Tagged With "Critical periods"
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Rebecca Pearson: Mental health: depression and anxiety in young mothers is up by 50% in a generation
Back when it first started, 17% of young pregnant women in the Children of the 90s study reported symptoms severe enough to indicate clinical levels of depression. This figure was already worryingly high in the 1990s, but in their daughters’ generation it is even more common: 25% of the second generation of the study – women under the age of 24 who are becoming pregnant now – are reporting signs of depression and anxiety. Children of the 90s started following the mental and physical health...
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Release of 2018 In-Hospital Breastfeeding Data [cdph.ca.gov]
By California Department of Public Health, Maternal, Child & Adolescent Health, October 2, 2019 The California Department of Public Health (CDPH), Center for Family Health is pleased to announce that the 2018 in-hospital breastfeeding data have been posted to the CDPH In-Hospital Breastfeeding Initiation Data website . We encourage all hospitals to utilize these data to integrate Quality Improvement (QI) efforts within the perinatal unit to ensure policies and practices are supportive of...
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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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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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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 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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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 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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Untreated Postpartum Depression and Anxiety Costs California Billions, Report Concludes [CA Health Report]
Untreated mood and anxiety disorders associated with pregnancy are costing California billions of dollars in health care spending, social services expenses and productivity losses, according to a new report. The study , conducted by the research firm Mathematica with funding from three foundations including the California Health Care Foundation, estimates the cost of untreated perinatal mood and anxiety disorders (PMADs) in California at $2.4 billion for all births in 2017. This includes...
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What a Pediatrician Can Do for a Child Seeking Asylum-And What She Can't [newyorker.com]
By Rachel Pearson, The New Yorker, October 8, 2019 On a cool spring afternoon, in a clinic that serves refugee and immigrant families, I sit across from a teen-age girl. She is otherwise known as an unaccompanied alien child, or U.A.C. She left her home in Central America, crossed the southern border, and was detained for a week—in Texas, she thinks—in a facility where breakfast was a cold bean burrito, lunch was a cup of microwavable noodle soup, and dinner was a cold bean burrito. She says...
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How bad will my postpartum depression be in 12 months? [Science Daily]
'Game-changing' study uses four factors to accurately predict severity, longevity of postpartum depression Date: January 16, 2019 Source:Northwestern University Summary:A new study was able to successfully predict -- with 72.8 percent accuracy -- if a new mother would experience worsening depressive symptoms over the first year after giving birth. The scientists predicted this depression trajectory using four maternal characteristics that put the mother at risk. Identifying these factors...
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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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I Thought My Kids Were Too Old for Me to Have Postpartum Depression. But I Couldn't Deny the Awful Reality (Time Magazine)
By Andrea Barber, November 6, 2019, Time Magazine I can’t exactly pinpoint one thing that led to my ultimate breakdown. Rather, I believe it was a collection of stressors that slowly eroded away my ability to cope. My son Tate, like most preschoolers, went through a period of one illness after another: fevers, double ear infections, respiratory problems, stomach pain that we feared was a ruptured appendix. Illness on top of illness led to a trip to the ER. And then an overnight stay at the...
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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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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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Parental Depression and Its Impact on Child and Family Well-Being [CANTASD]
Parental Depression and Its Impact on Child and Family Well-Being On March 9, 2018, The National Child Abuse and Neglect Technical Assistance and Strategic Dissemination Center ( CANTASD ) hosted a Digital Dialogue with Jessica Dym Bartlett, the Deputy Program Area Director for Early Childhood Development & Child Welfare at Child Trends . The conversation focused on the impact of parental depression on child and family well-being . This [ ARTICLE ] document summarizes the conversation...
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Parenting, Menopause & ACEs After-the-Chat Summary: Carey Sipp
Have you talked with friends, siblings or co-workers about Parenting with ACEs while going through the change? Do you have any fascinating facts to share about how your OBGYN prepared or supported you when thrown by midlife, hormonal shifts and emotional residue from traumatic stress? Me either. And it's a shame. A lot of people parent, go through menopause, and have survived a bunch of ACEs. Conversations and information shouldn't be so hard to find. But they are. T hat's the reason we...
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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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Provisional Postpartum Care Extension (PPCE) – SB 104 (CHCS)
Please click HERE to read more about this California specific information. Provisional Postpartum Care Extension (PPCE) – SB 104 SB 104 (Chapter 67, Statues of 2019) authorized DHCS to implement the PPCE, which will extend Medi-Cal or Medi-Cal Access Program coverage for pregnant or postpartum individuals who provide confirmation from a provider indicating that the individual has been diagnosed with a maternal mental health condition during their pregnancy , postpartum period, or 90-day cure...
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What Is Postpartum Depression? Recognizing The Signs And Getting Help [npr.org]
By Rhitu Chatterjee, NPR, January 28, 2020. Shortly after she gave birth to her son last May, Meghan Reddick, 36, began to struggle with depression. "The second I had a chance where I wasn't holding [my son], I would go to my room and cry," says Reddick, who lives with her son and husband. "And I probably couldn't count how many hours a day I cried." Reddick is among the many women who suffer from depression during pregnancy and after childbirth . "There's this kind of myth that women...
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Why therapy during pregnancy should be required [WashingtonPost.com]
People frequently consider going to therapy before they make a major life transition, such as getting married or changing careers. But what about when embarking on a monumental shift such as parenthood? Women, who are advised to exercise and watch what they eat while they are pregnant, don’t always think of psychotherapy as an important part of their prenatal care regimen, but it can be critical to the well-being of mother and baby, both during and after pregnancy. For many people, pregnancy...
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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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Black Mothers and Our COVID-19 Legacy (Medium)
By Kendra F Montgomery Block, April 21, 2020 I have an urgent appeal from one Black mother to other Black mothers. Here are four things we can do to come out of this pandemic stronger — gleaned from my experience with the Black Child Legacy Campaign . The United States is a hard place to live if you are Black. Period. You can be old or young and Black; male, female or nonbinary and Black; poor or rich and Black. Our common Blackness subjects us to racial bias that negatively impacts our...
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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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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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Consequences of Military Sexual Trauma for Perinatal Mental Health: How Do We Improve Care for Pregnant Veterans with a History of Sexual Trauma?
Sharing our recent editorial which includes a call for TIC in maternity care: "Nevertheless, there are ways in which VA may be able to augment the maternity care pregnant veterans receive to empower and facilitate more trauma-informed approaches to obstetric care. These include investing in programs to ensure peer support, possibly through use of mobile health technology; facilitating collaboration with maternity care providers through provision of handheld/electronic maternity records...
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Deeper than the Deepest Well
We now know that babies DO feel pain, and in fact, they are even more sensitive to it than adults. The study of baby’s experiences in utero and the first two years of life have led to the rise of early developmental trauma as a reality today, especially with the acceptance of implicit memory and that the body remembers.
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Doulas & Covid-19: A toolkit for doulas (DONA International)
Please the attached toolkit for more information. From the toolkit: Best practices when working with clients Given how new this virus is, we currently have very little data on how it might affect pregnant people and newborns. Guidelines from the CDC outline recommendations for how to support pregnant and laboring people with Coronavirus. (3) There is currently no evidence that the virus is spread from mother to baby in utero, or that it is transmitted in human milk. (4)
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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’...
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Fathers: Powerful Allies for Maternal and Child Health [nichq.org]
NICHQ . “Maternal and child health programs and professionals have become increasingly more cognizant of how fathers, specifically, affect their children’s health and development,” says NICHQ President and CEO Scott D. Berns, MD, MPH, FAAP. “Moving this conversation forward, and highlighting strategies that support father engagement and involvement, is a critical opportunity to improve children’s health outcomes in the decades to come. This is not because fathers matter more than any other...
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First 5 CA 2018 Child Health, Education, and Care Summit - Call for Presentations Now Open!
Share Your Knowledge, Ideas, and Experience! SUBMIT PROPOSAL HERE First 5 California is now accepting proposals for its 2018 Child Health, Education, and Care Summit on April 10-12, 2018, at the Hilton Los Angeles North/Glendale. Participants are eager to attend unique sessions that are innovative, interactive, and engaging . We are seeking sessions that delve into the Summit focus areas and goals with specific learning objectives. We hope you will consider submitting a proposal. Summit...
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For Addicted Women, the Year After Childbirth Is the Deadliest [pewtrusts.org]
Katie Raftery was in a Massachusetts prison for drug-related crimes when she found out she was pregnant with her second child. A longtime heroin user, she was released to a residential drug treatment program where she stayed for seven months, until her baby was born. She got through pregnancy and drug treatment without a hitch and delivered a healthy baby boy with no complications. But at exactly six weeks after childbirth, Raftery said she started feeling lonely, empty and disengaged. The...
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Foster Care Entries for Parental Drug Use Surge [usnews.com]
By Katelyn Newman, US News & World Report, July 15, 2019. INCIDENTS OF CHILDREN entering America's foster system as a result of their parents' drug use have surged since 2000, new research shows, coinciding with the country's recent opioid crisis. Using case data from the federally mandated Adoption and Foster Care Analysis and Reporting System, researchers from Cornell and Harvard universities found that 1,162,668 – or nearly 24% – of 4,972,911 entries of children into foster care...
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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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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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2020 Sex and Perinatal Mental Health Conference
Sex & Perinatal Mental Health Conference on January 13th and 14th, 2020 at The California Endowment. This dynamic training will delve into areas such as postpartum sex, birth trauma, cultural attitudes about sex, gender and sexuality, gender affirming care, personal stories and more. We have an amazing lineup of speakers and wanted to introduce you to a few over the next couple of weeks. Two day training that will explore how sex and sexuality impact and interact with mental health...
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A Brief Overview of Post-Partum Obsessive Compulsive Disorder (mathewsopenaccess.com)
Note: Parenting with ACEs can present us with extra challenges. Being pregnant, giving birth and breastfeeding can all be difficult for many of us. The stresses all parents experience can be compounded depending on our own emotional and physical well-being and the support we have (emotional, financial, family, community). In addition, we might have to consider thing such as going on, staying on or going off of drugs for some period of time during and following pregnancy. We don't talk a lot...
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Aligning Systems for Health: 2019 Call for Proposals [rwjf.org]
By Robert Wood Johnson Foundation, November 1, 2019 Required Components Aligning Systems for Health will explore the degree to which health equity is impacted or results from current models of collaboration incorporating health care, public health, and social services. Gaps in health are large, persistent and increasing, and RWJF is committed to a system that meets people’s goals and needs and addresses these gaps that many populations face. Studies should include a focus on health equity by...
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Anger overlooked as feature of postnatal mood disorders [sciencedaily.com]
Women in the postpartum period should be screened for anger in addition to depression and anxiety, new research from the University of British Columbia suggests. Although anger has been recognized as an element of postpartum mood problems for some women, it has not been well studied and is not included in the widely used Edinburgh Postnatal Depression Scale screening tool. In a review of existing research, UBC nursing PhD student Christine Ou found anger to be a significant feature in...
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Association of Exposure to Civil Conflict With Maternal Resilience and Maternal and Child Health and Health System Performance in Afghanistan [jamanetwork.com]
By Nadia Akseer, Arjumand Rizvi, Zaid Bhatti, et al., JAMA Network Open, November 8, 2019 Key Points Question: Is conflict severity associated with the performance of health systems and population health outcomes in Afghanistan during the 2003 to 2018 reconstruction period? Findings: In this survey study of 64 815 women in Afghanistan, notable health and health system improvements were made despite increasing conflict after 2010. However, regions with greater conflict had lower gains in...
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Re: A community-based approach to supporting substance exposed newborns and their families
Hi Alex, Centering Pregnancy is the model you are referencing, and there is tremendous evidence of the benefits for families, and fiscally for healthcare organizations. HERE is an example. Centering empowers patients, strengthens patient-provider relationships, and builds communities through these three main components: health assessment, and interactive learning community building. Additionally, there is a Centering Pediatrics model that is similar. HERE is more information. This LINK...
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Re: Improve Birth and Perinatal Outcomes with a Trauma Sensitive Approach
Kate, Thank you so much for sharing this important information regarding the work and focus of APPPAH. Often the preconception period is under appreciated as a key time to support women of reproductive age. Imagine helping women prepare for the birth of her baby and equipped to bond, attach, and care for the baby. This makes so much sense when compared to waiting until women and families struggle enough to come to the attention of social services. A Nobel prize winning economist developed a...
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Re: I Thought My Kids Were Too Old for Me to Have Postpartum Depression. But I Couldn't Deny the Awful Reality (Time Magazine)
We love Kimmy Gibbler (and Andrea!). The headline in this Time Article is a great hook and a bit misleading in clinical terms. Andrea wasn't experiencing depression but anxiety, and also the postpartum period is clinically defined as one year post birth. We would call what Andrea went through severe maternal anxiety and want mothers (and providers for that matter) to know there is a range of maternal mental health disorders. We have heard from Andrea's publicist and Andrea may be joining the...
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Re: I Thought My Kids Were Too Old for Me to Have Postpartum Depression. But I Couldn't Deny the Awful Reality (Time Magazine)
Thank you for the clarifications, Joy! Please feel free to share, clarify, or in any other way make more information available. Thank you for all you do to support moms and families! Karen
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Experts Fear Increase in Postpartum Mood and Anxiety Disorders [nytimes.com]
By Pooja Lakshmin, The New York Times, May 27, 2020 After going through a harrowing bout of postpartum depression with her first child, my patient, Emily, had done everything possible to prepare for the postpartum period with her second. She stayed in treatment with me, her perinatal psychiatrist, and together we made the decision for her to continue Zoloft during her pregnancy. With the combination of medication, psychotherapy and a significant amount of planning, she was feeling confident...
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Can Paid Maternal Leave Help Address the Disparities in Maternal Mortality? (NIH)
By Rada Dagher, Ph.D., M.P.H. Posted on June 28, 2020 , National Institute on Minority Health and Health Disparities. Maternal mortality rates in the United States have reached an all-time high. While these rates have dropped globally in the last few decades 1 , in the United States, they have more than doubled between 1987 and 2015 2 . The picture is even grimmer for racial and ethnic minority communities, where African American and American Indian/Alaska Native women have the highest...
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Adolescent antecedents of maternal and paternal perinatal depression: a 36-year prospective cohort (Psychologic Medicine)
Thomson KC, Romaniuk H, Greenwood CJ, et al. Adolescent antecedents of maternal and paternal perinatal depression: a 36-year prospective cohort [published online ahead of print, 2020 Apr 28]. Psychol Med . 2020;1-8. doi:10.1017/S0033291720000902. Abstract Background: Rates of common mental health problems (depression/anxiety) rise sharply in adolescence and peak in young adulthood, often coinciding with the transition to parenthood. Little is known regarding the persistence of common mental...