Tagged With "special needs"
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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 Policymaker Education Day is Back!
We're back!! Join us for Policymaker Education Day 2019 on MAY 1!
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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 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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Add the ACEs Connection “shortcut” to your phone and help make the world more ACEs Science aware. It’s as easy as 1, 2, 3!
Stay current with ACEs Connection -- and easily share stories via social media and email -- by accessing ACEs Connection and/or your community’s home page on your phone. Adding an ACEs Connection shortcut to your phone works for iPhone and Android systems and makes staying logged in, checking in, and sharing out quick and easy, on-the-go! Community managers: Share this post with community members, as using the shortcut is a great way to help your members stay abreast of what’s going on! On...
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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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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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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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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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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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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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"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 Bruno, CA, police reduce stress, burn-out with mindfulness
When Officer John Hampton of the San Bruno Police Department in San Bruno, CA, first heard that mindfulness training was being offered to him and his fellow cops, he had two reactions. John Hampton “I think my major reaction was: ‘Oh, there’s some hippy thing that they’re trying to get cops to do,’” he said. “When I say that, it’s funny because that’s not my voice. It’s the caricature of a police officer-like voice. In the back of my mind, I was interested and open to it, but that police...
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San Bruno, CA, police reduce stress, burn-out with mindfulness
When Officer John Hampton of the San Bruno Police Department in San Bruno, CA, first heard that mindfulness training was being offered to him and his fellow cops, he had two reactions. John Hampton “I think my major reaction was: ‘Oh, there’s some hippy thing that they’re trying to get cops to do,’” he said. “When I say that, it’s funny because that’s not my voice. It’s the caricature of a police officer-like voice. In the back of my mind, I was interested and open to it, but that police...
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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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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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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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Secondary Traumatic Stress for Educators: Understanding and Mitigating the Effects [KQED]
By Jessica Lander Roughly half of American school children have experienced at least some form of trauma — from neglect, to abuse, to violence. In response, educators often find themselves having to take on the role of counselors, supporting the emotional healing of their students, not just their academic growth. With this evolving role comes an increasing need to understand and address the ways in which student trauma affects our education professionals. In a growing number of professions,...
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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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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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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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Teachers not less likely to be racially biased, study says [educationdive.com]
By Linda Jacobson; April 15, 2020 Dive Brief: Being an educator doesn’t mean an individual is naturally less biased toward students of color, but interventions can reduce prejudices, according to a study released Wednesday. In a test of implicit bias — in which respondents match white faces with “good” words and black faces with “bad” words — 77% of teachers demonstrated implicit bias, compared to 77.1% of non-teachers. And to measure explicit bias, the researchers, led by Jordan Starck, a...
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The Disaster Relief Assistance for Immigrants
The Disaster Relief Assistance for Immigrants (DRAI) project is a one-time state-funded disaster relief assistance for undocumented adult immigrants impacted by COVID-19. An undocumented adult who qualifies can receive $500 in direct assistance, with a maximum of $1000 in assistance per household. How do I apply for the DRAI Program? Starting May 18th, if you are eligible to apply for this assistance, you may seek assistance with the nonprofit organization(s) assigned to your county of...
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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
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Trauma education and mindfulness help youth living amid gun violence
Armon Hurst, 2nd from left, first row, Teens on Target, courtesy of YouthAlive! Eighteen-year-old Armon Hurst serves as vice president of the student body at Castlemont High School in Oakland, Calif. He has a 4.0 grade point average, is an avid baseball player, and is slated to go to college next year. But until a few years ago, Hurst would find himself waking from nightmares in the middle of the night. It was difficult to concentrate at school, and he wasn’t eating well. Armon Hurst “There...
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Trauma-informed groups rev up to address race, inclusion
Eighteen-year-old Kia Hanson has always enjoyed her time as a youth leader at the East Oakland Youth Development Center (EOYDC). She’s worked mostly with five- and six-year-olds since she began in 2016. Recently, she tapped into new skills, especially if the kids were having a meltdown. Kia Hanson “If they’re off, we ask them, ‘What’s wrong?’ ‘Do you want to talk about anything?’,” she explains. “Basically asking before assuming they’re mad at the world for no reason.” What made the...
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We Must Address the Surge in Adverse Childhood Experiences [medium.com]
From the National Head Start Association, February 19, 2020 Day in and day out, in nearly every U.S. community, the nation’s 1,600 Head Start programs tirelessly serve children from at-risk backgrounds ages birth to five and their families with a comprehensive model specifically designed to strengthen families, promote school readiness, and improve child health. Head Start programs are heralded for their outcomes by researchers, praised by families, and widely-supported in their communities.
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We're All in This Together - COVID-19 Statement and Resources [childrennow.org]
From Children Now, The Children's Movement of California, March 18, 2020 Children Now is deeply concerned about the severe impact of the novel coronavirus on California’s children and families, especially children of color, families in poverty, families that are undocumented, and kids experiencing or who have experienced trauma. During this time, we are continuing to keep children and their families at the center of our work. We are diligently monitoring a range of national, state and local...
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Webinar on Becoming Trauma-Informed: What Does this Mean for Non-Clinical Staff?
Join this webinar to learn or teach staff how to understand trauma and identify how to apply trauma-informed principles even in non-clinical work.
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Whole-Family Wellness for Early Childhood: A New Model for Medi-Cal Delivery and Financing [cachildrentrust.org]
By California Children's Trust, September 2019 Whole-Family Wellness for Early Childhood: A New Model for Medi-Cal Delivery and Financing outlines a new approach for California to conceptualize, deliver, and fund a system of care for Medi-Cal eligible infants and toddlers that is grounded in family wellness. At present, California is not adequately addressing the needs of young children on Medi-Cal, allowing millions to miss out on important preventive care each year because Medi-Cal health...
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ACEs Science Champions Series: Why this financial coach integrates ACEs-based training
In foreground, Dr. Donielle Prince (l) and Saundra Davis (r) ____________________________ Saundra Davis, a financial coach and consultant who trains other coaches on building resilience among the working poor, knew she had met her partner in helping people deal with their “money disorders” when she first met Dr. Donielle Prince in Sacramento at a black women’s gathering in 2015. Dr. Prince works with ACEs Connection as its San Francisco Bay Area regional community facilitator. She also...
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Youth-led community organizing as a tool for building resilience
It started as an answer to a youth-led campaign. Young people in arts programs in San Francisco Bay Area schools had produced spoken word videos about inequities in their communities that helped put them at risk for type 2 diabetes. Dr. Jean Junior The response by their peers was enormous, according to Dr. Jean Junior, who volunteered for the project as a pediatric resident at the University of California at San Francisco (UCSF). “Young people would say ‘You’ve actually gotten me interested.
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At El Dorado ACEs Collaborative meeting, NPPC talks ACEs, new connections forged
More than 65 people showed up in person in Placerville or via teleconferencing from South Lake Tahoe on Feb. 21 to learn about the National Pediatric Practice Community on ACEs (NPPC), a program of the San Francisco-based Center for Youth Wellness . Among the discussion points made by NPPC Program Manager Leena Singh were the connection between ACEs and health outcomes, the need for doing universal ACEs screening, and the necessary infrastructure to implement ACEs screening, according to...
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Building trust is now a critical part of health care
In a video clip , a hospital patient turns away in protest as a physician enters the room. “Why do you all keep coming in my room!” she asks in frustration. The physician moves a chair out of the way and sits down at eye level with the patient. “You’ve had to see so many people,” he acknowledges. “And I’m tired of it!” she yells. “I already know I have to get both of my legs cut off. That’s what they keep saying. I don’t have a choice!” “You don’t feel like you have a choice,” he repeats...
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California's 1st Surgeon General Spotlights Health Risks Of Childhood Adversity (npr.org)
In an interview last year, after her book , The Deepest Well: Healing the Long-Term Effects of Childhood Adversity, was published, Burke Harris told NPR's Cory Turner, "We all need to be part of the solution. If we each take ... our little piece, it's nuts how far we'll be able to go, together as a society, in terms of solving this problem. California Gov. Gavin Newsom took Burke Harris up on her challenge, appointing her the first-ever surgeon general of California. Newsom cites the toxic...
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Coronavirus underscores need for healing America’s racial divisions [sfchronicle.com]
By Shawn Ginwright, April 14, 2020 The reports of racial disparities among COVID-19 victims should not surprise us. African Americans and Latinos have typically experienced disproportionate exposure to a range of health issues. For example, African Americans are twice as likely to die of heart disease as their white counterparts. Consider that Latinos are 50% more likely than whites to die of diabetes or liver disease. These issues are not determined by biology, but by a history of policies...
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Culture of Care Conference Primer
I created this document as pre-reading for the Culture of Care conference on Nov. 18th, 2019, but I think it can be a helpful starting place for anyone who is new to ACEs and the movement towards trauma and resiliency-informed care. If you read through the resources, what resonated with you? What was confusing? What was missing? In the future I can reformat it to remove reference to the conference if there is interest in continuing to use or share this.
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Doctor-patient role-playing featured in ACEs Connection webinar
On an ACEs Connection webinar on Monday, Dr. Andrew Seaman, an assistant professor at Oregon Health & Science University, showed how he navigates his students through the science of adverse childhood experiences (ACEs). And, in an unusual twist for a webinar, Seaman and O’Nesha Cochran, a peer mentor with the Mental Health Association of Oregon, role-played doctor-patient interactions to show how to develop the skills to communicate with patients with high ACE scores. About 90 people...
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Doctor-patient role-playing featured in ACEs Connection webinar
On an ACEs Connection webinar on Monday, Dr. Andrew Seaman, an assistant professor at Oregon Health & Science University, showed how he navigates his students through the science of adverse childhood experiences (ACEs). And, in an unusual twist for a webinar, Seaman and O’Nesha Cochran, a peer mentor with the Mental Health Association of Oregon, role-played doctor-patient interactions to show how to develop the skills to communicate with patients with high ACE scores. About 90 people...
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Don’t Talk about Implicit Bias Without Talking about Structural Racism [National Equity Project]
Implicit bias has been in the news a lot lately. At the National Equity Project , we think it is an important topic that warrants our attention, but it is critical that any learning about implicit bias includes both clear information about the neuroscience of bias and the context of structural racism that gave rise to and perpetuates inequities and harmful racial biases. As leaders for equity, we have to examine, unpack and mitigate our own biases and dismantle the policies and structures...
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Dr. Mona Delahooke Will Present at The Trauma-Responsive Schools Conference in California
Have you been hearing all the buzz about Dr. Mona Delahooke's new book, Beyond Behaviors ? In my opinion, it’s the best new book of 2019. Dr. Delahooke is a practicing pediatric clinical psychologist of thirty years. She is gaining critical acclaim and grassroots support for challenging the prevalent and pervasive behaviorist bias in schools. As a result, she is an emerging authority in the growing revolution to re-interpret children's misbehavior. She highlights much of the books' content...
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DULCE helps pediatricians in Oakland, CA, prevent toxic stress in newborns
On a recent day in early March, Laura Lopez met a former patient of hers in the waiting room of Highland Hospital’s pediatric clinic in Oakland, CA. The patient had forgotten her Medi-Cal card and called Lopez asking for help. But in the brief conversation, Lopez, a family specialist with the DULCE program, learned about some dire changes in the patient’s life. Laura Lopez “Without me even asking, she shared with me that she had separated from her partner, that she needs to apply for food...
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During COVID-19, how does a trauma-informed school pivot to distance learning?
All photos courtesy of Antioch Middle School staff Antioch Middle School seventh-grader Alyssia Garcia was accustomed to scanning the cafeteria during lunch for kids who might need her assistance. “I’d look for kids who looked sad, kids who were sitting alone, kids who looked angry,” says Garcia, a peer advocate at her school. Alyssia Garcia When she’d spot students sitting alone or looking sad, she’d approach them and ease into conversation. “If it’s a sad person, I’ll try to cheer them up...
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Early childhood educators learn new ways to spot trauma triggers, build resilience in preschoolers
A hug may be comforting to many children, but for a child who has experienced trauma it may not feel safe.
That’s an example used by Julie Kurtz, co-director of trauma informed practices in early childhood education at the WestEd Center for Child & Family Studies (CCFS), as she begins a trauma training session. Her audience, preschool teachers and staff of the San Francisco-based Wu Yee Children’s Services at San Francisco’s Women’s Building, listen attentively.