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PACEs and the Social Sciences

PACEs occur in societal, cultural and household contexts. Social science research and theory provide insight into these contexts for PACEs and how they might be altered to prevent adversity and promote resilience. We encourage social scientists of various disciplines to share and review research, identify mechanisms, build theories, identify gaps, and build bridges to practice and policy.

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ACEs Connection Overview

Gail Kennedy ·
ACES CONNECTION NETWORK OVERVIEW ACEs = Adverse Childhood Experiences 2 SITES ACEsTooHigh.com A solutions-oriented news site for the general public that covers stories on ACEs, trauma, and resilience. ACEsConnection.com An action-based...
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COVID-19 puts societies to the test (The Lancet: Public Health)

Karen Clemmer ·
EDITORIAL | VOLUME 5, ISSUE 5 , E235, MAY 01, 2020 Published: May, 2020 DOI: https://doi.org/10.1016/S2468-2667(20)30097-9 As of April 21, the coronavirus outbreak has infected more than 2·3 million people and taken 162 956 lives—35 884 in the USA, 24 114 in Italy, 20 852 in Spain, 20 233 in France, 16 509 in the UK, 5209 in Iran, 4642 in China—all underestimates most probably. Beyond these numbers are people, families, communities, societies that have been affected in unprecedented ways.
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Inside the Adverse Childhood Experience Score: Strengths, Limitations, and Misapplications [ajpmonline.org]

By Robert F. Anda, Laura E. Porter, David W. Brown, et al., American Journal of Preventive Medicine, March 25, 2020 INTRODUCTION Despite its usefulness in research and surveillance studies, the Adverse Childhood Experience (ACE) score is a relatively crude measure of cumulative childhood stress exposure that can vary widely from person to person. Unlike recognized public health screening measures, such as blood pressure or lipid levels that use measurement reference standards and cut points...
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ACEs Research Corner — May 2020

Harise Stein ·
[Editor's note: Dr. Harise Stein at Stanford University edits a web site -- abuseresearch.info -- that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she's posting the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens] Williams AB, Smith ER, Trujillo MA, et. al. Common health problems in safety-net primary care: Modeling the roles of trauma history and mental health. J Clin...
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Mental Health Awareness: When Suffering Is Not an Illness

Lori Chelius ·
When I was an adolescent and young adult, I struggled with depression. As I reflect back on that time, so much of what I was experiencing was deeply tied to coming to terms with my sexuality. Growing up in the 1980’s in a relatively conservative town, I was closeted (even to myself) until I was a young adult. The pain and fear of being different, of not belonging, of being judged or rejected for who I was more than my adolescent brain could wrap its conscious head around.
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Linda Grabbe: Helping her communities develop resilience through the Community Resilience Model

Jane Stevens ·
Grabbe searched for models that would help her homeless and addicted patients. “There are good body-based models for psychotherapy, which may be the most effective approach for trauma,” she says, “but hardly any of my patients were receiving any kind of therapy. There are thousands of people in our communities who have high ACE scores who will never get the years of psychotherapy they deserve. CRM is a self-mental wellness care tool and is exquisitely trauma-sensitive—so it can help enormously.”
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ACEs screening is about building relationships, says early adopter

R.J. Gillespie ·
Whether or not to screen for ACEs in primary care is an important debate—and I hear and respect the passion from both sides of the argument. I fall in the “pro-ACE assessments” camp, but with some important caveats. I think that assessments for ACEs are dramatically different from screening for autism or developmental delays. In my opinion, assessments for ACEs in primary care should be primarily about building relationships.
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Taking a Public Health Approach to ACEs -- Early Intervention Foundation Report Part 2

Craig McEwen ·
A February, 2020 report by the Early Intervention Foundation in London provides an excellent view of Adverse childhood experiences: What we know, what we don't know, and what should happen next ( https://www.eif.org.uk/files/image/reports/aces-key-messages.jpg ). The report concludes that the enthusiasm for ACEs should be aimed at building “comprehensive public health approaches in local communities.” (p.5) The focus on broad public health approaches reflects the fact that “ACEs do not occur...
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Early Intervention Foundation Report on what we know and don't know about ACEs, Part 1

Craig McEwen ·
A February, 2020 report by the Early Intervention Foundation in London provides an excellent view of Adverse childhood experiences: What we know, what we don't know, and what should happen next ( https://www.eif.org.uk/files/image/reports/aces-key-messages.jpg ). The report reminds us that although higher numbers of ACEs increase the likelihood of negative health outcomes in adulthood, the absolute size of the increased risk may be small. For example, in the original ACE research,...
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Profound Questions for the ACEs Movement from Dr. Anda and Colleagues

Craig McEwen ·
Although Covid-19 is on the top of everyone’s list for attention, the posting earlier this week of a link to Dr. Robert Anda, et al.’s paper, Inside the Adverse Childhood Experience Score: Strengths, Limitations, and Misapplications [ajpmonline.org] should also be front and center because it raises profound questions for everyone involved in the ACEs movement. On the surface, the article is a pointed critique of ACEs screening. But it is much more than that. It raises fundamental questions...
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UK - BBC Panorama - How Scotland Cut Violent Crime

Neil McCarroll ·
Just a heads-up about a programme being broadcast tonight then available on iPlayer (in UK). 30 minutes looking at Scotland's approach to tackling violent crime by taking a broad 'public health approach' to tackle the roots of the problem. Apparently the journalist Kate Silverton has been retraining as a child psychologist so this is a pet project she wanted to highlight. Don't blame me if the programme is rubbish!
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Resource for Data Driven Decisions

Dennis Haffron ·
Summary of School Re-Opening Models and Implementation Approaches During the COVID 19 Pandemic July 6, 2020 This document is a brief summary of the models and implementation approaches to re-opening schools that focuses on the approaches used in 15 countries for which we were able to identify data. This is not a comprehensive survey of the models used in all countries that have re-opened schools.
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Racial Capitalism: A Fundamental Cause of Novel Coronavirus (COVID-19) Pandemic Inequities in the United States (PubMed)

Karen Clemmer ·
By Whitney N. Laster Pirtle, PhD, First Published April 26, 2020, Journal of Health Education and Behavior, https://doi.org/10.1177%2F1090198120922942 Abstract Racial capitalism is a fundamental cause of the racial and socioeconomic inequities within the novel coronavirus pandemic (COVID-19) in the United States. The overrepresentation of Black death reported in Detroit, Michigan is a case study for this argument. Racism and capitalism mutually construct harmful social conditions that...
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State of Babies Yearbook: 2020 (zerotothree.org)

Telling the story of America’s babies is more important than ever. Last year, the inaugural State of Babies Yearbook: 2019 revealed that the state where a baby is born makes a big difference in their chance for a strong start in life. New data this year shows that even among states with high averages, significant disparities exist in the opportunities available to babies of color to thrive, as well as those in families with low-income, and in urban or rural areas. Now as our country faces an...
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The Benefits of Screening for Social Determinants of Health [medicalhomeinfo.aap.org]

Mai Le ·
Developed by the National Resource Center for Patient/Family-Centered Medical Home, in partnership with the National Academy for State Health Policy, this fact sheet series discusses social determinants of health (SDoH) screening and referrals for children and youth with special health care needs (CYSHCN) and their families. Opportunities for collaboration and partnership between Medicaid, Title V Maternal and Child Health / CYSHCN programs, and pediatricians are discussed. State-level case...
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Community Culture & Aces

Dennis Haffron ·
HERE is something you can use census data for: A critical aspect of a Culture of Health is health equity, which in essence means we all have the basics to be as healthy as possible. Yet at present, for too many, prospects for good health are limited by where we live, how much money we make, or discrimination we face. To achieve health equity, we need to address these barriers and shift values so seeking to be healthy is a part of everything we do. Click here to read more about Funding ...
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Why the dean of early childhood experts wants to get beyond the brain [centerforhealthjournalism.org]

By Ryan White, Center for Health Journalism, July 23, 2020 Harvard’s Jack Shonkoff, a luminary in the field of early childhood, has spent years showing that events in the earliest years of life have profound implications for how budding brains develop, and in turn, shape a child’s later potential at school and work. Now, Shonkoff says it’s time to connect the brain to the rest of the body. “The message now is to say that there is a revolution going on in molecular biology and genomics and in...
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A green vision for economic growth can have a positive effect on health outcomes in a community,

Dennis Haffron ·
August 25 Webinar Will Feature a RWJF Culture of Health Prize-winning Community's Green Initiatives A green vision for economic growth can have a positive effect on health outcomes in a community, something 2019 RWJF Culture of Health Prize-winner Gonzales, California has experienced firsthand. Join us for a webinar on August 25 to learn from the City of Gonzales about the Gozales Grows Green (G3) initiative, and how a collaborative, multi-sector enterprise like G3 can foster environmental...
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Follow-up: Fighting For Our Lives: Public Health Historical Context for COVID-19 (Part 1)

Dennis Haffron ·
This is the virtual forum video of Fighting For Our Lives: Public Health Historical Context for COVID-19 (Part 1) There is much overlap between ACEs and public health. Many contacts already exist and many more are possible. https://attendee.gotowebinar.com/recording/2315422363437095436
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Virtual Forum Part II: Fighting For Our Lives: Public Health Historical Context for COVID-19

Dennis Haffron ·
Join Health & Medicine for the second forum in a two-part series. This forum will focus on developing an agenda for a strong public health system. We will discuss ideas for rebuilding public health investment, workforce, training and education, and infrastructure. In 2019, the U.S. was ranked #1 for being the most prepared for a pandemic, but major failures have hurt the COVID-19 response. One critical part of the story is the history of disinvestment in public health, leaving our...
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New CDC report: Youth Risk Behavior Surveillance

Dennis Haffron ·
New CDC report: Youth Risk Behavior Surveillance — United States, 2019 Highlighting emerging issues in adolescent health behaviors Today’s Morbidity and Mortality Weekly Report, “ Youth Risk Behavior Surveillance – United States, 2019 ,” includes an MMWR Surveillance Supplement featuring several articles written by experts from the National Center for Injury Prevention and Control using 2019 national Youth Risk Behavior Survey (YRBS) data on the following topic areas: interpersonal violence...
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Public Health considers itself as a social science. It can be a resource for ACEs activists.

Dennis Haffron ·
I have just attended two Virtual meetings about public health. Public health agencies have been under funded for years. The covid19 crisis has impacted those institutions heavily. However many Public Health agencies are ACEs aware. They can be useful allies for ACEs activities. What follows is from the Fighting For Our Lives forums follow up communication. The recordings from the forum series are available at the following links. There is a brief registration form before you can view the...
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NIHB Launches Adverse Childhood Experiences (ACES) Hub

Dennis Haffron ·
The National Indian Health Board, in collaboration with CDC, has launched a new resource hub! Many Tribal individuals, families, and communities have been impacted by childhood experiences causing physical and mental health adversities throughout the lifespan. However, with understanding and effort, individuals and communities can confront Adverse Childhood Experiences (ACES) for positive health outcomes. This information hub, launched by the National Indian Health Board includes a "resource...
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Risk of COVID-19 among front-line health-care workers and the general community: a prospective cohort study

Dennis Haffron ·
Risk of COVID-19 among front-line health-care workers and the general community: a prospective cohort study {Lancet} Long H Nguyen, MD * , David A Drew, PhD * , Amit D Joshi, PhD , Chuan-Guo Guo, MS , et al. Open AccessPublished:July 31, 2020DOI: https://doi.org/10.1016/S2468-2667(20)30164-X Background Data for front-line health-care workers and risk of COVID-19 are limited. We sought to assess risk of COVID-19 among front-line health-care workers compared with the general community and the...
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[Blog Re-Post] When doing good boosts health, well-being (Science Direct)

Dennis Haffron ·
Acts of kindness benefit givers, study finds. {This is a re-post copied from Karen Clemmer, MN, RN, PHN; Northern California and Northwest Regional Community Facilitator } Summary: Performing acts of kindness and helping other people can be good for people's health and well-being, according to new research. But not all good-hearted behavior is equally beneficial to the giver. The strength of the link depends on many factors, including the type of kindness, the definition of well-being, and...
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Repost: Survey for ACEs Connection: PCEs, ACEs, and Health Outcomes

Dennis Haffron ·
Survey for ACEs Connection: PCEs, ACEs, and Health Outcomes CHLOE YANG 16 MINUTES AGO ACEs Connection, we need your help ! We are performing a research study to better understand the relationship between positive childhood experiences (PCEs), ACEs, and health outcomes in adulthood. All we need is 5-10 minutes of your time and your honesty to complete the following anonymous survey. With your help we can find a better way to combat ACEs and to support the development of children into...
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The Lancet has created a Coronavirus Resource Centre. 

Dennis Haffron ·
To assist health workers and researchers working under challenging conditions to bring this outbreak to a close, The Lancet has created a Coronavirus Resource Centre. This resource brings together new 2019 novel coronavirus disease (COVID-19) content from across The Lancet journals as it is published. All of our COVID-19 content is free to access. https://www.thelancet.com/coronavirus
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COVID-19: a stress test for trust in science

Dennis Haffron ·
(Poster's comment: While this editorial is about COVID-19 it also applies to ACEs. The need for reliable and comprehensive data is necessary to define ACEs science and practice in a time of politicizing of of our movement. Dennis Haffron) EDITORIAL| VOLUME 396, ISSUE 10254 , P799, SEPTEMBER 19, 2020 Peer Review Week is the annual celebration of the importance of peer review, running Sept 21–25. The theme this year is trust in peer review, a particularly appropriate focus during the COVID-19...
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2021 Culture of Health Prize

Dennis Haffron ·
Call for Applications Release Date: July 13, 2020 | Application Deadline: Thu, 15 Oct 2020 The Robert Wood Johnson Foundation (RWJF) Culture of Health Prize ( the Prize ) elevates the compelling stories of places where residents are working together to transform education, jobs, transportation, housing, and more so better health flourishes for all. A Culture of Health recognizes that where we live—such as our access to affordable homes, quality schools, good jobs, and reliable...
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Special Report: Mapping Covid over the next year

Dennis Haffron ·
From Bill Gates to Anthony Fauci, STAT interviewed more than three dozen authorities to help us game out the coming months of the pandemic.
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Lessons learnt from easing COVID-19 restrictions: an analysis of countries and regions in Asia Pacific and Europe

Dennis Haffron ·
This appeared in The Lancet on Sept 24, 2020: Summary The COVID-19 pandemic is an unprecedented global crisis. Many countries have implemented restrictions on population movement to slow the spread of severe acute respiratory syndrome coronavirus 2 and prevent health systems from becoming overwhelmed; some have instituted full or partial lockdowns. However, lockdowns and other extreme restrictions cannot be sustained for the long term in the hope that there will be an effective vaccine or...
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Medicine and medical science: Black lives must matter more The Lancet

Dennis Haffron ·
The following quote appeared in an editorial in The Lancet on June 13, 2020: "What can medical journals do? Our task is to educate ourselves and others about racism. We must support Black and minority ethnic health workers. And we must use evidence and our values to speak out for Black and minority ethnic communities. The Lancet is a journal with a deep colonial history: the journal has published work that supported the health of settler colonialists and that prioritised their health over...
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Preventing Adverse Childhood Experiences (ACEs): Violence Prevention Research Award Recipients

Dennis Haffron ·
Preventing Adverse Childhood Experiences (ACEs): Violence Prevention Research Award Recipients Adverse childhood experiences, or ACEs, are potentially traumatic events that occur in childhood (0-17 years). For example: experiencing violence, abuse, or neglect witnessing violence in the home or community having a family member attempt or die by suicide Also included are aspects of the child’s environment that can undermine their sense of safety, stability, and bonding such as growing up in a...
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Building resilient societies after COVID-19: the case for investing in maternal, neonatal, and child health

Dennis Haffron ·
The Lancet: Public Health Published:September 21, 2020DOI: Chandni Maria Jacob, MSc : Despina D Briana, MD : Prof Gian Carlo Di Renzo, MD : Prof Neena Modi, FMedSci : Flavia Bustreo, MD : et al. Summary Resilient societies respond rapidly and effectively to health challenges and the associated economic consequences, and adapt to be more responsive to future challenges. Although it is only possible to recognise resilience retrospectively, the COVID-19 pandemic has occurred at a point in human...
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Don't miss tomorrow's discussion on how to build equity into your network

Dennis Haffron ·
Don't miss tomorrow's discussion on how to build equity into your network Networks are a way for people and organizations to come together to find solutions to complex problems. How can you create intentional partnerships that uphold the values, practices, and systems that support equity? Join our webinar tomorrow, October 20, to learn from Abby Charles, the program director for our partners at the Institute for Public Health Innovation, who will talk about the networked way of working and...
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The Social Determinants of Mental Health -- An Important Social Science Perspective

Craig McEwen ·
This post argues for the application of the social determinants frameworks to the problems of mental health. What this post misses or underemphasizes are the opportunities to change through social policy some of the social circumstances that help shape the likelihood of mental health challenges.
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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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Social Science Framework Focuses Attention on Policy Initiatives to Reduce Childhood Adversity in California

Craig McEwen ·
An important report challenges California policy makers to move well beyond ACEs screening in order to achieve the state's "bold goal" of reducing exposure to childhood trauma. The report employs a broad social science framework to examine the sources of adversity in systemic racism, economic inequality, environmental hazards, and inadequate community resources to support community resilience.
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Why it’s time to ACE the way we measure the bad things that happen to children (ACAMH)

Karen Clemmer ·
By Dr Rebecca Lacey, October 29, 2019, ACAMH. Rebecca Lacey is a Senior Research Fellow in life course social epidemiology in the Department of Epidemiology and Public Health at University College London. Her research interests lie in the long-term health effects of early life adversities and effects of social relationships on health using longitudinal population datasets. When bad things happen to children, they can potentially have long lasting consequences throughout their lives – they...
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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 PNP, & 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 on...
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Adverse Childhood Experiences as Predictors of Perceived Health: Assessing the ACE Pyramid Model Using Multiple-Mediation [scholarlycommons.hcahealthcare.com]

By Phillip Hughes and Tabitha L. Ostrout, HCA Healthcare Journal of Medicine, November 1, 2020 Background: Adverse Childhood Experiences (ACEs) have been shown to contribute to a litany of mental and physical health problems, including several chronic diseases and death, via a model known as the ACE pyramid. Many of the results of ACEs in the ACE pyramid are known contributors to poor perceived health, which has significant health implications. Despite these results, a possible link between...
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Webinar: Using Law and Policy to Create Equitable Communities

Dennis Haffron ·
Policy changes can be key to both transforming health in a community and helping to eliminate inequities. But when policies aren’t created or enforced with equity in mind, they may perpetuate these disparities – or even amplify them.
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From THE LANCET: COVID-19 vaccines: no time for complacency

Dennis Haffron ·
The Lancet EDITORIAL| VOLUME 396, ISSUE 10263 , P1607, NOVEMBER 21, 2020 Excerpts The prospect of preventing illness and death, and avoiding the harm and misery of extended restrictions, is a cause for optimism. But although it is right to be hopeful and encouraged, we are far from ending COVID-19 as a public health issue. Pfizer and Moderna together project that there will be enough vaccine for 35 million individuals in 2020, and perhaps up to 1 billion in 2021. As a result, many millions...
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Build a plan for Covid-19 home testing on reason, not speculation or politics

Dennis Haffron ·
When the government ignores rational health policy, and instead follows unsound ones, the effects can last longer than anyone expects.
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If not us who? Let's reach out and discuss ACEs in the Social Sciences

Dennis Haffron ·
I hope this posting will encourage you to look at this site in a different way and get involved. Reach me through the site. Make a personal posting, such as I have done, on the site. Suggest a topic for a Zoom meeting.
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Here is some insight into the medical debate about herd immunity and COVID 19.

Dennis Haffron ·
The medical debate about herd immunity is intense. Here is a look at what medical practitioners are saying to each other.
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Psychoanalysis in combatting mass non-adherence to medical advice

Dennis Haffron ·
This article comments about nonadherence to COVID-19 behavioral instructions. It should also be a warning about the acceptance of ACEs and the necessary community responses.
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TODAY! 12/2 at noon - FREE! Supporting Patients in Pregnancy: ACEs and Maternal Health

Karen Clemmer ·
ACEs Aware presents " Supporting Patients in Pregnancy : ACEs and Maternal Health" Wed, Dec 2, 2020 12:00 PM - 1:00 PM PST Add to Calendar: Outlook ® Calendar | Google Calendar™ | iCal ® Please send your questions, comments and feedback to: info@acesaware.org How to Join the Webinar 1. Click the link to join the webinar at the specified time and date: Join Webinar Note: This link should not be shared with others; it is unique to you. Before joining, be sure to check system requirements to...
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Webinar: Resident Engagement to Achieve Racial Equity

Dennis Haffron ·
To achieve racial equity in access, opportunities, and power, communities across the country are having intentional and honest dialogue around needed change in policies, practices, and procedures.
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Whole People Watch Weekend on ACEs Connection (Dec. 11th - 13th)

Christine Cissy White ·
The Transform Trauma with ACEs Sciences FREE Film Festival continues this weekend. Please join us to watch parts 1, 2, and 3 of the PBS Whole People series at your convenience, on ACEs Connection, by clicking play on the videos below: Whole People | 101 | Childhood Trauma | Episode 1 (27 min) Preview: Whole People | 102 | Healing Communities | Preview | Episode 2 Whole People | 102 |Healing Communities Episode 2 (27 min) Whole People | 103 |A New Response | Episode 3 (27 min) This is one of...
 
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