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PACEs in Pediatrics

Tagged With "Safe Babies Court Pilot"

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Interim report of the President’s opioid commission says its final report will address early intervention strategies for children with ACEs

On August 8, President Trump spoke to the opioid crisis in this country and declined to declare a national emergency as recommended by the “President’s Commission on Combating Drug Addiction and the Opioid Crisis.” Instead, the President emphasized the law and order aspects of the problem and the importance of preventing drug use in the first place since addiction is so hard to overcome. The Commission will make a final report in the fall. The recently released interim report makes eight...
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4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress

Laurie Udesky ·
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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A fast, easy way for pediatricians to screen kids for ACEs...and other health issues

Laurie Udesky ·
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 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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AAP Federal Affairs Update

Former Member ·
    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 Community Spotlight Series: Dr. Richard Honigman, Central Nassau Pediatrics

Margaret Wayne ·
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

Margaret Wayne ·
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

Harise Stein ·
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 — September 2018

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] 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 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...
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After 5-year journey to integrate ACEs science, Santa Rosa, CA, pediatric clinic is trauma-informed, from head to toe

Jane Stevens ·
Dr. Meredith Kieschnick was among the first physicians in the U.S. to hear the term, "adverse childhood experiences". That was in 1998, early on in her career as a pediatrician, when the CDC-Kaiser Permanente Adverse Childhood Experiences Study (ACE Study) published its initial findings in the American Journal of Preventive Medicine . “I attended a conference at which (Dr. Vincent) Felitti spoke,” she recalls. Felitti, at that time director of the Health Appraisal Center at Kaiser Permanente...
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Alternative IHEBA with ACEs for California (and Other) Pediatricians

Ariane Marie-Mitchell ·
If you are a pediatrician serving Medicaid managed care patients in California, then you are required to use the Staying Healthy Assessment or an alternative IHEBA (Individual Health Education Behavioral Assessment) at all well-child visits. The bad news is that getting approval to use an alternative IHEBA is a tedious process. The good news is that as of October 27, 2016 the Whole Child Assessment (WCA) is available for use in English and Spanish. Most importantly, the WCA has been...
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Alternative IHEBA with ACEs for California (and Other) Pediatricians

Ariane Marie-Mitchell ·
If you are a pediatrician serving Medicaid managed care patients in California, then you are required to use the Staying Healthy Assessment or an alternative IHEBA (Individual Health Education Behavioral Assessment) at all well-child visits. The bad news is that getting approval to use an alternative IHEBA is a tedious process. The good news is that as of October 27, 2016 the Whole Child Assessment (WCA) is available for use in English and Spanish. Most importantly, the WCA has been...
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BABY ACES: When we consider the traumas that qualify as ACEs, babies need their own list.

Laura Haynes Collector ·
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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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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Study shows most pregnant women and their docs like ACEs screening

Laurie Udesky ·
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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Talk, read, sing, repeat. A pediatrician’s prescription to parents. (clintonfoundation.org)

A mission to transform patients’ lives Just two years prior, Dr. Doshi piloted the hospital’s partnership with Too Small to Fail to help pediatricians provide consistent guidance for their patients on the critical importance of the early years in a child’s brain development. Too Small to Fail gave a clear message to encourage parents to talk, read, sing, play, and bond with their babies from birth – along with a tote bag full of children’s books, music, baby clothing, and parent resources to...
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Testifying in Court about Trauma: The Court Hearing (Tip Sheet from the NCTSN)

Former Member ·
  Testifying in Court about Trauma: The Court Hearing Many clinicians face testifying in court with trepidation; now there is a new 7-page fact sheet to help those preparing for a court hearing. In ad­dition to a case example, ...
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The quest to find biomarkers for toxic stress, resilience in children — A Q-and-A with Jack Shonkoff

Laurie Udesky ·
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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Those who separate immigrant children from parents might as well be beating them with truncheons

Jane Stevens ·
Many people who see reports of children separated from their parents might think that, because they’re not crying, that they’ve adjusted. Or, if they are crying, they’ll eventually stop and get over it. But, the reality is that those who participate in separating children from their parents and those who are caring for them in the detainment centers might as well be beating them with truncheons.
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Top Organizations Encourage Appeals Court to Rule Against Trump Administration, End Detention of Migrant Children [Psychiatry.org

Jim Hickman ·
Contact: Nathan Carlile , Head of Firmwide Communications, Arent Fox LLP On behalf of a coalition of the nation’s leading organizations dedicated to the care, health, education, well-being, and welfare of children and families, Arent Fox LLP filed an amicus brief in the U.S. Court of Appeals for the Ninth Circuit in support of the Plaintiff in Jenny Lisette Flores, et al., v. William Barr, Attorney General of the United States, et al. Nearly thirty organizations steadfastly oppose the Trump...
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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 groups rev up to address race, inclusion

Laurie Udesky ·
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 presents unique challenges to ELL students [PilotTribune]

Laurie Udesky ·
photo by Liz/ CC2.0 Editor's note: This excerpt from an article in the Storm Lake Pilot-Tribune in Storm Lake, Iowa highlights how teachers in the Storm Lake School District are being trained in how to recognize trauma in their English Language Learners, which make up the majority of the student population . "With 63 percent of Storm Lake’s students being English language learners (ELL), cultural diversity is a given for teachers. But the trauma inherent with immigrants and refugees in...
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Trump Administration has Separated 900 Migrant Children Despite Order to Stop Practice [latimes.com]

By Kristina Davis, Los Angeles Times, July 30, 2019 The Trump administration has separated 911 migrant children from their parents at the border since a San Diego federal judge last summer ordered an end to the systemic practice, the American Civil Liberties Union reported to the court Tuesday. The continuing separations are largely blamed on parental criminal history — an exception that U.S. District Judge Dana Sabraw has carved out in the ongoing litigation. But lawyers with the ACLU argue...
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Upcoming ACEs webinar hosted by National Pediatric Practice Community(NPPC) team - CME/MOC credits available!

Leah Medoff ·
Healthy Spaces Webinar Series (Two 1-Hour Webinars) Communicating About ACEs with Patients and Families presented by: Leena Singh, DrPH, MPH - Director of the NPPC Karissa Luckett, RN, MSW - NPPC Pilot Site Coach April 17, 2019 9:00-10:00 AM (PT) 12:00-1:00 PM (ET) Learner Outcome: The learner will be able to identify two evidence based tools and/or strategies to utilize in the pediatric healthcare setting to improve child care when addressing health concerned among children &...
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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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Who's integrating ACEs?

Jane Stevens ·
2015 article about Children's Clinic in Portland, OR, doing ACEs history on parents of four-month-old babies.  2014 article about pediatricians taking ACEs  history on ACEsTooHigh.com.   Center for Youth Wellness, San Francisco,...
File

ACE Questionnaire

Morgan Vien ·
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ParentingBook.pdf

Morgan Vien ·
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ACEsConsequencesAAP.pdf

Jane Stevens ·
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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...
Comment

Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Veronique Mead ·
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...
Comment

Re: Medical Authorities with Academic Blinders look the other Way: Reject ACES

Jeoffry Gordon ·
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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ACEs screening pilot in L.A. County pivots, troubleshoots barriers to remote visits

Laurie Udesky ·
This story is part of an occasional series about California-based pediatricians who are incorporating ACEs screening into their practices. In the first installment published in May, which you can find here , Dr. Amy Shekarchi and other team members had just launched their ACEs screening by phone. A community health worker from a clinic affiliated with Los Angeles County’s Department of Health Care Services recently called a teenage patient to find out if she ever felt unsafe in her home or...
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'A 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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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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Sonoma County field nurses use ACEs science to educate families

Laurie Udesky ·
Santa Rosa, CA, resident Lisa Marden watches her 15-month-old baby gleefully play with magic markers and relays how she’s been coping with feeling anxious. (We're using a pseudonym to protect the family's privacy.) “I’m just super stressed out with everything, and as soon as I eat anything, I get nauseous, so I’ve been eating snacks instead of meals,” she explains to Liz George, a field nurse with the Maternal/Child Field Nursing team of Sonoma County, CA, who has been seeing Marden on home...
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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 Voices Of Youth Locked In San Francisco's Soon-To-Be-Shuttered Juvenile Hall

Taylor Walker (Guest) ·
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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Speakers at children & youth conference call for systems change based in love, liberation

Laurie Udesky ·
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

Laurie Kappe ·
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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