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Tagged With "mental health"

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Developing Community Resilience During the COVID-19 Outbreak

Kathy Adams ·
I have been fielding requests about community resilience development and want to share with all of you a document that others are finding helpful. I initially created the document (below and pdf attached) for our host entities to distribute to their cohorts (1500-plus people) of N.E.A.R. Master Trainers embedded in 25 states and a province. Dr. Rob Anda, Laura Porter and I train Master Trainers in N euroscience, E pigenetics, the A CE Study, and R esilience; additional information can be...
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Disability Inclusion: Shedding Light on an Urgent Health Equity Issue [rwjf.org]

By Richard Besser, Robert Wood Johnson Foundation, December 2, 2019 Next year will mark 30 years since the Americans with Disabilities Act (ADA) became federal law—first of its kind legislation that outlawed discrimination against people living with physical or mental disabilities. It was a culmination of decades of challenging societal barriers that limited access and full participation of people with disabilities. And yet in spite of the ADA’s passage, we still have a long way to go before...
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Dissecting Racial Bias in an Algorithm Used to Manage the Health of Populations [science.sciencemag.org]

By Ziad Obermeyer, Brian Powers, Christine Vogeli, and Sendhil Mullainathan, Science, October 25, 2019 Racial bias in health algorithms The U.S. health care system uses commercial algorithms to guide health decisions. Obermeyer et al. find evidence of racial bias in one widely used algorithm, such that Black patients assigned the same level of risk by the algorithm are sicker than White patients (see the Perspective by Benjamin). The authors estimated that this racial bias reduces the number...
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Dr. Jeffrey Brenner: "I believe ACE scores should become a vital sign, as important as height, weight, and blood pressure."

Jane Stevens ·
Dr. Jeffrey Brenner,  f ounder and executive director of the Camden Coalition of Healthcare Providers, and a 2013 MacArthur Foundation genius award winner, wrote this essay for The Field Clinic  on Philly.com. For nearly 15 years we’ve...
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Ensuring Young Children Have Healthy Meals During the Coronavirus Pandemic [clasp.org]

By Rebecca Ullrich, CLASP, March 23, 2020 Practically overnight, the coronavirus pandemic has dramatically altered the daily lives of our nation’s children and families. While everyone—regardless of race, age, gender, or socioeconomic status—is experiencing the pandemic’s effects, the long-term fallout won’t affect all of us equally. Families with low incomes, communities of color, immigrant families, women, the elderly, and people with disabilities who have long been economically...
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Erasing My ACES

Former Member ·
Why I hid ACES from my medical records in order to receive equal treatment.
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Essentials for Childhood Framework

Emerald Montgomery ·
From the CDC’s Injury Prevention & Control, Division of Violence Prevention: "Safe, stable, nurturing relationships and environments are essential to prevent child abuse and neglect and to assure all children reach their full potential. The Essentials for Childhood Framework proposes strategies communities can consider to promote relationships and environments that help children grow up to be healthy and productive citizens so that they, in turn, can build stronger and safer families and...
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Examining the Theory of Historical Trauma Among Native Americans [tpcjournal.nbcc.org]

By Kathleen Brown-Rice, The Professional Counselor, February 2020 The theory of historical trauma was developed to explain the current problems facing many Native Americans. This theory purports that some Native Americans are experiencing historical loss symptoms (e.g., depression, substance dependence, diabetes, dysfunctional parenting, unemployment) as a result of the cross-generational transmission of trauma from historical losses (e.g., loss of population, land, and culture). However,...
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Expanding the Toolkit: Trauma-Informed Practice Institute. Addressing Indirect Trauma. Early Bird Registration OPEN NOW!

Jennifer Boyle-King ·
Addressing Indirect Trauma by Caring for the Caregivers Sat, 05 Oct 2019 8:00 a.m. – 4:30 p.m. EST Case Western Reserve University’s Tinkham Veale Ballroom 11038 Bellflower Rd, Cleveland, OH 44106 The Center on Trauma and Adversity will host the 2nd Annual Expanding the Toolkit: Trauma-Informed Practice Institute on October 5, 2019 at Case Western Reserve University’s Tinkham Veale University Center Ballroom. The focus of this year’s institute is on indirect trauma with keynote speakers:...
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Experts Say Health Equity Strides During Pandemic Unlikely to Permanently Improve American Healthcare

Joshunda Sanders ·
Even before the global COVID-19 pandemic, scholars, healthcare experts and everyday citizens were already turning their attention to some of the deep flaws in the American healthcare system. It is well-known, and well-documented, that healthcare in America is expensive, broken and riddled with inequality. Anne Case and Angus Deaton, authors of the recent book, Deaths of Despair and the Future of Capitalism , summarize the state of our for-profit, employer-based system: “We believe that the...
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Fear Compromises The Health, Well-Being Of Immigrant Families, Report Finds [californiahealthline.org]

Alicia Doktor ·
Luis Ramirez has lived in the U.S. without immigration papers for two decades, but he is more worried about deportation now than ever before. Ramirez said he and his wife, Luz Cadeo, who is also here illegally, have already made plans in case they are arrested by immigration police: The couple, who live in Lakewood, Calif., would try to find work in their native Mexico while their youngest U.S.-born children, ages 15 and 18, stayed in the U.S. with a relative. “We are taking it very...
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Framework to Reduce Criminalisation of Young People in Residential Care [apo.org.au]

From the Victoria State Government, February 2020 The safety and wellbeing of young people and staff is paramount in providing residential care in Victoria. Attention needs to be directed at ensuring young people placed in residential care receive the necessary support to enable them to achieve the same outcomes as their peers in the broader community. A significant proportion of young people in residential care have experienced extensive abuse and neglect. The impact of this trauma may lead...
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From the Archives: Dr. Kenneth Clark on Racism and Child Well-Being [hogg.utexas.edu]

Alicia Doktor ·
From 1971 to 1983, former Hogg Foundation program officer Bert Kruger Smith hosted The Human Condition , a radio show that, across a span of 400 episodes, engaged a variety of notable guests in wide-ranging conversations on the things that make us human. In recognition of Black History Month, this episode of our Into the Fold podcast takes us back into The Human Condition’s archives with a 1974 broadcast featuring the late African American psychologist Dr. Kenneth Clark, whose innovative...
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From Trauma to Resilience: One Doctor’s Journey to Transform Trauma-Informed Care [National Council of Behavioral Health]

Karen Clemmer ·
Trauma – an event, series of events or set of circumstances, such as neglect and abuse, that is experienced by an individual as harmful or life-threatening – is a nearly universal experience. The landmark Adverse Childhood Experiences (ACE) Study , conducted by the Centers for Disease Control and Prevention and Kaiser Permanente, revealed that experiences of trauma can impact every area of a person’s functioning. When Brigid McCaw, M.D., first started practicing medicine, research around the...
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Group Advocating For Creation Of ‘Trauma-Informed’ Legislation In Sacramento [kpbs.org]

Alicia Doktor ·
Could state policies be improved by a greater understanding of the lingering effects of childhood trauma? That's the case that social workers and psychologists will be making to California legislators Tuesday as part a policymaker education day. The California Campaign to Combat Childhood Adversity wants lawmakers to learn about the effects of toxic stress resulting from childhood trauma, which they say can influence everything from health care to the economy . "California's children are in...
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Harvard Infographic on ACEs and Toxic Stress

Marcia Fervienza ·
This was just posted by Harvard. I thought all of us could use access to it, for use in our schools and the settings we work in. The full image is on the attached PDF.
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Head Start - Measuring Trauma-Informed Care

John Engel ·
Trauma-Informed Measurement Made Effective and Easy Thanks to new federal funding, Head Start programs have the opportunity to develop and improve trauma-informed approaches to support children, families and staff impacted by adverse experiences. The Office of Head Start Guidance on Implementing Trauma-Informed Approach resource, included in the funding announcement , states exposure to trauma is more prevalent than commonly believed and results in lasting effects on the physical and mental...
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Heyman Oo integrates ACEs science as foundation of pediatric care

Sylvia Paull ·
Dr. Heyman Oo, a 34-year-old primary care pediatrician, first learned about the science of adverse childhood experiences in medical school at a grand rounds held around 2012 at Rady Children’s Hospital in San Diego, which she attended from 2009 to 2014. The presenter was none other than Dr. Nadine Burke Harris, a pediatrician who went on to become California’s first Surgeon General. The founder and former director of the Center for Youth Wellness drew millions of views for her TED talk on...
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Housing Codes Should Protect Public Health, Not Penalize Low-Income Homeowners [housingmatters.urban.org]

By Christina Plerhoples, Stacy Schilling, and Joseph Schilling, Housing Matters, October 23, 2019 Recently, Vice published a story about Tamara Adrine-Davis, a resident of Cleveland Heights, Ohio, who is facing jail time because of housing code violations. Adrine-Davis, who is 57 and uses a wheelchair, hasn’t been able to raise the $8,000 needed for home repairs, such as fixing a step on her front porch. The story raises questions about housing code enforcement, which we studied in Memphis,...
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How Exercise Has Helped My PTSD Recovery [bustle.com]

Alicia Doktor ·
People exercise for many reasons, and one of the major ones is for its mood-boosting benefits. But as someone who lives with co-occurring mental illnesses, I was skeptical as to whether these benefits would actually work for me. However, as I read more and more research about the therapeutic benefits of working out, I decided to give exercising on the regular a shot. Developing an exercise routine as a way to cope with my PTSD and eating disorder became a pivotal moment in my healing process...
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How I Became a Champion for Trauma-Informed Change

Dawn Daum ·
I began riding the “trauma-informed care” wave three years prior to realizing I was part of something bigger than my own vision to bust open the conversation on trauma. When my life as a writer, editor, and advocate for parenting survivors of childhood abuse collided with my professional life as a mental health care manager, I knew the universe was trying to tell me something. Having long ago succumbed to the realization that everything really does happen for a reason, I started to see my...
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How Well Do Workplace Wellness Programs Work? [NPR Shots]

Karen Clemmer ·
Workplace wellness programs — efforts to get workers to lose weight, eat better, stress less and sleep more — are an $8 billion industry in the U.S. Most large employers offer some type of wellness program, with growth fueled by incentives in the federal Affordable Care Act. But no one has been sure they work. Various studies over the years have provided conflicting results, with some showing savings and health improvements while others say the efforts fall short. Many studies, however,...
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I’m Sick of Asking Children to Be Resilient [nytimes.com]

Laura Pinhey ·
FLINT, Mich. — A baby born in Flint, Mich., where I am a pediatrician, is likely to live almost 20 fewer years than a child born elsewhere in the same county. She’s a baby like any other, with wide eyes, a growing brain and a vast, bottomless innocence — too innocent to understand the injustices that without her knowing or choosing have put her at risk. Some of the babies I care for have the bad luck to be born into neighborhoods where life expectancy is just over 64 years. Only a few miles...
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Immigrant teens, parents explore ACEs, resilience in 5-week course with family doc

Laurie Udesky ·
Dr. Angela Bymaster, a family doctor in San Jose, Calif., was determined to find a way to teach ACEs science to her patients. Teens would come to the Washington Neighborhood Clinic clearly depressed by a range of problems at home that were contributing to risky sexual behavior and marijuana use, as well as preventable health problems like extreme obesity.
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Improve Birth and Perinatal Outcomes with a Trauma Sensitive Approach

Kate White ·
The Association for Prenatal and Perinatal Psychology and Health is excited to bring together 10 talented practitioners to explore the Trauma Informed Practices that help improve birth outcomes and support human development right from the very start. The Adverse Childhood Experiences Study (1998) launched the importance of trauma and trauma informed care in our health and educational systems. We suddenly had a measure of how early experiences in childhood could correlate with adult disease.
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In the Arena with NOW Podcast Episode, "Letting Communities Lead" (30 min)

Diana Rivera ·
The Networks of Opportunity for Child Wellbeing (NOW) is excited to share the second episode of In the Arena with NOW , a podcast series that lifts up the voices of community leaders who are “in the arena” -- in classrooms, playgrounds, Congressional halls, hospitals, and neighborhood streets -- working to make sure that all children and families can live healthy, thriving lives. In our second episode, we speak with members of the Young Child Wellness Council (YCWC) in Tuscaloosa, Alabama ,...
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Inside the ACE Score Strengths Limitations and Misapplications with Dr. Robert Anda (www.YouTube.com) & Note

Christine Cissy White ·
Cissy's note: Thanks to @Elizabeth Perry for flagging me and letting me know about this important YouTube video posted on April 6th via the ACE Interface Laura Porter channel which furthers this important discussion about the uses/misuses of ACEs scores. This topic is written about from a personal perspective by @Sirena Wheeler here, yesterday, on ACEs Connection a piece entitled Erasing My ACEs which @Laura Porter commented upon. I have found tremendous benefit from learning about ACEs...
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Inside the Adverse Childhood Experience Score: Strengths, Limitations, and Misapplications [ajpmonline.org]

By Robert F. Anda, Laura E. Porter, David W. Brown, et al., American Journal of Preventive Medicine, March 25, 2020 INTRODUCTION Despite its usefulness in research and surveillance studies, the Adverse Childhood Experience (ACE) score is a relatively crude measure of cumulative childhood stress exposure that can vary widely from person to person. Unlike recognized public health screening measures, such as blood pressure or lipid levels that use measurement reference standards and cut points...
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Introducing Dawn Daum, Community Manager: Becoming Trauma-Informed & Beyond

Dawn Daum ·
The movement to incorporate trauma-informed care, and the wave to bring awareness to ACEs science has manifested in to the perfect storm; the perfect mix of compassion and frustration. I've said over and over again, once you become aware of the research and science behind trauma, and start to talk to other people about what it all means and how it looks, its a game changer. Since our agency-wide ACEs/Trauma 101 training by Acesconnection.com community member, Dave Wallace , atleast once a...
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Introducing Lisa Wright, Community Manager: Becoming Trauma-Informed & Beyond

Lisa Wright ·
Hello Trauma-Informed & Beyond Community! I am excited to be one of the community managers for this new ACEs Connection community. I have worked as an outpatient trauma-focused treatment clinical social worker since 1993. My work has included providing treatment for children, teens and adults who have experienced sexual abuse, physical abuse, exposure to violence (community, family and interpersonal), witness to homicide and those with problem sexual behavior/sexual offending histories.
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Introducing NEW Becoming Trauma-Informed & Beyond Community

Christine Cissy White ·
Earlier this year @Dawn Daum wrote to us when she was ready to share ACEs science with people in the organization she works in to make a case for moving towards more trauma-informed care for the benefit of the staff and those they serve. She was frustrated because almost all the training and resources she found were geared towards schools, clinical staff or to organizations working with children and families rather than ACE-impacted adults in the workplace and who are...
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Investing In Community Resilience: Deploying Trauma-Informed Practice for Funders & Capacity Builders (Webinar Series)

Aaron Weibe ·
Register Here As a philanthropist, your passion for building just, healthy, resilient communities is evident. Until recently, we have been missing critical information that can help us develop best practices to achieve such a goal. Today, the science is clear – adverse childhood experiences (ACEs) and trauma can impact the brain and body, contributing to a host of negative outcomes in all aspects of life. Some effects can even be passed from generation to generation. In the last two decades,...
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Is ACEs Advocacy Worth Risking Professional Backlash?

Dawn Daum ·
Perhaps a risk worth taking.
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It Makes Sense

Jennifer Sexton ·
I felt inadequate and ill-prepared to speak to licensed mental health professionals about ACEs. But when I was asked to attend the 40th Annual Training Institute on Behavioral Health & Addictive Disorders in Clearwater, Florida to represent ACEs Connection, I was honored and eager. My background is in health planning, not mental or behavioral health. I review health data and look for gaps and inequities. My time is spent looking for and addressing the health needs of a community. So,...
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It's Not the Food Deserts: It's the Inequality [citylab.com]

Alicia Doktor ·
Too many Americans are overweight and eat unhealthy food, a problem that falls disproportionately on poor and low-income people. For many urbanists, the main culprit has long been “food deserts”—disadvantaged neighborhoods that are underserved by quality grocery stores, and where people’s nutritional options are limited to cheaper, high-calorie, and less nutritious food. But a new study by economists at New York University, Stanford University, and the University of Chicago adds more...
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Kungas' Trauma Experiences and Effects on Behaviour in Central Australia [apo.org.au]

By Miriam Bevis, Judy Atkinson, Leisa McCarthy, and Michelle Sweet, Australia's National Research Organisation for Women's Safety, February 2020 This report sets out the findings of the research project, “Kungas’ trauma experiences and effects on behaviour in Central Australia”, a pilot project run under the Kunga Stopping Violence Program (KSVP), which is based in Alice Springs. This practitioner-requested research was initiated by the KSVP Manager Miriam Bevis, and is the result of a...
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Launching a Revolution [hsph.harvard.edu]

By Madeline Drexler, Harvard Public Health, Winter 2020 In 2007, pediatrician Nadine Burke Harris, MPH ’02, set out on an idealistic mission: to deliver quality medical care to one of San Francisco’s poorest and most underserved neighborhoods—Bayview-Hunters Point, in the isolated southeastern corner of the city. Before Burke Harris arrived on the scene, only one pediatrician was serving the neighborhood’s 10,000 children. The community’s plight was starkly apparent in its ZIP code. In 17 of...
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Launching or growing an ACEs initiative? We’ve got an app (& tools & guidelines) for that!!

Jane Stevens ·
Of the tens of thousands of communities across the U.S. (cities, counties, regions and states), we think a few hundred have launched ACEs initiatives so far. Two common obstacles that initiatives run up against are: What do we do once we all agree that everyone should know about ACEs science ? And, how do we measure our progress? Today we’re officially rolling out new guidelines, tools — and an app! — for that! Growing Resilient Communities 2.0 answers question #1. If the initiative’s goal...
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Laying the Groundwork for Trauma-Informed Care

Mariel Gingrich ·
Adopting a trauma-informed approach to care offers the potential to not only improve patient health outcomes, but also enhance the well-being of health care professionals. While becoming a trauma-informed health care organization can be resource-intensive, there are relatively simple, foundational steps health care providers can take to move toward fully adopting a trauma-informed approach to care. A new CHCS brief outlines practical recommendations for health care organizations interested...
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(Learning Circle) Investing in Community Resilience: Using ACEs and Trauma Science for More Effective Practice

Aaron Weibe ·
The spread of COVID-19 has created a myriad of challenges for communities around the globe. The science of Adverse Childhood Experiences (ACEs), trauma, toxic stress as well as healing and resilience, can provide helpful tools for supporting communities through this time of crisis. Please join us on Wednesday, May 13th from 3-4pm ET for the first Learning Circle of the Investing in Community Resilience web series. Connect with others from around the country who are integrating ACEs and...
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Life Expectancy by Zip Code: Where You Live Affects How Long You Live

Life expectancy is highly correlated with ACE scores and complex childhood trauma. Enter your address or zip code to know what the health outcomes are in your neighborhoods and communities. Robert Wood Johnson Foundation Life Expectancy Calculator
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Live and Learn: An Interview with Laysha Ostrow on the Mad In America podcast (www.mentalhealthexcellence.org)

Christine Cissy White ·
Excerpt from the Foundation for Excellence in Mental Health post with link below to edited transcript from Podcast done by Mad in America.
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Looking for online training and consulting?

Andi Fetzner ·
Looking for tools to help your organization or community integrate a trauma-informed and resilience-building approach? At Origins, we offer training courses to support you from your aha moment to your action plan. It all starts with The Basics, a 90-minute online training that will provide you with an overview of the key concepts behind a trauma-informed approach. When you’re ready to move from aha to action, sign up for The Resilience Champion Certificate, a self-paced 6-week online training...
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Making The Case That Discrimination Is Bad For Your Health from Code Switch

Ellen Smith ·
"When Arline Geronimus was a student at Princeton University in the late 1970s, she worked a part-time job at a school for pregnant teenagers in Trenton, N.J. She quickly noticed that the teenagers at that part-time job were suffering from chronic health conditions that her whiter, better-off Princeton classmates rarely experienced. Geronimus began to wonder: how much of the health problems that the young mothers in Trenton experienced were caused by the stresses of their environment? It was...
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Medicaid Expansion Could Prevent Evictions [howhousingmatters.org]

By Heidi L. Allen, Erica Eliason, Naomi Zewede, and Tal Gross, How Housing Matters, October 8, 2019 As of August 2019, 37 states have adopted and implemented a Medicaid expansion that extends Medicaid eligibility to uninsured people whose incomes are at or below 138 percent of the federal poverty level. Prior research shows that Medicaid expansion has numerous positive effects on health-related and economic outcomes, among which are reductions in uninsurance rates among people with low...
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ACEs Science Champions Series: Meet Florida's Johnny Appleseed. She plants seeds of ACEs science!

Sylvia Paull ·
Dr. Mimi Graham is Florida’s Johnny Appleseed, but instead of planting apple trees, she’s been seeding hundreds of ACEs-science-informed schools, courts, juvenile detention centers, hospitals, childcare centers, home visiting programs, mental health agencies, law enforcement agencies, and drug treatment centers. Graham, who has served as director of the Florida State University Center for Prevention and Early Intervention Policy in Tallahassee since 1993, focuses on early childhood,...
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Mental Health In The Workplace

Matt Boyle ·
Mental health disorders and stress is something that affects countless working Americans each year. In fact, nearly one in five U.S. adults 18 or older reported some type of mental illness in 2016. Also, over 70 percent of adults reported at least one symptom of stress according to the Center for Disease Control and Prevention . Unfortunately, when people deal with mental health issues at work, it can affect business and lead to problems with job performance. Poor mental health and stress...
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Mental Health, Social Adversity, and Health-Related Outcomes in Sexual Minority Adolescents: A Contemporary National Cohort Study [thelancet.com]

By Background Sexual minority adolescents are more likely to have mental health problems, adverse social environments, and negative health outcomes compared with their heterosexual counterparts. There is a paucity of up-to-date population-level estimates of the extent of risk across these domains in the UK. We analysed outcomes across mental health, social environment, and health-related domains in sexual minority adolescents compared with their heterosexual counterparts in a large,...
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Mr. Rogers, Trauma-Informed Care, and the Limits of Information

Claudia Gold ·
Fred Rogers, in his 1969 testimony before the Senate subcommittee on communications in defense of public television, transforms a clearly skeptical Senator Pastore from, "Alright Rogers you've got the floor" to, "Looks like you just earned the 20 million dollars." How does he accomplish this transformation? One line from Senator Pastore gives us some insight. Several minutes into Mr. Rogers testimony he says, "This is the first time I've had goosebumps in the last two days," to which Rogers...
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New County Health Rankings Show Differences in Health and Opportunity by Place and Race [rwjf.org]

Alicia Doktor ·
Princeton, N.J. and Madison, Wis .—For nearly a decade, the County Health Rankings have shown that where we live makes a difference in how well and how long we live. This year, our analysis shows that meaningful health gaps persist not only by place but also by race and ethnicity. These health gaps are largely influenced by differences in opportunities that disproportionately affect people of color, such as access to quality education, jobs, and safe, affordable housing. This year’s report...
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