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Tagged With "Adverse Childhood Experiences"

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HSC4930 Animal-Assisted Interventions

Kalin ·
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 - Family and Unaccompanied Youth Transitional Housing Community – Providing Trauma-Informed Shelter in Gainesville, Florida

Kayla Talebi ·
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: Implementing a Trauma-Informed Mentor Program in Alachua County Elementary Schools

Linda Guan ·
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

Michelle Steffes ·
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: School-Based Intervention in Alachua County

Sabrina Veerjee ·
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: Trauma Informed Care for Alcohol Exposed Families in Gainesville Florida

Emily Gunter ·
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

Lauren L May ·
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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It took 3 years, 6 versions to develop ACEs screener that works for parents & providers

Laurie Udesky ·
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.

Mimi graham ·
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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Meditation and Mindfulness in the Classroom

Agape Assefa ·
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!

Sylvia Paull ·
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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National Trauma campaign webinar 3/10

Kelsey Visser ·
Join on March 10, 2020 at 10am EST to learn more about the New National Grassroots Campaign which calls for federal action to prevent and address childhood trauma and build resilience through educating and engaging Congress. Join Zoom Meeting. https://zoom.us/j/293206175 Meeting ID: 293 206 175 One tap mobile +19292056099,,293206175# US (New York) +16699006833,,293206175# US (San Jose) Dial by your location +1 929 205 6099 US (New York) +1 669 900 6833 US (San Jose) Meeting ID: 293 206 175...
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New Study Examines State Lawmaker Perspectives on Adverse Childhood Experiences

Aditi Srivastav ·
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]

Marianne Avari ·
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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Next "A Better Normal" community discussion series: April 7, 2020 — Tian Dayton

Jane Stevens ·
Therapist and author Dr. Tian Dayton, who first started writing about ACEs science more than 20 years ago, will address grief and maintaining emotional sobriety during COVID-19. Carey Sipp, Southeast community facilitator for ACEs Connection, will host this community conversation, and Alison Cebula, Northeastern regional community facilitator, will moderate.
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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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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

Melanie Hechavarria ·
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: Community Intervention Addressing the Connection Between Opioid Misuse and ACEs

Jake Dooling ·
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

Marion Spencer ·
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

Myrsha Chow ·
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

Gina Aulisio ·
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: ACEs Medical Conference

Vasanti Sharma ·
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

Michell Pirapakaran ·
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

Mackenzie Kushner ·
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

Acadia Jacob ·
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 "Addressing Trauma Informed Approaches to Human Trafficking"

Amanda Green ·
Abstract Human Trafficking is a growing issue within a global and national context. Adverse childhood experiences (ACEs) are associated with maltreated youths. The majority of American victims who become sexually trafficked are runaways and homeless youth. Florida is among the most prevalent states with a severely high number of human trafficking cases with Miami being a hub. Events like the Super bowl and other large-scale activities make Miami-Dade more susceptible to exploitation in human...
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PHC6534 Building Resilience and Wellness Through a Community Education Program

Brian Phillips ·
Knowing the enemy is often quoted as an essential part of winning battles. Right now, in healthcare, we have an enemy that is associated with numerous negative health outcomes and that enemy is trauma and adverse childhood experiences. Without proper interventions that focus on reducing exposure of adverse childhood experiences and promoting relationships that help combat these negative exposures, our communities will continue to suffer. This program seeks to build resilience and wellness...
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PHC6534: Diabetes Management in African Americans with Low Incomes Utilizing a Trauma-Informed Approach

Brianna Moon ·
African Americans in Alachua County are disproportionately affected by diabetes (Chun, 2010). Furthermore, diabetes leads to numerous other diseases and complications if left untreated and improperly managed (American Diabetes Association, 2018). This intervention will target African Americans with low incomes who have been diagnosed with diabetes. They will then be screened and selected by the presence of one or more adverse childhood experiences (ACE). The program will meet twice a month...
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PHC6534: Implementing a Screening Tool for Adverse Childhood Experiences in Elementary Schools

Kallen Shaw ·
This grant proposal is for a program aimed at identifying children experiencing adverse childhood experiences (ACEs). The goals of the program are to screen children in elementary schools for ACEs and connect them to the appropriate community interventions. This will be done by identifying areas of need in Alachua County and finding schools that are good candidates for this screening program. Cross-sector collaboration and engagement are two of the key trauma-informed principles that will be...
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PHC6534: Prevention of Mental Health Issues Caused by Adverse Childhood Experiences Amongst Unaccompanied Minors

Angie Rincon Camacho ·
Unaccompanied minors (UMs) are a rising population within the United States of America (U.S.). This population endures various forms of trauma and have endured at least one adverse childhood experience (ACE) prior to arriving to the U.S. and will most likely experience more ACEs during their migration journey and have the potential of experiencing more once arriving. The goal of this project is for UMs to receive the trauma-informed care they deserve, as they are not assured trauma-informed...
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PHC6534: Substance Misuse Prevention Through Targeted Community Positive Relationships: Trauma Informed Approach Grant Proposal

Romae Morgan ·
Adverse childhood experiences (ACEs) are described as ten negative experiences that affect a child’s behavior and cognitive functioning which 1impact decision making (SAMHSA, 2018). Substance misuse is a negative coping behavior due to the increased exposure of ACEs. Leon County has a high substance misuse trend described by alcohol-impaired driving and excessive drinking (County Health Rankings, 2020). This intervention will target adolescents aged 10-17 with an ACE score of four or more...
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PHC6534: Training Village Health Teams in Lukodi, Uganda on Trauma-Informed Approaches

Nicholas Dowhaniuk ·
Village Health Teams (VHTs) are the primary point of contact for health services in Uganda (Ministry of Health, 2017). VHTs are responsible for basic health interventions, such as recording basic health and demographic data, referring patients to higher-level health services and following-up after appointments, and providing education on health issues to community members (Ministry of Health, 2012). While VHTs have high levels of interaction with the community, there is no evidence of their...
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PHC6534: Trauma Informed Approach in African-American Individuals with Type II Diabetes with Low Socioeconomic Status

Rebecca Campbell ·
Abstract Type 2 diabetes and adverse childhood experiences (ACEs) can lead to negative health outcomes. Therefore, a trauma-informed approach in low socioeconomic communities is proposed as a solution to combat these concerns. This prevention program will be considered to be a secondary prevention public health focus and it aims to reduce the impact of ACEs as the potential cause for development of type 2 diabetes, especially in young African-American adolescents in low socioeconomic...
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PHC6534: Yoga and Mindfulness Techniques as Treatment and Prevention of Adverse Drinking Behaviors

Julie Gibson ·
Compared to Florida, Alachua County has an elevated rate of adverse drinking behaviors such as binge and heavy drinking which are associated with various poor health outcomes like unintentional injuries, violence, and chronic disease (FLHealthCharts, 2020; CDC, 2018). Furthermore, individuals with multiple adverse childhood experiences (ACEs) are at elevated risk for these adverse behaviors. The proposed mechanism behind this association between ACEs and adverse drinking behaviors is as a...
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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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Support our efforts to secure a CDC ACEs grant to advance FL as a trauma-informed state!

Mimi graham ·
Dear Trauma Friends & Colleagues: We are applying for CDC ACES grant to further our efforts toward a trauma informed state. It’s a collaborative effort across state agencies to improve ACES data collection and utilizes to target prevention strategies. Details in the attached overview. It’s a long shot with only 4 awards but our statewide collaborative efforts are a big strength and it might help push us to the top if we had many letters of support. Attached is a draft letter that you...
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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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Help Navigating the Road to Community Resiliency

Becky Haas ·
The first time I ever heard the words trauma-informed care and the Adverse Childhood Experiences (ACEs) study was in the summer of 2014. At the time, I was working for the local Police Department as the Director of a grant-funded Crime Reduction Project aimed at reducing drug-related and violent crime. Of the many program goals, one was to develop a rehabilitative corrections program for felony offenders with addictions in order to reduce recidivism. Though I’ve lived in this region for...
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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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Spread Positivity Campaign

Emma Hunniford ·
The Spread Positivity campaign for high schools specifically in low socioeconomic areas was created to address the negative mental health outcomes that adverse childhood experiences have the potential to cause. According to the CDC-Kaiser ACEs Study, adverse childhood experiences are especially prevalent in areas of low socioeconomic status because these communities have a higher proportion of factors such as reported abuse, neglect, incarceration, parental separation, and mental illness. It...
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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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Acknowledge, Respond, Refer Campaign

Jamie Benoit ·
The Acknowledge, Respond, Refer campaign was designed to help healthcare providers respond to patient’s trauma disclosures in a therapeutic method. Studies, including the CDC-Kaiser Permanente Adverse Childhood Experience Study, continue to show the link between trauma and negative health outcomes. Due to the link between trauma and health, healthcare facilities across the country are implementing trauma screening questionnaires for patients. However, many healthcare providers do not feel...
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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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Fuerza en la Familia: A Resilience-Building Campaign for Latinx Migrant Farmworker Children

Isabella Alfonso ·
This public health communication campaign proposal is one that aims to build resilient children of Latinx Migrant Farmworkers (LMFW) through the family unit. The target population of the communication is the children's adult caregivers. They will be presented with information on the basics and long-term impacts of Adverse Childhood Experiences (ACEs), the risks specific to migrant farmworker children, and most importantly they will be education on how to bring resilience-building techniques...
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PHC6451 Public Health Communication Project: Changemakers, A Trauma-Informed After-School Program to Build Resilience in Duval County Students

Karina Wilson ·
For this project, I created 3 communication materials which include an infographic, a blog post, and a TV commercial. This entire project is just an idea for a potential public health project which is based on a hypothetical grant given to the Florida Department of Health in Duval county. It is assumed that this grant has unlimited funds for the context of this project. The after-school program is called Changemakers. Changemakers is aimed towards a target population of children ages 4-17...
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UF Graduate Public Health Summer C Semester Course: Building Resilience in Individuals and Communities for Public Health: Student Project Overviews and Summaries

Brittney Dixon ·
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 funding. Online graduate courses were developed that focused on trauma-informed and resilience-based public health. The work of graduate students in the course PHC6451: Building Resilience in Individuals and Communities for Public Health are showcased throughout the blog. The goal of this course is to...
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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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