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Tagged With "THEN Booklet Contents 2019"

Blog Post

AHRQ topic nomination and future for federal guidelines

Kevin Sherin ·
TIHCER meeting. June 22, 2019. Thank you so much to Ellen Goldstein and Martina Jelley for allowing a brief presentation to the Oklahoma based meeting today re: the ACES TIC AHRQ topic nomination by the American College of Preventive Medicine ACPM work group. The dialog and slides from today were excellent (and I have shared some already with others). A notable quote was “all of our patients are traumatized”. Another take away is that supportive care for the effects of trauma “can reduce ED...
Blog Post

Announcing Trauma and Resilience Competencies for Nursing Education

Kathleen Wheeler ·
The authors are pleased to announce the Trauma and Resilience Competencies for Nursing Education. These competencies serve as a guideline of minimal expectations and reflect essential knowledge, skills and behaviors for three levels of nursing education: 1) undergraduate, 2) graduate, and 3) psychiatric nurse practitioner programs. The Trauma and Resilience Competencies, developed in 2018 at the Egan School of Nursing and Health Studies at Fairfield University in Connecticut by an Expert...
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APA Trauma Competencies - is this the latest?

Megan Gerber MD MPH ·
Hi - a colleague just shared this - Priscilla may have access to a more recent version? Best, Megan
Blog Post

August Meeting Minutes

Anjuli Shah ·
Hello everyone, I've attached the meeting agenda from this month's call. Due to some technical difficulties, some of our meeting documentation was lost. However, we started some very important discussions on collaboration, successes in trauma informed care implementation, and obstacles we faced. I encourage everyone to continue having those conversations!
Blog Post

Becoming Trauma Informed (Millstein JGIM 2020)

Megan Gerber MD MPH ·
When I look at Victoria through a clearer lens, there are many clues—her anxiety, troubled marriage and family life, avoidance of physically intrusive examina- tions. I realize that I hardly know her at all. I focus on her health issues, and despite many stumbles, we have a nice rapport. I accept whatever she is willing to share about her tumultuous home life, but I do not ask how it all came to be so. Now I float with her in a reservoir of pain and shame.
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Becoming Trauma Informed: Validating a Tool to Assess Health Professional’s Knowledge, Attitude, and Practice

Ellen Goldstein ·
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,...
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Book Review by Eve Rittenberg, MD (Trauma-informed Healthcare Approaches)

Megan Gerber MD MPH ·
What is trauma-informed care? Often using spe- cific examples juxtaposed with cogent summarizes of the research literature, Trauma-Informed Healthcare Approaches effectively communicates the broad prin- ciples and necessary components of the TIC approach at both an individual and systems level. I find Leigh Kimberg’s 4 Cs (Calm, Contain, Care and Cope) particular useful as a mnemonic for how how to apply trauma-informed principles to clinical care.
Blog Post

CA Surgeon General and DHCS Launch ACEs Aware Initiative and Website

Gail Kennedy ·
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...
Blog Post

Call for Grants Notification: Advancing the Science behind Childhood Adversity

Ellen Goldstein ·
Genentech is actively seeking applications for scientific project support. Click on a link below for more information and detailed instructions on submitting a Call for Grant Notification (CGN) application. NEW! CGN Application - Advancing the Science Behind Childhood Adversity (Application due on October 1, 2019) https://www.gene.com/good/giving/corporate-giving/scientific-project-support...
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Center for Healthcare Strategies: Great Practice-based Resource

Megan Gerber MD MPH ·
I am increasingly finding myself sharing pdfs, infographics from this wonderful organization's site, I am sure most of you have seen it but just in case: https://www.traumainformedcare.chcs.org/screening-for-adverse-childhood-experiences-and-trauma/
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Consequences of Military Sexual Trauma for Perinatal Mental Health: How Do We Improve Care for Pregnant Veterans with a History of Sexual Trauma?

Megan Gerber MD MPH ·
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...
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Don't miss the AVA Global Health Summit in St. Paul, MN, October 3-4!

Martina Jelley ·
The 2019 Academy on Violence and Abuse Global Health Summit will be October 3-4, 2019 at Mitchell Hamline School of Law, St. Paul, Minnesota . Keynote Address from Dr. Vincent Felitti : "Adverse Childhood Experiences (ACEs) and Their Relationship to Adult Well-being, Addiction, Disease, and Premature Death" ACEs Connection Network founder/editor Jane Stevens will receive an AVA Change Maker award and give an address: "Origins of ACEs Connection and the Future" Check out the full agenda and...
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Georgia Health Students Plan Trauma Informed Care Training Day, Oct. 19, 2019

Alyssa Levine ·
Home to the Center for Disease Control, Atlanta is a city full of great minds focused on all issues related to public health. Despite this, a group of students and faculty at neighboring health professional schools including Emory School of Medicine, Emory’s Nell Hodgson Woodruff School of Nursing, Georgia State University, Morehouse School of Medicine, Mercer University School of Medicine, and the Medical College of Georgia at August University, found that education and awareness around one...
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How trauma-informed care promotes healing: Patient Narrative

Megan Gerber MD MPH ·
So pleased that KevinMD published this patient narrative. I was encouraged to share it here as well! https://www.kevinmd.com/blog/2...romotes-healing.html By MEGAN R. GERBER, MD | CONDITIONS | JULY 26, 2019 As physicians, we face the formidable task of working with patients who appear angry, never content with care or “made better” by anything we do. They may be known as “difficult,” unpleasant, or demanding. These patients are the most challenging and often the least rewarding to care for.
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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.
Blog Post

January TIHCER Zoom meeting

Martina Jelley ·
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...
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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...
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NHCVA WEBINAR: A CHANGE PACKAGE FOR ADVANCING TRAUMA INFORMED CARE IN PRIMARY CARE SETTINGS

Martina Jelley ·
https://www.futureswithoutviolence.org/nhcva-webinar-tic-change-package/ This webinar will provide an overview of a new Change Package, released in October 2019, for advancing trauma-informed approaches in primary care. This resource is the result of a three year initiative between the National Council for Behavioral Health (National Council) and Kaiser Permanente. Presenters will provide information about the development of the Change Package by the National Council’s transformation team...
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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,...
Blog Post

Powerful reason to teach all students about ACEs

Megan Gerber MD MPH ·
I'm sure many of you have heard about Dr. Recinos' amazing book, I did not realize that learning about ACEs (curriculum!) promoted her healing: https://www.acesconnection.com/blog/how-i-healed-from-my-own-childhood-trauma
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RCT of simulation-based communication training improves patient-centeredness & health risk communication

Frances Kathleen Wen ·
https://www.sciencedirect.com/science/article/pii/S0738399110000340 This article is one of the few (only) RCTs looking at simulation-based communication training relevant to ACEs, which included a 2-year follow-up of observed skills in medical visits.
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SW Core Curriculum - borrow elements?

Megan Gerber MD MPH ·
We found this helpful in designing learning expeiences in GME - it's PBL & evaluated, forgive if this is duplicate information. Aspects that could translate well to UME include: 'Five primary aims of the Core Concepts portion of the CCCT include: (a) enhance practitioners’ empathic understanding of the nature of traumatic experiences (b) facilitate the development of clinical reasoning and clinical judgment in practitioners who work (or plan to work) with [trauma-exposed pts] ...(e)...
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The State of the Science on Trauma Inquiry

Ellen Goldstein ·
Beautifully written and well done colleagues! Lewis-O'Connor A, Warren A, Lee JV, Levy-Carrick N, Grossman S, Chadwick M, Stoklosa H, Rittenberg E. Womens Health (Lond) . 2019 https://www.ncbi.nlm.nih.gov/pubmed/31456510
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TIHCER April Zoom meeting - 4/27/20, 3-4pm CST

Martina Jelley ·
Please join in to our next scheduled TIHCER Zoom meeting - Monday, April 27 th at 3pm Central. Our guest speaker will be Courtney Barry, PsyD (meeting will be recorded and available on our ACEs Connection Community site for those not able to join live) Dr. Barry is an Assistant Professor in the Department of Psychiatry and Behavioral Medicine and the Department of Family and Community Medicine. She is a licensed Clinical Psychologist, with a specialization in Health Psychology. She completed...
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Tomorrow’s Doctors will Diagnose the Mental Toll of Climate Change [ozy.com]

Marianne Avari ·
By Carly Stern, Ozy, July 22, 2019. First-year medical student Anna Goshua was interviewing an emergency room physician in March to learn more about the job when she heard about a patient who had come all the way from Puerto Rico to that ER in Massachusetts for health care. Hurricane Maria had wiped out all prospects of the patient seeking care at home. A surprised Goshua pored over her Stanford University curriculum to learn more about climate migrants. She realized the school offered no...
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Trauma Informed Care: Understanding and Responding to the Effects of Adverse Experiences Throughout the Lifespan (Webinar)

Shairi Turner MD MPH ·
Please join the Project Co-Directors (TICHER Members) for an overview of 42 innovative and original (free to the pubic) virtual cases. These cases highlight a patient centered approach to the care of patients who have survived traumatic life experiences. Experiences that include, for example, sexual assault, interpersonal and community violence, military sexual trauma, and child abuse. The virtual cases comprise a comprehensive online training curriculum created for physicians and other...
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Trauma-informed primary care for residents

Ellen Goldstein ·
Andrea Garroway recently joined TIHCER. She published the following article describing a brief interdisciplinary intervention to train medical residents in trauma-informed primary care at a Veterans Affairs hospital. See attached article. "We generated a trauma- informed care curriculum involving five 1- hour didactic sessions, 10- minute group reflection regarding patient interactions prior to each didactic session, and optional patient care observation and feedback."
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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...
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UPDATED CALL-IN DETAILS: Trauma Informed Care: Understanding and Responding to the Effects of Adverse Experiences Throughout the Lifespan (Webinar)

Ellen Goldstein ·
Please join the Project Co-Directors (TICHER Members) for an overview of 42 innovative and original (free to the pubic) virtual cases. These cases highlight a patient centered approach to the care of patients who have survived traumatic life experiences. Experiences that include, for example, sexual assault, interpersonal and community violence, military sexual trauma, and child abuse. The virtual cases comprise a comprehensive online training curriculum created for physicians and other...
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What’s the Role of Physicians in the Aftermath of Mass Shootings? [mdlinx.com]

By Naveed Saleh, MDLinx, August 29, 2019 Domestic terrorism has become a nationwide epidemic—and it’s contagious. As of this writing, there have been 271 mass shootings in 2019, leaving 290 people dead and 1,121 injured, according to the non-profit organization Gun Violence Archive. In early August, the mass shootings in Dayton, OH, and El Paso, TX, resulted in the deaths of 31 people in less than one day’s time. Researchers have found that mass shootings are contagious, in the sense that...
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Re: NHCVA WEBINAR: A CHANGE PACKAGE FOR ADVANCING TRAUMA INFORMED CARE IN PRIMARY CARE SETTINGS

Martina Jelley ·
Here is the full link: https://www.futureswithoutviol...-tic-change-package/ And the registration info: Date/Time: November 19th, 2019 at 10-11:30am PST/ 1-2:30pm EST Register for the webinar: https://zoom.us/webinar/regist...vbUVGCTHCZ-kSqeMG0Gw
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Re: Center for Healthcare Strategies: Great Practice-based Resource

Vincent J. Felitti, MD ·
Thank you for sharing your experience in using the ACE findings clinically. Attached is an article describing our doing this in a 135,000 adult patient sample where the ACE Questions were integrated into a lengthy medical history questionnaire filled out at home as Step 1 of comprehensive medical evaluation. The benefits were major. Unexpectedly, colleague (but not patient) resistance was also significant. Our getting this information initially by an inert mechanism rather than face-to-face...
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Re: How trauma-informed care promotes healing: Patient Narrative

Brigid McCaw ·
excellent blog post. Personal, specific stories really elucidate how the TIC perspective can help us engage more effectively and fully with our patients. Brigid > On Jul 30, 2019, at 1:24 PM, ACEsConnection < communitymanager@acesconnection.com > wrote: >
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Hypertension_THEN_Lens

Audrey Stillerman ·
Hypertension_THEN_Lens
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Case-John.FINALa.pdf

Audrey Stillerman ·
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Re: TIHCER Zoom meeting 2-27-20

Martina Jelley ·
Recording starts about 5 minutes into the presentation - technical difficulties! Will also post the slide set.
 
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