Tagged With "Early Childhood Lens"
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12 Myths of the Science of ACEs
The two biggest myths about ACEs science are: MYTH #1 — That it’s just about the 10 ACEs in the ACE Study — the CDC-Kaiser Permanente Adverse Childhood Experiences Study . It’s about sooooo much more than that. MYTH #2 — And that it’s just about ACEs…adverse childhood experiences. These two myths are intertwined. The ACE Study issued the first of its 70+ publications in 1998, and for many people it was the lightning bolt, the grand “aha” moment, the unexpected doorway into a blazing new...
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ACEs & African Americans Community on ACEs Connection
ACEs Connection envisions a resilient world where ALL people thrive. We are an anti-racist organization committed to the pursuit of social justice. In our work to promote resilience and prevent and mitigate ACEs, we intentionally embrace and uplift people who have historically not had a seat at the table. ACEs Connection celebrates the voices and tells the stories of people who have been barred from decision-making and who have shouldered the burden of systemic and economic oppression as the...
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ACEs Connection Overview
ACES CONNECTION NETWORK OVERVIEW ACEs = Adverse Childhood Experiences 2 SITES ACEsTooHigh.com A solutions-oriented news site for the general public that covers stories on ACEs, trauma, and resilience. ACEsConnection.com An action-based...
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ACEs Science Champions Series: Byron Hall: A mentor rich with experience counsels teen parents in NC
Byron Hall mentors adolescent parents for the Community Enrichment Organization , a nonprofit in Tarboro, NC, which partners with a program that supports to keep adolescent parents in school. One of the parents he mentors is 13 years old. At the age of 17, Hall was an adolescent parent himself, growing up with a single parent in the Bronx, NY, then an African American community where drug-dealing and prostitution were common. For the counselor, helping these young men and women, who are...
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Foster Care Case Numbers Continue to Climb in NC, as Opioid Crisis Affects Families [northcarolicahealthnews.org]
By Sarah Ovaska-Few, North Carolina Health News, September 24, 2019 North Carolina could use more people like Lisa Link, as the state grapples with record numbers of children entering and staying in the already stretched foster care system. Link, an auto broker and owner of a small used-car lot in Charlotte, opted five years ago to become a foster parent after years of helping with family members’ children. She was single, in her early 40s, and wanted to help children coming out of difficult...
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GABOR MATÉ JOINS EP. 3 on May 21 with Darrell Hammond and Filmmaker Michelle Esrick. [crackedupmovie.com]
CRACKED UP THE EVOLVING CONVERSATION TRAUMA AS THE ROOT CAUSE OF ADDICTION With DARRELL HAMMOND DIRECTOR MICHELLE ESRICK and RENOWNED TRAUMA AND ADDICTION EXPERT GABOR MATÉ, M.D. author of In the Realm of Hungry Ghosts: Close Encounters With Addiction MODERATED BY JANE STEVENS, FOUNDER OF ACES CONNECTION Hosted by ACES Connection Thursday May 21st at 2pm PDT / 3p MT / 4p CT / 5pm EDT FREE FOR ALL WHO REGISTER! IF YOU REGISTER, BUT CAN NOT ATTEND, YOU WILL RECEIVE A RECORDING WITHIN ONE WEEK.
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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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Investments in New Hanover County’s Resiliency Paying Off During Time of Pandemic
Cliff Barnett, Wilmington city council member; pastor at Warner Temple AME Zion, and chair of the Family Faith and Community committee for the New Hanover Resiliency Task Force (RTF), shares experience in using sign language during a regularly scheduled RTF meeting. (Other photos are from recent monthly RTF meetings). With training, community’s front lines are proving resilient to and aware of trauma’s impact WILMINGTON, NORTH CAROLINA April 7, 2020 Two years ago, the Resiliency Task Force...
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National Trauma campaign webinar 3/10
Join on March 10, 2020 at 10am EST to learn more about the New National Grassroots Campaign which calls for federal action to prevent and address childhood trauma and build resilience through educating and engaging Congress. Join Zoom Meeting. https://zoom.us/j/293206175 Meeting ID: 293 206 175 One tap mobile +19292056099,,293206175# US (New York) +16699006833,,293206175# US (San Jose) Dial by your location +1 929 205 6099 US (New York) +1 669 900 6833 US (San Jose) Meeting ID: 293 206 175...
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New Study Reveals Annual Cost of Childhood Adversity in California Is Approximately $113 Billion [prnewswire.com]
SAN FRANCISCO , Jan. 28, 2020 /PRNewswire/ The Center for Youth Wellness announces the release of an in-depth study on the health-related cost of adverse childhood experiences (ACEs) in the state of California . A number of studies have investigated the cost of child maltreatment, but the current study, entitled " Adult health burden and costs in California during 2013 associated with prior adverse childhood experiences ," is the first to examine the cost associated with adult health...
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Nurturing relationships in childhood boost adult mental health, relationships
We're proud to announce major research that suggests that positive childhood experiences — such as supportive family interactions, caring relationships with friends, and connections in the community — are associated with reductions in chances of adult depression and poor mental health, and increases in the chances of having healthy relationships in adulthood. This association was true even among those with a history of adverse childhood experiences.
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Overview of the Community Resiliency Model, used worldwide to help trauma survivors re-regulate their central nervous system, offered in two, free 90-minute webinars.
Elaine Miller Karas , key creator of the Community Resiliency Model (CRM), will be joined by CRM trainers from Wilmington, NC, Allison Wine , behavioral specialist, and Kelly Purcell , instructional coach and multi-tiered support specialist for this free, two-part training. Register now for two, FREE 90-minute sessions May 7 from 11 a.m. - 12:30 p.m. EST and May 14 from 11 a.m. - 12:30 p.m. EST (The complete overview requires attendance at both sessions. Registration link below registers you...
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Resilience Week [resilienceweek.co]
By UNC TV, November 6, 2019 UNC-TV Public Media North Carolina presents the statewide broadcast premiere of the special documentary feature Resilience: The Biology of Stress & the Science of Hope, Tuesday, November 19, at 8 PM, as part of Resilience Week—a statewide initiative to build awareness of childhood trauma, prevention and resilience. The hour-long film focuses on adverse childhood experiences (ACEs), what Dr. Robert Anda and Laura Porter of ACE Interface have termed, “the...
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Resilience Week [resilienceweek.co]
By UNC TV, November 6, 2019 UNC-TV Public Media North Carolina presents the statewide broadcast premiere of the special documentary feature Resilience: The Biology of Stress & the Science of Hope, Tuesday, November 19, at 8 PM, as part of Resilience Week—a statewide initiative to build awareness of childhood trauma, prevention and resilience. The hour-long film focuses on adverse childhood experiences (ACEs), what Dr. Robert Anda and Laura Porter of ACE Interface have termed, “the...
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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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The Black Community, COVID-19 & Trauma [sdvoice.com]
By Latanya West, San Diego Voice, May 15, 2020 In January 2019, Governor Gavin Newsom appointed Dr. Nadine Burke Harris as California’s first-ever Surgeon General. An award-winning physician, researcher and advocate, Dr. Burke Harris’ career has been dedicated to serving vulnerable communities and combating the root causes of health disparities. Her work is equally dedicated to changing the way our society responds to one of the most serious, expensive and widespread public health crises of...
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The Tiny Cell that Connects our Physical and Mental Health, and Solves a Decades-old Mystery of Why Toxic Stress Leads to Brain Changes that Spark Depression, Anxiety
More than a decade ago, I was diagnosed with several autoimmune diseases, one after another, including Guillain-Barré syndrome , which left me paralyzed twice while raising two young children. All told I spent six years in and out of bed and hospitals, learning, between crises, to use a cane or walker to navigate life as a working-mother-with-chronic-illness. My immune system was repeatedly and mistakenly attacking my body, causing the nerves in my arms, legs, and those I needed to swallow...
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Thinking About Racial Disparities in COVID-19 Impacts Through a Science-Informed, Early Childhood Lens [developingchild.harvard.edu]
By Jack P. Shonkoff and David R. Williams, Center on the Developing Child, April 27, 2020 The COVID-19 virus is ruthlessly contagious and, at the same time, highly selective. Its capacity to infect is universal, but the consequences of becoming infected are not. While there are exceptions, children are less likely to show symptoms, older adults and those with pre-existing medical conditions are the most susceptible, and communities of color in the United States are experiencing dramatically...
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Tools and how to use them is focus of second webinar on Community Resiliency Model, May 14, 2020
The second of two free Community Resiliency (CRM) webinars with Elaine Miller-Karas , key creator of the CRM, will be held Thursday, May 14, from 11 a.m. - 12:30 p.m. ET, (10 a.m. CT; 9 a.m. MT, and 8 a.m. PT) and will include the practical application of tools of the model. CRM is an ACEs science-based biological model for helping individuals become emotionally regulated during natural disasters and other dysregulating times. Miller-Karas will be joined by CRM trainers from Wilmington, NC:...
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Racism's Effect on Health, and the Heartbreak of Being a Black Parent Right Now: California's Surgeon General Speaks [kqed.org]
By KQED Science, KQED, June 14, 2020 The coronavirus pandemic and the recent killing of George Floyd have brought longstanding racial inequities into sharp focus. One of those disparities concerns the high rate of coronavirus transmission among people of color. To talk about the intersection of race and health, KQED's Brian Watt spoke last week with California Surgeon General Dr. Nadine Burke Harris, who is known for her pioneering work on the role that childhood stress and trauma play on...
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THURSDAY!! Cracked Up, The Evolving Conversation: Generational Trauma - Breaking the Cycle [crackedupmovie.com]
CRACKED UP THE EVOLVING CONVERSATION Episode 4: Generational Trauma - Breaking the Cycle with Darrell Hammond, Comedian, actor, SNL Legend Michelle Esrick, Filmmaker, activist Bessel van der Kolk, MD, Author of The Body Keeps the Score Jane Stevens, Founder of ACES Connection and special guest Jane Fonda Academy Award-winning actor, producer, author and activist Thursday June 25th at 1pm PDT / 2p MT / 3p CT / 4pm EDT Hosted by ACEs Connection THE PRICE OF THIS LIVE EVENT IS $12.50 We have...
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Greater Richmond Trauma Informed Community Network, first to join ACEs Cooperative of Communities, shows what it means to ROCK!
In 2012, Greater Richmond SCAN and five other community partners hatched a one-year plan to educate the Richmond, Virginia, community about ACEs science and to embed trauma-informed practices. Eight years later, the original group has evolved into the Greater Richmond Trauma-Informed Community Network (GRTICN) with 495 people and 170 organizations. And they're just scratching the surface.
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Donald Trump is the product of abuse and neglect. His story is common, even for the powerful and wealthy.
“In order to cope,” writes Mary Trump, “Donald began to develop powerful but primitive defenses, marked by an increasing hostility to others and a seeming indifference to his mother’s absence and father’s neglect….In place of [his emotional needs] grew a kind of grievance and behaviors—including bullying, disrespect, and aggressiveness—that served their purpose in the moment but became more problematic over time. With appropriate care and attention, they might have been overcome.”
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Trauma-informed policing: Learn how three highly experienced community leaders strengthen ties between police and community
ACEs initiative participants in communities where there is tension between the community and law enforcement will want to join Becky Haas in a compelling conversation on law enforcement, ACEs science, COVID-19 and the Black Lives Matter movement and protests. Haas is a nationally recognized adverse childhood experiences (ACEs) science initiative builder and trainer. She and colleagues Renee Wilson-Simmons, the head of the ACE Awareness Foundation of Memphis, Tennessee, and Maggi Duncan,...
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Baby courts: A proven approach to stop the multigenerational transmission of ACES in child welfare; new efforts to establish courts nationwide
The organization Zero To Three estimates that in the U.S., a child is taken into the child welfare system every six seconds. “Many of society’s most intractable problems can be traced back to childhood adversity. Being in the child welfare system increases the likelihood of more adversity and criminality. Baby court is a proven approach to healing the trauma of both child and parent, and breaking the cycle of maltreatment,” says Mimi Graham, Ed.D ., director of the Florida State University...
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Does VP Candidate Kamala Harris know about ACEs? You bet!
Nadine Burke Harris, California’s Surgeon General, has a lot in common with the vice presidential candidate Kamala Harris—Jamaican heritage, surname, home state—and a commitment to addressing ACEs and toxic stress. As reported in the New Yorker article by Paul Tough, “The Poverty Clinic,” Dr. Harris told Kamala Harris, then San Francisco district attorney, about ACEs in 2008 and in response, she offered to help. District Attorney Harris then introduced her to professor of child and...
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NIHB Launches Adverse Childhood Experiences (ACES) Hub
The National Indian Health Board, in collaboration with CDC, has launched a new resource hub! Many Tribal individuals, families, and communities have been impacted by childhood experiences causing physical and mental health adversities throughout the lifespan. However, with understanding and effort, individuals and communities can confront Adverse Childhood Experiences (ACES) for positive health outcomes. This information hub, launched by the National Indian Health Board includes a "resource...
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New ACEs initiatives learn about strategic plan development from from New Hanover (NC) Resiliency Task Force executive director Mebane Boyd
The desire to see other ACEs initiatives grow and flourish was evident at a recent meeting of the Resilient Columbus County (North Carolina) ACEs initiative when Mebane Boyd, executive director of the New Hanover Resiliency Task Force (also in North Carolina), shared with the Columbus County and neighboring Pender County groups how New Hanover created and works on its strategic plan. In the spirit of sharing, Boyd agreed to let ACEs Connection post the strategic plan and the video of the...
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The Best for our Children: Considering ACEs in Voter Engagement.
The presidential race is a big-ticket item, but hundreds of other state and local races will impact critical issues like school funding, childcare and early education, nutrition programs, and health care. Every seat in the NC General Assembly is on the ballot, along with the Governor’s race, a US Senate seat, congressional races, and more. When it comes to elevating the importance of racial equity, voting is vital to make marginalized voices heard. Policies and systems can be changed by our...
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Hope and Progress, No Matter What! — an ACEs Connection/Cambia Health Foundation “Better Normal”, Oct. 22, 2020
The election is upon us. In two short weeks, we voters in this country decide who will lead us for the next four years. We have the opportunity to embrace — as a national priority — the tenets of understanding, nurturing and healing that underlie the science of adverse childhood experiences and move in a direction that embraces cultural and racial equity and anti-racism. Or not.
What is clear is that no matter what, the ACEs movement will continue.
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"A Better Normal" Community Discussion: Suicide Awareness and Community Cafes
Join us on Friday November 6, 2020 from noon to 1:00 PST as we come together and join Satya Chandragiri MD, Bonnie O’Hern RN, Denise Proudfoot RN, & Michael Polacek RN for a discussion around the tender issue of suicide. Together we will discuss ways people and providers can support each other and encourage communities to take action to support one another around suicide prevention, crisis intervention, and the layers of culture and structural barriers to care. A special emphasis will be...
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The Pandemic Is Raging. Here's How to Support Your Grieving Students [edweek.org]
By Brittany R. Collins, Education Week, November 12, 2020 Over the past few decades, trauma-informed teaching has gained ground in the United States, yet rarely is grief included in the conversation. In the midst of a global pandemic, with teachers and students confronting loss in and outside the classroom in new and myriad ways, it is more critical than ever to apply a grief-sensitive lens to our conversations about curricula and trauma in the school system. We are not the people we were a...
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Opportunity to sign on to “A Trauma-Informed Agenda for the First 100 Days of the Biden-Harris Administration”—Deadline Dec. 8th
The Campaign for Trauma-Informed Policy and Practice ( CTIPP ) is inviting individuals and organizations to express their support for a set of executive actions for the Biden-Harris Administration to take “to address trauma and build resilience throughout the country.” Most of these actions could be taken early in the Administration and would not require congressional action with the exception of some recommendations that could be included in a new stimulus package. The recommendations are...
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Whole People Watch Weekend on ACEs Connection (Dec. 11th - 13th)
The Transform Trauma with ACEs Sciences FREE Film Festival continues this weekend. Please join us to watch parts 1, 2, and 3 of the PBS Whole People series at your convenience, on ACEs Connection, by clicking play on the videos below: Whole People | 101 | Childhood Trauma | Episode 1 (27 min) Preview: Whole People | 102 | Healing Communities | Preview | Episode 2 Whole People | 102 |Healing Communities Episode 2 (27 min) Whole People | 103 |A New Response | Episode 3 (27 min) This is one of...
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ACEs Connection/CTIPP Southeastern Leaders’ call: State updates, funding information, and “mind-blowing” information about helping people out of poverty
Southeastern ACEs Connection and national CTIPP leaders on the quarterly leader call welcomed guest speaker Rebecca Lewis-Pankratz (top left) for their quarterly call. Also among those present were (top row l-r) Carey Sipp, Jesse Kohler, Jesse Hardin, (second row, l-r) Patti Tiberi, Mebane Boyd, Jen Drake-Croft, Dan Press, (third row, l-r) Mimi Graham, Christopher Freeze, Margaret Stagmeier, (fourth row, l-r) Emily Marsh, Liz Peterson, Alyssa Koziarski and Janet Pozmantier. Also present was...
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Join Special Guest Father Paul Abernathy for a Zoom Discussion on March 16th, at 7p.m. EST to discuss the Whole People Documentary Series and Trauma-Informed Community Development
On behalf of ACEs Connection , the CTIPP (The Campaign for Trauma -Informed Policy & Practice), and the Relentless School Nurse , we want to invite you to the streaming of parts 4 and 5 of the Whole People documentary series on the weekend o f M arch 12th through March 14th, 2021. We will stream both parts on ACEs Connection in the Transforming Trauma with ACEs Sciences Film Festival community. The documentary viewing will be followed by a discussion with special guest, Father Paul...
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North Carolina to infuse ACEs science into state judiciary system
Plans to integrate practices and policies based on the science of adverse childhood experiences in North Carolina’s 4,000-person,100-county statewide judiciary were announced today. Jon David, district attorney for North Carolina’s 15th District, and District Court Judge Quintin McGee of the same district revealed plans to work with North Carolina Chief Justice Paul Newby and Administrative Office of the Courts Director Andrew Heath to create a statewide commission focusing on the science of...
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We’ve changed our name to PACEs Connection!
We have some very exciting news! As of today, ACEs Connection is now PACEs Connection. PACEs stands for Positive and Adverse Childhood Experiences.
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A Better Normal Friday, March 26, 2021: PACEs and HOPE with Dr. Christina Bethell
Please join us for our next installment of A Better Normal, our live webinar series in which we imagine and create our society as trauma-informed! You may have seen we changed our name recently from ACEs Connection to PACEs Connection. Please join us to learn all about the groundbreaking research of Positive Childhood Experiences and how this is going to transform the work we are all doing. >>Click here to register<< PACEs and HOPE Live Event Friday, March 26, 2021 Noon PT / 1pm...
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ACEs Parent Handouts & ACEs One Pagers & Link to GRC (UPDATED 4/28/21)
We have so many wonderfu https://www.acesconnection.com/fileSendAction/fcType/0/fcOid/508261416693856202/filePointer/508261416693856263/fodoid/507698389112989542/Coping%20With%20Stress%20During%20the%20COVID-19%20Pandemic%20One-Pager_Accesible_English.pdf l resources shared by members. However, a few of you have asked me for help in retrieving them. Here's several of the most commonly shared ACEs handouts, info graphics and one pagers, with links to download. PLEASE share yours! I'm working...
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North Carolina launches first-in-the-nation statewide task force on ACEs-informed courts
(l-r) Judge Andrew Heath, Chief Justice Paul Newby, District Attorney Ben David Plans to integrate practices and policies based on the science of adverse childhood experiences in North Carolina’s 6,500-person,100-county statewide judiciary were announced today by Chief Justice Paul Newby. The announcement featured a presentation by Ben David, district attorney for North Carolina’s 13th District, that focused on building community health, the science of adverse childhood experiences (ACEs),...
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2011-2021—A decade of steady growth in ACEs and TI laws and resolutions in the states
In 2019 and 2020, dozens of states enacted nearly 60 laws and resolutions that reference adverse childhood experiences or trauma. In this post, there's an interactive map that shows them all.
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Four North Carolina resiliency initiatives join the PACEs Connection Cooperative of Communities—thanks to the United Way
Members of the four Cape Fear Area resiliency initiatives celebrate their joining the PACES Connection Cooperative of Communities and thank United Way - Cape Fear Area leadership for "leaning in" on the work being done to prevent and heal childhood trauma, and build on positive childhood experiences to create individual, family and community resilience. The United Way-Cape Fear Area (UW-CFA) board of directors has voted to fund four North Carolina resiliency initiatives to join the PACEs...
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The Wait is Over! - The Vital Village NOW Playbook [vitalvillage.org]
Please make a commitment to personal use ONLY! NOW Playbook Transformative Community Capacity to Advance Equity We are excited to share the Vital Village Networks of Opportunity for Child Wellbeing (NOW) Playbook . The NOW Playbook is a resource guide designed to provide tools for local leaders, community coalitions and networks, educators, practitioners, and policymakers working to promote the wellbeing of children and families, advance equity, and align systems of care and education in...
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Blue Cross NC Forms New Foster Care Advisory Council for Healthy Blue, Enhancing Commitment to Trauma-Informed Care Delivery Across the State
New council will advise Healthy Blue Medicaid plan for a seamless system of care DURHAM, N.C. – Building on its ongoing commitment to improve the health and well-being of children and families in foster care across the state, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has formed a new Foster Care Advisory Council to work with and advise its Healthy Blue Medicaid plan. The Advisory Council will serve as a valuable resource in ensuring those in foster care are receiving the...
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Trauma-Informed Early Childhood Initiatives [CTIPP]
CTIPP CAN Call - Trauma-Informed Early Childhood Initiatives - September 15th, 2-3:30pm ET/11am-12:30pm PT - Join Zoom Meeting: https://us02web.zoom.us/j/742183645 Meeting ID: 742 183 645 One tap mobile +19292056099,,742183645# US (New York) Please join us for next week's CTIPP CAN Call, which will focus on building mental well-being for infants, toddlers and preschoolers and the adults who care for them. This month's presentation will feature Drs. Kaitlin Mulcahy and Gerry Costa, and Kelly...
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NC Child Legislative and Policy Update call 11 a.m. EST, Fri. Sept.10, 2021
Special NC Child Legislative Update: COVID Delta Variant & Children Presenters: Dr. Zack Moore, State Epidemiologist & Dr. Kelly Kimple, Women’s & Children’s Health Section Chief Friday, 9/10, 11:00 am All Friday updates will be provided live in both English and Spanish. Sign up here to attend. 2021 NC Statewide Virtual Policy Institute The NC Collaborative for Children, Youth, and Families and Prevent Child Abuse NC announce that registration for the 2021 Policy Institutes is...
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FREE WEBINAR - The Impact of Mind Matters: Preliminary Evidence of Effectiveness in a Community-Based Sample
Becky Antle, Ph.D., Professor of Social Work and esteemed University Scholar at the University of Louisville, won The Dibble Institute’s national competition to evaluate Mind Matters: Overcoming Adversity and Building Resilience in 2019. As a result, Dr. Antle and her colleagues have conducted a randomized controlled trial to examine the impact of Mind Matters on a host of outcomes related to trauma symptoms, emotional regulation, coping and resiliency, and interpersonal skills for at-risk...
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Supporting Mental Well-Being through Child Care Settings - 9/30, 1:30-3:00 ET
A webinar offered by the Campaign for Trauma-Informed Policy and Practice (CTIPP) Thursday, September 30, 1:30 - 3:00 pm EDT Register today . Addressing the mental health needs of child care providers and children in care is vital in the face of the pandemic, a population-level traumatic event. CTIPP is offering a "plug and play" framework to ease the process of developing a continuum of training, reflective coaching, and consultation to build the capacity for supporting relational health...
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Path to a Just Society: Our new infographic shares common language and an aspirational path.
Our version of a “Path to a Just Society” is our first attempt at creating a common language and identifying points along the path to a just society. The Race and Equity workgroup of PACEs Connection started the project in early 2021, following a staff meeting where we realized that we, our organization and the movement needed this. We think it can help all of us gauge where we are, where we want to be, and what’s needed to get to the next level of integrating practices and policies based on...