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CA pediatrician develops, tests, gets state OK for whole-child assessment tool that includes ACEs

Jane Stevens ·
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

Jane Stevens ·
[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 Senate unanimously approves ACEs reduction resolution

On August 18, the California Senate unanimously approved  Concurrent Resolution (ACR) No. 155  to encourage statewide policies to reduce children’s exposure to adverse childhood experiences.  As reported on ACEs Too High , the resolution is modeled after a Wisconsin resolution that encourages state policy decision-making to consider the impact of early childhood adversity on the long-term health and well being of its citizens. Since the resolution does not require...
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AB 494 (BERMAN) SIGNED: CALFRESH ACCESS SIMPLIFIED IN RECOGNITION OF HOUSING CRISIS [CAFB]

Karen Clemmer ·
By Becky Gershon, July 16, 2019 for California Food Bank Association The law will help Californians, especially newly eligible SSI recipients, quickly access & maximize CalFresh benefits. On July 12 th , Governor Newsom signed into law AB 494 – authored by anti-hunger champion Assemblymember Marc Berman. The California Association of Food Banks was a co-sponsor of this legislation, in partnership with the Western Center on Law and Poverty, and the Coalition of California Welfare Rights...
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ACE Overcomers at the Stanislaus County Family Domestic Violence Conference

Dave Lockridge ·
Connecting with professionals between sessions who are familiar with the effects of domestic violence Last week, I did a presentation about ACEs science and trauma for 150 people who attended Stanislaus County's 17th Annual Family Domestic Violence Conference in Modesto, CA. The conference participants work in family court, social services, education, law enforcement, and probation. (L to R) Dave Lockridge; Honorable Linda McFadden of Family Court; and Dick Monteith, Stanislaus County...
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ACEs and Our Day with Dr. Vincent Felitti

Former Member ·
“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 Champion Julie Kurtz Gives Every Child (and Adult) a Voice

Sylvia Paull ·
Julie Kurtz hasn’t stopped creating ways to build and promote resilience in herself and others who have experienced trauma since she left her family home for college at age 18. Although she experienced four types of adversity during her childhood, the CEO of the Center for Optimal Brain Integration has traveled a complex journey to mitigate those adversities by recognizing her own internal resilience, building skills to buffer her toxic and traumatic stress, uncovering her voice through...
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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 Connection Network Confab -- Southern California, May 10, 2016

Jane Stevens ·
(l to r) Sienna, one of the teens from Youth Voice from City Heights; Dana Brown, ACEs Connection Network regional facilitator and co-founder of Youth Voice; Francisco Mendoza, CEO, Mendoza Consulting; Jessica, Youth Voice; Lizette, Youth Voice; Talitha Thompson, Youth Voice co-facilitator; Joshua Aguirre, RISE Up Industries board of directors; Stephanie Linderman, Youth Voice mentor; Arturo Soriano, Youth Empowerment co-founder; (in front) Adrian, Youth Voice.
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ACEs Connection Webinar: The trauma toll on pediatric immigrants, refugees and their families

Laurie Udesky ·
ACEs Connection Webinar: The trauma toll on pediatric immigrants, refugees and their families You’ll receive tips for health care providers in pediatric settings and beyond When: Friday, Dec. 14, 2018, 10:30-11:30 am Pacific Time/1:30-2:30 Eastern Time Please register here for this webinar. Our speakers include: Dr. Heyman Oo , MD MPH is a primary care pediatrician in Marin County and an Associate Physician/Clinical Instructor for the General Pediatrics Department at Zuckerberg San Francisco...
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ACEs gets a day at the (Sacramento) Capitol!

Donielle Prince ·
No matter where you are, be sure to follow the events of the day on twitter: Follow @acestoohigh and #4CAKidsDay17 to get live updates all day.
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"ACEs Resilience and Recovery" presented at Marin Communications Forum

Donielle Prince ·
First 5 Marin Children and Families Commission featured Jane Stevens in a Marin Communications Forum event on Monday, May 15. Thanks to the hard work of host Michelle Fadelli of First 5 Marin, a full Embassy Suites ballroom of up to 180 Marin County service providers, from a variety of agencies, gathered.
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ACEs screening in CA — a Q and A with Dr. Dayna Long

Laurie Udesky ·
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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ACTION NEEDED: Oppose Adjusting the Federal Poverty Line

Gail Yen ·
A proposed rule change to the Official Poverty Measure by the Trump Administration will negatively impact millions of children and families in our state, where, according to 2016 California Poverty Measure estimates, 21.3 percent of California's children live in poverty. If approved, the change would affect children and families' eligibility for federal programs that provide health care, nutrition and basic assistance, effectively reducing or eliminating their access to these needed...
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Addressing Childhood Trauma, Center for Learning & Resilience [actionnewsnow.com]

By Deb Anderaos and Julia Yarbough, Action News Now, April 15, 2020 Butte County health representatives say they have long realized the need for coordinated mental health services for family and children dealing with trauma. The Camp Fire drove that point home and now the coronavirus crisis. Julia Yarbough recently spoke with the Executive Director of the new Center for Learning and Resilience. It’s a resource to help meet community needs. First of all, thank you for joining us, and tell me...
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Adversity and resiliency: The case for integrating ACEs and Strengthening Families approaches

Jane Stevens ·
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.  
Blog Post

Advocacy tools for influencing policy at the national, state, and local levels

The level of policy activity at all levels relating to ACEs-trauma-resilience has increased significantly over the last few years. The California Campaign to Counter Childhood Adversity (4CA) held its third Policymaker Education Day this year and has created a number of resources (included in this widget) designed to expand legislators’ knowledge of ACEs science and promote approaches to reduce and heal childhood adversity. In addition to California specific information on legislative and...
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AG Kamala D. Harris Seeks to Better Serve Foster Youth (sdvoice.info)

Attorney General Kamala D. Harris Issues New Guidelines to Encourage Secure Sharing of Information Between Schools and Child Welfare Agencies to Better Serve Foster Youth Attorney General Kamala D. Harris today announced that the California Department of Justice’s Bureau of Children’s Justice (BCJ), the California Department of Education (CDE), and the California Department of Social Services (CDSS) have jointly developed statewide guidelines for school districts, county offices of...
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Aiming to Help Homeless, UCLA Residents Practice ‘Street Psychiatry’ (californiahealthreport.org)

New programs begun in the last two years at UCLA include a resident-faculty group focused on community psychiatry, as well as health-system and community mentorships. There are also new clinical electives for psychiatry residents at the Los Angeles County Jail and the county’s Office of Diversion and Reentry . The Diversion office was created by the L.A. County Board of Supervisors in 2015 to develop and implement alternatives to the criminal justice system for people with mental illness and...
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All too often, California’s default mental institutions are now jails and prisons (calmatters.org)

Perhaps nowhere is California’s mental health crisis more evident than in its criminal justice system. After decades of failure to create and fund policies that effectively help people with serious mental illnesses, many now say the jails and prisons have become the state’s default mental institutions. Close to a third of California’s inmates have a documented serious mental illness, according to the California Department of Corrections and Rehabilitation. A few decades ago, fewer than half...
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ACEs Science Champions Series: Allen Nishikawa: ACEs Storyteller Helps People Develop Their Resilience

Sylvia Paull ·
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

Ariane Marie-Mitchell ·
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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An inside look at Sacramento’s Youth Detention Facility, named best in nation after turnaround [Sacramento Bee]

Gail Kennedy ·
BY CANDICE WANG cwang@sacbee.com Six boys dove into the water, passing volleyballs and footballs, in a recent scene that seemed more like a snapshot from an afternoon at a community pool, rather than from Sacramento County’s Youth Detention Facility. Only the barbed wire encircling the area showed the difference. The frequent use of the pool, built along with the facility in 1963, is now part of a series of progressive, rehabilitative programs that contributed to the 2018 Barbara Allen-Hagen...
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'An invisible crisis': Toxic stress is helping to shorten life spans in many Kern County communities [

Jane Stevens ·
People who live in Oildale, Kern River Valley and Taft — three impoverished, majority-white communities — have the highest premature death rates across Kern County, dying four to 17 years sooner than those in other parts of Bakersfield. Residents in those three communities have an average life expectancy of between 68 and 72 years old — roughly eight to 10 years less than the national average, according to data analyzed by the Virginia Commonwealth University’s Center for Human Needs. It’s...
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An opportunity to shape the Children's Bill of Rights in California

Donielle Prince ·
The ACEs/Resilient Sacramento community is ideal for providing insightful feedback about the needs of California's children!
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Announcing a New Parenting and ACEs Blog from Stress Health, an Initiative of the Center for Youth Wellness

Diana Hembree ·
Research shows that the right kind of support and care can mitigate the impact of toxic stress in children and help them bounce back.
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Artificial Intelligence Will Soon Be Responsible For Reducing Implicit Bias In The San Francisco DA’s Office [Witness LA]

Gail Kennedy ·
by Taylor Walker, Witness LA, June 14, 2019 On July 1, San Francisco District Attorney George Gascón will launch a new artificial intelligence tool meant to eradicate potential racial bias in prosecutors’ charging decisions via a “race-blind charging system.” The first-of-its-kind algorithmic tool, created by the Stanford Computational Policy Lab, will also be offered free to any other prosecutor’s offices that wish to take part. “Lady justice is depicted wearing a blindfold to signify...
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As California Expands Ban on ‘Willful Defiance’ Suspensions, Lessons From L.A. Schools, Which Barred Them Six Years Ago

Lara Kain ·
September 18, 2019 by TAYLOR SWAAK A s California this month expanded a statewide ban on suspending younger students for defiant behavior, lessons on how this increasingly sweeping school discipline reform may play out can be found in Los Angeles, which barred such suspensions on an even broader scale six years ago. Previously in California, “willful defiance” suspensions were not permitted in grades K-3. Beginning in July 2020, under the new state law , they will be prohibited for students...
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As California Moves to Screen Children for Childhood Trauma, Poverty Has To Be Part of the Equation

Jim Hickman ·
In California, we are coming full circle in recognizing the connection between poverty and health.
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As the Partnership for Los Angeles Schools turns 10, a new report shows this unique turnaround model is driving big gains at struggling campuses (laschoolreport.org)

The Partnership for Los Angeles Schools is a unique school model that focuses on turning around the lowest-scoring schools with the highest dropout rates in the toughest neighborhoods of Los Angeles — Boyle Heights, Watts, and South Los Angeles. LA Unified invites the Partnership into struggling schools, which then benefit from more freedoms, community resources, and organizational support. Teachers and principals receive intensive professional development, and principals are sometimes...
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Assembly OK’s Bill to Expand ‘Gravely Disabled’ to Include Mental Illness (scvnews.com)

The California Assembly passed AB 1971 Wednesday, legislation which amends the state’s definition of “gravely disabled” to include medical treatment as a basic human need for those suffering from a serious mental illness, just as necessary to well-being as food, clothing or shelter. AB 1971 is sponsored by Los Angeles County, the Steinberg Institute, and the California Psychiatric Association. The bill passed with bipartisan support by a vote of 66-0. The proposal for the change in state law...
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Assisted suicide: New California law to take effect June 9 (spcr.org)

Image: Justin Sullivan/Getty Images California's Legislature ended its special session on health care, meaning the state's assisted suicide will go into effect on June 9th. Under the law , signed by Gov. Brown in October , a patient who has been diagnosed as having six months or less to live can request that his doctor prescribe life-ending medication. The patient must make two oral requests at least 15 days apart, along with a written request witnessed by at least two people, one of whom...
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At El Dorado ACEs Collaborative meeting, NPPC talks ACEs, new connections forged

Laurie Udesky ·
More than 65 people showed up in person in Placerville or via teleconferencing from South Lake Tahoe on Feb. 21 to learn about the National Pediatric Practice Community on ACEs (NPPC), a program of the San Francisco-based Center for Youth Wellness . Among the discussion points made by NPPC Program Manager Leena Singh were the connection between ACEs and health outcomes, the need for doing universal ACEs screening, and the necessary infrastructure to implement ACEs screening, according to...
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Cal WORKs Training Academy: Compassion Fatigue

Carolyn Curtis ·
Front-line and case workers for the TANF program (Temporary Assistance for Needy Families) are at high risk for compassion fatigue. They hear approximately 30 stories of trauma, abuse and hardship each day. Complaints from workers vary from “How many stories of torture will have to I hear.” “It feels like I am spitting at a forest fire.” “After 12 years in the field, I am now on blood pressure medication.” This year the Cal WORKs Training Academy featured a workshop on compassion fatigue...
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California ACES Learning & Quality Improvement Collaborative (CALQIC) - Opportunity to be a part of the Learning Collaborative!

Megan OBrien ·
Apply to be a part of ACEs Aware's California ACES Learning & Quality Improvement Collaborative (CALQIC) In partnership with the UCSF Center to Advance Trauma-Informed Healthcare and other key partners, we'll select 15 organizations across California to participate in this 18-month learning collaborative to support clinics in screening for and responding to adverse childhood experiences (ACEs) in children and adults. This is a challenging time, and we know that many of our health care...
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California ACR 140: Positive Parenting Awareness Month, Jan 2020

Randall Ahn ·
Child advocates across the State of California are working on the passage of Assembly Concurrent Resolution 140 (ACR 140) authored by Assembly Member Mark Stone (D-Monterey Bay). The initiative seeks to designate January 2020 as Positive Parenting Awareness Month across the state and build upon the county-level proclamations that have spread from Santa Cruz County where it was conceived and launched 8 years ago. Positive parenting is a known remedy for the public health problem of child...
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California Adds Health & Equity Recommendations to General Plan Guidelines (changelabsolutions.org)

Last fall, California's Office of Planning and Research (OPR) issued new guidelines for general plans , the documents created by the state's cities and counties to guide their future development. For the first time, the OPR guidelines include specific recommendations for how local general plans could address health, equitable development, and public engagement. ChangeLab Solutions, with many statewide partner organizations, helped drive this innovation by submitting a detailed set of...
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California Advocates Celebrate as Governor Signs Law to Address Overuse of Suspensions in Schools! [fixschooldiscipline.com]

By Fix School Discipline, September 16, 2019 SB 419 will help keep students in school, increase student success, and increase high school graduation Governor Gavin Newsom signed legislation to eliminate suspensions for minor misbehaviors and protect California students from discriminatory and harmful school climates. Under Senate Bill 419, which was introduced by Senator Nancy Skinner (D-Berkeley), school districts will no longer be permitted to use defiance or disruption, as justification...
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California Assembly Health Committee OKs ACEs resolution 16-0

The California Assembly Health Committee today approved, by a vote of 16-0, a resolution to encourage statewide policies to reduce children’s exposure to adverse childhood experiences. California took a page from Wisconsin’s playbook with the introduction of legislation ( California Assembly Concurrent Resolution (ACR) No. 155 ) on May 28. It drew upon ideas from Wisconsin’s legislation ( Senate Joint Resolution 59 ), approved by the legislature this early this year. Both...
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California becomes 'sanctuary state' in rebuke of Trump immigration policy (latimes.com)

Under threat of possible retaliation by the Trump administration, Gov. Jerry Brown signed landmark “sanctuary state” legislation Thursday, vastly limiting who state and local law enforcement agencies can hold, question and transfer at the request of federal immigration authorities. Senate Bill 54 , which takes effect in January, has been blasted as “unconscionable” by U.S. Atty. Gen. Jeff Sessions , becoming the focus of a national debate over how far states and cities can go to prevent...
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California Child Trauma Advocates Eye Policy Impact

Jane Stevens ·
Jeremy Loudenback from the Chronicle of Social Change posted a story about last week's California Policy Convening on Childhood Adversity that the Center for Youth Wellness (CYW) hosted in San Diego. Here's the beginning: Last...
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California Child Welfare Policy and Progress, Winter Issue [Insight]

Karen Clemmer ·
The California Child Welfare Co-Investment Partnership Report This issue of in sights provides an overview of the latest legislative developments in California, including data and perspectives on the policy and practice transformation taking place with the Continuum of Care Reform (CCR). Beyond a comprehensive summary of child welfare state legislation, this issue also includes a discussion on the key provisions of the Family First Prevention Services Act. The issue concludes with...
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California, Climate Change and the Trauma of the Last Decade [latimes.com]

By Deborah Netburn, Los Angeles Times, December 26, 2019 The wildfires were more destructive. The drought was the longest on record. And the storms, when they finally came, unleashed more water than our dams could contain. To live in California over the last decade has meant enduring a steady procession of weather-related disasters, each one seemingly worse than the last. Five of the 10 largest fires in state record books have occurred since 2010. So has California’s third driest year since...
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California colleges and universities share in $1.7 billion in emergency stimulus funds [edsource.org]

By Ashley A. Smith and Larry Gordon, EdSource, April 9, 2020 California’s colleges and universities will see more than $1.7 billion from the new federal stimulus law to help stave off the effects of the coronavirus pandemic, but they say more is needed. At least half of that money will go directly to students, many of whom have watched their campuses close, their jobs disappear and their schools shift in-person classes online in the past few weeks. Three California State University campuses...
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California considers prohibiting immigration enforcement at public schools and hospitals (latimes.com)

California would create "safe zones" prohibiting immigration enforcement on public schools, hospital and courthouse grounds under a new bill by state Senate leader Kevin de León (D-Los Angeles) that is sure to clash with the tough enforcement plans of President-elect Donald Trump . By also proposing to bar state and local law enforcement from enforcing immigration laws, De León is doubling down on the issue at a time when Trump has threatened to withhold federal funding from “sanctuary...
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California Could Become First State Pay Overtime to Farmworkers (timesofsandiego.com)

California would become the first state to require farmers to pay overtime to field workers and fruit pickers under a bill approved by the legislature on Monday and sent to Gov. Jerry Brown for his approval. The bill, which passed on a mostly party-line vote, would phase in overtime pay for farmworkers from 2019 to 2022. Small farms that employ 25 or fewer workers would have an additional three years to phase in the pay. If signed into law by Brown, California, the largest U.S. agricultural...
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California Department of Public Health has MCAH program that prevents ACEs!

Karen Clemmer ·
In Federal-State partnership HRSA Maternal & Child Health the California Department of Public Health, MCAH have a home visiting program designed for families at risk for ACEs! The California Home Visiting Program (CHVP) is designed f or families who are at risk for adverse childhood experiences , including child maltreatment, domestic violence, substance abuse and mental illness. Home visiting is a preventive intervention that aims to promote maternal health, improve child development,...
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California Ends Practice of Billing Parents for Kids in Detention [themarshallproject.org]

Alicia Doktor ·
Gov. Jerry Brown of California signed into law on Wednesday a sweeping package of criminal justice reform bills including a ban on the practice of billing parents for their children’s incarceration, which had been prevalent statewide for decades and was the subject of a Marshall Project investigation earlier this year. The new law — introduced by two Democratic state senators from the Los Angeles area, Holly Mitchell and Ricardo Lara, and approved by the legislature on Sept. 6 — prohibits...
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California Ends Practice of Billing Parents for Kids in Detention [themarshallproject.org]

Alicia Doktor ·
Gov. Jerry Brown of California signed into law on Wednesday a sweeping package of criminal justice reform bills including a ban on the practice of billing parents for their children’s incarceration, which had been prevalent statewide for decades and was the subject of a Marshall Project investigation earlier this year. The new law — introduced by two Democratic state senators from the Los Angeles area, Holly Mitchell and Ricardo Lara, and approved by the legislature on Sept. 6 — prohibits...
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California Essentials for Childhood (EfC) Initiative’s “Enhancing the Collective Vision” Slides Are Available and Opportunity to Participate in an Orientation Webinar

Elena Costa ·
The California Essentials for Childhood (EfC) Initiative convened more than 65 stakeholders on Friday, July 12, 2019 to assess the current state of collective action around adverse childhood experiences (ACEs); align EfC Initiative goals and project interventions with existing efforts; identify mutually reinforcing activities; and establish a collective agreement on how to strategically promote Safe, Stable, Nurturing Relationships, and Environments (SSNR&E), to prevent and reduce child...
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