Tagged With "Care of Our Patients"

I actually mean in the pediatric clinic we are receiving requests to join performance improvement projects in our office on issues that are actually the result of toxic stress but I was asking "How do we get our colleagues to better understand that addressing toxic stress may actually be the most effective way to positively affect all these health care outcomes?"

Little Kids Big Questions Another Great Resource from Zero to Three I copy this page from Zero to Three and give it to all My parents. Also, sometimes in the Nursery, if I know the parent is a new parent with risk factors for negative child development, and the parent has a cell phone (and I always make sure first they have affordable and reliable access) or a computer and have the ability to access this resource, I will take the time to sit with the new parent and listen to one of these...

COMMITTEE OPINION: Opioid Abuse, Dependence, and Addiction in Pregn... Obstet Gynecol. 2012 May;119(5):1070-6. doi: 10.1097/AOG.0b013e318256496e. ACOG Committee Opinion No. 524: Opioid abuse, dependence, and addiction in pregnancy. ACOG Committee on Health Care for Underserved Women ; American Society of Addiction Medicine . Abstract Opioid use in pregnancy is not uncommon, and the use of illicit opioids during pregnancy is associated with an increased risk of adverse outcomes. The current...

Here are some of my favorite free resources that I share with the families that I work with. From the Everything I need to Know, I Learned from Watching Sesame Street department, this site has apps, videos, and activities for parents and kids to help through challenging things like having an incarcerated parent, dealing with divorce, bullying, or just going to bed. Available in English and Spanish. http://www.sesamestreet.org/parents/topicsandactivities/toolkits/challenges#0 From a...

Thanks Kim. I haven't checked all these out yet but I will. I also like PBS kids their educational page which has science projects you can do at home with the kids. I would want to make sure the activities do not promote screen time but I did see an article some time back that Sesame Street Viewing promotes pro-social behavior in toddlers. The AAP doesn't recommend any screen time before the age of two and then It should be limited. thanks for the Post. I will check back with you and let you...

So ...we get MOC requests to join something on preventing smoking, decreasing obesity, checking cholesterol...etc...But as we can see...and know... Pediatrics is about prevention..So how do we get our colleagues to work with us on Toxic Stress...

Hi there -- I'm posting here on Ped community at the suggestion of a colleague who says this may be best way to find an adult primary care doc at Kaiser. I'm a passionate advocate for ACEs awareness, and a high-ACE-score kid who writes about childhood trauma. I'm also a Kaiser member in the Oakland/Richmond area, and I'm looking for a primary care doc who REALLY knows his/her stuff about emerging ACEs science. Happily, I am healthy today, but the health problems I've had in the past have...

As many health care professions are aware there is a growing epidemic in the United States of pregnant woman who are using drugs during their pregnancy.  In rural areas of the United States, there may be no doctors to care for these mothers which...

Dear ACEs in Pediatrics Community, We just launched a new trauma-informed children's book series called Venus and Her Fly Trip . The series has been developed in collaboration with therapists, educators, parents and healers and is designed to promote mental/social/emotional health, body positivity and imaginative play in kids 4-10 , with the ultimate goal of preventing self-hatred. I would greatly value hearing the feedback of the ACEs community on this endeavor, and welcome your ideas for...

On the chance that someone here can offer a referral or advice, I'm looking for a trauma-informed medical doctor who can be my wife's Primary Care Physician. She is 39 years old and has gone without medical care for over 27 years as a result of her childhood trauma which involved severe neglect and long-term social isolation. I need to find a physician who is willing to communicate with me before her first appointment so I can fully explain her condition and what kind of approach will best...

Hello! We are in the process of training all staff on trauma informed care, ACEs and screening for ACEs in our agency. I've presented on trauma and trauma informed care often, but I'm looking for a training video that talks about trauma, ACEs and screening for ACEs in a primary care setting. Does anyone know of a short-concise video that touches on these topics? A video that shows a role play of a provider and patient going through the ACEs screening and referral process would be ideal! FYI:...

Hello! I'm looking for research on the validity of the ACE screening tool or a modified ACE screener to use in our clinic. Also, we are wanting to screen all adult patients and then eventually want to start with pediatric patients. Regarding pediatrics, are there any data supporting a specific methodology? For instance, we were thinking of having parents complete it for birth to 11 and then having 12 to 17 year olds complete their own. Any research and/or thoughts on this is greatly...

Anna, I hope it's not too weird for me to reply to this two years later, and that it's OK for me to use this forum. I came across your post while doing a web search for another ACEs Connection issue. I'm curious, for several reasons if you ended up finding an ACEs-informed PCP in either of those Kaisers. I'm an internist in the Sutter system, now in Sacramento, but who grew up in Oakland, and whose dad spent his career working as an internist at Kaiser Oakland. I have become consumed with...

The review process for the revision of our Whole Child Assessment (WCA) is taking a little longer than ideal. Version 2 is for age 0-20 years with the parent completing for age 0-12. We also have validation data that we are currently preparing for publication. I hope to have version 2 available via email or website by October 1. For adults, there are different options depending upon other workflow in your clinic. I'd consider starting with Dr. Felitti's 1-page screening tool. We have a...

I'm a pediatric neurologist at University of Alabama at Birmingham and Children's of Alabama. ACEs in the Peds ED: I've discussed ACE screening with some of my Peds ED colleagues (and there's interest) but that's as far as we've gotten.... ACE screening elsewhere: Is anyone doing ACEs in sub-specialty pediatrics? I am looking for help on "best practices" in this setting. Over the past few months I have been informally asking an unscientific sample of my parents in Peds Neurology clinic to...

I’m kind of bad here because I didn’t read your entire reply but this area of somatic complaints and concerns over behavioral problems like ADHD - is really where I started asking the ACE questions mixed in with a bunch of other psychosocial questions - and the ACEs were always very high. I’ve been doing this since at least 2004. Rahil Briggs is awesome in this area as is NBHarris and they have a webinar coming up in a few days on integrating this into care. For Neurology - chronic...

Dear Chris, I just saw your request and that you posted this question perhaps a year ago. Seeing no other comments I wanted to check in to see if you've found good care with someone who can connect well with your wife. I was once a family doctor and ended up retraining as a trauma therapist and specializing in chronic illness. If additional support is helpful I'd suggest your wife get support for healing some of these effects of trauma she has around events from childhood as they could make...