Tagged With "violence risk factors"
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1/3 of CA children who need mental health treatment fail to receive it
Thirty-seven percent of California children who need mental health treatment failed to receive it, according to the most recent data available on kidsdata.org. Madera, Merced, Monterey, and Tulare counties had the lowest rates of all counties with available data, with nearly half of children who need mental health treatment failing to receive it in the previous 12 months. Screening, early identification, and treatment are critical, as untreated mental illness can disrupt children’s...
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2018 Humboldt County Community Health Assessment
If a health outcome is seen to a greater or lesser extent between groups of people, there is a disparity. Each year in Humboldt County hundreds of individuals die unnecessarily from preventable diseases and conditions. Tackling this issue requires a broad public health perspective, addressing all of the determinants of health: access to care, racism (and other “isms”), personal behavior, social and physical environments, policies and education. Humboldt County as a whole suffers a health...
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2019 Economics of Child Abuse in Mendocino County
Mendocino recently shared 2019 data related to the economic impacts of child abuse. The attached documents are in a printable format.
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37th Annual Child Abuse Prevention Symposium Recap
"Speak Out! Confronting the Culture of Child Sexual Abuse and Secrecy" was the theme of Santa Clara County's 37th Annual Child Abuse Prevention Symposium which featured a Keynote conversation with Olympic Gold Medal winning gymnast and current UCLA Assistant Gymnastics Coach Jordyn Wieber. Jordyn, and other athletes and survivors of former USA Gymnastics team doctor and serial child sex abuser Larry Nassar, earlier spoke to a U.S. Senate Subcommittee about a “culture of silence” more...
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4th Annual Bay Area Maternal Mental Health Conference
By UCSF Continuing Medical Education, December 12, 2019 This is the fourth annual conference here in the Bay Area focusing on maternal mental health and well-being, with speakers from throughout the area covering important topics that will improve the care our patients are receiving. We welcome anyone with a personal or professional interest in maternal mental health. Participants will: Review the state of the current opioid crisis in this country and learn about tools to help identity...
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5 Things to Know as California Starts Screening Children for Toxic Stress [californiahealthline.org]
By Barbara Feder Ostrov, California Healthline, January 7, 2020 Starting this year, routine pediatric visits for millions of California children could involve questions about touchy family topics, such as divorce, unstable housing or a parent who struggles with alcoholism. California now will pay doctors to screen patients for traumatic events known as adverse childhood experiences, or ACEs, if the patient is covered by Medi-Cal — the state’s version of Medicaid for low-income families. The...
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A fast, easy way for pediatricians to screen kids for ACEs...and other health issues
Last November, the California Department of Managed Care gave its stamp of approval to a new version of Whole Child Assessment 2.0 , a tool that screens for children’s adverse childhood experiences (ACEs). It was recommended as part of recently passed legislation calling for trauma screening for children in California. But the Whole Child Assessment 2.0 (WCA) does more. It also queries patients about other critical safety and health issues, including whether they have enough to eat, whether...
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A Guide to Increase Mental Health Services for Students - Project Cal-Well, CA Dept of Education, 2018
This guide is created by Project Cal-Well, with input from the Student Mental Health Policy Workgroup, to assist schools and districts to build capacity to better address mental health challenges among students. Learn about Project Cal-Well See Guide attached.
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A Health Problem and An Opportunity: Screening for Adverse Childhood Experiences [medium.com]
By Dayna Long, Medium, May 19, 2020 A consensus of scientific research demonstrates that cumulative adversity, especially when experienced during critical and sensitive periods of development, is a significant contributing factor to some of the most harmful, persistent, and expensive health challenges facing our nation. Adverse Childhood Experiences (ACEs) are highly prevalent, experienced in all communities, and are likely to increase during the COVID-19 emergency [i] [ii] [iii] [iv] [v].
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A Message to California Health Care Providers About COVID-19 and Toxic Stress [acesaware.org]
By Nadine Burke Harris and Karen Mark, ACEs Aware, March 30, 2020 Our global community is facing confusing and uncertain times. As the unprecedented novel coronavirus continues to spread, the health and safety of our nearly 40 million Californians is the number-one priority for our state, the Office of the California Surgeon General, and the Department of Health Care Services (DHCS). This includes the physical, mental, and psychological well-being of all individuals. As the crisis deepens,...
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A National Agenda to Address Adverse Childhood Experiences
What are ACEs and Why Do They Matter? In 2016 1 , nearly half of U.S. children – 34 million kids – had at least one Adverse Childhood Experience (ACE) and more than 20 percent experienced two or more. The new brain sciences and science of human development explain how ACEs can have devastating, long-lasting effects on children’s health and wellbeing. These events resonate well beyond the individual child to have far-reaching consequences for families, neighborhoods, and communities. ACEs...
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A Smarter System: Addressing Social Determinants of Health as a Cost-Saving Measure
by Edward Schor, MD, Senior Vice President at the Lucile Packard Foundation for Children’s Health The importance of social factors in determining individuals’ health status and their use of health care services has been receiving increasing attention. A recent report from the Bipartisan Policy Center suggests that opportunities to control health care costs reside primarily in addressing patients’ social and behavioral care needs. The report lays out the arguments for integrating social and...
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A Trauma-Informed Approach to Supporting Families Impacted by Addiction
RFQ ANNOUNCEMENT: Celebrating Families! California Expansion Project Update: Due to the expanding ACEs response in California, and subsequent interest in Celebrating Families! we are extending the due date for proposals to May 24 th. Invitation to Expand Celebrating Families!™ Statewide The California State Office of Child Abuse Prevention (OCAP) recognizing the effectiveness of Celebrating Families! (CF!), has awarded Prevention Partnership International (PPI) a $100,000, 2-year challenge...
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Attorney General Kamala D. Harris Unveils Bureau of Children’s Justice
LOS ANGELES On February 12, 2015, Attorney General Kamala D. Harris unveiled the Bureau of Childrens Justice within the California Department of Justice that will work to ensure all of Californias children are on track to meet...
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Bad childhood experiences can make us unhealthy [Sacbee.com]
Vincent Felitti, a Kaiser Permanente physician in San Diego in the 1990s, had a radical idea. Instead of just asking patients about their symptoms, what would happen if doctors asked them about their childhoods? His hypothesis, built on a hunch informed by experience, was that childhood trauma was connected to poor health later in life. Felitti helped lead an exhaustive study of 17,000 patients that seemed to confirm his theory. That was in 1998. But for years Felitti’s study and his...
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Bail or Jail? Tool Used by San Francisco Courts Shows Promising Results (kqed.org)
Last year, San Francisco began using an algorithm to assess whether someone accused of a crime and awaiting trial is safe to be let out of jail. Fifteen months later, prosecutors say the risk assessment tool appears to be working: According to information provided to KQED by the San Francisco District Attorney's Office, just 6 percent of defendants who were released from jail based on the “public safety assessment,” or PSA, over those 15 months committed a new crime; 20 percent failed to...
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Bail reform: Awaiting trial, but can’t afford bond? Silicon Valley moving to free more suspects (mercurynews.com)
While state and federal lawmakers continue to grapple with bail reform, Santa Clara County moved ahead Tuesday with a wide-ranging plan that includes creating a nonprofit fund to post bonds for low-risk defendants who otherwise couldn’t afford it. The fund is believed to be the first in California, cementing the county’s role as a statewide leader in a national reform movement. Bail reform advocates, including local police chiefs and civil rights leaders, argue that bail has become an unfair...
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Bay Area Doctors Target Health Consequences of Childhood Trauma [sfchronicle.com]
By Erin Allday, San Francisco Chronicle, January 5, 2020 A screening tool developed by Bay Area pediatricians to identify adverse childhood experiences, ranging from homelessness and food insecurity to physical and sexual abuse, will now help doctors statewide address trauma affecting patients’ health. The California Department of Health Care Services approved the tool — called PEARLS, for Pediatric ACEs and Related Life-Events Screener — last month. As of Jan. 1, its use is covered by...
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ACEs Science Champions Series: Because of Andres Perez, 10,000+ Latinx parents in Northern California embrace trauma-informed parenting
Andres Perez immigrated to San Jose, Calif., from Mexico in 1990. He was 24 years old, undocumented, knew little English, lacked job skills, and had a pregnant wife to support. He hit the ground running by completing an ESL program in San Jose City College, and, while working days at any job he could find, at night he earned an associate of science degree with specialization in electronics and computers in 2002. Fortunately for thousands of Latinx parents and their children, he never worked...
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Behavioral Health Integration in Medi-Cal: A Blueprint for California (California Health Care Foundation)
People with behavioral health conditions — that is, mental illness and/or substance use disorder — often experience poor health overall. They are less likely to receive preventive care, have higher rates of major chronic illnesses, and often experience a lower quality of care for their physical health needs. Those with a diagnosis of serious mental illness or substance use disorder die on average over 20 years earlier than those without such a diagnosis, often from preventable physical...
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Big Ideas - Center for Violence Prevention Research [bigideas.ucdavis.edu]
From Big Ideas, University of California at Davis, May 2020 Dr. Garen Wintemute is a leading expert on gun violence as well as a practicing emergency medicine physician and the director of the UC Davis Violence Prevention Research Program. He and his colleagues will discuss the latest findings in developing evidence-based, non-partisan solutions to violence that will enable us to build safer communities. Date of event: May 27, 2020 12:00 PM [ Please click here to register .]
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Black Youth Experience Highest Felony Arrest Rate in California
Kidsdata.org recently shared their interactive online platform for data related to felony arrests for children and youth under age 18. Youth who have contact with the juvenile justice system are at increased risk for a number of negative long-term outcomes when compared with the general youth population. For example, an estimated 30 percent of the youth who enter California's juvenile justice system have mental health issues and those who have been held in detention have higher rates of...
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Black youth experience highest felony arrest rate in California [Kidsdata.org]
The felony arrest rate among African American/black youth in 2015 was substantially higher than other racial and ethnic groups in California. At 24 arrests per 1,000 youth, the rate among this group is about 8 times higher than the felony arrest rate among white youth. Encouragingly, nearly all of the 21 counties with data have seen improvements in felony arrest rates for African American/black youth over the past 17 years. Since 1998, San Francisco County saw a particularly sharp, though...
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Board of State and Community Corrections Awards $96m In Prop 47 Grants
SACRAMENTO (June 13, 2019) – The Board of State and Community Corrections today approved grant awards from a voter initiative that reduces from felonies to misdemeanors certain low-level crimes and directs state savings to programs primarily focused on mental health and substance-use disorder treatment. It is the second round of Proposition 47 funding approved by the Board, to which voters allocated the bulk of the state savings for rehabilitative grants targeting Prop 47-impacted...
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Board of State and Community Corrections Awards Grants for Youth Diversion
SACRAMENTO – (June 13, 2019) The Board of State and Community Corrections approved two grants worth millions of dollars for programs designed to prevent young people from entering the justice system or from furthering their involvement in it. Just over $1 million was awarded to Native American tribes, and $29.1 million was awarded to cities and counties. Preference points for the larger grant were given to local governments who also plan to serve Native American youth. The Youth Reinvestment...
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Borderline Task Force Identifies Steps Aimed at Stopping Mass Shootings [vcstar.com]
By Kathleen Wilson, Ventura County Star, November 5, 2019 A Ventura County task force formed to prevent mass shootings has identified changes to be made in safety measures and mental health treatment in the wake of the Borderline attack. Possibilities include the opening of outpatient psychiatric centers by both private and public hospitals and a pilot program to streamline the process for seizing guns from people legally barred from having them. Officials also are looking at an awareness...
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Breakdown: California’s mental health system, explained (calmatters.org)
"Mental health advocates have long described California’s fragmented mental health system with words like “struggling” and “broken.” Evidence of its consequences can be found in our jails and prisons, our hospitals and clinics, our schools and colleges. The problem touches those living in comfortable middle class suburbs, remote rural towns, and on the streets of the state’s biggest cities." "Not only do a sixth of Californians experience some mental illness, but 1 out of every 24 have a...
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BRFSS ACEs Modules in California
In 2008 California was the first and only state to include the ACEs module in the Behavioral Risk Factor Surveillance System (BRFSS) survey. The results were reported at a BRFSS conference in 2009. The state also included ACEs modules in...
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Broadcast Premier of 'Broken Places' on PBS [pbs.org]
From Public Broadcasting Service, March 3, 2020 Peabody Award-winning and two-time Academy Award-nominated filmmaker Roger Weisberg teams up with WNET’s Chasing the Dream public media initiative on his 33rd national public television documentary Broken Places, premiering on April 6 at 10 PM on PBS (check local listings). WNET is presenting Producer/Director Roger Weisberg’s 33rd national public television documentary, Broken Places on April 6th. This poignant production represents the...
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Building Resilience Through Understanding Substance Use Disorders and Their Impacts on Others
The reach of substance use disorders in America is far more significant than people think. 21+ million Americans struggle with substance use disorders. Their substance use and addiction-related behaviors impact 100 million more Americans. These are the moms, dads, husbands, wives, children, brothers, sisters, grandchildren.... Together, these two groups represents more than one-third of the American population!
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CA Child and Adolescent Health Measurement Initiative (CAHMI) Fact Sheet
The Child and Adolescent Health Measurement Initiative (CAHMI) created state fact sheets on ACEs prevalence and outcomes for both children and adults using 2016/2017 NSCH (National Survey of Children’s Health) data and recent data from the Behavioral Risk Factor Surveillance Survey (BRFSS). In addition to 50 state fact sheets (plus one for the District of Columbia), there is one for national data . Click here for the California fact sheet. CAHMI says it aims to advance policies to catalyze...
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CA pediatrician develops, tests, gets state OK for whole-child assessment tool that includes ACEs
Over the last dozen years or so, many pediatricians, astounded by the ramifications of the science of adverse childhood experiences (ACEs) on the children they care for, began integrating this science into their practices. The most common approach has been to ask parents about ACEs using a questionnaire, and to use this information to counsel parents and identify resources for the family. Different practices have been using different questionnaires: Some ask parents for their ACE scores...
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CA pediatrician develops, tests, gets state OK for whole-child assessment tool that includes ACEs
[Editor's note: This blog was first posted in April 2017. Dr. Marie-Mitchell updated the assessment by modifying a few of the questions, so we are republishing with the new assessment, one in Spanish and one in English.] Over the last dozen years or so, many pediatricians, astounded by the ramifications of the science of adverse childhood experiences (ACEs) on the children they care for, began integrating this science into their practices. The most common approach has been to ask parents...
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CA Reducing Disparities Project, Implementation Pilot Projects - TRIBE
CA Dept of Public Health's partner in the California Reducing Disparities Project, Implementation Pilot Projects (IPP). The one described below features the community defined evidence practice of the African American IPP: Whole Systems Learning. The Turning Resilience into Brilliance for Eternity Program (TRIBE) is a 5-year program that takes a public health approach to prevent mental illness, by promoting health in a scientific way, for African American foster and adjudicated youth. The...
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Access the California Department of Social Services, Office of Child Abuse Prevention’s Data Dashboard!
The California Department of Social Services, Office of Child Abuse Prevention (CDSS/OCAP), has developed a new County Prevention Data Dashboard to identify areas of strength and need pertaining to the prevention of child maltreatment across California. This tool presents relevant data in one location for primary and secondary prevention planning purposes and shares indicators of major risk and protective factors for child abuse and neglect, social determinants of health, and early stages of...
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ACEs | Alcohol's Harm to Others | Secondhand Drinking
It is likely most readers know someone or they are the someone who has personally experienced alcohol's harm to others | secondhand drinking. The tragedy is we hardly talk about it in ways that can change the lives of those affected -- especially the lives of children. In other words, we hardly talk about it in ways that can prevent, intervene, or treat adverse childhood experiences (ACEs). Alcohol’s Harm to Others | Secondhand Drinking and the ACEs Connection One of the 10 ACEs measured in...
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ACEs and Our Day with Dr. Vincent Felitti
“Where there is no struggle, there is no strength.” –Oprah Winfrey We think we can speak for all who attended the CA Department of Health Care Services Learning Series on January 17 th when we say we are immensely grateful to Dr. Felitti for sharing with us findings from the original CDC-Kaiser ACE study and inspiring us with his passion and heartfelt commitment to this body of work. Dr. Felitti, who turned 81 years old the next day on January 18 th , was the co-principal investigator on the...
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ACEs Aware Webinar: Trauma-informed practices to address stress from COVID-19
How can health care providers take care of themselves, their colleagues and their patients during this COVID-19 pandemic? First and foremost is recognizing how the pandemic can stir up trauma from the past, said Dr. Alicia Lieberman, a psychologist specializing in trauma. “COVID19 is reawakening traumatic reminders in many of us and in the families we work with. And that often makes it difficult for parents to protect themselves and their children,” she noted. Lieberman, the director of the...
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ACEs champion pediatricians talk about life and practice in a COVID-19 world
With the advent of the COVID-19 pandemic, healthcare providers everywhere are changing how they care for their patients. I asked a few members of the ACEs in Pediatrics community what they’re doing differently. Dr. R.J Gillespie, pediatrician at The Children’s Clinic in Portland, OR. Dr. R.J. Gillespie Gillespie says that, as much as possible, they’re switching to virtual visits, which allows them “to comfort and reassure our patients face-to-face as much as possible without risking their...
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ACEs Connection “Map the Movement” now includes an up-to-date section on laws and resolutions
Photo credit: Texasarchitects.org An updated map of laws and resolutions addressing ACEs science and trauma-informed policies is now available in the “Laws and Resolutions” section of Map the Movement (you can also find "Map the Movement" on the navigation bar on the ACEs Connection home page). The earliest law on the map was passed in the state of Washington in 2011, creating an ACEs science public-private partnership. The data base of the National Conference of State Legislatures (NCSL) is...
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ACEs screening in CA — a Q and A with Dr. Dayna Long
Last year, the California Department of Health Care Services rolled out its plans for universal screening for trauma among its pediatric and adult Medicaid population. Beginning January 1, 2020, California physicians were able to receive an incentive payment of $29 for each pediatric patient screened for ACEs using the PEARLs ( Pediatrics Adverse Childhood and Resilience Study) tool. Dr. Dayna Long talked with ACEs Connection staff reporter Laurie Udesky about ACEs science, what led to the...
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Addressing Homelessness Is High on Governor Newsom’s Agenda [chcf.org]
By Xenia Shih Bion, California Health Care Foundation, March 2, 2020 Governor Gavin Newsom made an unconventional move in his second annual State of the State address — he devoted almost the entire speech to California’s housing and homelessness crisis. It is clearly on the minds of many Californians. A recent CHCF and SSRS statewide poll found that more than 8 out of 10 state residents say addressing homelessness is an “extremely important” or “very important” issue. “The problem has...
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Adult Health Burden and Costs in California During 2013 Associated with Prior Adverse Childhood Experiences [journals.plos.org]
By Ted R. Miller, Geetha M. Waehrer, Debora L. Oh, et al., Plos One, January 28, 2020 Abstract Objectives To estimate the adult health burden and costs in California during 2013 associated with adults’ prior Adverse Childhood Experiences (ACEs). Methods We analyzed five ACEs-linked conditions (asthma, arthritis, COPD, depression, and cardiovascular disease) and three health risk factors (lifetime smoking, heavy drinking, and obesity). We estimated ACEs-associated fractions of disease risk...
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Advancing Parenting
Visit www.advancingparenting.org. We are all about taking the long view when it comes to preventing child abuse. What we mean is this. Unsupportive and harmful parenting is a risk factor for child abuse. That is...children who experience unsupportive and harmful parenting are at a greater risk for becoming adults who hurt children and others. In an effort to prevent unsupportive and harmful parenting five, ten, twenty, fifty years down the road we are pioneering a new kind of parenting...
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Adversity and resiliency: The case for integrating ACEs and Strengthening Families approaches
Attached is the PowerPoint that was presented by Diane Kellegrew, Jane Stevens and Katie Albright in a webinar April 16. And below is the slide that ID's the presenters.
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All hands on deck (from a distance): remote care for traumatized moms and babies
Dear colleague, Coronavirus is forcing providers and allied professionals serving mothers and babies to make unprecedented decisions. Should pregnant women needing care go through our hospital quarantine entrance? Should moms deliver without partners, family or doulas present? Be sent home early before key screenings or jaundice treatment are completed? To make matters worse, our systems aren't ready for basic remote care of mothers and infants now "socially distanced". Prenatal, post-partum...
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ACEs Science Champions Series: Allen Nishikawa: ACEs Storyteller Helps People Develop Their Resilience
Sonoma County ACEs Connection members Allen Nishikawa and Lena Hoffman at California Policymaker Education Day, 2018 Allen Nishikawa, a sansei, or third-generation Japanese American, majored in political science and American history at the University of Wisconsin, Madison, where he participated in antiwar (Vietnam) marches. But it was his experience as a military brat — moving from school to school across the U.S. and even to Japan as a child — that shaped his own childhood experiences and...
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Alternative IHEBA with ACEs for California (and Other) Pediatricians
If you are a pediatrician serving Medicaid managed care patients in California, then you are required to use the Staying Healthy Assessment or an alternative IHEBA (Individual Health Education Behavioral Assessment) at all well-child visits. The bad news is that getting approval to use an alternative IHEBA is a tedious process. The good news is that as of October 27, 2016 the Whole Child Assessment (WCA) is available for use in English and Spanish. Most importantly, the WCA has been...
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Announcement: Technical Assistance Grant [cdss.ca.gov]
From California Department of Social Services, December 19, 2019 The California Department of Social Services’ (CDSS) Office of Child Abuse Prevention (OCAP) is pleased to announce the availability of funds for a Technical Assistance Program. The Technical Assistance Program will provide technical assistance (TA) to counties and prevention partners participating in collaborative child abuse and neglect prevention initiatives in California for fiscal years (FY) 2020-23. The OCAP is seeking an...
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As California Moves to Screen Children for Childhood Trauma, Poverty Has To Be Part of the Equation
In California, we are coming full circle in recognizing the connection between poverty and health.