Tagged With "American College of Preventive Medicine"
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Why I believe Gregory Williams, and his book, Shattered By The Darkness, will help save lives and revolutionize healthcare.
When you first hear about it, it sounds unlikely, fact that something that happened to someone in utero, at the age of two months, or four years, or any time in childhood, is what is killing them as an adult, or making them want to die, or making them want to hurt themselves or others. Yet the connection between childhood trauma and adult disease, mental illness, addiction, suicide, violence – most all of society’s ills – is as irrefutable as the myriad truths revealed about it in the...
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Why We Suck (at Self-Soothing & Self-Care): Dr. Dawn O'Malley
Without yoga and coffee, I'm kind of a jerk. These are my personal "puppy uppers and doggie downers" and prevent me from being cranky, quick to cry, and ready for conflict. Coffee and calming make life more manageable. Humans even seem tolerable. Without them I might veer into hating humans for being so needy which is not a great trait for a parent, partner or a professional. Or a self. My partner says coffee and exercise are acts of kindness, service as promote public safety. In other...
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ACEs Aware Initiative Webinar
Calendar Event
ACEs Aware Initiative Webinar
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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?
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aces_agenda.pdf
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CANarratives.pdf
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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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ParentingBook.pdf
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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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The Impact of ACEs on Black Maternal Health
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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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The Power of Preventing ACEs
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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...