California is about to launch an ambitious campaign to train tens of thousands of Medi-Cal providers to screen children and adults up to age 65 for trauma, starting on January 1, 2020. It is well-established that the early identification of trauma and providing the appropriate treatment are critical tools for reducing long-term health care costs for both children and adults. Research has shown that individuals who experienced a high number of traumatic childhood events are likely to die...

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...

By Jeremy Loudenback, Chronicle of Social Change, September 19, 2019 Soon after being appointed California’s first-ever surgeon general, Nadine Burke Harris took off on a barnstorming tour across the state to talk about adverse childhood experiences and toxic stress, an issue she calls “the biggest public health crisis facing California today.” Before the pediatrician was appointed to her position in January by Gov. Gavin Newsom (D), Harris had founded and led the Center for Youth Wellness,...

By Stacy Steinberg, The New York Times, May 7, 2020 Children may be processing the disruptions in their lives right now in ways the adults around them do not expect: acting out, regressing, retreating or even seeming surprisingly content. Parents need to know that all of this is normal, experts say, and there are some things we can do to help. “Our natural response to scary things is biologically to release stress hormones,” said Dr. Nadine Burke Harris , a pediatrician and surgeon general...

I love that this issue is getting attention from the NYT, but I am disturbed that we are promoting this idea that an ACE score can be used as an indicator of a PERSONS risk for later health problems. ACEs are about POPULATION level risk, not personal risk. Rob Anda_ACE Score Strengths, Limitations, Misuse Also, not loving the thermometer comparison. "An ACE score is not the be-all and end-all,” Dr. Burke Harris said. Instead, she compares it to a thermometer. You can be sick and not have a...

A mother, frantic with worry, brought her newborn in for a checkup at the pediatric clinic at San Francisco General Hospital. But there wasn’t anything wrong with the baby. And over the next several months, no amount of reassurance could convince the mom that her child was eating, sleeping and growing just fine. If anything, the mother’s worry led to behavior that raised alarm bells for her health care providers. Dr. Kate Margolis “[The family] wasn’t returning calls from the provider, and...