Tagged With "Care in Early Childhood"
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Public support for asking about traumatic childhood experiences in general practice, suggests initial study [Public Health Wales]
Almost nine out of 10 patients (87 per cent) who provided feedback following a new pilot initiative said a GP surgery is a suitable place to be asked about Adverse Childhood Experiences (ACEs). Under the pilot initiative, 85 per cent of patients also said it was acceptable to provide information about ACEs to a health practitioner, and four out of five (81 per cent) said it was important for practitioners to understand this information. Just under a third (30 per cent) of general practice...
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Reminder: Live Chat with Donna Jackson Nakazawa
"It's really not survival of the fittest - it's survival of the nurtured." Donna Jackson Nakazawa Date: Tuesday, November 14th, 2017 Time: 10 AM PST / 1 PM EST Where: Here / Chats ( featured chat ) Hosted by: @Jane Stevens Topics to be Covered: Parenting with ACEs. What parents need to know. Affordable self-care for stressed and busy parents. Healing from ACEs & family wellness. How to Attend Online Chats: M embers of ACEs Connection : Go to Chats (top of page). Find...
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[Repost] Trauma-informed Care: It Takes More Than a Clipboard and a Questionnaire
California is about to launch an ambitious campaign to train tens of thousands of Medi-Cal providers to screen children and adults up to age 65 for trauma, starting on January 1, 2020. It is well-established that the early identification of trauma and providing the appropriate treatment are critical tools for reducing long-term health care costs for both children and adults. Research has shown that individuals who experienced a high number of traumatic childhood events are likely to die...
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Research Review: Childhood Trauma and its Effects on Mothers in Home Visiting Programs [Prevent Child Abuse America]
Each month Prevent Child Abuse America's Chief Research and Strategy Officer, Dr. Bart Klika, does a quick run-down of emerging research related to child abuse and neglect prevention. In this inaugural installment, Dr. Klika walks through some of the recent research into the effects of childhood trauma and how the lasting effects of this trauma is impacting mothers who participate in home visiting programs. Watch the video here
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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...
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So how do you start to think and talk about ACEs and Maternal Mental Health?
Give them an info graphic to show the connection between toxic stress and health outcomes for moms and babies? Check out the attached 3 handouts! Have some talking points ready to get the conversation started with prenatal care staff? ...
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Some 350 Florida Leaders Expected to Attend Think Tank with Dr. Vincent Felitti, Co-Principal Investigator of the ACE Study; Expert on ACEs Science
Leaders from across the Sunshine State will take part in a “Think Tank” in Naples, FL, on Monday, August 6, to help create a more trauma-informed Florida. The estimated 350 attendees will include policy makers and community teams made up of school superintendents, law enforcement officers, judges, hospital administrators, mayors, PTA presidents, child welfare experts, mental health and substance abuse treatment providers, philanthropists, university researchers, state agency heads, and...
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Strategies to Improve Maternal Mental Health in California [California Budget Bites]
(Posted May 1, 2019) Today marks World Maternal Mental Health Day and the start of Mental Health Awareness Month . Maternal mental health (MMH) is vital to the health and well-being of children and families. When mothers feel emotionally healthy and well supported, they are better able to develop strong bonds with their children, which promote children’s physical, mental, and emotional development. Conversely, when mothers experience mental health conditions during pregnancy or after giving...
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Symptoms of Depression During and After Pregnancy
In order to have the best chance of improving outcomes for the mother and infant, routine screening and treatment for depression should begin early in pregnancy, a time when women have increased contact with the health care system.
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The Body Remembers
She had a poster of Where’s Waldo? on the wall, presumably there to distract her patients from what was happening while they lay on the exam table. This was my third appointment, and on the drive over I had fought down rising waves of panic at walking back in to this room, with Waldo and her gloved fingers. When my physiotherapist had first recommended this treatment after months of physio exercises had failed to produce the desired results, I went home and cried. I called Dawn and told her...
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The Decision that Changed My Life
Four years ago, I decided to start a conversation about the long term impact of childhood abuse. More specifically, about what happens when those abused children grow up and have children of their own. When I had become a parent, I went looking for books on this topic, and I didn’t find anything. But I knew I couldn’t be the only one who was dealing with this. And once I found one other person who was willing to write about this, I said, let’s collect these stories. The stories of these...
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The Developing Brain & Adverse Childhood Experiences (ACEs)
Thanks to an explosion in scientific research now possible with imaging technologies, such as fMRI and SPECT, experts can actually see how the brain develops. This helps explain why exposure to adverse childhood experiences can so deeply influence and change a child's brain and thus their physical and emotional health and quality of life across their lifetime. The above time-lapse study was conducted over 10 years. The darker colors represent brain maturity (brain development). I have added...
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The Girl on the Side (www.beatingtrauma.com)
Elisabeth Corey writes so honestly on her Beating Trauma blog . I'm a huge fan of her writing and advocacy work. This piece, in particular, is amazing. She writes about adult relationships and how they have been impacted deeply and consistently by ACEs in childhood. We know what we have lived. Unlearning and learning new and different things takes time and work. And it helps, that parents like Elisabeth share as they learn. We all benefit from that sharing. Many of us are learning how to...
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The Hello It’s Me Project comes to Pittsfield: Dr. Claudia Gold at the helm of initiative to create healthy bonds between parents and infants (www./theberkshireedge.com)
Cissy's note: I am a huge fan of the way @Claudia Gold works with those of us Parenting with ACEs . The first time I read her writing I relaxed. She was speaking with and for parents not about or at us. Unfortunately, her approach is rare. Fortunately, she just launched a new project she's been dreaming of for years. I love the way she supports all families and how she centers the role of all parents in the lives of all children - especially those - not all except those...
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The Link Between Childhood Trauma and Sexual Abuse in Adulthood
Please check out our latest Healing Our Ghosts' podcast with ECHO's executive director and #metoo Harvey Weinstein's silence breaker Louise Godbold. Healing Our Ghosts shines light into the suffering we keep hidden. We are not alone in our struggles and when we share our pain, we lift the shame secrecy that keeps us alone and disconnected from each other and prevents us from healing. With humor and compassion, Ana Joanes interviews a wide variety of guests about their messy lives, how they...
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The prevalence and clinical correlates of adverse childhood experiences in a cross-sectional study of primary care patients with cardiometabolic disease or risk factors (BMC)
From the article: To our knowledge, this is the first study to investigate the incidence and clinical correlates of ACEs in primary care patients who already have cardiometabolic disease or are at elevated risk based on conventional risk factors. Open Access LINK to article Background Adverse childhood experiences (ACEs) are associated with risk of poor adult health, including cardiometabolic diseases. Little is known about the correlates of ACEs for adults who have already developed...
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The Rise of the Trauma-Informed Mothers
The next generation is less likely to wear predisposed shackles of trauma because as trauma-informed parents we are re-wiring the traumatically stressed DNA that was passed down to us.
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Thrive Washington: 3rd Edition of NEAR@Home Toolkit Released
Thrive Washington is pleased to announce that the 3 rd edition of the NEAR@Home toolkit is now available and offers home visitors more guidance on how to safely, respectfully and effectively address Adverse Childhood Experiences with the families they serve. This new edition reflects what was learned when the toolkit was incorporated into a Facilitated Learning Process with 225 home visitors and 54 supervisors in the four states of federal Region X: Alaska, Idaho, Oregon and Washington. It's...
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TIC: News and Notes for November 2019
ACEs, Adversity's Impact Podcast: Dr. Nadine Burke Harris Vital Signs: Estimated proportion of adult health problems attributable to adverse childhood experiences and implications for prevention - 25 states, 2015-2017 Animal study shows how stress and mother's abuse affects infant brain LGBTQ, traumatized homeless youth more vulnerable to being trafficked: Report How do these pediatricians do ACEs screening?Early adopters tell all When family relationships become toxic: The trauma of...
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TIC: News and Notes for the Week of October 21, 2019 [dhs.wisconsin.gov]
ACEs, Adversity's Impact There is only one boat: The myth of normalcy by Dr. Gabor Mate Understanding historical trauma to strengthen community Childhood trauma linked to early, premarital childbirth and poor health for women Early life racial discrimination linked to depression, accelerated aging When mothers are killed by their partners, children often become 'forgotten' victims. It's time they were given a voice Children's language skills may be harmed by social hardship Does racism...
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To Build a "Trauma-Informed Community" Start With Babies (www.psychologytoday.com) & Dr. Claudia Gold
Cissy's note: This article was written by the same @Claudia Gold who was the featured guest in one of our Parenting with ACEs chats . Here are excerpts from her article published in Psychology Today.
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Toxic Stress: Issue Brief on Family Separation and Child Detention [immigrationinitiative.harvard.edu]
By Jack P. Shonkoff, Immigration Initiative at Harvard, October 2019 Background The separation of children from their parents and their prolonged detention for an indefinite period of time raise profound concerns that transcend partisan politics and demand immediate resolution. Forcibly separating children from their parents is like setting a house on fire. Preventing rapid reunification is like blocking the first responders from doing their job. And subjecting children to prolonged...
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Trauma-Informed Care and a Therapist Saved my Life
Between 55 and 99 percent of women who attend addiction treatment and between 85 and 95 percent of women with a history of mental illness have a history of trauma. Among this trauma , the vast majority happened during childhood. Whether the trauma involves neglect, sexual assault, or dysfunction within the family, the need for trauma-informed care in both addiction treatment and in the mental health field is of great importance. When I found myself at a detox facility 1,300 miles away from...
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Trauma-Informed Care as a Universal Precaution: Beyond the Adverse Childhood Experiences Questionnaire [jamanetwork.com]
By Nicole Racine, Teresa Killam, and Sheri Madigan, JAMA Pediatrics, November 4, 2019 Experiences of childhood adversity are common, with more than 50% of adults reporting having experienced at least 1 adversity as children and more than 6% exposed to 4 or more adverse childhood experiences (ACEs). There is currently a controversial debate in the medical field as to whether the ACEs questionnaire, which asks about abuse, neglect, and household dysfunction before age 18 years, should be...
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Trauma Mama: Little Girl Riding Shotgun in My Psyche
“I love you,” I say to my daughter. “Of course you do,” she says, I’m awesome.” She was twelve. The mother in me smiled. The girl I was shook her head inside and wondered h ow would it have been to feel both loved and lovable while a child? I do not know. I will never know. It does not matter how wonderful my present. It does not matter who I will become. I can’t change the past. The past is a country I never want my daughter to travel near or in. I am an exile, from my past, my child self.
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Understanding the Effects of Child Maltreatment on Brain Development (ChildWelfare.gov)
In recent years, there has been a surge of research into early brain development. Neuroimaging technologies, such as magnetic resonance imaging (MRI), provide increased insight about how the brain develops and how early experiences affect...
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Uninsured Native Americans Often Lack Needed Prenatal Care [ocregister.com]
By Yesenia Amaro and Deepa Bharath, Center for Health Journalism News Collaborative, October 4, 2019 For almost two years, Sylvia Valenzuela relied on the federal Indian Health Service system to get the primary care she needed. But when she had to see an OB-GYN for her prenatal care, she was on her own. What followed, she said, was a nightmare in which she struggled to obtain and keep Medi-Cal coverage, leaving her uninsured for a critical stretch of her pregnancy. Valenzuela says she would...
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Vibrant and Healthy Kids: Aligning Science, Practice, and Policy to Advance Health Equity [nationalacademies.org]
By National Academies of: Science, Engineering, and Medicine, July 25, 2019 Early experiences and life circumstances shape prenatal and early childhood development, with powerful impacts on the developing brain and body that shape health outcomes across the life course and can span generations. The preconception, prenatal, and early childhood periods are critical phases of development that help set the odds for lifelong health and well-being. All children deserve the opportunity to meet...
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Vital Signs: Estimated Proportion of Adult Health Problems Attributable to Adverse Childhood Experiences and Implications for Prevention [cdc.gov]
By Melissa T. Merrick, Derek C. Ford, Katie A. Ports, et al., Centers for Disease Control and Prevention, November 5, 2019 Summary What is already known about this topic? Adverse childhood experiences are common and are associated with many poor health and life outcomes in adulthood. What is added by this report? Nearly 16% of adults in the study population reported four or more types of adverse childhood experiences, which were significantly associated with poorer health outcomes, health...
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‘We are just destroying these kids’: The foster children growing up inside detention centers [Washington Post]
Photo credit and caption: Heard leaves the courtroom at the Boone County Courthouse in Madison. He hopes to train to be a tattoo artist. (Sarah L. Voisin/The Washington Post) Dec. 30, 2019 Though he's never been convicted of a crime, Geard Mitchell spent part of his childhood in a juvenile detention center, at times sleeping on cement floors under harsh fluorescent lights left on through the night during lockdowns. He attended high school by clicking through online courses and had “no one to...
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What if?
How about incorporating the 10 item Adverse Childhood Experiences(ACE) form into a prenatal visit . A mother's ACE score may help guide providers in determining if a woman's pregnancy is at higher or lower risk for complications. And...
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How Does Trauma Affect a Person’s Interaction with Their Child? (www.nicabm.com) & Commentary
Has anyone seen this video posted on the National Institute for the Clinical Application of Behavioral Medicine (NICAMB) blog? "According to Dr. Ruth Lanius, a parent's experience of trauma can impact their ability to form a close, intimate relationship with their child." Ruth Buczynski, PhD Those of us Parenting with ACEs sure know that's the truth. Developmental trauma impacts our ability to form close and intimate relationships with ourselves, other adults and our children. The video was...
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How Genes Respond to Trauma and Stress
Okay! So, after getting YOUR answers to my crowdsourcing question (thank you for the 100 responses on Facebook and Instagram !): "What do you want to see from me on social media?" the overwhelming #1 response was more nuggets of science, offered with the shared sense that I understand YOUR struggles, I see your suffering. And I do. Oh, you have no idea how much I do. So, with that in mind, here's a nugget of science about How Genes Respond to Trauma and Stress . Some genes, like the ones...
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How It Feels & How We Heal: Parenting with ACEs Chat Quotes (You Tube, Database, PDFs, Links)
Parenting with ACEs is sharing inspiration, information, and expertise from our chat series in 3 formats. Parenting with ACEs: How It Feels & How We Heal Quote Collection (pdf version below as well) Quotes Database (pdf version below as well) Links to Chat Transcripts and before and after-the-chat blog posts. Thanks to everyone who showed up, who shared, and who is doing the important work that is our mission (prevent ACEs, heal trauma, build resilience). We know that work happens...
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Immune Biomarkers of Early-Life Adversity and Exposure to Stress and Violence - Searching Outside the Streetlight [jamanetwork.com]
By Nicole R. Bush and Kirstin Aschbacher, JAMA Pediatrics, November 4, 2019 Evidence of an association between early-life adversity and heightened risk of chronic disease in adulthood has been found, but the optimal biomarkers for identifying vulnerable or resilient individuals remain unclear. Global trends, including widening socioeconomic disparities, the refugee crises, and climate change, increasingly sculpt trauma exposure and call for scalable early-risk identification and treatment...
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Improve Birth and Perinatal Outcomes with a Trauma Sensitive Approach
The Association for Prenatal and Perinatal Psychology and Health is excited to bring together 10 talented practitioners to explore the Trauma Informed Practices that help improve birth outcomes and support human development right from the very start. The Adverse Childhood Experiences Study (1998) launched the importance of trauma and trauma informed care in our health and educational systems. We suddenly had a measure of how early experiences in childhood could correlate with adult disease.
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Intergenerational Impacts of Family Violence - Mothers and Children in a Large Prospective Pregnancy Cohort Study [thelancet.com]
By D. Gartland, R. Giallo, H. Woolhouse, F. Mensah, and S.J. Brown, August 18, 2019 Violence and other adversities commonly co-occur, yet are usually investigated individually. The primary objectives of this paper are to investigate: (i) the relationship between maternal exposure to violence (including childhood abuse and intimate partner violence) and postpartum mental and physical health; and (ii) the extent to which exposure to violence and poor maternal mental and physical health are...
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Introducing NEW Becoming Trauma-Informed & Beyond Community
Earlier this year @Dawn Daum wrote to us when she was ready to share ACEs science with people in the organization she works in to make a case for moving towards more trauma-informed care for the benefit of the staff and those they serve. She was frustrated because almost all the training and resources she found were geared towards schools, clinical staff or to organizations working with children and families rather than ACE-impacted adults in the workplace and who are...
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Love as Destiny: A Former Foster Youth's Journey in Motherhood [chronicleofsocialchange.org]
By Katarina Sayally, The Chronicle of Social Change, October 25, 2019 If you haven’t heard enough stories about what breaking the intergenerational cycle of foster care looks like, I want to share one. This is our story, and it’s a good one. When I found out I was pregnant, the only fear I had was, “What if my baby ends up in foster care?” As a former foster youth who works in the field, I am constantly reminded of this possibility. One study found that mothers in foster care were twice as...
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Making the Good Stuff Louder: Trauma Dad, Bryon Hamel
Byron Hamel, (AKA Trauma Dad ), is a filmmaker , children's rights and men's wellness advocate. He's also a father with "ACEs through the roof," who survived child torture at the hands of a man now on death row for infanticide. Before the Father & ACEs chat started last week (see full chat transcript ), we discussed if and how to give a trigger warning. Hamel's experienced horrific trauma during childhood. He didn't want to traumatize those on the chat but wanted to be honest.
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Maternal Depression and Intimate Partner Violence: Impacts on Children [aappublications.org]
Among the many adverse childhood experiences, one must consider are the effects of maternal depression and of mothers being the victim of physical or sexual violence. What is the toll of these on children? Neamah et al. ( 10.1542/peds.2017-3457 ) decided to evaluate this by looking at the strength of such an association on the cognitive development as well as physical growth of over a thousand toddlers between 18 to 36 months living in Tanzania. These children underwent developmental testing...
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Mothers’ Adverse Childhood Experiences and Their Young Children’s Development [ajpmonline.org]
Introduction This study examined how mothers’ Adverse Childhood Experiences (ACEs) relate to their children’s developmental risk and assessed how the association is mediated through mothers’ depressive symptoms and fair/poor health. Methods Mothers of children aged between 4 months and 4 years were recruited from the emergency department of a children’s hospital between March 2012 and June 2015 and interviewed about ACEs, mothers’ depressive symptoms and health status, and children’s...
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My son was hospitalized and now he has PTSD
“Grant, do you remember when you were in the hospital?” “Yes… they came to take the blood and I turned into a werewolf.” Original Post It happened quickly. A year ago my three year old had a collarbone fracture, it became infected and within 24 hours the situation was emergent. A week long hospital stay, one month with a PICC line and two months on oral antibiotics. Finally, the labs finally came back normal. The X-Ray was clean. Gillette Children’s Hospital closed our case. But the healing...
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Need 45 Trauma-Informed Practitioners or Clinicians For Study on Using a Brain Regulation Headband-Bellabee Designed To Help Trauma Survivors Regulate Their Brains.
Need 45 Trauma-Informed Practitioners or Clinicians For Study on Using a Brain Regulation Headband-Bellabee Designed To Help Trauma Survivors Regulate Their Brains. All trauma informed practitioners who are suffering with or who work with adults or children suffering with C-PTSD, PTSD, Developmental Trauma, Depression, Anxiety, ADHD & Sleep Disorders are welcome to apply to be considered for this study. We currently have 41 applicants, and applicantions are approved on a first come first...
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New psychology study finds adverse childhood experiences transfer from one generation to the next [UCalgary.ca]
Women who suffer four or more adverse childhood experiences before the age of 18 are more likely to face pregnancy and postpartum problems, which they may in turn pass on to their children in a “cascade of risk,” according to a new study in The Journal of Pediatrics. The study, led by the University of Calgary’s Sheri Madigan — Canada Research Chair in the Determinants of Child Development, a member of the Alberta Children’s Hospital Research Institute and an assistant professor in...
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New Resource Center Dedicated to Helping Providers Address the Health Effects of Trauma
The new Trauma-Informed Care Implementation Resource Center offers a one-stop information hub for health care providers and other stakeholders interested in learning about and implementing trauma-informed care.
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NICU Stay Associated With Later Mental-Health Problems [medscape.com]
By Anne Harding, Medscape, February 6, 2020 Spending time in the neonatal intensive-care unit (NICU) is associated with an increased risk of psychiatric disorders in childhood and adolescence, according to a new population-based study. "In childhood, the risks of separation anxiety, specific phobia, oppositional defiant disorder and ADHD (attention-deficit/hyperactivity disorder) were particularly pronounced while adolescents tended to struggle more with oppositional defiant disorder," Dr.
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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,...
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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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Nothing About Them Would Stand Out in a Crowd
photo credit: chuttersnap/unsplash.com By Alice M. Kenny (pseudonym) (The article below is an excerpt from my new book, Crazy Was All I Ever Knew: The Impact of Maternal Mental Illness on Kids . I have used a pseudonym to protect the privacy of family members.) The emotions adult children of parents with mental illness experience are a mixed bag. Sometimes a jumble. Guilt, loss, grief, and resentment are among the emotions that persist or bubble to the surface in adulthood. Some feel...