Tagged With "Free Clinic"
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PHC6937: Creating a Trauma-Informed Obstetric Practice and Promoting Resilience among Pregnant Women
Adverse childhood experiences (ACEs) are associated with an increased risk of preterm birth. About half of all Florida residents have experienced at least one ACE and 21-30% of Alachua County residents have experienced 2 or more ACEs (Bright et al). In 2017 in Alachua County, 11.7% of live births were less than 37 weeks gestation (FLHealthCHARTS), which is higher than the overall rate in Florida. The aims of this intervention are to build resilience in pregnant women with a history of ACEs...
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PHC6937 Grant Proposal: Healing Heavy Hearts- A trauma-informed support for grieving parents
Dealing with a loss can cause traumatic experience for anyone who is affected by it first or second hand. For parents, losing a child could be the most tragic and detrimental experience of their lives. Coping with such tragic loss can effects one’s mental and physical health depending on the resources available and received. Individuals who experience trauma like losing a loved one may face emotional as well as physical health concerns. Dr. Bea from Cleveland Clinic stated on ABC news that...
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PHC6534 Preventing Opioid Misuse During Pregnancy Utilizing a Trauma-Informed Approach
The quickly growing Opioid Epidemic is slightly killing thousands of Americans every day. Because of the increase of shame and legislative punishment, women who are pregnant are some of the most vulnerable and often result in exposing their fetuses to substances that can lead to permanent harm and Neonatal Abstinence Syndrome when born. Through substance screening for patients at risk, increasing education on contraception, and increasing trauma-informed approaches of patient-facing staff...
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Syndome X Patient Support by Valerie Christie PHC6534
Grant Proposal Summary: This program will target patients receiving care through the county free clinic who meet the diagnostic criteria for Syndrome X and who are identified during initial intake or subsequent visits as having experienced one or more adverse childhood events defined by UNICEF (2019, p. 5) and Minnesota Department of Health (2019, para 2) as “a traumatic experience in a person’s life occurring before the age of 18 that the person remembers as an adult.” Each patient...
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UF Graduate & Undergrad Public Health Courses: Trauma-Informed Approaches for Individuals, Communities, and Public Health: Student Project Summaries
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 period and have sustained their strong community-academic partnership. Together they created a 9-credit online graduate certificate in trauma-informed and resilience-based public health. Peace4Gainesville also contributed to this certificate. This post is intended to showcase some of the work of...
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UF Graduate Public Health Summer C Semester Course: Building Resilience in Individuals and Communities for Public Health: Student Project Summaries
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 period. Together they created a 9-credit online graduate certificate in trauma-informed and resilience-based public health. Peace4Gainesville also contributed to this certificate. This post is intended to showcase some of the work of the graduate students in the Summer C 2019 course “PHC6937:...
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UF Graduate & Undergrad Public Health Courses: Trauma-Informed Approaches for Individuals, Communities for Public Health: Student Project Summaries
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 period and have sustained their strong community-academic partnership. Together they created a 9-credit online graduate certificate in trauma-informed and resilience-based public health. Peace4Gainesville also contributed to this certificate. This post is intended to showcase some of the work of...
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University of Florida Graduate Public Health Course: Trauma-Informed Approaches for Individuals, Communities, and Public Health: Student Project Summaries
The University of Florida College of Public Health and Health Professions partnered with Peace4Tarpon under the Robert Wood Johnson Mobilizing Action for Resilient Communities (MARC) grant. Together they created 2 online graduate courses that focus on addressing ACEs and creating trauma-informed and resilience-based programs from a public health approach. Peace4Gainesville and Peace4 TheBigBend have also contributed to these courses. This post is intended to showcase some of the work of the...
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Webinar Oct. 17 — Integrating ACEs science in pediatrics: Early adopters share lessons from the field
An ACEs Connection webinar co-sponsored with 4 CA In 2017, California became the first state in the country to pass a law supporting universal screening for adverse childhood experiences (ACEs) in the 5.3 million children in the state’s Medicaid program. As clinicians around California await the state’s announcement of what this new policy will entail, many are wondering what it takes to integrate ACEs science in a pediatric practice. Meet Drs. Deirdre Bernard-Pearl, R.J. Gillespie and...
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12 Myths of the Science of ACEs
The two biggest myths about ACEs science are: MYTH #1 — That it’s just about the 10 ACEs in the ACE Study — the CDC-Kaiser Permanente Adverse Childhood Experiences Study . It’s about sooooo much more than that. MYTH #2 — And that it’s just about ACEs…adverse childhood experiences. These two myths are intertwined. The ACE Study issued the first of its 70+ publications in 1998, and for many people it was the lightning bolt, the grand “aha” moment, the unexpected doorway into a blazing new...
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PHC6937: A Community-Based Resilience Intervention for the Native American Community in Taos, New Mexico
As evidenced in the literature, it is clear that Native American children experience more Adverse Childhood Experiences than other groups, including non-Hispanic whites [1]. Native American children are more than twice as likely to grow up in a household where one or both parents use drugs and/ or alcohol [1]. Additionally, NA children are more than three times as likely to have lived with a parent who has been incarcerated, and are seven times as likely to have been treated unfairly due to...
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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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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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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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Community Resilience Series Part 1: Parenting in an Age of Uncertainty [Peace & Justice Institute]
Dr. Ken Ginsburg was overwhelmingly well-received as the keynote speaker at the recent Creating a Resilient Community: From Trauma to Healing Conference back in April of this year. The Peace and Justice Institute (PJI) at Valencia College is excited to share that we are bringing him back to deliver 3 additional virtual workshops in a Community Resilience Series. The first workshop in this FREE series will be specifically for parents: Parenting in an Age of Uncertainty , July 7th from 5:30 -...
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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
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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"A Better Normal" Community Discussion: Suicide Awareness and Community Cafes
Join us on Friday November 6, 2020 from noon to 1:00 PST as we come together and join Satya Chandragiri MD, Bonnie O’Hern RN, Denise Proudfoot RN, & Michael Polacek RN for a discussion around the tender issue of suicide. Together we will discuss ways people and providers can support each other and encourage communities to take action to support one another around suicide prevention, crisis intervention, and the layers of culture and structural barriers to care. A special emphasis will be...
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University of Florida Graduate Public Health Course: Trauma-Informed Approaches for Individuals, Communities, and Public Health: Student Project Summaries
The University of Florida College of Public Health and Health Professions partnered with Peace4Tarpon under the Robert Wood Johnson Mobilizing Action for Resilient Communities (MARC) grant. Together they created two online graduate courses that focus on addressing ACEs and creating trauma-informed and resilience-based programs from a public health approach. Peace4Gainesville and Peace4TheBigBend have also contributed to these courses. This post is intended to showcase some of the work of the...
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Stacey Willingham
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Valerie Holden
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Tribute to Dr. Felitti
By, Felicia Nelson, Christina Velez, and Mark Egan 7/19/21 A pioneer in the field of internal medicine, Dr. Vincent J. Felitti has over 50 years of experience with extensive knowledge in the areas of childhood trauma, the genetic disease Hemochromatosis, and obesity. Here at The Relationship Foundation, Dr. Vincent Felitti is our mentor and an inspiration to us all. He has spent a greater part of his life, serving as a co-principal for the ACEs Study. ACE stands for “Adverse Childhood...
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Siempre Adelante, Nunca Atras (SANA)
The translation to the name of this resilience interventions is "Always Forward, Never Back" and the acronym SANA-- means HEAL. This intervention focus on building resilience within the Hispanic/Latino immigrant population in Immokalee, Florida of all ages. The rural town of Immokalee in South West Florida may look small, but it houses more than 20,000 farmworkers (Flocks, 2020). The farmworkers range in all ages, and many travel with their families. This community is also known to have...
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Need to fund your resilience initiative? Here’s how.
Chart is sample page from county-by-county funding allocated as part of ARPA. Information is available by clicking here. This is the first of several articles on the importance of any resilience-focused entity, including your PACEs Connection community, seeking out the people in your area allocating ARPA funding and asking for money. Organizations do not necessarily have to be 501 C-3 nonprofits to receive funding. Thanks to federal American Rescue Plan Act (ARPA) funding to states in April...
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PHC6534: Addressing The Impact of Adverse Childhood Experiences on African American Women By Preventing Cardiovascular Disease
Adverse childhood experiences (ACEs) are linked to poor health and well-being outcomes related to poor mental health, antisocial behavior, chronic stress, and chronic diseases in adulthood (Manyema et al., 2018). Research has shown that African Americans are disproportionally vulnerable to cardiovascular disease and chronic stress due to increased adverse childhood experiences and are least likely to access resources and strategies to cope appropriately to decrease their risk (Harris et al.,...
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Identifying and Treating Adolescent Substance Use Disorder Utilizing a Trauma-Informed Approach
This grant proposal seeks to identify and treat substance use disorder (SUD) and its risk factors in middle and high school students in the Alachua County public school system who have experienced adverse childhood experiences (ACEs). Students in Alachua County have a high prevalence of ACEs which increases the risk for SUD development. Alachua County public school staff will undergo training to learn and implement trauma-informed approaches as they will be involved in the initial screening...
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University of Florida Graduate Public Health Course: Trauma-Informed Approaches for Individuals, Communities, and Public Health: Student Project Summaries
The University of Florida College of Public Health and Health Professions partnered with Peace4Tarpon under the Robert Wood Johnson Mobilizing Action for Resilient Communities (MARC) grant. Together they created 2 online graduate courses that focus on addressing ACEs and creating trauma-informed and resilience-based programs from a public health approach. Peace4Gainesville and Peace4 TheBigBend have also contributed to these courses. This post is intended to showcase some of the work of the...
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PHC6534: ACEing Reproductive Planning
There are many associations between exposure to adverse childhood experiences, or ACEs, and negative health outcomes. The relationship between these outcomes and reproductive health affects not only gestational parents but their potential offspring as well. By identifying a gestational parent’s ACEs exposure, they can become informed of the possible negative effects before, during, and after pregnancy along with guidance for reproductive planning. By utilizing the Center for Women and...
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PHC 6534: The Interface of Environment and Biology: Prevention of Borderline Personality Disorder through a Trauma-Informed Lens
Borderline Personality Disorder (BPD) is characterized by emotional dysregulation, unstable self-identity and interpersonal relationships, and self-injury. A vast majority will attempt suicide, with 1 in 10 completing suicide. Adverse Childhood Experiences (ACEs) are prevalent in those with BPD – between 30-90% have experienced trauma. Due to these factors, there is a dire need for a trauma-informed, primary prevention intervention for patients with BPD. Through targeting pre-adolescent aged...
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MEDICAL and ACADEMIC NARROWMINDEDNESS BLOCK PROGRESS
As a clinician, researcher and policy specialist devoted to the prevention and treatment of the ill effects of child abuse and neglect (CAN) I read “Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the American College of Preventive Medicine” (Sherin KM, Stillerman A, Chandrasekar L, Went N, Niebuhr DW. Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the...
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PHC69534: A Rural Safety Net Mobile Clinic To Address Excess Deaths in Rural Areas of North Central Florida
The overall age-adjusted death rate in rural areas has been greater than that of urban areas over the last two decades (Garcia, 2017; Moy 2017). Alachua County reported the county experienced an age adjusted death rate of 764.8 deaths per 100,000 in 2018, about 80 more deaths than the Florida average of 679.4 deaths per 100,000 for the same year (Florida Department of Health, 2020). A confluence of predisposing and reinforcing psychological and socioeconomic risk factors at the individual,...
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PHC6534: Addressing and Preventing Adverse Childhood Experiences among Women Who are Unhoused and Their Children
Adverse childhood experiences (ACEs) can have profound effects on the mental and physical health outcomes of those who are impacted, and ACEs are prevalent among those in the United States who are unhoused. Alachua County has extremely high rates of unhoused persons, including many mothers and their children. For these mothers who are unhoused, accessing healthcare is an additional burden that can seem insurmountable. This project wants to provide access to quality women’s health and mental...
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PHC69534: A Rural Safety Net Mobile Clinic To Address Trauma-Related Symptoms in Rural Areas of North Central Florida
The overall age-adjusted death rate in rural areas has been greater than that of urban areas over the last two decades Alachua County reported the county experienced an age adjusted death rate of about 80 more deaths than the Florida average for the same year (Florida Department of Health, 2020). A confluence of predisposing and reinforcing psychological and socioeconomic risk factors at the individual, community, and public policy levels are responsible for the disparities in preventable...
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PHC6534: A Trauma-Informed Approach to Resolving Anxiety and Depression Symptoms in Adolescents Living in ACE-Concentrated Communities
Anxiety, depression, and substance abuse are just three issues that children aged 11 through 18 are enduring as a result of adverse childhood experiences. In Calhoun County, Florida, the rate of children who skip school out of concern for their safety, felt hopeless, and experienced over 4 ACEs was drastically higher than all other counties in the state. To address these risk behaviors and predecessors to chronic health conditions or even dropping out of school, our program aims to utilize a...
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PHC6534- Intimate Partner Violence Against Women in Guatemala Intervention: A Trauma-Informed Program
In 2008-09, the National Maternal and Child Health Survey surveyed women in Guatemala, and more than half of them reported experiencing some type of violence in the last 12 months. Guatemala has a long standing history of a patriarchal society that devalues women, even despite women’s rights advancements. The trauma these women endure each day take a toll on their health and their families, especially mental health. Our program aims to fill in these gaps by identifying women at risk,...
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Suwannee County Resilient Mommy, Healthy Baby Program
In the United States in 2021, 1 in 6 infants were born to a woman receiving late or no prenatal care (March of Dimes Foundation, 2022). The March of Dimes Foundation also found that on average from 2019 to 2021 9.2% of Black women received late or no prenatal care compared to 4.6% for white women. Infants born to mothers that did not receive prenatal care are three times more likely to have a low birth weight (Novoa, 2020). Low birth weight in infancy contributes to various health-related...
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Improving the Mental Health of Women Who are Homeless: A Multi-Level Public Health Resilience-Building Intervention
Homelessness is a public health issue, as over half a million people in the United States are unhoused on any given night and homelessness is associated with physical and mental health comorbidities (Sleet & Francescutti, 2021). The public health issue of homelessness extends to my own community of Alachua County, Florida; the most recent Point in Time Survey, conducted by the North Central Florida Alliance for the Homeless and Hungry, conducted one night in January 2018, reported 641...
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PHC6534: Bridging Health Gaps: A Trauma-Informed Approach to address hypertension in an underrepresented community of Alachua County
Project Description Underserved/underrepresented populations are more likely to experience ACEs due to factors such as structural and historical inequalities (Camacho & Clark Henderson, 2022). Currently, Alachua County is experiencing an increase in underserved/underrepresented populations, and these groups have limited access to care (Dalton et al., 2021). Additionally, hypertension is particularly common in Florida, affecting nearly half of the adults between the ages of 45 and 79...
