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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...
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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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Association of Adverse Experiences and Exposure to Violence in Childhood and Adolescence With Inflammatory Burden in Young People [jamanetwork.com]

By Line J.H. Rasmussen, Terry E. Moffit, et al., JAMA Pediatrics, November 4, 2019 Question: Is exposure to adverse experiences, stress, and violence in childhood associated with an increase in blood levels of the inflammatory biomarker soluble urokinase plasminogen activator receptor in young people? Findings: In this cohort study of 1391 young people followed up to 18 years of age in the United Kingdom, exposure to adverse experiences, stress, and violence during childhood or adolescence...
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COVID-19 and Healthcare worker's families: behind the scenes of frontline response [thelancet.com]

By Amine Souadka, Hajar Essangri, Amine Benkabbou, et al., EClinical Medicine, May 17, 2020 During the COVID-19 outbreak, healthcare professionals are exposed to a high-risk of infection and mental health problems, but also fear of contagion and spreading the virus to their families. In fact, considering them as individuals implies looking beyond their function as frontline responders and taking into account their societal role as parents, spouses and offspring. While work-family balance is...
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Despite Gains, the Emotional Lives of Children Often Forgotten by Our Medical System [centerforhealthjournalism.org]

By A.K. Whitney, Center for Health Journalism, November 11, 2019 I don’t remember the date, or even the time of year, though the medical records tell me it was 1977. I was 6. But I will always remember that day: the gloomy, wood-paneled exam room at Karolinska Institutet in Stockholm, the hard, high table I sat on, the doctor looming above me as he muttered about swan necks and hammers, though there were no birds or tools in sight. He didn’t bother making eye contact with me. I’m not sure he...
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Resilience for Children & Families: Being Brave When Things are Hard

Building Resilience with Children During Racial Discrimination & Violence: This attached Resilience Brief for Children has been the hardest one I have written yet. I have been an active advocate for the equal treatment of people from all backgrounds, religions, ethnic heritages, orientations, and families my entire life. It is hard to see the pain present today, not only due to COVID19 but also due to the harm and anger we see daily in the news. I want to share a story about the person...
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What Children Really Need Is Adults That Understand Development

Deborah McNelis M.Ed ·
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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