Tagged With "American Rescue Plan Act"
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Reducing Maternal Mortality [nytimes.com]
Women in the United States face a far greater risk of dying from childbirth complications than in many other wealthy countries. Now the federal government has taken a step toward addressing the problem with the Preventing Maternal Deaths Act , signed in December, which will provide federal grants to states to investigate the deaths of women who die within a year of being pregnant. A report released by the Commonwealth Fund in December that looked at 11 high-income countries found that...
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Sacramento Report: Bringing Postpartum Depression Out of the Shadows
Those federal funds will become available to states through the Bringing Postpartum Depression Out of the Shadows Act , passed in 2016 by Congress. The money can be used for screening, assessing and treating maternal mental health disorders, but the state Department of Public Health needs to apply. AB 1893 would require them to do so. About one in nine women nationwide experience symptoms of postpartum depression, according to the Centers for Disease Control and Prevention. The California...
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Senator Harris to Reintroduce Maternal CARE Act [CWA E Newsletter]
Sen. Kamala Harris has announced a proposal to address the worsening maternal mortality crisis in the U.S., and deep racial disparities in care across the country. Harris' proposal highlights the fact that African American women are three times as likely to die from pregnancy-related complications compared to their white counterparts - and not just among poor women, according to the CDC . Harris proposes to create a new $25 million program aimed at fighting racial bias in maternal care by...
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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...
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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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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 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 Relentless School Nurse: The Text Message No Parent Wants to Get - An Active Shooter is at School
Many blog readers know that my niece Carly is a survivor of the Parkland shootings at Marjory Stoneman Douglas High School. You may know that my father also survived a mass murder, and like Carly, hid in a closet until the police arrived. Almost 70 years separated the two tragedies. Our guest blogger this week is my sister Merri, Carly's mom. Merri shares her first-hand account of what happened the afternoon of February 14, 2018, when Carly sent this text, “Mom don’t freak out but we are on...
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The Trauma-Sensitive Parenting Summit & Commentary
"Having a history of trauma or loss does not by itself predispose you to have a child with disorganization. It is the lack of resolution that is the essential risk factor. It is never too late to move toward making sense of your experiences and healing your past. Not only you but also your child will benefit." That's a quote from the book Parenting from the Inside Out: How A Deeper Self-Understanding Can Help You Raise Children Who Thrive, which was published fifteen freaking years ago. It's...
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Through a Trauma Lens: The Need for Doulas
Trigger warning: trauma, doctors, hospital, birth, sex It is very important to me to approach all of the work that I do from a trauma-informed perspective. Whether it is asking for consent before touching a student in yoga class, offering self-regulation skills to those I work with, or preparing clients for potential triggers*, I do my best to incorporate my on-going learning in the field of trauma into my professional practices. Recently, I began taking trauma classes for professionals...
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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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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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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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How social factors drive up suicide rates among pregnant women [TheConversation.com]
Pregnant women in South Africa who live in poor communities are more likely to consider or attempt suicide than the general population. That’s a key finding from a recent study we undertook at Hanover Park. The research found 12% of pregnant women living in low-resource communities had thought of killing themselves during the previous month. In the same period, an additional 6% of pregnant women reported they had started to enact a suicide plan or attempted to end their lives. Rates of...
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How to get more low-income moms screened for depression? CMS says, ‘Bill me!’ [CenterForHealthJournalism.com]
In recent years there’s been a surge in awareness of how common and debilitating maternal depression can be. As the research accumulates and media coverage keeps apace, the idea that depression and related disorders can wreak serious havoc on a mother and affect her baby’s development has given fresh urgency to efforts to get moms more help. Among policymakers, growing recognition of the problem has translated into new programs, with a number of states encouraging screenings and treatment.
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Intimate Partner Violence Screening and Intervention: The American College of Preventive Medicine Position Statement (Abstract) [sciencedirect.com]
By Tanya M. Phares, Kevin Sherin, Suzanne Leonard Harrison, et al., American Journal of Preventive Medicine, December 2019 The purpose of this paper is to produce a position statement on intimate partner violence (IPV), a major sociomedical problem with recently updated evidence, systematic reviews, and U.S. Preventive Services Task Force guidelines. This position statement is a nonsystematic, rapid literature review on IPV incidence and prevalence, health consequences, diagnosis and...
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“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...
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“Momnibus” Bill Package Targets Black Maternal Health Disparities (Patient Engagment)
By Sarah Heath, March 12, 2020, Patient Engagement A package of legislative proposals aims to prop social determinants of health funding to target black maternal health disparities. The package of nine bills, titled the Black Maternal Health Momnibus Act of 2020 , is sponsored by Representatives Lauren Underwood and Alma Adams, as well as Senator Kamala Harris. The legislation builds on existing laws focusing on black maternal health disparities specifically by supplanting efforts to address...
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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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NPPC shares lessons learned and results from ACEs screening pilot sites
For Dr. Mercie Digangi, a pediatrician at Kaiser Southern California in Downey, CA, ACEs screening provided a crystal clear before-and-after in how she changed treatment plans for her pediatric patients, she explained to attendees of a December 2 webinar organized by the National Pediatric Practice Community on ACEs (NPPC) and cosponsored by ACEs Connection. Dr. Mercie Digangi One case that turned ACEs screening into a never-go-back moment for her was a three-year-old who was speech-delayed.
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Paid leave for parents during COVID-19 Emergency
Paid leave for parents during COVID-19 emergency
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Penn Nursing Conference Stresses Need for Mental Health Awareness in Health Care [thedp.com]
By Anya Tullman, The Daily Pennsylvanian, October 21, 2019 A student-run conference in the School of Nursing Saturday drew nearly 200 students and community members to talk about incorporating mental health awareness into health care. The "Reimagining Mental Health" conference featured speakers from across the Philadelphia and Penn communities who discussed harm reductionist and trauma-informed approaches to health care. "Harm reduction" refers to the practice of medical professionals...
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Petaluma Health Center leads effort to link women to services
Sonoma County was one of six sites selected nationally to participate in a CityMatCH practice collaborative to prevent substance exposed pregnancies. In 2012 Rebecca Munger CNM, PHN the Sonoma County Maternal, Child, Adolescent Health Coordinator lead a broad coalition of reproductive health champions who worked across sectors and settings to develop a trio of strategies to reduce substance exposed pregnancies. The first strategy developed with CDC and WHO technical support was a bundled...
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Preventable trauma in childhood costs north America and Europe US$ 1.3 trillion a year [WHO]
By World Health Organization (photo by WHO/Malin Bring) The findings of a new study on the life-course health consequences and associated annual costs of adverse childhood experiences (ACEs) show that preventable trauma in childhood costs north America and the European Region US$ 1.3 trillion a year. The article, published in the Lancet and co-authored by Dinesh Sethi and Jonathon Passmore, Programme Manager, Violence and Injury Prevention, WHO/Europe, looks at the legacy of ACEs and their...
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What You and Your Family Need to Know About Maternal Depression [nytimes.com]
For the first time, a national health panel has recommended a way to prevent depression during and after pregnanc y. This condition, known as perinatal depression, affects up to one in seven women and is considered the most common complication of pregnancy. The panel, the United States Preventive Services Task Force, said two types of counseling can help keep symptoms at bay. Its recommendation means that under the Affordable Care Act, such counseling must be covered by insurance with no...
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Yolo County Mental Health Services Act (MHSA) 3 year proposed budget includes MMH and Trauma Informed Care for training!
Yolo County's progressive and collaborative nature once again allows for critical issues to be addressed and proposed for funding. Proud to be in Yolo and thanks to our Yolo County MHSA team and stakeholders for lifting up trauma informed care and Perinatal Mental Health as training needs! While the 3 year budget has not been approved, we are thrilled that these two topics have made it into the proposal under WET funds (Workforce, Education & Training!). As a stakeholder, you have a...
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Youth Suicides, County-Level Poverty Go Hand in Hand [medpagetoday.com]
By Elizabeth Hlavinka, MedPage Today, October 28, 2019 Suicides among children were more concentrated in high-poverty areas, a researcher said here. Of 20,982 suicides to occur from 2007 to 2016, poverty-stricken counties had significantly higher suicide rates than counties with lower levels of poverty, and the rate increased along with poverty concentration, such that children in areas with the highest poverty levels (≥20%) were more than one-third more likely to die by suicide than kids in...
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Beyond Mom: Postpartum depression can impact a partner’s well-being, too [WashingtonPost.com]
Like any expecting couple, Brett Pipitone and his wife, Laura, knew that having a child would upend their daily routine. But no research or planning prepared them for their biggest challenge: postpartum depression. “It was an incredibly stressful situation,” Brett said. After giving birth to their daughter in 2014, Laura found herself “wanting to disappear” and completely disengaged from her surroundings. She’d call Brett at work in tears, and he’d rush home to help. He wound up taking much...
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Beyond The Preventing Maternal Deaths Act: Implementation And Further Policy Change [Health Affairs]
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...
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California Legislature Approves Bill To Reduce Maternal Mortality Rate For Black Women (Podcast) [kpbs.org]
By Jade Hindmon, KPBS, September 12, 2019 California has the lowest maternal mortality rate in the country, according to the United Health Foundation's health rankings. But black women in California continue to die at a rate three to four times higher than white women from pregnancy or delivery complications. Several advocacy groups believe racial bias in the health care system in to blame. To address the disparity, California lawmakers approved Senate Bill 464, the California Dignity in...
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Call for Abstracts for NCHDV 2020 conference
The National Conference on Health and Domestic Violence (NCHDV) seeks submissions that highlight research reports, practice innovations, advocacy initiatives, educational advances, and/or community programs that address one or more aspects related to domestic/sexual violence, other forms of violence, and health. The Call for Abstracts (CFA) invites leaders working in the fields of health and domestic/sexual violence to present their work at the 2020 Conference. Submission Deadline: Monday,...
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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,...
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CMS Issue Brief: Improving Access to Maternal Health Care in Rural Communities
In an ideal maternal health system, all women would have access to comprehensive, seamless medical care with links to behavioral, economic, and social supports. Additionally, they would be engaged with this system before, during, and after pregnancy. Across the United States, many women are not receiving care in this ideal system, and women in rural communities face unique challenges that make it harder for them to reach this ideal or any care at all in some cases. Because maternal health...
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Congress Passes Groundbreaking Postpartum Depression Legislation [HuffingtonPost.com]
Over 400,000 women in the U.S. suffer from postpartum depression each year. Yet only an estimated 15 percent of those mothers receive treatment, and countless women who have suffered from PPD report feeling deeply alone in their struggles. But the federal government is offering families a glimmer of hope for the future of maternal mental health in the U.S. On Nov. 30, Rep. Katherine M. Clark (D-Mass.) announced that her maternal mental health legislation, the Bringing Postpartum Depression...
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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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Employer Behavioral Health Programs Need Opioid, Suicide Focus [Health Payer Intelligence]
Most employers plan to highlight behavioral and mental health in the future, but they will need to address opioid abuse and suicide to succeed. April 02, 2019 - Seventy percent of employers are either currently addressing or plan to address behavioral health over the next few years, according to a recent survey from Willis Towers Watson, but many of these initiatives fail to focus strongly on opioid abuse and suicide prevention. Programs that do not offer enough support for employees at risk...
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Fairness for Breastfeeding Mothers Act of 2019 Signed Into Law [Cal WIC]
This Act may be cited as the ‘‘Fairness For Breastfeeding Mothers Act of 2019’’ A bill just signed into law by President Trump will require federal buildings that are open to the public and have public restrooms to also have designated lactation rooms for breastfeeding. The rooms will be available for use by members of the public as well as federal employees. The Fairness for Breastfeeding Mothers Act ( H.R. 866 ) was sponsored in the House by Congresswoman Eleanor Holmes Norton (D-DC) and...
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Family-Friendly Legislation Package Introduced [CWA Flash E Newsletter]
Senator Tammy Duckworth has introduced a package of bills to make workplaces more family-friendly, improve childcare services, make it easier for low-income and middle-class families to obtain diapers for their children and close loopholes that prevent many educational support staff from being able to take medical leave through the Family Medical Leave Act . The package includes four pieces of legislation: the End Diaper Need Act , the ESP Family Leave Act , the Honoring Family-Friendly...
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First Round of Grants Awarded from Preventing Maternal Deaths Act [ACOG]
August 16, 2019 Washington, DC -- Ted L. Anderson, MD, PhD, president of the American College of Obstetricians and Gynecologists (ACOG), released the following statement regarding the announcement by the Centers for Disease Control and Prevention (CDC) that 24 awards, supporting 25 states, were made for the Enhancing Reviews and Surveillance to Eliminate Maternal Mortality (ERASE MM) Program: Legislation signed into law in December 2018 funds maternal mortality review committees “The...
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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...
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H.R. 4215 Excellence in Maternal 5 Health Act of 2019
IN THE HOUSE OF REPRESENTATIVES Introduced in House (08/30/2019) Mr. Bucshon (for himself, Mr. Carson of Indiana, Mr. Burgess , Mr. Bilirakis , Mrs. Brooks of Indiana, Ms. Herrera Beutler , Mr. Long , Mrs. McBath , and Mr. Walden ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To improve maternal health care quality, to improve the training of health care professionals to reduce or prevent discrimination in certain health care services, to...
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H.R. 4768, the Home Visiting to Reduce Maternal Mortality and Morbidity Act (Prevent Child Abuse)
By Kathleen Strader, October 24, 2019, Director of Healthy Families America There is a maternal health and mortality crisis in this country. I have seen how it devastates families and staff in the communities we serve at our Healthy Families America (HFA) affiliate sites across the country. We mourn the lives that have already been lost—mothers, daughters, cousins, aunts, friends, community leaders, beloved employees, and so many more. To honor their memory, we in the home visiting field...
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Healthy Spaces December 2019 Webinars
Healthy Spaces: Promoting Healthy and Resilient Communities December 2019 Webinars Funding provided by the New Jersey Department of Children and Families The New Jersey Chapter, American Academy of Pediatrics (NJAAP) believes that all children deserve to feel safe and secure in their home, at school, and while at play. The Healthy Spaces program aims to address adverse childhood experiences (ACEs) through partnerships with pediatric/family healthcare teams, schools and communities.
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Healthy Spaces December 2019 Webinars
Healthy Spaces: Promoting Healthy and Resilient Communities December 2019 Webinars Funding provided by the New Jersey Department of Children and Families The New Jersey Chapter, American Academy of Pediatrics (NJAAP) believes that all children deserve to feel safe and secure in their home, at school, and while at play. The Healthy Spaces program aims to address adverse childhood experiences (ACEs) through partnerships with pediatric/family healthcare teams, schools and communities.
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Helping New Parents Make Room for Uncertainty
A new program for parents and infants, thanks to generous support from Mill Town Capital , is coming to Pittsfield, Massachusetts. The Hello It’s Me Project shines a spotlight on these tender new relationships, investing resources around the birth of a baby with the long-term goal of building a healthy community from the bottom up. When world-renowned child development researcher Dr. Ed Tronick spoke in the spring of 2018 for an audience of a wide variety of practitioners in Berkshire County...
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Hillary Clinton’s Comprehensive Agenda on Mental Health [The Briefing—Fact Sheets]
The first bullet under Early Diagnosis and Intervention of today’s release of Hillary Clinton’s mental health agenda is titled “ Increase public awareness and take action to address maternal depression, infant mental health, and trauma and stress in the lives of young children.” It states “We also know that infant mental health depends on children forming close and secure relationships with the adults in their lives, and that too many children are growing up in environments that cause them...
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Re: So how do you start to think and talk about ACEs and Maternal Mental Health?
I like demonstrating serve and return interaction. If the mom can get a sense of the joys of attaching with the baby that can be very useful. This is a reason I was against some of our policies like checking glucose in an asymptomatic baby LGA (you'd need to remove the baby from the mother- if I decide to cover our hospitals call esp OB, I've already started to put thogether a plan for ACEs screening and aces 101 edu. I did this before on my own in the pts I saw that were at risk and that...
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2020 Mom (California) survey: Supported Birth during COVID-19
Supported Birth during COVID-19 Are you pregnant/planning to deliver a baby in California in the coming weeks? Have you recently given birth in California? If you originally planned to deliver in a hospital, we would like to know if you have questioned that decision due to COVID-19? If so, have you tried to change your plan to deliver at home or at a birthing center? Have you subsequently experienced any challenges getting your insurance company to verify if your new/alternate birth plan is...
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A community-based approach to supporting substance exposed newborns and their families
This information brief highlights a community-based approach to supporting families and newborns affected by substance use. MA EfC developed this brief to address the profound intersection between the Massachusetts opioid crisis, Federal mandates for the development of Plans of Safe Care for substance exposed newborns, and, the MA EfC focus on increasing social connectedness as a means to reduce child maltreatment.
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A mental health crisis ends in tragedy when police shoot a young mother wielding a gun [Monterey County NOW]
For weeks, the 20-year-old had been trying to climb out of an ever-deepening hole. On Feb. 8, she gave birth to her first child, a daughter she named Victoria Guadalupe, but the baby was placed in the care of the Monterey County Social Services Department because, her mother says, Rodriguez Mendoza was found to have drugs in her system and because she had no place to live. She created such a ruckus when the baby was taken from her that she was placed in the psychiatric ward at Natividad,...