Tagged With "Public Health"
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Communicating Risk in Your Community
My Public Health Communication Campaign was focused on a new course provided by NOAA's Office for Coastal Management called " Three Steps to Better Risk Communication ". This course will be a blended learning opportunity with a mix of synchronous virtual classroom sessions, and asynchronous work (discussion posts, completion of a risk communication strategy). The course is designed for professionals needing to communicate risk to their communities. We will address the community level of the...
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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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PHC6534: Depression Awareness and Prevention through a Trauma-Informed Approach
With depression a leading cause of disability around the world, it is vital to implement trauma-informed initiatives that help educate individuals on how to build resiliency, understand mental health in themselves and others, and be better equipped for the future. With those aged 18-24-years the most affected by depression, starting in high school can give students the step they need in the right direction. The program initiative develops a consecutive program for high school students that...
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Donna Jackson Nakazawa on bringing down the stress-threat response
Cissy's note: Donna Jackson Nakazawa has graciously allowed me to cross-post some of her current and future Facebook page posts here in the Practicing Resilience for Self-Care and Healing community on ACEs Connection . Hello Friends. As a SciComm journalist with 30 years of reporting and 6 books under my belt, which focus on how our stress response governs our immune health, I’ve been thinking about what I have learned, and how I might help you quiet your body and mind during this # pandemic...
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During COVID-19: The need for your skills. Self-care resources. Share your TI responses? Thank you!
Dear Trauma F riends and C olleagues: The COVID 19 pandemic offers a critical opportunity to share your unique skills in coping with stress and trauma. Many of us and the families we serve may be shifting through the stages of change and grief----denial, anger, bargaining, acceptance---about this pandemic. You may be adjusting to telehealth and virtual visits but know that our families need your reassurance and help in regulating and coping. Hope you’re all practicing self-care while you...
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Efforts to Reduce Black Maternal Mortality Complicated by COVID-19 [chcf.org]
By Xenia Shih Bion, California Health Care Foundation, April 20, 2020 Latoyha Young had a birth plan. She was going to have the baby in Sacramento with community doula Joy Dean by her side. Dean was funded by the county’s Black Child Legacy Campaign , which works to reduce the disproportional number of Black infant and child deaths in Sacramento. But in mid-March, when Young went into labor just as Governor Gavin Newsom ordered Californians to stay at home to avoid spreading the novel...
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Florida Governor's Wife announces mental health aid for Panhandle after Hurricane Michael
Photo credit: Florida's Governor's Office The story below illustrates the urgent need to proactively build psychological and psycho-social-spiritual--Transformational Resilience--for climate change related disasters. It describes how the mental health impacts of these disasters often becomes most acute months after a disaster occurs, which is long after mental health first aid and other disaster mental health services have ended. Prevention is the only solution, and the focus must be on...
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Governor Declares November 1, 2019 as Florida's Trauma Informed Care Day
Thank you Governor DeSantis (and Zack Gibson in the Governor’s Office) for declaring today as Florida’s Trauma Informed Care Day . Many of Florida’s most costly, intractable social problems including our opioid and substance dependency crisis, our sky-rocketing public health costs, tragic school failures, and the multigenerational cycle of families into our criminal justice and child welfare systems, can be decreased by addressing early trauma. Initiatives are taking shape at both the state...
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Grant Proposal PHC6937
My grant proposal requests funds to support activities for carrying out programs that build resilience (Zolkoski & Bullock, 2012). Also, the grant programs will build self-efficacy among subsidized housing recipients to eliminate intergenerational poverty. Programs that will provide mentoring – including proper nutrition and entrepreneurship training, as well as professional development are a primary focus. Poverty in Florida exists in concentrated areas (Williamson, Smith, &...
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(PHC6534) Adverse Childhood Experiences: An Intervention Addressing Mental Health within Alachua county Households
Abstract: Having a parent with mental illness increases a child’s likelihood of developing mental health disorders later in life (Afifi, 2008). Studies have found that mothers with mental health conditions are more likely to have children who experience behavioral difficulties (Whitaker, 2006). More specifically, observing a parent with mental illness can affect a child’s ability to manage their emotions and handle stress. In this intervention, we will be targeting children 4-18 within...
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PHC6534: HIV Sexual Health Education Intervention Utilizing a Trauma Informed Approach
Adverse Childhood Experiences are highly associated with the development of sexually transmitted infections (Felitti, 1998). People who have experienced just one ACE have a 1.4 odds ratio of having an STI in their lifetime. Whereas those who have 4 or more ACEs have a 2.5 odds ratio (Felitti, 1998). The state of Georgia is not legally required to teach medically accurate sexual health education. In essence, compounding the existing problem of their high HIV incidence. This intervention aims...
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How Communities Can Build Psychological Resilience to Disaster
Nicole Wetsman The Red River runs north, up along the border between North Dakota and Minnesota, before spilling into Lake Winnipeg in Manitoba, Canada. Its water flows slowly through a 10,000-year-old glacial lakebed, in one of the flattest stretches of land in the United States, and because it points north, it’s sometimes blocked by ice jams—all of which makes the river prone to flooding . In March 2009, one such flood threatened the city of Fargo. Residents watched for a week as the...
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How do these pediatricians do ACEs screening? Early adopters tell all.
Last week, three pediatricians — with a combined experience of 15 years integrating ACEs science into their practices — reflected on the urgency they felt several years ago that prompted them to begin screening patients for childhood adversity and resilience when there was practically no guidance at all. Along their journey , they accumulated a list of lessons learned for other pediatricians and family clinics to use. The three pediatricians participated in the ACEs Connection webinar,...
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HSC4930 Animal-Assisted Interventions
Level(s) of Social Ecological Model: The first level I will address from the Social Ecological Model will be the individual, or intrapersonal, level. In this level the individual is focused on in terms of past history in which could have influenced the way in which this individual was placed in a particular traumatic situation. This could include personal details such as age, beliefs, societal status, family history of abuse such as physical, mental, alcohol, drugs, etc. (CDC 2019). My...
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HSC4930: "Destination: Home. A Center Rooted in LGBTQIA+ Identity Development and Social Connection"
Destination: Home is a public health intervention center and shelter designed to be multi-faceted and a leader when it comes to LGBTQIA+ rights and advocacy. What sparked the vision for this intervention is the need for social connection among diverse groups of LGBTQIA+ youth and the homelessness which they face. This center functions as a as a shelter targeting LGBTQIA+ youth within a specific radius. Although it functions as a shelter, there is also internal and external programming and...
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HSC4930 - Family and Unaccompanied Youth Transitional Housing Community – Providing Trauma-Informed Shelter in Gainesville, Florida
Although many organizations providing temporary shelter for individuals experiencing homelessness exist, there is a gap in the Gainesville, Florida community for these services specifically serving families and unaccompanied youth. In 2018 there were an estimated 641 people experiencing homelessness in Alachua County, the majority of whom were on the streets rather than in shelters (NCF Alliance 2018) . In the entirety of Gainesville, Florida, the most recent data from 2012 showed that an...
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HSC4930: Family First: A New Home
Family First: A New Home is a project that aims to create a home away from home that embodies the emotional characteristics of a healthy household environment for those to whom this environment is unavailable. Our project aims to create an after-school program for elementary school-aged children from single-parent households. Our goal is for children and parents from single-parent households to grow in capacities which are unavailable to them. This intervention aims to affect the...
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HSC4930: Implementing a Trauma-Informed Mentor Program in Alachua County Elementary Schools
Predominantly within the 32641 and 32609 zip codes of Alachua County, the elementary schools found in these zones are subject to greater disparities. For example, Stephen Foster Elementary school considers about half of it’s student body to be economically disadvantaged (Florida Department of Education, 2017). Based on the Philadelphia study on expanded ACEs, the importance of developing and implementing an intervention program to combat ACEs within these elementary schools that are subject...
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HSC4930: Improving Domestic Violence Outcomes for Children
Domestic violence not only affects the individual directly involved, but also the children who are indirectly involved by witnessing the violence. Spreading awareness to children can prevent future generations from normalizing domestic violence in the home. This project will target children in the Gainesville area to help them find peace and resilience from these incidents. Schools and teachers will play a large role in this project by giving students information on what healthy...
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HSC4930- Owsley County, Kentucky: Public Health Intervention
Owsley County, Kentucky is in dire need for a public health intervention. Owsley county is currently experiencing high rates of school drop outs, high percentage of persons living in poverty, and various other poor health outcomes. If there is no intervention, Owsley county will continue to experience such trauma and possibly experience worsened conditions. My idea for intervention will include involvement from the public health sector, health care providers and the school system to decrease...
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HSC4930: School-Based Intervention in Alachua County
There is a high rate of child abuse and neglect in Alachua County, and this school-based intervention will target children ages 5-11 in public elementary schools in Alachua County. The intervention will allow students to: learn more about Adverse Childhood Experiences (ACEs), discuss some of their worries, and build their resilience. Trained professionals will facilitate activities, discussions, and reflections among the students (and occasionally the parents) while utilizing five out of the...
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HSC4930 - "Soul Sistas" Black Women Intervention
Soul Sistas There is undoubtable race related trauma in the Black community. However, for Black women, this existence in two minority groups, race and gender, can be even more detrimental. Especially when those identities are comorbid with others including SES, sexuality and ability. Trauma is playing a role in the lives and death of how black people black women navigate the world and there is a necessary shift to be created in communities where black women exist. Essentially black women are...
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HSC4930: Trauma Informed Care for Alcohol Exposed Families in Gainesville Florida
Alcohol abuse in households across the nation is an issue deeply felt by those who are impacted. According to the National Institute on Alcohol Abuse Alcoholism, an estimated 88,000 people (approximately 62,000 men and 26,000 women) die from alcohol-related causes annually, making alcohol the third leading preventable cause of death in the United States. Furthermore, according to a 2012 study, more than 10 percent of U.S. children live with a parent who has problems with alcohol abuse and...
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Incorporation of a Compassionate Schools Program in the Makah and Hoh Tribes, two Native American Communities in the Pacific Northwest area of the United States Lauren May PHC6937
Abstract: Native American communities in the United States have disproportionately high rates of health disparities such as post-traumatic stress, depression, violence and substance abuse, especially when compared to other demographic groups in the United States 1 . These communities also disproportionately experience adverse childhood experiences (ACEs) with up to 40.3 percent experiencing 2 or more ACEs 3 including childhood physical and sexual abuse, witnessing violence, poverty, racism...
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Introducing LGBT Curricula in Schools PHC6534
Overall, my grant project is to create and instill curricula in schools for teachers and students around LGBT issues with the goal of educating teachers and students, decreasing discrimination towards LGBT folks, and eventually making the community more LGBT accepting. The LGBT population continually faces discrimination resulting in numerous disparities. LGBT youth are some of the most vulnerable to these disparities include verbal harassment, physical harassment, and physical assault which...
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It took 3 years, 6 versions to develop ACEs screener that works for parents & providers
It’s irrefutable: Widespread research shows that adverse childhood experiences (ACEs) are common. That’s why researchers in a recent study insist: “It behooves pediatric providers to take an active role in preventing and identifying childhood adversity in order to reduce the health consequences of toxic stress.” In other words, if you want your kids to have a good shot at a healthy life, make sure they — and you — are educated about and screened for ACEs and resilience. In a recent study —...
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Join a New National Grassroots Campaign to Address Childhood Trauma and Build Resilience by Engaging and Educating Congress.
Hope you’ll join the new national campaign to address childhood trauma. Here's the link to join the Campaign for Trauma-Informed Policy and Practice (CTIPP): Join a New National Grassroots Campaign . CTIPP was created to Address Childhood Trauma and Build Resilience by Engaging and Educating Congress . We are looking for local trauma leaders to help educate our congressional delegation on the impact of trauma and strategies for building resilience. Learn more details from webinar. (Note:...
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Let's Talk about Gender
Hello All! Gender is a complex, social construct that can be damaging to adolescents when gender stereotypes are perpetuated. I wanted to begin a health communication campaign that begins a community conversation about gender and the gender stereotypes present in our everyday lives. I chose to promote this campaign with three items. 1. An infographic that is targeted towards adolescents to help them understand how how gender stereotypes can harm us personally and others around us. This...
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LGBTQ+ Patient's Bill of Rights
The examination room at a doctor's office can be a place fraught with instances of trauma for LGBTQ+ and gender non-conforming (GNC) people. From nonconsensual hormone therapy to a refusal to provide preventive therapy for HIV, queer and GNC people can encounter situations and reactions from health care providers that ultimately deter them from seeking care. This leads to worse mental and physical health outcomes for a community already at risk of suicide, HIV, and community violence. Using...
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Mapping the Link Between Life Expectancy and Educational Opportunity [childtrends.org]
By Renee Ryberg, Nadia Orfali Hall, Claire Kelley, Jessica Warren, and Kristen Harper, Child Trends, January 2020 In 2015, an average 15-year-old could expect to live to age 79. However, teens living in the 1 percent of neighborhoods with the lowest life expectancies could expect to live to 70—a lifespan nine years shorter. Educational attainment, a key social determinant of health, is one of the most powerful predictors of life expectancy. This association has strengthened over the past 20...
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Meditation and Mindfulness in the Classroom
Meditation and Mindfulness in the Classroom Childhood development is one of the most important periods in a human beings life. It is during this time that individuals absorb the most amount of information and are shaped for the people they will become in future. Sadly, during this critical developmental time, millions of children are affected by Adverse Childhood Experiences. ACEs result in numerous health needs both acute and chronic that can plague individuals for a lifetime. However;...
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ACEs Science Champions Series: Meet Florida's Johnny Appleseed. She plants seeds of ACEs science!
Dr. Mimi Graham is Florida’s Johnny Appleseed, but instead of planting apple trees, she’s been seeding hundreds of ACEs-science-informed schools, courts, juvenile detention centers, hospitals, childcare centers, home visiting programs, mental health agencies, law enforcement agencies, and drug treatment centers. Graham, who has served as director of the Florida State University Center for Prevention and Early Intervention Policy in Tallahassee since 1993, focuses on early childhood,...
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PHC6534: Miss Kendra Program in Alachua County, FL
My grant proposal topic was to implement the Miss Kendra program in 10 of Alachua County, Florida’s elementary schools. Miss Kendra's program is engages students in direct discussions of sensitive subjects involved in ACEs. It aims to provide open classroom discussions where children can learn that they can find the help they need when they talk about their experiences. By sharing their burdens and worries, communication skills are strengthened early before they need to communicated through...
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New Study Examines State Lawmaker Perspectives on Adverse Childhood Experiences
New Study Examines State Lawmaker Perspectives on Addressing Adverse Childhood Experiences Released by Children's Trust of South Carolina
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New Study Reveals Annual Cost of Childhood Adversity in California Is Approximately $113 Billion [prnewswire.com]
SAN FRANCISCO , Jan. 28, 2020 /PRNewswire/ The Center for Youth Wellness announces the release of an in-depth study on the health-related cost of adverse childhood experiences (ACEs) in the state of California . A number of studies have investigated the cost of child maltreatment, but the current study, entitled " Adult health burden and costs in California during 2013 associated with prior adverse childhood experiences ," is the first to examine the cost associated with adult health...
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PHC6534: Parent Education Program for Preventing Child Abuse
Summary There are four common co-occurring issues—parental substance abuse, parental mental illness, domestic violence, and child conduct problems—that are related to parenting and that lead to child maltreatment (Barth, 2009). Understanding and responding to these issues is vital for our parental education programming goals of preventing abuse and other forms of maltreatment. My program will be focusing its efforts in low-income communities where resources for parents may not be readily...
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Personal stories from witnesses, U.S. representatives provided an emotional wallop to House Oversight and Reform Committee hearing on childhood trauma
Room erupts in applause for the grandmother of witness William Kellibrew during July 11 House Oversight and Reform Committee hearing. The power of personal stories from witnesses and committee members fueled the July 11 hearing on childhood trauma in the House Oversight and Reform Committee* throughout the nearly four hours of often emotional and searing testimony and member questions and statements (Click here for 3:47 hour video). The hearing was organized into a two panels—testimony from...
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PHC 6534: Addressing Adverse Childhood Experiences in Justice-Involved Youth and Preventing Recidivism Through Targeted Assessments, Therapies, and Social Support
Adverse Childhood Experiences (ACEs) affect justice-involved youth at higher rates than the general population associated with delinquent behavior and recidivism (Abram et al., 2004). This trauma-informed project at the Alachua Regional Juvenile Detention Center is proposed as a solution to ACEs induced delinquent behavior and recidivism in justice-involved youth. Through education, therapy, and social support this program tries to mitigate the effects of ACEs and retraumatization, in...
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PHC 6534: Cardiovascular Disease Prevention Utilizing a Trauma-Informed Approach
Adults who have experiences ACES are associated with declining health, including cardiovascular disease. Cardiovascular disease can be prevented through a healthy diet, healthy weight, and regular exercise. My intervention will target adults who have at least one of the two risk factors for cardiovascular disease and lead them through a series of actives such as screenings, weekly exercise and education classes, nutrition classes, and support groups with the goal of preventing the onset and...
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PHC 6534: Community Intervention Addressing the Connection Between Opioid Misuse and ACEs
A connection between adverse childhood experiences (ACEs) and opioid misuse has been established in recent years. Palm Beach County ranks first in Florida for opioid overdose deaths and non-fatal overdoses(Florida Charts, 2017). This intervention sets out to inform the members of this community who have experienced ACEs of the connection between ACEs and opioid misuse. In person counseling sessions and an online education course have been developed to not only help with the healing of past...
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PHC 6534: Depressive Disorders Prevention Program Using a Trauma Informed Resilience based Public Health Intervention
Adverse childhood experience (ACE’s) are associated with depressive disorders. Many children who are placed in the foster care system, have had experiences with ACE and as a result are diagnosed with depressive disorders. This program is aimed to provide support to children who are currently in foster care, who have a history of experiencing ACE. The goal is to provide on-going support services to children who have the goals of a goal of reunification with their parents, adoption or...
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PHC 6534 Increasing the availability of Syringe Exchange Services in Rural Florida: A Trauma Informed Approach
The opioid crisis presents a vital problem that needs to be addressed as a public health crisis because it increases the risk of the transmission of infectious diseases like HIV and Hepatitis C (CDC, 2018). In 2017, more than 70,000 people died from drug overdoses and of those deaths almost 68% involved a prescription or illicit opioid (CDC, 2018). According to the National Institute on Drug Abuse, rural areas include some of the most vulnerable populations for injection drug use related HIV...
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PHC 6937: Type 2 Diabetes Prevention Utilizing a Trauma-Informed Approach
In the United States, an estimated 9.4% of the adult population has diabetes, and diabetes is the seventh leading cause of death (Statistics, 2018). In addition, about 33% of adults have prediabetes and are at-risk for developing type 2 diabetes (Statistics, 2018). Individuals who have experienced four or more Adverse Childhood Experiences (ACEs) have a 1.6 odds ratio for developing diabetes compared to their counterparts who have no history of ACEs (Felitti,1998). Type 2 diabetes is...
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PHC6534-A Trauma-Informed Approach to Narrowing Racial Disparities in Negative Birth Outcomes Among Women in Alachua County
African American women in Alachua County are experiencing higher rates of poor birth outcomes than their white counterparts (FLHealthCharts, 2018). This is, in spite of the fact that women from both races have clinically similar starts to their pregnancies (FLHealthCharts, 2018). Trauma, experienced in the form of toxic stress from environmental and social variables, is the key difference between these women (Sandoval, 2018). My grant proposal looks to reduce the amount of stress a black...
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PHC6534: ACEs Medical Conference
Adverse Childhood Experiences or ACEs are situations in which children experience abuse, neglect and household challenges. The most crucial time for a person’s development is from birth to the late teens. These situations as a child or young adult can have a negative effect on children throughout their life, not just mentally but they can also lead to negative health outcomes as they grow and mature. Some of those outcomes include diabetes, heart conditions and cancer. This ACEs Medical...
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PHC6534: Addressing ACEs in College Students through the TCare App
A trauma-informed intervention at the University of Florida is proposed as a solution to the public health issue of adverse childhood experiences in college students, which can lead to more negative health outcomes. This public health intervention will be implemented as a pilot test of a telehealth based app, called the Trauma Care app (TCare app), that will screen all incoming students for adverse childhood experiences and provide targeted resources, as well as telehealth based counseling,...
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PHC6534: Addressing and Preventing Adverse Childhood Experiences Through an Enriched Preschool Program
Adverse childhood experiences, also known as ACEs, are highly prevalent across the United States and especially within low-income communities [i] , [ii] , [iii] , [iv] . This is particularly important for Alachua County where 12% of families live below the poverty line and 6% of the population are currently unemployed [v] . Furthermore, recent research shows the Violent Crime Rate was 579.1per 100,000 while the Child Abuse Rate children aged 5-11 was 11.8 per 1,000 [vi] . My grant proposal...
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PHC6534: ADDRESSING IPV THROUGH A CULTURALLY-COMPETENT, TRAUMA-INFORMED BIP PROGRAM
ABSTRACT Intimate partner violence (IPV) is a pervasive public health issue that ravages the lives of millions in the United States each year. [i] There is a growing scientific consensus that the three foundational models of Batterer Intervention Programs used to rehabilitate IPV perpetrators throughout the United States – the psychoeducational model, “The Duluth Model,” and the cognitive-behavioral model - do not have a measurable impact on IPV recidivism rates. [ii] [iii] [iv] Furthermore,...
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PHC6534 Alachua County Feed All Children Initiative
The Alachua County Feeding All Children Initiative (ACFAC) is a proposed multi-level and trauma-informed intervention aiming to decrease physical neglect ACEs in Alachua County through providing discounted or free school day dinners to children attending Title 1 benefit receiving Elementary Schools in Alachua County. Alachua County’s poverty level is 10% higher than the national average (Florida Health, 2018; U.S. Census Bureau, 2019), resulting in the high 19.8% of Alachua residents who are...