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PACEs in Pediatrics

Tagged With "trauma-informed training"

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Dozens of stakeholders representing thousands of practitioners send public comments on Calif. ACEs-screening plan

Laurie Udesky ·
Update: We posted this story on Tuesday evening and received a response from the Department of Health Care Services Wednesday that clarifies additional information. DHCS information Officer Katharine Weir said that subject to budget approval by the legislature and the governor: The reimbursement rate will be $29. Federally Qualified Health Centers will also be reimbursed for screening pediatric patients for trauma through Prop 56 funds and federal matching funds. In response to a question...
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Early Bird registration ends Feb 2 for the AAP Trauma Informed Pediatric Provider Course

Tammy Piazza Hurley ·
Early bird registration ends soon for the 2019 AAP Trauma Informed Pediatric Provider (TIPP) Course scheduled March 2-5, 2019 in San Antonio, TX. Learn from other pediatric healthcare providers about the recent science, evidence base and treatments of adversity, resiliency and toxic stress. AAP Past-President, Dr. Colleen Kraft, will deliver the keynote presentation Pediatricians as Leaders in Addressing Toxic Stress and Trauma in Children . For more information, a schedule of speakers and...
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FREE WEBINAR "Clinician Burnout or Wellness: Care Team Well-being and the Health of the Nation"

Madison Hammett ·
Join the Illinois ACEs Response Collaborative on Thursday, February 6th for this free webinar highlighting provider burnout and the role of team wellness in trauma-informed transformation!
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Hearing in House Education and Labor Early Childhood Subcommittee addresses intersection of trauma and education

Dr. Nadine Burke Harris (l) and Karina Chicote, Churchill Fellow from western Australia meet after congressional hearing After watching the hearing on a monitor in the overflow room, Karina Chicote, a Churchill Fellow from western Australia, and I hustled to the hearing room in hopes of speaking to the lead witness, Nadine Burke Harris, MD, the first Surgeon General of the State of California. She was deep in conversation with others, including a young woman who wanted to tell her how...
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Heyman Oo integrates ACEs science as foundation of pediatric care

Sylvia Paull ·
Dr. Heyman Oo, a 34-year-old primary care pediatrician, first learned about the science of adverse childhood experiences in medical school at a grand rounds held around 2012 at Rady Children’s Hospital in San Diego, which she attended from 2009 to 2014. The presenter was none other than Dr. Nadine Burke Harris, a pediatrician who went on to become California’s first Surgeon General. The founder and former director of the Center for Youth Wellness drew millions of views for her TED talk on...
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HOPE, Engagement, and COVID19

Bob Sege ·
As children grow and develop, engaging with the larger community around them provides a sense of “mattering” — a sense that their participation in the community really does matter. The emergency conditions now in effect provide numerous opportunities to children and teens to pitch in. Here are a few ideas . . .
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How collaboration helps clinic in San Mateo County, CA, tackle ACEs in children

Laurie Udesky ·
Dr. Elizabeth Grady is a pediatrician at the South San Francisco Clinic, a community clinic of San Mateo Medical Center. She and Susana Flores , a senior public health nurse with San Mateo County Health, spoke with me about how the clinic and other health agencies in San Mateo have been able to craft ways to work together to prevent and heal toxic stress in children. Grady also talked about how she and Flores have been working with the Resilient Beginnings Collaborative (RBC), a group of...
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How do these pediatricians do ACEs screening? Early adopters tell all.

Laurie Udesky ·
Last week, three pediatricians — with a combined experience of 15 years integrating ACEs science into their practices — reflected on the urgency they felt several years ago that prompted them to begin screening patients for childhood adversity and resilience when there was practically no guidance at all. Along their journey , they accumulated a list of lessons learned for other pediatricians and family clinics to use. The three pediatricians participated in the ACEs Connection webinar,...
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How "Sesame Street" is helping kids learn to cope with trauma [abcnews.go.com]

Laura Pinhey ·
Big Bird and his " Sesame Street " buddies are taking on a new mission: helping kids learn to cope with stress and trauma. Sesame Workshop, the nonprofit offshoot of the long-running children's program "Sesame Street," launched the powerful new initiative, which was designed with the help of psychologists, the same week that the nation was rocked by the deadliest mass shooting in modern U.S. history. The initiative includes materials for parents, caregivers and social workers, as well as...
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Immune Biomarkers of Early-Life Adversity and Exposure to Stress and Violence - Searching Outside the Streetlight [jamanetwork.com]

By Nicole R. Bush and Kirstin Aschbacher, JAMA Pediatrics, November 4, 2019 Evidence of an association between early-life adversity and heightened risk of chronic disease in adulthood has been found, but the optimal biomarkers for identifying vulnerable or resilient individuals remain unclear. Global trends, including widening socioeconomic disparities, the refugee crises, and climate change, increasingly sculpt trauma exposure and call for scalable early-risk identification and treatment...
Blog Post

Researchers share learned lessons from screening for adverse childhood experiences in pediatric clinics

Laurie Udesky ·
What are the reasons that parents or caregivers do not fully disclose their own or their young children’s ACEs when asked to fill out an ACE screening form in their child’s pediatrician’s office? That was one of the many questions raised in a recent webinar entitled Screening for Adverse Childhood Experiences in the Pediatric Primary Care Setting: Practical Considerations and Lessons Learned . Dr. Kavitha Selvaraj, an attending physician at the Ann & Robert H. Lurie Children’s hospital...
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Increasing Resilience: Primary Healthcare Providers' Opportunities to Promote Protective Factors Before and After Childhood Trauma [avahealth.org]

By Machelle D. Madsen Thompson and Bart Klika, Academy on Violence and Abuse, March 2020 Lifespan research reveals that although ACEs are common, many people are able to move toward recovery and achieve reportedly good functional status. This resilience does not occur in isolation but is supported by a composite of protective factors that empower a child to return to functional status following ACEs. Resilience is observed when a child is immersed in positive influences, such as supportive...
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9 Big Questions as California Starts to Screen Kids for Trauma, ACEs [salud-america.org]

By Amanda Merck, Salud America!, February 12, 2020 Early childhood adversity like abuse and divorce is a root cause of many of the greatest public health challenges we face today. But doctors don’t even screen children for exposure to adversity. That’s changing in California, thanks to Dr. Nadine Burke Harris and other child advocates. As of Jan. 1, 2020, almost 100,000 physicians in 8,800 clinics will be reimbursed for routinely screening Medi-Cal patients for adverse childhood experiences...
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A Message from the President of the Illinois Chapter, American Academy of Pediatrics

Elise Groenewegen ·
Dear Illinois ACE Connection members, Children and families from all demographic and socioeconomic backgrounds in Illinois experience trauma, adversity, and chronic stress. Social determinants such as where we live, work, and play, can further exacerbate positive or negative physical, emotional, and behavioral health issues. The critical factor that determines if a child, family, and/or community can manage trauma, adversity, and chronic stress successfully is resilience : the process by...
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A New Documentary About Breaking the Cycle of Trauma is Launching This Fall!

Charlotte Graham ·
We are thrilled to announce the premiere of Wrestling Ghosts , a documentary about breaking the cycle of trauma, at the LA Film festival on Sept. 27th. “Incredible. Haunting and strange and beautiful and incredibly moving.” -Dan Cogan, Founder Impact Partners Wrestling Ghosts follows the epic inner journey of Kim, a young mother who, over two heartbreaking and inspiring years, battles the traumas from her past in order to create a new present and future for her and her family. In this...
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ACEs & African Americans Community on ACEs Connection

ACEs Connection envisions a resilient world where ALL people thrive. We are an anti-racist organization committed to the pursuit of social justice. In our work to promote resilience and prevent and mitigate ACEs, we intentionally embrace and uplift people who have historically not had a seat at the table. ACEs Connection celebrates the voices and tells the stories of people who have been barred from decision-making and who have shouldered the burden of systemic and economic oppression as the...
Blog Post

ACES Aware Webinar: Dec 13th, 12-1pm PT - Public Comments about soon-to-be-released Request for Proposal

Gail Kennedy ·
The Department of Health Care Services and the California Office of the Surgeon General are hosting a webinar of the Trauma-Informed Care Implementation Advisory Committee’s Provider Education and Engagement Subcommittee. Subcommittee members will discuss a draft Request for Proposal (RFP) released for public comment as part of the ACEs Aware initiative. The draft RFP invites external organizations to apply for grants to support provider training activities, provider engagement activities...
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ACEs Aware Webinar: Trauma-informed practices to address stress from COVID19

Laurie Udesky ·
How can health care providers take care of themselves, their colleagues and their patients during this COVID-19 pandemic? First and foremost is recognizing how the pandemic can stir up trauma from the past, said Dr. Alicia Lieberman, a psychologist specializing in trauma. “COVID19 is reawakening traumatic reminders in many of us and in the families we work with. And that often makes it difficult for parents to protect themselves and their children,” she noted. Lieberman, the director of the...
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ACEs screening in CA — a Q and A with Dr. Dayna Long

Laurie Udesky ·
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...
Blog Post

American Acad of Pediatrics Policy Statement - Immigration policies need to be trauma-informed [www.medpagetoday.com]

Leslie Lieberman ·
The American Academy of Pediatricians has made a bold statement about the proposed DHS policy to separate children from their parents and the use of detention - clearly linking these policies to their potential to traumatize children. To that end, children should never be separated from a parent unless it is for the child's safety, and the Department of Homeland Security should discontinue the use of family detention and use community-based alternatives to detention to treat immigrant...
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Bay Area Doctors Target Health Consequences of Childhood Trauma [sfchronicle.com]

By Erin Allday, San Francisco Chronicle, January 5, 2020 A screening tool developed by Bay Area pediatricians to identify adverse childhood experiences, ranging from homelessness and food insecurity to physical and sexual abuse, will now help doctors statewide address trauma affecting patients’ health. The California Department of Health Care Services approved the tool — called PEARLS, for Pediatric ACEs and Related Life-Events Screener — last month. As of Jan. 1, its use is covered by...
Blog Post

Behavioral Health Conference and ACEs

Dr. Charlene Grecsek ·
May 14, 2019 and May 15, 2019 there is a Behavioral Health Conference hosted by the United Way in Broward County. Be sure to stop by the Children's Services Council/ ACES Broward table to sign up to be a part of the ACE's Broward Community. At the conference, CSC President/CEO Cindy Arenberg Seltzer will be giving a brief introduction about ACE's. https://www.drugfreebroward.org/events/behavior-health-conference/
Blog Post

Sesame Street in Communities Takes on Trauma

Mary Beth Colliins ·
Just this morning, Sesame Street in Communities announced its initiative to support foster children, foster parents, and the providers who serve foster care. Further, more trauma related topics will be addressed soon. The upcoming programing is detailed in today’s The Atlantic article “For-Now Parents’ and ‘Big Feelings’: How Sesame Street Talks About Trauma: ‘The Muppets can often do what humans can’t. They’ve got this special power.’ ” “ "Through its Sesame Street in Communities...
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Shifting the focus from trauma to compassion

Laurie Udesky ·
photo: Rolf Schweitzer/CCO Dr. Arnd Herz, a self-described champion for ACEs science, would like nothing more than to witness a greater appreciation of how widespread adverse childhood experiences are. Herz, a pediatrician and director of Medi-Cal Strategy for the Greater Southern Alameda Area for Kaiser Permanente Northern California, would also like to encourage more people in health care to engage in a trauma-informed care approach, a change in practice that he says not only benefits...
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Solano County's (CA) ACEs initiative, a robust community effort, makes room for input from all

Laurie Udesky ·
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

Carey Sipp ·
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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Stopping Generational Trauma in Communities of Color [sundial.csun.edu]

By Michaella Huck, The Sundial, February 3, 2020 Over the past decade, clinicians and scholars have intensely studied and treated the effects of intergenerational trauma suffered by communities of color (i.e. one generation to the next — be it individual or collective) that is passed onto future generations. Intergenerational trauma is defined as the transmission of historical oppression and its negative consequences across generations. There is significant evidence of the impact of...
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Survey: Healthcare providers, community organizations weigh in on California's ACEs screening program

Laurie Udesky ·
In January, California took a historic leap forward to promote universal ACEs screening of the state’s 13 million adults and children in the Medi-Cal program. The eventual goal is to promote ACEs screening for all patients, but this is a first step in dealing with a major issue that ACEs science has identified: that many children will develop serious health problems later in life because the healthcare system is not currently set up to detect the roots of those problems. The term ACEs, which...
Blog Post

Taking Care of Our Patients, Our Teams, and Ourselves: Trauma-Informed Practices to Address Stress Related to COVID-19

Join ACEs Aware Webinar for a webinar on: Wednesday, March 25, 2020 Noon – 1 p.m. Register for the webinar Speakers: Edward Machtinger, MD Alicia Lieberman, PhD Brigid McCaw, MD, MPH, MS, FACP The webinar will cover how trauma-informed principles and practices can help providers and their teams sustain high quality care of patients, and take good care of themselves in the face of acute stress resulting from COVID-19. This includes ways to help patients increase buffering and protective...
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Trauma education and mindfulness help youth living amid gun violence

Laurie Udesky ·
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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Trauma Informed Care for people with Developmental Disabilities Conference

Suzanne Frank ·
Sponsored by the Family Resource Center-Parents Helping Parents May 12,2018 in San Jose,CA
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Trauma Informed Care from the Baby's Perspective

Kate White ·
The Association for Prenatal and Perinatal Psychology and Health is pioneering a model of care that includes the baby starting at conception. Our model also includes transgenerational and intergenerational trauma, prenatal experiences, birth and attachment and bonding. We have a conference on this topic October 5-7, 2018, in Denver, CO. See: https://birthpsychology.com/2018-conference/welcome I will be a the Zero to Three conference representing our programs for a poster session. If you are...
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Trauma-Informed Care May Ease Patient Fear, Clinician Burnout [jamanetwork.com]

By Bridget M. Kuehn, JAMA Network, January 29, 2020 For many sexual assault survivors whom Anita Ravi, MD, MPH, sees as a New York City–based family physician, the prospect of even basic medical care can be frightening. Some have put off Papanicolaou tests and mammograms for years or even decades. To help them, Ravi has adopted a trauma-informed approach that works to restore patients’ trust and give them a greater sense of control over their visit. This may include asking permission before...
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Trauma-informed, Resilience-oriented Approaches Learning Community [thenationalcouncil.org]

By The National Council for Behavioral Health, October 2019 The National Council for Behavioral Health is pleased to announce the 2020-2021 Trauma-informed, Resilience-oriented Approaches Learning Community. Since 2011, we have worked with behavioral health, social service and community organizations to implement trauma-informed, resilience-oriented organizational change. This Learning Community will provide participating organizations, systems and communities with the tools and skills to...
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'Understanding Trauma': Program Shows Doctors the Biases Indigenous Women Experience [cbc.ca]

By Daniela Germano, Canadian Broadcasting Corporation, October 1, 2019 An online training program is aiming to educate health-care professionals about biases Indigenous women may experience as highlighted by allegations of recent coerced sterilizations. Dr. Naana Jumah, an obstetrician-gynecologist at the Thunder Bay Regional Health Sciences Centre and assistant professor at the Northern Ontario School of Medicine, said the idea for the program came in 2011 when she was doing her residency.
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Update on bills re: childhood adversity in California Legislature

Kelly Hardy ·
Below is an updated table of bills that address childhood adversity in the Legislature in 2019. The list is not exhaustive, so please email Kelly Hardy with Children Now if you think a bill is missing and/or if you have any questions. Email: khardy @childrennow.org . Here are key dates for the remainder of the legislative session: July 10 = last day for bills to pass out of policy committees July 12 – August 12 = Summer recess August 30 = last day for fiscal bills to pass out of committee...
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UT San Antonio Researchers Pilot Ways to Help Youth Deal with Trauma [expressnews.com]

Kay Reed ·
(retrieved from https://www.expressnews.com/news/education/article/UT-San-Antonio-researchers-pilot-ways-to-help-15015016.php#photo-18954339 ) Before 12-year-old Rihanna Briseño started taking classes at Good Samaritan Community Services, she was quick to dislike people and get angry. The Rhodes Middle School sixth-grader didn’t know why, but sometimes her brain told her the right thing was to beat another kid up. “I would say those things that I’m not going to say now,” Rihanna told the...
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Webinar covered how to build trauma-informed connections via telehealth

Laurie Udesky ·
When Dr. Erika Roshanravan, a family physician with CommuniCare in Woodland, CA, thinks back to her patient visits prior to the COVID-19 pandemic, one way she drew their deep-seated concerns was to ask the reason for the visit and to interject throughout, “Is there anything else?” And it’s asking that question during phone and video visits that has also helped her understand the true reason for her patients’ needs now, she told people who attended an ACEs Aware webinar on April 29 entitled:...
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Webinar Series – Putting Trauma-Informed Care into Practice: Lessons from the Field

Mariel Gingrich ·
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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Why the Nation Should Screen All Students for Trauma Like California Does [theconversation.com]

By Sunny Shin, The Conversation, November 18, 2019 As the first person to hold the new role of Surgeon General of California, Dr. Nadine Burke Harris is pushing an unprecedented plan to implement universal screenings for childhood trauma within the state’s schools. Childhood trauma is defined by the National Institute of Mental Health as an “emotionally painful or distressful” event that “often results in lasting mental and physical effects.” Burke Harris’ plan is already more than a dream:...
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Wisconsin Dept of Health Services - Trauma-Informed Care News & Notes, Oct. 29, 2018

Scott A Webb ·
ACEs, Adversity's Impact Adverse childhood experiences increase prediabetes markers in adulthood How parenting affects antisocial behaviors in children Documentary broken places uses archival footage to tell stories of ACEs and resilience over time NYC's first lady urges reporters to tackle mental health issues A guide to toxic stress The quest to find biomarkers for toxic stress, resilience in children - A Q&A with Jack Shonkoff Parent-child bond predicts depression, anxiety in teens...
Ask the Community

ACEs Screening in the Pediatric Office

Former Member ·
  Hi Everyone.  We know several pediatric practices are screening for ACEs in the Pediatric Office. For example there is    1. The Children's Clinic in Portland, Oregon ...
Ask the Community

Can Trauma-Informed Mermaids Help Children & Families? (New Kids Book Series)

Sarah E Clark ·
Dear ACEs in Pediatrics Community, We just launched a new trauma-informed children's book series called Venus and Her Fly Trip . The series has been developed in collaboration with therapists, educators, parents and healers and is designed to promote mental/social/emotional health, body positivity and imaginative play in kids 4-10 , with the ultimate goal of preventing self-hatred. I would greatly value hearing the feedback of the ACEs community on this endeavor, and welcome your ideas for...
Comment

Re: A Message from the President of the Illinois Chapter, American Academy of Pediatrics

Laurie Udesky ·
Elise, Thanks for posting this event! I know that many members of ACEs in Pediatrics are interested in how cross sector collaborations are working to help prevent and mitigate ACEs. I am wondering if any of the sessions will be recorded?
Comment

Re: Trauma Informed Care for people with Developmental Disabilities Conference

Carey Sipp ·
This is so important. Thanks for sharing. Trainings such as this are needed in all towns and cities.
Comment

Re: Trauma Informed Care for people with Developmental Disabilities Conference

Laurie Udesky ·
Hi Suzanne, Thanks so much for posting this. I know there's some research around the association between parents' ACE scores and concerns around developmental issues in their young children. I came across a study recently that was correlating parental ACE scores with mothers' concerns about developmental issues in their infants. It must be said that the findings were not statistically significant, but it was interesting that parents whose ACE scores were between 1 and 3 were 1.86 more likely...
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