Tagged With "complex health needs"
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Prevalence of Adverse Childhood Experiences From the 2011-2014 Behavioral Risk Factor Surveillance System in 23 States (www.jamanetwork.com) & Note
Cissy's note: Melissa Merrick, PhD (pictured above), is a Senior Epidemiologist with the Surveillance Branch in the Division of Violence Prevention at CDC’s National Center for Injury Prevention and Control. She will be the keynote speaker at the Massachusetts Essentials for Childhood summit and share about new ACEs data (see below) about which populations have the highest levels of ACEs on average. An except from this article published on the JAMA Network can be found below. Please follow...
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Preventable trauma in childhood costs north America and Europe US$ 1.3 trillion a year [WHO]
By World Health Organization (photo by WHO/Malin Bring) The findings of a new study on the life-course health consequences and associated annual costs of adverse childhood experiences (ACEs) show that preventable trauma in childhood costs north America and the European Region US$ 1.3 trillion a year. The article, published in the Lancet and co-authored by Dinesh Sethi and Jonathon Passmore, Programme Manager, Violence and Injury Prevention, WHO/Europe, looks at the legacy of ACEs and their...
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'Prison-like' migrant youth shelter is understaffed, unequipped for Trump's 'zero tolerance' policy, insider says (latimes.com)
Colleagues at a government-contracted shelter in Arizona had a specific request for Antar Davidson when three Brazilian migrant children arrived: "Tell them they can't hug." Davidson, 32, is of Brazilian descent and speaks Portuguese. He said the siblings - ages 16, 10 and 6 - were distraught after being separated from their parents at the border. The children were "huddle together, tears streaming down their faces," he said. The caseload is straining a facility he described as understaffed...
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Program updates from the Illinois ACEs Response Collaborative April 2019
Hello,
Welcome to our April newsletter! This month, we are busy making plans for Illinois' inaugural Trauma-Informed Awareness Day coming up on May 15. Find out more about Trauma-Informed Awareness Day and all the great events happening throughout Illinois in this month's newsletter...
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Public health strategies, ACEs, and much more to learn [ClaremoreProgress.com]
What does a legislator do when not in session? Last month, I was asked by the Speaker to attend a regional meeting of key state policymakers with the Center for Disease Control and Prevention (CDC). It seems the committee chairmen of our health-related committees couldn’t attend, so I was afforded the opportunity to learn about something not exactly in my wheelhouse. The meeting was sponsored by the National Conference of State Legislatures, and is the third such specialized session they’ve...
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Realizing Opportunity for All Youth: Members of the National Academies Report Committee discuss the Report
April 3 2020, Charlottesville VA, presented by Institute of Law, Psychiatry and Public Policy, School of Medicine, University of Virginia. Members of the National Academies of Science, Engineering and Medicine report committee present and discuss Realizing Opportunity for all Youth . Faculty for the day will be Richard Bonnie, Professor with the UVA School of Law, and ILPPP Director, who was chair of the committee producing the report, and other members of the report committee including...
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Recap- Virginia Summit On Childhood Trauma And Resilience 4/25/19
On Thursday April 25, 2019 Voices hosted over 950 attendees at the Virginia Summit on Childhood Trauma and Resilience . The goal of the Summit was to connect child-serving professionals and advocates across the Commonwealth to best practices to prevent, and better address, the impacts of childhood adversity. California’s first Surgeon General and well-known ACEs expert, Dr. Nadine Burke Harris, provided the keynote address. Both Governor Northam and First Lady Pamela Northam addressed the...
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Republicans’ Changes to Medicaid Could Have Larger Impact Than Their Changes to Obamacare [NYTimes.com]
House Republicans are proposing to fundamentally alter the way the federal government has been financing Medicaid for more than 50 years. The changes are part of their plan to replace the Affordable Care Act, also known as Obamacare. “This is potentially more major than repealing the Affordable Care Act,” said Joan Alker, the executive director of the Center for Children and Families at Georgetown University. Medicaid provides health insurance to 74 million people, or one in five Americans.
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Researchers Find PTSD Genetic Vulnerabilities Among U.S. Vets (scienceblog.com)
A genome-wide association study (GWAS) and bioinformatic analysis of more than 165,000 U.S. veterans confirms a genetic vulnerability to post-traumatic stress disorder (PTSD), specifically noting abnormalities in stress hormone response and/or functioning of specific brain regions, report scientists in a paper published July 29, 2019 in Nature Neuroscience . In the new paper, a diverse team led by Murray B. Stein, MD, MPH, Distinguished Professor of Psychiatry and Family Medicine and Public...
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Resource Guide to Trauma-Informed Human Services [ACF.HHS.gove]
The Administration for Children and Families, the Substance Abuse and Mental Health Services Administrations, the Administration for Community Living, the Offices of the Assistant Secretary for Health and the Assistant Secretary for Planning and Evaluation at HHS have worked together to develop this Guide to Trauma-Informed Human Services. The guide is intended to provide an introduction to the topic of trauma, a discussion of why understanding and addressing trauma is important for human...
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Responding to adverse childhood experiences: An evidence review of interventions to prevent and address adversity across the life course [Public Health Wales]
Adverse childhood experiences (ACEs) are stressful events during childhood that can have a profound impact on an individual’s present and future health. Growing up in the face of such adversities is recognised as an important public health concern in Wales and internationally. Actions to prevent and mitigate ACEs and their associated harms are essential to improve population health for present and future generations.
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Rhode Island 2018 State Profile
Hi, Everyone: Here’s the state profile for Rhode Island. 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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Monroe County, Indiana candidate for prosecutor acknowledges the need for the criminal justice system to recognize the effects of trauma on children
Margie Rice, a candidate for prosecutor in Monroe County, Indiana, recently published the following press release on her campaign website, https://www.margiericeforprosecutor.com : For immediate release Thursday, April 12, 2018 Rice calls for community summit on trauma effects County Prosecutor candidate Margie Rice is calling for a community conversation with family trauma experts, social service organization leaders, and justice systems officials to discuss the effects of family trauma on...
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Robert Block: We need to be building adult capabilities to improve child outcomes [tulsaworld.com]
You may have been hearing the phrase “trauma-informed care” a lot more recently and there are good reasons for that. As the landmark Adverse Childhood Experiences (ACEs) study from 1997 receives more and more attention, Oklahomans, from all walks of life and professions, are better understanding the social, emotional and cognitive damage already wrought on so many of our children. That damage, as the study reveals, manifests itself in challenging behavioral patterns in our children and poor...
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Senate backs program that would prevent childhood trauma [vtdigger.org]
The state Senate has approved a bill aimed at addressing the long-term health and social effects of severe childhood trauma. The legislation, S.261 , which now goes to the House, is designed to bolster the state’s support for children and families who have experienced “toxic stress.” Exposure to severe stress has been shown to alter brain chemistry and affect behavior. A major provision of the bill is the addition of a new “director of prevention and health improvement” to the Agency of...
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Snapshot of ACEs Statutes and Resolutions through end of 2018
The attached table summarizes all of the statutes and passed resolutions that contain the words "Adverse Childhood Experiences (ACEs)" and trauma-informed language through the end of 2018. There are nearly 60 statutes with the earliest law enacted in Washington State in 2011. The laws are categorized by subject matter such health care, education, training, and funding. If you are aware of something we missed, please leave a comment to this post.
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Snapshot of U.S. State Laws and Resolutions
Legislative sessions are opening in the 50 states, the District of Columbia and the territories—most in January—and will be addressing a myriad of issues from budgets, job growth, health care, immigration, the opioid epidemic, police-community relations, education and others ( featured in the State Legislatures Magazine ). Many of these proposals will impact how well communities will prosper and thrive, fewer will impact childhood adversity directly, and an even smaller number will...
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Snapshot of U.S. State Laws and Resolutions
Since the opening in January of many sessions in the 50 states, the District of Columbia and the territories, legislatures have addressed a myriad of issues from budgets, job growth, health care, immigration, the opioid epidemic, police-community relations, education and others ( featured in the State Legislatures Magazine ). Many of these proposals will impact how well communities will prosper and thrive, fewer will impact childhood adversity directly, and an even smaller number will...
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South Carolina 2018 State Profile
Hi, Everyone: Here’s the state profile for South Carolina. 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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South Dakota 2018 State Profile
Hi, Everyone: Here’s the state profile for South Dakota. 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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Spending Deal Would End Two-Decade Freeze on Gun Research [usnews.com]
By Associated Press, U.S. News & World Report, December 16, 2019 A bipartisan deal on a government spending bill would for the first time in two decades provide money for federal research on gun safety. A law adopted in the 1990's has effectively blocked such research and prohibits federal agencies from engaging in advocacy on gun-related issues. The spending bill, set for a House vote as soon as Tuesday, would provide $25 million for gun violence research, divided evenly between the...
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State ACE survey reports
The following are links to state reports on Behavioral Risk Factor Surveillance System (BRFSS) ACEs module data. Also included at the end of the list are links to the CDC 5-state study and a 10-state plus the District of Columbia study on ACEs...
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State and Federal Support of Trauma-Informed Care: Sustaining the Momentum
Policymakers increasingly recognize the impact of trauma and adverse childhood experiences on lifelong physical, emotional, and social health and are beginning to support efforts for incorporating trauma-informed care into the health and social service sectors. This new CHCS blog post looks at how proposed state and federal legislative, regulatory, and contracting policies aim to reduce trauma and toxic stress and promote resiliency and trauma-informed practices. It also explores how federal...
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State Budget Fallout: 'A Hurricane That Hits All Over the Country' [Governing]
April 9 The revenue drop from COVID-19 is barely starting to show up in official figures, but already furloughs and major shortfalls are common in state and local governments around the country. The pain may be sudden, but it could last for years. Photo credit: Shutterstock On March 2, Wesley Harper started his new job as executive director of the Nevada League of Cities and Municipalities. A few days later, he went to Washington to meet with members of the state’s congressional delegation,...
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STATE HEALTH CARE STRATEGIES TO ADDRESS CHILDREN’S TRAUMA, EXPOSURE TO VIOLENCE AND ACEs
I found this document by Futures Without Violence to be a useful resource. From the forward: The health care system plays an important role both in identifying children who may be exposed to extreme adversity and violence, currently and in the past, and in providing the evidence-based interventions that can help children heal from trauma and prevent health conditions and other poor outcomes associated with trauma and ACEs. The health care system is also central in supporting the greatest...
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State Policy Guide on Preventing and Healing Childhood Trauma
There can be no keener revelation of a society’s soul than the way in which it treats its children. --Nelson Mandela, Former President of South Africa Every child needs access to the opportunities that prepare him or her to compete in the changing economies and realities of the 21st century. Unfortunately, for too many children, exposure to violence and traumatic events in the home, school, or community can affect them throughout their entire lives . We are thrilled to release this brand new...
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State profiles for 50 states and District of Columbia
Hi, Everyone: We’ve made a first pass at gathering highlights of ACEs initiatives in each of the 50 states and Washington, D.C. Within the text, below, are links to the individual posted profiles for each state. If you see corrections or want to make additions, we’d love that. Just add them in the comments section of that individual post. Instructions are at the top of each individual post. We will be turning those posts into living profiles that, with your help and input, we’ll keep...
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States Produce a Bumper Crop of ACEs bills in 2017—nearly 40 bills in 18 states
A scan done in March by the National Conference of State Legislatures (NCSL) through StateNet of bills introduced in 2017 that specifically include adverse childhood experiences (ACEs) in the text produced a surprising volume of bills (close of 40) in a large number of states (18). A scan done a year ago produced less than a handful. NCSL is a bipartisan organization that serves both state legislators and their staffs. The shear volume of bills in so many states represents a promising...
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“Strategic Advocacy: Winning Policy Change without Crossing the Lobbying Line”: Webinar summary & links
(l to r) Kelly Hardy, Allen Mattison, Jeff Hild _____________________________________________________ The stakes in today's public policy debates are as high as they've ever been. So, how does a nonprofit organization separate legitimate and perceived barriers to find the sweet spot for maximum engagement and not cross the lobbying line? The three panelists on the “Strategic Advocacy: Winning Policy Change without Crossing the Lobbying Line ” webinar held March 14, 2019, covered the fine...
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Suicide Prevention Bill Includes ACEs!
"These types of demographics and statistics are unacceptable." That's what Senator Windy Boy, sponsor of Montana Legislative House Bill 118 , said in regards to suicide rates in Montana. “We’re ranked among the highest in suicide nationwide,” said Windy Boy. “Indian Country is ranked the highest in Montana." He continued, "This is the first step in reducing that,” adding that he wants to thank the governor and the Legislature for their support in “making sure this was a priority in this...
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Suicides among nurses are on the rise. Here's why one of America's fastest-growing jobs is facing a major crisis. (businessinsider.com)
Researchers from the University of California at San Diego recently conducted what they said is the first nationwide investigation into nurse suicides in more than 20 years. They found that both male and female nurses had higher rates of suicide than men and women in the US . The findings are consistent with the increasing rates of suicide across the country. The US suicide rate has risen in recent years, increasing by 28% in the past two decades , to the highest it's been since World War II...
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Summit: Oklahoma’s youngest, most vulnerable children suffer more trauma than those in any other state in the nation [tulsaworld.com]
State leaders in education, criminal justice and health came together Tuesday to begin to confront an alarming, new statistic: Oklahoma’s youngest, most vulnerable children suffer more trauma than those in any other state in the nation. A summit titled, “It Starts Here: Trauma-Informed Instruction,” brought thousands of educators from across the state to hear from national experts on childhood trauma and what brain science reveals about what teachers can do to help students both learn more...
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Tackling Patients’ Social Problems Can Cut Health Costs (californiahealthline.org)
Inspired by the way police departments mapped crime data to detect “hot spots,” family physician Dr. Jeffrey Brenner dug into ambulance records and emergency department data to show how high-cost patients were shuttling between city hospitals. “In America, we’re medicalizing social problems and we’re criminalizing social problems, and we’re wasting huge amounts of public resources,” Brenner said. “We have the wrong tools to solve the wrong problem.” To steer patients away from expensive...
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Telehealth Is Improving Health Care in Rural Areas (hbr.org)
Intermountain Healthcare is addressing the pressing needs of people who live in rural areas through telehealth, which uses secure video and audio technology to connect care providers in smaller health care facilities with specialists in large hospitals. The results we’ve experienced hold promise for rural communities throughout America. Patients are frequently transferred to distant acute care centers to receive specialized care. Local caregivers don’t get the opportunity to learn from...
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Tennessee 2018 State Profile
Hi, Everyone: Here’s the state profile for Tennessee. 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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Colorado Steps up Quality Assurance Requirements for Serving Youth with Complex Needs (cmhnetwork.org)
Thanks to our colleagues at the National Wraparound Initiative for bringing this to our attention. This new bill in Colorado requires screening to identify youth with complex needs, establishes wraparound to serve them, and blends funding across agencies to make it happen! A model for other states to emulate! Child And Youth Behavioral Health System Enhancements Concerning enhancements to behavioral health services and policy coordination for children and youth, and, in connection therewith,...
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Connecticut 2018 State Profile
Hi, Everyone: Here’s the state profile for Connecticut. 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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Could where you live influence how long you live? (Robert Wood Johnson Foundation)
How does where we live affect our opportunity to be healthy? For the first time in our history, the United States is raising a generation of children who may live sicker and shorter lives than their parents. Reversing this trend will of course depend on healthy choices by each of us. But not everyone in America has the same opportunities to be healthy. According to the most recent data available from the Centers for Disease Control and Prevention , average life expectancy in the U.S. is 78.6...
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CTIPP-CAN hosts conference call with presentation by Laura Porter on social investment bonds to fund trauma-informed programs
Tomorrow (Wednesday) at 2:00 EST, Laura Porter will present on the use of social investment bonds to fund the implementation of trauma-informed programs as part of a Campaign for Trauma-Informed Policy and Practice-Community Advocacy Network ( CTIPP-CAN ) conference call. In an announcement from CTIPP-CAN organizer, Dan Press says “this is a novel, challenging and potentially invaluable approach for overcoming the problem many of us see –local and state governments unwilling or unable to...
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Cycle of Risk: The Intersection of Poverty, Violence, and Trauma (issuelab.org)
We make the case that the conditions that foster violence and the conditions that perpetuate poverty are interconnected and reinforce each other; we further show the traumatic effects of violence -- and how trauma drives both poverty and violence. We then examine how violence has been used to enforce systems of racial oppression and how communities of color are disparately impacted by violence today. The conditions that perpetuate poverty and the conditions that foster violence often...
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Delaware 2018 State Profile
Hi, Everyone: Here’s the state profile for Delaware. 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, we’ll...
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Despite Prevalent Trauma, From School Shootings to the Opioid Epidemic, Few States Have Policies to Fully Address Student Needs, Study Finds (the74million.org)
Despite the pervasive effect of stressful experiences — from mass school shootings to the opioid epidemic — on student performance, only 11 states encourage or require staff training on the effects of trauma. Half of states have policies on suicide prevention. And just one state, Vermont, requires a school nurse to be available daily at every school campus. Those are among the key findings of a report released Thursday by the nonprofit Child Trends, which found that most states have failed...
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Director's Note about tonight's PBS broadcast of Broken Places (4/6)
The film trailer is available here. Learn more about Broken Places via this review written by @Laurie Udesky (ACEs Connection Staff) entitled, Documentary Broken Places uses archival footage to tell stories of ACEs and resilience over time . Tonight's Airing: Check your local listing time here. Film clips and more viewer information can be found on the PBS website .
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Doctors group warns of health risks for migrant children separated from parents (thehill.com)
Medical experts are cautioning that there are long-term health risks for migrant children who are separated from their parents, including "irreplaceable harm" to those children's lifelong development. “[It can] cause irreparable harm to lifelong development by disrupting a child’s brain architecture,” American Academy of Pediatrics (AAP) President Colleen Kraft told BuzzFeed News this week. “Immigration has become so politicized. We would really like people to sit back instead and think of...
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Durbin, Capito, colleagues introduce bipartisan, bicameral legislation to address childhood trauma [Office of Senator Durbin of IL]
The following is a press release issued by the office of U.S. Senator Durbin (D-IL) on Monday, June 10, announcing the introduction of bipartisan bicameral legislation that builds on last year’s opioid legislation SUPPORT for Patients and Communities Act and recommendations from a recent GAO report. A link to the bill and other information will be provided as soon as possible. In the meantime, an earlier draft of the bill and a section by section are attached to this post. For Immediate...
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Education, inspiration, and action—Maryland lawmakers take deeper dive into ACEs science and how it informs policy
While members of the Maryland General Assembly did not dominate the Dec. 13th “MGA ACEs Roundtable” in numbers, they commanded the room and enlivened a focus on how ACEs science can inform current and future policies considered by elected officials.
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Eleven state profiles feature ACEs-science data, initiatives
One of the resources shared with participants in the Sept. 13-14 convening of First Spouses in Milwaukee to address trauma was a series of state information sheets that featured data on ACEs prevalence and ACEs/trauma-informed/resilience-building initiatives. These one-pagers provided a succinct summary of state highlights on trauma that in some instances were well known to the First Spouses but for others, provided new information. In partnership with state trauma leaders, ACEs Connection...
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Energizing a Trauma-Informed Response to COVID-19: An Opening to Seize within Current Federal Funding
Photo: Marlo Nash with her grandfather, Grandpa Johnny In 1918, my grandfather lost both of his parents to the Spanish flu within a week of each other. He was seven when his mother died, had his 8 th birthday the following week, then lost his father. Grandpa Johnny was separated from his three siblings and placed into the abusive home of a relative. At age 12, he escaped to live on the streets until he found his own placement with a couple as their house servant. The most he ever said about...
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Exploring Instability and Children's Well-Being: Insights from a Dialogue among Practitioners, Policymakers and Researchers
Concern is growing about the damage that instability can do to children's healthy development. However it has emerged separately across different domains, with little focus on the pervasive and interconnected nature of the issue or on possible...
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Feeling Blue? Oregon Students Allowed To Take 'Mental Health Days' (npr.org)
Oregon's suicide rate has outpaced the national average for the past three decades. In an effort to combat stigma around mental illness, four local teen activists took matters into their own hands and championed a proposed state law. Oregon schools will now excuse student absences for mental or behavioral health reasons, as with regular sick days. In other words, if a student is feeling down, they can stay home from school without getting docked for missing classes. The law, signed by Gov.