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PACEs in Pediatrics

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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 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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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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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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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 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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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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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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SAVE THE DATE! ACEs Aware Initiative Webinar [acesaware.org]

Wednesday, February 26, 2020 Noon – 1 p.m. Join a live webinar with: Dr. Nadine Burke Harris, MD, MPH – California Surgeon General Dr. Karen Mark, MD, PhD – Medical Director, Department of Health Care Services Dr. Melissa Merrick, PhD – President & CEO, Prevent Child Abuse America Dr. Brigid McCaw, MD, MPH, MS, FACP – Clinical Advisor, ACEs Aware The webinar will provide an overview of the ACEs Aware initiative; why providers should screen for Adverse Childhood Experiences (ACEs); the...
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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 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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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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Breaking the Silence with Dr. Gregory Williams tonight (10-27) 8:00 PM CT (9:00 PM ET, 6:00 PM PT) interview with Jane Stevens of ACEs Connection

Here’s a message from Dr. Williams — Jane Stevens, the FOUNDER and PUBLISHER of ACEs Connection will be the guest for the complete hour. This broadcast has been promoted around the world and will be our largest listening audience EVER! We are getting over 1.69 million listeners on the LIVE show weekly! This week’s show 10-27-2019, 8 pm CST Still wondering how to get the show? Here are the BEST WAYS….(REMEMBER, we are on the Main Station, which is STATION 1) For Smart Phones and Devices!
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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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CA pediatrician develops, tests, gets state OK for whole-child assessment tool that includes ACEs

Jane Stevens ·
Over the last dozen years or so, many pediatricians, astounded by the ramifications of the science of adverse childhood experiences (ACEs) on the children they care for, began integrating this science into their practices. The most common approach has been to ask parents about ACEs using a questionnaire, and to use this information to counsel parents and identify resources for the family. Different practices have been using different questionnaires: Some ask parents for their ACE scores...
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CA pediatrician develops, tests, gets state OK for whole-child assessment tool that includes ACEs

Jane Stevens ·
[Editor's note: This blog was first posted in April 2017. Dr. Marie-Mitchell updated the assessment by modifying a few of the questions, so we are republishing with the new assessment, one in Spanish and one in English.] Over the last dozen years or so, many pediatricians, astounded by the ramifications of the science of adverse childhood experiences (ACEs) on the children they care for, began integrating this science into their practices. The most common approach has been to ask parents...
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CA Surgeon General and DHCS Launch ACEs Aware Initiative and Website

Laurie Udesky ·
Join a live webinar with California Surgeon General Dr. Nadine Burke Harris and Dr. Karen Mark Medical Director, Department of Health Care Services for a Medi-Cal provider introduction to the new ACEs Aware Initiative and the www.ACEsAware.org website. The Office of the California Surgeon General and the Department of Health Care Services (DHCS), in the first public unveiling of the initiative, will host a live webinar to share details of the new ACEs Aware Initiative for Medi-Cal providers...
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CA to reimburse for only one of three ACEs screeners

Laurie Udesky ·
California health care providers will soon begin to learn how many of the 13.2 million California children and adults in the state’s MediCal program have been exposed to adverse childhood experiences (ACEs). But the state’s proposed decision to reimburse only one of three recommended options for screening children has drawn mixed reactions from pediatricians. “If we have mandated legislation that only looks at one screening tool, it really limits the opportunity to improve that screening...
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Can We Harness Pediatrician T. Berry Brazelton's Message of Hope?

Claudia Gold ·
Photo courtesy of Brazelton Touchpoints Center As our nation mourns the passing of renowned pediatrician T. Berry Brazelton, hearing his voice through the outpouring of articles, video clips, and conversations on social media feels like a balm for the soul. In these trying times, his simple shift from learning "what's wrong" to listening for "what's right" in a child and family seems very much needed. In his 50 years practicing pediatrics, he saw up close the ways parents can struggle. With...
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Careful, It's Not Over Yet & Parenting with ACEs & PTSD

Christine Cissy White ·
Note: Dawn Daum & Joyelle Bran dt are the featured guests on the live chat held in the Parenting with ACEs Group on Tuesday, June 13th at 10 AM PST / 1 PM PST. The topic is Parenting with PTSD & ACEs. Dawn and Joyelle are artists, activists and parents. They met a few years ago and set about creating an online community for parent survivors to working to break the cycle of abuse. Here's a small sample of the work they have done and are doing: Wrote a resource about Parenting as an...
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Chat Live with Sebern Fisher on ACEs Connection

Christine Cissy White ·
"Evidence with neurofeedback suggests that trauma-informed treatment should also be brain-informed treatment- and not just to know that the brain is an issue, but to work with it directly.” Sebern Fisher, Neuofeedback in the Treatment of Developmental Trauma: Calming the Fear-Driven Brain. Neurofeedback for ACEs: Chat with Sebern Fisher Oct. 10th (10 AM PST / 1 PM EST) Chats are live, online discussions - not webinars. We gather and connect, via chat messaging to share stories, resources,...
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Chicago healthcare providers start center for ACEs science education; aim to reach all medical, health students by 2025

Laurie Udesky ·
In 2017, Dr. Audrey Stillerman and three other women from the Chicago healthcare community founded the THEN Center . Its goal is lofty: By 2025, it wants every graduating student in medical and health sciences across the United States to apply core concepts of childhood adversity, neurobiology, resilience and health equity into their work. Dr. Audrey Stillerman Today, the THEN Center (The Collaborative Study of Trauma, Health Equity and Neurobiology) is well on its way. Its founders are...
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Child neglect linked with changes to brain's white matter (MNT)

Former Member ·
  Past studies have shown that traumatic experiences in childhood can have negative implications for brain development. Now, a new study published in  JAMA Pediatrics finds severe childhood neglect may cause structural changes to white...
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Come Chat with Dr. Claudia M. Gold: An ACE-Informed Pediatrician

Christine Cissy White ·
Date: July 11th Time: 10 AM PST / 1 PM EST Location: Parenting with ACEs Group , Online Flyer: Attached below. Please share. Dr. Claudia M. Gold has practiced general and behavioral pediatrics for 25 years and specializes in early childhood mental health. She is on the faculty of the University of Massachusetts, Boston Infant-Parent Mental Health program, William James College, and the Austen Riggs Center where she is a Human Development consultant. Dr. Gold is author of the following...
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COVID-19 and our dialogue with death

Cristian Zanartu ·
[Editor's note: Dr. Cristian Zanartu, an internist and palliative medicine specialist, is currently volunteering at Bellevue Hospital during the pandemic.] I was angry. So angry. How come the smartest country in the world is acting like the dumbest? Why aren’t health authorities giving us clear guidelines now, before this starts? Like: how to quarantine, how to quarantine from a symptomatic loved one in the same household (we knew by late February from Chinese data that most spread happened...
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CYW's Provider Training Courses now available online

Jim Hickman ·
In response to an overwhelming demand for information about ACEs science, screening tools, and guidance on how to implement ACEs screening, CYW has developed a suite of online courses in order to make our training more accessible to a broader audience. Developed by a team of pediatricians, research scientists, public health experts, and clinical quality improvement experts, these courses are the first of four online courses that will aid medical providers/practitioners in understanding and...
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CYW's Provider Training Courses now available online

Jim Hickman ·
In response to an overwhelming demand for information about ACEs science, screening tools, and guidance on how to implement ACEs screening, CYW has developed a suite of online courses in order to make our training more accessible to a broader audience. Developed by a team of pediatricians, research scientists, public health experts, and clinical quality improvement experts, these courses are the first of four online courses that will aid medical providers/practitioners in understanding and...
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10 ways to avoid ACEs (during the pandemic)

Bob Sege ·
How can we reduce ACEs and toxic stress during the COVID-19 pandemic? Many of us are concerned that increased stress might increase the risk for ACEs. For example, most child abuse happens when adults reach their breaking point. However, we are not powerless in the face of these challenges. Using HOPE ( Healthy Outcomes from Positive Experiences ) as a guide, here are 10 suggestions to reduce ACEs now: Think about social connection and physical distance , not social distance. Continuing to...
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19th Annual Conference on Child Abuse and Neglect (April 2014)

Former Member ·
Welcome to the archives of the webcasts broadcast live from the 19th National Conference on Child Abuse and Neglect April 30 – May 2 in New Orleans, Louisiana.   To watch the webcast, click on the ‘VIEW ARCHIVE’ button. ...
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2014's Best and Worst States for Underprivileged Children

Former Member ·
In an ideal world, children live carefree. They play with friends, eat nutritious food and receive a good education. They don’t worry about paying bills or searching for their next meal. They’re nurtured, protected and guided by caring...
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2019 Aspen Forum on Children and Families (livestream) Feb. 26-27

As state and federal lawmakers prepare for the year ahead, there is tremendous momentum for bold ideas that move families toward opportunity. The second Aspen Forum on Children and Families , held this week on February 26-27, will bring together national leaders – policymakers, practitioners, researchers, and philanthropists – to surface big ideas for investing in the full potential of children and families, two generations at a time. While in-person registration for this convening is...
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4 Essential Ways to Help Young Children Breathe More

Former Member ·
  Breath is life! We can live without food for about 40 days, without water for a week, without sunshine for a while, without sleep for a couple of days… But we cannot live without the breath for more than a few minutes.   Just...
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January 2019 NPPC Announcements

Leah Medoff ·
The NPPC team at the Center for Youth Wellness is excited to share details about our second cohort of Pilot Sites, our ACEs webinar series with OptumHealth education and our new podcast series: ‘Voices from the Field’. Read on to find out more. Apply for the National Pediatric Practice Community Pilot Site Cohort 2! The National Pediatric Practice Community(NPPC) is pleased to open the application process for NPPC's second cohort of pilot sites. Participation will not only support your...
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Join us in San Antonio for the 2019 AAP Trauma Informed Pediatric Provider course

Tammy Piazza Hurley ·
The American Academy of Pediatrics will once again be holding the Trauma-Informed Pediatric Provider Course: Addressing Childhood Adversity and Promoting Resilience March 2-5, 2019 in San Antonio, TX. The Trauma-Informed Pediatric Provider course will assist health care providers and those working in or with child servicing agencies to identify children who have experienced adversity, trauma and toxic stress and will discuss their presentation and the risk factors involved. This three and...
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Kinship care families: New policy can guide pediatricians to address needs [aappublications.org]

Alissa Copeland ·
A growing body of evidence suggests that children who cannot live with their biological parents fare better overall when living with extended family than with nonrelated foster parents. Acknowledging the benefits of kinship care arrangements, federal laws and public policies increasingly favor placing children with family members rather than in nonrelative foster care. Despite overall better outcomes, families providing kinship care endure many hardships, and the children experience many of...
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Life Expectancy by Zip Code: Where You Live Affects How Long You Live

Life expectancy is highly correlated with ACE scores and complex childhood trauma. Enter your address or zip code to know what the health outcomes are in your neighborhoods and communities. Robert Wood Johnson Foundation Life Expectancy Calculator
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Love in the time of Coronavirus: HOPE-informed thoughts for parents

Bob Sege ·
This has been quite a week, and we are now facing major disruptions in our own family lives. There is no doubt that the events of this winter and spring will be memorable for children. In that spirit, here are a few ideas to help make those memories (at least somewhat) happy.
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Love in the TIme of Coronavirus: Inequities and Supporting Children

Bob Sege ·
This blog is re-posted from positiveexperience.org/blog/ Link there for associated resources, and for the other blogs in the series. Having safe, stable, and equitable environments to live, learn and play forms the second of the 4 Building Blocks of HOPE. Children need homes where they feel safe and secure and have their basic needs met. Children thrive in an environment that encourages curiosity and provides opportunities for learning to play and interact with other children. Today’s blog...
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Managing Post-Traumatic Stress in a Pandemic: Practices & Resources Updated Regularly

Christine Cissy White ·
[Ed. note: Cissy posted this in the Practicing Resilience community, and it's cross-posted here to make sure everyone sees it. We don't want anyone to miss out on these resources!] Are you looking for new ways to get connected, supported, or to manage stress while managing post-traumatic stress during this pandemic? I am. No matter what our past or present life circumstances, it's safe to say a whole bunch of us are feeling more stressed and if we live with chronic post-traumatic stress to...
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Marin Community Clinics in California screen babies for ACEs, provide support in effort to prevent trauma

Laurie Udesky ·
When Marin Community Clinics (MCC) first considered screening their patients for adverse childhood experiences (ACEs) they already had decided that if they were going to prevent children from acquiring ACEs, they had to take a radical approach.
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May 10: SAMHSA Hosts Town Hall on Helping Children Who Experience Trauma

Jane Stevens ·
Nearly half of the nation’s youth report having experienced at least one traumatic event. The Substance Abuse and Mental Health Services Administration’s (SAMHSA) National Children’s Mental Health Awareness Day 2018 event in Washington, DC, will feature an interactive town hall on strategies to create an integrated health approach to support children, youth, and young adults who have experienced trauma. Awareness Day 2018: “Partnering for Health and Hope Following Trauma,” will take place on...
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Modifiable Resilience Factors to Childhood Adversity for Clinical Pediatric Practice / Abstract Link

Christine Cissy White ·
I learned about a new research paper entitled, "Modifiable Resilience Factors to Childhood Adversity for Clinical Pediatric Practice" co-authored by Flora Taub and Renée Boynton-Jarret (pictured above). It was just published in Pediatrics which is the official journal of the American Academy of Pediatrics). Here's the link to the abstract. I'm not going to pretend I subscribe to Pediatrics. I don't. However, I have been interested in the work of Renée Boynton-Jarret ever since writing a...
 
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