Tagged With "Trauma-inducing systems"
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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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ACEs champion pediatricians talk about life and practice in a COVID-19 world
With the advent of the COVID-19 pandemic, healthcare providers everywhere are changing how they care for their patients. I asked a few members of the ACEs in Pediatrics community what they’re doing differently. Dr. R.J Gillespie, pediatrician at The Children’s Clinic in Portland, OR. Dr. R.J. Gillespie Gillespie says that, as much as possible, they’re switching to virtual visits, which allows them “to comfort and reassure our patients face-to-face as much as possible without risking their...
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ACES Science 101 (FAQs)
What are ACEs? ACEs are adverse childhood experiences that harm children's developing brains so profoundly that the effects show up decades later; they cause much of chronic disease, most mental illness, and are at the root of most violence. ...
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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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ACEs Validated My Teaching Experience
When I first heard about the CDC-Kaiser Permanente ACE Study , it felt like a light bulb had actually gone on. Finally, FINALLY, someone was validating what I saw every single day teaching in East Oakland. For eight years, I taught at an elementary school in the most violent part of Oakland , the part that the police called the “Killing Zone.” The kids in my class had seen friends, neighbors, and family members shot or stabbed, and routinely hid in bathrooms and closets when gang fights...
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Activists in Oakland are Pushing for Better Research Around Police Violence and Community Trauma [psmag.com]
Cat Brooks hears firsthand the anxiety in her neighbors' voices when talk turns to the police. She sees the fear in their eyes when a cruiser drives down the street. Police violence can have a ripple effect on communities, says Brooks, a co-founder of the Anti Police-Terror Project , an Oakland, California-based group working to create a support system for communities of color. It leaves a psychological and emotional toll. "I see it in the ways rage explodes on the street in response to...
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Alameda County among largest homeless communities nationwide, report finds (dailycal.org)
In a 2017 annual assessment conducted by the U.S. Department of Housing and Urban Development, or HUD, Alameda County’s homeless population ranks among the largest homeless communities in the nation. The report found that Alameda County has an estimated homeless population of 5,629 people with a 68.6 percent unsheltered rate, giving it the fourth-highest unsheltered rate among the 50 most populated cities in the nation this year. City spokesperson Matthai Chakko said the city has been trying...
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At El Dorado ACEs Collaborative meeting, NPPC talks ACEs, new connections forged
More than 65 people showed up in person in Placerville or via teleconferencing from South Lake Tahoe on Feb. 21 to learn about the National Pediatric Practice Community on ACEs (NPPC), a program of the San Francisco-based Center for Youth Wellness . Among the discussion points made by NPPC Program Manager Leena Singh were the connection between ACEs and health outcomes, the need for doing universal ACEs screening, and the necessary infrastructure to implement ACEs screening, according to...
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Berkeley City College group screens Resilience, looks at ACEs through a social justice lens
As far back as she can remember, Berkeley City College Mental Health Specialist Janine Greer understood that there was a connection between adverse childhood experiences (ACEs) and health. She had a sense early on that racism figures large in that equation. “Looking around in my community – I’m African American, I noticed that even people who had healthy habits got funky diseases,” she said. “And I’m thinking there must be some sort of health trouble that happens if you’re always stressed.”...
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Building trust is now a critical part of health care
In a video clip , a hospital patient turns away in protest as a physician enters the room. “Why do you all keep coming in my room!” she asks in frustration. The physician moves a chair out of the way and sits down at eye level with the patient. “You’ve had to see so many people,” he acknowledges. “And I’m tired of it!” she yells. “I already know I have to get both of my legs cut off. That’s what they keep saying. I don’t have a choice!” “You don’t feel like you have a choice,” he repeats...
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California Clinic Screens Asylum Seekers For Honesty [khn.org]
OAKLAND, Calif. — Dr. Nick Nelson walks through busy Highland Hospital to a sixth-floor exam room, where he sees patients from around the world who say they have fled torture and violence. Nelson, who practices internal medicine, is the medical director of the Highland Human Rights Clinic , part of the Alameda Health System. A few times each week, he and his team conduct medical evaluations of people who are seeking asylum in the United States. The doctors listen to the patients’ stories.
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Children's Defense Fund Releases Report on Child Trauma Policy at RYSE Youth Center policy forum in Richmond, CA
Report and event materials attached below... On September 18, 2015, RYSE Youth Center, CA Children's Defense Fund, and ACEs Connection hosted the event for 60 participants from local and state wide direct service and policy programs to come...
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Dozens of stakeholders representing thousands of practitioners send public comments on Calif. ACEs-screening plan
Update: We posted this story on Tuesday evening and received a response from the Department of Health Care Services Wednesday that clarifies additional information. DHCS information Officer Katharine Weir said that subject to budget approval by the legislature and the governor: The reimbursement rate will be $29. Federally Qualified Health Centers will also be reimbursed for screening pediatric patients for trauma through Prop 56 funds and federal matching funds. In response to a question...
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During COVID-19, how does a trauma-informed school pivot to distance learning?
All photos courtesy of Antioch Middle School staff Antioch Middle School seventh-grader Alyssia Garcia was accustomed to scanning the cafeteria during lunch for kids who might need her assistance. “I’d look for kids who looked sad, kids who were sitting alone, kids who looked angry,” says Garcia, a peer advocate at her school. Alyssia Garcia When she’d spot students sitting alone or looking sad, she’d approach them and ease into conversation. “If it’s a sad person, I’ll try to cheer them up...
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Early childhood educators learn new ways to spot trauma triggers, build resilience in preschoolers
A hug may be comforting to many children, but for a child who has experienced trauma it may not feel safe.
That’s an example used by Julie Kurtz, co-director of trauma informed practices in early childhood education at the WestEd Center for Child & Family Studies (CCFS), as she begins a trauma training session. Her audience, preschool teachers and staff of the San Francisco-based Wu Yee Children’s Services at San Francisco’s Women’s Building, listen attentively.
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First health-related cost of ACEs study shows $113 billion price tag for California; just one ACE costs $28 billion
Researchers who have been looking for a way to quantify the health toll of ACEs in dollar terms, now have an example in a newly-released study of California. ACEs exacted a toll costing an estimated $113 billion annually, according to the study in the journal PLOS One that was commissioned by the Center for Youth Wellness. ACEs-associated cardiovascular disease was the condition that lead author Ted Miller dubbed “the giant in the room.” It accounted for $29.6 billion in spending, more than...
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Got time for a little brainstorming with ACEsConnection?
On Friday, March 20, 2020, you're invited to join me to talk about how we, as a community, can continue to guide and educate ourselves about to deal with the effects of the spread of Covid-19, and how to continue those efforts with people who don't yet know about ACEs science. And, given this last week, how we can provide more support to stay in the front of our brains instead of feeding our amygdala.
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Handouts for parents about ACEs, toxic stress & resilience
Hey everyone, here are some handouts that our founder, Jane Stevens, discovered as she was writing a story about the trauma-in formed elementary schools in Spokane, WA . We've updated it, and provided three different versions. The text is the...
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Have you heard about the film Wrestling Ghosts? On September 29, it's coming to Oakland! And to Santa Cruz on 9/30.
This Wrestling Ghosts screening promises to be a healing event for all who gather. And our hope is that it will catalyze the formation of a lasting local network of support around parents and care providers of children in the Bay Area. As things speed up all across the Bay, we need supportive infrastructure now more than ever.
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How collaboration helps clinic in San Mateo County, CA, tackle ACEs in children
Dr. Elizabeth Grady is a pediatrician at the South San Francisco Clinic, a community clinic of San Mateo Medical Center. She and Susana Flores , a senior public health nurse with San Mateo County Health, spoke with me about how the clinic and other health agencies in San Mateo have been able to craft ways to work together to prevent and heal toxic stress in children. Grady also talked about how she and Flores have been working with the Resilient Beginnings Collaborative (RBC), a group of...
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How do these pediatricians do ACEs screening? Early adopters tell all.
Last week, three pediatricians — with a combined experience of 15 years integrating ACEs science into their practices — reflected on the urgency they felt several years ago that prompted them to begin screening patients for childhood adversity and resilience when there was practically no guidance at all. Along their journey , they accumulated a list of lessons learned for other pediatricians and family clinics to use. The three pediatricians participated in the ACEs Connection webinar,...
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Hundreds to thousands to tens of thousands: The ACEs/trauma-informed/resilience-building movement accelerates in the San Francisco Bay Area
Last Friday, on a sunny Spring day in Santa Clara, CA, about 100 people gathered to celebrate a milestone: Over the last 10 months, 65 trainers from Trauma Transformed, a regional trauma-informed center and clearinghouse in the San Francisco Bay Area, have educated 4,048 people in six counties about trauma-informed principles and practices.
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Interactive training on nature and health for health care providers, Oakland, Ca
October 27, 2018 8:45 AM 5:00 PM PDT Calling all health care providers! Save the date! Saturday October 27th, 2018 Join The Center for Nature and Health and Primary Care Clinic, UCSF Benioff's Children's Hospital: When: Saturday, October 27th, 2018, 8:30 a.m.–5:00 p.m. (Outdoor time included!) Where: CHORI Library, 5700 Martin Luther King Jr. Way, Oakland, Ca Register now: www.bitly.com/ucsf- nature2018 Featured speakers: Daphne Miller, MD, Physician and author Jose Gonzalez, Founder, Latino...
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Is your voice at the table? Talking about trauma: Findings and opportunities from an analysis of news coverage [bmsg.org]
Although new media platforms are changing the way people consume the news, newspapers (including their online components) continue to influence local and national policy debates, and traditional news outlets remain a key source of information for the majority of news consumers. 2 News coverage can set the agenda for debates regarding public policies that could prevent or address childhood trauma. 3-6 If news coverage doesn't discuss childhood trauma or doesn't make connections to the...
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Leaders in SF public housing deal with their own and community trauma head on
Sengthong Sithounnolat, Jeris Woodson, Donald Greene, Ashley Blanco On a recent Saturday, 10 people gather around a table at the offices of Trauma Transformed in Oakland, Calif., where quotes from figures like Frederick Douglas, Nelson Mandela, and Coretta Scott King grace one wall as light streams in from a skylight above. The group is known as the Resident Warriors, which meets weekly. One participant talks of her recovery from addiction and her mother’s murder. Another mentions being...
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Legislation Signals Growing Support for Significance of Trauma Indicators
by David Gorn, California Healthline Sacramento Bureau Thursday, January 28, 2016 As a college student, Rob Bonta had a summer job working as a counselor for troubled kids. Now, two decades later he is bringing legislation to address some of the needs he saw then. "I worked with some of these kids as a counselor out of college, and I'd walk them home and hear some of these stories," Assembly member Bonta (D-Oakland) said. "Shootings they heard. Or shootings they witnessed the night before."...
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Lesson learned integrating ACEs science into health clinics: Staff first, THEN patients
Nearly two years ago, a team of colleagues at LifeLong Medical Clinics jumped at the opportunity to integrate practices based on ACEs science to prevent and heal trauma in their patients when it joined a two-year learning collaborative known as the Resilient Beginnings Collaborative (RBC). A few months after training began, the staff realized they had to put on the brakes.
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Looking for a way to explain the link between trauma and the current immigration child separations? Check out these articles from a host of experts
Here is a roundup of a few articles by experts in various fields that provide context and detail to the understanding that child separations are more than a saddening inconvenience- they are detrimental to the emotional and physical well-being of young people.
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Learning How to Convince Leaders to Create Trauma-Informed Programs, Systems and Environments.
How do you build a narrative around ACEs science, bolster it with data and convince your leadership that integrating it is critical for the community you serve? Representatives from San Francisco Bay Area health and social service agencies had an opportunity on December 5 to learn about ACEs science, find data sets to help them make a case for supporting ACEs education and resiliency programs, and then role play ways to deliver powerful messages. Donielle Prince, ACEs Connection Network’s...
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Meetup Notes: 1/21/15
Alameda County ACEs Connection Group Meet Up 1/14/15, 3-4:30pm, Café Leila, Berkeley, CA Participants: Jennifer Lynn-Whaley, Ben Rubin, Rachel Gilgof, Susanne Harkless, Stephanie Guinosso, Rona Renner, Craig McLaughlin, John Torres, Alicia St....
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Middle school tackles everybody's trauma; result is calmer, happier kids, teachers and big drop in suspensions
Sixth grader Cayla White (right) helps lead class meditation with Niroga Institute’s Lauren Banister (photo: Laurie Udesky) ________________________________ During the 2014/2015 school year, things were looking grim at Park Middle School in Antioch, CA. At the time, staff couldn’t corral student disruptions. Teacher morale was plummeting. By the end of February 2015, 192 kids of the 997 students had been suspended -- 19.2 percent of the student population. “I was watching really good people...
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New ACEs data on Kidsdata.org
On behalf of California Essentials for Childhood, I am very excited to announce the release of a new Child Adversity and Resilience data topic on Kidsdata.org! This has been a collaborative effort between the CA Essentials for Childhood Initiative's Shared Data and Outcomes Work Group and the Lucile Packard Foundation for Children’s Health. I represent ACEs Connection Network on Essentials and am the co-chair of the Shared Data & Outcomes Work Group so I couldn't be more thrilled about...
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New Prevention Institute Report Offers Framework for Preventing Community Trauma, Building Resilience
A new Prevention Institute report, featured Wednesday in USA Today , offers a groundbreaking framework for understanding the relationship between community trauma and violence. In doing so, the report provides insight into how we can overcome the inequities that contribute to a cycle of inner-city gun violence, poverty, unemployment, and poor health in communities of color. As additional treatment models are developed for individual trauma, there is a growing need for addressing trauma as a...
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Oakland, CA, youth organization takes next step in systems change to heal trauma
In a room in East Oakland, Calif., photos of children are projected on a screen. “Who is that?” asks Briana Moore, a licensed clinical social worker in private practice and a master trainer for the East Bay Agency for Children’s Trauma Transformed program. “Bill Clinton,” responds one of the 20 employees of the East Oakland Youth Development Center (EOYDC).
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Portraits of Professional CAREgivers: Their Passion. Their Pain - FREE Screening for ACEs Connection Network!
I am excited to announce that ACEs Connection Network has partnered with the producers of the film, Portraits of Professional CAREgivers: Their Passion. Their Pain . to host a FREE SCREENING of the film for our members. If you have been t hinking of hosting a screening of CAREgivers in your community or are interested in learning more about secondary traumatic stress and what to do about it, join our ACEs Connection Network for a FREE screening of this film and a virtual chat with the...
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Positive Childhood Experiences offset ACEs: Q & A with Dr. Robert Sege about HOPE
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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Report reveals how foster care, juvenile and adult justice systems traumatize youth, calls for policy shifts
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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RYSE gathering: To promote healing from trauma, institutions need to stop seeing youth as the problem
A young man told clinical therapist Marissa Snoddy recently that when she calls him a leader, she got it all wrong. “He said, ‘I just came from Juvenile Hall,’ I’m not a leader.” But, she said, “We just kept giving him love. And we said, ‘You’re courageous for showing up and being here,’” The very fact that he was there, she explained, showed he was a leader. Snoddy related the anecdote recently for 80 people attending the Trauma and Learning Series launch led by Rising Youth for Social...
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Safe & Sound: Integrating protective factors and ACEs science to end child abuse in San Francisco in 50 years
It was almost a ritual, but one that regularly disrupted the parenting class at a San Francisco-based child abuse prevention organization. Every time a siren blared in the streets below, a female participant bolted out of the room to seek safety in the windowless interior rooms of the multilevel labyrinthine white Victorian that houses Safe & Sound . Molly Jardiniano And it didn’t just happen in the parenting class. “When she heard the fire trucks, she said she would become paralyzed,...
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San Mateo (CA) launches county initiative to tackle ACEs and build resilience
Attendees at the San Mateo event participate in ice-breaking exercise When you’re working with people who've had a lot of childhood and adult adversity, it’s hard for you to believe that anyone else can have a bad day, says Laura van Dernoot Lipsky. “Your neighbor or your best friend says: ‘I’ve had a bad day.’ And you think, ‘Oh, I’m sorry you had a bad day; were you sex trafficked today? No, you were not!'” Laura van Dernoot Lipsky Van Dernoot Lipsky, the author of Trauma Stewardship: An...
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Shifting the focus from trauma to compassion
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 launches its ACEs and resilience initiative inviting all to take action
Elizabeth Huntley recalls the day when her family’s life was turned upside down. “One day my mom woke up and she packed up all of our clothes, all five of us…and she took me and my younger sister who had the same father… down to my paternal grandmother’s house…and she left us there. She took my middle sister to a town near Birmingham, Ala., and left her there. She took my only brother and an older sister back to Huntsville and left them at a sister’s house. Then she went back to that housing...
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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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Sold-out Paper Tigers screening and panel in Berkeley, CA; more than 250 screenings of film across the US
Over 130 residents from across the San Francisco Bay Area representing education, health, and law enforcement attended the sold-out screening of Paper Tigers and panel on December 9 at the Brower Center in Berkeley, CA. The panel discussion was so involved it went 25 minutes longer than scheduled and spilled into the lobby where attendees talked until 10 pm! The documentary Paper Tigers follows six students during a school year at Lincoln High School in Walla Walla, WA. Lincoln is the...
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Suisun Elementary (CA) makes ACEs science intrinsic to everyday life
Students start each day with meditation During her first year as principal of Suisun Elementary in Suisun City, Calif., in 2014 Ann Marie Neubert suspended 102 students — out of a student population of 550 —for disrupting their classes. It was a serious problem, but the school’s teachers didn’t know what to do. “[Teachers] felt like they were using all the tools in their toolbox and it wasn’t changing behavior,” she recalls. Ann Marie Neubert Too many students were spending too much time out...
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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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Through Restorative Community Meetings, Juveniles Repair Harm And Avoid Lockup [WitnessLA.com]
In a new report , the non-profit Impact Justice explored the effects of a program in Alameda County that employs restorative justice techniques to keep juveniles out of lockup. Community Works West’s Restorative Community Conferencing (RCC) program diverts more than 100 young people away from the juvenile justice system each year, according to the report. The program brings the youth—supported by their family and community—face to face with their crime victims to engage in a dialogue to...
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Toxic Stress, Behavioral Health, and the Next Major Era in Public Health by Mental Health America
To view the document, click on the following link: http://www.mentalhealthamerica.net/issues/toxic-stress-behavioral-health-and-next-major-era-public-health
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Trauma: a Story of Hope
Trauma: a story of hope Any story about healing trauma is a story of hope, and a story for all of us. Because we all carry trauma. Whether we think of ourselves this way or not. We know now that we all carry trauma because we know that trauma is transmitted intergenerationally . And we know that in the U.S., our country was built on--and continues to be sustained by--legacies of trauma : violence against Native Africans, violence against African Americans, violence against Latinos, violence...
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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...