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PACEs in Pediatrics

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Re: California unveils ACEs Aware initiative to screen for trauma

Suzanne Frank ·
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: Valid ACE screener and Research

Ariane Marie-Mitchell ·
The review process for the revision of our Whole Child Assessment (WCA) is taking a little longer than ideal. Version 2 is for age 0-20 years with the parent completing for age 0-12. We also have validation data that we are currently preparing for publication. I hope to have version 2 available via email or website by October 1. For adults, there are different options depending upon other workflow in your clinic. I'd consider starting with Dr. Felitti's 1-page screening tool. We have a...
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Re: Nobel Winner’s Research Shows Home Nurse Visits for New Moms Boost Children’s Cognitive Skills [The74Million.org]

Karen Clemmer ·
I love, LOVE this guy! Dr. Heckman is my public policy hero - I never thought I'd say that about an economist! Dr. Heckman is so well regarded, his research is impeccable, and the data has the potential to powerfully transform public policy with the end result of better lifelong outcomes for children and parents. AND in addition to cognitive skills, he recognizes " the importance of socioemotional skills, physical and mental health, perseverance, attention, motivation, and self-confidence .
File

ParentingBook.pdf

Morgan Vien ·
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ACEs Research Corner — May 2020

Harise Stein ·
[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] Williams AB, Smith ER, Trujillo MA, et. al. Common health problems in safety-net primary care: Modeling the roles of trauma history and mental health. J Clin...
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ACEs Research Corner — June 2020

Harise Stein ·
[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

Jeoffry Gordon ·
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...
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ACEs Research Corner — July 2020

Harise Stein ·
[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 will post the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! — Jane Stevens] Heim CM, Entringer S, Buss C. Translating basic research knowledge on the biological embedding of early-life stress into novel approaches for the developmental...
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Santa Clara County ACES Network Summer/Fall 2020 Virtual Events

Suzanne Frank ·
August 5 at 11 am-12:15 Zoom: Panel ACES Screening in Primary Care September 9 at 11AM-12:15 Zoom : Pedi ACES Screen reveals DV witness workflow;ACES Aware Santa Clara County Grantee updates;Diverse ACES screening perspectives October : Attend the VMC Virtual DV conference, SCC Virtual DV Conference , ACES & Trauma-Informed Pediatric Care—SAVE THE DATE—October 10, 2020 UCSF will be hosting a special training on ACEs & Trauma-Informed Pediatric Care, focused on the science of ACEs and...
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Santa Clara County ACES Network Summer/Fall 2020 Virtual Events

Suzanne Frank ·
August 5 at 11 am-12:15 Zoom: Panel ACES Screening in Primary Care Register with the link below: https://us02web.zoom.us/meetin...mbcGew8XBeI8bhYX25iY September 9 at 11AM-12:15 Zoom : Pedi ACES Screen reveals DV witness workflow;ACES Aware Santa Clara County Grantee updates;Diverse ACES screening perspectives. October : Attend the VMC Virtual DV conference, SCC Virtual DV Conference , ACES & Trauma-Informed Pediatric Care—SAVE THE DATE—October 10, 2020 UCSF will be hosting a special...
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Emergency departments look inward to deepen practices that support traumatized patients

Laurie Udesky ·
An interdisciplinary team of clinicians from Brigham and Women’s Hospital had a bold idea in 2017. They would completely change the way things worked in their hospital’s emergency department so that the care provided to their patients was infused with a trauma-informed approach. That means recognizing how widespread trauma is and using a myriad of techniques to mitigate its harmful effects among patients, providers and staff. The realization of just how widespread trauma is came to light in...
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Back-to-School in a Pandemic? Questions, Concerns, and Discussion with School Nurse, Robin Cogan

Christine Cissy White ·
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

Kelly M Scott ·
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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ACEs Aware Seeking Applicants to Support Clinical Work [acesaware.org]

ACEs Aware Seeking Applicants to Support Clinical Work Apply by September 15, 2020 ACEs Aware , led by the Office of the California Surgeon General (CA-OSG) and the California Department of Health Care Services (DHCS), is hiring for three new positions to further the mission of supporting Medi-Cal providers across California with training, clinical protocols, and payment for screening children and adults for Adverse Childhood Experiences (ACEs). Aurrera Health Group is the project management...
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'A Better Normal:' Can universal ACEs screening be equitable? -- Concerns and solutions

Laurie Udesky ·
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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Leading Child Abuse Prevention Organizations Working to End Spanking

Robbyn Peters Bennett ·
The New York Foundling and The US Initiative to End Corporal Punishment Co-Sponsored by: American Professional Society on the Abuse of Children US Alliance to End the Hitting of Children Academy on Violence and Abuse Prevent Child Abuse America Stop Spanking Proudly Presents Preventing Abuse and Neglect in Our Lifetime A Virtual Conference Thursday, October 15, 2020 Friday, October 16, 2020 Join us to learn about... Latest research trends in corporal punishment How to implement a NoHitZone...
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'I don’t know how we can really achieve racial equity if we’re not hearing the voices of those whom we hope to serve'

Laurie Udesky ·
Dr. Shandi Fuller recalls that when she first assembled an all-staff meeting at the Solano County Family Health Services to show how equity and ACEs screening should go hand in hand, some staff members were bewildered. “Why are we talking about equity?” they asked. As Fuller explained to attendees at “A Better Normal,” an ACEs Connection webinar on Oct. 13, the question led her and a colleague to develop training for medical providers on this concept. The webinar was also based on extensive...
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Think beyond ACEs screening, advises California funders workgroup in new report

Jane Stevens ·
Californians have experienced an alarming epidemic of adverse childhood experiences. Between 2011 and 2017, 60 percent of Californians reported experiencing at least one type of childhood adversity; about 16 percent experienced four or more. People who experience four or more ACEs are 1.5 times as likely to have heart disease, 1.9 times as likely to have a stroke, and 3.2 times as likely to have asthma as people who have experienced no ACEs. (For more information about ACEs and ACEs science,...
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Protecting Our Children: COVID-19's Impact on Early Childhood and ACEs [developingchild.harvard.edu]

From Center on the Developing Child, Harvard University, November 2020 In this presentation, Center Director Jack P. Shonkoff joins a panel of experts to discuss how early childhood experiences can affect lifelong health, including not only the young brain, but other developing physiological systems. [ Please click here to view the webinar .]
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ACEs Research Corner — November 2020

Harise Stein ·
[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] Campbell KA, Gamarra E, Frost CJ, Choi B, Keenan HT. Childhood Adversity and Health After Physical Abuse. Pediatrics. 2020 Oct;146(4):e20200638. PMID: 32938778 From...
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The Path Forward for Telemental Health + Join Our Upcoming Webinars

Laurie Kappe ·
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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Research article on ACEs and immune cell gene expression in children

Ariane Marie-Mitchell ·
Sharing our recent publication of pilot data on ACEs (assessed using the Whole Child Assessment) and immune cell gene expression in children age 5-11 years old
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ACEs Research Corner — February 2021

Harise Stein ·
[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] Walker CS, Walker BH, Brown DC, Buttross S, Sarver DE. Defining the role of exposure to ACEs in ADHD: Examination in a national sample of US children. Child Abuse Negl.
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The Power of Preventing ACEs

Suzanne Frank ·
Adverse childhood experiences (ACEs), such as child abuse and neglect, can lead to negative psychological, social and physical outcomes later in life – and can even affect future generations. New and exacerbated stressors during the pandemic underscore concern for the risks and long-term health effects of ACEs, particularly for groups already disproportionately affected by COVID-19. Certain interventions can help mitigate negative outcomes from ACEs and prevent them from occurring in the...
Calendar Event

The Power of Preventing ACEs

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ACEs Research Corner — March 2021

Harise Stein ·
[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] CHILD ABUSE Flannigan K, Kapasi A, Pei J, et. al. Characterizing adverse childhood experiences among children and adolescents with prenatal alcohol exposure and Fetal...
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American Psychologist Special Issue: Adverse Childhood Experiences: Translating Research to Action [apa.org]

The American Psychological Association has published a special issue focusing on adverse childhood experiences (ACEs). In this special issue you will find a variety of articles addressing ACEs and the impact they have on us from biology to policy. From the American Psychological Association, " The goal of this special issue is to publish articles that encompass the range of work being conducted in research, practice, programs, and policy in psychology and allied disciplines. This emphasis is...
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ACEs Research Corner — April 2021

Jane Stevens ·
[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] Ma J, Lee SJ, Grogan-Kaylor A. Adverse Childhood Experiences and Spanking Have Similar Associations with Early Behavior. Problems. J Pediatr. 2021 Feb...
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CALIFORNIA ACES ACADEMY - ACES PANEL PRESENTATION | May 13 [avahealth.org]

Tasneem Ismailji ·
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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New Funding Opportunity with All in For Kids [futureswithoutviolence.org]

SAN FRANCISCO BAY AREA 12-COUNTY ALL IN FOR KIDS FUNDING AVAILABLE Promote Healthy Child Development, Prevent Childhood Adversity, Support Equity, Heal Trauma REQUEST FOR PROPOSALS WEBINAR ON MAY 19 Genentech and Blue Shield of California Foundation have joined Futures Without Violence and Bay Area Region First 5's to create All In For Kids, an initiative that focuses on young children (birth to 5 years of age) along with their families, caregivers, and communities. We are pleased to...
Member

Kim Gusse

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Adverse Babyhood Experiences (ABEs): 10 New Categories of Adversity Before a Child's 3rd Birthday (Free Downloadable Journal Article)

Veronique Mead ·
Adverse babyhood experiences (ABEs) are a new construct derived from large bodies of evidence that identify a different group of risk factors from adverse childhood experiences (ACEs). ABEs occur before a child’s 3rd birthday to influence infant and maternal morbidity and mortality. ABEs are also risk factors for chronic illnesses and other chronic conditions in the child as well as symptoms in parents.
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PACEs Research Corner — May 2021, Part Two

Harise Stein ·
There are 26 fascinating research articles to peruse, including mitigating disparities in African-American youth, differences in childhood adversity and suicide in veterans and nonveterans, and ACEs in youth from high-achieving high schools.
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Considering Your Child's Mental Health as an Immigrant

Stanley Clark ·
Immigration can be complex. It may have different repercussions for families and individuals, especially children. Some immigrant families have the money to consult third-party advisers for their move to another country. But most immigrant families have experienced hardships, such as financial difficulties, social inequality, cultural barriers. These factors affect different generations of their family (1) . The individuals most susceptible to mental issues are the children. Even though...
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CALIFORNIA ACES ACADEMY - Session 11 with Robert Sege and Baraka Floyd | June 17 [avahealth.org]

Tasneem Ismailji ·
Dr. Bob Sege returns with Dr. Baraka Floyd for Part 2: Balancing ACEs with HOPE (Healthy Outcomes from Positive Experiences) Thursday, June 17, 2021 | 12:00 pm - 1:30 pm (PT) In this second webinar on HOPE, the focus will move from the evidence and theory underlying the HOPE framework as we roll up our sleeves and dive into ideas for practice transformation. The session will include a review of HOPE, examples of how organizations are using the HOPE framework to improve care, and interactive...
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Explore the Role of Culture in Healing with La Maida Project

Kelly Benshoof ·
La Maida Project is thrilled to share videos from our recent webinar series “Exploring the Role of Culture in Healing”. We had an great audience turn out and robust dialogue with our panel of guest speakers including Ken Epstein, PhD LCSW , leader in trauma-informed systems transformation, Anil Vadaparty , CEO of child-welfare agency McKinley, and Omid Naim, MD , integrative psychiatrist and founder of La Maida Project. In these webinars we discuss the role of leadership in trauma-informed...
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Spanking can worsen a child's behavior and do real harm, study finds [cnn.com]

Natalie Audage ·
By Sandee LaMotte, CNN, June 28, 2021 Physical punishment does not appear to improve a child's positive behavior or social competence over time, according to a review of 69 studies from the US, Canada, China, Colombia, Greece, Japan, Switzerland, Turkey and the United Kingdom. The review, published Monday in the journal Lancet , found physical punishment such as spanking is "harmful to children's development and well-being," said senior author Elizabeth Gershoff, a professor in human...
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New Release: Humboldt County Home Visiting Program Environmental Scan

Jennifer Mager ·
In partnership with First 5 Humboldt and funded by the First 5 California Home Visiting Coordination Grant, the California Center for Rural Policy has just released the Humboldt County Home Visiting Program Environmental Scan. The findings and recommendations in the environmental scan are grounded in partner workgroups, interviews, and surveys that occurred in 2020-21 and capture the impact of the COVID-19 pandemic on home visiting services. Excerpts: "The organizations that provide home...
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California advocates press for expansion of visiting rights to incarcerated loved ones

Laurie Udesky ·
In a recent nightmare, 8-year-old Jovina dreamt that her father got COVID-19. He was getting sicker, but she and her mother weren’t able to get there in time. “There,” in her father’s case, is a cell at the California Correctional Center (CCC) in Susanville, California, nearly 300 miles from where she lives in San Jose. In Jovina’s mind are a swarm of worries about her father’s welfare, her mother Benee Vejar reports. If an earthquake shakes the Bay Area, Jovina says, “What if the building...
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Upcoming 6/9 Webinar and New Report and Brief: Community Strategies to Address California’s Digital Divide and Its Impact on Children and Families

Natalie Audage ·
PACEs Connection and the Essentials for Childhood (EfC) Initiative, a project of the California Department of Public Health (CDPH) and the California Department of Social Services (CDSS) have developed two new resources, “Community Strategies to Address California’s Digital Divide and Its Impact on Children and Families” Report and the “Digital Divide Brief: Community Strategies to Address California’s Digital Divide and Its Impact on Children and Families”
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What Pediatricians are Saying About Participating in the Trauma-Informed ACEs Screening and Intervention Evaluation (TASIE) Project

Molly Peterson ·
Earlier this month, the Trauma-Informed ACEs Screening and Intervention Evaluation (TASIE) Project completed its first 9-month quality-improvement ECHO program. Cohort 1 of the TASIE Project included 17 pediatric primary care practices consisting of 89 providers and 114 total team members, across eight states. These practices have successfully incorporated ACEs screening into their workflow and will use what they've learned through this program to spread awareness of ACEs and toxic stress...
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How to Help Survivors of Extreme Climate Events (psychologytoday.com)

Carey Sipp ·
By Elaine Miller-Karas MSW, LCSW Building Resiliency to Trauma Psychology Today, September 30, 2022 Mental health can suffer after extreme climate events. KEY POINTS Mental health conditions exacerbated by natural disasters include post-traumatic stress disorder, depression, and anxiety. After a disaster, the number of people needing assistance from the mental health systems strains or exceeds community capacity. There are simple strategies helpers can use to help survivors restore...
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American College of Preventive Medicine (ACPM) Recommends against Pediatric ACE Screening

Craig McEwen ·
A just-published article reports that the American College of Preventive Medicine (ACPM) recommends against pediatric ACE screening but strongly supports continuing surveillance of ACEs along with protective factors in the population as a way to identify public health and other policies that can prevent adversity and toxic stress. Their report highlights Dr. Robert Anda’s (and colleagues) commentary that notes that ACE scores are neither a diagnostic tool nor predictive at the individual...
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