Tagged With "primary care"
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New Trauma-Informed Primary Care Change Package Now Available!
Are you looking to make your clinical practice safer and more supportive for those affected by trauma? Do you need concrete guidance about how to make your primary care organization more trauma-informed? If yes, be sure to access the newly released Fostering Resilience and Recovery: A Change Package for Advancing Trauma-Informed Primary Care Change Package ! This resource, from the National Council for Behavioral Health and supported by Kaiser Permanente, is a field-informed guide, developed...
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New youth trauma data shows needs for adult support (www.democratandchronicle.com) & Tool for those in NY
Excerpts from an article by Justin Murphy are shared below.
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Next "A Better Normal" community discussion series: April 9, 2020 — Ingrid Cockhren, Joshunda Sanders on inequities in healthcare
Dave Granlund This week, we're hosting two more 'A Better Normal' discussions: on Thursday, April 9; and Friday, April 10, 2020....12 pm PT/ 1 pm MT/ 2 pm CT/ 3 pm ET. Thursday, April 9, 2020 Ingrid Cockhren, ACEs Connection community facilitator and DEI (Diversity, Equity & Inclusion) expert, and Joshunda Sanders , freelance journalist and author ( The Beautiful Darkness: A Handbook for Orphans ) , lead a conversation focused on the inequities in our healthcare system and how those...
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NKCDC is incorporating trauma-informed practices into its community development work [generocity.org]
New Kensington Community Development Corporation (NKCDC) has spent the last few years hearing community residents’ needs from Lehigh to Allegheny avenues via meetings and door-to-door surveys, and letting that input shape its work. Last month, the Kresge Foundation awarded NKCDC a two-year, $150,000 grant to take its community development work to the next level. The funding is part of Advancing Health Equity through Housing , a new Kresge Health Program initiative that addresses harmful ways...
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NOTE NEW TIME: Planning to Join Us on 5/8 for a "Better Normal" discussion about systems transformation? Join us 1:00-2:00 PT!
Note new time for Friday, May 8 Better Normal discussion on systems transformation. We will meet from 1:00-2:00 and hear from RYSE Associate Director, Kanwarpal Dhaliwal, about the rapid emergency community response initiative, West Contra Costa Covid Community Care.
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NPPC shares lessons learned and results from ACEs screening pilot sites
For Dr. Mercie Digangi, a pediatrician at Kaiser Southern California in Downey, CA, ACEs screening provided a crystal clear before-and-after in how she changed treatment plans for her pediatric patients, she explained to attendees of a December 2 webinar organized by the National Pediatric Practice Community on ACEs (NPPC) and cosponsored by ACEs Connection. Dr. Mercie Digangi One case that turned ACEs screening into a never-go-back moment for her was a three-year-old who was speech-delayed.
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Of Mice & Meetings: Bringing Our Whole Selves to Work During the Pandemic
My wife works for an educational company and her past few weeks have been busy working with schools and districts across California as they face the herculean task of adapting to distance learning for the remainder of the school year. One of my favorite stories from last week comes from a training that one of her colleagues was conducting with a school site. During the training, without skipping a beat, the trainer announced that his daughter had just handed him their pet mice and he was now doi
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Online ARTIC for Trauma-Informed Measurement
Due to high demand, we've added a 4th FREE Online ARTIC webinar - April 16. Only a few seats are still available so register today at this link The Traumatic Stress Institute (TSI) is hosting a FREE webinar for leaders in health, trauma, and trauma-informed care (TIC) to preview the new Online ARTIC, a cutting-edge online tool for measuring TIC. The Attitudes Related to Trauma-Informed Care (ARTIC) Scale is one of the only validated measures of TIC. It measures professional and...
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Our best bet against burnout is self-care, just not the kind you think [mashable.com]
By Rebecca Ruiz, Mashable, June 21, 2019. When burnout comes for you, it’s not subtle. It casts an inexplicable darkness on the most mundane things: driving in traffic, showing up to work on time, filing an expense report. It feels like a weight tied to your waist, stealing any spark of energy you will into existence. You might confuse it for depression — and it very well could be — but, by reflecting on how and when it arrived, you suspect the culprit is the unraveling of your work life. At...
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Parenting as a Survivor Keynote to Follow Free Resilience Screening
I share my story of having an ACE score of 9 and how that has effected me as a mother, because I can make sense of it now.
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Promoting Agency & Employee Wellness
Wellness is a key ingredient to building a more resilient workforce and has been a big part of the journey in becoming trauma-informed. I was asked by a police lieutenant last week what our agency, Greater Richmond SCAN (Stop Child Abuse Now) does to promote wellness. I told him about recent activities that I've organized within the CAC TFT Program (Child Advocacy Center Trauma-Focused Treatment Program) that I oversee and about ongoing agency efforts. This conversation got me thinking that...
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Promoting Trauma-Informed Parenting of Children in Out-of-Home Care: An Effectiveness Study of the Resource Parent Curriculum. (Abstract Only) [psycnet.apa.org]
By Kathryn J. Murray, Kelly M. Sullivan, Maria C. Lent, et al., APA PsycNET, March 2020 Abstract The Resource Parent Curriculum (RPC) is a workshop designed to promote trauma-informed parenting among foster, adoptive, and kinship caregivers (i.e., resource parents). The ultimate goal of RPC is to improve placement stability and promote healing from traumatic stress in children who have been placed in out-of-home care. The current study examined data from multiple RPC implementation sites...
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Race Forward Statement on the Coronavirus and Its Impacts on Communities of Color [raceforward.org]
From Race Forward, March 27, 2020 As the coronavirus spreads and a public health emergency intensifies, Race Forward calls on local and state governments and those who are doing emergency planning to pay special attention to the impact that this disease and the response to its spread may have on people and communities of color. We call for an approach that provides accurate information and advances practices and policies based in science, and that ensures compassionate and comprehensive...
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Real Resilience is now a PODCAST
Women who support an incarcerated loved one finally has a place to share their stories on the Real Resilience P.W.L. Podcast.
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Rebuilding Lives while Building Homes: Tony McGuire's Resilience-Building Carpentry Class
Tony McGuire is a great carpenter. He ran his own construction business for years. Then he wanted to get into teaching. He became a Tenured Faculty member at a local community college, and landed in the state penitentiary as a Basic Skills Carpentry instructor. So how could that be connected to saving lives with a 20 buck investment? Tony got touched by CRI’s trauma-informed training. He saw himself past and present and knew somehow that, “with this information comes the responsibility to...
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Recently released research on ACEs; incarceration; separating families at the border
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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Reduce Health Costs By Nurturing the Sickest? A Much-Touted Idea Disappoints [npr.org]
By Dan Gorenstein and Leslie Walker, National Public Radio, January 8, 2020 Improving health and lowering costs for the sickest and most expensive patients in America is a dream harder to realize than many health care leaders had hoped, according to a study published Wednesday in the New England Journal of Medicine. Researchers tested whether pairing frequently hospitalized patients in Camden, N.J., with nurses and social workers could stop that costly cycle of readmissions. The study found...
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Report: ACEs and trauma-informed care across 8 countries
The International Initiative for Mental Health Leadership (IIMHL) is a virtual international collaborative which aims to strengthen leadership and thereby improve services for people with mental health or addiction issues. Eight countries belong to IIMHL: Australia, Canada, England, Ireland, New Zealand, Scotland, Sweden and the US. Countries’ pay a small amount to belong and in exchange there are regular communications on innovation, research and national work plus every 16 months a...
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Research roundup on ACEs and resilience
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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Resource List -- ACEs Science Videos & Documentaries
You can find videos and video clips of ACEs presentations and on-air segments listed here.
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Resource List -- Trauma-Informed Guides, Presentations, & Self-Assessment Tools
The resources listed in this blog focus on how to implement trauma-informed and resilience-building practices based on ACEs science.
These materials can be used by organizations, agencies, programs, and communities to better understand how to bring a trauma-informed lens to their work.
Resources are divided according to format type (guide/toolkit, presentations, videos, webinars) and organized alphabetically.
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Resources for Supporting Children's Emotional Well-being during the COVID-19 Pandemic [childtrends.org]
By Jessica Dym Bartlett, Jessica Griffin, Dana Thomson, Child Trends, March 19, 2020 The following guidance, recommendations, and resources are provided by child trauma experts at Child Trends and the Child Trauma Training Center at the University of Massachusetts. The Center is housed at the University of Massachusetts with Child Trends as the lead evaluating agency, with funding from SAMHSA and the National Child Traumatic Stress Network and additional support from HRSA. While the Centers...
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Review of Tools for Measuring Exposure to Adversity in Children and Adolescents [Journal of Pediatric Health Care]
photo/ Creative Commons " Exposure to childhood adversity can result in negative behavioral and physical health outcomes due to potential long-term embedding into regulatory biological processes. Screening for exposure to adversity is a critical first step in identifying children at risk for developing a toxic stress response. We searched PubMed, PsycArticles, and CINAHL for studies published between January 1, 2012, and December 31, 2016, as well as other sources, to identify potential...
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Revolutionizing the Way We Care: Building a Trauma Informed System
Many understand a lot about ACES/developmental trauma and the impact on brain development and behavior. This understanding may shape the way one deals with a child or adult that has experienced adversity. However, many lack the knowledge about how to integrate trauma informed principles THROUGHOUT a system. Please join "HERE this NOW" on Thursday, September 28, 2017, for a training to understand how to infuse trauma informed thinking in every facet of a system - individual, family, group,...
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Road Map to Trauma Informed Care [Trauma Informed Oregon]
Programs, organizations, and systems that make a commitment to implementation will differ in many ways–from the service context, to the motivation for change, to hoped-for outcomes, and resources available. Nonetheless, in a developmental way, implementation moves through a number of common steps that we’ve tried to reflect in the Road Map below. The Trauma Informed Care Screening Tool (found below the Road Map) builds on the Road Map by delving into each phase and offering a series of...
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Science Says Your Pet Is Good for Your Mental Health [www.time.com]
Morgan's note: There may be constraints that don't allow for pets - I would suggest offering to take friends' dogs on walks or take care of friends' pets if they are out of town or busy for the day, fostering animals, volunteering at local animal shelters, etc. To read more of Mandy Oaklander 's article, please click here . Photo from Getty Images.
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Self-Care Resources
Self-care is a key element of a trauma-informed approach, at individual, organization, and community levels. This internet resource list includes links to introductions to ACEs and the ACE Study, self-care, secondary trauma and mindfulness. Self-Care - General Self-Care Starter Kit, School of Social Work, University of Buffalo http://socialwork.buffalo.edu/...are-starter-kit.html Relaxation Tool Kit, Navy and Marine Corps Public Health Center...
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Sheltering in Place: ACEs-Informed Tips for Self-Care During a Pandemic
Millions of lives have been affected in unprecedented ways by the Coronavirus (COVID-19). We are all grappling with uncertainty—our daily routines interrupted, not knowing what is to come. For those of us who have Adverse Childhood Experiences (ACEs), these times can be particularly distressing. At the Center for Youth Wellness (CYW), we know that childhood trauma can have a significant impact on an individual’s health and well-being – both physiologically and psychologically. Since the...
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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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Speaker
Greetings, I'm actively seeking a medical professional trained in trauma informed care, to speak at a conference for medical students. I would appreciate feedback from the community, on expert speakers.
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Spotlight: An ACEs Connection community, Resilient Sacramento, tackles the issue of the traumatic impacts of racism and oppression
Resilient Sacramento has recently made explicit, their commitment to doing trauma-informed education & engagement that centers race, and other forms of structural oppression, as sources of trauma. The resources shared in a recent Resilient Sacramento meeting are described here for the entire ACEs Connection community. Please add your resources to the comments!
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Taking Care of Our Patients, Our Teams, and Ourselves: Trauma-Informed Practices to Address Stress Related to COVID-19
Join ACEs Aware Webinar for a webinar on: Wednesday, March 25, 2020 Noon – 1 p.m. Register for the webinar Speakers: Edward Machtinger, MD Alicia Lieberman, PhD Brigid McCaw, MD, MPH, MS, FACP The webinar will cover how trauma-informed principles and practices can help providers and their teams sustain high quality care of patients, and take good care of themselves in the face of acute stress resulting from COVID-19. This includes ways to help patients increase buffering and protective...
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The AAP opens up access to ACE studies to highlight long-term impact of family separations and detentions at the border
Photo by Gerald R. Nino/Wikimedia.org "We have created a collection of articles on toxic stress since the American Academy of Pediatrics Committee on Psychosocial Aspects of Child and Family Health, the Committee on Early Childhood, Adoption and Dependent Care, and the Section on Behavior and Developmental and Behavioral Pediatrics published their landmark policy statement, “ Early Childhood Adversity, Toxic Stress, and the Role of the Pediatrician: Translating Developmental Science into...
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The Absence of Punishment in Our Schools
Where to begin... My heart is full of hope and joy as I watch the trauma-informed schools movement swell across our nation and planet. The science of ACEs is mind-bending to say the least and we are now able to open up a much deeper dialogue about human behavior and health. Ultimately this work is about healing… All. Of. Us. A new consciousness is taking root around ending the “us vs them” construct. The idea is growing that we’re all on this journey together and that no matter where our...
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The American Health-Care System Increases Income Inequality [theatlantic.com]
For most people, a single doctor’s visit can be a financial obstacle course. Many patients throughout the year pay hundreds or thousands of dollars in premiums, most often through workplace contributions. Then, at the doctor’s office, they are faced with a deductible, and they may need to pay coinsurance or make a copayment. If they have prescriptions, they’ll likely fork over cash for those, too. And that’s just for basic primary care for one person. Repeat that process for an entire...
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THE BUILD HEALTH CHALLENGE 2019 CALL FOR APPLICATIONS
To read the announcement and all details, click HERE and see below key dates. BUILD is looking to support dynamic collaboratives driving sustainable improvements in community health. Are you ready to BUILD with us? For this new third cohort, BUILD is looking to support up to 17 innovative collaboratives across the US t hat include a community-based organization, hospital or health system, and public health department working together in dynamic ways to address upstream challenges and drive...
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The Future of Healing: Shifting From Trauma Informed Care to Healing Centered Engagement (www.medium.com)
Excerpts from an article by Shawn Ginwright Ph.D.:
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The Hello It’s Me Project comes to Pittsfield: Dr. Claudia Gold at the helm of initiative to create healthy bonds between parents and infants (www./theberkshireedge.com)
Cissy's note: I am a huge fan of the way @Claudia Gold works with those of us Parenting with ACEs . The first time I read her writing I relaxed. She was speaking with and for parents not about or at us. Unfortunately, her approach is rare. Fortunately, she just launched a new project she's been dreaming of for years. I love the way she supports all families and how she centers the role of all parents in the lives of all children - especially those - not all except those...
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The implicit bias of, “Mental Illness” and “mentally ill”, a lexicon of hurt.
How can we heal from the implicit bias of “ Mental Illness ” and “ mentally ill ”? I hear these words and it sounds like fingernails scraping down the chalkboard. “ The stain of dehumanization colors the mind, body and spirit and it is not so easily washed away.” - Michael Skinner Recently I read a blog post at the ACEsConnection website, “Erasing My ACES” by Sirena Wheeler. It was posted on April, 19, 2020. It struck a chord with me, many in fact and it put me on a spiral down memory lane.
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The Journey From Me to We: The Walla Walla Way
“We’re all humans and we’re all going through the same things,” Kelsey Sisavath explains. “It’s important for everyone to know. It can change your perspective on how you see yourself, how you see others, and how you see the world.” The “it” Kelsey is talking about is trauma-informed and resilience-building practices based on the science of adverse childhood experiences (ACEs) . She has a unique perspective on the topic given her range of experiences throughout her 19 years of life. The story...
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The path from trauma to hope
It’s important to remember: There is no intrinsic difference between the psychological resilience of African Americans and white Americans. We unfortunately experience more stressors. Socioeconomic pressures, racism and microaggressions in the workplace are significant stressors that have been shown to increase the risk of mental illness in African Americans.
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The Relentless School Nurse: Candida Rodriguez is Creating Community Through the Power of Conversations That Matter
Candida Rodriguez is my mentor, while she may disagree with that statement and say it is the opposite, it is the absolute truth. My respect, admiration, and amazement at the depth of her knowledge, talent, and compassion astound me every time we work together. Candida serves her complex and ever-changing community with dedication, skill and a relentless pursuit of coordinating care for her students and families. We are partners in the Community Cafe Initiative that began in 2015 after I...
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The Rise of the Trauma-Informed Mothers
The next generation is less likely to wear predisposed shackles of trauma because as trauma-informed parents we are re-wiring the traumatically stressed DNA that was passed down to us.
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The Role of the Authentic Self in Trauma-Informed Care
As awareness of trauma-informed care has grown in recent years, we’ve stressed the importance offering an authentic healing relationship in our role as therapists. But another core concept deserves more attention: helping clients become aware of, and nurture their authentic self. At this year’s Psychotherapy Networker conference (which I’ve attended almost annually for about the last 22 years) the amazing Brené Brown spoke about her work on authenticity and shame. She beautifully explained...
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The staff wellness and resilience movement is growing: Two articles provide examples [www.telegram.com] [www.aikenstandard.com]
A year ago, I wrote this blog, urging a shift from focusing primarily on self-care as the antidote to vicarious trauma/secondary traumatic stress to a broader concept of creating cultures of staff wellness and resilience which includes self-care as well as changes in organizational practices, protocols and policy. It is gratifying to see visible progress toward that shift as illustrated by two recent articles. One from the Worcester Telegram about a proposed policy by the Massachusetts...
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The Trauma-Informed Supervisor Training Tool
That is the question that so many of us champions of change are asking ourselves right now. Luckily, the information is and logistics of how to make this happen are becoming clearer. Thank you to @Christina Cunningham, Prevention Coordination Specialist for the Fairfax County Department of Neighborhood and Community Services for allowing me to share this resource with our community. (see attached PDF file) It has been a valuable tool in helping me coordinate an agency training on the...
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The Trauma Resiliency Model: A “Bottom-Up” Intervention for Trauma Psychotherapy (Journal of the American Psychiatric Nurses Association)
Grabbe L, Miller-Karas E. The Trauma Resiliency Model: A “Bottom-Up” Intervention for Trauma Psychotherapy. Journal of the American Psychiatric Nurses Association. 2017; 24 (1): 76-84.
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The Trauma-Sensitive Parenting Summit & Commentary
"Having a history of trauma or loss does not by itself predispose you to have a child with disorganization. It is the lack of resolution that is the essential risk factor. It is never too late to move toward making sense of your experiences and healing your past. Not only you but also your child will benefit." That's a quote from the book Parenting from the Inside Out: How A Deeper Self-Understanding Can Help You Raise Children Who Thrive, which was published fifteen freaking years ago. It's...
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The Who, How, and What of Leadership… and where trauma-informed fits in.
Are we born leaders or is it a skill that we cultivate? Strong leadership is a lot like resiliency. Although we can be born with qualities that may make it a little easier, it develops in relationship with others. It is truly cultivated by building our individual skills, having the support of others, and being willing to do our own work. Being a leader means you know Who you are, you get that How you do the work matters, and you are intentional about What you do. Combining these three...
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This Survivor is Helping Doctor's Patients Not Die 20 Years Too Young
Earlier this year I shared one piece of my trauma history with my family doctor... it’s finally out in the open, but I really wish I didn’t have to be the one to start that conversation every time.