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Tagged With "historical trauma"

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9 New Communities Join ACEs Connection

Christine Cissy White ·
ACEs Connection Hawai'i Hawai'i is a place of natural beauty, multicultural heritages and practicing cultural arts that provides wellness and healing. However, cultural, historical & generational trauma has lead to an imbalance in our ahupua'a or ecosystem. Join us as we educate, empower & celebrate wellness and resilience building in our communities using trauma and culture aware strategies. Mahalo Community Manager: @Daniel Goya Northeast Region Hawaii Carey's
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A Lesson in Resilience [The Grove - Valencia College]

Kelsey Visser ·
Left to right: Director of the Peace and Justice Institute Rachel Allen, Administrative Manager of the PJI Community Will Jefferson, Keynote Speaker Kenneth Ginsburg and Orlando Mayor Buddy Dyer To View the Entire Conference Video, Click Here --- Tuesday, May 12, 2020 By Rachel Allen , Director, Peace and Justice Institute The second annual Creating a Resilient Community: From Trauma to Healing conference scheduled for Tuesday, April 21, 2020, was certain to be a success. Our first...
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Cultivating Deliberate Resilience During the Coronavirus Disease 2019 Pandemic [jamanetwork.com]

By Abby R. Rosenberg, JAMA Pediatrics, April 14, 2020 Coronavirus disease 2019 (COVID-19) is affecting our health care community in unprecedented ways. As a pediatric oncologist who studies resilience in the context of illness, I started thinking about what this pandemic means for our professional resilience a few weeks ago, when the first US patient with fatal COVID-19 died in my home city of Seattle, Washington. Promoting resilience among health care workers and organizations starts with...
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Forsyth County Trauma Informed Care Network

Laneita Williamson ·
The Forsyth County Trauma Informed Network is taking great strides into recognizing and addressing community post Covid-19 impacts. PowerPoint attached.
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GABOR MATÉ JOINS EP. 3 on May 21 with Darrell Hammond and Filmmaker Michelle Esrick. [crackedupmovie.com]

CRACKED UP THE EVOLVING CONVERSATION TRAUMA AS THE ROOT CAUSE OF ADDICTION With DARRELL HAMMOND DIRECTOR MICHELLE ESRICK and RENOWNED TRAUMA AND ADDICTION EXPERT GABOR MATÉ, M.D. author of In the Realm of Hungry Ghosts: Close Encounters With Addiction MODERATED BY JANE STEVENS, FOUNDER OF ACES CONNECTION Hosted by ACES Connection Thursday May 21st at 2pm PDT / 3p MT / 4p CT / 5pm EDT FREE FOR ALL WHO REGISTER! IF YOU REGISTER, BUT CAN NOT ATTEND, YOU WILL RECEIVE A RECORDING WITHIN ONE WEEK.
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Incarcerating Youth Should Be 'Last Resort' During Pandemic [thecrimereport.org]

By Andrea Cipriano, The Crime Report, May 7, 2020 On any given day, approximately 43,600 people younger than 18 years of age are held in youth detention facilities across America. Even under normal circumstances, many detention facilities are unable to provide a clean and safe environment for these young individuals, and the coronavirus pandemic has exacerbated the trauma these children experience in detention, according to the American Academy of Pediatrics (AAP). Incarcerating young people...
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Investments in New Hanover County’s Resiliency Paying Off During Time of Pandemic

Mebane Boyd ·
Cliff Barnett, Wilmington city council member; pastor at Warner Temple AME Zion, and chair of the Family Faith and Community committee for the New Hanover Resiliency Task Force (RTF), shares experience in using sign language during a regularly scheduled RTF meeting. (Other photos are from recent monthly RTF meetings). With training, community’s front lines are proving resilient to and aware of trauma’s impact WILMINGTON, NORTH CAROLINA April 7, 2020 Two years ago, the Resiliency Task Force...
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KPJR Films Virtual Showcase Registration Including Live Twitter Townhall [kpjrfilms.co]

TRAUMA-INFORMED IN THE AGE OF CORONAVIRUS A virtual discussion featuring Alice Forrester, PhD, CEO of Clifford Beers from RESILIENCE, Jim Sporleder, Trauma Informed Consultant and former Principal of Lincoln High School shown in PAPER TIGERS, and James Redford, Director of both RESILIENCE & PAPER TIGERS. During this time of social isolation, KPJR Films is reaching out to share our documentary films and trauma-informed tools with communities nationwide. KPJR Films will launch KPJR...
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Last week to register or apply for a scholarship--Creating a Resilient Community Conference

Kelsey Visser ·
This is the final week to register or request a scholarshi p to attend the virtual Creating a Resilient Community: From Trauma to Healing Conference on April 21st. This virtual event with cutting edge community resilience and trauma healing speakers Dr. Kenneth Ginsburg and Dr. Wendy Ellis will provide a platform to convene as a community to learn, connect, and envision a path forward together to transform our region into one of prevention, hope, healing and resilience for all. Conference...
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More Resources for Trauma and Resiliency for COVID-19 and Beyond. Register now to see Resiliency Documentary online 4/4-4/7!

Mimi graham ·
What an opportunity to talk about trauma and resiliency! We’ve been compiling resources and would love any of your recommendations to add. See: https://cpeip.fsu.edu/ trauma/covid19.cfm Also, there is a national Campaign for Trauma Informed Policy and Practice that is seeking to educate congress about trauma will hopes for legislation at some point. http://www.ctipp.org/ nationaltraumacampaign/ They have compiled awesome ACEs resources. Go to the website. Then News and Resources. Then...
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Next "A Better Normal" community discussion series: April 14, 2020, trauma-informed housing

Jane Stevens ·
Andy Marlette This week, we're hosting 'A Better Normal' discussions: on Tuesday, April 14; and Thursday, April 16, 2020....12 pm PT/ 1 pm MT/ 2 pm CT/ 3 pm ET. Tuesday, April 14, 2020 Margaret Stagmeier, Atlanta real estate developer and social entrepreneur, has developed an affordable housing model that decreases income inequality and improves failing schools. Her nonprofits — EduHousing and Star-C — purchase blighted apartment complexes located next to failing elementary schools, a nd...
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Overview of the Community Resiliency Model, used worldwide to help trauma survivors re-regulate their central nervous system, offered in two, free 90-minute webinars.

Carey Sipp ·
Elaine Miller Karas , key creator of the Community Resiliency Model (CRM), will be joined by CRM trainers from Wilmington, NC, Allison Wine , behavioral specialist, and Kelly Purcell , instructional coach and multi-tiered support specialist for this free, two-part training. Register now for two, FREE 90-minute sessions May 7 from 11 a.m. - 12:30 p.m. EST and May 14 from 11 a.m. - 12:30 p.m. EST (The complete overview requires attendance at both sessions. Registration link below registers you...
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#ResilienceWeekVA Spotlight: Alexandria's RAISE Trauma-Informed Community Network

Rachael Kaufman ·
We hope you are participating in and enjoying the first annual #ResilienceWeekVA! Trauma-Informed Community Networks (TICNs) across Virginia are engaging their communities through a variety of resilience-building activities, events, and trainings! Today, we are spotlighting the Alexandria TICN: Resilience Alexandria: Inform Support Elevate (RAISE) , one of the 26 TICNs across Virginia participating in Resilience Week VA, and the many ways they are connecting and collaborating to build...
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Sheltering in Place: ACEs-Informed Tips for Self-Care During a Pandemic

Jim Hickman ·
Millions of lives have been affected in unprecedented ways by the Coronavirus (COVID-19). We are all grappling with uncertainty—our daily routines interrupted, not knowing what is to come. For those of us who have Adverse Childhood Experiences (ACEs), these times can be particularly distressing. At the Center for Youth Wellness (CYW), we know that childhood trauma can have a significant impact on an individual’s health and well-being – both physiologically and psychologically. Since the...
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The Black Community, COVID-19 & Trauma [sdvoice.com]

By Latanya West, San Diego Voice, May 15, 2020 In January 2019, Governor Gavin Newsom appointed Dr. Nadine Burke Harris as California’s first-ever Surgeon General. An award-winning physician, researcher and advocate, Dr. Burke Harris’ career has been dedicated to serving vulnerable communities and combating the root causes of health disparities. Her work is equally dedicated to changing the way our society responds to one of the most serious, expensive and widespread public health crises of...
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Tools and how to use them is focus of second webinar on Community Resiliency Model, May 14, 2020

Carey Sipp ·
The second of two free Community Resiliency (CRM) webinars with Elaine Miller-Karas , key creator of the CRM, will be held Thursday, May 14, from 11 a.m. - 12:30 p.m. ET, (10 a.m. CT; 9 a.m. MT, and 8 a.m. PT) and will include the practical application of tools of the model. CRM is an ACEs science-based biological model for helping individuals become emotionally regulated during natural disasters and other dysregulating times. Miller-Karas will be joined by CRM trainers from Wilmington, NC:...
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University of Florida Graduate Public Health Course: Trauma-Informed Approaches for Individuals, Communities, and Public Health: Student Project Summaries

Lindsey King ·
The University of Florida College of Public Health and Health Professions partnered with Peace4Tarpon under the Robert Wood Johnson Mobilizing Action for Resilient Communities (MARC) grant. Together they created 2 online graduate courses that focus on addressing ACEs and creating trauma-informed and resilience-based programs from a public health approach. Peace4Gainesville and Peace4 TheBigBend have also contributed to these courses. This post is intended to showcase some of the work of the...
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"Warriors of HOPE" Series Continues This Sunday on "Breaking the Silence" Radio Program with Special Guest, Judge Steven Teske!

Dr. Gregory Williams ·
The fourth week of the 6-week "Warriors of Hope" event will continue this Sunday night at 8 pm Central Time on "Breaking the Silence with Dr. Gregory Williams" radio program. This 6-week event features six very special guests that will offer their insight on the power of HOPE in their lives and provide encouragement, wisdom and insight on the need for resilience in lives today. This series has resulted in praise from around the world from the listeners that have tuned in. This week's guest...
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When Hidden Grief Gets Triggered During COVID-19 Confinement

Tian Dayton ·
first published by The Meadows 4/15/20 Our sense of loss during the current COVID-19 crisis can trigger hidden emotions from when we experienced a sense of loss before. Whatever early losses you have had in your life — whether they be your own divorce, your parents, or both, or the abandonment of one parent, a childhood or parental illness or death, financial upheaval, constant moving around, or growing up with parental addiction or adverse childhood experiences (ACEs) — they are likely to...
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Forsyth County Trauma Informed Care Network

Laneita Williamson ·
The Forsyth County Trauma Informed Network is taking great strides into recognizing and addressing community post Covid-19 impacts. PowerPoint attached.
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Resilient Georgia launches website and videos with GPB

Deborah Chosewood ·
The Resilient Georgia initiative has launched a new website: resilientga.org Visit the website to learn more about the organization and the work they are doing related to ACE awareness. The mission of Resilient Georgia is: To lead a state-wide coalition to develop a closely-aligned and trauma-informed public and private network working toward a united vision to create a birth through 26 year old integrated behavioral health system. Key components to be implemented by our partners include...
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What Do We Do? What Do We Do Now?

Jane Stevens ·
People’s response to the great chasms of structural inequities glaringly laid bare by the COVID-19 pandemic have been further inflamed by the murder of George Floyd and deaths of other African Americans in recent weeks. The acute emergency of the pandemic has eased, but the violence inflicted on racial minorities and now those who are protesting the inequities in our society has compounded the outrage. Right after the pandemic began running riot across the US, I often heard people ask: When...
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A story of Trauma and Resilience

Tiffany Holt ·
My Story People say all the time that you don’t have to let your past, family or your childhood define who you are. I don’t believe that is necessarily a bad thing. I let my childhood define who I am by defying the odds. It was expected that when I grew up, I would be a teenage mother living in the trailer park. But that wasn’t the life for me. I am successful. Not because I am rich, but because I am not a stereotype. I rose above my circumstances and made my life the best it could be.For me...
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ACEs Champion Danette Glass says COVID-19 increases the need for trauma-informed communities

Sylvia Paull ·
Glass’s mission has always been to protect and foster the practice of nurturing children. That’s because she herself experienced at least five types of adverse childhood experiences, as measured in the original CDC-Kaiser Permanente Adverse Childhood Experiences Study (ACE Study). If the scale could account for childhood adversity such as structural racism and community violence that’s more likely to occur in communities of color, her burden of ACEs is higher.
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"Addiction begins with solving a problem, the problem of human pain, emotional pain"

Laurie Udesky ·
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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You're Invited: “A Call To Action, A Call To Heal: Understanding the Impact of Complex Trauma in Communities" June 17 and 18.

Danette Glass ·
Register Now for This Free Trauma Awareness and Trauma Responsive Care Symposium The Collaboration As neighboring Healthy Start partners providing maternal and child health services for Metro Atlanta, the Atlanta Healthy Start Initiative (AHSI) of the Center for Black Women’s Wellness, Inc. and the Healthier Generations Project (HGP) of the Clayton County Health District collaborate on several initiatives to improve perinatal outcomes in the region. The “A Call to Action, A Call to Heal:...
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New Research Brief: Portraits of Success and Resilience in South Carolina

Alyssa Koziarski ·
A research brief based on a 2018 study exploring the factors for success for individuals in South Carolina who experienced trauma as children was recently posted to the Children’s Trust website. Alyssa Koziarski, a Children’s Trust research and evaluation assistant and the primary author of the brief, answers five questions about the significance of this research. [ Please click here for full article ] [ Please click here to read the full research brief ]
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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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THURSDAY!! Cracked Up, The Evolving Conversation: Generational Trauma - Breaking the Cycle [crackedupmovie.com]

CRACKED UP THE EVOLVING CONVERSATION Episode 4: Generational Trauma - Breaking the Cycle with Darrell Hammond, Comedian, actor, SNL Legend Michelle Esrick, Filmmaker, activist Bessel van der Kolk, MD, Author of The Body Keeps the Score Jane Stevens, Founder of ACES Connection and special guest Jane Fonda Academy Award-winning actor, producer, author and activist Thursday June 25th at 1pm PDT / 2p MT / 3p CT / 4pm EDT Hosted by ACEs Connection THE PRICE OF THIS LIVE EVENT IS $12.50 We have...
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Linda Grabbe: Helping her communities develop resilience through the Community Resilience Model

Sylvia Paull ·
Grabbe searched for models that would help her homeless and addicted patients. “There are good body-based models for psychotherapy, which may be the most effective approach for trauma,” she says, “but hardly any of my patients were receiving any kind of therapy. There are thousands of people in our communities who have high ACE scores who will never get the years of psychotherapy they deserve. CRM is a self-mental wellness care tool and is exquisitely trauma-sensitive—so it can help enormously.”
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ACEs Connection Anti-Racism Resources

Morgan Vien ·
Hi everyone! We'd like to introduce our new ACEs Connection Anti-Racism Resources List c ulled from resources shared by Learn4Life, Prevention Institute., Rise Magazine , V A TICN , Vital Village , 10% Happier . and our own ACEs Connection members and staff . You can access them from this widget on the top right side of our home page or by clicking here. The list has the following categories of resources: Racial Trauma, Historical Trauma, & Healing Police Brutality & Reform...
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A Better Normal Tuesday, June 30th at Noon PDT: Reinterpreting American Identity, a Community Discussion

Alison Cebulla ·
"I think that all of us, regardless of our racial or ethnic background, feel relieved that we no longer have to deal with the racism and the sexism associated with the system of slavery. But we treat the history of enslavement like we treat the genocidal colonization of indigenous people in North America, as if it was not that important, or worse, as if it never happened." —Angela Davis, "The Meaning of Freedom" Please join us for the ongoing community discussion of A Better Normal, our...
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Resilience for Children & Families: Being Brave When Things are Hard

Building Resilience with Children During Racial Discrimination & Violence: This attached Resilience Brief for Children has been the hardest one I have written yet. I have been an active advocate for the equal treatment of people from all backgrounds, religions, ethnic heritages, orientations, and families my entire life. It is hard to see the pain present today, not only due to COVID19 but also due to the harm and anger we see daily in the news. I want to share a story about the person...
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Resilient Georgia and Georgia Public Broadcasting present "Mental Fitness for Resilience" Second Panel - The Trauma of Racism

Carey Sipp ·
Resilient Georgia recently presented a roundtable discussion, featuring a distinguished panel of professionals, on the trauma associated with racism and racial discrimination, as part of the Mental Fitness for Resilience Campaign. The distinguished panel for this Georgia Public Broadcasting production included Dr. Patrice Harris, MD, MA, psychiatrist and the first African-American woman to be elected president of the American Medical Association; Dr. Terri McFadden, a General Pediatrician...
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'A Better Normal' Community Discussion Series: How to Grow a Resilient Community - July 7, 2020

Interested in learning what it takes to Grow a Resilient Community? Do you want to learn how to become a member of ACEs Connection Cooperative of Communities? If so, please join us Tuesday, July 7th, 12-1pm PDT for our next 'A Better Normal' community discussion series. In this discussion we will be talking with Brian Semsem of Fresno's Every Neighborhood Partnership. We will be talking to Brian about what led him to work with ACEs and resilience. In addition, we will be discussing the path...
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"A Different Distribution of Power": ACEs, Trauma and Resilience Networks Sharpen Focus on Racial Justice and Equity

Anndee Hochman ·
For the leaders of Sarasota Strong (or "SRQ Strong") Florida, anti-racism work isn’t about inviting people of color to tables long-occupied by white professionals fluent in academic jargon and theories of change. It’s about venturing, with humility and openness, into spaces where Black people worship, work and live.
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Why We're All Suffering from Racial Trauma (Even White People) -- and How to Handle It | Resmaa Menakem (www.www.tenpercent.com)

Christine Cissy White ·
I listened to this great conversation between Dan Harris and Resmaa Menakem last night. Here's more information about this conversation from the 10% Happier podcast notes:
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Do safe, stable, and nurturing relationships work? New research has important findings for responding to ACEs

Alyssa Koziarski ·
While we know that adverse childhood experiences (ACEs) can cause risk behaviors, research has told us that the presence of protective factors can help mitigate the effects of ACEs. Common risk behaviors such as smoking tobacco and alcohol misuse can be a result from the trauma of childhood disadvantage. In responding to ACEs, public health research proposes that protective factors such as safe, stable, nurturing relationships (SSNRs) with a caring adult can mitigate the long-term effects of...
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Access the Recording: Parenting in an Age of Uncertainty with Dr. Ken Ginsburg [Peace and Justice Institute]

Kelsey Visser ·
Thank you to those who were able to participate in Part 1 of our Community Resilience Series with Dr. Ken Ginsburg-- Parenting in an Age of Uncertainty , on July 7th, 2020. In case you missed it or want to watch it again, here is the video recording of the workshop. Please share this widely with your networks so this message of resilience, self forgiveness, and love can get out to other parents during this challenging time! Thank you to our sponsor Orlando Health and thank you to those who...
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Greater Richmond Trauma Informed Community Network, first to join ACEs Cooperative of Communities, shows what it means to ROCK!

Jane Stevens ·
In 2012, Greater Richmond SCAN and five other community partners hatched a one-year plan to educate the Richmond, Virginia, community about ACEs science and to embed trauma-informed practices. Eight years later, the original group has evolved into the Greater Richmond Trauma-Informed Community Network (GRTICN) with 495 people and 170 organizations. And they're just scratching the surface.
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Donald Trump is the product of abuse and neglect. His story is common, even for the powerful and wealthy.

Jane Stevens ·
“In order to cope,” writes Mary Trump, “Donald began to develop powerful but primitive defenses, marked by an increasing hostility to others and a seeming indifference to his mother’s absence and father’s neglect….In place of [his emotional needs] grew a kind of grievance and behaviors—including bullying, disrespect, and aggressiveness—that served their purpose in the moment but became more problematic over time. With appropriate care and attention, they might have been overcome.”
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Trauma-informed policing: Learn how three highly experienced community leaders strengthen ties between police and community

Carey Sipp ·
ACEs initiative participants in communities where there is tension between the community and law enforcement will want to join Becky Haas in a compelling conversation on law enforcement, ACEs science, COVID-19 and the Black Lives Matter movement and protests. Haas is a nationally recognized adverse childhood experiences (ACEs) science initiative builder and trainer. She and colleagues Renee Wilson-Simmons, the head of the ACE Awareness Foundation of Memphis, Tennessee, and Maggi Duncan,...
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Baby courts: A proven approach to stop the multigenerational transmission of ACES in child welfare; new efforts to establish courts nationwide

Carey Sipp ·
The organization Zero To Three estimates that in the U.S., a child is taken into the child welfare system every six seconds. “Many of society’s most intractable problems can be traced back to childhood adversity. Being in the child welfare system increases the likelihood of more adversity and criminality. Baby court is a proven approach to healing the trauma of both child and parent, and breaking the cycle of maltreatment,” says Mimi Graham, Ed.D ., director of the Florida State University...
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Does VP Candidate Kamala Harris know about ACEs?  You bet!

Nadine Burke Harris, California’s Surgeon General, has a lot in common with the vice presidential candidate Kamala Harris—Jamaican heritage, surname, home state—and a commitment to addressing ACEs and toxic stress. As reported in the New Yorker article by Paul Tough, “The Poverty Clinic,” Dr. Harris told Kamala Harris, then San Francisco district attorney, about ACEs in 2008 and in response, she offered to help. District Attorney Harris then introduced her to professor of child and...
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FSU launches new level of professional certification on trauma and resilience (Florida State University News)

Karen Clemmer ·
By Anna Printess, August 31, 2020, Florida State University News. Florida State University’s College of Social Work recently launched a new level in its successful Professional Certification in Trauma and Resilience online series. The curriculum series, developed by the Clearinghouse on Trauma and Resilience within the college’s Institute for Family Violence Studies in conjunction with the FSU Center for Academic and Professional Development , enables professionals to develop the knowledge...
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New ACEs initiatives learn about strategic plan development from from New Hanover (NC) Resiliency Task Force executive director Mebane Boyd

Carey Sipp ·
The desire to see other ACEs initiatives grow and flourish was evident at a recent meeting of the Resilient Columbus County (North Carolina) ACEs initiative when Mebane Boyd, executive director of the New Hanover Resiliency Task Force (also in North Carolina), shared with the Columbus County and neighboring Pender County groups how New Hanover created and works on its strategic plan. In the spirit of sharing, Boyd agreed to let ACEs Connection post the strategic plan and the video of the...
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Data-Driven, Cross-Sector: Bounce Coalition Boosts Trauma-Informed Change in Kentucky

Anndee Hochman ·
Student suspension rates dropped. Teacher retention rose. Membership in the PTA swelled from zero to more than 200. More kids said in a survey that there was at least one adult at school whom they could talk to if they had a problem. The data—a comparison of the Bounce Coalition’s pilot school and one with similar demographics—told the Kentucky resilience-boosting group that they were on the right track. The Bounce Coalition formed in 2014; the catalyst was a grant from the Foundation for a...
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The Best for our Children: Considering ACEs in Voter Engagement.

Jvanete Skiba ·
The presidential race is a big-ticket item, but hundreds of other state and local races will impact critical issues like school funding, childcare and early education, nutrition programs, and health care. Every seat in the NC General Assembly is on the ballot, along with the Governor’s race, a US Senate seat, congressional races, and more. When it comes to elevating the importance of racial equity, voting is vital to make marginalized voices heard. Policies and systems can be changed by our...
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Hope and Progress, No Matter What! — an ACEs Connection/Cambia Health Foundation “Better Normal”, Oct. 22, 2020

Jane Stevens ·
The election is upon us. In two short weeks, we voters in this country decide who will lead us for the next four years. We have the opportunity to embrace — as a national priority — the tenets of understanding, nurturing and healing that underlie the science of adverse childhood experiences and move in a direction that embraces cultural and racial equity and anti-racism. Or not. What is clear is that no matter what, the ACEs movement will continue.
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The Intersection of Systematic Racism, the Pandemic, and SDoMH: Reality Mandates Change

Ellen Fink-Samnick ·
Systematic racism is at the core of mental health disparities and social determinants of mental health (SDoMH).Upstream factors obstruct patient access to needed and appropriate assessment, timely intervention, with treatment for these populations often reflecting poorer quality, and ending prior to completion of treatment. COVID-19 and the recent pandemic have only amplified meso and micro-level gaps in care. considered, provided, and reimbursed.
 
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