Tagged With "primary care"
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How Making Music Can Help Students Cope with Trauma [KQED News]
By Juli Fraga, MindShift Podcast, KQED News, July 15, 2019 Studies about the Ten Adverse Childhood Experiences (ACEs) have shown that most people have experienced one of these traumas in childhood, such as being abused, having a parent who is incarcerated, experiencing homelessness, among others. The trauma one experiences in childhood can affect adult mental and physical health in later years, especially if a person has multiple ACEs. While the harm can have lasting impacts, health...
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I’m Sick of Asking Children to Be Resilient [nytimes.com]
FLINT, Mich. — A baby born in Flint, Mich., where I am a pediatrician, is likely to live almost 20 fewer years than a child born elsewhere in the same county. She’s a baby like any other, with wide eyes, a growing brain and a vast, bottomless innocence — too innocent to understand the injustices that without her knowing or choosing have put her at risk. Some of the babies I care for have the bad luck to be born into neighborhoods where life expectancy is just over 64 years. Only a few miles...
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Improve Birth and Perinatal Outcomes with a Trauma Sensitive Approach
The Association for Prenatal and Perinatal Psychology and Health is excited to bring together 10 talented practitioners to explore the Trauma Informed Practices that help improve birth outcomes and support human development right from the very start. The Adverse Childhood Experiences Study (1998) launched the importance of trauma and trauma informed care in our health and educational systems. We suddenly had a measure of how early experiences in childhood could correlate with adult disease.
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Increasing Resilience: Primary Healthcare Providers' Opportunities to Promote Protective Factors Before and After Childhood Trauma [avahealth.org]
By Machelle D. Madsen Thompson and Bart Klika, Academy on Violence and Abuse, March 2020 Lifespan research reveals that although ACEs are common, many people are able to move toward recovery and achieve reportedly good functional status. This resilience does not occur in isolation but is supported by a composite of protective factors that empower a child to return to functional status following ACEs. Resilience is observed when a child is immersed in positive influences, such as supportive...
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Infancy and early childhood matter so much because of attachment (theconversation.com)
We are born to connect. As human beings we are relational and we need biological, emotional and psychological connection with others . Attachment is the relational dance that parents and babies share together. You can think of this when you see a baby look at their parent and they catch each other’s eyes in a wonderful gaze: the parent smiles and the baby smiles and then the parent kisses and the baby coos. Or, when an infant cries to tell their parent they are hungry, and the parent picks...
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Interview: Trauma-Informed Care with Transition-Age Youth [psychologytoday.com]
Last month, an article titled “The Tragedy of Baltimore” in the New York Times Magazine described the upsurge in violence in a city long known for its “blight, suburban flight, segregation, drugs , racial inequality, [and] concentrated poverty.” At the center of the storm are transition-age youth, who too often face long odds and challenging futures in the communities where they live. I recently had the opportunity to talk with Patricia Cobb-Richardson , MS. For the past 20 years, she has...
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Keynote Presentation – From Knowing the Need, to Setting the Vision
Sean Slade (Senior Director of Global Outreach at ASCD), talked about the factors that can influence a child’s ability to learn, thrive and succeed at home, in school and in the community. The presentation also included an overview of the ASCD’s Whole Child Tenets and how different sectors must work together to have a positive impact on whole child health.
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Marin Community Clinics in California screen babies for ACEs, provide support in effort to prevent trauma
When Marin Community Clinics (MCC) first considered screening their patients for adverse childhood experiences (ACEs) they already had decided that if they were going to prevent children from acquiring ACEs, they had to take a radical approach.
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Maternity Group Home Program Funding Opportunity. Applications Due 07/25/2019 [Admin for Children & Families]
Funding Opportunity Application Due Date: 07/25/2019 Maternity Group Home Program *See attached pdf for more info. Description: The Administration for Children and Families, Administration on Children, Youth and Families' Family and Youth Services Bureau (FYSB) announces the availability of funds under the Transitional Living Program’s Maternity Group Home (MGH) grant program. The purpose to provide safe, stable, and appropriate shelter only for pregnant and/or parenting youth ages 16 to...
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Navajo Nation, hit hard by COVID-19, comes together to protect its most vulnerable [pbs.org]
By Stephanie Sy, Lena L Jackson, and Casey Kuhn, PBS News Hour April 24, 2020 COVID-19 is ripping through the Navajo Nation, infecting and killing people at rates that are above U.S. averages. Located across three states, the Navajo population is already vulnerable, with a high prevalence of underlying disease, a lack of infrastructure and limited access to care and supplies. Stephanie Sy reports on how the Navajo community has taken on the challenge of caring for its own. Read the Full...
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New Intervention Fact Sheet: Parent-Child Care [nctsn.org]
A 7-page fact sheet describing Parent-Child Care (PC-CARE) is now available. A dyadic psychotherapeutic intervention for enhancing the caregiver-child relationship and making behavior management more effective, PC-CARE combines teaching and coaching on how trauma exposure affects children’s mental health. Caregivers can be biological parents, relative caregivers, resource parents, grandparents, nannies, or anyone caring for a child. While caregivers play with the child, therapists coach...
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New Resource for Teens and the Parents/Caregivers who Love Them
In popular culture, the moody adolescent is easily recognizable. Teens are often portrayed as dangerously risk-taking, obstinate, moody and at the mercy of their growing minds and bodies. This unflattering and inaccurate portrayal begins to shape parents’ understanding of adolescence with a skewed perspective, reinforcing the unhelpful belief that this is a stage in the parenting relationship that “must be survived”. At the same time, these low expectations are subversive to the adolescent's...
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New survey paints dire picture of challenges black moms face in health care system [centerforhealthjournalism.org]
A new California survey of pregnant and new mothers paints a bleak picture of what it’s like to be a black mother. In Listening to Mothers in California, black mothers reported not being heard by their health providers and said they experienced discrimination during childbirth. They also experienced higher rates of anxiety and depression during and after pregnancy than white women. The findings add fuel to a growing sense of urgency on maternal health. On Wednesday, California Gov. Brown...
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Nominate a Trauma-Informed Care Champion: #TICchampion
Becoming a trauma-informed organization requires clear communication about the transformation process, and support from staff at all levels of an organization. Often these efforts are spearheaded by “trauma-informed care champions”— individuals committed to raising awareness regarding the health effects of trauma and toxic stress and improving care for people who have experienced trauma. This week, the Center for Health Care Strategies (CHCS) invites you to recognize people around you who...
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Opioid-Dependent Newborns Get New Treatment: Mom Instead of Morphine [CHCF]
Aug 1, 2019, Dana G. Smith, for CHCF When babies are born dependent on opioids, typically they are whisked away from their mothers, put into the neonatal intensive care unit (NICU), dosed with morphine to get them through withdrawal, and gradually weaned off the drug—a process that can take weeks. Research now suggests that this long-established standard of care may be the worst way to care for a newborn with opioid dependency, or neonatal abstinence syndrome (NAS). The NICU is busy, noisy,...
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Crisis in Care Report
The Greater Rochester Health Foundation convened the Commission on Children’s Behavioral Health in the Finger Lakes in spring 2015, in response to concerns from parents, child care providers, schools, pediatricians and children’s mental health clinicians. They consistently raised alarms about the shortfalls of our region’s children’s behavioral health system: the demands placed on it, its capacity, and in some cases, its quality.
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Parent Handouts: Understanding ACEs, Parenting to Prevent & Heal ACEs (English)
Please see the main post for these parent handouts in the ACEs Connection Resources Center. These two flyers ( Understanding ACEs and Parenting to Prevent & Heal ACEs ) can be downloaded, distributed, and used freely. One is brand new and the other is a revision. Both flyers were made with generous support from Family Hui, a Program of Lead for Tomorrow. Translations of these flyers are in progress and will be shared by Family Hui and updated on ACEs Connection when available.
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Postpartum Anxiety Is an Epidemic Among American Mothers. Why Does It So Often Go Undiagnosed? (Time Magazine)
By Sarah Menkedick, March 20, 2020, for Time As a new mother, I worried about mouse poop in the small cabin where I lived. About fracking chemicals in the water. About glyphosate in the oatmeal. About flame retardants in pajamas. About phthalates in toys. Although it constantly overwhelmed me, I thought my anxiety was normal, even necessary. After all, it was my job to protect my child. When I mentioned my fear at my six-week follow-up appointment after birth—the sole instance of medical...
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Programs work from within to prevent black maternal deaths: Workers targeting root cause — Racism [APHA]
By Kim Krisberg, Aug 2019, American Public Health Association Twenty years ago, working at the bedside in a maternity ward, Hakima Tafunzi Payne saw first-hand how poorly black women were often treated. “People didn’t go out with the intention to be racist, but you still saw the impact that racism had,” said Payne, MSN, RN, a labor and delivery nurse. “Black families were always held to a different standard, seen as more suspect. White patients were given leeway that black patients were...
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Public Health Matters Blog Posts: Using trauma-informed care to guide emergency preparedness and response
"Exposure to a traumatic event or set of circumstances can negatively affect a person’s mental, physical, social, emotional or spiritual well-being for a long time after the initial incident. We know that not all individuals respond to trauma in the same way and we know that individuals with a history of trauma, especially childhood trauma, are more likely to experience psychological distress and are at increased risk for the development of Post-traumatic Stress Disorder (PTSD) with future...
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Quantifying the Cost of Perinatal Mood and Anxiety Disorders in the US [CHCF]
Maternal mental health disorders are the most common medical complication during and after childbirth, affecting at least one in seven pregnant and postpartum women in the US, and one in six in California. In addition — and alarmingly — half of perinatal women with a diagnosis of depression do not get the treatment they need. The lack of attention has stark human costs. Untreated mothers are more likely to deliver preterm and have a cesarean delivery than those without these disorders, which...
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Race Forward Statement on the Coronavirus and Its Impacts on Communities of Color [raceforward.org]
From Race Forward, March 27, 2020 As the coronavirus spreads and a public health emergency intensifies, Race Forward calls on local and state governments and those who are doing emergency planning to pay special attention to the impact that this disease and the response to its spread may have on people and communities of color. We call for an approach that provides accurate information and advances practices and policies based in science, and that ensures compassionate and comprehensive...
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Reasons to be Positive and Optimistic
Positive thinking and optimism are words often thrown around when thinking about being happy and cheerful. But what do they really mean? Positive thinking means approaching life in a positive and productive way instead of focusing on the negatives. Meaning you’re hopeful for the best and don’t focus on the worst. Sounds good in theory, but how can you start to think positively? Here are seven reasons why positivity is so good for you, and some tips on how to remain positive everyday:...
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Recognizing and Attending to Intergenerational Trauma
A mother brings her 8-year-old son to the pediatrician after his teacher repeatedly asks her to have him evaluated for ADHD. The trauma-informed pediatrician knows that childhood trauma exposure can resemble hyperactivity associated with ADHD. The pediatrician asks the mother to privately complete an adverse childhood experiences (ACEs) questionnaire and asks to do one with the son as well. The questionnaire reveals that the son had witnessed his mom being physically abused by her last two...
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Research roundup: Prospective ACE study and commentary about it; ways of asking about trauma; research on the power of internal resilience in juvenile offenders and a companion essay
Association of Childhood Trauma Exposure With Adult Psychiatric Disorders and Functional Outcomes JAMA Open Prospective Study Delves Deeper Into Mental Health Effects of Childhood Trauma Psychiatry From Treatment to Healing: Inquiry and Response to Recent and Past Trauma in Adult Health Care Women's Health Issues Adverse Childhood Experiences and Psychological Distress in Juvenile Offenders: The Protective Influence of Resilience and Youth Assets Journal of Adolescent Health Adverse...
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Research roundup: Two-gen study highlights case for early intervention; mitigating adversity in foster children; testing an expanded ACE survey
Linkage between teen mother's childhood adversity and externalizing behaviors in their children at age 11: Three aspects of parenting Child Abuse & Neglect Decision-making in foster care: A child-centered approach to reducing toxic stress in foster children Children and Youth Services Review Expanding Concepts of Youth Adversity: Relationships With a Positive Patient Health Questionnaire–2 Journal of Pediatric Health Care
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Resource for Explaining ACEs and Assets in Monroe County
The Monroe County Office of Mental Health (MCOMH) and CCSI have recently partnered to create an information resource about Adverse Childhood Experiences (ACEs) that can be shared with the general public in Monroe County using local data. Our intention is to further educate our community about the prevalence of ACEs, how ACEs affect the behaviors and health of our youth and how development of protective factors can improve their lives. The data points selected and methods to communicate them...
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Resource List - Trauma Informed Approaches and Autism Spectrum and Other Developmental Disabilities
Resources for individuals, organizations, and communities moving along trauma and hope-informed pathways in order to: Prevent and mitigate adverse childhood experiences (ACEs). Promote resilience and safe, stable, nurturing relationships and environments. Promote equity and racial justice. Prevent substance abuse and promote mental health. … so that all children, youth, families and communities have equal opportunity for educational success, economic stability, health, and well-being.
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Resources for health care providers to prevent burnout during COVID-19
Editor's note: We will be providing ACEs in Pediatric members with resources to help navigate the challenges of COVID-19. Please see these resources below, including registration for a webinar to help prevent burnout in health care providers. It was complied by the Illinois ACEs Response Collaborative. Healthcare Workers and the Workplace Healthcare providers, human service workers, journalists, and the service industry are all facing enormous difficulties in the face of coronavirus.
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Role of Pre-existing Adversity and Child Maltreatment on Mental Health Outcomes for Children Involved in Child Protection: Population-based Data Linkage Study [bmjopen.bmj.com]
By Miriam Jennifer Maclean, Scott Anthony Sims, Melissa O'Donnell, BMJ Journals, July 29, 2019 It is established that children who experience child abuse and neglect are at an increased risk of poorer mental health outcomes. The National Scientific Council on the Developing Child states that chronic stress to which maltreated children may be exposed, in the absence of consistent and supportive relationships with adult caregivers, has negative impacts on children’s developing brain.
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Self-Care Resources
Self-care is a key element of a trauma-informed approach, at individual, organization, and community levels. This internet resource list includes links to introductions to ACEs and the ACE Study, self-care, secondary trauma and mindfulness. Self-Care - General Self-Care Starter Kit, School of Social Work, University of Buffalo http://socialwork.buffalo.edu/...are-starter-kit.html Relaxation Tool Kit, Navy and Marine Corps Public Health Center...
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Sesame Street in Communities Takes on Trauma
Just this morning, Sesame Street in Communities announced its initiative to support foster children, foster parents, and the providers who serve foster care. Further, more trauma related topics will be addressed soon. The upcoming programing is detailed in today’s The Atlantic article “For-Now Parents’ and ‘Big Feelings’: How Sesame Street Talks About Trauma: ‘The Muppets can often do what humans can’t. They’ve got this special power.’ ” “ "Through its Sesame Street in Communities...
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Shifting the focus from trauma to compassion
photo: Rolf Schweitzer/CCO Dr. Arnd Herz, a self-described champion for ACEs science, would like nothing more than to witness a greater appreciation of how widespread adverse childhood experiences are. Herz, a pediatrician and director of Medi-Cal Strategy for the Greater Southern Alameda Area for Kaiser Permanente Northern California, would also like to encourage more people in health care to engage in a trauma-informed care approach, a change in practice that he says not only benefits...
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Some 350 Florida Leaders Expected to Attend Think Tank with Dr. Vincent Felitti, Co-Principal Investigator of the ACE Study; Expert on ACEs Science
Leaders from across the Sunshine State will take part in a “Think Tank” in Naples, FL, on Monday, August 6, to help create a more trauma-informed Florida. The estimated 350 attendees will include policy makers and community teams made up of school superintendents, law enforcement officers, judges, hospital administrators, mayors, PTA presidents, child welfare experts, mental health and substance abuse treatment providers, philanthropists, university researchers, state agency heads, and...
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Strengthening Families: Increasing positive outcomes for children and families [www.cssp.org]
We engage families, programs, and communities in building key protective factors. Children are more likely to thrive when their families have the support they need. By focusing on the five universal family strengths identified in the Strengthening Families Protective Factors Framework , community leaders and service providers can better engage, support, and partner with parents in order to achieve the best outcomes for kids. How We Do It The Strengthening Families framework is a...
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Supporting Older Trauma Survivors as They Heal Their Pasts, Grow Their Futures
Members of The Living Well Theater perform at the Good Food for All Conference at the Free Library/Parkway Central Library. Photo courtesy of Marie-Monique Marthol. ________________________________ Marie-Monique Marthol handed out the cards to older adults at meetings of her local civic association. With the pastor’s permission, she left some at a neighborhood church. She stacked them in restaurants, community centers and even at the laundromat. On the front, the cards read, “Time never runs...
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Taking Action: Building Resilience
There are many ways to take action to become trauma responsive and build resiliency. Here are few examples to point you in the right direction: Attend the Raising Resilience Summit on January 9th, 2018 Join the Consortium on Trauma, Illness, and Grief In Schools (TIG) Learn more about Mental Health First Aid Visit TraumaSenstiveSchools.org Trauma Informed Care training offers the entire staff an opportunity to look deeply into an organization's culture in order to build a resilient staff and...
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Taking Action: Building Resilience Presentation
Thank you to all who presented the material, and all who listened! Here is a copy of the slides from the presentations.
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Talking to Children about Tragedy & Other News Events [healthychildren.org]
By Healthy Children, American Academy of Pediatrics, July 2019 After any disaster, parents and other adults struggle with what they should say and share with children and what not to say or share with them. The American Academy of Pediatrics (AAP) encourages parents, teachers, child care providers, and others who work closely with children to filter information about the crisis and present it in a way that their child can accommodate, adjust to, and cope with. No matter what age or...
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The First Five Years Matters: Quality of Early Relationships determines Lifelong Health
Quality of Early Relationships determines Lifelong Health The first relationship—usually this is between the mother and her infant—has an enduring impact on all later stages of human development. This relationship which occurs has been described by Bowlby’s attachment theory, which at its core, is about how the mother helps the infant regulate emotion. The mother-infant attachment communications are essential because they directly affect the development of the brain. Dr. Allan Schore, the...
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The Future of Healing: Shifting From Trauma Informed Care to Healing Centered Engagement (medium.com)
What is needed is an approach that allows practitioners to approach trauma with a fresh lens which promotes a holistic view of healing from traumatic experiences and environments. One approach is called healing centered , as opposed to trauma informed . A healing centered approach is holistic involving culture, spirituality, civic action and collective healing. A healing centered approach views trauma not simply as an individual isolated experience, but rather highlights the ways in which...
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The many faces — and aspirations — of all of us at ACEs Connection
All of us at ACEs Connection have experienced ACEs during our childhoods, either in our own families or vicariously through friends; some of us accumulated pretty high ACE scores, with not enough resilience factors, and we’ve suffered the consequences. That history propels us up and out of bed every single morning to grow this network of amazing people (that’s you!) to reach even more people so that kids don’t have to repeat what we went through. We want more of our taxes to go to such...
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The Many Faces of Grief
“…Your pain is the breaking of the shell that encloses your understanding…. And could you keep your heart in wonder at the daily miracles of your life, your pain would not seem less wondrous than your joy; much of your pain is self-chosen. It is the bitter potion by which the physician within you heals your sick self….” – From The Prophet by Kahlil Gibran There are many kinds of loss that we can encounter in life. However, losses surrounding addiction can be particularly confusing; they tend...
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The Rise of the Trauma-Informed Mothers
The next generation is less likely to wear predisposed shackles of trauma because as trauma-informed parents we are re-wiring the traumatically stressed DNA that was passed down to us.
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The Trauma Resiliency Model: A “Bottom-Up” Intervention for Trauma Psychotherapy (Journal of the American Psychiatric Nurses Association)
Grabbe L, Miller-Karas E. The Trauma Resiliency Model: A “Bottom-Up” Intervention for Trauma Psychotherapy. Journal of the American Psychiatric Nurses Association. 2017; 24 (1): 76-84.
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The Who, How, and What of Leadership… and where trauma-informed fits in.
Are we born leaders or is it a skill that we cultivate? Strong leadership is a lot like resiliency. Although we can be born with qualities that may make it a little easier, it develops in relationship with others. It is truly cultivated by building our individual skills, having the support of others, and being willing to do our own work. Being a leader means you know Who you are, you get that How you do the work matters, and you are intentional about What you do. Combining these three...
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Becoming Your Healthiest Self: An Eat-Well, Get-Fit, Feel-Great Guide for Teens [jamanetwork.com]
By Michelle Cardell, Aaron S. Kelly, and Lindsay A. Thompson, JAMA Pediatrics, May 26, 2020 Parents, empower your adolescents so they can make choices that promote their healthiest self. Teens, getting older means making decisions about what matters to you most. Making healthy choices is a great place to start. Taking care of your physical, emotional, and mental health is what makes it possible for you to do all the things you want to do. Fuel Up You are in charge of what you eat and drink.
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Tribal Communities: Advancing Trauma-Informed Care
New federal funding through the Coronavirus Aid, Relief, and Economic Security (CARES) Act includes critical funding for advancing trauma-informed care services in tribal communities. The devastating impact of historical, intergenerational and current traumas experienced by tribal communities has long overwhelmed chronically underfunded health care, education, mental health, social service and legal systems in Indian Country. The current impact and anticipated aftermath of the coronavirus...