Tagged With "American College of Preventive Medicine"
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Information and Updates on COVID-19 [acpm.org]
From American College of Preventive Medicine, May 2020 Preventive Medicine Physicians are our nation's first line of defense against pandemic disease. They are responding to the current COVID-19 pandemic with dedication, expertise and unfailing commitment to public health. We are curating a collection of well-vetted resources on COVID-19 for physicians, families and anyone interested in learning more about the coronavirus. Read our new blog, Preventive Medicine Responds to COVID-19 HERE. [...
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Screening for Adverse Childhood Experiences (ACEs) in Primary Care [jamanetwork.com]
By Thomas L. Campbell, JAMA, May 28, 2020 Adverse childhood experiences (ACEs), such as experiencing or witnessing violence or abuse or living with a parent with mental illness or substance use disorder, have been shown to have a powerful influence on subsequent mental and physical health and life expectancy. Exposure to ACEs has been linked to more than 40 negative health conditions, including poor mental health, substance use disorder, adverse health behaviors, chronic physical disease,...
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We Stand in Solidarity with the Worldwide Protests for Racial Justice
In response to the police brutality and racism that caused the deaths of George Floyd , Ahmaud Arbery , Breonna Taylor and countless other African Americans and people of color, ACEs Connection supports the worldwide protests demanding racial justice. Integrating practices and policies based on the science of adverse childhood experiences (ACES) — being trauma-informed — requires us to be racially just. Our organization's vision is a world where all people thrive. Our goal is to prevent...
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Medical Authorities with Academic Blinders look the other Way: Reject ACES
Recently a family doc published a "Viewpoint" in the Journal of the American Medical Association suggesting restraint and caution in using the ACEs screening tool (Campbell TL. Viewpoint, Screening for Adverse Childhood Experiences (ACEs) in Primary Care: A Cautionary Note , JAMA Published Online: May 28, 2020, doi:10.1001/jama.2020.4365) because (1) there were no evidenced based treatments, (2) asking the questions would offend patients and parents, and (3) risk of labeling people with such...
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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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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
Thank you for being so concerned and so passionate. As an advocate for good medicine and good therapy and for helping traumatized kids, I recognize some of your concerns, but others, in my experience, are not as significant as you think. (1) There is a lot of family violence, We have to do everything we can to prevent it and to treat its effects. (2) CYW is definitely not the government, Dr. BH may be part of government now but I see that as a great success in changing public policy to deal...
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
Is it Social Justice to take disadvantaged kids (or any kids) and to collect their Name, DOB, Medicaid Number and a Billing Code representing 4 or more ACES or Less than 4 ACES and send that information to the state? Can you tell me Jeff please; is that your idea of Social Justice? It is not my idea of Social Justice and all I have seen from the California community is getting a score - nothing about how to talk to parents about the score or anything.... Just GET THAT SCORE DOCTOR. This does...
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Pediatricians Can Help Prevent Adverse Childhood Experiences [vetoviolence.cdc.gov]
From VetoViolence, Centers for Disease Control and Prevention, June 2020 New Training Helps Pediatric Medical Providers Recognize and Prevent ACEs You’re invited to explore the new Preventing Adverse Childhood Experiences (ACEs) Training for Pediatric Medical Providers . This training focuses on the central role that pediatric medical providers play in understanding, recognizing, preventing, and treating ACEs and their consequences. Lesson topics include: The Biological Impact of ACEs The...
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ACEs Research Corner — July 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 will post the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! — Jane Stevens] Heim CM, Entringer S, Buss C. Translating basic research knowledge on the biological embedding of early-life stress into novel approaches for the developmental...
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The Resilient Beginnings Network Is Taking Grant Applications!
Interested SF Bay Area safety net organizations can apply for funding to participate in this three-year program on resilience and trauma-informed care.
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California ACEs Academy Event: The Repressed Role of Adverse Childhood Experiences in Adult Well-Being, Disease and Social Functioning: Turning Gold into Lead
Thursday, September 3, 2020 12:00pm - 1:00pm PDT | presented by Dr. Vincent J. Felitti *Priority will be given to Medi-Cal providers* The ACE Study reveals how typically unrecognized adverse childhood experiences are not only common, but causally underlie a number of the most common causes of adult social malfunction, biomedical disease, and premature death. Moreover, it enables one to see that the Public Health Problem is often an individual’s attempted Solution to childhood experiences...
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Wellness navigators in clinics screening for ACEs help prevent crises in patients' lives
A patient came into the Goleta location of the Santa Barbara Neighborhood Clinics pleading with people at the front desk to speak to Mayra Garcia, a wellness navigator at the clinic, despite not having an appointment. The clinic is part of a network of four clinics in the Santa Barbara region of California that serve mainly patients on Medi-Cal, the state’s Medicaid program, or patients who are uninsured. Mayra Garcia “She was crying. Her husband had been deported. She couldn’t pay the rent,...
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Health advocates highlight extreme COVID burnout, stark inequities and strong call for action
Dr. Elisa Nicholas, a pediatrician and chief executive officer of TCC Family Health Clinics in Long Beach, California, relays an example of how the COVID-19 pandemic has wreaked havoc on the lives of the clinics’ patients. Most had already been struggling financially prior to the pandemic. “Both the mother and father came down with coronavirus,” said Nicholas. “Their child was in on a telephone visit with one of our doctors. They did not have any way to get food. They had no money to pay for...
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The Pandemics of Racism and COVID-19 [pediatrics.aappublications.org]
By Tina L. Cheng and Alison M. Conca-Cheng, Pediatrics, August 31, 2020 COVID-19 is a recent crisis. Racism is an enduring crisis which is inflamed in the presence of other crises. The Chinese word for "crisis” is composed of two characters, one signifying "danger" and the other, "opportunity." The pandemics of COVID-19 and racism present clear danger. Our duty is to make sense of the opportunity by learning, understanding, and taking action. In this issue of Pediatrics, Cheah et al.1...
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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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Leading Child Abuse Prevention Organizations Working to End Spanking
The New York Foundling and The US Initiative to End Corporal Punishment Co-Sponsored by: American Professional Society on the Abuse of Children US Alliance to End the Hitting of Children Academy on Violence and Abuse Prevent Child Abuse America Stop Spanking Proudly Presents Preventing Abuse and Neglect in Our Lifetime A Virtual Conference Thursday, October 15, 2020 Friday, October 16, 2020 Join us to learn about... Latest research trends in corporal punishment How to implement a NoHitZone...
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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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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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Tools to Mitigate Work Stress and Prevent Burnout: For Health Care Providers during COVID and Beyond
Whether you work in a hospital, a safety net clinic, or in another health care setting, no health care provider working during the COVID-19 pandemic needs to read the flurry of news stories that highlight the extreme stress experienced by people in this line of work – you already know it firsthand. This webinar will introduce health care providers to the Community Resiliency Model ( CRM ), an evidence-based method of managing traumatic stress, preventing burnout and building resiliency. This...
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A hospital builds awareness about trauma, deploys acts of empathy
In late 2018, Roberta Azzo, an operations program manager at Bon Secours St. Francis Medical Center in Midlothian, Virginia, decided to take an all-hands-on-deck approach to infusing the hospital’s culture with a trauma-informed approach to care. This involves recognizing that trauma is widespread and that it can cause all kinds of troubled behavior, learning ways to de-escalate that behavior, and preventing practices that trigger patients and staff who have experienced trauma. The hospital...
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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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USING RELATIONAL HEALTH DURING THE PANDEMIC TO HELP PREVENT TOXIC STRESS IN YOUR CHILD, PATIENTS, AND CLIENTS
This short and practical paper explains how relationships are vital to health, and what you can do as a health provider to help children and families be healthy in the face of increasing stress and physical distancing. The fear and social isolation associated with COVID-19 are worsening existing chronic stressors, as well as creating new ones for families who are experiencing new kinds of adversity. People are feeling isolated and alone and have less emotional support than they did prior to...
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Whole People Watch Weekend on ACEs Connection (Dec. 11th - 13th)
The Transform Trauma with ACEs Sciences FREE Film Festival continues this weekend. Please join us to watch parts 1, 2, and 3 of the PBS Whole People series at your convenience, on ACEs Connection, by clicking play on the videos below: Whole People | 101 | Childhood Trauma | Episode 1 (27 min) Preview: Whole People | 102 | Healing Communities | Preview | Episode 2 Whole People | 102 |Healing Communities Episode 2 (27 min) Whole People | 103 |A New Response | Episode 3 (27 min) This is one of...
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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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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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The Path Forward for Telemental Health + Join Our Upcoming Webinars
NO GOING BACK: Providing Telemental Health Services to California Children and Youth After the Pandemic, is the first in a series of briefs outlining how technology can make mental health more accessible with concrete recommendations based on providers’ perspectives, and lessons learned during the pandemic. Read the Report When the shelter-in-place mandate started, California’s mental and behavioral health providers quickly pivoted to telehealth delivery for children and adolescents. Recent...
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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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The Power of Preventing ACEs
Adverse childhood experiences (ACEs), such as child abuse and neglect, can lead to negative psychological, social and physical outcomes later in life – and can even affect future generations. New and exacerbated stressors during the pandemic underscore concern for the risks and long-term health effects of ACEs, particularly for groups already disproportionately affected by COVID-19. Certain interventions can help mitigate negative outcomes from ACEs and prevent them from occurring in the...
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Want to empower youth in communities of color during COVID? Let them lead.
Widespread reporting has revealed that the COVID-19 pandemic has devastated many poor communities of color. Less widely known is how the pandemic has affected young people in those communities. “COVID-19 has had a particularly harsh impact on youth of color,” further traumatizing [juvenile-justice] system-impacted youth and their families already struggling with disproportionately high rates of disease, death, job loss and housing insecurity,” said Jim Keddy of Youth Forward . Keddy was...
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ACEs Research Corner — March 2021
[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] CHILD ABUSE Flannigan K, Kapasi A, Pei J, et. al. Characterizing adverse childhood experiences among children and adolescents with prenatal alcohol exposure and Fetal...
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CALIFORNIA ACES ACADEMY - Session 8 with Robert Sege, MD, PhD | April 22
CALIFORNIA ACES ACADEMY LIVE WEBINAR with FREE CME/CE Educate, Inspire, Connect HOPE: Healthy Outcomes from Positive Experiences presented by Dr. Robert Sege Thursday, April 22, 2021 | 12:00 pm - 1:30 pm (PT) This interactive session will describe how ACEs screening can be enhanced by also considering HOPE: Healthy Outcomes from Positive Childhood Experiences. Children’s brains develop in response to their experiences, both adverse and beneficial. Just as adverse childhood experiences can...
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AAP Snapshots: Financial Impact of the Pandemic on Families [positiveexperience.org/blog]
By Loren McCullough and Dr. Robert Sege, 4/20/21, positiveexperience.org/blog This blog continues our reflections on the results of a survey that the HOPE team, in collaboration with the American Academy of Pediatrics , Prevent Child Abuse America , and the CDC (Centers for Disease Control and Prevention) , commissioned with YouGov.com in November of 2020, asking a national sample of parents and caregivers about their experiences with their children since March of 2020. The project is...
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New Funding Opportunity with All in For Kids [futureswithoutviolence.org]
SAN FRANCISCO BAY AREA 12-COUNTY ALL IN FOR KIDS FUNDING AVAILABLE Promote Healthy Child Development, Prevent Childhood Adversity, Support Equity, Heal Trauma REQUEST FOR PROPOSALS WEBINAR ON MAY 19 Genentech and Blue Shield of California Foundation have joined Futures Without Violence and Bay Area Region First 5's to create All In For Kids, an initiative that focuses on young children (birth to 5 years of age) along with their families, caregivers, and communities. We are pleased to...
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To solve the Black maternal mortality crisis, start with upending racist practices
It’s been all over the news for months: Black women in the United States are dying from complications during their pregnancies or in childbirth at alarming rates, and those deaths are preventable. Less well explored is how systemic racism and historical trauma have been at the core of what’s driven up these rates over several decades. A March 20 conference entitled The Impact of ACEs on Black Maternal Health took an in-depth look into why Black maternal mortality and complications during...
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Policing in schools: Redefining public safety to be supportive & healing, instead of punitive & criminalizing
A recent video , shared on the national news, shows a 16-year-old Florida student being slammed to the ground by a police officer working at her school. It’s one of many such incidents of school-based police violence against students captured in videos around the country. Some of the victims are as young as five years old. About 47% of U.S. schools employ armed police officers , known as school resource officers, who are there to keep students safe. But students who attend these schools...
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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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PACEs Research Corner — May 2021, Part Two
There are 26 fascinating research articles to peruse, including mitigating disparities in African-American youth, differences in childhood adversity and suicide in veterans and nonveterans, and ACEs in youth from high-achieving high schools.
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Childcare providers use two- generational approach to help preschoolers from being expelled
It’s shocking: Preschoolers are three times more likely to be expelled than children in elementary, middle and high school, according to figures from the U.S. Department of Health & Human Services. Boys are four times more likely than girls to be kicked out, and African American children are twice as likely as Latinx and White children. One organization with childcare centers and mental health providers in Kentucky and Ohio began a long journey 15 years ago, when they began hearing about...
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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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California PACEs Connection initiatives spark new connections in regional meeting
Among PACEs Connection initiatives around the country, it’s well known that our social network is something like a bustling, giant town square where people share ideas, resources and any number of conversations about how to prevent childhood adversity and promote positive childhood experiences. On May 14, PACEs Connection assembled a virtual town square gathering of PACEs initiatives in California, where we have 58 initiatives sparking action all across the state. Speakers at the gathering,...
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CALIFORNIA ACES ACADEMY - Session 11 with Robert Sege and Baraka Floyd | June 17 [avahealth.org]
Dr. Bob Sege returns with Dr. Baraka Floyd for Part 2: Balancing ACEs with HOPE (Healthy Outcomes from Positive Experiences) Thursday, June 17, 2021 | 12:00 pm - 1:30 pm (PT) In this second webinar on HOPE, the focus will move from the evidence and theory underlying the HOPE framework as we roll up our sleeves and dive into ideas for practice transformation. The session will include a review of HOPE, examples of how organizations are using the HOPE framework to improve care, and interactive...
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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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New Release: Humboldt County Home Visiting Program Environmental Scan
In partnership with First 5 Humboldt and funded by the First 5 California Home Visiting Coordination Grant, the California Center for Rural Policy has just released the Humboldt County Home Visiting Program Environmental Scan. The findings and recommendations in the environmental scan are grounded in partner workgroups, interviews, and surveys that occurred in 2020-21 and capture the impact of the COVID-19 pandemic on home visiting services. Excerpts: "The organizations that provide home...
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AAP Snapshots: Stressors Placed on Families with Children with Special Health Care Needs [positiveexperience.org/blog]
By Guest Author, 9/7/21, positiveexperience.org/blog Last week, the American Academy of Pediatrics released the fifth snapshot in the Family Snapshots: Life during the Pandemic series. In past blogs , we discussed the results of the survey that the HOPE team, in collaboration with the American Academy of Pediatrics , Prevent Child Abuse America , and the CDC (Centers for Disease Control and Prevention) , conducted using the national online platform YouGov.com . This survey asked a national...
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AAP Snapshots: Stressors Placed on Families with Children with Special Health Care Needs [positiveexperience.org/blog]
By Guest Author, 9/7/21, positiveexperience.org/blog Last week, the American Academy of Pediatrics released the fifth snapshot in the Family Snapshots: Life during the Pandemic series. In past blogs , we discussed the results of the survey that the HOPE team, in collaboration with the American Academy of Pediatrics , Prevent Child Abuse America , and the CDC (Centers for Disease Control and Prevention) , conducted using the national online platform YouGov.com . This survey asked a national...
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California advocates press for expansion of visiting rights to incarcerated loved ones
In a recent nightmare, 8-year-old Jovina dreamt that her father got COVID-19. He was getting sicker, but she and her mother weren’t able to get there in time. “There,” in her father’s case, is a cell at the California Correctional Center (CCC) in Susanville, California, nearly 300 miles from where she lives in San Jose. In Jovina’s mind are a swarm of worries about her father’s welfare, her mother Benee Vejar reports. If an earthquake shakes the Bay Area, Jovina says, “What if the building...
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Bruce Perry, Melissa Merrick discuss "What Happened to You?"
Child psychiatrist Dr. Bruce Perry and Oprah Winfrey have known each other for more than 30 years. Both are deeply interested in childhood trauma and healing. But it was following a 60 Minutes segment Winfrey did in 2018 on childhood trauma, for which she interviewed Perry, that the two decided to take their work together to the next level. They tapped Oprah’s star power and worldwide reach and Perry’s deep expertise in brain science to collaborate on a book project, the recently released,...
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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”