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PACEs in Pediatrics

Tagged With "Santa Barbara Neighborhood Clinics"

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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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Pediatric Symposium at National ACEs conference offers lessons learned and the way forward

Laurie Udesky ·
To set in motion the Pediatric Symposium at the 2018 National ACEs Conference in San Francisco, Dr. Nadine Burke Harris, founder and CEO of the Center for Youth Wellness, told the audience of several hundred attendees that the American Academy of Pediatrics has made it very clear to its membership how critical it is that every pediatrician understand how toxic stress impacts the health of their patients. But, she said, when it surveyed its membership it found that only 11 percent knew about...
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Pediatricians screen parents for ACEs to improve health of their babies

Jane Stevens ·
The  Children’s Clinic , tucked in a busy office park five miles outside downtown Portland, OR, and bustling with noisy babies, boisterous kids and energetic pediatricians, seems ordinary enough. But, for the last two years, a quiet...
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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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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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Prescribing nature for health draws providers to Oakland, CA, conference

Laurie Udesky ·
There’s now a growing body of research showing the positive health effects of nature. At a recent conference in Oakland, CA, clinicians who prescribe nature to help buffer ACEs and toxic stress experienced by children and families shared findings from their own research and others.
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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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[Repost] Trauma-informed Care: It Takes More Than a Clipboard and a Questionnaire

Jim Hickman ·
California is about to launch an ambitious campaign to train tens of thousands of Medi-Cal providers to screen children and adults up to age 65 for trauma, starting on January 1, 2020. It is well-established that the early identification of trauma and providing the appropriate treatment are critical tools for reducing long-term health care costs for both children and adults. Research has shown that individuals who experienced a high number of traumatic childhood events are likely to die...
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Research roundup: ACEs and children with Autism Spectrum Disorder; ACEs impact on pre-diabetes; parental incarceration and health care use; can a safe neighborhood reduce the risk of obesity?

Laurie Udesky ·
Adverse Childhood Experiences Are Associated with Unmet Healthcare Needs among Children with Autism Spectrum Disorder [The Journal of Pediatrics] Objective: "To explore associations between level of adverse childhood experiences (ACEs) and unmet healthcare needs among children with autism spectrum disorder (ASD) using a population-based sample." The Differential Impact of Adverse Childhood Experiences in the Development of Pre-Diabetes in a Longitudinal Cohort of US Adults [The Journal of...
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Research roundup: New Hampshire weighs in on ACEs; ACEs and suicidal behavior; Intergenerational transmission of ACEs; ACEs in Brazilian street youth; ACE prevalence in juvenile offenders

Laurie Udesky ·
photo by Barbara Hobbs/ wikimedia commons Addressing Childhood Adversity and Social Determinants in Pediatric Primary Care: Recommendations for New Hampshire [Institute for Health Policy and Practice] Associations of adverse childhood experiences and suicidal behaviors in adulthood in a US nationally representative sample [Child: Care, health and development] Intergenerational transmission of adverse childhood experiences via maternal depression and anxiety and moderation by child sex...
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Research roundup: Two-gen approach to depression; cross-sector collaboration for special health care needs; ACEs and resilience screening at a Vermont clinic, and more resilience

Laurie Udesky ·
CC3.0/Urcomunicacion Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice Pediatrics Psychosocial Factors in Children and Youth With Special Health Care Needs and Their Families Pediatrics ACEs and Resilience: Increasing patient knowledge of Adverse Childhood Experiences and stress coping techniques University of Vermont Adverse childhood experiences and sources of childhood resilience: a retrospective study of their combined relationships with child...
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Resource List -- Articles on ACEs in Pediatric Practices

Jane Stevens ·
Do the Roots of Mental Health Issues Lie in Early Childhood? [WAMU.org] -- Short article about Dr. Rahil Briggs at Montefiore Comprehensive Healthcare Center in the Bronx. May 27, 2016 Boston's architect of Community Well-Being: Reneé Boynton-Jarrett [ACEsTooHigh.com] -- How Dr. Boynton-Jarrett integrates ACEs science into her practice and community. Feb. 22, 2016 Stemming the cycle of toxic stress -- for the kids' sake [Kaiser Health News] -- How Drs. RJ Gillespie and Teri Pettersen...
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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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Resource list -- Practices/ Frameworks

Morgan Vien ·
Benchmarks NC -- " Benchmarks is an alliance of nationally accredited agencies committed to providing quality care, leadership, and accountability in services to children, adults and families in North Carolina. Member agencies of Benchmarks deliver a broad continuum of behavioral health, child welfare, education, development disabilities and residential support services." Center on the Developing Child , Harvard University -- "We are a multidisciplinary team committed to driving...
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Resource: Screening for adverse childhood experiences (ACEs) in pediatric practices

Lisa Schafer ·
Now that we know that trauma early in life can have a significant impact on an individual’s health and wellness throughout their life, health care organizations are beginning to focus on providing more trauma-informed care. Screening for adverse childhood experiences (ACEs) in pediatric, clinical settings promotes early intervention and can be a tangible entry point for organizations interested in providing trauma-informed care. The Center for Community Health and Evaluation is a nonprofit...
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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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Schools Finding Record Numbers of Homeless Students, Study Says [edweek.org]

Alicia Doktor ·
States have never found so many homeless students in public schools before. The next challenge will be finding ways to keep those students in school long enough to earn a diploma. Nearly 1.36 million children—more than all the students in New York City—went to school in 2017 without knowing where they would sleep at night, finds a new report by the national campaign Education Leads Home , which looked at new national data as well as graduation rates for homeless students in 26 states. That's...
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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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Book review: "Once I was very, very scared," a book on childhood trauma

Beth Grady MD ·
The past few years have brought a wealth of evidence for the impact of childhood trauma on lifelong health. The AAP has recognized the importance of childhood trauma with conferences (2015 Violence, Abuse and Toxic Stress: An Update on Trauma-informed Care in Children and Youth) and resources ( AAP Trauma Toolbox for Primary Care .) Like many pediatricians, I have been grateful for the attention to and evidence base for an area of pediatrics I see on a daily basis but for which I have felt...
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Book review: "Once I was very, very scared," a book on childhood trauma

Beth Grady MD ·
The past few years have brought a wealth of evidence for the impact of childhood trauma on lifelong health. The AAP has recognized the importance of childhood trauma with conferences (2015 Violence, Abuse and Toxic Stress: An Update on Trauma-informed Care in Children and Youth) and resources ( AAP Trauma Toolbox for Primary Care .) Like many pediatricians, I have been grateful for the attention to and evidence base for an area of pediatrics I see on a daily basis but for which I have felt...
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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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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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Building trust is now a critical part of health care

Laurie Udesky ·
In a video clip , a hospital patient turns away in protest as a physician enters the room. “Why do you all keep coming in my room!” she asks in frustration. The physician moves a chair out of the way and sits down at eye level with the patient. “You’ve had to see so many people,” he acknowledges. “And I’m tired of it!” she yells. “I already know I have to get both of my legs cut off. That’s what they keep saying. I don’t have a choice!” “You don’t feel like you have a choice,” he repeats...
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CA announces robust perinatal depression prevention for Medi-Cal recipients

Laurie Udesky ·
Melinda Coates experienced a tumultuous pregnancy. “I was really mentally upset literally from day one (of the pregnancy),” she says. (Melinda Coates is a pseudonym. To protect her and her children’s privacy and safety, we are not using her real name.) Coates had hoped to get counseling last October, when she was seven months pregnant. That’s when she enrolled in the state’s Medi-Cal program, shortly after she and her abusive husband moved to California, “but nobody was able to get me in...
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CA announces robust perinatal depression prevention for Medi-Cal recipients

Laurie Udesky ·
Melinda Coates experienced a tumultuous pregnancy. “I was really mentally upset literally from day one (of the pregnancy),” she says. (Melinda Coates is a pseudonym. To protect her and her children’s privacy and safety, we are not using her real name.) Coates had hoped to get counseling last October, when she was seven months pregnant. That’s when she enrolled in the state’s Medi-Cal program, shortly after she and her abusive husband moved to California, “but nobody was able to get me in...
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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 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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Calling all People Interested in ACEs in Pediatrics

Laurie Udesky ·
Image: courtesy of wikimedia Dear Aces in Pediatrics members: I want to let you all know that I have the honor of managing the ACEs in Pediatrics site. I began working with ACEs Connection in October. I came here with more than 25 years of experience as a health journalist, and a commitment to reporting on the remarkable shifts occurring in medicine and other sectors to promote trauma-informed and resiliency-building practices based on ACEs science . ACEs in Pediatrics is a forum for...
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Can people be saved from a terrible childhood? [theguardian.com]

Alicia Doktor ·
When Sabrina Bugget-Kellum walked into a neighbourhood clinic in New York for a routine appointment in in 2016, she was desperate. Her son was in prison. She was trying to look after his two young children, who were aged one and two. Their mother was emotionally unstable. Bugget-Kellum did not want the chaos of the adults’ lives passed down to another generation. “We didn’t know if they would be safe with their mother,” she recalled recently. “I began to pray, please God, I need some help.
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Change Package is Now Available!

Ellen Goldstein ·
Click here for the Change Package : Fostering Resilience and Recovery: A Change Package for Advancing Trauma – Informed Primary Care Earlier this year, to help primary care address the impacts of trauma, the National Council for Behavioral Health, with the support of Kaiser Permanente, launched a three-year initiative, Trauma-Informed Primary Care: Fostering Resilience and Recovery . “Trauma work is not new to the National Council. With effects across the lifespan, we’ve spent the last...
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Course credit for "Childhood Adversity and Toxic Stress in Medical Care: Promoting Health and Healing Throughout the Lifespan"

Jane Stevens ·
Dr. Beth Grady, a pediatrician at South San Francisco Clinic, developed a course called: "Childhood Adversity and Toxic Stress in Medical Care: Promoting Health and Healing throughout the Lifespan". She did the presentation on June 15, 2016, and the webinar was posted on June 22, 2016. The termination date for the webinar is June 22, 2019. Instructions for earning 1 AMA PRA Category 1 Credit TM for this enduring material: Watch the video of the presentation, which can be accessed via this...
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COVID-19 Response: Using Telehealth for Maternal & Infant Healthcare - Mahmee 03-20-2020

Gail Kennedy ·
For those of you unable to join the 'COVID-19 Response: Using Telehealth for Maternal & Infant Healthcare' webinar today (Friday, March 20, 2020), here is a link to the webinar recording. Hosted by Mahmee , a maternal-infant health care coordination platform committed to equity, discussed how to make adjustments to clinical workflows and triage prenatal and postpartum concerns. Best practices were offered for identifying patients who should continue receiving in-clinic and in-home...
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Developmental Delay Referrals Improve With QI Plan

Former Member ·
  Children with developmental delays stand a better chance of getting the early-intervention services they need if clinicians take the time to document screening efforts and follow-up with a simple telephone call, investigators say.   When a...
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Do The Roots Of Mental Health Issues Lie In Early Childhood? [WAMU.org]

Samantha Sangenito ·
Rahil Briggs, a child psychologist, is walking the corridors of the Pediatrics department at the Montefiore Comprehensive Healthcare Center . We’re in the South Bronx, New York. It’s one of the poorest urban areas in the country. Crying babies don’t faze Briggs. She looks serene — like she’s just finished a yoga class. Briggs says babies’ brains are “sticky.” “Their brains are disproportionately receptive. So whatever we throw sticks. That’s why they can learn Spanish in six months when it...
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10 Things Every Parent Should Know about Play

Former Member ·
  1.  Children learn through their play. Don’t underestimate the value of play. Children learn and develop: cognitive skills – like math and problem solving in a pretend grocery store physical abilities – like balancing...
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12 Things I Wish My Doctor Understood About Childhood Trauma

Anna Runkle ·
It doesn’t happen that often anymore, but one place where I almost always get triggered with my Childhood PTSD symptoms is when I visit the doctor. I could never even put this into words before. But now that I’m mostly healed from my Childhood PTSD symptoms, I want to express what I wish my doctors – all the doctors of my life – had understood about the effects of Childhood trauma, about me. Note: This is one of my most personal posts ever. Unless you’re someone who really prefers text, I...
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Iowa project aims to have all pediatricians, family docs screen for ACEs

Laurie Udesky ·
Dr. Amy Shriver is on a mission: to convince every pediatrician and family doctor in the State of Iowa to screen children for Adverse Childhood Experiences (ACEs). Dr. Amy Shriver The Des Moines-based Blank Children’s Hospital pediatrician is not alone. She’s part of Central Iowa ACES 360, a regional cross-sector coalition formed in 2011 that is working toward that ambitious goal. And they’re making substantial inroads. Central Iowa ACES 360 has just developed a one-hour trauma-informed...
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Kaiser family medicine clinic launches 4-question ACE survey pilot for adults

Laurie Udesky ·
In July, medical residents in family medicine at Kaiser Permanente in San Jose, CA, began screening adult patients for adverse childhood experiences (ACEs). But it’s an ACE survey with a twist: it’s shorter, not the 10-question survey of the original CDC-Kaiser Permanente ACE Study , according to Dr. Kathryn Ridout who is leading the pilot along with Dr. Francis Chu and Dr. Alec Uy . Why a shorter ACE survey? Dr. Kathryn Ridout “When we were doing our initial discussions with stakeholders in...
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Latest ACEs science research from PubMed, May 7, 2019

Morgan Vien ·
Clinic and park partnerships for childhood resilience: A prospective study of park prescriptions. Razani N, Niknam K, Wells NM, Thompson D, Hills NK, Kennedy G, Gilgoff R, Rutherford GW. Health Place . 2019 May 3;57:179-185. doi: 10.1016/j.healthplace.2019.04.008. [Epub ahead of print] PMID:31060017 Family Resilience And Connection Promote Flourishing Among US Children, Even Amid Adversity. Bethell CD, Gombojav N, Whitaker RC. Health Aff (Millwood) . 2019 May;38(5):729-737. doi:...
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Leaders in SF public housing deal with their own and community trauma head on

Laurie Udesky ·
Sengthong Sithounnolat, Jeris Woodson, Donald Greene, Ashley Blanco On a recent Saturday, 10 people gather around a table at the offices of Trauma Transformed in Oakland, Calif., where quotes from figures like Frederick Douglas, Nelson Mandela, and Coretta Scott King grace one wall as light streams in from a skylight above. The group is known as the Resident Warriors, which meets weekly. One participant talks of her recovery from addiction and her mother’s murder. Another mentions being...
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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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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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Montefiore Medical in Bronx screens 12,000+ kids for ACEs

Laurie Udesky ·
Creative Commons/Flickr/Family drawing by Meggy ____________________________________ Since 2016, more than 12,000 children beginning at the age of 1-years-old have been screened for adverse childhood experiences (ACEs) at Montefiore Medical Center in Bronx, New York, according to Miguelina German, the director of Quality & Research in the Pediatric Behavioral Health Integration Program and project director of Trauma Informed Care at the center. Parents of infants are asked to fill out...
 
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