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Energizing a Trauma-Informed Response to COVID-19: An Opening to Seize within Current Federal Funding

Marlo C. Nash ·
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

Former Member ·
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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Funding Trauma-Informed Community Networks - We are #TraumaInformedVA

Chloe Edwards ·
“I know from personal experience that trauma can be life-changing, but I didn’t know that talking about trauma could change my life. And the lives of others,” said Theresa Caldwell, member of the Southside (TICN) Trauma-Informed Community Network , which is supported by the Crater Health District under the leadership of Dr. Alton Hart and Brian Little. The Network works to foster healthy communities through disease prevention and control, health promotion, environmental protection, and...
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Governor Carney Signs Executive Order Making Delaware a Trauma-Informed State [Delaware.gov]

Jane Stevens ·
Governor Carney on Wednesday signed Executive Order #24 making Delaware a trauma-informed state. This Order provides direction for the Family Services Cabinet Council to help mitigate the impact of adverse childhood experiences (ACEs) and build resilience in children, adults and communities. ACEs can include physical, emotional, or sexual abuse; physical or emotional neglect; household dysfunction, including substance abuse, untreated mental illness, or incarceration of a household member;...
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Governor Newsom announces Nadine Burke Harris to be CA's first-ever surgeon general

Jane Stevens ·
Governor Gavin Newsom today announced the appointment of Dr. Nadine Burke Harris, a national leader in pediatric medicine, to serve as California’s first-ever Surgeon General. There is overwhelming consensus in the scientific community around early warning signs and childhood determinants of serious health outcomes. As California's Surgeon General, Dr. Burke Harris will urge policymakers at every level of government and leaders across the state to consider the social determinants of health,...
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Hawaii 2018 State Profile

Morgan Vien ·
Hi, Everyone: Here’s the state profile for Hawaii. 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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Hearing in U.S. House Education and Labor Early Childhood Subcommittee addresses intersection of trauma and education

Dr. Nadine Burke Harris (l) and Karina Chicote, Churchill Fellow from western Australia meet after congressional hearing After watching the hearing on a monitor in the overflow room, Karina Chicote, a Churchill Fellow from western Australia, and I hustled to the hearing room in hopes of speaking to the lead witness, Nadine Burke Harris, MD, the first Surgeon General of the State of California. She was deep in conversation with others, including a young woman who wanted to tell her how...
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HHS releases additional $487 million to states, territories to expand access to effective opioid treatment; 2019 SOR grants will total $1.4 billion [hhs.gov]

Karen Clemmer ·
[March 20, 2019] Today, the U.S. Department of Health and Human Services (HHS) released an additional $487 million to supplement first-year funding through its State Opioid Response (SOR) grant program. The awards to states and territories are part of HHS’s Five-Point Opioid Strategy and the Trump administration’s tireless drive to combat the opioid crisis. Together with the $933 million in second-year, continuation awards to be provided under this program later this year, the total amount...
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House-passed HEROEs Act includes references to “trauma-informed” care and services

The $3 Trillion Heroes Act that passed the House of Representatives on May 15 is primarily a statement of House Democrats’ priorities for the next stimulus COVID legislation and will not be the starting point for the Senate when it returns after the Memorial Day recess. The slim Republican majority in the Senate, led by Majority Leader Mitch McConnell, questions whether a large spending bill is the right approach, saying that states and localities must demonstrate that they are spending the...
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How Adverse Childhood Experiences Cost $1.33 Trillion a Year (psychologytoday.com)

Roger Kluck ·
https://www.psychologytoday.com/us/blog/experimentations/201909/how-adverse-childhood-experiences-cost-133-trillion-year
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"How to talk policy and influence people": a special series of Law and Justice

Jane Mulcahy ·
"No One Is Too Small to Make a Difference" is the title of Greta Thunberg's book, which is a compilation of her speeches on the need for urgent action to tackle climate change. One of those speeches is entitled "Together We Are Making a Difference". I had planned to organise an event on the topic of “How to talk policy and influence people” kindly supported by the Cork Education and Training Board in Ireland on the 2nd of April 2020. Unfortunately, the event had to be cancelled due to the...
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Hughes leads meeting on trauma in schools [PhillyTrib.com]

Clare Reidy ·
State Sen. Vincent Hughes issued a passionate plea to experts at Temple University to help serve and protect victims of trauma in grade schools in Philadelphia and across the commonwealth. “Too many kids are walking into too many toxic schools, too many toxic situations — from domestic abuse to gun violence — to get an education in [an atmosphere] that’s toxic for educators to work in,” said Hughes (D-7) during a recent hearing at the university with members of the Senate Appropriations...
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Hutchison: First Lady of Oklahoma Visits Duncan for Childhood Trauma Awareness Event

Linda Manaugh ·
The mental health of children was at the forefront of a discussion led by the First Lady of Oklahoma in Duncan today. The event started with a showing of the documentary Resilience, which focuses on studies into how experiencing trauma as a child could negatively impact you as an adult. Those studies centered around a test called the ACE Test, with ACE standing for adverse childhood experiences. That test asks you questions about your childhood, such as if you were ever abused, if you lived...
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Illinois Governor Signs Law to Include Social-Emotional Screening in School Health Exams

Illinois Governor Bruce Rauner and Diana Rauner, President of Ounce of Prevention Fund _____________________________________________ Consistent with being the first state to adopt standards for social emotional learning (SEL) in the country, Illinois recently passed legislation (SB 565, Public Act 99-0927 ) to require social and emotional screenings for children as part of the their school entry examinations. Governor Rauner (R) signed the bill on January 20. It goes into effect June 1 of...
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Illinois Governor Signs Law to Include Social-Emotional Screening in School Health Exams

Illinois Governor Bruce Rauner and Diana Rauner, President of Ounce of Prevention Fund _____________________________________________ Consistent with being the first state to adopt standards for social emotional learning (SEL) in the country, Illinois recently passed legislation (SB 565, Public Act 99-0927 ) to require social and emotional screenings for children as part of the their school entry examinations. Governor Rauner (R) signed the bill on January 20. It goes into effect June 1 of...
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Interim report of the President’s opioid commission says its final report will address early intervention strategies for children with ACEs

On August 8, President Trump spoke to the opioid crisis in this country and declined to declare a national emergency as recommended by the “President’s Commission on Combating Drug Addiction and the Opioid Crisis.” Instead, the President emphasized the law and order aspects of the problem and the importance of preventing drug use in the first place since addiction is so hard to overcome. The Commission will make a final report in the fall. The recently released interim report makes eight...
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Join Feb. 18th webinar on addressing ACEs in public policy

Please join this ACEs Connection co-sponsored webinar "Making Meaningful Change: Addressing ACEs through Public Policy" on Feb. 18 (11:30 am-1:00 pm ET) presented by the Health Federation of Philadelphia and MARC (Mobilizing Action for Resilient Communities). In this webinar, three nationally recognized experts will discuss policy and advocacy strategies on a local, state, and national level using evidence from studies they have conducted with legislators and the general public. Speakers...
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Landmark Trauma-Informed Education Bill Passes in Oregon

A landmark trauma-informed education bill to address “chronic absences of students” in the state’s public schools has passed the Oregon legislature and awaits the Governor’s signature. The bill, H.B. 4002 , requires two state education agencies to develop a statewide plan to address the problem and provides funding for “trauma-informed” approaches in schools. While the $500,000 funding level in the bill falls vastly short of the original $5.75 million request for five pilot sites in an...
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Maryland Essentials for Childhood Hosts Advocacy Day at the State Capital

Ruby Parker ·
Maryland Essentials for Childhood, a statewide initiative educating policy makers and communities on the science of ACEs, developing brains, and how we can build resilience for children, families and communities in Maryland, is poised to meet with Maryland elected officials this coming Thursday, ,February 7th, 9-1 pm. We will educate legislators on the science and policies that reduce or mitigate ACEs and other childhood trauma. Key policies being considered by the General Assembly are:...
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May 26 Webinar - Resilience in Washington State: What Works and How to Make it Happen

Tory Henderson ·
With Suzette Fromm Reed, community psychologist, and Dario Longhi, change/sociology researcher. Presented by the Washington State ACEs and Resilience Community of Practice. May 26, 2020 at 12:00 PM. What works? What kinds of resilience increases community-wide levels of well-being and moderates ACE impacts? Come learn about the evidence of the effects of contextual resilience based on research from 108 Washington communities. How to make it happen? What we can learn from strategies employed...
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Medicaid expansion could help 400,000 mentally ill Texans, report says [MyStatesMan.com]

Samantha Sangenito ·
About 406,000 Texans with mental illness and substance abuse disorders could have health insurance if the state expanded Medicaid, according to a new report from the U.S. Department of Health and Human Services Monday. Texas is one of 20 states that have not expanded Medicaid coverage, opting out of many provisions of the Affordable Care Act. “Today’s report shows that Medicaid expansion is an important step Texas can take to address behavioral health needs, including serious mental illness...
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2018 Building Strong Brains Tennessee ACEs Summit

The 2018 Building Strong Brains Tennessee ACEs Summit took place last week in Nashville, TN. The theme of this year’s summit was “Celebrating Successes and Imagining Possibilities” and there is plenty to celebrate. Tennessee is one of the most innovative states when it comes to ACEs awareness. Tennessee understands that childhood trauma is the root cause of its poor health outcomes, high rates of addiction and other ailments. And Tennessee is doing something about it. Tennessee’s leadership...
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A Snapshot of Statutes related to ACEs and Trauma-Informed Policy

A legislative scan in March by the National Conference of State Legislatures (NCSL) of bills that specifically include references to ACEs (nearly 40 bills in 18 states) also found seven statutes enacted in six different states. That number increases significantly when laws that reference “trauma-informed” policies are included—the number of statutes totals 20, enacted in 15 different states. These numbers are based on information from various sources (including the NCSL, our own reporting,...
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ACEs Connection “Map the Movement” now includes an up-to-date section on laws and resolutions

Photo credit: Texasarchitects.org An updated map of laws and resolutions addressing ACEs science and trauma-informed policies is now available in the “Laws and Resolutions” section of Map the Movement (you can also find "Map the Movement" on the navigation bar on the ACEs Connection home page). The earliest law on the map was passed in the state of Washington in 2011, creating an ACEs science public-private partnership. The data base of the National Conference of State Legislatures (NCSL) is...
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ACEs Research Corner — October 2018

Harise Stein ·
[Editor's note: Dr. Harise Stein at Stanford University edits a web site -- abuseresearch.info -- that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she's posting the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens] Harris HR, Wieser F, Vitonis AF, Rich-Edwards J, et. al. Early life abuse and risk of endometriosis. Hum Reprod. 2018 Sep 1;33(9):1657-1668. PMID: 30016439 Using...
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Action needed today by trauma advocates to urge Congress to address mental health and trauma in current COVID-19 legislation

The follow is a message from Dan Press, Legal Advisor to the Campaign for Trauma-Informed Policy and Practice ), about the need to contact Congress regarding a COVID 19 funding bill being considered this weekend. He is urging ACEs science/trauma advocates and leaders to send emails to their U.S. Senators and Representatives immediately to address the mental health and trauma implications of this pandemic. All – I hate to bother you on a Sunday, but we urgently need you to contact Congress to...
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Adverse Childhood Experiences National and State Level Prevalence (Child Trends Research Brief, July 2014)

Former Member ·
    KEY FINDINGS Economic hardship is the most common adverse childhood experience (ACE) reported nationally and in almost all states, followed by divorce or separation of a parent or guardian. Only in Iowa, Michigan, and Vermont is divorce...
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Advocacy in the time of COVID-19—Lessons from New York to create a trauma-Informed legislature

Jenn O'Connor of Prevent Child Abuse New York and Senator George Borrello (R-NY57) Before the official start of her day on March 16— a virtual call with staff members of Prevent Child Abuse New York (PCANY) — Jenn O’Connor, director of policy and advocacy for the organization, and I spoke about how her personal life (suddenly becoming a parent who homeschools) and her worklife changed overnight. O’Connor is managing an ambitious effort to create a trauma-informed legislature in New York. She...
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Afterschool programs and a trauma-informed approach [Afterschool Alliance]

Chandler Hall ·
“A trauma-informed, culturally responsive lens must be a part of everything we do.” This statement by Laura Norton-Cruz, Director of the Alaska Resilience Initiative, sums up the key message of last week’s Senate Afterschool Caucus briefing for Congressional staff which focused on “Afterschool Programs and a Trauma-Informed Approach.” On Wednesday, Sept. 11, the Senate Afterschool Caucus* — in partnership with the Afterschool Alliance, Alaska Children’s Trust – Alaska Afterschool Network,...
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Alaska legislature takes up ACEs resolution similar to those passed in Wisconsin and California

A hearing will be held April 2 on Alaska House Concurrent Resolution 21 (HCR 21) to respond to adverse childhood experiences. The resolution is very similar to those passed in Wisconsin and California . Testimony will be heard in the Health and Social Services Committee on the bill introduced by Representative Geran Tarr. In her statement about the bill , Tarr calls on Governor Walker “to establish policy and programs to address the public and behavioral health epidemic of adverse childhood...
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All Together Now: Working for Families in 2019 [ascend.aspeninstitute.org]

Alicia Doktor ·
With historic demographic shifts in Congress this year, there is even more momentum to address broken policies that can improve the lives of families across our nation. The Aspen Family Prosperity Innovation Community (Family Prosperity) is bringing policy, practice, philanthropy, research, and private sector leaders together to capitalize on the energy and opportunities materializing at the local, state, and national levels to improve family-supportive policies. Family Prosperity is...
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Bad news-good news: Each additional ACE increases opioid relapse rate by 17%; each ACE-informed treatment visit reduces it by 2%

Jane Stevens ·
Each additional type of adverse childhood experience increases a person’s risk of relapse during medication-assisted opioid treatment by a whopping 17 percent. And each visit to a clinic that integrates trauma-informed practices based on ACEs science reduced the relapse rate by two percent, which can carry a person perhaps not to zero, but to a minimal risk of relapse.
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Bi-partisan trauma resolution introduced in the U.S. House of Representatives

A bi-partisan resolution “Recognizing the importance and effectiveness of trauma-informed care” ( H. Res. 443 ) was introduced in the U.S. House of Representatives on July 13 by Mike Gallagher (R-WI) and co-sponsor Danny K. Davis (D-IL). The impetus for the resolution resides with the First Lady of Wisconsin, Tonette Tonette Walker Walker, who has taken a strong leadership role in advancing trauma-informed policy and practice statewide through Fostering Futures and of late with the new...
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Bipartisan, bicameral trauma legislation provides support for community initiatives and workforce development

In the current polarized political environment, it is no small feat for a bill to be introduced with bipartisan support in both chambers—a fact that bodes well for the future of the “Resilience Investment, Support, and Expansion (RISE) from Trauma Act of 2019.” Identical bills titled “The RISE from Trauma Act of 2019” were introduced in the Senate and the House on June 10, with bipartisan support from members of Congress representing diverse states, districts, and constituencies. While...
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Campaign for Trauma-Informed Policy and Practice (CTIPP) launches new grassroots initiative to engage and educate Congress

CTIPP (Campaign for Trauma-Informed Policy and Practice) today announced the launch of the National Trauma Campaign , calling for federal action to prevent and address childhood trauma and build resilience through educating and engaging Congress. Its widely circulated communication invited people from around the country to join the new grassroots initiative. The campaign provides ways for everyone to get involved by joining the effort, becoming a Local Liaison to take the lead in every state...
Comment

Re: State profiles for 50 states and District of Columbia

Brittany Ray ·
Cobscook Community Learning Center's TREE Program is a collaborative educational initiative recently launched in far Downeast Maine. Partnering with students, teachers, families, and community members, the program seeks to create emotionally and socially supportive environments where all children can learn. TREE ~Transforming Rural Experience in Education is based on the understanding that adversity, stress, and trauma are not just individual mental health issues, but also systemic,...
Comment

Re: New York 2018 State Profile

Georgia Papadakis ·
Hi Morgan, I am doing some research on the ACE study and recent report for NY state and wanted to ask if you knew if all of NY state counties were included, specifically Nassau and Suffolk. Thanks, Georgia
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U.S. Southeast trauma leaders share successes, challenges in making changes

Carey Sipp ·
Leaders in ACEs/trauma/resilience movements from 10 states in the Southeast U.S. met for a networking call on May 21, 2020, to learn about flexible funding opportunities for states under the CARES Act, ways to get involved in advocacy, and how to share their successes and challenges in building statewide coalitions. The meeting of leaders was organized by ACEs Connection and the Campaign for Trauma-Informed Policy and Practice (CTIPP) in response to COVID-19 and the growing interest in...
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Epigenetics of Poverty: Why Children from Deprived Backgrounds are Hardwired for Poorer Health (wakeup-world.com)

For those of us passionate about social justice and equality, it stands to reason that children growing up in disadvantaged backgrounds may struggle to reach the opportunities and privilege others take for granted. We also know that people from deprived areas tend to have worse health outcomes throughout life than people from better off communities [1] . Poverty has always had clear links to health, but now a biological explanation for part of this may be coming to light. Long-term research...
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Examining the association between ACEs, childhood poverty and neglect, and physical and mental health: Data from two state samples [Children and Youth Services Review]

Jennifer Jones ·
South Carolina and Wisconsin’s optional ACE Behavioral Risk Factor Surveillance System (BRFSS) module and the supplemental ACE questionnaires provided a unique opportunity to examine the relationship among ACEs, extreme childhood poverty and mental and physical health in adulthood, as poverty is not included as an ACE in BRFSS ACE module. This study used the 2014 Wisconsin BRFSS and the 2016 South Carolina BRFSS to (1) assess the prevalence of ACEs and poverty and (2) examine the association...
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Wolf Administration Releases ‘Trauma-Informed PA’ Plan with Recommendations and Steps for the Commonwealth and Providers to Become Trauma-Informed [PA Governor Tom Wolf Press Release]

July 27, 2020 As a companion to Governor Tom Wolf’s multi-agency effort and anti-stigma initiative, Reach Out PA: Your Mental Health Matters, the Office of Advocacy and Reform (OAR) is releasing the “Trauma-Informed PA” plan to guide the commonwealth and service providers statewide on what it means to be trauma-informed and healing-centered in PA. This plan is the result of four months of work from OAR and the Trauma-Informed PA Think Tank, formed in February. The think tank was made up of...
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Massachusetts Prepares for Children's Mental Health Needs During Covid

Alix Rivière ·
Months into the pandemic, we know the Covid-19 virus doesn’t just pose a threat to our physical health: it has serious repercussions for our individual and collective mental health too. Given ACEs Connection members’ interest in trauma-informed initiatives that support the needs of children, the Massachusetts Childhood Trauma Task Force (CTTF) wants to share its recent report on Covid-19 and children’s mental health.
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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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Adversity in Early Childhood [americanprogress.org]

By Cristina Novoa and Taryn Morrissey, Center for American Progress, August 27, 2020 Since the World Health Organization declared the COVID-19 outbreak a pandemic on March 11, 2020, the United States has seen a proliferation of cases, record-breaking unemployment, and economic instability. Meanwhile, many public health measures that severely restrict social interactions—including stay-at-home orders and school and child care closures, among others—have been prematurely lifted, with...
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What's Next? Illinois ACEs Response Collaborative Deepens Effort as Momentum Grows Across the State

Anndee Hochman ·
It was more than a piece of parchment bearing the governor’s signature. Illinois Governor J.B. Pritzker’s resolution declaring May 15, 2019 as the state’s first Trauma-Informed Awareness Day marked a high-level recognition that, where state policy is concerned, trauma matters. The resolution and resulting proclamation Pritzker signed also calls for legislators to consider childhood brain development, early adversity and buffering relationships when making policy decisions; it urges all state...
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State Legislation to Declare Racism a Public Health Crisis and Address Institutional Racism [ASTHO]

August 12, 2020 | 2:03 p.m. | ASTHO Staff The movement to address racism through policy change in the U.S. is receiving significant political support at every level of government. Government institutions are acknowledging the systemic oppression of people of color that persists in the United States and elevating racism as an urgent public health emergency comparable to other public health crises. At the local level a growing number of cities and counties are issuing declarations . Public and...
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MERKLEY, COLLEAGUES ANNOUNCE LEGISLATION TO CONFRONT THE PUBLIC HEALTH IMPACTS OF STRUCTURAL RACISM

Karen Clemmer ·
Press Release, Thursday, September 3, 2020. The Anti-Racism in Public Health Act would create a Center on Anti-Racism in Health at the CDC, improving the federal government's ability to develop anti-racist health policy WASHINGTON— United States Senator Jeff Merkley today announced a bicameral bill to confront the public health impacts of structural racism through two bold new programs within the Centers for Disease Control and Prevention (CDC). Senators Elizabeth Warren (D-MA), Mazie K.
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Disasters Are Driving a Mental Health Crisis (calhealthreport.org)

Emotional distress is common following natural disasters, and the psychological toll can linger for years, studies suggest. In California, where the state is in the midst of yet another highly destructive wildfire season, published research on the prevalence of mental health impacts among wildfire survivors in the state is scarce. However, a preliminary study by researchers at UC Davis found that around one in five people reported significant symptoms of anxiety and post-traumatic stress up...
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Reasons for Being Uninsured Among Adults Aged 18–64 in the United States, 2019 (National Center for Health Statistics - CDC)

Select key findings Data from the National Health Interview Survey In 2019, 14.5% of adults aged 18–64 were uninsured in the United States. Hispanic adults (30.4%) were more likely than non-Hispanic white adults (22.3%) to indicate that they were uninsured due to ineligibility. Men (26.8%) were more likely than women (14.6%) to indicate that they were uninsured because coverage was not needed or wanted. Previously published data from the National Health Interview Survey (NHIS) reported that...
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State and federal policy to foster California’s children to thrive—Reflecting on what the lessons of 2020 mean for 2021

Against the backdrop of the stresses and strains of the pandemic, the racial reckoning, the fires, a diverse group of advocates presented, questioned, speculated about where trauma-informed policy at the state and federal levels is headed going into 2021.
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