www.acesconnection.com and not only did it catch my attention, but it also made me want to dig deeper. Could it be true that nurses have a higher ACEs score than other healthcare professionals? It seemed true in this small survey, but was this a representation of a trend? If it was, the implications in nursing practice could be tremendous and concerning. What I found was that there is a grand canyon gap in research. The minimal studies that do exist confirm that...
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The Relentless School Nurse: Brandy Bowlen Shares Her Message - From Seat to Feet
Brandy Bowlen has transformed her school community by first taking a stand for her own health and well-being. This is not an easy feat for nurses. Eight years ago, when Brandy was a new school nurse, she found herself overwhelmed, overstressed and overweight. She became a warrior for self-care, connecting the importance that her professional persona would be most impactful if she presented herself as an example. Brandy shares her journey to wellness for herself and her school community.
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The Relentless School Nurse: Full Disclosure: I am Fearful to Welcome Another September
School is about to begin and for the first time in my 18 years as a school nurse, I am fearful to welcome another September. I work in an urban district where community gun violence is sadly commonplace, but that is not my fear. I travel throughout the city from school to school where drug dealing is an open-air exercise, but that is not my fear. Emergencies are often solitary experiences because school nurses work independently, but that is not my fear. Families facing deportation from...
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The Relentless School Nurse: How Are We Treating Our Children?
School nursing is filled with challenging moments, some are more emergent than others. Imagine this scenario: A preschool student whose family is displaced, enters school with no physical exam or immunizations has a seizure at school. The student is admitted to the hospital, and upon discharge, is released with multiple referrals to specialists and diagnostic studies. The family, undocumented and homeless, has no insurance. The mother's employer will not provide proof of income because she...
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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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The Relentless School Nurse: What Happened at School Today?
Welcome to a new feature on the Relentless School Nurse website: "What Happened at School Today?" The idea for this view from different health offices is the result of discussions with school nurses across the country who wanted to share their practice settings. Last year, Abby Pelletier and I shared pictures taken from our perspective health offices. I am in an urban NJ school and she is in rural NH, so the differences were quite distinct. "What Happened at School Today?" will feature...
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The Relentless School Nurse: When the Health Office Pass Includes Emotions
The collaboration between school counselors and school nurses creates safe spaces for students at school. Building a coalition between school counselors and school nurses creates a safety net for our most complex and challenging students while benefiting the whole school community. Promoting connections through intentional relationship building, and ensuring a school environment that is physically, emotionally and psychologically safe changes the culture and climate. Read about an amazing...
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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, Resilience-oriented Approaches Learning Community [thenationalcouncil.org]
By The National Council for Behavioral Health, October 2019 The National Council for Behavioral Health is pleased to announce the 2020-2021 Trauma-informed, Resilience-oriented Approaches Learning Community. Since 2011, we have worked with behavioral health, social service and community organizations to implement trauma-informed, resilience-oriented organizational change. This Learning Community will provide participating organizations, systems and communities with the tools and skills to...
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'Understanding Trauma': Program Shows Doctors the Biases Indigenous Women Experience [cbc.ca]
By Daniela Germano, Canadian Broadcasting Corporation, October 1, 2019 An online training program is aiming to educate health-care professionals about biases Indigenous women may experience as highlighted by allegations of recent coerced sterilizations. Dr. Naana Jumah, an obstetrician-gynecologist at the Thunder Bay Regional Health Sciences Centre and assistant professor at the Northern Ontario School of Medicine, said the idea for the program came in 2011 when she was doing her residency.
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Unlocking the Potential of Electronic Health Records in Pediatric Healthcare [chapinhall.org]
By Allison Laffan, Kaela Byers, Julie McCrae, et al., Chapin Hall at the University of Chicago, 2019 As the pediatric healthcare field innovates to address social determinants of health and help families meet concrete needs, electronic health records can serve as an important tool for quality improvement and evaluation. Variation in systems, staff knowledge, skills, and availability of resources present barriers to realizing the full potential of this tool. Addressing these barriers...
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Webinar Series – Putting Trauma-Informed Care into Practice: Lessons from the Field
Health policymakers and practitioners increasingly recognize trauma as an important factor that influences health throughout the lifespan. By incorporating trauma-informed approaches to care into their practice settings, provider organizations can more effectively care for patients and support efforts to improve health outcomes, reduce avoidable hospital utilization, and curb excess costs. This two-part CHCS webinar series will explore innovative strategies for implementing a trauma-informed...
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What the ACEs Screening Movement Can Learn from the Healthcare Hotspotting Movement
No brief intervention or short-term infusion of services is a silver bullet that will overcome the long-term harm caused by structural racism, poverty, and multi-generational trauma.
Calendar Event
2020 Pediatric Brain Health Summit
Comment
Re: A Message from the President of the Illinois Chapter, American Academy of Pediatrics
Elise, Thanks for posting this event! I know that many members of ACEs in Pediatrics are interested in how cross sector collaborations are working to help prevent and mitigate ACEs. I am wondering if any of the sessions will be recorded?
Comment
Re: Cover Story November Issue of Journal of Family Practice: Childhood Adversity and Lifelong Health
Dear Audrey, What a terrific summary and highlighting of the major points about ACEs, including the often minimized risk for autoimmune and other chronic diseases. Congrats on this huge success of getting ACEs in front of family docs and other primary care providers. I'm so thrilled to see it and am sharing on my chronic illness trauma blog and FB page and more!!
Comment
Re: Montefiore Integrated Pediatric Behavioral Health Training Institute, May 14 & 15, 2018
looking forward to having your team to give grand rounds at the UIHC this fall rahil. great work. resmiye oral
File
CANarratives.pdf
Comment
Re: Trauma-informed, Resilience-oriented Approaches Learning Community [thenationalcouncil.org]
The “resilience” terminology is too ambiguous. Personally, I have to reject it because I never know what anyone is referring to.
Comment
Re: Opinion: All Doctors Should Practice Trauma-Informed Care [calhealthreport.org]
“Thus, it should be standard practice for medical professionals to screen and assess for trauma in a safe environment. It is critical that primary and behavioral health systems have communication channels to inform each other about a person’s trauma and its effect on their mental health and physical wellbeing. In order to achieve this outcome, we are proposing state legislation to mandate trauma-informed care education in all California medical, dental and nursing programs. In addition, we...
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Re: Nobel Winner’s Research Shows Home Nurse Visits for New Moms Boost Children’s Cognitive Skills [The74Million.org]
I love, LOVE this guy! Dr. Heckman is my public policy hero - I never thought I'd say that about an economist! Dr. Heckman is so well regarded, his research is impeccable, and the data has the potential to powerfully transform public policy with the end result of better lifelong outcomes for children and parents. AND in addition to cognitive skills, he recognizes " the importance of socioemotional skills, physical and mental health, perseverance, attention, motivation, and self-confidence .