Tagged With "ACEs and Stress"
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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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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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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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COVID-19: Mental health and well-being for ourselves and our children [news.berkeley.edu]
By Yasmin Anwar, Berkeley News, April 17, 2020 The intense social isolation, stress and uncertainty surrounding COVID-19 is shaping up to be its own mental health pandemic. Already, spikes in post-traumatic stress disorder are being documented among vulnerable populations, health workers and other front-line personnel. In the latest in a series of Berkeley Conversations: COVID-19 live webcasts, UC Berkeley psychologists Dacher Keltner , Sonia Bishop and Frank Worrell offered advice on how to...
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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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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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Dr. Nadine Burke Harris Presents at SCVMC-Pediatric Grand Rounds
Dr. Nadine Burke Harris presented today at Santa Clara Valley Medical Center during Pediatric Grand Rounds to a full room (standing room only) of pediatricians, nurse practitioners, physicians assistants, public health professionals and allied medical staff. With the show of hands, many of us in the room were familiar with ACEs science and the health impacts of toxic stress. With ease, Dr. Burke Harris dove into great detail of our bodies response to toxic stress and the multitude of...
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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.
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Emotional Well-Being During the COVID-19 Crisis for Health Care Providers Webinar Series [ucsf.edu]
We know this is a difficult time for everyone, especially those of you who are serving patients. Please join us for an 8-week webinar series featuring mental health and emotional wellness experts showing how health care providers can reduce personal stress during the COVID-19 outbreak. These webinars are held via Zoom on Thursdays from noon–1:00 p.m. Advance registration is required. Participants are encouraged to submit questions in advance to help our speakers address the full range of...
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Explore NPPC’s New ACEs Screening Resources Website
Join the National Pediatric Practice Community on ACEs (NPPC) on Wednesday, April 25 at 12:00 PM PST for a Q&A session and an exploration of its new member website, which provides a wide range of resources to help pediatric practices make the case and implement screening for adverse childhood experiences (ACEs). NPPC is an initiative of the Center for Youth Wellness.
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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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First health-related cost of ACEs study shows $113 billion price tag for California; just one ACE costs $28 billion
Researchers who have been looking for a way to quantify the health toll of ACEs in dollar terms, now have an example in a newly-released study of California. ACEs exacted a toll costing an estimated $113 billion annually, according to the study in the journal PLOS One that was commissioned by the Center for Youth Wellness. ACEs-associated cardiovascular disease was the condition that lead author Ted Miller dubbed “the giant in the room.” It accounted for $29.6 billion in spending, more than...
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Four Core Priorities for Trauma-Informed Distance Learning [kqed.org]
By Kara Newhouse Apr 6 Trauma-informed teaching cannot be simplified to cookie-cutter practices. Take this example: a teacher worked with a student to develop a silent signal that he could use when he needed extra breaks during class. Hearing how well it worked, another teacher tried to apply the signal without first building a relationship with the student. It bombed. With the second teacher, the signal became “an angry ear tug instead of a trauma-informed ear tug,” said Alex Shevrin Venet...
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Genentech Call for Grants Notification: Advancing the Science behind Childhood Adversity
Grant opportunity from Genentech, for communities deeply engaged in applying ACEs science.
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'Haven't Hugged My Mom in a Month:' Kids of Health Care Workers Feel the Strain [kqed.org]
By Sasha Khokha , Asal Ehsanipour Apr 17 As front line health care workers dedicate long hours to caring for patients during the COVID-19 crisis, life has changed for their own families — especially their children. Some hospital workers are staying away from their families to protect their kids. Others are living in the same house and taking extra precautions to avoid passing along the virus. Many children of nurses and doctors are navigating the unpredictability of life without regular...
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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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How California’s stay-at-home order disrupts services for young children [edsource.org]
ZAIDEE STAVELY , April 23, 2020 The stay-at-home order has upended some of California’s most crucial educational and health services for infants and toddlers — home visits and early intervention services — at a time when families may need them the most. Home visiting programs send nurses, social workers and other trained professionals to the homes of low-income parents to give health and early education advice. They also help children meet milestones, like crawling, picking up objects,...
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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 early-life challenges affect how children focus, face the day [University of Washington]
Adversity early in life tends to affect a child’s executive function skills — their ability to focus, for example, or organize tasks. Experiences such as poverty, residential instability, or parental divorce or substance abuse, also can lead to changes in a child’s brain chemistry, muting the effects of stress hormones. These hormones rise to help us face challenges, stress or to simply “get up and go.” Together, these impacts to executive function and stress hormones create a snowball...
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How Traumatized Children See the World, According to Their Drawings [Time.com]
In May, now-ousted U.S. Attorney General Jeff Sessions announced the start of the Trump Administration’s “zero tolerance” policy to separate migrant families at the Mexican border. “If you are smuggling a child” into the country, he said , “then we will prosecute you, and that child will be separated from you as required by law.” In just six weeks, more than 2,600 children were taken from their parents or other adults. Although a federal judge ordered the government to reunite all children...
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Immigrant teens, parents explore ACEs, resilience in 5-week course with family doc
Dr. Angela Bymaster, a family doctor in San Jose, Calif., was determined to find a way to teach ACEs science to her patients. Teens would come to the Washington Neighborhood Clinic clearly depressed by a range of problems at home that were contributing to risky sexual behavior and marijuana use, as well as preventable health problems like extreme obesity.
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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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Kaiser family medicine clinic launches 4-question ACE survey pilot for adults
In July, medical residents in family medicine at Kaiser Permanente in San Jose, CA, began screening adult patients for adverse childhood experiences (ACEs). But it’s an ACE survey with a twist: it’s shorter, not the 10-question survey of the original CDC-Kaiser Permanente ACE Study , according to Dr. Kathryn Ridout who is leading the pilot along with Dr. Francis Chu and Dr. Alec Uy . Why a shorter ACE survey? Dr. Kathryn Ridout “When we were doing our initial discussions with stakeholders in...
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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.
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Mark your calendar for March 10 tweet chat on CA ACEs screening!
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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May Revise Budget Impacts to ACEs Aware [acesaware.org]
By ACEs Aware, May 20, 2020 Dear Stakeholders: The state of California is facing an unprecedented budget shortfall due to the economic disruptions caused by the COVID-19 emergency. The state must make difficult budgetary decisions to protect access to vital services and programs, including Medi-Cal. While we are all facing these significant budget changes together, we also know that Californians are experiencing increased levels of stress. That stress, combined with disruptions to accessing...
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Learning How to Convince Leaders to Create Trauma-Informed Programs, Systems and Environments.
How do you build a narrative around ACEs science, bolster it with data and convince your leadership that integrating it is critical for the community you serve? Representatives from San Francisco Bay Area health and social service agencies had an opportunity on December 5 to learn about ACEs science, find data sets to help them make a case for supporting ACEs education and resiliency programs, and then role play ways to deliver powerful messages. Donielle Prince, ACEs Connection Network’s...
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Middle school tackles everybody's trauma; result is calmer, happier kids, teachers and big drop in suspensions
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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More than 70 4CA participants converge on Sacramento, talk ACEs to power
Mai Le, an ACEs champion and program associate with First 5 San Mateo, wasted no time getting to the point of why she was asking lawmakers to support legislation that would help prevent adverse childhood experiences (ACEs). “When I was a child, my father had a psychotic break and was eventually diagnosed with schizophrenia,” she said in a conversation with Eric Dietz, a staff member for State Senator John Moorlach (R-Costa Mesa). L-R: Eric Dietz, Richa Sharma, Mai Le “I’m a high achiever,...
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New Brief on Play & Trauma Available
Bay Area Early Childhood Funders have released a new brief, “The Power of Play for Addressing Trauma in Early Years,” available in both English and Spanish . The brief provides families, teachers and caregivers an easy-to-read, one-page online brief about the importance of play for addressing trauma in young children and tips for helping children cope. Additional materials on the importance of play are available here .
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New organization calls all pediatricians to end crisis that's "hiding in plain sight"
When the question of screening patients for adverse childhood experiences (ACEs) was first raised a couple of years ago, Santa Barbara pediatrician Andria Ruth had mixed feelings about it.
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Not 'Just in Your Head': California Rolls Out Mental Health Guides for Coping With Coronavirus [kqed.org]
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
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, youth organization takes next step in systems change to heal trauma
In a room in East Oakland, Calif., photos of children are projected on a screen. “Who is that?” asks Briana Moore, a licensed clinical social worker in private practice and a master trainer for the East Bay Agency for Children’s Trauma Transformed program. “Bill Clinton,” responds one of the 20 employees of the East Oakland Youth Development Center (EOYDC).
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"Addiction begins with solving a problem, the problem of human pain, emotional pain"
In his groundbreaking book , In the Realm of Hungry Ghosts: Close Encounters with Addiction , trauma and addiction expert Dr. Gabor Maté writes, “There are almost as many addictions as there are people.” ACEs Connection founder and publisher Jane Stevens read that quote as a springboard to asking Maté to define addiction and explain whether or not it is always rooted in adverse childhood experiences. Maté, along with filmmaker Michelle Esrick and Saturday Night Live star Darrell Hammond,...
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Opinion: More Than Ever, We Must Prioritize the Mental Health and Well-being of Children [stanfordchildrens.org]
By Rachel Velcoff and Steven Adelsheim, Stanford Children's Health, June 8, 2020 The COVID-19 pandemic has dramatically changed the lives of families across the country and left many adults feeling stressed, anxious, and struggling to cope. It has also put the mental health of our youngest and most vulnerable at risk. Now, three months into the pandemic, youth are experiencing further stress and trauma, as our country grapples with another profound crisis: the murder of George Floyd and the...
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Trauma to Trust uses ACEs science to heal wounds between community members, police
photo courtesy of EJUSA/Ron Holtz Studio Forty-seven-year-old Al-Tariq Best, founder and executive director of the HUBB , an arts and healing organization for youth, recalls the rage, humiliation and fear he felt as a 17-year-old when he and three other Black friends were pulled over by police in Newark, N.J. Al-Tariq Best “[There were] all these people around us. They search the car. They strip the car down. They make us pull our pants down in broad daylight. And I'm, I'm upset. And I'm...
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Anxiety, Depression and Racism while Sheltering-in-Place [childrennow.org]
By Lishaun Francis June 23, 2020 The shelter-in-place orders due to COVID-19 ignited widespread alarm, anxiety and depression for adults concerned about interrupting their daily routines, falling ill and maintaining their economic stability. Simultaneously, children and youth were struggling with the same fears. School closures, disconnection from friends and an abrupt stop to community resources put additional strain on an already tenuous hold on mental wellness for many young people. In...
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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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STUDY: Climate Change Is Contributing to Negative Pregnancy Outcomes for Black Babies [colorlines.com]
Air pollution and heat exposure can lead to stillbirths and low birth rates, say researchers. AYANA BYRD JUN 24, 2020 11:45AM ET Pregnant people in the United States who are exposed to air pollution and heat exposure have significantly higher chances of having a pre-term birth, stillbirth, or a baby with low birth weight, according to a new study. Black people and those with asthma are particularly at risk. The report , “Association of Air Pollution and Heat Exposure With Preterm Birth, Low...
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A collision of epidemics: Coronavirus disrupts addiction treatment [calmatters.org]
By Rachel Becker June 16, 2020 Breanna Dixon doesn’t remember struggling to breathe when she overdosed, but her younger brother Joshua hasn’t forgotten the sound. At first, it sounded like heavy snoring coming from the TV room in the Dixon family home in Fontana, where the siblings were sheltering in place with their parents. It had been a month since the novel coronavirus forced California to a standstill , and Dixon, 28, was struggling. She had already overdosed twice before in the two...
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A business imperative: Prioritizing mental health in the wake of COVID-19 [benefitnews.org]
By David Ebersman June 12, 2020, 9:56 a.m. EDT Much of the devastation wrought by COVID-19 is easily visible. Millions of Americans have fallen ill, and tens of thousands have died. Across society, we are living without the social connections we usually enjoy. We are balancing childcare and work without the support we typically rely on. We are missing the comforts of our favorite activities such as going to restaurants, salons, or fitness centers. Other manifestations of the pandemic are...
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California reaches milestone with ACEs initiatives pulsing in all 58 counties. Next: All CA cities.
Karen Clemmer, the Northwest community facilitator with ACEs Connection, was already deeply interested in the CDC/Kaiser Permanente Adverse Childhood Experiences Study when she and a colleague from the Child Parent Institute were invited to lunch by ACEs Connection founder and publisher Jane Stevens in 2012. But that lunch meeting changed everything.
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Resilience Is the Goal of Governments and Employers Who Expect People to Endure Crisis [teenvogue.com]
This op-ed argues that the modern emphasis on “resilience” means we’re expected to endure hardship and make the best of it. BY JOHN PATRICK LEARY JULY 1, 2020 John F. Kennedy once told an Indiana audience that “when written in Chinese,” the word “crisis” contains the characters for “emergency” and “opportunity.” It doesn’t . But ever since that 1959 speech, politicians and motivational speakers have invoked Kennedy’s mistaken language tutorial to talk about the importance of persistence,...
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3 Ways to Reduce Stress and Build Connections During Distance Learning [edutopia.org]
Remote learning will likely play a role in students’ lives once schools reopen. Here’s how teachers and parents can help kids manage stress, build resilience, and stay connected. By Sarah Gonser July 7, 2020 As the pandemic grinds on and protests against police brutality and systemic racism continue, young people are coping with high levels of stress and uncertainty, writes Dr. Pamela Cantor in “ The Stress of This Moment Might Be Hurting Kids’ Development ” for Education Next. With the...