Tagged With "Dr. Nadine Burke-Harris"
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ACEs Aware: On Jan. 1, 2020, Medi-Cal Providers Can Receive Payment for ACEs Screenings
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 screening in CA — a Q and A with Dr. Dayna Long
Last year, the California Department of Health Care Services rolled out its plans for universal screening for trauma among its pediatric and adult Medicaid population. Beginning January 1, 2020, California physicians were able to receive an incentive payment of $29 for each pediatric patient screened for ACEs using the PEARLs ( Pediatrics Adverse Childhood and Resilience Study) tool. Dr. Dayna Long talked with ACEs Connection staff reporter Laurie Udesky about ACEs science, what led to the...
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Adverse Childhood Experiences (ACE) Study: Beyond Screening in Pediatrics
The evidence is clear. When bad things happen to us as young children, we are at significantly increased risk for not only mental health problems, but also a wide range of physical health problems including asthma, heart disease, and even early death. These "bad things" all involve disruptions in caregiving relationships. A national movement directed at screening for ACEs in pediatric practices has emerged from this work. My suggestion that the implication of the Adverse Childhood...
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After 5-year journey to integrate ACEs science, Santa Rosa, CA, pediatric clinic is trauma-informed, from head to toe
Dr. Meredith Kieschnick was among the first physicians in the U.S. to hear the term, "adverse childhood experiences". That was in 1998, early on in her career as a pediatrician, when the CDC-Kaiser Permanente Adverse Childhood Experiences Study (ACE Study) published its initial findings in the American Journal of Preventive Medicine . “I attended a conference at which (Dr. Vincent) Felitti spoke,” she recalls. Felitti, at that time director of the Health Appraisal Center at Kaiser Permanente...
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As California Moves to Screen Children for Childhood Trauma, Poverty Has To Be Part of the Equation
In California, we are coming full circle in recognizing the connection between poverty and health.
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Solano County's (CA) ACEs initiative, a robust community effort, makes room for input from all
In a house called “Johanna’s House” on a tree-lined side street in Vallejo, Calif., four women are filling out the adverse childhood experiences (ACE) survey given to them by Maria Guevara, the founder of Vallejo Together, an organization that serves homeless residents in Vallejo. The house was named for Johanna Dilag, a homeless woman who was found dead along with her dog.
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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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Toxic Childhoods [politico.com]
Often times, a pediatrician or medical professional well-versed in the effects of ACEs or toxic stress can be the initial bridge to services, support, and building resilience for children, youth and families served by child welfare. It's exciting and encouraging to read about more and more pediatricians grounding their medical practice within ACEs framework. A toddler came into my examination room recently at Bayview Child Health Center in Bayview Hunters Point, an underserved, largely...
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Toxic Stress Is The Hidden Public Health Crisis California's New Surgeon General Wants To Solve [laist.com]
Our brains grows so much in the first few years of life that any trauma we experience during that time can affect our health forever. California's new, first-ever surgeon general, Dr. @Nadine Burke Harris, has made the link between childhood adversity and long-term health the focus of her work. She was sworn in by Gov. Gavin Newsom last week and calls her new role a "dream job." [For more on this story by PRISKA NEELY, go to ...
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Webinar Invitation: National Pediatric Practice Community on Adverse Childhood Experiences (ACEs)
National Pediatric Practice Community on Adverse Childhood Experiences (ACEs) Dr. Nadine Burke Harris and the Center for Youth Wellness team invite you to attend the launch of the National Pediatric Practice Community on ACEs (NPPC) . NPPC is a network of medical providers focused on integrating ACEs screening and a toxic stress framework into pediatric medical practice. We will be kicking off the NPPC with an informational webinar on Monday, May 8th, 2017 at 12 noon (PST) . Webinar...
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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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Webinar Series – Putting Trauma-Informed Care into Practice: Lessons from the Field
Learn how two leading San Francisco-based provider organizations are Implementing Trauma-Informed Care in Pediatric and Adult Primary Care Settings . View a recent webinar featuring Dr. Nadine Burke-Harris, Center for Youth Wellness, and Dr. Edward Machtinger, Women's HIV Program at UCSF. The webinar is part of a series on Putting Trauma-Informed Care into Practice: Lessons from the Field hosted by the Center for Health Care Strategies and made possible by the Robert Wood Johnson Foundation.
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What’s in the well? Pediatrician probes ACEs and the biology of toxic stress in kids [seattletimes.com]
Boot-strapping types who believe that surmounting a difficult childhood is mainly a matter of will may be perplexed by an anecdote near the beginning of Nadine Burke Harris’s new book, “The Deepest Well: Healing the Long-Term Effects of Childhood Adversity.” In it, the pediatrician describes a 7-year-old boy named Diego, who showed up at her Bay Area clinic looking like an undersized 4-year old. He had been referred by a school nurse for suspected ADHD . But Burke Harris also noted that her...
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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.
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Whom do we call to report the mistreatment of children by the federal government? [washingtonpost.com]
By Nadine Burke Harris, Washington Post, July 11, 2019. Nadine Burke Harris is the surgeon general of California. Children in dirty clothes who haven’t been bathed in days. Eight-year-olds caring for toddlers out of necessity. Kids deprived of the safe, stable and nurturing care that’s fundamental to their health and well-being. As a pediatrician who has spent my career working to address childhood trauma, I’ve unfortunately seen it all. And I’ve had to make my share of reports to Child...
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Why the Nation Should Screen All Students for Trauma Like California Does [theconversation.com]
By Sunny Shin, The Conversation, November 18, 2019 As the first person to hold the new role of Surgeon General of California, Dr. Nadine Burke Harris is pushing an unprecedented plan to implement universal screenings for childhood trauma within the state’s schools. Childhood trauma is defined by the National Institute of Mental Health as an “emotionally painful or distressful” event that “often results in lasting mental and physical effects.” Burke Harris’ plan is already more than a dream:...
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Working with UCSF, California Surgeon General Aims to Cut Adverse Childhood Experiences by Half [ucsf.edu]
By Rebecca Wolfson, University of California San Francisco, February 18, 2020 Nadine Burke Harris, MD, California’s first surgeon general, has a bold goal: cut adverse childhood experiences and toxic stress in half within one generation. She spoke about her vision and her groundbreaking work to reduce adverse childhood experiences across the state during a speech at the UC San Francisco Parnassus Heights campus. The lecture at Cole Hall on Feb. 13 was part of Chancellor Sam Hawgood’s health...
Calendar Event
ACEs Aware Initiative Webinar
Calendar Event
ACEs Aware Initiative Webinar
![How childhood trauma affects health across a lifetime [16 min - ted.com]](https://www.pacesconnection.com/g/aces-in-pediatrics/fileSendAction/fcType/5/fcOid/476162897100373666/primaryPicture/true/fodoid/476162897100396687/imageType/LARGE_SQUARE_THUMBNAIL/inlineImage/true/thumbnail.jpg "How childhood trauma affects health across a lifetime [16 min - ted.com]")
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Re: 4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress
What a hopeful article, thanks for sharing the journey. This shift takes time, attention, resources, dedication and belief that we are in this for the long haul.
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Re: 4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress
Hi, thank you for this information. There doesn't seem to be a link to the actual report... Harise
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Re: 4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress
Hi Harise, I see that it may be easy to miss, so I'll embed another link to the report in the story. If you look at the story under the photos, the link to the SCAN report is there. Thanks for writing!
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Fundamentals of ACE Screening and Response in Pediatrics
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
Jeoffry, Although I have concerns about required screening for ACEs in a society and medical culture that has little understanding of trauma, still commonly believes the only effects of trauma are psychological, often tells individuals with “functional” diseases, mental health conditions, low income or who are discriminated against that it’s all in their heads, does not provide health insurance and mental health treatment for all – I believe it is important to move forward because of all...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
Ms Mead I am so grateful for your heartfelt comments. It must have taken a lot of thought and energy to put together such an extensive essay. Your intimate passion and concern come through and I share it. I am glad you found a way (in spite of personal circumstances) to put your wisdom and caring to use. I would riff of your desire to see our society become "more trauma informed" to say I honestly think we live in a relatively brutal and unjust, selfish and violent society. Child abuse is...
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ACEs screening is about building relationships, says early adopter
Whether or not to screen for ACEs in primary care is an important debate—and I hear and respect the passion from both sides of the argument. I fall in the “pro-ACE assessments” camp, but with some important caveats. I think that assessments for ACEs are dramatically different from screening for autism or developmental delays. In my opinion, assessments for ACEs in primary care should be primarily about building relationships.
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Re: ACEs screening is about building relationships, says early adopter
I have been thinking a lot about the current lively conversation. We have now known about the problem of the endemic of child abuse and neglect with the resulting traumatic stress contributing to mental and physical disease for a generation, but medicine has not yet dealt with it adequately. Taking a broad view I see we are having an enthusiastic dialogue among 3 groups of clinicians about how to deal with this problem and the 4th group. The fourth group is by far the largest - maybe 80 % of...
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Children will pay long-term stress-related costs of COVID-19 unless we follow the science [statnews.com]
By Nadine Burke Harris, STAT, August 4, 2020 The world is learning more about the uncommon but puzzling ways Covid-19 can show up in kids, keeping worried parents on the lookout for symptoms of the disease. We should also be concerned about how toxic stress brought on by the pandemic, or made worse by it, will affect children’s developing brains and bodies and their future health. In millions of households, kids are experiencing an incredible amount of stress and anxiety. They’ve lost the...
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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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'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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Think beyond ACEs screening, advises California funders workgroup in new report
Californians have experienced an alarming epidemic of adverse childhood experiences. Between 2011 and 2017, 60 percent of Californians reported experiencing at least one type of childhood adversity; about 16 percent experienced four or more. People who experience four or more ACEs are 1.5 times as likely to have heart disease, 1.9 times as likely to have a stroke, and 3.2 times as likely to have asthma as people who have experienced no ACEs. (For more information about ACEs and ACEs science,...
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ACEs Research Corner — November 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 posts the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens] Campbell KA, Gamarra E, Frost CJ, Choi B, Keenan HT. Childhood Adversity and Health After Physical Abuse. Pediatrics. 2020 Oct;146(4):e20200638. PMID: 32938778 From...
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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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Launching Today, New ‘All In For Kids Fund’ Will Work to Prevent Childhood Adversity [futureswithhoutviolence.org]
Effort Aims to Prevent Childhood Trauma, Break the Cycle of Domestic Violence and Promote Healing During COVID-19 and beyond Genentech, Blue Shield of California Foundation Team with Futures Without Violence to Support Community-Led Approaches to Protect Children, Support Communities Virtual Event Series Kick-Offs New Initiative Today SAN FRANCISCO – Futures Without Violence today announced the launch of the All In For Kids Fund with a $5 million seed investment from Genentech and $1.5...
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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.
Member
Ning Haluck
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Get ready for a big blast about ACEs and ACEs science!
Billboards! Social media! PSAs! Celebrities!...The largest and only national public awareness campaign ever to come out of the adverse childhood experiences movement launches May 13 with Numb er Story. The campaign was created and is organized by Anonymous , an organization that helps "funders achieve more impact and experience greater fulfillment through their philanthropy", according to its website. Its funder is, well, anonymous. We do know that it is an individual who's obviously very...
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Adverse Babyhood Experiences (ABEs): 10 New Categories of Adversity Before a Child's 3rd Birthday (Free Downloadable Journal Article)
Adverse babyhood experiences (ABEs) are a new construct derived from large bodies of evidence that identify a different group of risk factors from adverse childhood experiences (ACEs). ABEs occur before a child’s 3rd birthday to influence infant and maternal morbidity and mortality. ABEs are also risk factors for chronic illnesses and other chronic conditions in the child as well as symptoms in parents.
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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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REGISTER NOW | ACEs Training: Unit 2, Session 3 with Dr. Sarah Hemmer & Dr. Melissa Ruiz | Oct. 13
Hi there! Please join us for an ACEs Aware Ventura County lecture series session with Dr. Sarah Hemmer, MD & Dr. Melissa Ruiz, MD, MPH. REGISTER HERE to attend this LIVE free session or view on-demand. REGISTER HERE to attend this LIVE free session or view on-demand. Unit 2 Session 3 : Decoding the ACE Screening Tools and Scores Dr. Melissa Ruiz is a pediatrician at Pediatric Diagnostic Center in Ventura, CA., serves on the board of the American Academy of Pediatrics (AAP) District 9 as...
Member
Dr. Avivah McPherson
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Upcoming 6/9 Webinar and New Report and Brief: Community Strategies to Address California’s Digital Divide and Its Impact on Children and Families
PACEs Connection and the Essentials for Childhood (EfC) Initiative, a project of the California Department of Public Health (CDPH) and the California Department of Social Services (CDSS) have developed two new resources, “Community Strategies to Address California’s Digital Divide and Its Impact on Children and Families” Report and the “Digital Divide Brief: Community Strategies to Address California’s Digital Divide and Its Impact on Children and Families”