Tagged With "ACEs"
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Re: Survey: Healthcare providers, community organizations weigh in on California's ACEs screening program
Sarah thanks for reading the report and sharing your insights! These are exactly the kinds of conversations we hoped to spark with this effort. One of the disadvantages of using a convenience sample, and a short survey window, is that we may not have tapped into a full range of views. Knowing that the Office of the Surgeon General would soon launch ACEs Aware and that the clinical reimbursement program for ACEs screening would begin, together with the backbone of 4CA, we thought it was...
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Re: 5 Things to Know as California Starts Screening Children for Toxic Stress [californiahealthline.org]
And, after asking about these experiences, the asker (physician, screener, etc.) should be ready to refer the child to a skilled trauma therapist.
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Re: 5 Things to Know as California Starts Screening Children for Toxic Stress [californiahealthline.org]
As always, Dr. Finkelfor says things others might be too afraid to say: Here he points out that although it's a good thing to recognize the impact of adversities on child wellbeing, we are moving too fast and don't yet know what best practices are. He cautions that this could have "disastrous consequences.” It flies in the face of trauma informed care to possibly add injury to those already burdened with adversity.
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Re: 5 Things to Know as California Starts Screening Children for Toxic Stress [californiahealthline.org]
I am new to this community. I completely understand the worry for this overloading the current system. We are beginning a full fledged systems change for medical care, because the research demands that we pay attention to what we now know about ACEs, serious health risks and an attack on resiliency. We need everyone to be versed in trauma and resilience language and actions. My passion is in understanding and maximizing resiliency across the lifespan. I think Dr. Finkelfor is right, there...
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Re: California has Begun Screening for Early Childhood Trauma, But Critics Urge Caution [sciencemag.org]
Screenings alone won't prevent adverse childhood experiences. Physical, sexual, verbal, and psychological child abuse as well as a host of other parenting behaviors and practices generally recognized as not supporting and/or disrupting the healthy development of children are such a serious problem that the solution requires a public health approach that employs primary prevention...something Vincent Felitti, co-author of the ACE Study, has repeatedly called for.
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Re: 8 Myths About Screening For Adverse Childhood Experiences
Physical, sexual, verbal, and psychological child abuse as well as a host of other parenting behaviors and practices generally recognized as not supporting and/or disrupting the healthy development of children are such a serious problem that screenings should accompany a public health approach that employs primary prevention...something Vincent Felitti, co-author of the ACE Study, has repeatedly called for.
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Re: Parent with ACEs: Is it Time to Change Your Parenting Playbook [sfbayview.com]
Perhaps it is time to take Dr. Felitti's advice and begin seeking ways to improve the overall quality of parenting in communities.
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Re: Trauma-Informed Care as a Universal Precaution: Beyond the Adverse Childhood Experiences Questionnaire [jamanetwork.com]
As an internist, I have no experience using the ACE Study findings in pediatrics, but I can share our experience integrating the ACE findings into adult medicine. An unusual Preventive Medicine Department at Kaiser Permanente in San Diego was providing highly comprehensive medical evaluation to 58,000 adults a year. Step 1 of this process involved filling out a quite lengthy medical history questionnaire at home. The ACE questions were integrated into this for 440,000 consecutive adult...
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Re: Providing Trauma Informed and Resilience Focused Seminars for Correctional Officers
Thank you for sharing this, Phil! Dave is a passionate ACEs champion and I love seeing him speaking with correctional officers. Not only do they likely encounter folks with ACEs, and experience secondary or vicarious trauma ... frequently those in the "helping professions" have had similar ACEs experiences while they were growing up. Love the participant quote and all the photos! Thanks for sharing, Karen
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Re: ACEs and Our Day with Dr. Vincent Felitti
Learning of the ACEs Study was hugely helpful to my "true" recovery from bulimia.
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Hannah Sherfinski: Breaking the silence: Identifying youth in need through trauma screening [madison.com]
By Hannah Sherfinski, The Cap Times, June 1, 2020 For two months, our country has been enduring the effects of COVID-19. With over 1 million COVID-19 cases reported in the U.S. and over 30 million Americans filing for unemployment, many of us are panic-stricken about our future physical, mental, social and financial well-being. Worst of all, we must cope with these fears in isolation. These intense feelings of uncertainty and desolation may trigger the body’s instinctual fight, flight or...
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Opinion: We Need a Safety Net for Children Experiencing Toxic Stress [calhealthreport.org]
By Jim Hickman, California Health Report, June 8, 2020 We need to invest in the safety-net institutions that serve and support our most vulnerable now and during times of crisis. COVID-19 is decimating our fragile, unfunded and outdated safety net, and the vital links between families and their local economic, health and social supports. The pandemic has made “underlying conditions” the new code phrase for the social and health inequities disproportionately impacting black and brown...
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I found my voice and I am going to use it
People are angry. Angry about institutional racism, angry about racial profiling, angry about police brutality, and angry about so many other displays of inequity that are happening in our country. People of color have always been marginalized in our society and people of all colors are finally saying enough is enough.
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Join the Movement: Become ACEs Aware [acesaware.org]
By ACEs Aware, June 2020 As you likely know, ACEs Aware offers a free, online training for providers interested in learning more about screening for ACEs and responding with trauma-informed care. The training provides two Continuing Medical Education and Maintenance of Certification credits. The training is case-based, including cases for pediatric, internal medicine, family medicine, and women’s health providers. Medi-Cal providers who take this training and complete the simple attestation...
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CME/CE/MOC Now Available for CYW Online ACEs Course! [centerforyouthwellness.org]
From Center for Youth Wellness, June 24, 2020 Great news! You can now receive CME credits and MOC points for taking Center for Youth Wellness’ online learning courses. Receive 1.5 CME credits for ACEs: The Science & Foundational Framework , which lays out evidence for how exposure to adverse childhood experiences (ACEs) and toxic stress impacts the brain and causes multi-systemic effects. This course will enable you to: Describe the link between ACEs, additional adversities and toxic...
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Northern California Youth Listening Sessions: Hearing the Voices of Youth Involved in the Foster Care and Juvenile Justice Systems
https://static1.squarespace.com/static/58eeb29cdb29d6de1df8ac76/t/5ed85f5b4c61935658893996/1591238520469/Youth+Listening+Sessions+Report.pdf Justin Martinez, 29, will be a first-generation graduate when he earns his psychology degree from San Francisco State University this month. Martinez was formerly a foster child and shared his story at a Youth Listening Session , an event where young people in the foster care and juvenile justice systems engage in honest dialogue and self-expression.
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Watch the Webinar: “Fundamentals of ACE Screening and Response in Pediatrics” [acesaware.org]
From ACEs Aware, July 1, 2020 ACEs Aware hosted a webinar on June 24th – “ Fundamentals of ACE Screening and Response in Pediatrics. ” You can watch the webinar at ACEsAware.org . Dr. Burke Harris and three other health care providers walked through two case studies to show how ACE screening can impact their clinical decision-making. Panelists: Nadine Burke Harris, MD, MPH, FAAP – California Surgeon General Lisa Gutiérrez Wang, PhD – Director of Children’s Behavioral Health, Santa Cruz...
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Child Life specialists empower kids in hospitals, disasters and now the pandemic
In late May, Betsy Andersen’s 7-year-old son, Ezra, had a serious meltdown. He and his six-year-old sister Abby had been enjoying an online Zoom interaction with “Miss Eileen,” “Miss Savannah,” a couple of their colleagues, and a puppet. Betsy Andersen “I could see him trailing off and then he started crying,” says Andersen, who lives in Mundelein, Illinois. But before she swooped in, she heard Miss Eileen talking to him: “She was saying ‘Hey, I see you’re having some big emotions.” Speaking...
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How a Pandemic Could Advance the Science of Early Adversity [jamanetwork.com]
By Danielle Roubinov, Nicole R. Bush, and W. Thomas Boyce, JAMA Pediatrics, July 27, 2020 The reach of the coronavirus disease 2019 (COVID-19) pandemic is global, a health crisis with a ubiquity never before experienced. While the physical health consequences of COVID-19 appear to affect proportionally fewer children compared with adults, its psychosocial consequences may be magnified within families who consistently weather a landscape of severe stressors or adverse childhood experiences...
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Emergency departments look inward to deepen practices that support traumatized patients
An interdisciplinary team of clinicians from Brigham and Women’s Hospital had a bold idea in 2017. They would completely change the way things worked in their hospital’s emergency department so that the care provided to their patients was infused with a trauma-informed approach. That means recognizing how widespread trauma is and using a myriad of techniques to mitigate its harmful effects among patients, providers and staff. The realization of just how widespread trauma is came to light in...
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This wasn't the first time
Going out to buy groceries, going out for a walk, driving your kid back home from school. For most people these activities are normal, everyday things with little to no excitement, as they should be. Unfortunately, getting food, exercising, and supporting my son’s education have been a little more out of the ordinary for me. You see, I am a Mexican Indigenous man, brown skin, shaved head. My ethnicity and physical appearance are by no means unusual, especially in the part of the country...
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What are ACE scores and why do they matter? [redding.com]
By Nada Atieh, Redding Record Searchlight, August 4, 2020 When Kaiser Permanente and the U.S. Centers for Disease Control and Prevention launched the study to measure Adverse Childhood Experiences (ACE) levels in Shasta County in 2012, the results they found were striking. The ACE study examined categories of childhood physical and emotional abuse and neglect. It measured household dysfunction — including domestic violence, mental illness and substance abuse — that create toxic stress...
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Childhood Maltreatment and Suicidality [jamanetwork.com]
By Brett Burstein and Brian Greenfield, JAMA Network Open, August 5, 2020 In JAMA Network Open, Angelakis et al have conducted an important exploration of adverse childhood experiences (ACEs) and their association with suicide in the pediatric age group. The authors have undertaken a meta-analysis to quantify the association between ACEs and suicide ideation, attempts, and plans, offering odds ratios (ORs) to elucidate the relative contribution of several core ACEs to eventual suicidal...
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Re: This wasn't the first time
I am so sorry this happened to you, Rafael, and as a person who also experienced 9 of the 10 ACES want to thank you so deeply for sharing, not only this personal blog but also all you share with us through ACES Connection. I can't even tell you how many of the articles and resources you've recommended over the past few months I've incorporated into teaching students (U Redlands School of Continuing Studies intersectional LGBTQ+ Leadership certificate program, just launched this year -- most...
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Re: This wasn't the first time
It makes my heart ache that this happens to you and countless others. Thank you for being vulnerable enough to share. Blessings
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$350,000 in Grants Will Help Local Groups Respond to Traumatic Childhood Experiences [noozhawk.com]
By Maria Zate, Noozhawk, August 13, 2020 Pediatric Resiliency Collaborative (PeRC) and KIDS Network of Santa Barbara County have received a total of $350,000 in grant funds from the Office of the California Surgeon General and the Department of Health Care Services to participate in the state’s Adverse Childhood Experiences (ACEs) Aware initiative. ACEs Aware grants are funding the organizations to design and implement training and education activities for providers and organizations that...
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Five Organizations Addressing ACEs in Asian American Communities
NOTE: This summer, the Center for Youth Wellness was extremely proud to host intern Alan Huang, a rising Senior at UC Berkeley double-majoring in Neurobiology and Music. During his internship through the Boston Consulting Group Ambassador program, Alan wrote the following post about ACEs in the Asian American community. Although the link between adverse childhood experiences and subsequent health outcomes has been well-established, there is still much that is unknown about the nuanced...
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The Catalyst Center seeks to hire an ACEs Champion!
The Catalyst Center seeks to hire a dynamic Technical Assistance and Training Specialist! The Technical Assistance and Training Specialist is a dynamic position that will be an integral part of a small staff team who implements projects that help the Catalyst meet its mission. The Technical Assistance and Training Specialist, under the supervision of the Director of Strategic Initiatives, will be responsible for acting as the subject matter expert for trauma-informed and prevention care,...
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Painful Questions [imprintnews.org]
By Karen De Sa and Nadra Nittle, The Imprint, August 18, 2020 Has your child ever lived with a parent or caregiver who went to jail or prison? Has your child’s parent or caregiver ever had depression, schizophrenia, bipolar disorder or anxiety? Have caregivers struggled with too much alcohol, street drugs or prescription meds? Has any adult in the household ever hit your child so hard that it left marks? Has anyone had oral, anal or vaginal sex with your child? These are among 17 questions...
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Wellness navigators in clinics screening for ACEs help prevent crises in patients' lives
A patient came into the Goleta location of the Santa Barbara Neighborhood Clinics pleading with people at the front desk to speak to Mayra Garcia, a wellness navigator at the clinic, despite not having an appointment. The clinic is part of a network of four clinics in the Santa Barbara region of California that serve mainly patients on Medi-Cal, the state’s Medicaid program, or patients who are uninsured. Mayra Garcia “She was crying. Her husband had been deported. She couldn’t pay the rent,...
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ACEs Aware Seeking Applicants to Support Clinical Work [acesaware.org]
ACEs Aware Seeking Applicants to Support Clinical Work Apply by September 15, 2020 ACEs Aware , led by the Office of the California Surgeon General (CA-OSG) and the California Department of Health Care Services (DHCS), is hiring for three new positions to further the mission of supporting Medi-Cal providers across California with training, clinical protocols, and payment for screening children and adults for Adverse Childhood Experiences (ACEs). Aurrera Health Group is the project management...
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The Resilient Beginnings Network Is Taking Grant Applications - Due Date September 18th
Interested SF Bay Area safety net organizations can apply for funding to participate in this three-year program on resilience and trauma-informed care.
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SAVE THE DATE!: Assessing Readiness and Building Resilience in the Clinical Workforce: A Foundation for ACE Screening Integration [acesaware.org]
Save the date for the next ACEs Aware webinar: "Assessing Readiness and Building Resilience in the Clinical Workforce: A Foundation for ACEs Screening Integration." Wednesday, September 30, 2020 [Registration link to come.]
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CCCAOE Conference Sept 30-Oct 2 info
It's the CA Community College Assoc for Occupation Education conference! Keynote Speaker, Susan Jones of Creative Behavior Systems The impact of ACEs on children can manifest in difficulties focusing, self-regulating, trusting others, and can lead to negative cognitive effects. One study found that a child with 4 or more ACEs was 32 times more likely to be labeled with a behavioral or cognitive problem than a child with no ACEs. CCCAOE is looking for ways to educate participants about ACEs...
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ACEs Aware Invests in Santa Barbara County, CA
September 10, 2020 Resilient Santa Barbara County is proud to support the efforts of the statewide ACEs Aware initiative, led by the California Department of Health Care Services and the Office of the California Surgeon General. This initiative seeks to change health outcomes and save lives by helping Medi-Cal providers understand the importance of screening for Adverse Childhood Experiences (ACEs) and responding to patients with trauma-informed care. ACEs Aware offers Medi-Cal providers...
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ACEs screening pilot in L.A. County pivots, troubleshoots barriers to remote visits
This story is part of an occasional series about California-based pediatricians who are incorporating ACEs screening into their practices. In the first installment published in May, which you can find here , Dr. Amy Shekarchi and other team members had just launched their ACEs screening by phone. A community health worker from a clinic affiliated with Los Angeles County’s Department of Health Care Services recently called a teenage patient to find out if she ever felt unsafe in her home or...
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San Diego Organizations Work Together To Shed Light on Adverse Childhood Experiences (ACEs)
SAN DIEGO – The American Academy of Pediatrics, California Chapter 3 (AAP-CA3 ) together with YMCA of San Diego County , San Diego State University Social Policy Institute and San Diego Accountable Community for Health (SDACH) are joining forces as ACEs Aware grantees to assist San Diego Medi-Cal providers screen and treat Adverse Childhood Experiences (ACEs) and toxic stress. The ACEs Aware initiative is a first-of-its-kind effort led by the Office of the California Surgeon General and the...
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ACEs Aware Virtual Professional Learning Collaborative for School-Based Health Center Medi-Cal Providers
With funding from the ACEs Aware Initiative, Education Training and Research (ETR), the California School-Based Health Alliance (CSHA), and consultants, Drs. Naomi Schapiro and Victoria Keeton, are partnering to host a 6-session, virtual professional learning collaborative with a cohort of 8 licensed Medi-Cal Providers from School-Based Health Centers (SBHCs) across California operated by community health centers and Federally Qualified Health Centers (FQHCs). Please see the attached...
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'A Better Normal:' Can universal ACEs screening be equitable? -- Concerns and solutions
Can universal ACEs screening be equitable? A conversation about concerns and solutions. When: Tuesday, Oct. 13, 2-3:30 pm PDT/5-6:30 pm EDT This webinar explores what it takes to ensure that equity is built into the process of screening and providing support for families who have experienced trauma and want help. REGISTER HERE Background At the beginning of this year, California, through the ACEs Aware initiative began rolling out universal screening for adverse childhood experiences (ACEs),...
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Northern California clinic pilots ACEs screening, focuses on equity
This story is part of an occasional series where we check in with physicians who are launching ACEs screening in California. This is the first snapshot of the Solano County Family Health Service’s pilot in its Vacaville Clinic. In 2017, Dr. Shandi Fuller, a pediatrician at the Solano County Family Health Services in Northern California, was inspired by the groundbreaking film Resilience: The Biology of Stress & The Science of Hope , which reinforced her belief in the importance of...
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CALQIC Announces Grantees for its ACEs Learning and Quality Improvement Collaborative for 2020-2021 [careinnovations.org]
The Center for Care Innovations and our partners are pleased to announce the grant recipients of the California ACEs Learning and Quality Improvement Collaborative (CALQIC). Led by the UCSF Center to Advance Trauma-Informed HealthCare in partnership with CCI, the California Office of the Surgeon General, and the Rand Corporation, CALQIC is the learning and quality improvement arm of ACES Aware, the initiative led by the Office of the California Surgeon General and the Department of Health...
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'I don’t know how we can really achieve racial equity if we’re not hearing the voices of those whom we hope to serve'
Dr. Shandi Fuller recalls that when she first assembled an all-staff meeting at the Solano County Family Health Services to show how equity and ACEs screening should go hand in hand, some staff members were bewildered. “Why are we talking about equity?” they asked. As Fuller explained to attendees at “A Better Normal,” an ACEs Connection webinar on Oct. 13, the question led her and a colleague to develop training for medical providers on this concept. The webinar was also based on extensive...
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New California preventive mental health coverage puts ACEs science front and center
A mother, frantic with worry, brought her newborn in for a checkup at the pediatric clinic at San Francisco General Hospital. But there wasn’t anything wrong with the baby. And over the next several months, no amount of reassurance could convince the mom that her child was eating, sleeping and growing just fine. If anything, the mother’s worry led to behavior that raised alarm bells for her health care providers. Dr. Kate Margolis “[The family] wasn’t returning calls from the provider, and...
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Social Science Framework Focuses Attention on Policy Initiatives to Reduce Childhood Adversity in California
An important report challenges California policy makers to move well beyond ACEs screening in order to achieve the state's "bold goal" of reducing exposure to childhood trauma. The report employs a broad social science framework to examine the sources of adversity in systemic racism, economic inequality, environmental hazards, and inadequate community resources to support community resilience.
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Re: New California preventive mental health coverage puts ACEs science front and center
Beautiful.
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Sharing the Virtual Space: A Reflection on the ACEs Aware Care Network Tri-County Leadership Convening
On Monday, October 19, 2020, over 60 leaders from Ventura, Santa Barbara, and San Luis Obispo Counties virtually gathered to begin weaving connections at the Tri-County ACEs Aware Care Network Leadership Convening. Under the guidance of Barbara Finch (SBC Department of Social Services, KIDS Network), Terri Allison (Moonlit Consulting), and Carl Palmer (LegacyWorks Group), participants came together with the intention of learning about local implementation of the ACEs Aware initiative,...
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Re: Sharing the Virtual Space: A Reflection on the ACEs Aware Care Network Tri-County Leadership Convening
Thanks for letting us know about this inspiring meeting, Hanna!
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Trauma Informed Care during COVID 19: Webinar
Trauma-Informed Care During COVID-19: Key Concepts and Applications for Frontline Providers November 19 th , 2020 6:00 PM – 7:30 PM EST https://sgim.users.membersuite.com/events/0a004b4d-0078-c579-d848-8a9912649d81/details Join us for an in-depth look at how trauma and adverse childhood experiences impact the health of individuals and minority populations, particularly the impact during COVID-19. The COVID 19 pandemic is traumatic in itself. As clinicians, we have seen its effect,...
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From Wildfires to Childhood Trauma, a Resilience Cooperative Transformed the Way Clinics Face the Unthinkable
What helped Sonoma health center staffers navigate one catastrophe after another was what they had learned about trauma in the Resilient Beginnings Collaborative.
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Seeking Interviewees for ACEs Aware Dissertation
Hello ACEs Connection Community! My name is Skylar Hanson, I am a Doctor of Public Health candidate at Claremont Graduate University in Southern California. The focus of my dissertation is on the implementation of California's ACEs Aware Initiative and how the initiative navigated and responded to the needs of a COVID-19 impacted society (as well as other stressors of this year). I have been interviewing a range of participants from backgrounds of family medicine, pediatricians, social work,...