Tagged With "mental health"
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4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress
Four years ago, Dr. Leslie Dempsey would never have talked about ACEs — adverse childhood experiences — with her patients. Now ACEs is a common topic. “Just as I don’t feel awkward asking someone if they smoke or do intravenous drugs, I don’t really feel awkward talking about their childhood traumas in a way that it relates to their health. It’s just integrated into obtaining background and social history,” she says. Dr. Leslie Dempsey Dempsey is a physician in obstetrics who oversees a team...
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4CA 2019 Year in Review - CA children’s state policy advances.
On behalf of the CA Campaign to Counter Childhood Adversity (4CA) backbone team (Center for Youth Wellness, Children Now and ACEs Connection), we want to give a hearty thank you to the advocates and champions across the state for advancing child-friendly policy and legislation in California in 2019. Here are some examples of what was accomplished this year: More than 730 organizations signed on to the Family Urgent Response System (FURS) budget letter in support of a 24/7 statewide hotline...
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4th Annual Bay Area Maternal Mental Health Conference
By UCSF Continuing Medical Education, December 12, 2019 This is the fourth annual conference here in the Bay Area focusing on maternal mental health and well-being, with speakers from throughout the area covering important topics that will improve the care our patients are receiving. We welcome anyone with a personal or professional interest in maternal mental health. Participants will: Review the state of the current opioid crisis in this country and learn about tools to help identity...
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A CALL TO ACTION: COVID-19, HOUSING INSTABILITY, AND HEALTH
From Bay Area Regional Health Inequities Initiative, March 23, 2020 COVID-19 – A Public Health Emergency Coronavirus Disease 2019 (COVID-19) is a respiratory illness caused by a novel virus that is spreading rapidly across the globe. Currently, there are over 33,000 cases in the United Statesi . Globally, over 12,000 deaths have been attributed to the illness since it emerged three months ago. In the Bay Area, efforts to respond to the virus are increasing rapidly. On March 17, six Bay Area...
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A Message to California Health Care Providers About COVID-19 and Toxic Stress [acesaware.org]
By Nadine Burke Harris and Karen Mark, ACEs Aware, March 30, 2020 Our global community is facing confusing and uncertain times. As the unprecedented novel coronavirus continues to spread, the health and safety of our nearly 40 million Californians is the number-one priority for our state, the Office of the California Surgeon General, and the Department of Health Care Services (DHCS). This includes the physical, mental, and psychological well-being of all individuals. As the crisis deepens,...
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AAPI Women Lead Community Care Series
COMMUNITY CARE SERIES An online series of workshops, interviews, exercises that are led by our community leaders to help us understand what is going on with the pandemic and what we can do (including health and wellness lessons), specifically as Asian and Pacific Islander communities. [Click here to access series of videos] Recent episodes: 10-min grounding meditation to support you though COVID-19 Dr. Jennifer Mullan from @DecolonizingTherapy Eastern Medicine's Response to COVID-19 with...
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ACES Aware Webinar: Dec 13th, 12-1pm PT - Public Comments about soon-to-be-released Request for Proposal
The Department of Health Care Services and the California Office of the Surgeon General are hosting a webinar of the Trauma-Informed Care Implementation Advisory Committee’s Provider Education and Engagement Subcommittee. Subcommittee members will discuss a draft Request for Proposal (RFP) released for public comment as part of the ACEs Aware initiative. The draft RFP invites external organizations to apply for grants to support provider training activities, provider engagement activities...
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ACEs, biomarkers and the cost of adversity
How useful and necessary are biomarkers in telling the story of how toxic stress from adverse childhood experiences and resilience can impact a child’s long-term health? In the introduction to an article in the journal BioEssays , Dr. Kathryn Ridout, a Kaiser Permanente San Jose psychiatrist, and her co-authors examine what is known about two biomarkers and quote data on child maltreatment and its economic burden over time that says it all. “When totaling the costs of health care, child...
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ACEs Champion Julie Kurtz Gives Every Child (and Adult) a Voice
Julie Kurtz hasn’t stopped creating ways to build and promote resilience in herself and others who have experienced trauma since she left her family home for college at age 18. Although she experienced four types of adversity during her childhood, the CEO of the Center for Optimal Brain Integration has traveled a complex journey to mitigate those adversities by recognizing her own internal resilience, building skills to buffer her toxic and traumatic stress, uncovering her voice through...
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ACEs champion pediatricians talk about life and practice in a COVID-19 world
With the advent of the COVID-19 pandemic, healthcare providers everywhere are changing how they care for their patients. I asked a few members of the ACEs in Pediatrics community what they’re doing differently. Dr. R.J Gillespie, pediatrician at The Children’s Clinic in Portland, OR. Dr. R.J. Gillespie Gillespie says that, as much as possible, they’re switching to virtual visits, which allows them “to comfort and reassure our patients face-to-face as much as possible without risking their...
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ACEs Connection's COVID-19 resources for parents, educators & people practicing resilience (all of us)
We are in uncertain times. Homelife has changed. School schedules have changed. Our communities are not the same. Work, if we have it, has changed, too. The world is different and we don't know for how long. We don't know what our lives will look like on the other side, either. We are worried about health, housing, security, and our loved ones. We generally have more stress and less support, as we are taking care of our families, ourselves, and each other. It’s a lot, and for those dealing...
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ACEs Science Champion Series: Dr. Angela Bymaster: This Faith-Based Physician Integrates ACEs Science with Healing Arts
Dr. Angela Bymaster, a family physician at Washington Elementary School in San Jose, CA, operates her clinic in a portable unit on the school property.
Because the unit faces students as they are dropped off by their families, she gets to “pick up the kids” before they are sent to the clinic, practicing “upstream medicine.”
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ACEs screening in CA — a Q and A with Dr. Dayna Long
Last year, the California Department of Health Care Services rolled out its plans for universal screening for trauma among its pediatric and adult Medicaid population. Beginning January 1, 2020, California physicians were able to receive an incentive payment of $29 for each pediatric patient screened for ACEs using the PEARLs ( Pediatrics Adverse Childhood and Resilience Study) tool. Dr. Dayna Long talked with ACEs Connection staff reporter Laurie Udesky about ACEs science, what led to the...
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Agencies Combine to Provide some Health Services for Pescaderans [hmbreview.com]
By Ashlyn Rollins-Koons, Half Moon Bay Review, December 26, 2019 There are no dentists, primary care doctors, psychologists or pediatricians in Pescadero. The nearest emergency room is at least 30 minutes away. For some who don’t have the resources or time, that could mean doctor appointments are few and far between. Puente de la Costa Sur has been working to fill this gap by partnering with San Mateo County and health providers to provide critical services to the South Coast that residents...
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Opinion: Screenings Alone Won’t Prevent Adverse Childhood Experiences—We Must Address Community Trauma [calhealthreport.org]
By Rachel A. Davis and Howard Pinderhughes, California Health Report, December 19, 2019 Earlier this month, California’s Surgeon General Nadine Burke Harris launched an ambitious campaign to reduce adverse childhood experiences, which can cause lifelong health problems. With more than 60 percent of Californians saying they were exposed to a traumatic childhood event, adverse childhood experiences are at crisis levels in the state. The ACEs Aware campaign will train and pay health care...
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Over 1 Million Children Live in Low-Income Neighborhoods in California (calhealthreport.org)
Research has shown that the type of neighborhood low-income children live in can influence their health. Children who live in low-income neighborhoods are less likely than those in more affluent areas to have access to quality public schools, healthy food, medical care and green spaces to play, said Scot Spencer, associate director for advocacy and influence at the Annie E. Casey Foundation, which released the report. Researchers found, in an analysis of the most recently available U.S.
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Parents’ emotional trauma may change their children’s biology. Studies in mice show how [ScienceMag.org]
ZURICH, SWITZERLAND— The children living in SOS Children's Villages orphanages in Pakistan have had a rough start in life. Many have lost their fathers, which in conservative Pakistani society can effectively mean losing their mothers, too: Destitute widows often struggle to find enough work to support their families and may have to give up their children. The orphanages, in Multan, Lahore, and Islamabad, provide shelter and health care and send kids to local schools, trying to provide "the...
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Positive Childhood Experiences May Buffer Against Health Effects Of Adverse Ones [npr.org]
By Selena Simmons-Duffin, National Public Radio, September 9, 2019 Plenty of research shows that adverse childhood experiences can lead to depression and other health problems later in life. But researcher Christina Bethell wondered whether positive experiences in childhood could counter that. Her research comes from a personal place. In the 1970s, in a low-income housing complex in Los Angeles, Bethell had a tough childhood. Sometimes she didn't have money for lunch. Sometimes, when a free...
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Positive Childhood Experiences offset ACEs: Q & A with Dr. Robert Sege about HOPE
Tufts University medical professor Dr. Robert Sege directs the Center for Community-Engaged Medicine and is nationally known for his research on effective health systems approaches that address social determinants of health. He is also the principal investigator for the HOPE framework (Healthy Outcomes from Positive Experiences).The HOPE framework is based on research that shows how positive childhood experiences can mitigate the effects of adverse childhood experiences. Sege and colleagues...
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Prescribing nature for health draws providers to Oakland, CA, conference
There’s now a growing body of research showing the positive health effects of nature. At a recent conference in Oakland, CA, clinicians who prescribe nature to help buffer ACEs and toxic stress experienced by children and families shared findings from their own research and others.
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Primary Care & Telehealth Strategies for Addressing the Secondary Health Impacts of COVID-19 [acesaware.org]
From ACEs Aware, May 13, 2020 This webinar will focus on building understanding and identifying primary care and telehealth strategies and tools to address the secondary health effects of the COVID-19 emergency. Widespread stress and anxiety regarding COVID-19, compounded by the economic distress due to lost wages, employment and financial assets; mass school closures; and necessary physical distancing measures can result in an increase of stress-related health conditions. These secondary...
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Program offers hundreds of young men, boys safe space to heal from ACEs
Dennis McCollins recounts some of the experiences that caused him to harden against the world as a teenager. “There were times I went to more funerals than birthdays,” says McCollins, who is the clinical director of the School Based Health Center at Greenwood Academy in Richmond, Calif. And it took its toll: “I spent time homeless. I got expelled [from school]. I was so angry and upset and mad,” he says. Dennis McCollins Then a man that he met when he was sent to Job Corps as a teen turned...
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Promoting a Community Approach for Mental Well-Being in Our Littlest Citizens [Chronicle of Social Change]
Several years ago, my sister and I watched my 2-year-old nephew’s behavior change dramatically. He started wetting the bed, throwing temper tantrums and getting frustrated so quickly. In any other child, it might have been normal “terrible twos,” but in him we knew something was definitely wrong. At the time, my sister and her husband were getting divorced. Ultimately, we found out that my nephew thought it was his fault, thus the acting out. This was my first exposure to the impact of...
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Quakes and Tremors: What Foundations Can Do to Safeguard Childhood Wellbeing in the Wake of a Pandemic [fsg.org]
MARCH 31, 2020 | URSULA WRIGHT The world is experiencing a series of quakes and tremors caused by a global pandemic. The quakes are the unprecedented shocks and strains we are witnessing in our health, economic, and education systems. Tremors, on the other hand, are far less obvious because their disruptions occur at a much deeper level and during timeframes when the average individual may feel that they have successfully distanced themselves from the more pronounced quake(s). Both...
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Race Counts: San Mateo Data
The RACE COUNTS project maintains a comprehensive tracking tool of racial disparities across the state in seven key issue areas: Democracy Economic Opportunity Crime & Justice Access to Health Care Healthy Built Environment Education Housing Check out the info on San Mateo County . A few key takeaways: San Mateo is a high performance, high disparity, and less populous county. In San Mateo County, 37% of Blacks, Latinos, Native Americans and Pacific Islanders own the homes they live in,...
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Recommendations Roadmap for Proposition 64 Expenditures: Advancing Healing-Centered and Trauma-Informed Approaches to Foster Individual, Family, and Community Resilience
“There is a critical need to focus on effective strategies that address the underlying causes and structural conditions of substance use, including adverse childhood experiences, adverse community environments and experiences, toxic stress, and trauma.”- Recommendations Roadmap for California Proposition 64 Expenditures Report By Christina Bethell, Stephanie Guinosso, and Kanwarpal Dhaliwal California’s Proposition 64 (2016 marijuana legalization) presents a special opportunity to invest in...
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Register now: Free ACEs Connection Webinar on the Human Impact of Climate Change
A year after 85 people died in the wildfire that swept through Paradise, CA, and nearby towns, one of the town’s survivors will talk about how she and others are using resilience practices in their recovery from the trauma. On Wednesday, Nov. 13, Paradise resident Kelly Doty will have a conversation with Elaine Miller-Karas, who developed the Community Resiliency Model (CRM). Doty, who lost her home in the fire, and Miller-Karas will discuss resilience education skills designed to help...
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Report reveals how foster care, juvenile and adult justice systems traumatize youth, calls for policy shifts
YWFC sponsored Sister Warriors meeting When she was 15 years old, Lucero Herrera was put in a rehab program by San Francisco’s Juvenile Court because she was getting drunk regularly. And in doing so, the court failed to explore the root of her drinking. Had they done so, she said, they would have found that anger and trauma were lurking underneath, driven by her ACEs: adverse childhood experiences. Lucero Herrera "Why did they put me in a drug program when I had an anger problem? I went...
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Researchers Call for Quality-Improvement Changes in Medi-Cal Plans [chcf.org]
By Xenia Shih Bion, California Health Care Foundation, October 7, 2019 California should move swiftly to improve the quality of care in the managed care plans that serve 80% of Medi-Cal’s nearly 14 million enrollees, according to researchers at the University of California, San Francisco (UCSF). Led by Professor of Medicine Andrew Bindman, MD, with support from CHCF, the researchers examined 41 quality measures and found that more than half of the quality measures stayed the same or declined...
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"Resilience" Comes to Santa Clara
In the first of a series of planned screenings of the film Resilience , the Santa Clara ACEs Connection community offered a panel led discussion about how to bring trauma informed practice and resilience building to the entire county. Rhoda Blankenship, Director of Maternal, Child and Adolescent Health for County Public Health Department, emceed the event, along with Andrew Cain, both of whom sit on the Santa Clara community collaborative steering committee. Following opening remarks by...
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Safe & Sound: Integrating protective factors and ACEs science to end child abuse in San Francisco in 50 years
It was almost a ritual, but one that regularly disrupted the parenting class at a San Francisco-based child abuse prevention organization. Every time a siren blared in the streets below, a female participant bolted out of the room to seek safety in the windowless interior rooms of the multilevel labyrinthine white Victorian that houses Safe & Sound . Molly Jardiniano And it didn’t just happen in the parenting class. “When she heard the fire trucks, she said she would become paralyzed,...
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San Jose, Ca physician to talk ACEs science at community gathering
When Dr. Angela Bymaster thinks about ACEs exposure, her thoughts often turn to the adolescents who are her patients now. “It’s the teenagers who keep me up at night,” says Bymaster, a family medicine doctor who works at the Washington Neighborhood Health Clinic in San Jose. The clinic serves low-income families in a predominantly Latino neighborhood. Dr. Angela Bymaster “They’re so often starting with the behaviors themselves. The teenagers are the intersection of adverse childhood events...
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San Mateo (CA) launches county initiative to tackle ACEs and build resilience
Attendees at the San Mateo event participate in ice-breaking exercise When you’re working with people who've had a lot of childhood and adult adversity, it’s hard for you to believe that anyone else can have a bad day, says Laura van Dernoot Lipsky. “Your neighbor or your best friend says: ‘I’ve had a bad day.’ And you think, ‘Oh, I’m sorry you had a bad day; were you sex trafficked today? No, you were not!'” Laura van Dernoot Lipsky Van Dernoot Lipsky, the author of Trauma Stewardship: An...
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San Mateo County Child Care Response Team: Resources for Families
The San Mateo County Child Care Response Team has created a quick, easy-to-read, summary of essential community resources for families with children ages 0-18 who are struggling as a result of COVID-19. Available in English , Spanish , and Chinese . The resource pages are linked above, and attached in this post. They also live on San Mateo County Office of Educations's For Families page: https://www.smcoe.org/other/for-families/ Please help us share these documents widely! Thank you. SMC...
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San Mateo County Data Dashboard: Child Adversity and Well-Being
A product of the Essentials for Childhood Initiative (EfC), the Child Adversity and Well-Being Dashboards contain indicators of child adversity, health and well-being utilizing data available on kidsdata.org . For more information about the dashboards, please refer to the California Data Dashboards page. The San Mateo County Data Dashboard contains select indicators of child adversity and well-being. The dashboard is a product of the Shared Data and Outcomes Workgroup of the California...
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Save the Date: July 11, 4CA Policymaker Education Day in Sacramento
Save the Date: Tuesday, July 11 4CA Policymaker Education Day on Childhood Adversity, Sacramento The California Campaign to Counter Childhood Adversity (4CA) invites you to Sacramento for Policymaker Education Day. Our lawmakers need to hear from you about how adverse childhood experiences and childhood trauma affect your community and what they can do to help. Join with allies from across California to engage your elected officials on this important issue. Who: 4CA Policymaker Education Day...
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Save the date! This fall, Berkeley City College will hold a Mental Health Symposium. Don't miss it!
Mental Health Symposium is on November 9!
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School by school, Berkeley Healthy Schools Collaborative is forging ahead on building resilience
What began as a presentation by ACEs Connection's Donielle Prince about ACEs science for members of the Berkeley Healthy Schools Collaborative morphed into a lively discussion about how the 11 members who attended the meeting were involved in shepherding trauma-informed practices into their organizations and schools. Prince, who is ACEs Connection’s San Francisco Bay Area community facilitator, talked about the evolution of ACEs Connection into a network of more than 22,000 members in...
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Screening for Childhood Trauma
Dr. Ken Epstein has been in the social services sector for nearly four decades and has witnessed firsthand the long-term effects of trauma. As both the son and father of fellow social workers, the work runs in his blood. Now, he’s helping Bay Area health clinics screen for and address childhood trauma through the Resilient Beginnings Collaborative (RBC), led by Center for Care Innovations (CCI) and made possible by Genentech.
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Sesame Workshop and BTC Team Up to Help with Big Scary Feelings during the COVID-19 Crisis
Caring for Each Other: How to Use Sesame Street in Communities Resources for Health Emergencies with Families Now Wednesday, April 1, 2020 @ 3 PM ET We're all in this together, and that's why we're all coming together. Sesame Workshop and the Brazelton Touchpoints Center are partnering on a webinar series, beginning April 1st, to share online resources that can help us handle the sudden changes in our lives when we face health emergencies like the one that confronts us today. As a result of...
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Shifting the focus from trauma to compassion
photo: Rolf Schweitzer/CCO Dr. Arnd Herz, a self-described champion for ACEs science, would like nothing more than to witness a greater appreciation of how widespread adverse childhood experiences are. Herz, a pediatrician and director of Medi-Cal Strategy for the Greater Southern Alameda Area for Kaiser Permanente Northern California, would also like to encourage more people in health care to engage in a trauma-informed care approach, a change in practice that he says not only benefits...
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Solano County launches its ACEs and resilience initiative inviting all to take action
Elizabeth Huntley recalls the day when her family’s life was turned upside down. “One day my mom woke up and she packed up all of our clothes, all five of us…and she took me and my younger sister who had the same father… down to my paternal grandmother’s house…and she left us there. She took my middle sister to a town near Birmingham, Ala., and left her there. She took my only brother and an older sister back to Huntsville and left them at a sister’s house. Then she went back to that housing...
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Solano County's (CA) ACEs initiative, a robust community effort, makes room for input from all
In a house called “Johanna’s House” on a tree-lined side street in Vallejo, Calif., four women are filling out the adverse childhood experiences (ACE) survey given to them by Maria Guevara, the founder of Vallejo Together, an organization that serves homeless residents in Vallejo. The house was named for Johanna Dilag, a homeless woman who was found dead along with her dog.
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Study unearths patterns in San Jose homeless population's ACE scores
Photo by Terabass/ CC-SA-3.0 It was around 2010 that Dr. Angela Bymaster was seeing a disturbing pattern in the histories of her adult patients. She already knew that patients who saw her at the Valley Homeless Health Care Program in San Jose, CA, where she worked at the time, were homeless or recently homeless. What was most troubling to Bymaster was knowing that their current precarious existence could have been prevented. Dr. Angela Bymaster “Over and over and over again I was hearing the...
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Suisun Elementary (CA) makes ACEs science intrinsic to everyday life
Students start each day with meditation During her first year as principal of Suisun Elementary in Suisun City, Calif., in 2014 Ann Marie Neubert suspended 102 students — out of a student population of 550 —for disrupting their classes. It was a serious problem, but the school’s teachers didn’t know what to do. “[Teachers] felt like they were using all the tools in their toolbox and it wasn’t changing behavior,” she recalls. Ann Marie Neubert Too many students were spending too much time out...
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Survey: Healthcare providers, community organizations weigh in on California's ACEs screening program
In January, California took a historic leap forward to promote universal ACEs screening of the state’s 13 million adults and children in the Medi-Cal program. The eventual goal is to promote ACEs screening for all patients, but this is a first step in dealing with a major issue that ACEs science has identified: that many children will develop serious health problems later in life because the healthcare system is not currently set up to detect the roots of those problems. The term ACEs, which...
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The Impact of Racism on Child and Adolescent Health [AAP]
The American Academy of Pediatrics is committed to addressing the factors that affect child and adolescent health with a focus on issues that may leave some children more vulnerable than others. Racism is a social determinant of health that has a profound impact on the health status of children, adolescents, emerging adults, and their families. Although progress has been made toward racial equality and equity, the evidence to support the continued negative impact of racism on health and...
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The Journey of Healing: Impacts and Intersections of Trauma and Resilience (Up to 5.5 FREE CEUs!)
Free professional development opportunity in San Francisco: http://bit.ly/NICOSPDD2020 NICOS PROFESSIONAL DEVELOPMENT DAY MONDAY, JANUARY 13, 2020 9:00AM - 5:00PM SAN FRANCISCO PUBLIC LIBRARY KORET AUDITORIUM 100 LARKIN ST. SAN FRANCISCO, CA 94102 (This is not a library sponsored program) NICOS Chinese Health Coalition is offering a free professional development event for service providers and students in social work, primary and behavioral health, and other related fields. Program will...
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Thinking About Racial Disparities in COVID-19 Impacts Through a Science-Informed, Early Childhood Lens [developingchild.harvard.edu]
By Jack P. Shonkoff and David R. Williams, Center on the Developing Child, April 27, 2020 The COVID-19 virus is ruthlessly contagious and, at the same time, highly selective. Its capacity to infect is universal, but the consequences of becoming infected are not. While there are exceptions, children are less likely to show symptoms, older adults and those with pre-existing medical conditions are the most susceptible, and communities of color in the United States are experiencing dramatically...
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Toxic Stress, Behavioral Health, and the Next Major Era in Public Health by Mental Health America
To view the document, click on the following link: http://www.mentalhealthamerica.net/issues/toxic-stress-behavioral-health-and-next-major-era-public-health