Tagged With "Measuring trauma informed care"
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A Critical Assessment of the Adverse Childhood Experiences Study at 20 Years [sciencedirect.com]
This year marks the 20th anniversary of publication in this journal of the first of many articles on the adverse childhood experiences (ACEs) research by Drs. Felitti, Anda, and colleagues. As we celebrate the impact of this seminal research, it is also imperative to assess critically its serious limitations: an unrepresentative study population and narrow operationalization of childhood adversity lead to undercounting adverse experiences and misrepresenting their social distribution.
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ACE Surveillance Study of Teachers and Administrators in Public and Private Schools in Southwest Nigeria, West Africa
Note: These findings were presented at the Child Trauma Conference in Lagos on October 25-26, 2019. Rationale: Many children today live with layers of stress both subtle and overt which in this report are collectively referred to as Adverse Childhood Experiences (ACEs). Specifically, these ACEs are physical, emotional and sexual abuse; physical and emotional neglect; household dysfunction and domestic violence as well as community violence. The children have a life marked by chaos,...
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ACEs Community Spotlight Series: Dr. Richard Honigman, Central Nassau Pediatrics
For our second community spotlight interview, I spoke with Dr. Richard Honigman, a pediatrician at Central Nassau Pediatrics in Levittown and infant mental health advocate. We discussed the importance of addressing childhood adversity and the relevant work he is doing both inside and outside his practice. Please note that responses have been adjusted for length and clarity. Dr. Honigman is also the first recipient of the 2019 Ed Tronick Award for Distinguished Contribution to Infant-Parent...
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ACEs Connection launches Cooperative of Communities
The ACEs Connection Cooperative of Communities launches today. We want to continue to contribute to the ACEs movement for as long as it takes to create a worldwide healing-centered culture based on ACEs science. We want that to take hold in this world in the same way electricity has — we only notice it if it isn’t there.
First, a clarification: Nothing on ACEsConnection.com changes! Membership remains free! Everything our current 300+ communities use stays free, and remains free for new ones.
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ACEs Connection's Inclusion Tool makes sure nobody's left out
We developed ACEs Connection's Diversity, Equity & Inclusion Tool — called the Inclusion Tool, for short — to ensure that ACEs initiatives across the world focus on being inclusive when forming a steering committee, recruiting leaders, providing education about ACEs science, recruiting members, or providing resources and services within their communities. The more inclusive your ACEs initiative is, the more diverse it will be, giving your initiative a real shot at achieving equity and...
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ACES Science 101 (FAQs)
What are ACEs? ACEs are adverse childhood experiences that harm children's developing brains so profoundly that the effects show up decades later; they cause much of chronic disease, most mental illness, and are at the root of most violence. ...
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ACEs teach us why racism is a health equity Issue: Dr. Flojaune Cofer (Part One)
Dr. Flojaune Cofer and Ben Duncan , each from public health backgrounds that focus on health disparities, addressed ACEs in the context of health equity for their panel entitled ACEs, Race, and Health Equity: Understanding and Addressing the Role of Race and Racism in ACEs Exposure and Healing . Cofer and Duncan co-presented to a standing-room-only audience on day one of the 2018 ACEs Conference: Action to Access co-hosted by ACEs Connection and the Center for Youth Wellness in San Francisco...
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Adult Health Problems Linked to Childhood Trauma
It is possible to reduce risk for ACEs It is possible to reduce risk for ACEs while also mitigating consequences for those already affected by these experiences by creating the conditions for healthy communities and focusing on primary prevention. The Centers for Disease Control and Prevention just released new information showing negative outcomes linked to ACEs, how we can help those who have experienced ACEs AND how we can prevent ACEs from happening in the first place! Learn what...
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Aligning Systems for Health: 2019 Call for Proposals [rwjf.org]
By Robert Wood Johnson Foundation, November 1, 2019 Required Components Aligning Systems for Health will explore the degree to which health equity is impacted or results from current models of collaboration incorporating health care, public health, and social services. Gaps in health are large, persistent and increasing, and RWJF is committed to a system that meets people’s goals and needs and addresses these gaps that many populations face. Studies should include a focus on health equity by...
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BABY ACES: When we consider the traumas that qualify as ACEs, babies need their own list.
Babies are obviously very different from older children developmentally, including their ability to understand and process trauma. Indeed, a baby may be completely unaware of an actual ACE— say, the incarceration of their father— which a middle schooler would be painfully aware of. Yet at the same time, the baby could be much-more-acutely impacted by the secondary effect of this same ACE: a sad, stressed, and distracted mother. Similarly, if a parent dies in a car accident when a child is in...
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Baylor College of Medicine students introduced to ACEs science
“I was one of those statistics that ACEs scientists and researchers talk about,” Dr. Gregory Williams, an administrator in the Baylor College of Medicine, told the school’s first-year class. Williams’ presentation about the science of adverse childhood experiences (ACEs) and his own experience as a trauma survivor, was organized by Dr. Reena Isaac of Texas Children’s Hospital for her class, "Hiding in Plain Sight: Understanding and Identifying Victims of Violence.” Williams regularly speaks...
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Belongingness Can Protect Against Impact of Trauma, Study Suggests [madinamerica.com]
A new study, published in the Journal of Substance Abuse Treatment, investigates the effects of belongingness on adult mental health, outcomes of childhood trauma, and risky alcohol use. The results of the study suggest a feeling of belonging in childhood may serve as a protective factor for difficulties with mental health and adverse outcomes of childhood trauma later in life. Research suggests rates of depression, anxiety disorders, and other mental health issues are exhibited at higher...
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Beyond the Crack Generation, Author K-Rahn Vallatine
Beyond The Crack Generation takes readers on an autobiographical journey to explain how dysfunctional, counterproductive behavior became a cultural norm in the quest for prosperity and survival among youth. Addressing the pervasive and lingering impact that the crack cocaine epidemic had on mainstream Hip Hop culture and Urban America as a whole, it answers the echoing question: How did our young people lose their way? It offers a glimpse in the psychology of a young man in search of...
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Building A Trauma Informed System of Care Toolkit
We are delighted to make available the Building Strong Brains of Tennessee funded, Building A Trauma Informed System of Care toolkit. This toolkit is based upon the work of the Northeast Tennessee ACEs Connection group and it's many partners since 2015. In time, Building Strong Brains of Tennessee will also have printed copies available. In preparing this toolkit, Dr. Andi Clements and I tried to share in a very transparent fashion the steps we've taken, mistakes we've made and inspiring...
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Building Organizational Resilience in the Face of a Ubiquitous Challenge
Ubiquitous: present, appearing, found everywhere. The challenges arising from the COVID-19 pandemic fit this definition better than any event I have experienced in my lifetime. We each have a moment when our life changed – a before and after COVID-19. For some it was a few weeks ago – when you worried about laying people off, contemplated canceling events or faced confounding questions such as “How do I keep my staff safe?” For many it was the news of Wednesday night, March 11: suspension of...
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Building Resilient, Self-Healing Communities
Laura Porter, Co-Founder, ACE Interface ________________________________________ An exciting and somewhat logical outgrowth that has followed the Resilience documentary screenings sponsored by the Potts Family Foundation has been the creation of multidisciplinary teams formed to think about and take next steps within their communities. Led by Resilient Payne County, formed over two years ago, other communities are following a similar path in bringing key leaders together to assess their...
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California Is Giving Doctors Incentives To Ask Patients About Childhood Trauma [capradio.org]
By Sammy Caiola, Capital Public Radio, December 9, 2019 California health officials want children and adults on Medi-Cal to get screened for traumatic childhood events that can cause negative health effects down the line. Now the state has started giving doctors and nurses tools to do the screenings. People who experience adversity early in life have much higher chances of substance abuse, depression, or chronic diseases than their peers, according to national research. Gov. Gavin Newsom’s...
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California's First Surgeon General: Screen Every Student for Childhood Trauma [nbcnews.com]
By Patrice Gaines, NBC News, October 11, 2019 Dr. Nadine Burke Harris has an ambitious dream: screen every student for childhood trauma before entering school. "A school nurse would also get a note from a physician that says: 'Here is the care plan for this child's toxic stress. And this is how it shows up,'" said Burke Harris, who was appointed California's first surgeon general in January. "It could be it shows up in tummy aches. Or it's impulse control and behavior, and we offer a care...
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Can Music Heal Trauma? Exploring the Therapeutic Powers of Sound [pitchfork.com]
Imagine you are a newborn baby in an intensive care unit. Maybe you were born prematurely, or didn’t get enough oxygen during the delivery. There might be an IV in your tiny arm, with a small board holding it down so you can’t rip it out. You might have a tube going into your nose. You are alone, finally stabilizing after a traumatic event. But then, the doctors come in. “It’s as if you are finally safe in your nice warm bed and suddenly, out of nowhere, someone rips the sheets off of you,...
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Childhood PTSD is a Disease of Loneliness. Here's How to Learn to Connect Again.
Trauma from childhood is, in essence, an injury to the ability connect with people. And that's why so many people who were traumatized as kids experience loneliness throughout their lives -- sometimes even when they're surrounded by people. In this post I share a 10-minute video excerpted from my online course "Healing Childhood PTSD." it's all about loneliness and disconnection, and how to reconnect again. READ THE POST AND WATCHED HERE.
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Community Resiliency Model: An Innovative Approach to Addressing Burnout
Join the Illinois ACEs Response Collaborative for our next free webinar in our continuing series on best practices to prevent and mitigate the effects of provider burnout this Thursday, March 12th, at 10:00 am CDT. The second session of the IL ACEs Response Collaborative's series on burnout will discuss the Community Resiliency Model, developed by Elaine Miller-Karas of the Trauma Resource Institute, and explain how it prevents burnout in the workplace. The Community Resiliency Model creates...
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Connections Go a Long Way for Students With Trauma
Initiating short personal interactions may help students cope with adverse childhood experiences. By Lori Desautels July 18, 2018 We’re learning a lot lately about how adverse childhood experiences (ACEs) deeply affect children’s brain development, behavior, and emotional, mental, and physiological health outcomes both while they’re in school and later in life. ACEs impact people’s ability to self-regulate and form healthy relationships, and they impair learning. Psychiatrist and...
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Control, Predictability Can Help Counter Students' Trauma, Research Finds [blogs.edweek.org]
Interventions that help students think flexibly and feel more control over their learning may help counter the effects of disadvantage and trauma, suggests emerging research at the International Mind-Brain Education conference here. More than 1 in 3 U.S. children have experienced at least one major trauma—from abuse or neglect to the loss of a family member to death, prison, or drugs—by the time they enter kindergarten. By the end of their school years, nearly half have had at least one...
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Coronavirus Pandemic likely to Trigger more Post-Traumatic Stress Cases, LSU Researcher Says [nola.com]
By Mark Schleifstein, NOLA.com, March 30, 2020 A combination of stress, trauma and depression triggered by the coronavirus pandemic after the virus abates is likely to increase what’s already a high number of cases of post-traumatic stress disorder among Louisiana residents, who have been hammered by natural and man-made disasters in the past, according to a behavioral epidemiologist at the Louisiana State University School of Public Health. Associate professor Ariane Rung bases that...
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COVID-19: The Trauma of Witnessing So Much Illness and Death Will Have Lasting Effects [medicinenet.com]
From MedicineNet, May 3, 2020 The tragic death by suicide this week of an emergency department physician who had been caring for COVID-19 patients in New York City underscores the huge psychological impact of the pandemic -- which will linger long after the virus is gone, experts say. "For frontline responders, the trauma of witnessing so much illness and death will have lasting effects for many," Bruce Schwartz, MD, president of the American Psychiatric Association (APA), said during the...
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CPTSD Confusion: How to Get Clarity in All Your Relationships (Resilience Series)
One of the the most common, painful adult manifestations of Childhood PTSD is difficulty perceiving reality accurately, especially around the meaning of interactions we have with other people. We have trouble sometimes predicting that a choice is risky, or that a person we meet is unreliable, or whether our own sense of discomfort is an appropriate response. This is the sixth article and video in my resilience series, focusing on eight obstacles to healing from childhood trauma, and the...
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Defang ACEs: End toxic stress by developing resilience through physician-community partnerships [Pediatrics]
" When I was 12, my parents became part of the Maryland foster care system. Over many years, we took care of a total of 6 boys who had been placed in foster care. Some had suffered from physical and sexual abuse, others from neglect. Often, their parents struggled with mental health and substance use disorders. The traumas my siblings had experienced had clear impacts on their immediate mental and physical health. What we did not know was that these adverse experiences could also have...
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Disaster relief is about more than healing physical trauma. It's about emotional recovery too. [yahoo.com]
Disaster relief is most commonly thought of as providing food, water, and shelter to those affected by calamitous events beyond their control. But as communities in places like Texas and Puerto Rico are learning, disaster relief that only alleviates physical wants is not enough to put their communities back on their feet. After first responders have done their jobs to secure personal safety, an emotional recovery has to begin as well. [For more on this story by Rayne Ellis, go to...
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Doctors, Is It O.K. if We Talk About Why Finger-Wagging Isn’t Working? [nytimes.com]
Doctors give a lot of very good advice. Over the years, my primary care doctors have suggested better eating habits, more exercise, improved sleep hygiene, not carrying such a heavy shoulder bag, even exercises to improve my posture. The problem is, I am not sure I have ever made any changes in my behavior as a direct result. That would not come as a surprise to Ken Resnicow, a professor at the University of Michigan School of Public Health. “Finger-wagging doesn’t work,” he said. “There’s...
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DOING THE WRITE THING: Thinking of children, near and far (www./www.fltimes.com)
Excerpt from editorial written by Jackie Augustine and published in the Finger Lake Times here. To read entire editorial written by Jackie Augustine and published in the Finger Lake Times, go here.
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Educating the Whole Child: Improving School Climate to Support Student Success
Each year in the United States, 46 million children are exposed to violence, crime, abuse, homelessness, or food insecurity, as well as a range of other experiences that cause psychological trauma. These experiences create toxic stress that can affect children’s attention, learning, and behavior. Research on human development shows that the effects of such trauma can be mitigated when students learn in a positive school climate that offers long-term, secure relationships that supports...
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Education resources, including mental health, for kids, families during coronavirus pandemic
We have an abundance of helpful links and posts swirling online to support families and school systems as we adjust to our new normal of learning while self-isolating at home. Thousands of free academic resources from the NYT student writing prompts, to the Anti-Racist, Anti-Oppressive Homeschool Resource list, to this excellent collection from BuzzFeed, and the ever-growing crowd-sourced collection aptly named Amazing Educational Resources are being shared. Our schools do so much more than...
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Employing an Adaptive Leadership Framework to Childhood Adversity Screening [pediatrics.aapublications.org]
By Susannah Stein, Arin Swerlick, and Binny Chokshi, Pediatrics, January 2020 Providers of pediatric health care have been motivated and inspired by the research on childhood adversity, which has shown that in the early stages of life, critical neurodevelopmental pathways can be disrupted through exposure to adverse childhood experiences (ACEs) and resultant toxic stress.1,2 Early detection of ACEs and subsequent intervention has the potential to decrease the development of associated poor...
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Ending family trauma starts with understanding the root causes of adverse childhood experiences
Trauma, the result of adverse childhood experiences (ACEs), can only be prevented if we have an understanding of the root causes of childhood adversity. We know that a quarter of our children will endure at least three ACEs, which means living in households where adults misuse substances, are threatening or violent, have untreated mental health challenges, are abusive and neglectful, are dissolving marriages or are incarcerated. (We are not even talking about the one in eight children in the...
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Family Resilience And Connection Promote Flourishing Among US Children, Even Amid Adversity (www.healthaffairs.org)
Abstract below and link to open access article written by Christina D. Bethell , Nangerel Gombojav , and Robert C. Whitaker and published in Health Affairs Link to open access article written by Christina D. Bethell , Nangerel Gombojav , and Robert C. Whitaker .
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Finger Lakes Resiliency Network (FLRN)
The Finger Lakes Resiliency Network (FLRN) is a Trauma-Informed year long Learning Community that provides education, training, consultation, resources and support to providers who are committed to and invested in becoming trauma-informed. The FLRN was designed to foster organizational growth and development; challenging current practices and utilizing support and shared experiences with other schools and organizations committed to becoming trauma-informed. This network will provide the...
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Finger Lakes Resiliency Network (FLRN) Announcement!!!
We are excited to announce the upcoming kick-off of the FLRN’s 3 rd Trauma-Informed Learning Community Cohort , scheduled to begin October 2018! For information about the Finger Lakes Resiliency Network and how to become a member of this year-long community cohort, please contact: Barbara Pierce-Morrow, MSM, CASAC, FDC Executive Director of Family Counseling Service of the Finger Lakes at 315-789-2613 ext. 2124. Addressing trauma requires a multi-pronged, multi-agency public health approach...
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FLRN’s 3rd Trauma-Informed Learning Community Cohort
The Finger Lakes Resiliency Network (FLRN) is a Trauma-Informed year long Learning Community that provides education, training, consultation, resources and support to providers who are committed to and invested in becoming trauma-informed. The FLRN was designed to foster organizational growth and development; challenging current practices and utilizing support and shared experiences with other schools and organizations committed to becoming trauma-informed. This network will provide the...
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From Compassion Fatigue to Healing Centered Engagement: Turning Trauma Informed Values into Action
To pave the way for a truly strengths-based approach to full healing and recovery for both service users and burned out staff, we must educate them on (1) the central role of primal body responses to trauma (past and present), and (2) the early development of adaptive thoughts and behaviors in response to
traumatic experience.
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Growing Resilient Kids
Resiliency is defined as the ability to bounce back from stressful events we encounter in life. When something we encounter is so overwhelming to us that we become stuck in it, that is one definition of trauma. Resiliency can be viewed as the antidote to trauma. In fact, when we effectively process trauma we have experienced, we often come out the other side far more resilient than before. Our nervous systems have a higher stretch capacity, so to speak. How do we help our kids stretch and...
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Guidance for Teachers and Counselors to Help Kids at Risk at Home
People are beginning to be aware that one result of the increased stress around COVID-19 is the tragic fact that child abuse and neglect is increasing, but the safety net provided by schools is no longer in place. Teachers and counselors can continue to be a hero to students in this time of crisis, and can help mitigate the negative impact of traumatic events and stress. Caregivers might not be able to do it alone. We (Dr. Rachel Gilgoff, a child abuse pediatrician and trauma expert, and...
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Helping New Parents Make Room for Uncertainty
A new program for parents and infants, thanks to generous support from Mill Town Capital , is coming to Pittsfield, Massachusetts. The Hello It’s Me Project shines a spotlight on these tender new relationships, investing resources around the birth of a baby with the long-term goal of building a healthy community from the bottom up. When world-renowned child development researcher Dr. Ed Tronick spoke in the spring of 2018 for an audience of a wide variety of practitioners in Berkshire County...
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How Collaboration Fosters Safer Communities for Kids [RWJF.org]
Oct 3, 2018, 11:00 AM, Posted by Martha Davis Collaborative approaches can help ensure kids grow up with a solid foundation of safety and with a support system for those who are affected by violence. As the executive director of Philadelphia Physicians for Social Responsibility in the late 1990s, I worked closely with the local police department, the Women’s Law Project , and the district attorney. At the time, these forward-thinking professionals were frustrated. They were arresting the...
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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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How To Prepare For A Trauma Anniversary, According To Mental Health Experts [bustle.com]
Posttraumatic stress disorder (PTSD) can be a challenging mental health issue to manage, especially considering it's unique to each and every individual. However, a common trigger for many people with PTSD is their “trauma anniversary,” or the date that a traumatic incident or event occurred. In fact, a trauma anniversary (and the weeks leading up to it) can be one of the most difficult times during the year for people who live with PTSD. Fortunately, mental health experts say there are ways...
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“I Like to Move It, Move It!” – How Dance and Rhythm Can Reduce the Impact of ACEs (stresshealth.org)
As it is, more and more researchers studying the healing power of rhythmic movement on people who’ve experienced trauma from Adverse Childhood Experiences (ACEs), such as abuse, neglect, or parental mental illness or substance abuse issues. Among these researchers is Dr. Bruce Perry, a psychiatrist and senior fellow at the Child Trauma Academy in Houston who advocates dance, drumming, walking and other rhythm-based movements to help kids with trauma. In a book about trauma and the power of...
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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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Improving Traumatized Students’ Educational Outcomes by Shifting Away from Punitive and Towards Positive Discipline [trepeducator.org]
A Toolkit for Legislators, District Administrators, Principals, and Educators http://www.trepeducator.org/policy-toolkit This toolkit is designed to help stakeholders in our educational system advance current policies and practices in ways that will enable schools to better meet the cognitive, emotional, and behavioral needs of children and youth who have been exposed to traumatic stressors. To do so, this toolkit provides: Relevant information on trauma and the development of children...
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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...