Tagged With "California prisoners' rights"
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Why screen if there are no services? (Barbara J. Howard - Pediatric News)
Why screen if there are no services? By: DR. BARBARA J. HOWARD OCTOBER 6, 2014 Behavioral Consult Do you remember the discussion of the ethical dilemma of Huntington’s disease you probably participated in during medical school? The...
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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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Why We Suck (at Self-Soothing & Self-Care): Dr. Dawn O'Malley
Without yoga and coffee, I'm kind of a jerk. These are my personal "puppy uppers and doggie downers" and prevent me from being cranky, quick to cry, and ready for conflict. Coffee and calming make life more manageable. Humans even seem tolerable. Without them I might veer into hating humans for being so needy which is not a great trait for a parent, partner or a professional. Or a self. My partner says coffee and exercise are acts of kindness, service as promote public safety. In other...
Ask the Community
ACEs-Savvy ADULT Primary Care Doc in Oakland or Richmond Kaiser?
Hi there -- I'm posting here on Ped community at the suggestion of a colleague who says this may be best way to find an adult primary care doc at Kaiser. I'm a passionate advocate for ACEs awareness, and a high-ACE-score kid who writes about childhood trauma. I'm also a Kaiser member in the Oakland/Richmond area, and I'm looking for a primary care doc who REALLY knows his/her stuff about emerging ACEs science. Happily, I am healthy today, but the health problems I've had in the past have...
Calendar Event
ACEs Aware Initiative Webinar
Calendar Event
ACEs Aware Initiative Webinar
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Re: A plethora of journal articles on ACEs science
Hi Jennifer, Thanks for letting me know. I'll check that out right now. Best regards, Laurie
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ACE cases.pptx
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Re: 10 ways to avoid ACEs (during the pandemic)
Thank you so much! I am really concerned about how families are coping right now. I especially worry about children at risk for abuse/neglect, away from any eyes or supports who might protect them.
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Re: 10 ways to avoid ACEs (during the pandemic)
Hi Patricia, I likely will be organizing a brainstorming session for health care providers. I'm also going to be doing a story looking at the issues of prevention tools, workaround for vulnerable families -- those at risk for child abuse or intimate partner violence. Please let me know what other information I can gather in order to support you in your work. In the meantime, I'll be posting here and cloning other articles I think may be helpful.
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Re: WEBINAR - NPPC's Pilot Site Case Studies: Lessons Learned from ACEs Screening Implementation
I find it impossible to believe the necessary resources .are available through “tweeting” already available resources and systems. We do not have the resources needed for kids already identified to have mental health concerns much less for newly identified kids. I’m sure most doctors working for any period of time in low resource areas already know this. I guess my biggest concern is believing that what we do right now is all we really need to treat these severely and complexly traumatized...
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Re: Opinion: All Doctors Should Practice Trauma-Informed Care [calhealthreport.org]
“Thus, it should be standard practice for medical professionals to screen and assess for trauma in a safe environment. It is critical that primary and behavioral health systems have communication channels to inform each other about a person’s trauma and its effect on their mental health and physical wellbeing. In order to achieve this outcome, we are proposing state legislation to mandate trauma-informed care education in all California medical, dental and nursing programs. In addition, we...
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Re: The Mother-Infant Interaction Picture Book
If you want to get a really good idea of how attachment in infancy goes right or goes wrong... this book is an excellent resource. I think it could really help some of us who are thinking about mother-infant relationship in Newborn Visits.
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Re: [Repost] Trauma-informed Care: It Takes More Than a Clipboard and a Questionnaire
Thank you Jim for this article. It is exactly what we need to address health care providers and community concerns regarding ACEs work. This should help us overcome barriers and resistance as AB 340 launches. Is there a lead agency in each California County to coordinate ACEs work and provide consultation/expertise? Perhaps this could be delegated to County Public Health Departments.
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Re: California unveils ACEs Aware initiative to screen for trauma
Attached is a powerpoint I put together which has been helpful to get folks engaged in the CA Surgeon General's on line ACEs training. These are screen shots to make the process less confusing and show that the content is practical . Feel free to edit. Let us know if there is a similar guide officially available. Thank you
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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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Re: Course credit for "Childhood Adversity and Toxic Stress in Medical Care: Promoting Health and Healing Throughout the Lifespan"
Hi Carroll, Beth Grady is also a member of ACEs Connection. Perhaps reach out to her on this and she could point you in the right direction. Here's her member page details, including contact info.
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ParentingBook.pdf
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Op-Ed: Kareem Abdul-Jabbar: Don’t understand the protests? What you’re seeing is people pushed to the edge [LATimes.com]
Los Angeles Protesters were among those who turned out in cities across the U.S. on Saturday to protest the death of George Floyd at the hands of police. (Gary Coronado / Los Angeles Times) ...The black community is used to the institutional racism inherent in education, the justice system and jobs. And even though we do all the conventional things to raise public and political awareness — write articulate and insightful pieces in the Atlantic, explain the continued devastation on CNN,...
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“I [STILL] can’t breathe”: Supporting kids of color amid racialized violence (www.embracerace.org)
Details about a webinar hosted by Embrace Race this Friday.
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Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES
No we should not be asking these ACEs in the Peds office. I don’t think that any of our patients should have their name, DOB, medicaid number and a billing code sent to the state documenting 4 or more or less than 4 ACEs. This HAS A REAL POSSIBILITY of misuse. We took an OATH to do no harm and this could cause real harm. Also your second “expert” is Dr. Nemeroff. He has been a real proponent for psychotropic use in kids. That right there is a red flag to me.
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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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Back-to-School in a Pandemic? Questions, Concerns, and Discussion with School Nurse, Robin Cogan
Robin is a brilliant, passionate, and vocal school nurse with almost two decades of experience as a New Jersey school nurse in the Camden City School District. She is the Legislative Co-Chair for the New Jersey State School Nurses Association and she joined us last week for A Better Normal community discussion about back-to-school (or not) plans families are facing this school year. Robin serves as faculty in the School Nurse Certificate Program at Rutgers University-Camden School of Nursing...
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Asking the Right Questions: Implementing Behavioral Health Screening in a Pediatric Emergency Department
Jessica Williams wants you to know that depressed kids don’t have a “look”. As the lead social worker in charge of the behavioral health screening protocol at Nemours/Alfred I duPont Hospital for Children, it’s her job to educate clinicians, staff, and families about the one thing they can do to identify kids in crisis: ask them the right questions. “Kids that appear to be depressed, whatever you think that might look like, they might not actually be depressed,” she explains. “And sometimes...
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Painful Questions: What Happens When Doctors Uncover Adverse Childhood Experiences?
This excellent article reviews arguments for and against universal pediatric screening for ACEs in California. It also highlights Dr. Nadine Burke Harris' concern concern that if we know ACEs science, it is irresponsible not to take action. She indicates that she has not heard alternative proposals for action from critics of screening. However, such alternatives exist and include universal pediatric developmental screening and policy initiatives aimed at primary prevention of adversity.
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A new program in Mississippi is helping Black mothers breastfeed. Here's why it's crucial. (upworthy.com)
The Delta Baby Cafe in Sunflower County, Mississippi is providing breastfeeding assistance where it's needed most. Mississippi has the third lowest rate of breastfeeding in America. Only 70% of infants are ever-breastfed in the state, compared to 84% nationally. There are multiple reasons why Black women are less likely to breastfeed their children. First, according to the CDC , maternity wards that serve large Black populations are less likely to help Black women initiate breastfeeding...
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'A Better Normal:' Can universal ACEs screening be equitable? -- Concerns and solutions
Can universal ACEs screening be equitable? A conversation about concerns and solutions. When: Tuesday, Oct. 13, 2-3:30 pm PDT/5-6:30 pm EDT This webinar explores what it takes to ensure that equity is built into the process of screening and providing support for families who have experienced trauma and want help. REGISTER HERE Background At the beginning of this year, California, through the ACEs Aware initiative began rolling out universal screening for adverse childhood experiences (ACEs),...
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Making the Case for Love, Compassion, and Positive Childhood Experiences [positiveexperience.org/blog]
Dr. Kanwaljeet Anand and Chloe Yang, 10/14/20, positiveexperience.org/blog A growing body of work recognizes the important health effects of highlighting and creating positive childhood experiences. Today’s blog post makes the scientific case for this, based off of an interview with Dr. Kanwaljeet Anand, professor of pediatrics and anesthesiology at Stanford School of Medicine. Below, Dr. Anand details how positive childhood experiences buffer against adverse ones and explains the biological...
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New California preventive mental health coverage puts ACEs science front and center
A mother, frantic with worry, brought her newborn in for a checkup at the pediatric clinic at San Francisco General Hospital. But there wasn’t anything wrong with the baby. And over the next several months, no amount of reassurance could convince the mom that her child was eating, sleeping and growing just fine. If anything, the mother’s worry led to behavior that raised alarm bells for her health care providers. Dr. Kate Margolis “[The family] wasn’t returning calls from the provider, and...
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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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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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The Path Forward for Telemental Health + Join Our Upcoming Webinars
NO GOING BACK: Providing Telemental Health Services to California Children and Youth After the Pandemic, is the first in a series of briefs outlining how technology can make mental health more accessible with concrete recommendations based on providers’ perspectives, and lessons learned during the pandemic. Read the Report When the shelter-in-place mandate started, California’s mental and behavioral health providers quickly pivoted to telehealth delivery for children and adolescents. Recent...
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Youth Advocates are Speaking Out to Reimagine our Mental Health System
Dear Friends and Allies, This is a moment for transformation led by youth advocates—those with lived experience—to reimagine a mental health system centered on equity and justice. While concerns remain with the state's proposals on both Telehealth and CalAIM, there are some hopeful signs of reform on the horizon including: $700 million proposed in the Governor’s budget to support student mental health in schools. The updated CalAIM proposal which advocates for the removal of a diagnosis for...
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The Voices Of Youth Locked In San Francisco's Soon-To-Be-Shuttered Juvenile Hall
By Taylor Walker, WitnessLA, February 22, 2021 On Tuesday, June 4, 2019, the San Francisco Board of Supervisors voted in favor of legislation to shutter the local juvenile hall by December 2021. The ordinance, which SF supes authored in partnership with the Young Women’s Freedom Center (YWFC), made SF the first major urban jurisdiction to choose to abolish juvenile incarceration. The city-county’s lone 150-bed youth lockup is already so close to empty — on August 15, 2020, there were 13...
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Want to empower youth in communities of color during COVID? Let them lead.
Widespread reporting has revealed that the COVID-19 pandemic has devastated many poor communities of color. Less widely known is how the pandemic has affected young people in those communities. “COVID-19 has had a particularly harsh impact on youth of color,” further traumatizing [juvenile-justice] system-impacted youth and their families already struggling with disproportionately high rates of disease, death, job loss and housing insecurity,” said Jim Keddy of Youth Forward . Keddy was...
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Speakers at children & youth conference call for systems change based in love, liberation
California can support children and youth by tackling the state’s — and the country’s — legacy of White supremacy and replacing it with a trauma-informed approach of love, empathy, and support.
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Join the movement: Significant new legislation and funding to find solutions to youth mental health crisis
There is unprecedented momentum to tackle the mental health crisis affecting our children. The universally felt isolation and suffering caused by the pandemic are helping to strip away the stigma of mental illness. In its place is an energized movement, led by advocates, that is transforming the way California provides mental health services for its most vulnerable children—the majority of whom are black and brown. This movement has captured the attention of state and local policymakers,...
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Local Organizations Join Together To Build HOPE and Resiliency in San Diego’s Children
April is National Month of Hope. While hope is something we all need right now as we surpass one year of the COVID pandemic, HOPE (Healthy Outcomes from Positive Experiences) means something different in our work as ACEs Aware grantees. The YMCA of San Diego County , San Diego State University Social Policy Institute , San Diego Accountable Community for Health (SDACH) and American Academy of Pediatrics – California Chapter 3 are combining efforts as ACEs Aware grantees to work with...
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PACEs Connection: Not just another social network
At last week’s fabulous HOPE Summit, one person told me that they didn’t realize all the things that PACEs Connection does.
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Re: PACEs Connection: Not just another social network
So wonderful to see ACEs / PACEs growing exponentially like this Jane and so glad to be part of this community, of getting the word out, making connections and more. My own passion is getting this information to the medical community and all those working with people with chronic illness so we can shift our lens and incorporate the empowering tools we now know about for prevention, repair, and treatment from the very beginnings in pregnancy, labor and birth (and previous generational...