Tagged With "SEE Program"
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4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress
Four years ago, Dr. Leslie Dempsey would never have talked about ACEs — adverse childhood experiences — with her patients. Now ACEs is a common topic. “Just as I don’t feel awkward asking someone if they smoke or do intravenous drugs, I don’t really feel awkward talking about their childhood traumas in a way that it relates to their health. It’s just integrated into obtaining background and social history,” she says. Dr. Leslie Dempsey Dempsey is a physician in obstetrics who oversees a team...
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5 Things to Know as California Starts Screening Children for Toxic Stress [californiahealthline.org]
By Barbara Feder Ostrov, California Healthline, January 7, 2020 Starting this year, routine pediatric visits for millions of California children could involve questions about touchy family topics, such as divorce, unstable housing or a parent who struggles with alcoholism. California now will pay doctors to screen patients for traumatic events known as adverse childhood experiences, or ACEs, if the patient is covered by Medi-Cal — the state’s version of Medicaid for low-income families. The...
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A Community Approach to Trauma Sensitivity / Making a Difference Conference in MA in November
The 6th Annual Making a Difference Conference for SESPs, Foster/Adoptive and Kinship Caregivers and their Professional Partners will be held in Marlborough, MA on November 14, 2017. The theme is A Community Approach to Trauma Sensitivity. There will be at least two talks will be about ACEs! Speakers/Topics: Keynote: Managing the Hearts and Souls of Many, Dana Royster-Buefort, M.Ed., C.A.G.S. Workshops Tackling ACEs by Building Resilient Communities , Renee D Boynton-Jarrett, MD, ScD . Note:...
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A community-based approach to supporting substance exposed newborns and their families
This information brief highlights a community-based approach to supporting families and newborns affected by substance use. MA EfC developed this brief to address the profound intersection between the Massachusetts opioid crisis, Federal mandates for the development of Plans of Safe Care for substance exposed newborns, and, the MA EfC focus on increasing social connectedness as a means to reduce child maltreatment.
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A fast, easy way for pediatricians to screen kids for ACEs...and other health issues
Last November, the California Department of Managed Care gave its stamp of approval to a new version of Whole Child Assessment 2.0 , a tool that screens for children’s adverse childhood experiences (ACEs). It was recommended as part of recently passed legislation calling for trauma screening for children in California. But the Whole Child Assessment 2.0 (WCA) does more. It also queries patients about other critical safety and health issues, including whether they have enough to eat, whether...
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A Kaiser pediatrician, wise to ACEs science for years, finally gets to use it
Dr. Suzanne Frank has known about the impact of childhood adversity on young lives for decades. She’s seen the fallout in the faces of young people huddled in beds at a children’s shelter where she worked years ago. She’s seen it as the regional child abuse services and champion for the Permanente Medical Group. And she’s seen it in hospital examination rooms where, as a member of the Santa Clara County’s Sexual Assault Response Team, she’s been called in to examine shell-shocked children...
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A Message from the President of the Illinois Chapter, American Academy of Pediatrics
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!
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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A Pediatrician's View Of Paid Parental Leave [NPR.org]
Paternity leave can make a big difference in a dad's long-term engagement with the child, doctors find. Paid family leave also fosters breastfeeding and reduces the incidence of maternal depression. As part of All Things Considered's series Stretched: Working Parents' Juggling Act , NPR talked with Dr. Benard Dreyer , a developmental and behavioral pediatrician at the New York University School of Medicine and president of the American Academy of Pediatrics, to get a better sense of what the...
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A plethora of journal articles on ACEs science
As the community manager of ACEs in Pediatrics, I comb the web looking for pertinent studies and information that may be of interest to ACEs in Pediatric members. In the last several days the journals Pediatrics, the North Carolina Medical Journal, Child Abuse & Neglect and the Journal of Women's Health have published a number of articles on ACEs science. Here is a list of some of the articles and commentary featured in each journal: ACEs and Pregnancy: Time to Support All Expectant...
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AAP Federal Affairs Update
One week from today is Tuesday, Nov. 4: Election Day. Now is the time to speak up for children at the ballot box by casting your vote ! This year, all 435 members of the U.S. House of Representatives and 36 members of...
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ACEs Aware Webinar: Trauma-informed practices to address stress from COVID19
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, biomarkers and the cost of adversity
How useful and necessary are biomarkers in telling the story of how toxic stress from adverse childhood experiences and resilience can impact a child’s long-term health? In the introduction to an article in the journal BioEssays , Dr. Kathryn Ridout, a Kaiser Permanente San Jose psychiatrist, and her co-authors examine what is known about two biomarkers and quote data on child maltreatment and its economic burden over time that says it all. “When totaling the costs of health care, child...
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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 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 — January 2020
Research papers this month include links between ACEs and bullying, dropping out of high school, adult disability, and the effects of countering ACEs.
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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 Research Corner — September 2018
[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] Schickedanz A, Halfon N, Sastry N, Chung PJ. Parents' Adverse Childhood Experiences and Their Children's Behavioral Health Problems. Pediatrics. 2018 Aug;142(2).
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ACEs research roundup: Intergenerational poverty; TIC curriculum; obesity; opioids, school-based health
Health Status of Children Enrolled in a Family Navigator Program to Eliminate Intergenerational Poverty , Clinical Pediatrics All Traumas Are Not Created Equal JAMA Pediatrics Adverse Childhood Experiences: A Case-Based Workshop Introducing Medical Students to Trauma-Informed Care The Journal of Teaching and Learning Resources The Evidence on School-Based Health Centers: A Review Global Pediatric Health Adverse Childhood Experiences in Infancy and Toddlerhood Predict Obesity and Health...
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ACEs research roundup: preschool suspensions; trauma inquiry; foster youth; school success
Adverse childhood experiences and preschool suspension expulsion: A population study , Child Abuse & Neglect S Zeng, CP Corr, C O'Grady, Y Guan The state of the science on trauma inquiry , Women's Health A Lewis-O'Connor, A Warren, JV Lee, N Levy-Carrick A Positive Youth Development Approach to Improving Mental Health Outcomes for Maltreated Children in Foster Care: Replication and Extension of an RCT of the Fostering Healthy Futures Program , American Journal of Community Psychology...
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ACEs screening in CA — a Q and A with Dr. Dayna Long
Last year, the California Department of Health Care Services rolled out its plans for universal screening for trauma among its pediatric and adult Medicaid population. Beginning January 1, 2020, California physicians were able to receive an incentive payment of $29 for each pediatric patient screened for ACEs using the PEARLs ( Pediatrics Adverse Childhood and Resilience Study) tool. Dr. Dayna Long talked with ACEs Connection staff reporter Laurie Udesky about ACEs science, what led to the...
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After WIC Offered Better Food Options, Maternal And Infant Health Improved (scienceblog.com)
A major 2009 revision to a federal nutrition program for low-income pregnant women and children improved recipients’ health on several key measures, researchers at UC San Francisco have found. The study is the first to analyze the health effects of the changes to the U.S. Special Supplemental Nutrition Program for Women, Infants and Children (WIC), which serves half of all infants and more than a quarter of all pregnant and postpartum women in the U.S. It comes amid renewed attention to poor...
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Allentown Headstart program focuses on kids dealing with trauma [whyy.org]
In a space that used to be an abandoned state hospital, Lora Lesak has created an early childhood classroom filled with natural light and comfortable chairs — a room designed to feel like a home. As director of Developmental Health Services for Allentown’s Community Services for Children, she says that’s exactly what children who’ve experienced trauma need. “We have gotten children that have needed to remain in the hospital for two weeks to be weaned of substances — whether it’s cocaine,...
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An Editorial: Screening for Childhood Adversities in Prenatal Care: What Works and Why
Despite the landmark ACEs study in 1998, ACEs screening is uncommon in medical clinics - barriers include lack of time, ACEs resources, confidence in addressing sensitive topics, etc. Flanagan et al. developed a training program for clinicians that addressed the barriers, added resilience measures, and included clinic-specific adjustments. The study found that conversations on ACEs and resilience improved women’s trust in and relationship with their clinicians. After the training, clinicians...
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BABY ACES: When we consider the traumas that qualify as ACEs, babies need their own list.
Babies are obviously very different from older children developmentally, including their ability to understand and process trauma. Indeed, a baby may be completely unaware of an actual ACE— say, the incarceration of their father— which a middle schooler would be painfully aware of. Yet at the same time, the baby could be much-more-acutely impacted by the secondary effect of this same ACE: a sad, stressed, and distracted mother. Similarly, if a parent dies in a car accident when a child is in...
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Sesame Workshop to Address Refugee Children's Trauma With Help From Elmo and $100 Million [blogs.edweek.org]
The Sesame Workshop and the International Rescue Committee, a refugee aid group, won a first-of-its kind $100 million grant from the John D. and Catherine T. MacArthur Foundation Wednesday for an ambitious education and outreach program designed to address the needs of displaced Syrian children. The program was selected for the five-year grant from a list of finalists for the foundation's 100&Change competition, which asked organizations to propose "bold solutions to critical problems of...
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Solano County's (CA) ACEs initiative, a robust community effort, makes room for input from all
In a house called “Johanna’s House” on a tree-lined side street in Vallejo, Calif., four women are filling out the adverse childhood experiences (ACE) survey given to them by Maria Guevara, the founder of Vallejo Together, an organization that serves homeless residents in Vallejo. The house was named for Johanna Dilag, a homeless woman who was found dead along with her dog.
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Some 350 Florida Leaders Expected to Attend Think Tank with Dr. Vincent Felitti, Co-Principal Investigator of the ACE Study; Expert on ACEs Science
Leaders from across the Sunshine State will take part in a “Think Tank” in Naples, FL, on Monday, August 6, to help create a more trauma-informed Florida. The estimated 350 attendees will include policy makers and community teams made up of school superintendents, law enforcement officers, judges, hospital administrators, mayors, PTA presidents, child welfare experts, mental health and substance abuse treatment providers, philanthropists, university researchers, state agency heads, and...
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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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Study Examines Links Between Early ACEs and Outcomes in Middle Childhood
"Adverse experiences in infancy and toddlerhood: Relations to adaptive behavior and academic status in middle childhood", will be published in the August issue of the journal Child Abuse and Neglect . The study, conducted by University of Arkansas for Medical Sciences researchers Lorraine McKelvey, Nikki Edge, Glenn R. Mesman, and Leanne Whiteside-Mansell, along with Arizona State University researcher Robert H. Bradley, collected and analyzed interview data from a sample of low-income...
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Study shows most pregnant women and their docs like ACEs screening
Photo/ CreativeCommons Would pregnant women participate in surveys from their doctors asking them about whether they had experienced trauma in their childhood? In surveying moms-to-be at two Northern California Kaiser sites, clinicians discovered that the women were receptive to filling out an adverse childhood experiences (ACE) survey, according to a study that was published earlier this year in the Journal of Women’s Health. In fact, researchers found out that the vast majority of pregnant...
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Study unearths patterns in San Jose homeless population's ACE scores
Photo by Terabass/ CC-SA-3.0 It was around 2010 that Dr. Angela Bymaster was seeing a disturbing pattern in the histories of her adult patients. She already knew that patients who saw her at the Valley Homeless Health Care Program in San Jose, CA, where she worked at the time, were homeless or recently homeless. What was most troubling to Bymaster was knowing that their current precarious existence could have been prevented. Dr. Angela Bymaster “Over and over and over again I was hearing the...
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Support, Connect and Nurture: Addressing the impact of ACEs in the pediatric medical home
Adverse childhood experiences (ACEs) can have a profound impact on children’s development, increasing risk for chronic disease and mental illness. The Support, Connect, and Nurture (SCAN) project was developed to address the impact of ACEs on the health and well-being of children and families in Pueblo, Colorado. Located at Southern Colorado Family Medicine Residency Clinic (SCFM) and in partnership with Catholic Charities Diocese of Pueblo, the SCAN intervention included the following...
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Survey: Healthcare providers, community organizations weigh in on California's ACEs screening program
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...
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The Brain Architects Podcast: COVID-19 Special Edition: Self-Care Isn’t Selfish
In the second episode of our special COVID-19 series of The Brain Architects , host Sally Pfitzer speaks with Dr. Rahil Briggs, National Director of ZERO TO THREE’s HealthySteps program , to discuss how pediatricians are serving their patients during the pandemic, including using telehealth; why caregiver health is child health; and what she hopes the healthcare system can learn as a result of the pandemic. To read the transcript and find a link to the podcast provided by the Center for the...
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The CHIP Program Is Beloved. Why Is Its Funding in Danger? [nytimes.com]
WILMINGTON, Del. — Laquita Gardner, a sales manager at a furniture rental store here, was happy to get a raise recently except for one problem. It lifted her income just enough to disqualify her and her two young sons from Medicaid, the free health insurance program for the poor. She was relieved to find another option was available for the boys: the Children’s Health Insurance Program, known as CHIP, that covers nearly nine million children whose parents earn too much for Medicaid, but not...
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The Mindful Child [Well.Blogs.NYTimes.com]
It’s long been known that meditation helps children feel calmer, but new research is helping quantify its benefits for elementary school-age children. A 2015 study found that fourth- and fifth-grade students who participated in a four-month meditation program showed improvements in executive functions like cognitive control, working memory, cognitive flexibility — and better math grades. A study published recently in the journal Mindfulness found similar improvements in mathematics in fifth...
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The quest to find biomarkers for toxic stress, resilience in children — A Q-and-A with Jack Shonkoff
The JPB Research Network on Toxic Stress , led by Dr. Jack Shonkoff, is working on developing biological and behavioral markers for adverse childhood experiences (ACEs) and resilience that they believe will be able to measure to what extent a child is experiencing toxic stress, and what effect that stress may be having on the child’s brain and development. The JPB Research Network on Toxic Stress is comprised of scientists, pediatricians and community leaders, and is a project of the Center...
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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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The Relentless School Nurse: How Are We Treating Our Children?
School nursing is filled with challenging moments, some are more emergent than others. Imagine this scenario: A preschool student whose family is displaced, enters school with no physical exam or immunizations has a seizure at school. The student is admitted to the hospital, and upon discharge, is released with multiple referrals to specialists and diagnostic studies. The family, undocumented and homeless, has no insurance. The mother's employer will not provide proof of income because she...
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The Relentless School Nurse: When the Health Office Pass Includes Emotions
The collaboration between school counselors and school nurses creates safe spaces for students at school. Building a coalition between school counselors and school nurses creates a safety net for our most complex and challenging students while benefiting the whole school community. Promoting connections through intentional relationship building, and ensuring a school environment that is physically, emotionally and psychologically safe changes the culture and climate. Read about an amazing...
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Trauma education and mindfulness help youth living amid gun violence
Armon Hurst, 2nd from left, first row, Teens on Target, courtesy of YouthAlive! Eighteen-year-old Armon Hurst serves as vice president of the student body at Castlemont High School in Oakland, Calif. He has a 4.0 grade point average, is an avid baseball player, and is slated to go to college next year. But until a few years ago, Hurst would find himself waking from nightmares in the middle of the night. It was difficult to concentrate at school, and he wasn’t eating well. Armon Hurst “There...
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Trauma Informed Care from the Baby's Perspective
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 groups rev up to address race, inclusion
Eighteen-year-old Kia Hanson has always enjoyed her time as a youth leader at the East Oakland Youth Development Center (EOYDC). She’s worked mostly with five- and six-year-olds since she began in 2016. Recently, she tapped into new skills, especially if the kids were having a meltdown. Kia Hanson “If they’re off, we ask them, ‘What’s wrong?’ ‘Do you want to talk about anything?’,” she explains. “Basically asking before assuming they’re mad at the world for no reason.” What made the...
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Trauma-informed Temporary Assistance for Needy Families (TANF): A Randomized Controlled Trial with a Two-Generation Impact
Caregivers of young children enrolled in the federal Temporary Assistance for Needy Families program (TANF) who participated in a trauma-informed peer support group are more likely to gain self-sufficiency, overcome depressive symptoms and reduce the burden of developmental problems in their children than TANF enrollees who do not have access to trauma-informed peer support, according to a newly-released study in the Journal of Child and Family Studies.
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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
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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Upstreamist in Action: In a Texas Clinic, Lawyers Are Health Care Providers [Health Begins]
Upstreamists are changemakers pioneering practices that improve health by blending medical and social care . In this series of profiles, HealthBegins highlights some of these bold leaders and their innovations, in settings large and small. Their stories show us that the journey upstream is not only necessary — it’s possible. The People’s partnership began in 2012, when two puzzle pieces clicked together. The clinic’s Chief Medical Officer, Dr. Louis Appel, a pediatrician with an interest in...
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Want to end ACEs? Ask a young student how.
Adverse childhood experiences (ACEs) are a huge threat to our students, diminishing their capacity to learn and succeed. In all thirty-three counties of New Mexico, an epidemic of trauma exists, spreading like a virus as it is passed down generation after generation. We know from the research that our students suffer when they endure ACEs in the form of abuse, neglect, hunger, and living with parents who misuse substances, are violent, and have untreated mental health challenges. We know in...
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Webinar: Crossroads of Adverse Childhood Experiences (ACEs) and Developmental Disabilities
Physicians, nurses, psychologists, social workers, child life professionals, and other patient service providers are invited and encouraged to join a webinar entitled: "Crossroads of Adverse Childhood Experiences (ACEs) and Developmental Disabilities" Increased levels of toxic stress, which can be caused by recurrent or chronic exposure to adverse childhood experiences (ACEs), can impair neurodevelopment, behavior, and overall health of a child (Substance Abuse and Mental Health Services...