Tagged With "Care as a Universal Precaution"

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...

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...

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...

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...

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.

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...

By Katy B. Kozhimannil, Elaine Hernandez, Dara D. Mendez, Theresa Chapple-McGruder. Feb 4, 2019, Health Affairs Maternal mortality is a death that occurs during pregnancy or within one year postpartum from “a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy.” In the United States, maternal mortality is a clinical, public health, and social crisis. Between 1990 and 2013, maternal mortality...

By Carlina Hansen, California Health Care Foundation, October 15, 2019 Before joining CHCF, I spent almost 20 years as executive director of the Women’s Community Clinic in San Francisco. In my time there, we forged some valuable partnerships to serve our clients and community, including our merger with another community health center, HealthRIGHT 360. It was during the merger process that I learned first-hand one of the biggest challenges to forging such partnerships — and it wasn’t what I...

By Ellen Galinsky, Brookings Institute, October 23, 2019 The focus on “toxic stress,” ACEs (Adverse Childhood Experiences), and trauma-informed care have been game-changers in the field of early childhood development. They have helped us recognize the symptoms of trauma, provide appropriate assistance to children, and understand that prolonged adversity in the absence of nurturing relationships can derail a child’s healthy development. Just look at the media’s and the public’s reaction to...

Is this a nomination- for some award- or is it a recognition? Please clarify. also- is twitter the oonly forum? its a great idea and I work with several organizations on helping them become trauma-informed but I am not on twitter- and not sure they are- low resourced organizations ay not be. anyway to participate and recognize or nominate for those not on twitter? Thanks Carmela J. DeCandia, PsyD www.artemisassoc.com

Like many of you, I’m a bit out of sorts and somewhat disoriented right now. Our collective mental health is deteriorating during Covid-19. Recent stats report an increase from 20-40% of adults struggling with mental illness since the advent of the pandemic. Maternal mental health is particularly at risk. Helping children with distance learning, navigating exposure to the news, trying to keep life a bit “normal”, keeping family members fed and supplied, juggling career and income loss, all...

By Michele Cohen Marill, Photograph by Michael Thomas, Health Affairs Vol. 41, No. 8, August 2022 Abstract: Designed by and for Black women, a St. Louis–based group prenatal care program incorporates trauma-informed care and behavioral health services. Article: Fluorescent bulbs bathe the basement room in bright light as cheerful as sunshine, even though the windows only look out onto office corridors. Richelle Smith stands before a projection screen, her hands clasped, her voice loud and...

Because of a collaboration with Columbia University and UW-Madison, we have answers to these questions. By Peter Peter Pecora, Casey Family Programs, March 17, 2023 - Overview The National Academy of Sciences (NAS) recently released a “ roadmap ” to reduce child poverty by as much as half through the implementation of a series of social policy packages. The aim of this study was to simulate the reductions in Child Protective Services (CPS) involvement and foster care placements that are...

Original Investigation July 24, 2023 Community Health Worker Home Visiting, Birth Outcomes, Maternal Care, and Disparities Among Birthing Individuals With Medicaid Insurance Cristian I. Meghea, PhD 1 ; Jennifer E. Raffo, MA 1 ; Xiao Yu, PhD 1 ; et al Ran Meng, MS 1 ; Zhehui Luo, PhD 2 ; Peggy Vander Meulen, MSN 3 ; Celeste Sanchez Lloyd, MA 3 ; Lee Anne Roman, PhD 1 Author Affiliations JAMA Pediatr. 2023;177(9):939-946. doi:10.1001/jamapediatrics.2023.2310 Question Is participation in a...

Emotion has an enormous impact on imprinting memory in our brains. I had an experience when I was 6 years old that included emotion and I have the memory of it all of these many years later. It was a 6 year old birthday sleepover party. There were 7 girls invited that lived near each other and played together most days. A girl new to the neighborhood was invited only due to the requirement of the birthday girl’s mother. I was also invited. I lived a block away but did play with these girls...