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PACEs in Pediatrics

Tagged With "New York Times"

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Parenting Matters: Supporting Parents of Children Ages 0-8 (The National Academies Press 2016)

Former Member ·
A study published by The National Academies of Sciences in 2016 resulting in 10 Recommendations to build support for parents... "Over the past several decades, researchers have identified parenting- related knowledge, attitudes, and practices that are associated with improved developmental outcomes for children and around which parenting- related programs, policies, and messaging initiatives can be designed. However, consensus is lacking on the elements of parenting that are most important...
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Parenting, Menopause & ACEs After-the-Chat Summary: Carey Sipp

Christine Cissy White ·
Have you talked with friends, siblings or co-workers about Parenting with ACEs while going through the change? Do you have any fascinating facts to share about how your OBGYN prepared or supported you when thrown by midlife, hormonal shifts and emotional residue from traumatic stress? Me either. And it's a shame. A lot of people parent, go through menopause, and have survived a bunch of ACEs. Conversations and information shouldn't be so hard to find. But they are. T hat's the reason we...
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Parenting stress associated with epigenetic differences in African American mothers [medicalxpress.com]

Alicia Doktor ·
Parenting can be stressful - and this stress may be influencing the DNA methylation of African American mothers, finds a new study led by NYU Rory Meyers College of Nursing published in the Journal of Clinical and Translational Science. Stress can contribute to a range of health problems, including high blood pressure and heart disease - health issues that are particularly pervasive among African American women. The stress that parents feel in their roles adds to overall maternal stress...
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Parenting with PTSD One Liners & Parenting with ACEs Chat Reminder

Christine Cissy White ·
Parents with PTSD from ACEs sharing what's hard about parenting while post-traumatically stressed: "Managing the terror around the possibility of everyone being a perp." "How to talk to children about why they won't meet X relative." “There was a point when I would feel completely overwhelmed by something as simple as having to make breakfast and school lunches at the same time.” "I didn't understand that not all parents reacted or were triggered the way I was." "was stone set on not...
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Parents who had severe trauma, stresses in childhood more likely to have kids with behavioral health problems [ScienceDaily.com]

Samantha Colson ·
A new study finds that severe childhood trauma and stresses early in parents' lives are linked to higher rates of behavioral health problems in their own children. The types of childhood hardships included divorce or separation of parents, death of or estrangement from a parent, emotional, physical or sexual abuse, witnessing violence in the home, exposure to substance abuse in the household or parental mental illness. "Previous research has looked at childhood trauma as a risk factor for...
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Pediatric Symposium at National ACEs conference offers lessons learned and the way forward

Laurie Udesky ·
To set in motion the Pediatric Symposium at the 2018 National ACEs Conference in San Francisco, Dr. Nadine Burke Harris, founder and CEO of the Center for Youth Wellness, told the audience of several hundred attendees that the American Academy of Pediatrics has made it very clear to its membership how critical it is that every pediatrician understand how toxic stress impacts the health of their patients. But, she said, when it surveyed its membership it found that only 11 percent knew about...
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Pediatricians Group: Doctors Should Prescribe Play Time For Kids (boston.cbslocal.com)

A new report is recommending kids do something critical for healthy development – play. The report ‘ The Power of Play ’ from the American Academy of Pediatrics recommends all pediatricians tell children that playing with parents and peers is a critical part of healthy development, fundamental for learning life skills and reducing stress. Dr. Michael Yogman of Mount Auburn Hospital authored the report which shows playtime has decreased significantly in the past 15 years, while screen time...
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Pediatricians screen parents for ACEs to improve health of their babies

Jane Stevens ·
The  Children’s Clinic , tucked in a busy office park five miles outside downtown Portland, OR, and bustling with noisy babies, boisterous kids and energetic pediatricians, seems ordinary enough. But, for the last two years, a quiet...
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Pediatricians screening for ACEs at Loma Linda University

Ariane Marie-Mitchell ·
Attached is the Whole Child Assessment which is being used by pediatricians to screen for ACEs at Loma Linda University. For further questions about the development or use of the WCA, please contact Ariane Marie-Mitchell at Loma Linda University, amariemitchell@llu.edu .
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Pinetree Institute Podcast With Dr. Christina Bethell: Positive Childhood Experiences (PCEs) and ACEs.

David Cote ·
The Pinetree Institute is a Maine non-profit located on the NH border in Eliot. They conduct research and present workshops on ACEs and resilience. A workshop with Dr. Christina Bethell was scheduled for today, but was cancelled because of COVID-19. Dr. Bethell's field of expertise is PCE (Positive Childhood Experiences) and their role in combatting ACEs and promoting resilience throughout the lifetime. Because of the circumstances, Pinetree Institute is offering a 40 minute podcast in which...
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Please stop saying parenting is hard for everyone & read Parenting with PTSD instead

Christine Cissy White ·
Sometimes, we feel anxious, intrusive, or afraid when changing or bathing or own babies. Sometimes, we feel sick to our stomachs and worried while potty training, nurturing, or disciplining our toddlers. Sometimes, we feel shame-filled and ill-equipped when talking about puberty, body parts, or sexuality because of how and where we were compromised by caregivers as children as in our bodies, homes, and families. P arenting is brutally hard for some. If affection, attention and intimacy have...
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Positive Childhood Experiences offset ACEs: Q & A with Dr. Robert Sege about HOPE

Laurie Udesky ·
Tufts University medical professor Dr. Robert Sege directs the Center for Community-Engaged Medicine and is nationally known for his research on effective health systems approaches that address social determinants of health. He is also the principal investigator for the HOPE framework (Healthy Outcomes from Positive Experiences).The HOPE framework is based on research that shows how positive childhood experiences can mitigate the effects of adverse childhood experiences. Sege and colleagues...
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Power of Family Resilience to Protect Children From Bullying [sciencedaily.com]

By American Academy of Pediatrics, Science Daily, October 25, 2019 Studies show that children exposed to childhood trauma known as adverse childhood experiences (ACEs) are at increased risk of being bullied or bullying others. New research being presented at the American American Academy of Pediatrics (AAP) 2019 National Conference & Exhibition suggests that family resilience -- the ability to work together to overcome problems, for example -- reduces this risk. The research abstract,...
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Prescribing nature for health draws providers to Oakland, CA, conference

Laurie Udesky ·
There’s now a growing body of research showing the positive health effects of nature. At a recent conference in Oakland, CA, clinicians who prescribe nature to help buffer ACEs and toxic stress experienced by children and families shared findings from their own research and others.
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Primary Care & Telehealth Strategies for Addressing the Secondary Health Impacts of COVID-19

From ACEs Aware, May 13, 2020 This webinar will focus on building understanding and identifying primary care and telehealth strategies and tools to address the secondary health effects of the COVID-19 emergency. Widespread stress and anxiety regarding COVID-19, compounded by the economic distress due to lost wages, employment and financial assets; mass school closures; and necessary physical distancing measures can result in an increase of stress-related health conditions. These secondary...
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Public Charge Rule Could Erode Enrollment in Insurance Coverage [chcf.org]

By Xenia Shih Bion, California Health Care Foundation, February 3, 2020 In a 5-4 vote reflecting the ideological split among the justices, the US Supreme Court on January 27 decided to allow the Trump administration to commence enforcement (PDF) of its “public charge” rule nationwide. Only Illinois, where a statewide injunction is currently in effect, will not begin enforcing the rule. The regulation was slated to take effect last October, but federal judges in California, Illinois,...
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Reminder: Live Chat with Donna Jackson Nakazawa

Christine Cissy White ·
"It's really not survival of the fittest - it's survival of the nurtured." Donna Jackson Nakazawa Date: Tuesday, November 14th, 2017 Time: 10 AM PST / 1 PM EST Where: Here / Chats ( featured chat ) Hosted by: @Jane Stevens Topics to be Covered: Parenting with ACEs. What parents need to know. Affordable self-care for stressed and busy parents. Healing from ACEs & family wellness. How to Attend Online Chats: M embers of ACEs Connection : Go to Chats (top of page). Find...
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Report provides rates of major depressive episodes among adolescents in every state and the District of Columbia [SAMHSA.gov]

Samantha Sangenito ·
A new report by the Substance Abuse and Mental Health Services Administration (SAMHSA) provides state-by-state results on adolescents (ages 12-17) who experienced at least one major depressive episode in the past year. Based on combined 2013 and 2014 data, the report shows the prevalence of major depressive episodes among adolescents residing in various states – from a high of 14.6 percent (annual average) in Oregon to a low of 8.7 percent (annual average) in the District of Columbia.
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Report reveals how foster care, juvenile and adult justice systems traumatize youth, calls for policy shifts

Laurie Udesky ·
YWFC sponsored Sister Warriors meeting When she was 15 years old, Lucero Herrera was put in a rehab program by San Francisco’s Juvenile Court because she was getting drunk regularly. And in doing so, the court failed to explore the root of her drinking. Had they done so, she said, they would have found that anger and trauma were lurking underneath, driven by her ACEs: adverse childhood experiences. Lucero Herrera "Why did they put me in a drug program when I had an anger problem? I went...
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Report reveals how foster care, juvenile and adult justice systems traumatize youth, calls for policy shifts

Laurie Udesky ·
YWFC sponsored Sister Warriors meeting When she was 15 years old, Lucero Herrera was put in a rehab program by San Francisco’s Juvenile Court because she was getting drunk regularly. And in doing so, the court failed to explore the root of her drinking. Had they done so, she said, they would have found that anger and trauma were lurking underneath, driven by her ACEs: adverse childhood experiences. Lucero Herrera "Why did they put me in a drug program when I had an anger problem? I went...
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[Repost] Trauma-informed Care: It Takes More Than a Clipboard and a Questionnaire

Jim Hickman ·
California is about to launch an ambitious campaign to train tens of thousands of Medi-Cal providers to screen children and adults up to age 65 for trauma, starting on January 1, 2020. It is well-established that the early identification of trauma and providing the appropriate treatment are critical tools for reducing long-term health care costs for both children and adults. Research has shown that individuals who experienced a high number of traumatic childhood events are likely to die...
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Research roundup: ACEs among incarcerated women; testing technology to help reduce substance use; prenatal support as an intervention to prevent ACEs

Laurie Udesky ·
photo by Rhoda Baer/Wikimedia Common Life as she knows it: The effects of adverse childhood experiences on intimate partner violence among women prisoners [Child Abuse & Neglect] "Most incarcerated women suffer from adverse childhood experiences (ACEs), such as abuse (e.g., physical, sexual, emotional), neglect, (e.g., physical, emotional), and chaotic home environments (e.g., witnessing domestic violence), and adult intimate partner violence (IPV). Yet the majority of research on the...
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Resource list -- Books

Jane Stevens ·
Brandt, Joyelle and Daum, Dawn -- Parenting with PTSD: the impact of childhood abuse on parenting , 2017. " Our Mission: 1. To build a supportive community for parenting survivors, normalize the PTSD responses they may be having, and share resources for healing from adverse childhood experiences (ACEs) or other traumatic events. 2. To educate professionals working in the fields of physical, mental, and social health about common triggers that arise for parents with PTSD, and the challenges...
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Resource List -- Guides & Toolkits

Jane Stevens ·
AAP Trauma Toolbox for Primary Care -- This 6-part series was designed with the primary care practice in mind – those who may or may not be familiar with adverse childhood experiences (ACEs) and the process of asking families about exposure to ACEs or other traumatic events. The series includes: Adverse Childhood Experiences and the Lifelong Consequences of Trauma (in Spanish ) Addressing Adverse Childhood Experiences and Other Types of Trauma in the Primary Care Setting (in Spanish ) The...
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Resource list -- Handouts & tools

Jane Stevens ·
ACEs and Toxic Stress in Spanish -- A Spanish-language overview from AAP of "toxic stress, how it affects the body's systems, and how we can promote resiliency in children to help protect against toxic stress." ACE Surveys (different types of) -- A list of the original ACE study, adapted surveys, and expanded surveys. Circle of Parents -- " Circle of Parents ® provides a friendly, supportive environment led by parents and other caregivers. It’s a place where anyone in a parenting role can...
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Resource list -- Professional development

Jane Stevens ·
Alberta Family Wellness's Professional Development & Training -- " Researchers, practitioners, and policy-makers who work with children and families need opportunities to enhance their skills, explore new ideas, and make professional connections. To provide these opportunities, the AFWI partners with leading experts and institutions across North America representing a range of disciplines and sectors. These partnerships work to develop educational tools, curricula, and training programs...
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Resource List -- Research & Reports

Jane Stevens ·
AcademyHealth -- "As the professional home and leading national organization for health services researchers, policymakers, and health care practitioners and stakeholders, AcademyHealth – together with its members – increases the understanding of methods and data used in the field, enhances the professional skills of researchers and research users, and expands awareness." Anda RF, Felitti VJ, Bremner JD, Walker JD, Whitfield C, Perry BD, Dube SR, Giles WH. The enduring effects of abuse and...
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Resource List -- Training (whole practice)

Morgan Vien ·
Screening Time [AAP.org]-- " The American Academy of Pediatrics developed this site - which includes video-based training modules, conversation simulations, a screening tool selector, and a resource center - to help you learn more about the screening process for maternal depression, developmental concerns, and social determinants of health. Useful for doctors, nurses, front office staff, care coordinators, and others involved in the process, this resource will help you gain a better...
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Resource: Screening for adverse childhood experiences (ACEs) in pediatric practices

Lisa Schafer ·
Now that we know that trauma early in life can have a significant impact on an individual’s health and wellness throughout their life, health care organizations are beginning to focus on providing more trauma-informed care. Screening for adverse childhood experiences (ACEs) in pediatric, clinical settings promotes early intervention and can be a tangible entry point for organizations interested in providing trauma-informed care. The Center for Community Health and Evaluation is a nonprofit...
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Review of ACE studies confirms supporting parent-child relationship is key

Laurie Udesky ·
When health care providers screen their pediatric patients for ACEs, what interventions might help improve outcomes for children? Dr. Ariane Marie-Mitchell, a pediatrician in the Department of Preventive Medicine at Loma Linda University, and a colleague sought an answer to that question in a systematic review of studies that was published recently in the American Journal of Preventive Medicine. As part of their inquiry, Marie-Mitchell and her co-investigator, Rashel Kostolansky , who was a...
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Review of Tools for Measuring Exposure to Adversity in Children and Adolescents [Journal of Pediatric Health Care]

Laurie Udesky ·
photo/ Creative Commons " Exposure to childhood adversity can result in negative behavioral and physical health outcomes due to potential long-term embedding into regulatory biological processes. Screening for exposure to adversity is a critical first step in identifying children at risk for developing a toxic stress response. We searched PubMed, PsycArticles, and CINAHL for studies published between January 1, 2012, and December 31, 2016, as well as other sources, to identify potential...
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Rural Pregnant Women with Opioid Addiction Find a Doctor, Not a Judge (chcf.org)

With her husband and two young children, (Dr. Candy) Stockton packed up and moved hundreds of miles north to rural Shasta County. Today, Stockton, 42, practices family medicine at the Shingletown Medical Center in a tiny town in the shadow of Mt. Lassen, 30 miles east of Redding. The majority of Stockton’s patients live in poverty. “The economy is terrible,” she said, adding that the lack of educational opportunities for kids creates a cycle of despair that can afflict families for...
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Safe Spaces. Safe Places: Creating Welcoming and Inclusive Environments for Traumatized LGBTQ Youth (2015 Video from the NCTSN)

Former Member ·
This video  from the National Child Traumatic Stress Network introduces the viewer to the needs of LGBTQ youth who have experienced trauma.    For educators, juvenile justice professionals/law enforcement/first responders, mental...
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Schools Finding Record Numbers of Homeless Students, Study Says [edweek.org]

Alicia Doktor ·
States have never found so many homeless students in public schools before. The next challenge will be finding ways to keep those students in school long enough to earn a diploma. Nearly 1.36 million children—more than all the students in New York City—went to school in 2017 without knowing where they would sleep at night, finds a new report by the national campaign Education Leads Home , which looked at new national data as well as graduation rates for homeless students in 26 states. That's...
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September 2017 Special Issue of Academic Pediatrics: Child Well-Being and Adverse Childhood Experiences in the US

Former Member ·
The United States is on the threshold of advancing much needed improvements in child and population well-being by addressing the epidemic of adverse childhood experiences and finding ways to come together, use what we know, and heal and catalyze a new epidemic of child and family flourishing. A special issue of Academic Pediatrics highlights new national research with inspiring commentaries across a wide range of leaders, each of whom calls out the critical importance of an immediate, strong...
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Beyond the ACE score: Examining relationships between timing of developmental adversity, relational health and developmental outcomes in children (www.sciencedirect.com)

Christine Cissy White ·
Highlights excerpted on Science Direct about a new study by Erin P.Hambrick, Thomas W.Brawner, BruceD. Perry, KristieBrandt, Christine Hofmeister, and Jen O.Collins published in the Archives of Psychiatric Nursing. Link to Science Direct about a new study by Erin P.Hambrick, Thomas W.Brawner, BruceD. Perry, KristieBrandt, Christine Hofmeister, and Jen O.Collins published in the Archives of Psychiatric Nursing.
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Beyond Trauma: Building Resilience to ACEs (brochure)

Christine Cissy White ·
Wish you had a fairly easy and short way to share all about ACEs? Wish it was in-depth enough to share with teachers, doctors, nurses and therapists but not so long or jargony it puts family and friends to sleep? Here's the perfect thing to share when you've been all up in the faces with ACEs and want to back up your words before, during or after. This brochure is comprehensive but not so long that it remains in the "I'll get to it later," pile. Please feel free to print, forward, download...
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Book: Integrated Early Childhood Behavioral Health in Primary Care: A Guide to Implementation and Evaluation

Jane Stevens ·
Edited by Dr. Rahil Briggs, Integrated Early Childhood Behavioral Health in Primary Care: A Guide to Implementation and Evaluation , the book focuses the primary care environment as an ideal venue in which to promote preventive, two-generation, behavioral health efforts. The book, with a foreword from Dr. Jack Shonkoff and published by Springer in 2016, Outlines the implementation of integrated early childhood behavioral health programming into pediatric primary care, Explores the process of...
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Book review: "Once I was very, very scared," a book on childhood trauma

Beth Grady MD ·
The past few years have brought a wealth of evidence for the impact of childhood trauma on lifelong health. The AAP has recognized the importance of childhood trauma with conferences (2015 Violence, Abuse and Toxic Stress: An Update on Trauma-informed Care in Children and Youth) and resources ( AAP Trauma Toolbox for Primary Care .) Like many pediatricians, I have been grateful for the attention to and evidence base for an area of pediatrics I see on a daily basis but for which I have felt...
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Book review: "Once I was very, very scared," a book on childhood trauma

Beth Grady MD ·
The past few years have brought a wealth of evidence for the impact of childhood trauma on lifelong health. The AAP has recognized the importance of childhood trauma with conferences (2015 Violence, Abuse and Toxic Stress: An Update on Trauma-informed Care in Children and Youth) and resources ( AAP Trauma Toolbox for Primary Care .) Like many pediatricians, I have been grateful for the attention to and evidence base for an area of pediatrics I see on a daily basis but for which I have felt...
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Boston’s architect of community well-being: Pediatrician Renée Boynton-Jarrett

Christine Cissy White ·
She talks with parents about the relationship between childhood adversities they have experienced and how that may have an impact on parenting. “I frame things a bit more broadly than ACEs,” she said, “because I think it’s very important to reflect on a broader number of exposures than were covered in the original study, such as poverty or structural violence and racism.”
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Building a Movement to Birth a More Just and Loving World [Groundswell March 2018]

Karen Clemmer ·
The National Perinatal Task Force: Building a Movement to Birth a More Just and Loving World - In my 20 years as a public health nurse, I've never seen race called out so clearly in a report like this. Data has shown disparities, however the data was presented in a tidy way — very apolitical, purposely written to not ruffle any feathers or point fingers - " persistent racial gap ". This report written by The National Perinatal Task Force is refreshingly honest and this is important. We need...
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Building a Trauma-Informed Approach with Pediatric Physical Therapists

Jessica Barreca ·
In the profession of physical therapy (PT), the word "trauma" typically leads one to think of the physical manifestations of a catastrophic injury, subsequent emergency medical care, and lengthy rehabilitation services. However, the psychological aspects of trauma are not always as visible. Throughout an individual’s lifespan, PTs will provide services to restore function, manage pain, and increase physical activity. We provide education, hands-on care, and therapeutic exercise to improve...
 
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