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Tagged With "Health Care"

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12 Myths of the Science of ACEs

Jane Stevens ·
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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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 Connection's Inclusion Tool makes sure nobody's left out

We developed ACEs Connection's Diversity, Equity & Inclusion Tool — called the Inclusion Tool, for short — to ensure that ACEs initiatives across the world focus on being inclusive when forming a steering committee, recruiting leaders, providing education about ACEs science, recruiting members, or providing resources and services within their communities. The more inclusive your ACEs initiative is, the more diverse it will be, giving your initiative a real shot at achieving equity and...
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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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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...
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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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Donna Jackson Nakazawa on bringing down the stress-threat response

Christine Cissy White ·
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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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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GABOR MATÉ JOINS EP. 3 on May 21 with Darrell Hammond and Filmmaker Michelle Esrick. [crackedupmovie.com]

CRACKED UP THE EVOLVING CONVERSATION TRAUMA AS THE ROOT CAUSE OF ADDICTION With DARRELL HAMMOND DIRECTOR MICHELLE ESRICK and RENOWNED TRAUMA AND ADDICTION EXPERT GABOR MATÉ, M.D. author of In the Realm of Hungry Ghosts: Close Encounters With Addiction MODERATED BY JANE STEVENS, FOUNDER OF ACES CONNECTION Hosted by ACES Connection Thursday May 21st at 2pm PDT / 3p MT / 4p CT / 5pm EDT FREE FOR ALL WHO REGISTER! IF YOU REGISTER, BUT CAN NOT ATTEND, YOU WILL RECEIVE A RECORDING WITHIN ONE WEEK.
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Health Starts at Home Initiative

Tina Faber ·
Hello - I am excited to tell my fellow West Virginians about the Health Starts at Home initiative FamilyCare Health Centers has undertaken. We are now screening pre-natal and pediatric patients at three of our health centers and will be adding two school-based health clinics to that number in November. Patients or caregivers who score a four or higher are offered a referral to our community resource specialist who provides additional education about toxic stress and protective factors and...
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How do these pediatricians do ACEs screening? Early adopters tell all.

Laurie Udesky ·
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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Hurricane Florence first responders receive free trauma/resilience training

Carey Sipp ·
In a webinar offered this morning by Elaine Miller Karas , executive director of the Trauma Resource Institute in Claremont, CA, leaders from several North Carolina ACEs Connection communities affected by flooding and other damage by Hurricane Florence learned more about trauma response and how to better help their communities find resilience. Karas, who was delivering her Community Resiliency Model (CRM) training at Duke University in Durham, NC, offered the free training and provided...
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In the Shadow of America's Smokestacks, Virus Is One More Deadly Risk [nytimes.com]

By Hiroko Tabuchi, The New York Times, May 17, 2020 This isn’t the first time Vicki Dobbins’s town has been forced to shelter in place. Last year, the Marathon Petroleum refinery that looms over her neighborhood near Detroit emitted a pungent gas, causing nausea and dizziness among neighbors and prompting health officials to warn people to stay inside. When a stay-at-home advisory returned in March, this time for the coronavirus, “it was just devastating,” Ms. Dobbins said. Ms. Dobbins, who...
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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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"Moving from Understanding to Implementing Trauma-Responsive Services" Takeaways from SAMSHA Forum in Johnson City 9.5.19

Carey Sipp ·
Speakers and guests at the SAMSHA Forum included (l-r) Mary Rolando of the Department of Children's Services; Chrissy Haslam, First Lady of Tennessee; Dr. Joan Gillece, SAMSHA Center for Trauma Informed Care; Dr. Andi Clements, East Tennessee State University; Becky Haas, Johnson City Police Department; Carey Sipp, ACEs Connection, and Robin Crumley, Boys & Girls Club of Johnson City/Washington County. It was easy to be both inspired and a bit overwhelmed at the Substance Abuse and...
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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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Nurturing relationships in childhood boost adult mental health, relationships

Christina Bethell ·
We're proud to announce major research that suggests that positive childhood experiences — such as supportive family interactions, caring relationships with friends, and connections in the community — are associated with reductions in chances of adult depression and poor mental health, and increases in the chances of having healthy relationships in adulthood. This association was true even among those with a history of adverse childhood experiences.
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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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Sheltering in Place: ACEs-Informed Tips for Self-Care During a Pandemic

Jim Hickman ·
Millions of lives have been affected in unprecedented ways by the Coronavirus (COVID-19). We are all grappling with uncertainty—our daily routines interrupted, not knowing what is to come. For those of us who have Adverse Childhood Experiences (ACEs), these times can be particularly distressing. At the Center for Youth Wellness (CYW), we know that childhood trauma can have a significant impact on an individual’s health and well-being – both physiologically and psychologically. Since the...
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The Black Community, COVID-19 & Trauma [sdvoice.com]

By Latanya West, San Diego Voice, May 15, 2020 In January 2019, Governor Gavin Newsom appointed Dr. Nadine Burke Harris as California’s first-ever Surgeon General. An award-winning physician, researcher and advocate, Dr. Burke Harris’ career has been dedicated to serving vulnerable communities and combating the root causes of health disparities. Her work is equally dedicated to changing the way our society responds to one of the most serious, expensive and widespread public health crises of...
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THE BUILD HEALTH CHALLENGE 2019 CALL FOR APPLICATIONS

Karen Clemmer ·
To read the announcement and all details, click HERE and see below key dates. BUILD is looking to support dynamic collaboratives driving sustainable improvements in community health. Are you ready to BUILD with us? For this new third cohort, BUILD is looking to support up to 17 innovative collaboratives across the US t hat include a community-based organization, hospital or health system, and public health department working together in dynamic ways to address upstream challenges and drive...
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Tools and how to use them is focus of second webinar on Community Resiliency Model, May 14, 2020

Carey Sipp ·
The second of two free Community Resiliency (CRM) webinars with Elaine Miller-Karas , key creator of the CRM, will be held Thursday, May 14, from 11 a.m. - 12:30 p.m. ET, (10 a.m. CT; 9 a.m. MT, and 8 a.m. PT) and will include the practical application of tools of the model. CRM is an ACEs science-based biological model for helping individuals become emotionally regulated during natural disasters and other dysregulating times. Miller-Karas will be joined by CRM trainers from Wilmington, NC:...
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Trauma is Messy

Jon Eppley ·
I will always remember the day that, as a student teacher, I watched as a student entered my second-grade room covered in blood. After quickly establishing that he was not injured, we learned that the blood was that of his brother who had been shot the night before. No parents were around that night, so this second grader became the sole caregiver of his bleeding brother. My student would never be the same. We didn’t care about grades or test scores. We just knew that this moment would...
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Webinar: Cultivating Our Best Selves in Response to COVID-19 | Tuesday, March 17 at Noon PDT

Elaine Miller Karas ·
How to use the skills of the Community Resiliency Model (CRM) for self and others to be the calm in the storm as we face the unknown. Free Webinar Tuesday, March 17 at Noon PDT Speakers: Elaine Miller-Karas, LCSW Linda Grabbe, PhD, FNP-BC, PMHNP-BC Zoom Webinar Registration Link: https://zoom.us/j/715837300 Additional ways to join are listed at the bottom of this post. About the webinar leaders: Elaine Miller-Karas is the Executive Director and co-founder of the Trauma Resource Institute and...
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Webinar Oct. 17 — Integrating ACEs science in pediatrics: Early adopters share lessons from the field

Laurie Udesky ·
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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When Hidden Grief Gets Triggered During COVID-19 Confinement

Tian Dayton ·
first published by The Meadows 4/15/20 Our sense of loss during the current COVID-19 crisis can trigger hidden emotions from when we experienced a sense of loss before. Whatever early losses you have had in your life — whether they be your own divorce, your parents, or both, or the abandonment of one parent, a childhood or parental illness or death, financial upheaval, constant moving around, or growing up with parental addiction or adverse childhood experiences (ACEs) — they are likely to...
File

Aces Brochure.pdf

Tamerra Gilmore ·
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What Do Coronavirus Racial Disparities Look Like State by State [npr.org]

Carey Sipp ·
By Maria Godoy and Daniel Wood, National Public Radio, May 30, 2020 In April, New Orleans health officials realized their drive-through testing strategy for the coronavirus wasn't working. The reason? Census tract data revealed hot spots for the virus were located in predominantly low-income African-American neighborhoods where many residents lacked cars. In response, officials have changed their strategy, sending mobile testing vans to some of those areas, says Thomas LaVeist , dean of...
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Self-Care Tips for Black People Who Are Struggling With This Very Painful Week [VICE]

Caitlin LaVine ·
by Rachel Miller , VICE.com, May 28 2020, 7:25pm. Friends, I don’t need to tell you that it’s been an especially hard few weeks for Black people in the United States. Breonna Taylor . Ahmaud Arbery . Chris Cooper . George Floyd . Tear-gassing the protesters who had the gall to be upset about a racist murder . All of this, during a time when Black people are disproportionately dying from the COVID-19 pandemic . It’s exhausting. Amid all this suffering, it can be hard to believe Audre Lorde...
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What Do We Do? What Do We Do Now?

Jane Stevens ·
People’s response to the great chasms of structural inequities glaringly laid bare by the COVID-19 pandemic have been further inflamed by the murder of George Floyd and deaths of other African Americans in recent weeks. The acute emergency of the pandemic has eased, but the violence inflicted on racial minorities and now those who are protesting the inequities in our society has compounded the outrage. Right after the pandemic began running riot across the US, I often heard people ask: When...
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Advancing Racial Equity Webinar Series [apha.org]

By Tia Taylor Williams, American Public Health Association, May 2020 Alarming disparities within the COVID-19 pandemic — such as higher hospitalizations and death rates among African Americans — are sadly predictable and highlight the urgent need to address the root causes of health inequities. APHA is hosting this four-part webinar series to give an in-depth look at racism as a driving force of the social determinants of health and equity. The series will explore efforts to address systems,...
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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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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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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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Trauma-informed policing: Learn how three highly experienced community leaders strengthen ties between police and community

Carey Sipp ·
ACEs initiative participants in communities where there is tension between the community and law enforcement will want to join Becky Haas in a compelling conversation on law enforcement, ACEs science, COVID-19 and the Black Lives Matter movement and protests. Haas is a nationally recognized adverse childhood experiences (ACEs) science initiative builder and trainer. She and colleagues Renee Wilson-Simmons, the head of the ACE Awareness Foundation of Memphis, Tennessee, and Maggi Duncan,...
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‘Death by structural poverty’: US south struggles against Covid-19 [theguardian.com]

Carey Sipp ·
Monica McCasklill, left, and her daughter Kena Johnson, at their home in Greenwood, Missisppi. They respectively lost their grandmother and great grandmother, Ethel Huntley, to Covid-19. Huntley lived in a nearby nursing home and the family allege failings in her primary care. Photograph: Rory Doyle/The Guardian. By Oliver Laughland, The Guardian, August 5, 2020 Poor access to healthcare, failed political leadership and the endurance of segregation and racism have contributed to a surge in...
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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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New ACEs initiatives learn about strategic plan development from from New Hanover (NC) Resiliency Task Force executive director Mebane Boyd

Carey Sipp ·
The desire to see other ACEs initiatives grow and flourish was evident at a recent meeting of the Resilient Columbus County (North Carolina) ACEs initiative when Mebane Boyd, executive director of the New Hanover Resiliency Task Force (also in North Carolina), shared with the Columbus County and neighboring Pender County groups how New Hanover created and works on its strategic plan. In the spirit of sharing, Boyd agreed to let ACEs Connection post the strategic plan and the video of the...
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Hope and Progress, No Matter What! — an ACEs Connection/Cambia Health Foundation “Better Normal”, Oct. 22, 2020

Jane Stevens ·
The election is upon us. In two short weeks, we voters in this country decide who will lead us for the next four years. We have the opportunity to embrace — as a national priority — the tenets of understanding, nurturing and healing that underlie the science of adverse childhood experiences and move in a direction that embraces cultural and racial equity and anti-racism. Or not. What is clear is that no matter what, the ACEs movement will continue.
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A Better Normal Community Discussion - Reimagining Health Care

Gail Kennedy ·
In a conversational style, join physician Drew Factor who will speak with Dr. Tracy Gaudet, Liza Guroff and An é Watts in a discussion entitled "Reimagining Health Care". Dr. Gaudet will speak about her experience engaging in transformational change at the Veterans Administration and how this has shaped the development of her own Functional Medicine Institute , while Ms. Guroff and Ms. Watts will speak about their knowledge of a Trauma-Informed Approach both at a systems (National Council...
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"A Better Normal" Community Discussion: Suicide Awareness and Community Cafes

Karen Clemmer ·
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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A New Hippocratic Oath Asks Doctors To Fight Racial Injustice And Misinformation [NPR]

Jennifer A Walsh ·
First-year medical student Sean Sweat "didn't want to tiptoe around" issues of race when she sat down with 11 of her classmates to write a new version of the medical profession's venerable Hippocratic oath. "We start our medical journey amidst the COVID-19 pandemic, and a national civil rights movement reinvigorated by the killings of Breonna Taylor, George Floyd and Ahmaud Arbery," begins the alternate version of the oath, rewritten for the class of 2024 at the University of Pittsburgh...
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In medical schools, students seek robust and mandatory anti-racist training [washingtonpost.com]

By Elizabeth Lawrence, The Washington Post, November 8, 2020 Betial Asmerom, a fourth-year medical student at the University of California at San Diego, didn’t have the slightest interest in becoming a doctor when she was growing up. As an adolescent, she helped her parents — immigrants from Eritrea who spoke little English — navigate the health-care system in Oakland, Calif. She saw physicians who were disrespectful to her family and uncaring about treatment for her mother’s cirrhosis,...
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Opportunity to sign on to “A Trauma-Informed Agenda for the First 100 Days of the Biden-Harris Administration”—Deadline Dec. 8th

The Campaign for Trauma-Informed Policy and Practice ( CTIPP ) is inviting individuals and organizations to express their support for a set of executive actions for the Biden-Harris Administration to take “to address trauma and build resilience throughout the country.” Most of these actions could be taken early in the Administration and would not require congressional action with the exception of some recommendations that could be included in a new stimulus package. The recommendations are...
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ACEs Connection/CTIPP Southeastern Leaders’ call: State updates, funding information, and “mind-blowing” information about helping people out of poverty

Carey Sipp ·
Southeastern ACEs Connection and national CTIPP leaders on the quarterly leader call welcomed guest speaker Rebecca Lewis-Pankratz (top left) for their quarterly call. Also among those present were (top row l-r) Carey Sipp, Jesse Kohler, Jesse Hardin, (second row, l-r) Patti Tiberi, Mebane Boyd, Jen Drake-Croft, Dan Press, (third row, l-r) Mimi Graham, Christopher Freeze, Margaret Stagmeier, (fourth row, l-r) Emily Marsh, Liz Peterson, Alyssa Koziarski and Janet Pozmantier. Also present was...
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Join Special Guest Father Paul Abernathy for a Zoom Discussion on March 16th, at 7p.m. EST to discuss the Whole People Documentary Series and Trauma-Informed Community Development

Christine Cissy White ·
On behalf of ACEs Connection , the CTIPP (The Campaign for Trauma -Informed Policy & Practice), and the Relentless School Nurse , we want to invite you to the streaming of parts 4 and 5 of the Whole People documentary series on the weekend o f M arch 12th through March 14th, 2021. We will stream both parts on ACEs Connection in the Transforming Trauma with ACEs Sciences Film Festival community. The documentary viewing will be followed by a discussion with special guest, Father Paul...
 
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