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PACEs in Pediatrics

Tagged With "well child visits"

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Parenting Matters: Supporting Parents of Children Ages 0-8 (The National Academies Press 2016)

Former Member ·
A study published by The National Academies of Sciences in 2016 resulting in 10 Recommendations to build support for parents... "Over the past several decades, researchers have identified parenting- related knowledge, attitudes, and practices that are associated with improved developmental outcomes for children and around which parenting- related programs, policies, and messaging initiatives can be designed. However, consensus is lacking on the elements of parenting that are most important...
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Parenting, Menopause & ACEs After-the-Chat Summary: Carey Sipp

Christine Cissy White ·
Have you talked with friends, siblings or co-workers about Parenting with ACEs while going through the change? Do you have any fascinating facts to share about how your OBGYN prepared or supported you when thrown by midlife, hormonal shifts and emotional residue from traumatic stress? Me either. And it's a shame. A lot of people parent, go through menopause, and have survived a bunch of ACEs. Conversations and information shouldn't be so hard to find. But they are. T hat's the reason we...
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Parenting with PTSD One Liners & Parenting with ACEs Chat Reminder

Christine Cissy White ·
Parents with PTSD from ACEs sharing what's hard about parenting while post-traumatically stressed: "Managing the terror around the possibility of everyone being a perp." "How to talk to children about why they won't meet X relative." “There was a point when I would feel completely overwhelmed by something as simple as having to make breakfast and school lunches at the same time.” "I didn't understand that not all parents reacted or were triggered the way I was." "was stone set on not...
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Parents’ Adverse Childhood Experiences and Their Children’s Behavioral Health Problems

Dan Bollinger ·
Pediatrics, August 2018, VOLUME 142 / ISSUE 2 by Adam Schickedanz, Neal Halfon, Narayan Sastry, Paul J. Chung BACKGROUND AND OBJECTIVES: Adverse childhood experiences (ACEs) include stressful and potentially traumatic events associated with higher risk of long-term behavioral problems and chronic illnesses. Whether parents’ ACE counts (an index of standard ACEs) confer intergenerational risk to their children’s behavioral health is unknown. In this study, we estimate the risk of child...
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Parents’ Adverse Childhood Experiences and Their Children’s Behavioral Health Problems

Dan Bollinger ·
Pediatrics, August 2018, VOLUME 142 / ISSUE 2 by Adam Schickedanz, Neal Halfon, Narayan Sastry, Paul J. Chung BACKGROUND AND OBJECTIVES: Adverse childhood experiences (ACEs) include stressful and potentially traumatic events associated with higher risk of long-term behavioral problems and chronic illnesses. Whether parents’ ACE counts (an index of standard ACEs) confer intergenerational risk to their children’s behavioral health is unknown. In this study, we estimate the risk of child...
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Parents’ Adverse Childhood Experiences and Their Children’s Behavioral Health Problems [pediatrics.aappublications.org]

Alicia Doktor ·
BACKGROUND AND OBJECTIVES: Adverse childhood experiences (ACEs) include stressful and potentially traumatic events associated with higher risk of long-term behavioral problems and chronic illnesses. Whether parents’ ACE counts (an index of standard ACEs) confer intergenerational risk to their children’s behavioral health is unknown. In this study, we estimate the risk of child behavioral problems as a function of parent ACE counts. METHODS: We obtained retrospective information on 9 ACEs...
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Parents who had severe trauma, stresses in childhood more likely to have kids with behavioral health problems [ScienceDaily.com]

Samantha Colson ·
A new study finds that severe childhood trauma and stresses early in parents' lives are linked to higher rates of behavioral health problems in their own children. The types of childhood hardships included divorce or separation of parents, death of or estrangement from a parent, emotional, physical or sexual abuse, witnessing violence in the home, exposure to substance abuse in the household or parental mental illness. "Previous research has looked at childhood trauma as a risk factor for...
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Past child abuse may influence adult response to antidepressants [Reuters.com]

Samantha Sangenito ·
Antidepressants don’t work for everyone, and having a history of abuse during childhood may signal a low likelihood that the drugs will improve an adult’s symptoms of major depression, a recent study suggests. While there are few reliable predictors of which people will respond to specific antidepressants, lots of previous research links a history of trauma early in life with how well people tend to do on these drugs, researchers note in the journal Translational Psychiatry. "The presence of...
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Pediatric Symposium at National ACEs conference offers lessons learned and the way forward

Laurie Udesky ·
To set in motion the Pediatric Symposium at the 2018 National ACEs Conference in San Francisco, Dr. Nadine Burke Harris, founder and CEO of the Center for Youth Wellness, told the audience of several hundred attendees that the American Academy of Pediatrics has made it very clear to its membership how critical it is that every pediatrician understand how toxic stress impacts the health of their patients. But, she said, when it surveyed its membership it found that only 11 percent knew about...
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Pediatrician Dr. Nadine Burke Harris tells Congress how forcibly separating children from their families impacts their health

Laurie Udesky ·
Pediatrician, Founder and CEO of the Center for Youth Wellness Dr. Nadine Burke Harris explained the science of adverse childhood experiences and the potentially severe health consequences of forcibly separating children from their parents to Congress in testimony she gave on June 27. To view Dr. Nadine Burke Harris' testimony, please click here : https://www.youtube.com/watch?v=Z_KfxwXo1Oo&feature=youtu.be
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Pediatricians Call For Universal Depression Screening For Teens [NPR.org]

Samantha Sangenito ·
Only about 50 percent of adolescents with depression get diagnosed before reaching adulthood. And as many as 2 in 3 depressed teens don't get the care that could help them. "It's a huge problem," says Dr. Rachel Zuckerbrot , a board-certified child and adolescent psychiatrist and associate professor at Columbia University. To address this divide, the American Academy of Pediatrics has issued updated guidelines this week that call for universal screening for depression. [For more of this...
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Pediatricians screen parents for ACEs to improve health of their babies

Jane Stevens ·
The  Children’s Clinic , tucked in a busy office park five miles outside downtown Portland, OR, and bustling with noisy babies, boisterous kids and energetic pediatricians, seems ordinary enough. But, for the last two years, a quiet...
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Pediatricians screening for ACEs at Loma Linda University

Ariane Marie-Mitchell ·
Attached is the Whole Child Assessment which is being used by pediatricians to screen for ACEs at Loma Linda University. For further questions about the development or use of the WCA, please contact Ariane Marie-Mitchell at Loma Linda University, amariemitchell@llu.edu .
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Pediatricians Want Parents to Keep Children's Vaccination Appointments amid Coronavirus [people.com]

By Claudia Harmata, PEOPLE, April 17, 2020 With social distancing in full effect due to the novel coronavirus (COVID-19) pandemic, parents are wondering if and when it’s OK to take their kids to the doctor, whether for a routine appointment or if their child is sick. While it’s important that families stay home when they can, health experts say parents should not skip routine appointments, especially those that involve vaccinations. “The American Academy of Pediatrics recommends that we keep...
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Pinetree Institute Podcast With Dr. Christina Bethell: Positive Childhood Experiences (PCEs) and ACEs.

David Cote ·
The Pinetree Institute is a Maine non-profit located on the NH border in Eliot. They conduct research and present workshops on ACEs and resilience. A workshop with Dr. Christina Bethell was scheduled for today, but was cancelled because of COVID-19. Dr. Bethell's field of expertise is PCE (Positive Childhood Experiences) and their role in combatting ACEs and promoting resilience throughout the lifetime. Because of the circumstances, Pinetree Institute is offering a 40 minute podcast in which...
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Please stop saying parenting is hard for everyone & read Parenting with PTSD instead

Christine Cissy White ·
Sometimes, we feel anxious, intrusive, or afraid when changing or bathing or own babies. Sometimes, we feel sick to our stomachs and worried while potty training, nurturing, or disciplining our toddlers. Sometimes, we feel shame-filled and ill-equipped when talking about puberty, body parts, or sexuality because of how and where we were compromised by caregivers as children as in our bodies, homes, and families. P arenting is brutally hard for some. If affection, attention and intimacy have...
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Positive Childhood Experiences offset ACEs: Q & A with Dr. Robert Sege about HOPE

Laurie Udesky ·
Tufts University medical professor Dr. Robert Sege directs the Center for Community-Engaged Medicine and is nationally known for his research on effective health systems approaches that address social determinants of health. He is also the principal investigator for the HOPE framework (Healthy Outcomes from Positive Experiences).The HOPE framework is based on research that shows how positive childhood experiences can mitigate the effects of adverse childhood experiences. Sege and colleagues...
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Providing Psychosocial Support to Children and Families in the Aftermath of Disasters and Crises

Sean Diederich ·
Disasters take a unique toll on children, with the potential to have short- and long-term impact on their physical and emotional health and development. The American Academy of Pediatrics (AAP) clinical report, “Providing Psychosocial Support to...
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Recently released research on ACEs; incarceration; separating families at the border

Laurie Udesky ·
Behavioral risk factor surveillance system state survey on exposure to adverse childhood experiences (ACEs): Who declines to respond? [Children and Youth Services Review] "A wealth of research has examined the prevalence and impact of adverse childhood experiences (ACEs) via various research methodologies. Some of these studies have also examined the presence of nonresponse bias, showing minimal nonresponse bias effects. More recently, many states and the District of Columbia have used the...
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Register Now for the 2018 ACEs Conference & Pediatric Symposium — Early Bird Ends July 31!

Jane Stevens ·
Join the Center for Youth Wellness and ACEs Connection at the 2018 ACEs Conference , "Action to Access", in San Francisco, October 15-17. This conference offers experts and practitioners working in healthcare and other sectors a hands-on opportunity to deepen their understanding of the life-long effects of ACEs, so that they can help build a better future for all children exposed to early adversity and trauma. Participants will connect with experts in health, early childhood education, child...
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Regulating the Teenage Mind: ACTIVITIES TO HELP TEENS SET GOALS, STAY ORGANIZED, AND KEEP THEMSELVES ON TRACK

Former Member ·
  Teenagers don’t yet possess the executive function skills of adults, but they probably need those skills just as much as adults do, or more. They have to manage the increasingly complex demands and fast-flying deadlines of school and...
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REMINDER: Nominate a Trauma-Informed Care Champion: #TICchampion

Mariel Gingrich ·
This week (Dec. 3-7), the Center for Health Care Strategies (CHCS) invites you to recognize people around you who are trauma-informed care champions. Nominate someone via Twitter using #TICchampion, and learn about other champions across the nation by following @CHCShealth.
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Report reveals how foster care, juvenile and adult justice systems traumatize youth, calls for policy shifts

Laurie Udesky ·
YWFC sponsored Sister Warriors meeting When she was 15 years old, Lucero Herrera was put in a rehab program by San Francisco’s Juvenile Court because she was getting drunk regularly. And in doing so, the court failed to explore the root of her drinking. Had they done so, she said, they would have found that anger and trauma were lurking underneath, driven by her ACEs: adverse childhood experiences. Lucero Herrera "Why did they put me in a drug program when I had an anger problem? I went...
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Report reveals how foster care, juvenile and adult justice systems traumatize youth, calls for policy shifts

Laurie Udesky ·
YWFC sponsored Sister Warriors meeting When she was 15 years old, Lucero Herrera was put in a rehab program by San Francisco’s Juvenile Court because she was getting drunk regularly. And in doing so, the court failed to explore the root of her drinking. Had they done so, she said, they would have found that anger and trauma were lurking underneath, driven by her ACEs: adverse childhood experiences. Lucero Herrera "Why did they put me in a drug program when I had an anger problem? I went...
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[Repost] Trauma-informed Care: It Takes More Than a Clipboard and a Questionnaire

Jim Hickman ·
California is about to launch an ambitious campaign to train tens of thousands of Medi-Cal providers to screen children and adults up to age 65 for trauma, starting on January 1, 2020. It is well-established that the early identification of trauma and providing the appropriate treatment are critical tools for reducing long-term health care costs for both children and adults. Research has shown that individuals who experienced a high number of traumatic childhood events are likely to die...
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Research

Joanna Weill ·
Gene-Environment Interactions (Rhesus Monkeys) Stephen J. Suomi, Ph.D. How Gene-Environment Interactions Can Influence Emotional Development in Rhesus Monkeys http://www.thefpr.org/private/pdf/BROWNC~1.pdf Genetic and Environmental Determinants of...
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Research roundup: ACEs among incarcerated women; testing technology to help reduce substance use; prenatal support as an intervention to prevent ACEs

Laurie Udesky ·
photo by Rhoda Baer/Wikimedia Common Life as she knows it: The effects of adverse childhood experiences on intimate partner violence among women prisoners [Child Abuse & Neglect] "Most incarcerated women suffer from adverse childhood experiences (ACEs), such as abuse (e.g., physical, sexual, emotional), neglect, (e.g., physical, emotional), and chaotic home environments (e.g., witnessing domestic violence), and adult intimate partner violence (IPV). Yet the majority of research on the...
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Research roundup: Healthy parenting; resilience building; ACEs and substance use; ACEs and justice-involved youth recidivism; ACEs and fetal alcohol exposure; integrating ACEs into nursing curriculum

Laurie Udesky ·
Effective Discipline to Raise Healthy Children [Pediatrics] Addressing the social emotional needs of children in chronic poverty: A pilot of the Journey of Hope [Children and Youth Services Review] From Child Maltreatment to Adolescent Substance Use: Different Pathways for Males and Females? [Feminist Criminology] Adverse Childhood Experiences and Justice-Involved Youth: The Effect of Trauma and Programming on Different Recidivistic Outcomes [Youth Violence and Juvenile Justice] Quality of...
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Research roundup: IPV and intergenerational trauma, screening for adversity, early child ACES and epigenetic changes

Laurie Udesky ·
Maternal witness to intimate partner violence during childhood and prenatal family functioning alter newborn cortisol reactivity [Academic Pediatrics] I screen, you screen, we all scream for risk screens [The Journal of Pediatrics] Screening for Toxic Stress Risk Factors at Well-Child Visits: The Addressing Social Key Questions for Health Study [The Journal of Pediatrics] Environmental influences on health and development: nutrition, substance exposure, and adverse childhood experiences...
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Research roundup: New Hampshire weighs in on ACEs; ACEs and suicidal behavior; Intergenerational transmission of ACEs; ACEs in Brazilian street youth; ACE prevalence in juvenile offenders

Laurie Udesky ·
photo by Barbara Hobbs/ wikimedia commons Addressing Childhood Adversity and Social Determinants in Pediatric Primary Care: Recommendations for New Hampshire [Institute for Health Policy and Practice] Associations of adverse childhood experiences and suicidal behaviors in adulthood in a US nationally representative sample [Child: Care, health and development] Intergenerational transmission of adverse childhood experiences via maternal depression and anxiety and moderation by child sex...
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Research roundup on ACEs and resilience

Laurie Udesky ·
The Empower Action Model: A Framework for Preventing Adverse Childhood Experiences by Promoting Health, Equity, and Well-Being Across the Life Span A Srivastav, M Strompolis, A Moseley, K Daniels - Health Promotion Practice, 2019 Postpartum depression screening in primary care K Orringer, S Kileny - Contemporary Pediatrics , 2019 Toward fostering resilience on a large scale: Connecting communities of caregivers SS Luthar, NL Kumar, R Benoit - Development and psychopathology, 2019 Mentoring...
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Research roundup on ACEs, resilience and the COVID-19 pandemic

Laurie Udesky ·
photo by Brian Wangenheim, unsplash Coping in Isolation: Predictors of Individual and Household Risks and Resilience Against the COVID-19 Pandemic NB Verger, A Urbanowicz, R Shankland … - papers.ssrn.com [HTML] Challenges and burden of the Coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: a narrative review to highlight clinical and research needs in the acute phase and the long return to normality JM Fegert, B Vitiello , PL Plener… - Child and Adolescent …, 2020 -...
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Research roundup: Two-gen approach to depression; cross-sector collaboration for special health care needs; ACEs and resilience screening at a Vermont clinic, and more resilience

Laurie Udesky ·
CC3.0/Urcomunicacion Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice Pediatrics Psychosocial Factors in Children and Youth With Special Health Care Needs and Their Families Pediatrics ACEs and Resilience: Increasing patient knowledge of Adverse Childhood Experiences and stress coping techniques University of Vermont Adverse childhood experiences and sources of childhood resilience: a retrospective study of their combined relationships with child...
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Research roundup: Two-gen study highlights case for early intervention; mitigating adversity in foster children; testing an expanded ACE survey

Laurie Udesky ·
Linkage between teen mother's childhood adversity and externalizing behaviors in their children at age 11: Three aspects of parenting Child Abuse & Neglect Decision-making in foster care: A child-centered approach to reducing toxic stress in foster children Children and Youth Services Review Expanding Concepts of Youth Adversity: Relationships With a Positive Patient Health Questionnaire–2 Journal of Pediatric Health Care
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Resource list -- Books

Jane Stevens ·
Brandt, Joyelle and Daum, Dawn -- Parenting with PTSD: the impact of childhood abuse on parenting , 2017. " Our Mission: 1. To build a supportive community for parenting survivors, normalize the PTSD responses they may be having, and share resources for healing from adverse childhood experiences (ACEs) or other traumatic events. 2. To educate professionals working in the fields of physical, mental, and social health about common triggers that arise for parents with PTSD, and the challenges...
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Resource List -- Guides & Toolkits

Jane Stevens ·
AAP Trauma Toolbox for Primary Care -- This 6-part series was designed with the primary care practice in mind – those who may or may not be familiar with adverse childhood experiences (ACEs) and the process of asking families about exposure to ACEs or other traumatic events. The series includes: Adverse Childhood Experiences and the Lifelong Consequences of Trauma (in Spanish ) Addressing Adverse Childhood Experiences and Other Types of Trauma in the Primary Care Setting (in Spanish ) The...
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Resource list -- Handouts & tools

Jane Stevens ·
ACEs and Toxic Stress in Spanish -- A Spanish-language overview from AAP of "toxic stress, how it affects the body's systems, and how we can promote resiliency in children to help protect against toxic stress." ACE Surveys (different types of) -- A list of the original ACE study, adapted surveys, and expanded surveys. Circle of Parents -- " Circle of Parents ® provides a friendly, supportive environment led by parents and other caregivers. It’s a place where anyone in a parenting role can...
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Resource list -- Practices/ Frameworks

Morgan Vien ·
Benchmarks NC -- " Benchmarks is an alliance of nationally accredited agencies committed to providing quality care, leadership, and accountability in services to children, adults and families in North Carolina. Member agencies of Benchmarks deliver a broad continuum of behavioral health, child welfare, education, development disabilities and residential support services." Center on the Developing Child , Harvard University -- "We are a multidisciplinary team committed to driving...
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Resource list -- Professional development

Jane Stevens ·
Alberta Family Wellness's Professional Development & Training -- " Researchers, practitioners, and policy-makers who work with children and families need opportunities to enhance their skills, explore new ideas, and make professional connections. To provide these opportunities, the AFWI partners with leading experts and institutions across North America representing a range of disciplines and sectors. These partnerships work to develop educational tools, curricula, and training programs...
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Resource List -- Research & Reports

Jane Stevens ·
AcademyHealth -- "As the professional home and leading national organization for health services researchers, policymakers, and health care practitioners and stakeholders, AcademyHealth – together with its members – increases the understanding of methods and data used in the field, enhances the professional skills of researchers and research users, and expands awareness." Anda RF, Felitti VJ, Bremner JD, Walker JD, Whitfield C, Perry BD, Dube SR, Giles WH. The enduring effects of abuse and...
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Resource: Screening for adverse childhood experiences (ACEs) in pediatric practices

Lisa Schafer ·
Now that we know that trauma early in life can have a significant impact on an individual’s health and wellness throughout their life, health care organizations are beginning to focus on providing more trauma-informed care. Screening for adverse childhood experiences (ACEs) in pediatric, clinical settings promotes early intervention and can be a tangible entry point for organizations interested in providing trauma-informed care. The Center for Community Health and Evaluation is a nonprofit...
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Resource: What is epigenetics?

Bonnie Berman ·
How does epigenetics relate to child development? New resource from the Harvard Center on the Developing Child explains. Science tells us that the interactions between genes and environment shape human development. “Epigenetics” is an emerging area of scientific research that shows how environmental influences—including the experiences we provide for children—actually affect the expression of their genes. This means that the old idea that genes are "set in stone" has been disproven. Nature...
 
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