Tufts University medical professor Dr. Robert Sege directs the Center for Community-Engaged Medicine and is nationally known for his research on effective health systems approaches that address social determinants of health. He is also the principal investigator for the HOPE framework (Healthy Outcomes from Positive Experiences).The HOPE framework is based on research that shows how positive childhood experiences can mitigate the effects of adverse childhood experiences. Sege and colleagues...

YWFC sponsored Sister Warriors meeting When she was 15 years old, Lucero Herrera was put in a rehab program by San Francisco’s Juvenile Court because she was getting drunk regularly. And in doing so, the court failed to explore the root of her drinking. Had they done so, she said, they would have found that anger and trauma were lurking underneath, driven by her ACEs: adverse childhood experiences. Lucero Herrera "Why did they put me in a drug program when I had an anger problem? I went...

Nearly 300 impassioned and committed people crowded into the Green Room at the San Francisco War Memorial and Performing Arts Center last week to launch Trauma Transformed. Known as T2, the regional effort – representing the San Francisco Department of Public Health and seven Bay Area counties – is funded by a four-year, $4-million grant from the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA). Youth, families, health directors and public health leaders...

This Wrestling Ghosts screening promises to be a healing event for all who gather. And our hope is that it will catalyze the formation of a lasting local network of support around parents and care providers of children in the Bay Area. As things speed up all across the Bay, we need supportive infrastructure now more than ever.

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,...

Dr. Raul Gutierrez, a pediatrician in the San Francisco Bay Area, said he and his fellow clinicians see constant fear and its health consequences every single day among the largely immigrant and Latino population they serve. It’s all the result of anti-immigrant policies and the news cycle that feeds the fear. Dr. Raul Gutierrez “It is almost inescapable with the repercussions of immigration policy on the radio, television, social media and from friends and family,” Gutierrez told the 69...

Framed by the story of Mario Woods' grieving mother, this California Report article includes perspectives from Palo Alto pediatrician Rhea Boyd and community leaders in San Francisco and Alameda counties, on how police violence contributes to traumatization. What is the public health solution?

Adverse childhood experiences (ACEs), such as child abuse and neglect, can lead to negative psychological, social and physical outcomes later in life – and can even affect future generations. New and exacerbated stressors during the pandemic underscore concern for the risks and long-term health effects of ACEs, particularly for groups already disproportionately affected by COVID-19. Certain interventions can help mitigate negative outcomes from ACEs and prevent them from occurring in the...