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PACEs in Medical Schools

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Webinar: The Human Impact of Climate Change

The Community Resiliency Model Disaster Relief Program Climate change emergencies are real and the human toll during and in the aftermath impact children, teens and adults. This webinar will hear from Kelly Doty, a survivor, who lost her home in Paradise and is working in a community-based program to help the children and their parents in the aftermath. Elaine Miller-Karas, the key developer of the Community Resiliency Model Disaster Relief Program, will explain the program and how it helps...

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...

Fed Up With Deaths, Native Americans Want to Run Their Own Health Care [nytimes.com]

By Mark Walker, The New York Times, October 15, 2019 When 6-month-old James Ladeaux got his second upper respiratory infection in a month, the doctor at the Sioux San Indian Health Service Hospital reassured his mother, Robyn Black Lance, that it was only a cold. But 12 hours later James was struggling to breathe. Ms. Black Lance rushed her son back to the hospital in western South Dakota, where the doctors said they did not have the capacity to treat him and transferred him to a private...

Moving Upstream to Address Contributors to Toxic Stress in Pediatric Primary Care [chapinhall.org]

By Angeline Spain, Angela Sander, and Amanda Brown, Chapin Hall at The University of Chicago, October 2019 Healthcare in the U.S. is increasingly moving “upstream” to address the risk of social determinants of health. One common strategy is the early screening of needs and connection to services. Chapin Hall, in collaboration with national and local partners, is conducting an evaluation of innovations designed to promote screening for contributors to toxic stress during pediatric well-child...

ACEs Community Spotlight Series: Dr. Richard Honigman, Central Nassau Pediatrics

For our second community spotlight interview, I spoke with Dr. Richard Honigman, a pediatrician at Central Nassau Pediatrics in Levittown and infant mental health advocate. We discussed the importance of addressing childhood adversity and the relevant work he is doing both inside and outside his practice. Please note that responses have been adjusted for length and clarity. Dr. Honigman is also the first recipient of the 2019 Ed Tronick Award for Distinguished Contribution to Infant-Parent...

Screening for ACEs in Pediatric Practice [American Academy of Pediatrics - CA Chapter 2]

By Ariane Marie-Mitchell, American Academy of Pediatrics, October 2019 In the August newsletter, we provided an overview of the definition and impact of adverse childhood experiences (ACEs) (http://aapca2.org/aces). In this article, we will explore the argument in favor of screening for ACEs in pediatric practice, and describe the process and results of a California state advisory group on screening for trauma. The American Academy of Pediatrics (AAP) recommended screening for toxic stress...

The Relentless School Nurse: When the Health Office Pass Includes Emotions

The collaboration between school counselors and school nurses creates safe spaces for students at school. Building a coalition between school counselors and school nurses creates a safety net for our most complex and challenging students while benefiting the whole school community. Promoting connections through intentional relationship building, and ensuring a school environment that is physically, emotionally and psychologically safe changes the culture and climate. Read about an amazing...

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...

Webinar Oct. 17 — Integrating ACEs science in pediatrics: Early adopters share lessons from the field

An ACEs Connection webinar co-sponsored with 4 CA In 2017, California became the first state in the country to pass a law supporting universal screening for adverse childhood experiences (ACEs) in the 5.3 million children in the state’s Medicaid program. As clinicians around California await the state’s announcement of what this new policy will entail, many are wondering what it takes to integrate ACEs science in a pediatric practice. Meet Drs. Deirdre Bernard-Pearl, R.J. Gillespie and...

Farm to Hospital Bed: This Hospital Uses it's Roof to Feed Thousands (nationswell.com)

When Boston Medical Center needed a way for patients to access healthy, fresh food, it turned to its roof. The hospital’s 2,658-square-foot rooftop farm grows fresh produce for its food-insecure patients. These patients are referred to the Boston Medical Center’s Preventative Food Pantry . There, they gain access to over 25 crops and can take home fresh food for their entire household every two weeks. “The Preventive Food Pantry helps fill the gap for those who would otherwise be unable to...

Nurturing relationships in childhood boost adult mental health, relationships

We're proud to announce major research that suggests that positive childhood experiences — such as supportive family interactions, caring relationships with friends, and connections in the community — are associated with reductions in chances of adult depression and poor mental health, and increases in the chances of having healthy relationships in adulthood. This association was true even among those with a history of adverse childhood experiences.

Toxic stress from El Paso, Dayton, Gilroy shootings addressed in Thursday Community Resilience Model Webinar

An ACEs Connection webinar will offer helpful self-regulation tools to those rocked by recent shootings in Gilroy, CA, El Paso, TX , and Dayton, OH. The Building Resilient Communities webinar is offered by ACEs Connection this Thursday, August 9, at 10:00 AM PDT / 1 :00 PM E D and will last approximately 1 hour. Elaine Miller-Karas will teach her Community Resilienc y Mode l. Find registration details below. This webinar is free and open to the public. It serves professionals and community...

How trauma-informed care promotes healing: Patient Narrative

So pleased that KevinMD published this patient narrative. I was encouraged to share it here as well! https://www.kevinmd.com/blog/2...romotes-healing.html By MEGAN R. GERBER, MD | CONDITIONS | JULY 26, 2019 As physicians, we face the formidable task of working with patients who appear angry, never content with care or “made better” by anything we do. They may be known as “difficult,” unpleasant, or demanding. These patients are the most challenging and often the least rewarding to care for.

Seeing Birth From Baby's Perspective (online course) Class Womb

We are happy to announce our newest online course being offered through APPPAH’s ClassWomb ! We now know that the baby's experience of conception, pregnancy, birth, and attachment can provide a lifelong template for health and a foundation of resiliency to life’s challenges. Yet, the baby's experience often remains unconscious but profoundly alive in the body. Healing and integrating these early overwhelming events is possible. This course is especially geared towards therapists, educators,...

Jones: Day 2: Soda, cigarettes and trauma: How Adverse Childhood Experiences alter brain chemistry, cultivate unhealthy habits and prompt premature death

Patients would carry soda into Dr. Gerard Clancy’s office, with cigarettes tucked away for after therapy. Often victims of abuse or violent crime, they would seek soothing but risky behaviors to cope. Overweight. Chronic pain. Chronic obstructive pulmonary disease. Type II diabetes. His former patients will die younger than they should, he said. Clancy conducted therapy sessions until he became president of the University of Tulsa in 2016. At his psychiatry clinic, he saw firsthand how a...

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