Tagged With "California Health Report"
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Case-John.FINALa.pdf
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Re: TIHCER Zoom meeting 2-27-20
Recording starts about 5 minutes into the presentation - technical difficulties! Will also post the slide set.
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Re: Consequences of Military Sexual Trauma for Perinatal Mental Health: How Do We Improve Care for Pregnant Veterans with a History of Sexual Trauma?
Dear Dr. Gerber, What an important message for those who are in the military or those who know someone in the military. May I copy (e.g. clone) this story to other communities on ACEs Connection - such as ACEs in Maternal Health ? Thank you very much for posting! Karen
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Experience of emergency department use among persons with a history of adverse childhood experiences [bmchealthservres.biomedcentral.com]
By Eva Purkey, Colleen Davison, Meredith MacKenzie, et al., BMC Health Services Research, May 24, 2020 Background Adverse childhood experiences (ACEs) are associated with increased morbidity and mortality, lower levels of distress tolerance, and greater emotional dysregulation, as well as with increased healthcare utilization. All these factors may lead to an increased use of emergency department (ED) services. Understanding the experience of ED utilization among a group of ED users with...
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Health Risk Behaviors and Resilience Among Low-Income, Black Primary Care Patients (Family and Community Health)
By: Ellen Goldstein, PhD; Susan Flowers Benton, PhD; Bruce Barrett, MD, PhD Qualitative Findings From a Trauma-Informed Primary Care Intervention Study This study describes an intervention with low-income, Black primary care patients and their experience in changing a health risk behavior. Participant themes, including behavioral coping, personal values, accomplishments and strengths, barriers and strategies, and social support, are understood in relationship to health behavior theories. Two...
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Addressing adverse childhood experiences and health risk behaviors among low-income, Black primary care patients: Testing feasibility of a motivation based intervention (General Hospital Psychiatry)
Ellen Goldstein, James Topitzes, Jen Birstler, Richard L. Brown a University of Wisconsin-Madison, Department of Family Medicine, United States of America b University of Wisconsin-Milwaukee, Helen Bader School of Social Welfare, United States of America c University of Wisconsin-Madison, Biostatistics d Concerto Health, United States of America A B S T R A C T Objective: This pilot study tests the feasibility of implementing a two-session intervention that addresses adverse childhood...
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NEW Trauma-informed Care Podcast (CME provided)
Join us as we delve into the paradigm-shifting ethos of trauma-informed care with renowned expert Dr. Megan Gerber. Dr. Gerber is an Associate Professor of Medicine at Boston University School of Medicine and serves as Medical Director of Women’s Health for VA Boston where she directs the Women’s Health Fellowship. Dr. Gerber edited the textbook, “Trauma-informed Health Care Approaches: A Guide for Primary Care.” We discuss the framework for trauma-informed universal precautions, as well as bas
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Inside Boston Hospitals, A Reckoning With Racism (WBUR)
By Martha Bebinger, June 19, 2020, WBUR As calls for racial justice continue on Boston streets, conversations have shifted to what’s next. That’s true inside hospitals as well, where the life-long effects of racism play out every day. “You could almost take any chronic disease in America, diabetes, hyper-tension, and there will be higher rates and worse outcomes in Black Americans,” says Dr. Rose Olson, a resident physician at Brigham and Women’s Hospital. “That’s not due to biology or...
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Re: TIHCER June Zoom 2020
This is a very interesting presentation, and I look forward to reading Dr. Strait's article in The Permanente Journal. The subject has great relevance for the military because there is highly suggestive evidence that ACE Scores and their generally not-understood sequelae may be more common in a volunteer military that in a draft military. Attached as Item 3 is an article describing how routine ACE screening was carried out on a very large scale in one Kaiser Department, and its effects and...
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Re: TIHCER June Zoom 2020
Thank you Dr. Felitti for your kind words and helpful attachments. Your paper is so important, especially in light of the military families I work with. Your words are inspiring and transformative: "We realized that asking , initially via an inert mechanism with later followup in the exam room, coupled with listening and implicitly accepting the person who had just shared his or her dark secrets, is a powerful form of doing ."
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Re: TIHCER June Zoom 2020
@Joshua S Strait my colleague Jodie Katon also did a cite we cite often (when we try to argue for TIC in VA) but it did not look at era of service in the same way. BRFSS data. Katon JG, Lehavot K, Simpson TL, et al. Adverse Childhood Experiences, Military Service, and Adult Health. Am J Prev Med . 2015;49(4):573-582. doi:10.1016/j.amepre.2015.03.020 "Results: Those with military service had more total ACE than civilians. Higher ACE was associated with poorer HRQOL among women (physical...
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Re: Trauma-Informed Telehealth in the COVID-19 Era and Beyond
Thank you for posting @Ellen Goldstein and for your enduring kind support! The pdf is now available and attached.....
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Trauma-Informed Telehealth in the COVID-19 Era and Beyond
https://www.mdedge.com/fedprac/article/225184/coronavirus-updates/trauma-informed-telehealth-covid-19-era-and-beyond Background: The Veterans Health Administration (VHA) entered the COVID-19 pandemic crisis with an existing and robust telehealth program, but it still faces a fundamental paradigm shift as most routine outpatient in-person care was converted to telehealth visits. Veterans are a highly trauma-exposed population, and VHA has long offered effective telemental health services.
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Navigating Trauma in Your Personal Statement for Medical School (In-Training)
By Britt D. K. Gratreak, July 21, 2020, University of Arizona College of Medicine - Tucson I applied to medical school twice. In retrospect, I was unsuccessful the first time for a few reasons: my timing was terrible, I had too much humility about my achievements, and I didn’t ask for enough opinions about my application from people who were rooting for me. My trauma was also too raw and recent to write in a way for strangers to understand. After taking a few years to focus on research, I...
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Trauma-Informed Medical Education (TIME): Advancing Curricular Content and Educational Context
Trauma-Informed Medical Education (TIME): Advancing Curricular Content and Educational Context Given that key perspectives and practices are cemented during medical education, the authors advocate teaching trauma-informed care in UME, including curricular content, clinical skills, and self-care techniques. Taylor Brown, Sarah Berman, Katherine McDaniel, MSc, Caitlin Radford, Pooja Mehta, MD, Jennifer Potter, MD, and David A. Hirsh, MD
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Re: TIHCER ZOOM JULY 2020
Well done Drew and Mike. There is almost a total lack of attention to the pathophysiological impact of child hood trauma on adult physical as well as mental disease. The medical establishment has a tremendous inertia as you learned...from the clinic to the medical group to the professional society to medical schools and graduate training to clinical research there is a near ubiquitous resistance to considering the impact of childhood abuse and neglect on adults. A large CDC study showed that...
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Emergency departments look inward to deepen practices that support traumatized patients
An interdisciplinary team of clinicians from Brigham and Women’s Hospital had a bold idea in 2017. They would completely change the way things worked in their hospital’s emergency department so that the care provided to their patients was infused with a trauma-informed approach. That means recognizing how widespread trauma is and using a myriad of techniques to mitigate its harmful effects among patients, providers and staff. The realization of just how widespread trauma is came to light in...
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MORE THAN A ROUGH YEAR - Dr. Marshall Fleurant (TIHCER Steering Committee Member)
When we tell future generations about 2020, how will we remember it? Will we remember it as a “rough year,” a year of death and injustice? Or as the year that prompted the renewal of a revolution to move our ideals of health equity for all forward? We, as healthcare providers and institutions, have the power and privilege to dismantle systemic racism in medicine and society and to have a meaningful impact on the well-being of the communities we serve, if we all commit to continuously work toward
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ACEs Aware Seeking Applicants to Support Clinical Work [acesaware.org]
ACEs Aware Seeking Applicants to Support Clinical Work Apply by September 15, 2020 ACEs Aware , led by the Office of the California Surgeon General (CA-OSG) and the California Department of Health Care Services (DHCS), is hiring for three new positions to further the mission of supporting Medi-Cal providers across California with training, clinical protocols, and payment for screening children and adults for Adverse Childhood Experiences (ACEs). Aurrera Health Group is the project management...
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Introducing ACEs (Adverse Childhood Experiences) and Resilience to First-Year Medical Students [mededportal.org]
By Edore Onigu-Otite, Sindhu Idicula, MedEdPORTAL, September 15, 2020 Abstract Introduction: Adverse childhood experiences (ACEs) are associated with negative mental and physical health outcomes and predictive of higher sociodemographic risk. Introducing ACEs into undergraduate medical education is key to prevention, early recognition, and intervention. Methods: In a 1-hour lecture, held live and viewed online, we delivered a condensed introduction to ACEs to first-year medical students.
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Medicine and medical science: Black lives must matter more The Lancet
The following quote appeared in an editorial in The Lancet on June 13, 2020: "What can medical journals do? Our task is to educate ourselves and others about racism. We must support Black and minority ethnic health workers. And we must use evidence and our values to speak out for Black and minority ethnic communities. The Lancet is a journal with a deep colonial history: the journal has published work that supported the health of settler colonialists and that prioritised their health over...
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Free 2020 Virtual Trauma-Informed Care Conference
Each year, STAR hosts a Trauma-Informed Care Conference to help educate the next generation of leaders and build a strong network of Trauma-Informed professionals in the state of Georgia. The conference will be held on Saturday, October 3rd from 10:00am- 1:00pm EST and Sunday, October 4th , 2020 from 2:00pm-5:00pm EST conducted virtually via Zoom.
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Supporting Patients in Pregnancy: ACEs and Maternal Health [acesaware.org]
This webinar will offer information around the importance of ACE screening as it relates to maternal health. Speakers will share resources for providers looking to introduce ACE screening, examples of how to create a healing environment for patients, and case studies on how to respond with trauma-informed care. Upon completion of the activity, participants should be better able to: • Recognize the science and impact of ACEs and toxic stress, understand the value of ACE screening, and apply...
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Hope and Progress, No Matter What! — an ACEs Connection/Cambia Health Foundation “Better Normal”, Oct. 22, 2020
The election is upon us. In two short weeks, we voters in this country decide who will lead us for the next four years. We have the opportunity to embrace — as a national priority — the tenets of understanding, nurturing and healing that underlie the science of adverse childhood experiences and move in a direction that embraces cultural and racial equity and anti-racism. Or not.
What is clear is that no matter what, the ACEs movement will continue.
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A Better Normal Community Discussion - Reimagining Health Care
In a conversational style, join physician Drew Factor who will speak with Dr. Tracy Gaudet, Liza Guroff and An é Watts in a discussion entitled "Reimagining Health Care". Dr. Gaudet will speak about her experience engaging in transformational change at the Veterans Administration and how this has shaped the development of her own Functional Medicine Institute , while Ms. Guroff and Ms. Watts will speak about their knowledge of a Trauma-Informed Approach both at a systems (National Council...
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A New Hippocratic Oath Asks Doctors To Fight Racial Injustice And Misinformation [NPR]
First-year medical student Sean Sweat "didn't want to tiptoe around" issues of race when she sat down with 11 of her classmates to write a new version of the medical profession's venerable Hippocratic oath. "We start our medical journey amidst the COVID-19 pandemic, and a national civil rights movement reinvigorated by the killings of Breonna Taylor, George Floyd and Ahmaud Arbery," begins the alternate version of the oath, rewritten for the class of 2024 at the University of Pittsburgh...
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Healthcare providers learn skills to prevent burnout, build resilience
It’s an enormous understatement to say that healthcare workers today are suffering. Every day, you hear interviews with nurses, physicians, social workers, and others in healthcare saying they’re pushed to the breaking point and beyond. But, by using skills taught in the Community Resiliency Mode l (CRM), even people under severe stress can weather the onslaught, do their work, and get along with colleagues. CRM is an evidence-based training program that’s being used by millions of people in...
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Doctor's Orders: Program Prescribes Fresh Fruits, Vegetables to Idahoans [publicnewsservice.org]
Eric Tegethoff, Public News Service (12/10/2020) BOISE, Idaho -- A pilot program that prescribes a trip to the produce aisle has been a success in Idaho. The Nebraska-based Gretchen Swanson Center for Nutrition evaluated the Idaho Hunger Relief Task Force's (IHRTF) Prescription for Fresh Fruits and Vegetables program, which offers vouchers to food-insecure patients with diabetes and prediabetes. It found significant improvements in participants' health; Julie Walker, manager of diabetes...
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A Comprehensive Policy Framework to Understand and Address Disparities and Discrimination in Health and Health Care: A Policy Paper From the American College of Physicians [acpjournal.org]
By Josh Serchen, Robert Doherty, and Omar Atiq, Annals of Internal Medicine, January 12, 2021 Abstract Racial and ethnic minority populations in the United States experience disparities in their health and health care that arise from a combination of interacting factors, including racism and discrimination, social drivers of health, health care access and quality, individual behavior, and biology. To ameliorate these disparities, the American College of Physicians (ACP) proposes a...
Comment
Re: A Comprehensive Policy Framework to Understand and Address Disparities and Discrimination in Health and Health Care: A Policy Paper From the American College of Physicians [acpjournal.org]
How wonderful BUT as a medical group with vested interests the ACP shies away from endorsing the most potent answer to racial disparities, that is a universal, national, public utility like health system with a"single financial" payer like an improved Medicare for all. The current market distribution of medicine on a commercial model inherently reenforces discrimination and disparities and is complemented by Medicaid which has always been distorted by racist values.The first step is to...
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Tapping virtual reality to help drive equity in healthcare [globalhealthsciences.ucsf.edu]
By Institute for Global Health Sciences, UCSF, February 10, 2021 In 2020, the unequal impact of the COVID-19 pandemic, coupled with the state-sanctioned murders of George Floyd and Breonna Taylor, laid bare the persistent disparities in access to quality health care, education, and opportunity facing Black, Latinx, Indigenous and other people of color. IGHS has undertaken a number of new projects to reduce the inequities in our own house and backyard and across the world. Today, we are...
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New Report Explores Top Social Determinants
This article originally appeared on RACMonitor News 2/10/21 “Permission to republish this article was granted by RACmonitor“ It’s just February, but a steady stream of reports and surveys touting the top social determinants of health (SDoH) and mental health (SDoMH) for 2021 have already begun to appear. First up is the 2021 Consumer Sentiments and Insights Survey by The Root Cause Coalition , an organization co-founded by AARP Foundation and ProMedica. The survey was conducted online last...
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How ACEs Aware Training Can Support Providers and Patients During COVID-19
The February ACEs Aware webinar discusses the secondary health effects associated with stress caused by COVID-19. Presenters share how ACEs Aware training and resources to treat toxic stress can equip providers with the knowledge and tools they need to effectively incorporate ACE screening into patient care, and to better respond to and support their patients during this time. Faculty: Devika Bhushan, MD, FAAP – Chief Health Officer, Office of the California Surgeon General Eric Ball, MD,...
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Stan Sonu
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Adrianne Cadorna
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Pooja Mhatre
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