Tagged With "Sonoma County Field Nurses"
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ACEs Community Spotlight Series: Dr. Richard Honigman, Central Nassau Pediatrics
For our second community spotlight interview, I spoke with Dr. Richard Honigman, a pediatrician at Central Nassau Pediatrics in Levittown and infant mental health advocate. We discussed the importance of addressing childhood adversity and the relevant work he is doing both inside and outside his practice. Please note that responses have been adjusted for length and clarity. Dr. Honigman is also the first recipient of the 2019 Ed Tronick Award for Distinguished Contribution to Infant-Parent...
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ACEs Research Corner — August 2019
[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's posting the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! — Jane Stevens] Clemens V, Berthold O, Witt A, et. al. Child maltreatment is mediating long-term consequences of household dysfunction. Eur Psychiatry. 2019 May;58:10-18. PMID:...
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ACEs Research Corner — July 2019
[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's posting the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! — Jane Stevens] Wang X, Maguire-Jack K. Family and Environmental Influences on Child Behavioral Health: The Role of Neighborhood Disorder and Adverse Childhood Experiences . J Dev...
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ACEs Research Corner — June 2019
[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] Wickramasinghe YM, Raman S, Garg P, Hurwitz R. Burden of adverse childhood experiences in children attending paediatric clinics in South Western Sydney, Australia: a...
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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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Adverse Childhood Experiences (ACE) Study: Beyond Screening in Pediatrics
The evidence is clear. When bad things happen to us as young children, we are at significantly increased risk for not only mental health problems, but also a wide range of physical health problems including asthma, heart disease, and even early death. These "bad things" all involve disruptions in caregiving relationships. A national movement directed at screening for ACEs in pediatric practices has emerged from this work. My suggestion that the implication of the Adverse Childhood...
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Advocacy centers help abuse victims tell their story, regain trust, heal [National Catholic Reporter]
WASHINGTON — On a long, low shelf at Safe Shores in downtown Washington, colorful figurines of wild animals, army soldiers, a winged dragon and an angel appear to be the toy collection of an overly neat child. It's the "sand tray room," where young survivors of sexual assault arrange figures in a tray of sand to tell stories about their experiences, often, too difficult to put into words. One 10-year-old girl, abused by her father, remained silent through five sessions of therapy. Only after...
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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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Strengths-based Approaches to Screening Families for Health-Related Social Needs in the Healthcare Setting [Center for the Study of Social Policy]
How do you screen families to determine whether they have enough to eat or if they feel safe in their homes or communities without alienating them? In this new brief, authors Dr. Renee Boynton-Jarrett and JoHannah Flacks describe strength-based approaches to screening for health related social needs.
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STUDENT VOICE: ‘What haunts me is how easily everyone could picture us behind bars’ [hechingerreport.org]
In sixth grade, I went on a field trip to jail. Picture us: a bunch of Latino and African American kids sitting in a prison cell. I’ve never been able to shake the memory. Here I was, an 11-year-old Latina from Jersey City, and our teachers were telling us, dead straight: This could be your future. I certainly got the message. What haunts me is how easily everyone could picture us behind bars. We could picture it, too. When it came time for high school, my dad made the decision to move us to...
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The Connection between Asthma and Toxic Stress: Insights from the National Committee on Asthma and Toxic Stress
Children for whom ACEs and asthma co-occur may ultimately require different prevention and intervention strategies due to their ACEs-related physiology. As more pediatric clinics screen for ACEs, the field needs consensus and management guidelines that address the biological links between adversity and health outcomes. The National Committee on Asthma and Toxic Stress (NCATS), in partnership with the Center for Youth Wellness, the Sean N. Parker Center for Allergy and Asthma Research at...
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The Power of Beliefs: What Babies Are Telling Us
Dr. Wendy Anne McCarty is a pioneer in prenatal and perinatal psychology and has worked with young families for over 40 years. She writes: "In 2002, I wrote a JOPPPAH article, The Power of Beliefs: What Babies are Teaching Us . In it I discuss how young babies already portray a sophisticated and established complex of beliefs and patterns of being in the world. I describe four clinical stories of babies in PPN-oriented BEBA therapy sessions who are expressing very difficult patterns based...
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The Relentless School Nurse: Brandy Bowlen Shares Her Message - From Seat to Feet
Brandy Bowlen has transformed her school community by first taking a stand for her own health and well-being. This is not an easy feat for nurses. Eight years ago, when Brandy was a new school nurse, she found herself overwhelmed, overstressed and overweight. She became a warrior for self-care, connecting the importance that her professional persona would be most impactful if she presented herself as an example. Brandy shares her journey to wellness for herself and her school community.
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To understand early childhood homelessness, we need more consistent federal data collection [childtrends.org]
Homelessness in early childhood is a known risk factor for children’s health and well-being. Because high-quality early care and education (ECE) programs can buffer some of the negative effects of homelessness on a child’s development , federal ECE programs (such as child care subsidy, Head Start, and early intervention) have begun to prioritize these children for care. Unfortunately, ECE providers in the field often have difficulty identifying families eligible for child care slots that are...
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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 in adulthood can begin in the first 2 months of life [heraldnet.com]
By Paul Schoenfeld, HeraldNet, June 9, 2019. Last week, I attended the 30th annual International Trauma Conference in Boston. Several thousand mental health clinicians from around the world attended. It was sponsored by Dr. Bessel Van der Kolk, one of the world’s foremost researchers and clinicians in developmental trauma. He wrote an excellent book, “The Body Keeps the Score,” which I highly recommend. In the last 10 years, the field of neuroscience has blossomed. With new imaging...
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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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Trauma Informed Care for people with Developmental Disabilities Conference
Sponsored by the Family Resource Center-Parents Helping Parents May 12,2018 in San Jose,CA
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Trauma-Informed Care — Reflections of a Primary Care Doctor in the Week of the Kavanaugh Hearing [NEJM.org]
Today, it was my third patient of the morning: a woman with a history of childhood sexual abuse and an abusive marriage. She shared with me her distress, her escalating nightmares and flashbacks over the past week. She held out her left arm to me, where for the first time since her adolescence, she had started cutting herself. And then my sixth patient struggled unsuccessfully to tolerate a Pap smear, as her anxiety became unbearable. Yesterday, it was my fourth patient, with a history of...
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Unlocking the Potential of Electronic Health Records in Pediatric Healthcare [chapinhall.org]
By Allison Laffan, Kaela Byers, Julie McCrae, et al., Chapin Hall at the University of Chicago, 2019 As the pediatric healthcare field innovates to address social determinants of health and help families meet concrete needs, electronic health records can serve as an important tool for quality improvement and evaluation. Variation in systems, staff knowledge, skills, and availability of resources present barriers to realizing the full potential of this tool. Addressing these barriers...
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Webinar Series – Putting Trauma-Informed Care into Practice: Lessons from the Field
Health policymakers and practitioners increasingly recognize trauma as an important factor that influences health throughout the lifespan. By incorporating trauma-informed approaches to care into their practice settings, provider organizations can more effectively care for patients and support efforts to improve health outcomes, reduce avoidable hospital utilization, and curb excess costs. This two-part CHCS webinar series will explore innovative strategies for implementing a trauma-informed...
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Webinar Series – Putting Trauma-Informed Care into Practice: Lessons from the Field
Learn how two leading San Francisco-based provider organizations are Implementing Trauma-Informed Care in Pediatric and Adult Primary Care Settings . View a recent webinar featuring Dr. Nadine Burke-Harris, Center for Youth Wellness, and Dr. Edward Machtinger, Women's HIV Program at UCSF. The webinar is part of a series on Putting Trauma-Informed Care into Practice: Lessons from the Field hosted by the Center for Health Care Strategies and made possible by the Robert Wood Johnson Foundation.
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When Parents Fear "It's All My Fault"
Many of my colleagues in the field of early childhood mental health work with what are termed "high risk" populations. Children of drug addicted parents, victims of child abuse, and families in abject poverty. While the challenges these families face are daunting, I find myself feeling some envy for my colleagues whose clients are in such obvious distress that the need for intensive treatment of parent and infant is not in question. In my rural, small-town population things are not so clear.
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Zero to Three New Resource - Screen Sense: Research Based Guidelines for Screen Use for Children Under Three Years Old
Babies today are born into a world of digital devices. And parents are trying to navigate this new reality—specifically figuring out what role these new gadgets should play in the lives of their young children. This is no small task given that...
Ask the Community
Seeking trauma-informed medical care
On the chance that someone here can offer a referral or advice, I'm looking for a trauma-informed medical doctor who can be my wife's Primary Care Physician. She is 39 years old and has gone without medical care for over 27 years as a result of her childhood trauma which involved severe neglect and long-term social isolation. I need to find a physician who is willing to communicate with me before her first appointment so I can fully explain her condition and what kind of approach will best...
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Re: ACE Fact Sheets to Give Your Doctors, Patients & Beyond (free downloads)
Please know I'll reach out to my colleagues in higher education to see if any of their students' can translate (Spanish, Tagalong, Vietnamese, etc.) and need additional hours for internships or field placements. Thank you again, Dr. Mead, for your exceptional ACEs Fact Sheets.
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CANarratives.pdf
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Re: ACE's questionnaire in Pediatric emergency room
I'm a pediatric neurologist at University of Alabama at Birmingham and Children's of Alabama. ACEs in the Peds ED: I've discussed ACE screening with some of my Peds ED colleagues (and there's interest) but that's as far as we've gotten.... ACE screening elsewhere: Is anyone doing ACEs in sub-specialty pediatrics? I am looking for help on "best practices" in this setting. Over the past few months I have been informally asking an unscientific sample of my parents in Peds Neurology clinic to...
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Re: ACE's questionnaire in Pediatric emergency room
I’m kind of bad here because I didn’t read your entire reply but this area of somatic complaints and concerns over behavioral problems like ADHD - is really where I started asking the ACE questions mixed in with a bunch of other psychosocial questions - and the ACEs were always very high. I’ve been doing this since at least 2004. Rahil Briggs is awesome in this area as is NBHarris and they have a webinar coming up in a few days on integrating this into care. For Neurology - chronic...
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ParentingBook.pdf
Blog Post
ACEs Research Corner — June 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's posting the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens] Tang R, Howe LD, Suderman M, et. al. Adverse childhood experiences, DNA methylation age acceleration, and cortisol in UK children. Clin Epigenetics. 2020 Apr...
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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...
Comment
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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Why the dean of early childhood experts wants to get beyond the brain [centerforhealthjournalism.org]
By Ryan White, Center for Health Journalism, July 23, 2020 Harvard’s Jack Shonkoff, a luminary in the field of early childhood, has spent years showing that events in the earliest years of life have profound implications for how budding brains develop, and in turn, shape a child’s later potential at school and work. Now, Shonkoff says it’s time to connect the brain to the rest of the body. “The message now is to say that there is a revolution going on in molecular biology and genomics and in...
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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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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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A New Hippocratic Oath Asks Doctors To Fight Racial Injustice And Misinformation [NPR]
First-year medical student Sean Sweat "didn't want to tiptoe around" issues of race when she sat down with 11 of her classmates to write a new version of the medical profession's venerable Hippocratic oath. "We start our medical journey amidst the COVID-19 pandemic, and a national civil rights movement reinvigorated by the killings of Breonna Taylor, George Floyd and Ahmaud Arbery," begins the alternate version of the oath, rewritten for the class of 2024 at the University of Pittsburgh...
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From Wildfires to Childhood Trauma, a Resilience Cooperative Transformed the Way Clinics Face the Unthinkable
What helped Sonoma health center staffers navigate one catastrophe after another was what they had learned about trauma in the Resilient Beginnings Collaborative.
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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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Re: Sonoma County field nurses use ACEs science to educate families
the most important 'teach a man to fish' work we can do to break the cycle - bravo!
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CALIFORNIA ACES ACADEMY - ACES PANEL PRESENTATION | May 13 [avahealth.org]
Thursday, May 13, 2021 | 12:00 pm - 1:30 pm (PT) Our multidisciplinary team has developed a training program to help health care trainees learn how to better address the sequelae of childhood trauma in their adult patients. We will describe the history of this program and our experiences from over 800 simulated patient encounters. ○ Describe development of an ACEs training program for health trainees caring for adult patients ○ Describe the components of the Professional ACEs Informed...
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