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Understanding and Addressing Sources of Anxiety Among Health Care Professionals During the COVID-19 Pandemic [jamanetwork.com]

By Tait Shanafelt, Jonathan Ripp, Mickey Trockel, JAMA, April 7, 2020 The coronavirus disease 2019 (COVID-19) pandemic has become one of the central health crises of a generation. The pandemic has affected people of all nations, continents, races, and socioeconomic groups. The responses required, such as quarantining of entire communities, closing of schools, social isolation, and shelter-in-place orders, have abruptly changed daily life. Health care professionals of all types are caring for...

Adverse Childhood Experiences (ACEs) and Community Physicians: What We've Learned [thepermanentejournal.org]

By Brian R. Stork, Nicholas John Akselberg, Yongmei Qin, and David C. Miller, The Permanente Journal, January 24, 2020 ABSTRACT Introduction : The prevalence of childhood trauma, as measured by the Adverse Childhood Experiences (ACE) Study questionnaire, has been studied in a wide variety of community settings. However, little is known about physicians’ familiarity with and use of the ACE questionnaire or the prevalence of childhood trauma in the physician community. Objective: To survey a...

KPJR Films Virtual Showcase Registration Including Live Twitter Townhall [kpjrfilms.co]

TRAUMA-INFORMED IN THE AGE OF CORONAVIRUS A virtual discussion featuring Alice Forrester, PhD, CEO of Clifford Beers from RESILIENCE, Jim Sporleder, Trauma Informed Consultant and former Principal of Lincoln High School shown in PAPER TIGERS, and James Redford, Director of both RESILIENCE & PAPER TIGERS. During this time of social isolation, KPJR Films is reaching out to share our documentary films and trauma-informed tools with communities nationwide. KPJR Films will launch KPJR...

TIHCER March Zoom meeting tomorrow!

Our TIHCER March Zoom meeting will feature Dr. Megan Gerber presenting "Is SoMe for me? Academic Use of Twitter" Megan ("Meegan") Gerber is a general internist and Associate Professor of Medicine at the BU School of Medicine. She serves as Medical Director of Women's Health at VA Boston where she is also the fellowship director and as a Senior Consultant, Comprehensive Health, Women's Health Services, VHA (VA Central Office). Megan's academic focus has been on improving outcomes and care for...

New Analysis Presents Puzzle About Physician Suicide [medpagetoday.com]

By Elizabeth Hlavinka, MedPage Today, February 4, 2020 Female physicians were more likely to die by suicide than women in the general population in recent decades, but the same trend was not observed among male doctors, according to a meta-analysis of nine British and U.S. studies. Compared with the general population, female physicians had a significantly higher suicide mortality ratio (SMR) from the 1980s to date (1.46, 95% CI 1.02-1.91), reported Dante Duarte, MD, PhD, of Harvard Medical...

Trauma-Informed Care May Ease Patient Fear, Clinician Burnout [jamanetwork.com]

By Bridget M. Kuehn, JAMA Network, January 29, 2020 For many sexual assault survivors whom Anita Ravi, MD, MPH, sees as a New York City–based family physician, the prospect of even basic medical care can be frightening. Some have put off Papanicolaou tests and mammograms for years or even decades. To help them, Ravi has adopted a trauma-informed approach that works to restore patients’ trust and give them a greater sense of control over their visit. This may include asking permission before...

FPs Are Best Equipped to Tackle Adverse Childhood Experiences [aafp.org]

By Brent Sugimoto, American Academy of Family Physicians, January 29, 2020 Quick quiz: Which of the following is not associated with exposure to adverse childhood experiences, also known as ACEs? [child being threatened] A) Heart disease B) Cancer C) Chronic lung disease D) Obesity E) Parkinson's disease The answer: All of the above conditions have been closely associated with ACEs except Parkinson's disease, but a recent study suggests that even Parkinson's disease(www.ncbi.nlm.nih.gov) may...

January TIHCER Zoom meeting

Our next TIHCER monthly meeting will be on Monday, Jan 27 th (3-4p) CT. Binny Chokshi and Daniel Chen will be presenting on their recent publication, Becoming Trauma Informed: Validating a Tool to Assess Health Professional’s Knowledge, Attitude , and Practice (see attached). In addition, Binny will give us her practical wisdom on considering an adaptive leadership approach for ACEs screening. See articles attached. Martina Jelley is inviting you to a scheduled Zoom meeting. Join Zoom...

Consequences of Military Sexual Trauma for Perinatal Mental Health: How Do We Improve Care for Pregnant Veterans with a History of Sexual Trauma?

Sharing our recent editorial which includes a call for TIC in maternity care: "Nevertheless, there are ways in which VA may be able to augment the maternity care pregnant veterans receive to empower and facilitate more trauma-informed approaches to obstetric care. These include investing in programs to ensure peer support, possibly through use of mobile health technology; facilitating collaboration with maternity care providers through provision of handheld/electronic maternity records...

Implementation of the Adverse Childhood Experiences Conversation in Primary Care [academic.oup.com]

By Victoria Bodendorfer, Afton M Koball, Cary Rasmussen, et al., Oxford University Press, November 23 ,2019 Abstract Background Research has focused on screening for adverse childhood experiences, rather than provision of education as a part of routine anticipatory guidance. An adverse childhood experiences ‘conversation’ is one method that has not been studied empirically but represents a complimentary or alternative approach to screening which could overcome many existing barriers.

CA Surgeon General and DHCS Launch ACEs Aware Initiative and Website

Join a live webinar with California Surgeon General Dr. Nadine Burke Harris and Dr. Karen Mark Medical Director, Department of Health Care Services for a Medi-Cal provider introduction to the new ACEs Aware Initiative and the www.ACEsAware.org website. The Office of the California Surgeon General and the Department of Health Care Services (DHCS), in the first public unveiling of the initiative, will host a live webinar to share details of the new ACEs Aware Initiative for Medi-Cal providers...

Opinion: All Doctors Should Practice Trauma-Informed Care [calhealthreport.org]

By Bob Erlenbusch and Drew Factor, California Health Report, November 21, 2019 “Adverse childhood experiences are the single greatest unaddressed public health threat facing our nation today,” Dr. Robert Block, former president of the American Academy of Pediatrics, has been widely quoted as saying. According to the Adverse Childhood Experiences Study, conducted in the 1990’s by the Centers for Disease Control & Prevention and Kaiser Permanente, adverse childhood experiences are common,...

Becoming Trauma Informed: Validating a Tool to Assess Health Professional’s Knowledge, Attitude, and Practice

Way to go Binny! https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831052/pdf/pqs-4-e215.pdf Simmy King, DNP, MS, MBA, RN-BC, NE-BC*; Kuan-Lung Daniel Chen, DrPH(c), MPH†; Binny Chokshi, MD‡§ Introduction: To effectively address the negative health effects of early childhood trauma and adversity, healthcare professionals and healthcare institutions must understand the impact of adverse childhood experiences and trauma on health. This study aimed to validate a tool to assess knowledge, attitude,...

Change Package is Now Available!

Click here for the Change Package : Fostering Resilience and Recovery: A Change Package for Advancing Trauma – Informed Primary Care Earlier this year, to help primary care address the impacts of trauma, the National Council for Behavioral Health, with the support of Kaiser Permanente, launched a three-year initiative, Trauma-Informed Primary Care: Fostering Resilience and Recovery . “Trauma work is not new to the National Council. With effects across the lifespan, we’ve spent the last...

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