Tagged With "Ben David New Hanover County DA"
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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...
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Announcing Trauma and Resilience Competencies for Nursing Education
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?
Hi - a colleague just shared this - Priscilla may have access to a more recent version? Best, Megan
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August Meeting Minutes
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!
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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...
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California Statewide Screening for Child Trauma in Primary Care [ChronicleofSocialChange.org]
California is leading the nation in our response to trauma. Newsom approved a budget in June that will help California move toward universal ACEs screening, a goal that Nadine Burke Harris has long supported. The state is setting aside about $45 million next year to reimburse Medicaid providers in the state for trauma screenings of adults and children, and another $50 million to train 88,000 primary care providers on how to administer these screenings and to respond with trauma-informed...
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Call for Grants Notification: Advancing the Science behind Childhood Adversity
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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Call for Papers: Adverse Childhood Experiences (ACEs) Translation to Action
American Psychologist invites submissions for a special issue on "Adverse Childhood Experiences (ACEs): Translation to Action." A special issue on the topic of adverse childhood experiences (ACEs) is intended to articulate critical concepts, to demonstrate the significance and relevance of psychological research and practice, and to catalyze further efforts to develop effective programs and policies that reflect current science. The goal of this special issue is to publish articles that...
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Center for Healthcare Strategies: Great Practice-based Resource
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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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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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...
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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...
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Medical Education Curriculum Expansion (TIC and ACEs)
This is Beth Pletcher, from Rutgers New Jersey Medical School. I wanted to share an experience that happened today - what I might call a curricular “win”. After introducing our TIC-ACEs module with small group, discussion-based sessions to all of our first year medical students three years ago as part of the Health Equities and Social Justice course ( https://www/medportal.org/publiction/10803/ ), we were unsure of how to continue to reinforce and build upon the TIC-ACEs knowledge across the...
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Mount Sinai Announces Center for Stress, Resilience and Personal Growth [newswise.com]
Newswise — (New York, NY – April 30, 2020 ) -- Mount Sinai Health System (MSHS), one of New York’s largest integrated health systems, announced today the launch of the Mount Sinai Center for Stress, Resilience and Personal Growth, a first-of-its-kind initiative in North America that is designed to address the psychosocial impact of COVID-19 on the mental health and lives of frontline health care providers at Mount Sinai and will serve as a model for institutions and communities around the...
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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...
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NHCVA WEBINAR: A CHANGE PACKAGE FOR ADVANCING TRAUMA INFORMED CARE IN PRIMARY CARE SETTINGS
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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Op-Ed: I'm a doctor fighting COVID-19. Outside of the hospital, I've never felt more alone [latimes.com]
By Samuel Yamshon, Los Angeles Times, May 15, 2020 As I make my way into my building’s elevator after a long hospital shift, a neighbor throws his arm out to stop me. “Sorry,” he says, “only one person per elevator.” Seeing my confusion, our doorman kindly but firmly corrects him. “Two per elevator is fine.” I take a step toward the open doors, but the passenger again holds up his palm. “Please,” he pleads, his eyes glancing frantically at my scrubs. “Please, just take a different one.”...
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RCT of simulation-based communication training improves patient-centeredness & health risk communication
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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Study finds meditation and aerobic exercise relieves stress in medical school students (EurekAlert)
Rutgers, Released May 4, 2020, Journal of Alternative and Complementary Medicine. Rutgers professor and medical school student collaborating on research touched by pandemic. Rutgers Robert Wood Johnson Medical School student Paul Lavadera expected his career would put him on the front lines of dealing with medical emergencies. But he never could have imagined he'd be graduating during the biggest global pandemic in a century when he joined forces two years ago with Tracey Shors,...
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SW Core Curriculum - borrow elements?
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
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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THEN presentation at our Sep 23 meeting
Looking forward to talking with everyone on Monday. Pat and I (if I am lucky enough to get out of jury duty) will present about our work at THEN (Center for Collaborative Study of Trauma Health Equity and Neurobiology) with special emphasis on why learning and teaching the basic science is essential for understanding, implementing and creating trauma-informed clinical care and systems; if we don't anchor our work in the basic (in terms of framework, communication and development of...
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TIHCER May Zoom meeting - Thursday, May 14, 3pm Central
Next month’s TIHCER presentation series will feature Annie Lewis O’Connor, Eve Rittenberg, and Nomi Levy-Carrick. They will be presenting: “ Trauma Inquiry and Impact of COVID-19 on Trauma Informed Care Initiatives ”. Annie Lewis-O’Connor, PhD, NP-BC, MPH, FAAN a oconnor@bwh.harvard.edu Senior Nurse Scientist, Founder & Director of the C.A.R.E Clinic, Brigham and Women’s Hospital; Instructor- Harvard Medical School Dr. Annie Lewis-O’Connor is a Board Certified Pediatric and Women’s...
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TIHCER monthly meeting Thursday, Oct 24th (3-4p) CT
Jane Stevens, founder and publisher of ACES Connection will be be our featured speaker for the TIHCER monthly meeting this Thursday, Oct 24th (3-4p) CT - see Zoom details below. Jane Stevens will review the status of ACEs Connection, and provide a sneak preview of their plans for providing more guidelines and tools for ACEs initiatives in communities, as well as details of the Cooperative of Communities that they are adding to ACEsConnection.com in early November. Jane Stevens Founder,...
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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...
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Trauma-informed Healthcare Approaches: A Guide for Primary Care
Our recently published book, Trauma-informed Healthcare Approaches was written to share basic principles of trauma-informed care and ACEs science with general medical practitioners and administrators. As the recent #METOO movement has demonstrated, interpersonal trauma is widespread. A growing literature has demonstrated the impact of traumatic experiences on mental, physical health and wellbeing. Trauma survivors commonly access healthcare but their histories and needs are commonly...
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Trauma-informed primary care for residents
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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Tulsa meeting outcome
This weekend brought 25+ people together in Tulsa to further the discussion around competencies and curriculum development to advance the concept of Trauma-Informed Health Care. A rich discussion ensued with presentations from a number of institutions across the country where various approaches are being considered or have been instituted to integrate these concepts into the healthcare environment. One of the hoped-for outcomes of the meeting was to begin to develop a working document around...
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Upcoming TIHCER Monthly Meeting - September 23rd
Please join us for our next monthly TIHCER meeting! The meeting will be next Monday, September 23rd from 3:00 - 4:00pm - central time zone. Please use the zoom details below to call into the meeting. Looking forward to it! Join Zoom Meeting https://ouhsc.zoom.us/j/339316146 One tap mobile +16699006833,,339316146# US (San Jose) +16465588656,,339316146# US (New York) Dial by your location +1 669 900 6833 US (San Jose) +1 646 558 8656 US (New York) Meeting ID: 339 316 146 Find your local...
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Re: Center for Healthcare Strategies: Great Practice-based Resource
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: Tulsa meeting outcome
Thank you, David! I very much agree with you. In fact, that is what I was going to promote as the next step. We need to form a competencies working group and it makes sense to me to review what already exists. I had hoped that the group would review the AVA document prior to the meeting and some did. I believe the focus required for going through details of competencies will need to happen within the context of multiple sessions, online and in person, will time for reflection in between. I...
File
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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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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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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Stolen Breaths [njem.org]
By Rachel R. Hardeman, Eduardo M. Medina, and Rhea W. Boyd, New England Journal of Medicine, June 10, 2020 In Minnesota, where black Americans account for 6% of the population but 14% of Covid-19 cases and 33% of Covid-19 deaths, George Floyd died at the hands of police. “Please — I can’t breathe.” He was a black man detained on suspicion of forgery, an alleged offense that was never litigated or even charged, but for which he received an extrajudicial death sentence. “Please — I can’t...
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Academic Medicine and Black Lives Matter Time for Deep Listening (NEJM)
By Clyde W. Yancy, MD, MSc 1 , JAMA. Published June 30, 2020. doi:10.1001/jama.2020.12532 E choes of “medicine as the noble profession” continue to resonate, now 35 years since my legendary Chair of Medicine imbued me with this guiding ethos. Nobility in medicine is not obsolete; the selflessness, courage, self-sacrifice, and altruism on gallant display in the response to COVID-19 reassures that at its core, this ethic of egalitarian service remains intact and deeply established in the DNA...
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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.....