Tagged With "Broken Places"
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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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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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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 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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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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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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Racial Minorities More at Risk in the Workplace and the Economy [escholarship.org]
By Institute of Governmental Studies, University of California, Berkeley, May 6, 2020 The latest Berkeley IGS Poll reveals that the COVID-19 pandemic is having especially large effects on the safety and economic well-being of people of color in California. Racial minorities are significantly more likely to report having jobs that place them in regular contact with others and they are more concerned that their jobs place them at risk of contracting the disease. When it comes to safety 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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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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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 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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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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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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Special education in the age of coronavirus: How Bay Area parents and teachers are coping [mercurynews.com]
By SHAYNA RUBIN | srubin@bayareanewsgroup.com | Bay Area News Group PUBLISHED: May 21, 2020 at 10:59 a.m. | UPDATED: May 21, 2020 at 3:20 p.m. Distance learning in the COVID-19 era has put a strain on all families, but especially those with children with special education needs. “No one was ready. Obviously, we didn’t see this coming,” said Christina Schmidt, executive vice president of the Palo Alto Council of Parent Teacher Associations. And parents, she said, can be caught unaware of how...
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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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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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TRAINING: Cultural Humility 101: Building Bridges to Diversity and Inclusion
Training opportunity for San Mateo County BHRS non-clinical staff. Wednesday, February 12th 2020 9:30a-12:30p or 1:00-4:00 Silicon Valley Community Foundation, Room 114 1300 S. El Camino Real, San Mateo, CA Course Description: We all strive to engage effectively with our diverse population of customers, patients, and colleagues. Cultural humility offers one approach to engage with the ever-changing dynamics of culture and difference, power and privilege, as we go through our day-to-day work.
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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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Youth court banishes blame; leads with ACEs science
YMCA Marin County Youth Court in San Rafael, California In her opening statement, 17-year-old youth advocate Eva advises jurors how to proceed and summarizes her “client’s” good qualities. “As you will see, Julian is genuine, well-spoken and friendly. I recommend asking him about his friends and family, his future plans and his activities outside of school.” (First names only of all minors are used to protect their privacy.) Welcome to the YMCA Marin County (CA) Youth Court, one of 1,400...
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BARHII: Seeking Consultants for COVID-19 Response
The Bay Area Regional Health Inequities Initiative (BARHII) is the coalition of the Bay Area’s governmental public health departments. This unique collaboration of public health officials, senior managers, and staff have come together to transform public health practice in order to eliminate health inequities. BARHII is a forum in which health departments teach and learn from each other, as well as use the principles of evidence-based public health and the collective influence of local...
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Bay Area 'shelter in place' expected: Only essential businesses open in 6 counties with 6.7million people until April 7 [sfchronicle.com]
By Erin Allday, San Francisco Chronicle, March 16, 2020 Six Bay Area counties are expected to announce a “shelter in place” order for all residents on Monday, directing everyone to stay inside their homes and away from others as much as possible for the next three weeks as public health officials desperately try to curb the rapid spread of coronavirus across the region. County authorities were expected to announce the move at 1 p.m. and gave a draft of the order to media outlets to prepare.
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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 issues update on state residents' ACE scores from 2011 & 2013 surveys
The latest adverse childhood experiences survey from the California Department of Public Health shows that 42% of the population has an ACE score of 3 or higher; 16% have an ACE score of 4 or higher. Those with an ACE score of 4 or higher are: 3x more likely to be current smokers 4x more likely to have a depressive disorder 2x more likely to have asthma 2x more likely to be obese 4x more likely to have COPD 3x more likely to have a stroke Here are a few other highlights from the six-page...
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California’s Surgeon General Readies Statewide Screening for Child Trauma [chronicleofsocialchange.org]
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,...
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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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Documentary Wrestling Ghosts tracks a journey from trauma to resilience
When prompted by a life coach to comfort the child inside of her, Kim Montleon, a young mother at the center of the documentary film, Wrestling Ghosts , says emphatically: “I can’t do that; I’m afraid I won’t come back!” That’s the beginning of Montleon’s two-year struggle to dig deep into her own harrowing childhood trauma to find a way to heal so that she can nurture her young children. The documentary by filmmaker Ana Sofia Joanes was screened to more than 140 people on Saturday,...
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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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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.
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Family Caregiver Alliance: COVID-19 Webinar Series for Caregivers, Consumers, and Families
COVID-19 Webinar Series for Caregivers, Consumers, and Families Co-sponsored by the San Francisco Department of Disability and Aging Services Staying Well Together These are challenging times for all of us and this is especially true for those caring for someone who needs functional or cognitive support. This webinar will review the basics of the coronavirus (COVID-19), how to take precautions against its spread, how to be well while sheltering in place, and how to adjust to caregiving...
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Healing in place: Game on to flip the COVID19 threat into a positive experience for our children
As I was considering the children sheltering-in-place this morning and reflecting on lessons from my own childhood, I wondered: Can we heal-in-place too? I was born after the 1962 Cuban missile crisis, another collective trauma affecting everyone. Yet, it was nevertheless passed on to me by the adults in my life in the form of constant reminders that the U.S. could be blown into bits any second. When I started school, there were constant “hide under the chair” earthquake drills I took to be...
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Health Equity Policy Platform for COVID-19 Response and Recovery
From Human Impact Parters: A COVID-19 Public Health Response & Recovery Policy Platform Decades of underinvestment in our public infrastructure and neoliberal policies that gutted protections for working people, our healthcare, and our wider safety net are vividly exposing their consequences. People of color — most harshly Black, Latinx, and Native people — are disproportionately experiencing the consequences of these conditions. In this context, directly impacted communities are naming...
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How Closed Schools Are Creating More Trauma For Students [kqed.org]
By Cory Turner Apr 21 The high school senior sitting across from Franciene Sabens was in tears over the abrupt amputation of her social life and turmoil at home. Because of the coronavirus, there will be no prom, no traditional send-off or ceremony for the graduates of Carbondale Community High School in Carbondale, Ill. And Sabens, one of the school's counselors, could not give the girl the one thing Sabens' gut told her the teen needed most. "I want to hug them all, but I really wanted to...
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How collaboration helps clinic in San Mateo County, CA, tackle ACEs in children
Dr. Elizabeth Grady is a pediatrician at the South San Francisco Clinic, a community clinic of San Mateo Medical Center. She and Susana Flores , a senior public health nurse with San Mateo County Health, spoke with me about how the clinic and other health agencies in San Mateo have been able to craft ways to work together to prevent and heal toxic stress in children. Grady also talked about how she and Flores have been working with the Resilient Beginnings Collaborative (RBC), a group of...
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How do these pediatricians do ACEs screening? Early adopters tell all.
Last week, three pediatricians — with a combined experience of 15 years integrating ACEs science into their practices — reflected on the urgency they felt several years ago that prompted them to begin screening patients for childhood adversity and resilience when there was practically no guidance at all. Along their journey, they accumulated a list of lessons learned for other pediatricians and family clinics to use. The three pediatricians participated in the ACEs Connection webinar,...
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How to Shelter in Place if You Live With Domestic Abuse [kqed.org]
Note from Mai: In addition to the resources in the article, CORA is a San Mateo County-based agency that provides support for people affected by intimate partner violence. Their free 24/7 hotline is 800-300-1080. How to Shelter in Place if You Live With Domestic Abuse By Michelle Wiley, Shannon Lin Mar 24 Last week, Gov. Gavin Newsom enacted a shelter-in-place order across California. The order, which limits the kinds of businesses and activities that are allowed, is meant to prevent the...
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In ACEs Connection webinar, physicians talk trauma, offer tips for helping pediatric immigrant patients
Dr. Raul Gutierrez, a pediatrician in the San Francisco Bay Area, said he and his fellow clinicians see constant fear and its health consequences every single day among the largely immigrant and Latino population they serve. It’s all the result of anti-immigrant policies and the news cycle that feeds the fear. Dr. Raul Gutierrez “It is almost inescapable with the repercussions of immigration policy on the radio, television, social media and from friends and family,” Gutierrez told the 69...
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Leaders in SF public housing deal with their own and community trauma head on
Sengthong Sithounnolat, Jeris Woodson, Donald Greene, Ashley Blanco On a recent Saturday, 10 people gather around a table at the offices of Trauma Transformed in Oakland, Calif., where quotes from figures like Frederick Douglas, Nelson Mandela, and Coretta Scott King grace one wall as light streams in from a skylight above. The group is known as the Resident Warriors, which meets weekly. One participant talks of her recovery from addiction and her mother’s murder. Another mentions being...
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Marin Community Clinics in California screen babies for ACEs, provide support in effort to prevent trauma
When Marin Community Clinics (MCC) first considered screening their patients for adverse childhood experiences (ACEs) they already had decided that if they were going to prevent children from acquiring ACEs, they had to take a radical approach.