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PACEs in Maternal Health

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From Treatment to Healing: Inquiry and Response to Recent and Past Trauma in Adult Health Care [Institute of Women's Health]

Abstract: In 2015, a national working group developed and published a conceptual framework for trauma-informed primary care (Machtinger, Cuca, Khanna, Dawson-Rose, & Kimberg, 2015). Since that publication, there has been increasing recognition that childhood and adult trauma underlie and perpetuate many physical and behavioral health conditions seen in health care settings and that addressing trauma could fundamentally improve the experience and efficacy of care for both patients and...

Research roundup: Prospective ACE study and commentary about it; ways of asking about trauma; research on the power of internal resilience in juvenile offenders and a companion essay

Association of Childhood Trauma Exposure With Adult Psychiatric Disorders and Functional Outcomes JAMA Open Prospective Study Delves Deeper Into Mental Health Effects of Childhood Trauma Psychiatry From Treatment to Healing: Inquiry and Response to Recent and Past Trauma in Adult Health Care Women's Health Issues Adverse Childhood Experiences and Psychological Distress in Juvenile Offenders: The Protective Influence of Resilience and Youth Assets Journal of Adolescent Health Adverse...

Childbirth Injury Led A New Mom To Start A Parenting Podcast 'To Feel Less Alone'

Almost 10 years ago, journalist Hillary Frank was pregnant and planning to give birth without medication or surgery — but things didn't go according to her plan. Instead, Frank experienced a prolonged and difficult labor that left her with a traumatic injury — chronic pain from an episiotomy that didn't heal as expected, and had to be redone. For months she was unable to walk, sit or easily hold or nurse her newborn daughter, and didn't fully recover for three years. To make matters worse,...

FREE Webinar Series - register now for first webinar on Fri 2-10-19

2019 Webinar Series Join us for a FREE webinar series deepening our understanding of specialized issues and populations in perinatal mental health! Designed for care providers who work with new families, join us as we learn about some of the complex issues impacting young families. The virtual trainings will take place quarterly on Fridays from 12-1pm (PST). The series is free to all but prior registration is required. Login information for each session will be provided upon registration.

New D'Achille center at West Penn wraps services around new moms struggling with depression [Pittsburgh Post-Gazette]

A variety of services for women with pregnancy-related depression is now available in a new facility at West Penn Hospital, the dream of a McCandless man who lost his wife to the condition and those he inspired who want individualized care available to every woman. West Penn patient Tishla Jones of Lincoln Place said she found herself feeling overwhelmed and distancing herself from others, including her older children, after the birth of her fourth child, now 10 months. She was referred by...

“Landmark” Maternal Health Legislation Clears Major Hurdle [propublica.org]

Update, Dec. 13, 2018 at 8:15 p.m. ET: On Thursday evening, the Senate unanimously passed its version of the Preventing Maternal Deaths Act, sending it to the president to sign. Congress moved a big step closer on Tuesday toward addressing one of the most fundamental problems underlying the maternal mortality crisis in the United States: the shortage of reliable data about what kills American mothers. The House of Representatives unanimously approved H.R. 1318 , the Preventing Maternal...

AAP reports: Perinatal depression screening, referral needed [aappublications.org]

“I thought the blues were all part of being a new mom,” said the woman who was screened and referred for treatment at her pediatrician’s office after the birth of her second child. She told a news outlet in Raleigh, N.C., that she was grateful for the screening. “I’m able to be the mother that both my kids deserve,” she said. The story spotlighting postpartum depression (PPD) aired in February 2017, just after North Carolina Medicaid established payment for the new maternal depression...

Fathers affected by birthing process can get help on the NHS now [Daily Echo - UK]

CAMPAIGNING Bournemouth University academic Dr Andy Mayers is celebrating after learning that fathers who have experienced stress or mental health issues as a result of the birthing process are to be provided with mental health support through the NHS for the first time. Speaking after the NHS announcement Dr Andrew Mayers, Principal Academic in Psychology at Bournemouth University, said, “Until this announcement, fathers were not formally considered for needing support for ‘perinatal’...

She Strived to Be the Perfect Mom and Landed in the Psych Ward [KQED]

Lisa Abramson says that even after all she’s been through – the helicopters circling her house, the snipers on the roof, and the car ride to jail – she still wants to have a second child. Because, in the beginning, when her daughter was born, Lisa was smitten, just like the mom she’d imagined she would be. She’d look into her baby’s round, alert eyes and feel the adrenaline rush through her. She had so much energy. She was so excited. “I actually was thinking like, ‘I don’t get why other...

Comics Shed Light On The 'Scary Thoughts' That Can Come With Motherhood [HuffPost]

Maternal mental health expert Karen Kleiman is tackling the stigma of postpartum depression and anxiety, one comic at a time. Kleiman has a background in psychology and social work and is the founder of The Postpartum Stress Center, an institution based in Rosemont, Pennsylvania, that’s provided support to pregnant and postpartum women for 30 years. Collaborating with illustrator Molly McIntyre , Kleiman has released comics inspired by submissions to the center’s #speakthesecret campaign ,...

Grant goes toward improving maternal mental health in Florida [Tallahassee Democrat]

About 15 percent of all mothers in Florida report experiencing depression during pregnancy or after childbirth, but fewer than 20 percent of mothers seek or have access to professional help. Much of the problem lies in the lack of routine screening by prenatal care providers. A new grant from the Health Resources and Services Administration aims to improve maternal mental health outcomes by increasing screening rates and patient access to treatment and resources. Florida is one of seven...

Confronting depression, anxiety, Navy moms with new babies get help in Norfolk [Navy Times]

Kimberly Barnard-Bracey turned to a small group of women inside a room at Portsmouth Naval Medical Center on a recent weekday afternoon. "So what's the topic this week?" said Barnard-Bracey, a licensed clinical social worker. "What've you guys got going on?" Ashley Beer, holding her 7-month-old son, Travis, launched into a story of how she snapped at her husband recently — she was feeling overwhelmed as tasks like cleaning started to add up. "When my kid was that age, I couldn't even get out...

No ACEs, low resilience worse than high ACE and resilience scores, study finds

What does measuring resilience tell us about pregnant women who have experienced ACEs? For one thing, it affirms that understanding how a mom-to-be weathers difficult experiences gives greater meaning to her ACE score and what it might mean for her children. That was one of the takeaways from a recent study in the Journal of Women’s Health entitled “ Adverse Childhood Experiences and Mental and Behavioral Health Conditions During Pregnancy: The Role of Resilience ,” says Dr. Carey Watson,...

Nominate a Trauma-Informed Care Champion: #TICchampion

Becoming a trauma-informed organization requires clear communication about the transformation process, and support from staff at all levels of an organization. Often these efforts are spearheaded by “trauma-informed care champions”— individuals committed to raising awareness regarding the health effects of trauma and toxic stress and improving care for people who have experienced trauma. This week, the Center for Health Care Strategies (CHCS) invites you to recognize people around you who...

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