Tagged With "Health equity"
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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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This Psychologist Is Changing The Face Of Therapy For Black Women [HUFFPOST]
[DFINNEY PHOTOGRAPHY] J oy Harden Bradford, an Atlanta-based therapist who founded the mental health platform Therapy for Black Girls , is an advocate for black women’s well-being. The founder of the website Therapy for Black Girls is working to empower black women to make their mental health a priority. Slowly but surely, mental health has moved from the sidelines to the center of our national conversation around well-being. But discussing feelings and emotions is still a touchy subject in...
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'Understanding Trauma': Program Shows Doctors the Biases Indigenous Women Experience [cbc.ca]
By Daniela Germano, Canadian Broadcasting Corporation, October 1, 2019 An online training program is aiming to educate health-care professionals about biases Indigenous women may experience as highlighted by allegations of recent coerced sterilizations. Dr. Naana Jumah, an obstetrician-gynecologist at the Thunder Bay Regional Health Sciences Centre and assistant professor at the Northern Ontario School of Medicine, said the idea for the program came in 2011 when she was doing her residency.
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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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'Warm' Hotlines Deliver Help Before Mental Health Crisis Heats Up [khn.org]
By Stephanie Stephens, Kaiser Health News, December 9, 2019 A lonely and anxious Rebecca Massie first called the Mental Health Association of San Francisco “warmline” during the 2015 winter holidays. “It was a wonderful call,” said Massie, now 38 and a mental health advocate. “I was laughing by the end, and I got in the holiday spirit.” Massie, a San Francisco resident, later used the line multiple times when she needed additional support, then began to volunteer there. [ Please click here...
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Introduce mental health checks for new mothers, ministers told Six-week checkup would help the 50% of UK mothers with mental health problems
New mothers should receive a mental health checkup six weeks after giving birth to help tackle possible postnatal depression and other problems related to having a baby, ministers have been told. A cross-party group of 60 MPs and peers have written to Steve Brine, the minister for public health and primary care, demanding that all mothers in England have an assessment of their emotional and mental health carried out by a GP, practice nurse or health visitor. They say that making such...
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INVITE: Mental Wellness Micro Healing Pop-up -- Mental Health Awareness Day - May 10
In recognition of Mental Health Awareness Day , please stop by our Trauma Transformed Healing Pop-up at the T2 Center in Oakland, CA. WHEN: Thursday, May 10th TIME: 12:00pm – 4:00pm WHERE: Trauma Transformed Center, 1035 22nd Avenue, #14, Oakland, CA. Please consider carpooling as parking is limited at times. WHAT: Healing and wellness activities DIY crafting "Spa" inspired snacks and drinks And more! Drop in and stay as long as you like between 12-4pm. RSVP: ...
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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 Moms 70% More Likely to get a Maternal Mental Health Disorder [huffingtonpost.com]
My second daughter, Kira Elle, was in the NICU for 13 days, which most would consider a "short stay". But I can attest that being separated from her at birth severely impacted my mental health in extremely negative ways. Shortly after bringing her home, I was able to identify within myself that I had Postpartum Depression and Rage. Only now, at 7 months postpartum, am I starting to address my trauma from the NICU through the use of Brain Spotting in my therapy sessions. Linked is an article...
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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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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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One way Childhood Trauma Leads to Poorer Health for Women [news.osu.edu]
By Jeff Grabmeier, Ohio State News, September 17, 2019 Researchers have long known that childhood trauma is linked to poorer health for women at midlife. A new study shows one important reason why. The national study of more than 3,000 women is the first to find that those who experienced childhood trauma were more likely than others to have their first child both earlier in life and outside of marriage – and that those factors were associated with poorer health later in life. The findings...
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Parental Depression Forecasts Kids' Later Physical Health [news.uga.edu]
By Allyson Mann, University of Georgia Today, October 24, 2019 When parents suffer from depression, kids may be at risk for physical health problems in young adulthood, according to a study from researchers including the University of Georgia’s Katherine Ehrlich. The results revealed an association between parental depression and youth metabolic syndrome—a condition that forecasts substantially increased risk for cardiovascular disease and diabetes. “The good news is that while parental...
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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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Why Reducing Toxic Stress can Improve the Health of an Unborn Child [pbs.org]
By Stephanie Sy, Public Broadcasting System, December 17, 2020 Researchers are trying to better understand the biology of stress and its impact on child health. Now, data suggests those connections may form as early as the womb, with studies indicating frequent and prolonged adversity for pregnant women can affect the development of their babies. Stephanie Sy reports on a program aimed at easing the stress and struggles of mothers and their unborn children. [ Please click here to read the...
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Can Psychotherapy Reverse Post-Traumatic Epigenetic Changes? [psychologytoday.com]
By Grant H. Brenner, Psychology Today, October 29, 2019 Posttraumatic Stress Disorder (PTSD) is a condition affecting a subset of people exposed to traumatic experiences. Not all people who endure traumatic experiences will develop PTSD as most people are resilient due to biological, psychological, and social factors. Most responses to trauma are normal, including short-term stress responses, sleep disturbances, fears of trauma happening again, and related reactions, but they resolve after...
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For Community Health Centers, a Hands-On Guide to Building Partnerships [chcf.org]
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...
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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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4th Annual Bay Area Maternal Mental Health Conference
By UCSF Continuing Medical Education, December 12, 2019 This is the fourth annual conference here in the Bay Area focusing on maternal mental health and well-being, with speakers from throughout the area covering important topics that will improve the care our patients are receiving. We welcome anyone with a personal or professional interest in maternal mental health. Participants will: Review the state of the current opioid crisis in this country and learn about tools to help identity...
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A Message from the President of the Illinois Chapter, American Academy of Pediatrics
Dear Illinois ACE Connection members, Children and families from all demographic and socioeconomic backgrounds in Illinois experience trauma, adversity, and chronic stress. Social determinants such as where we live, work, and play, can further exacerbate positive or negative physical, emotional, and behavioral health issues. The critical factor that determines if a child, family, and/or community can manage trauma, adversity, and chronic stress successfully is resilience : the process by...
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A View From the Sharp End of New Zealand's Suicide Problem [thespinoff.co.nz]
By Gawen Carr, The Spinoff, October 21, 2019 Last week, as I left yet another 3am crisis interview in ED as a psychiatric doctor for a suicidal teenager, I felt drained and weary. This was partly due to the time, but mostly something else: although I felt I had helped keep the young person safe in the imminent future, I was frustrated that I was unable to meaningfully address the reasons why they felt that way. I thought I’d look through the recently released Ministry of Health authored...
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A Wakeup Call About Children's Sleep and What To Do About It [psychologytoday.com]
By Robyn Koslowitz, Psychology Today, November 3, 2019 Only half of children in the United States routinely get enough sleep each night, and this has significant effects on their academic performance and social, and emotional well-being. A comprehensive study analyzed responses from parents or caregivers of 49,050 children, 6 to 17 years old, who were part of the 2016-2017 cohort of the National Survey of Children’s Health. They were queried about how many nights of sleep a randomly selected...
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AAP Policy Statement Stresses Pediatrician's Role in Mental Health [healio.com]
By Healio, October 21, 2019 An updated policy statement and a technical report issued by the AAP highlighted the need for increased involvement among pediatricians in their patients’ mental health care and increased mental health care training in medical education programs. “Pediatricians — whether in primary care or subspecialty practice — typically have longitudinal, trusting relationships with their patients and families and, as a result, unique opportunities to promote social-emotional...
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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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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: Nominate a Trauma-Informed Care Champion: #TICchampion
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
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Re: NICU Moms 70% More Likely to get a Maternal Mental Health Disorder [huffingtonpost.com]
Jessica, thank you for bravely sharing the back story to your interest in maternal mental health! I wonder if you will be the person who helps another mom seek help? Just like from the article, " i t was a friend who had struggled with PPD herself who finally urged her to get help " . Thank you so much! Karen
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Re: NICU Moms 70% More Likely to get a Maternal Mental Health Disorder [huffingtonpost.com]
Thank you for posting this and sharing a little of your story Jessica. Powerful article that we need for health care providers to see!
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Mental Health Awareness: When Suffering Is Not an Illness
When I was an adolescent and young adult, I struggled with depression. As I reflect back on that time, so much of what I was experiencing was deeply tied to coming to terms with my sexuality. Growing up in the 1980’s in a relatively conservative town, I was closeted (even to myself) until I was a young adult. The pain and fear of being different, of not belonging, of being judged or rejected for who I was more than my adolescent brain could wrap its conscious head around.
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Pediatric Mental Health Care Must Be Family Mental Health Care [jamanetwork.com]
By Matthew G. Biel, Michael H. Tang, Barry Zuckerman, JAMA Pediatrics, April 6, 2020 Pediatric mental health (MH) concerns, including depression, anxiety, loneliness and social isolation, and suicide, have increased markedly in the last decade and are critical factors associated with population health. While effective interventions for these conditions have been developed and pediatric health care professionals increasingly address MH concerns as a central component of clinical practice, our...
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Why the dean of early childhood experts wants to get beyond the brain [centerforhealthjournalism.org]
By Ryan White, Center for Health Journalism, July 23, 2020 Harvard’s Jack Shonkoff, a luminary in the field of early childhood, has spent years showing that events in the earliest years of life have profound implications for how budding brains develop, and in turn, shape a child’s later potential at school and work. Now, Shonkoff says it’s time to connect the brain to the rest of the body. “The message now is to say that there is a revolution going on in molecular biology and genomics and in...
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Re: Why the dean of early childhood experts wants to get beyond the brain [centerforhealthjournalism.org]
As I pointed out in my recent blog (ACEs and Gynecological Problems - A Conversation Starter) the disruption of hormones they talk about in the ACEs literature also affect women's reproductive organs and those recurring traumatic experiences trigger like none other. Since this happens to young women, who become the mothers of other young women, I feel it is critical that it deserves a place in the spotlight!
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Maternal Mental Health
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...
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8 Categories of Adversity That Shape Health: Adverse Babyhood Experiences (ABEs), ACEs, and More
When I assisted women and families during pregnancy, labor and birth as a family doctor, I often felt concern that the interventions commonly used, while potentially life saving, influenced outcomes in ways that could be negative. I've since learned about a vast body of evidence that helps identify risk and offers tools to help recognize potential risk and effects so we can improve prevention and treatment. "ABEs" are one of 7 categories of adversity I add to ACEs that I wish I'd known about.
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Re: 8 Categories of Adversity That Shape Health: Adverse Babyhood Experiences (ABEs), ACEs, and More
Gosh @Veronique Mead -- THANK YOU for this -- what a tremendous resource document you've created.
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Re: 8 Categories of Adversity That Shape Health: Adverse Babyhood Experiences (ABEs), ACEs, and More
So glad it feels helpful Lisa!! I plan to share a more detailed post on ABEs here in the future!!
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To solve the Black maternal mortality crisis, start with upending racist practices
It’s been all over the news for months: Black women in the United States are dying from complications during their pregnancies or in childbirth at alarming rates, and those deaths are preventable. Less well explored is how systemic racism and historical trauma have been at the core of what’s driven up these rates over several decades. A March 20 conference entitled The Impact of ACEs on Black Maternal Health took an in-depth look into why Black maternal mortality and complications during...
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Maternal Health’s Ongoing Mandate for Women of Color: The Call for Wholistic Health Equity
Last month’s CDC declaration that Racism is a public health crisis was long overdue. Yet, vital health and mental health disparities for women of color rage on amid this latest societal call to arms. Too many women of color, their families, and friends lay victim to gaping wounds, residual scars, and profound trauma from egregious maternal health experiences. Current facts speak volumes. The U.S. has the highest rate of maternal mortality among developed nations, rising steadily the past 40...
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Mothers' depression impacts mother-infant relationships (sciencedaily.com)
Research has found that women with depression during pregnancy, or with a history of depression, had a reduced quality of mother-infant interaction at both eight weeks and 12 months after their babies were born. In a study funded by National Institute for Health Research (NIHR) Maudsley Biomedical Research Centre (BRC) researchers examined whether depression, either before or during pregnancy, affects the mother-infant relationship. The research was published Tuesday 25 May in BJPsych Open.
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The Dismal State of Maternal Wholistic Health for Women of Color
Change is long overdue for this massive maternal health chasm of wholistic health disparities, transcending physical, behavioral, and psychosocial health, and particularly for women of color (WOC)
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I’m a Motherhood Expert. My Ambivalence Is Normal. [nytimes.com]
By Pooja Lakshmin, M.D., The New York Times, May 7, 2022 I’m not someone who dreamed of motherhood as a girl. Quite the opposite. In my early 30s, I had a recurring nightmare in which I was unknowingly pregnant and the fetus felt like a parasite invading my body. Growing up in South Asian culture, which valorizes women’s childbearing and mothering responsibilities above all else, was one reason for my fear. I also got divorced in my late 20s. Becoming a mom didn’t seem like it was in the...
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Patients Lift Their Voices To Advance Maternal Health [www.healthaffairs.org]
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...
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Health Equity and the Social Determinants of Health Are NOT Synonyms
Successful health equity strategies must be inclusive, and focus on all marginalized and minoritized persons and their communities. Any lesser view will continue to yield a faulty health equity equation.
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What Children Really Need Is Adults That Understand Development
The brain doesn’t fully develop until about the age of 25. This fact is sometimes quite surprising and eye opening to most adults. It can also be somewhat overwhelming for new parents and professionals who are interacting with babies and young children every day, to contemplate. It is essential to realize however, that the greatest time of development occurs in the years prior to kindergarten. And even more critical to understand is that by age three 85 percent of the core structures of the...
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We know how to support poor families
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...
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Early Relational Health Innovators Partner In Program Supported by PACEs Connection Cooperative of Communities Members in Twelve California Counties
Christina Bethell, Ph.D, MBA, MPH, founder of the Child and Adolescent Health Measurement Initiative (CAHMI), principal author of the groundbreaking study on positive childhood experiences, and creator of the free Well Visit Planner, among other innovations. Two internationally-respected leaders and innovators in complementary aspects of early relational health and childhood and maternal health equity recently launched a partnership they believe will benefit everyone from newborn babies and...