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San Mateo County (CA)

San Mateo County ACEs Connection is a community for all who are invested in creating a trauma-informed and resilient San Mateo County. This is a space to share resources, information, successes, and challenges related to addressing trauma and building resiliency, particularly in young children and their families.

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4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress

Laurie Udesky ·
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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ACEs, biomarkers and the cost of adversity

Laurie Udesky ·
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 Connection's COVID-19 resources for parents, educators & people practicing resilience (all of us)

Christine Cissy White ·
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

Laurie Udesky ·
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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Prescribing nature for health draws providers to Oakland, CA, conference

Laurie Udesky ·
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

Laurie Udesky ·
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]

Mai Le ·
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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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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Report reveals how foster care, juvenile and adult justice systems traumatize youth, calls for policy shifts

Laurie Udesky ·
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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Resilient Berkeley rolls up its sleeves and gets to work

Laurie Udesky ·
Angela Jernigan (left), Donielle Prince (center), Nicole Powell (right) Photo by Laurie Udesky Angela Jernigan and Nicole Powell of Resilient Berkeley met with ACEs Connection’s Donielle Prince on Monday, April 23 to discuss an event that they’re organizing, which incorporates ACEs science into parenting education. They plan to hold a gathering at one of Berkeley’s public libraries. (Stay tuned for details as they emerge!) Jernigan and Powell bring to their work an appreciation for ACEs...
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Safe & Sound: Integrating protective factors and ACEs science to end child abuse in San Francisco in 50 years

Laurie Udesky ·
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 Mateo County Child Care Response Team: Resources for Families

Mai Le ·
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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Save the Date: July 11, 4CA Policymaker Education Day in Sacramento

Benita Tsao ·
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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Shifting the focus from trauma to compassion

Laurie Udesky ·
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

Laurie Udesky ·
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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Suisun Elementary (CA) makes ACEs science intrinsic to everyday life

Laurie Udesky ·
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

Laurie Udesky ·
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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Teaching Kindness Isn’t Enough [tolerance.org]

Mai Le ·
Note from Mai: This article really got me thinking, as the parent of a preschooler. In work and adult learning spaces, vague group agreements like "be kind" and "respect others" have always struck me as hollow. But I haven't considered the damage those simple rules can have in classrooms, with young children. I really appreciate Bret Turner's deeper exploration of this and hope everyone working with kids (parents, teachers, afterschool program providers, etc.) will apply some of his ideas.
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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

Laurie Udesky ·
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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Update on bills re: childhood adversity in California Legislature

Kelly Hardy ·
Below is an updated table of bills that address childhood adversity in the Legislature in 2019. The list is not exhaustive, so please email Kelly Hardy with Children Now if you think a bill is missing and/or if you have any questions. Email: khardy @childrennow.org . Here are key dates for the remainder of the legislative session: July 10 = last day for bills to pass out of policy committees July 12 – August 12 = Summer recess August 30 = last day for fiscal bills to pass out of committee...
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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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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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Youth court banishes blame; leads with ACEs science

Laurie Udesky ·
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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Bay Area doctors target health consequences of childhood trauma [sfchronicle.com]

Mai Le ·
By Erin Allday, 1/5/2020 A screening tool developed by Bay Area pediatricians to identify adverse childhood experiences, ranging from homelessness and food insecurity to physical and sexual abuse, will now help doctors statewide address trauma affecting patients’ health. The California Department of Health Care Services approved the tool — called PEARLS, for Pediatric ACEs and Related Life-Events Screener — last month. As of Jan. 1, its use is covered by Medi-Cal, and it will be available to...
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Budget Recommendations for ACEs Screening (AB340) Implementation

Donielle Prince ·
ACEs Screening (AB340) implementation recommendations presented to the Assembly Budget Subcommittee on February 25
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Building trust is now a critical part of health care

Laurie Udesky ·
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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Bystander Intervention to stop anti-Asian/American and xenophobic harassment

Mai Le ·
As you know, anti-Asian and Asian American and xenophobic harassment are on the rise across the U.S. Unfortunately, anti-Asian and Asian American racism and xenophobia is not a new phenomenon. It has been part of our histories for a long time, and we have seen it manifested against different communities in many ways over the years. As the coronavirus pandemic escalates, we have seen more harassment, discrimination, and even violence directed at our communities. The Asian Americans Advancing...
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California 2018 State Profile

Morgan Vien ·
Hi, Everyone: Here’s the state profile for California. To review the entire profile, open the PDF that is attached to this post. If you have corrections or additions, please leave them in the comments section of this post. We’ll be reviewing the comments regularly and doing fact-checks. The information you give us will also help us determine how to organize and expand the information in the state profiles. We will be turning this post into a living profile that, with your help and input,...
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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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Doctor-patient role-playing featured in ACEs Connection webinar

Laurie Udesky ·
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

Laurie Udesky ·
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

Laurie Udesky ·
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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DULCE helps pediatricians in Oakland, CA, prevent toxic stress in newborns

Laurie Udesky ·
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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Have you heard about the film Wrestling Ghosts? On September 29, it's coming to Oakland! And to Santa Cruz on 9/30.

Angela Jernigan ·
This Wrestling Ghosts screening promises to be a healing event for all who gather. And our hope is that it will catalyze the formation of a lasting local network of support around parents and care providers of children in the Bay Area. As things speed up all across the Bay, we need supportive infrastructure now more than ever.
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Healing in place: Game on to flip the COVID19 threat into a positive experience for our children

Christina Bethell ·
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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How collaboration helps clinic in San Mateo County, CA, tackle ACEs in children

Laurie Udesky ·
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.

Laurie Udesky ·
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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Leaders in SF public housing deal with their own and community trauma head on

Laurie Udesky ·
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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Mark your calendar for March 10 tweet chat on CA ACEs screening!

Laurie Udesky ·
Hey ACEs Connection communities! Please join us for a boisterous tweet chat about ACEs screening in California on March 10 at 10 am Pacific/ 1 pm Eastern for #SaludTues, hosted by @saludamerica and co-hosted by @CYWSanFrancisco, @acesconnection and @CHCShealth. Get your thumbs ready, and spread the word! What: Tweet chat Who: Salud America, co-hosted by Center for Youth Wellness, ACEs Connection and Center for Health Care Strategies. When: Tuesday, March 10, 10am Pacific/ 1 pm Eastern Why:...
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Mental Health Care Could Get Easier for New Moms Under New California Rules [capradio.org]

By Sammy Caiola, Capital Public Radio, December 18, 2019 When Susan Yee Kearns brought her son home from the hospital a year and a half ago, she started worrying about him almost immediately. She woke up thinking he might have died. She was afraid to be away from him. “There was a lot of anxiety,” the Sacramento mom said. So she sought mental health help through her Medi-Cal insurance. But Yee Kearns' provider told her that Medi-Cal would only cover 60 days of treatment. When it was over,...
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Middle school tackles everybody's trauma; result is calmer, happier kids, teachers and big drop in suspensions

Laurie Udesky ·
Sixth grader Cayla White (right) helps lead class meditation with Niroga Institute’s Lauren Banister (photo: Laurie Udesky) ________________________________ During the 2014/2015 school year, things were looking grim at Park Middle School in Antioch, CA. At the time, staff couldn’t corral student disruptions. Teacher morale was plummeting. By the end of February 2015, 192 kids of the 997 students had been suspended -- 19.2 percent of the student population. “I was watching really good people...
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Not 'Just in Your Head': California Rolls Out Mental Health Guides for Coping With Coronavirus [kqed.org]

Mai Le ·
By Marisa Lagos Apr 7 Gov. Gavin Newsom opened his daily briefing Tuesday on the status of the coronavirus pandemic in California a bit differently than normal: With a mantra he says his mother used to repeat. "She said, 'Stand guard at the door of your mind,'" Newsom said. "Honestly, it took me a decade-plus to figure out what she was ultimately saying. But she was focused on, more than anything else, our capacity to be resilient and to meet challenges head-on, our capacity as human beings...
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NPPC shares lessons learned and results from ACEs screening pilot sites

Laurie Udesky ·
For Dr. Mercie Digangi, a pediatrician at Kaiser Southern California in Downey, CA, ACEs screening provided a crystal clear before-and-after in how she changed treatment plans for her pediatric patients, she explained to attendees of a December 2 webinar organized by the National Pediatric Practice Community on ACEs (NPPC) and cosponsored by ACEs Connection. Dr. Mercie Digangi One case that turned ACEs screening into a never-go-back moment for her was a three-year-old who was speech-delayed.
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Oakland, CA, trying out model used in Baltimore to reduce trauma, increase resilience

Laurie Udesky ·
Oakland BSC activity: Photo/ Courtesy of Trauma Transformed/East Bay Agency for Children When a group of community organizations in Baltimore came together in 2015, they already knew trauma figured large in many lives. There was violence in the community, in schools, and in community members’ homes. Police brutality occurred. Many suffered the loss of loved ones to incarceration or death. There were house fires and homelessness. Much of the dysfunction was systemic and rooted in racism,...
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Bystander Intervention 2.0: Conflict De-Escalation Training [ihollaback.org]

Mai Le ·
We’re proud to announce the release of a brand new training: Bystander Intervention 2.0: Conflict De-Escalation Training in partnership with Asian Americans Advancing Justice | AAJC . Sign up here to take the training . If you’ve already taken our Bystander Intervention training and you’re looking to go deeper into how to directly intervene and de-escalate conflict: this training is for you. Using Hollaback!’s Observe-Breathe-Connect methodology, we’ll learn how to identify potential...
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You and White Supremacy: A Challenge to Educators [tolerance.org]

Mai Le ·
It started as a series of Instagram posts; then it became a downloadable workbook. Now, the “Me and White Supremacy” challenge is reaching the mainstream—and creator Layla F. Saad hopes all teachers with white privilege will find the courage to take it. ADRIENNE VAN DER VALK ISSUE 62, SUMMER 2019 The night of June 26, 2018, Layla Saad was unable to sleep. The previous year had been a taxing one for the writer, life and business coach, and spiritual advisor. The deadly Unite the Right rally...
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Racism's Effect on Health, and the Heartbreak of Being a Black Parent Right Now: California's Surgeon General Speaks [kqed.org]

By KQED Science, KQED, June 14, 2020 The coronavirus pandemic and the recent killing of George Floyd have brought longstanding racial inequities into sharp focus. One of those disparities concerns the high rate of coronavirus transmission among people of color. To talk about the intersection of race and health, KQED's Brian Watt spoke last week with California Surgeon General Dr. Nadine Burke Harris, who is known for her pioneering work on the role that childhood stress and trauma play on...
 
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