Tagged With "grandparent-headed households"
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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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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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Social policies to prevent adversity -- see Open Access link (until July 1) to “A Critical Assessment of the Adverse Childhood Experiences Study at 20 Years”— in the American Journal of Preventive Medicine
The ACEs research by Drs. Felitti, Anda and colleagues focused attention on the important consequences of childhood adversity for adult health. Of course, as many in the resilience-building movement recognize, adversities affect children’s health and life trajectories as well. When we recognize the powerful impacts of harsh life circumstances for children and families, it becomes clearer that social policies to strengthen household and community resources are needed as well as...
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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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Study unearths patterns in San Jose homeless population's ACE scores
Photo by Terabass/ CC-SA-3.0 It was around 2010 that Dr. Angela Bymaster was seeing a disturbing pattern in the histories of her adult patients. She already knew that patients who saw her at the Valley Homeless Health Care Program in San Jose, CA, where she worked at the time, were homeless or recently homeless. What was most troubling to Bymaster was knowing that their current precarious existence could have been prevented. Dr. Angela Bymaster “Over and over and over again I was hearing the...
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Trauma education and mindfulness help youth living amid gun violence
Armon Hurst, 2nd from left, first row, Teens on Target, courtesy of YouthAlive! Eighteen-year-old Armon Hurst serves as vice president of the student body at Castlemont High School in Oakland, Calif. He has a 4.0 grade point average, is an avid baseball player, and is slated to go to college next year. But until a few years ago, Hurst would find himself waking from nightmares in the middle of the night. It was difficult to concentrate at school, and he wasn’t eating well. Armon Hurst “There...
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Trauma-Informed Care as a Universal Precaution: Beyond the Adverse Childhood Experiences Questionnaire [jamanetwork.com]
By Nicole Racine, Teresa Killam, and Sheri Madigan, JAMA Pediatrics, November 4, 2019 Experiences of childhood adversity are common, with more than 50% of adults reporting having experienced at least 1 adversity as children and more than 6% exposed to 4 or more adverse childhood experiences (ACEs). There is currently a controversial debate in the medical field as to whether the ACEs questionnaire, which asks about abuse, neglect, and household dysfunction before age 18 years, should be...
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Traumatic childhood events common in WV, report says [wvgazettemail.com]
A statewide coalition of groups and people who want West Virginians to understand the connection between childhood trauma and health outcomes later, such as addiction, released a report last week that showed traumatic childhood experiences are common among West Virginians. The report found that 55.8 percent of West Virginia adults reported at least one “adverse childhood experience,” with the most common being substance abuse in the household, and the authors noted that people who report...
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Traumatic Experiences Widespread Among U.S. Youth, New Data Show
[This is a media release from the Robert Wood Johnson Foundation.] New national data show that at least 38 percent of children in every state have had at least one Adverse Childhood Experience or ACE, such as the death or incarceration of a parent, witnessing or being a victim of violence, or living with someone who has been suicidal or had a drug or alcohol problem. In 16 states, at least 25 percent of children have had two or more ACEs. Findings come from data in the 2016 National Survey...
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Who's integrating ACEs?
2015 article about Children's Clinic in Portland, OR, doing ACEs history on parents of four-month-old babies. 2014 article about pediatricians taking ACEs history on ACEsTooHigh.com. Center for Youth Wellness, San Francisco,...
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Why Kids With ACEs Shouldn't Get a Pass on Chores
Don't worry that chores are too stressful for kids with ACEs, says trauma researcher Bob Sege, MD. “You don’t want to coddle them,” Sege said, “because the message they will get is that they are damaged goods. They need to know that the adversity they suffered is only one part of them; it’s not all of them.”
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ACE cases.pptx
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aces_agenda.pdf
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CANarratives.pdf
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ACE Questionnaire
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CYW ACE-Q CHILD.pdf
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ParentingBook.pdf
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ChildrenACEs.pdf
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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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Family Well-being in Grandparent- Versus Parent-Headed Households [pediatrics.aappublications.org]
By Eli Rappaport, Nallammai Muthiah, Sarah A. Keim, and Andrew Adesman, Pediatrics, August 2020 Abstract BACKGROUND AND OBJECTIVES: Little is known about the 2% of US children being raised by their grandparents. We sought to characterize and compare grandparent- and parent-headed households with respect to adverse childhood experiences (ACEs), child temperament, attention-deficit/hyperactivity disorder (ADHD), and caregiver aggravation and coping. METHODS: Using a combined data set of...
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Fighting Food Insufficiency in the Time of Covid-19 [positiveexperience.org/blog]
Loren McCullough, 8/26/20, positiveexperience.org/blog HOPE involves a change in mindset. For many of us, our professional training and inclinations lead us to discover risks, problems, and deficits. In this blog (the first from our new team member, Loren McCullough), we examine national data that points to severe problems with the food supply – as experienced by families. Hidden within the data, we also see evidence for hope. Family and community engagement have buffered some of these...
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Plans of US Parents Regarding School Attendance for Their Children in the Fall of 2020 [jamanetwork.com]
By Emily Kroshus, Matt Hawrilenko, Pooja S. Tandon, et al., JAMA Pediatrics, August 14, 2020 Key Points Question What do parents plan to do about school attendance in the fall of 2020, and what factors are influencing these plans? Findings In this survey study of 730 US parents of school-aged children, 31% of parents indicated they will probably or definitely keep their child home this fall if schools open for in-person instruction. Factors associated with planning to keep children home were...
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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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The Relentless School Nurse: The Unset Thanksgiving Table
For almost thirty years, our family hosted Thanksgiving that included extended family and friends. My kids would laugh at me when I insisted on setting the Thanksgiving table a week before the holiday. It was a joyful time in our household and evokes the sweetest memories for me of our close-knit family that has now grown up. I began hosting Thanksgiving when I was in college. The tradition started one year when my parents and younger sister headed to Florida for a long Thanksgiving weekend,...
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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.
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Association of Youth Age at Exposure to Household Dysfunction With Outcomes in Early Adulthood [jamanetwork.com]
By Signe Hald Andersen, JAMA Network, January 7, 2021 Key Points Question Is age at exposure to negative experiences in childhood and adolescence associated with subsequent adverse outcomes? Findings In this cohort study of data on 605 344 individuals aged 19 years from Denmark, exposure to negative experiences in early adolescence was more strongly associated with later adverse outcomes than was exposure in early childhood. Meaning The findings suggest that policy interventions targeting...
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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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ACEs Research Corner — February 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] Walker CS, Walker BH, Brown DC, Buttross S, Sarver DE. Defining the role of exposure to ACEs in ADHD: Examination in a national sample of US children. Child Abuse Negl.
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Head Start Study Highlights Important Role of Trauma-Informed Attitudes
Head Start and Early Head Start continue to lead the way in promoting school readiness and family engagement for vulnerable young children. It’s no surprise, then, that Head Start is increasingly focused on implementing trauma-informed care (TIC). A recent study adds timely relevance to the advancement of trauma-informed care in Head Start preschool settings. The study, published in School Mental Health , “examines the relationship between trauma-informed training content, trauma-informed...
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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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Normalizing Men as Caregivers Helps Families and Society [rwjf.org]
By Gina Hijjawi, Robert Wood Johnson Foundation, April 8, 2021 When we imagine a caregiver, we often picture a woman: a mother caring for young children, spouse, and the daily household chores, a daughter nursing a father with disabilities, or a female child care provider. Historically, women have been expected to serve as primary providers of “caretaking” work, whether it’s parenting or caring for an aging family member or paid work in positions typically associated with women such as...
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Adverse childhood experiences in a low-income black cohort: The importance of context [sciencedirect.com]
By Alison Giovanelli and Arthur J. Reynolds, Preventive Medicine, July 2021 Abstract Adverse Childhood Experiences (ACEs) have been definitively linked with cross-domain life course well-being. While scales measuring the ten “Conventional” ACEs (ACEs-C; intrafamilial experiences of abuse, neglect, and household dysfunction) are parsimonious, use of such scales alone may fail to capture crucial information about adversity, particularly in youth growing up in underresourced areas. Patterns and...
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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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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”
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Can government policy reduce trauma?
One of the most radical implications of the literature on early childhood trauma is that abuse needs to be eliminated from all of our relationships—with our families, teachers, colleagues, and government . When government leaders create a new policy, they can proceed in a way that dis-empowers constituents, or they can proceed in a way that fosters dialogue and shared decision-making. Ironically, the development and implementation of California’s policy to address childhood trauma provides...
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Exploring the Connection Between Adverse Childhood Experiences and Diabetes
Life is hard. None of us makes it through unscathed. Unfortunately, though, some of us have a much tougher journey on this planet than others. Most distressingly of all, children and babies are by no means immune from the wounds that this world all too often inflicts. Indeed, for many children, trauma is not a future threat but a present reality. And these adverse childhood experiences (ACE) can have a devastating long-term impact across all domains of a child’s life. This includes...
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How much would the NAS poverty reduction packages reduce referrals to CPS and foster care placements? Would they reduce racial disproportionality in child welfare? (nasonline.org).
Because of a collaboration with Columbia University and UW-Madison, we have answers to these questions. By Peter Peter Pecora, Casey Family Programs, March 17, 2023 - Overview The National Academy of Sciences (NAS) recently released a “ roadmap ” to reduce child poverty by as much as half through the implementation of a series of social policy packages. The aim of this study was to simulate the reductions in Child Protective Services (CPS) involvement and foster care placements that are...
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Trauma-Informed Competency Set for Undergraduate Medical Education
The National Collaborative on Trauma-Informed Health Care, Education and Research (TIHCER) presents: Trauma-Informed Competency Set for Undergraduate Medical Education Trauma is nearly universal and a root cause of numerous health and social problems, including 6 of the 10 leading causes of death. Research has substantiated the profound impact of trauma on the brain and body - and why trauma training is critical to the education and practice of health professionals. Yet a critical lag...
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Trauma-Informed Competency Set for Undergraduate Medical Education
The National Collaborative on Trauma-Informed Health Care, Education and Research (TIHCER) presents: Trauma-Informed Competency Set for Undergraduate Medical Education Trauma is nearly universal and a root cause of numerous health and social problems, including 6 of the 10 leading causes of death. Research has substantiated the profound impact of trauma on the brain and body - and why trauma training is critical to the education and practice of health professionals. Yet a critical lag...