Tagged With "Trauma-Informed"
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Opinion: All Doctors Should Practice Trauma-Informed Care [calhealthreport.org]
By Bob Erlenbusch and Drew Factor, California Health Report, November 20, 2019 “Adverse childhood experiences are the single greatest unaddressed public health threat facing our nation today,” Dr. Robert Block, former president of the American Academy of Pediatrics, has been widely quoted as saying. According to the Adverse Childhood Experiences Study, conducted in the 1990’s by the Centers for Disease Control & Prevention and Kaiser Permanente, adverse childhood experiences are common,...
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Paving the Way to Healing Complex Trauma [eurekalert.org]
By Dan Salmon, EurekAlert!, December 13, 2019 A major study led by researchers at La Trobe University in Australia has identified key themes that will be used to inform strategies to support Australian Aboriginal and Torres Strait Islander parents in the first years of their children's lives. The Healing the Past by Nurturing the Future project aims to break the cycle of intergenerational and complex trauma experienced by Aboriginal and Torres Strait islander people, by co-designing...
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School Nurses Share Their Voices, Trauma, and Solutions by Sounding the Alarm on Gun Violence [link.springer.com]
By Robin Cogan, Donna M. Nickitas, Donna Mazyck, Sunny G. Howell, Springer Link, November 22, 2019 Abstract Purpose of Review The purpose of this review is to discuss the impact of gun violence within schools from the perspective of school nurses. School nurses are first responders whose skills are crucial to ensuring the health and safety of students, staff, and faculty within schools and the surrounding community. Recent Findings In the USA, fear has long dictated how schools invest their...
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The Black Community, COVID-19 & Trauma [sdvoice.com]
By Latanya West, San Diego Voice, May 15, 2020 In January 2019, Governor Gavin Newsom appointed Dr. Nadine Burke Harris as California’s first-ever Surgeon General. An award-winning physician, researcher and advocate, Dr. Burke Harris’ career has been dedicated to serving vulnerable communities and combating the root causes of health disparities. Her work is equally dedicated to changing the way our society responds to one of the most serious, expensive and widespread public health crises of...
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The Link Between Childhood Trauma and Sexual Abuse in Adulthood
Please check out our latest Healing Our Ghosts' podcast with ECHO's executive director and #metoo Harvey Weinstein's silence breaker Louise Godbold. Healing Our Ghosts shines light into the suffering we keep hidden. We are not alone in our struggles and when we share our pain, we lift the shame secrecy that keeps us alone and disconnected from each other and prevents us from healing. With humor and compassion, Ana Joanes interviews a wide variety of guests about their messy lives, how they...
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TIC: News and Notes for November 2019
ACEs, Adversity's Impact Podcast: Dr. Nadine Burke Harris Vital Signs: Estimated proportion of adult health problems attributable to adverse childhood experiences and implications for prevention - 25 states, 2015-2017 Animal study shows how stress and mother's abuse affects infant brain LGBTQ, traumatized homeless youth more vulnerable to being trafficked: Report How do these pediatricians do ACEs screening?Early adopters tell all When family relationships become toxic: The trauma of...
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TIC: News and Notes for the Week of October 21, 2019 [dhs.wisconsin.gov]
ACEs, Adversity's Impact There is only one boat: The myth of normalcy by Dr. Gabor Mate Understanding historical trauma to strengthen community Childhood trauma linked to early, premarital childbirth and poor health for women Early life racial discrimination linked to depression, accelerated aging When mothers are killed by their partners, children often become 'forgotten' victims. It's time they were given a voice Children's language skills may be harmed by social hardship Does racism...
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Trauma-Informed Care as a Universal Precaution: Beyond the Adverse Childhood Experiences Questionnaire [jamanetwork.com]
By Nicole Racine, Teresa Killam, and Sheri Madigan, JAMA Pediatrics, November 4, 2019 Experiences of childhood adversity are common, with more than 50% of adults reporting having experienced at least 1 adversity as children and more than 6% exposed to 4 or more adverse childhood experiences (ACEs). There is currently a controversial debate in the medical field as to whether the ACEs questionnaire, which asks about abuse, neglect, and household dysfunction before age 18 years, should be...
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Trauma-Informed Care May Ease Patient Fear, Clinician Burnout [jamanetwork.com]
By Bridget M. Kuehn, JAMA Network, January 29, 2020 For many sexual assault survivors whom Anita Ravi, MD, MPH, sees as a New York City–based family physician, the prospect of even basic medical care can be frightening. Some have put off Papanicolaou tests and mammograms for years or even decades. To help them, Ravi has adopted a trauma-informed approach that works to restore patients’ trust and give them a greater sense of control over their visit. This may include asking permission before...
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What Survivors of Complex Trauma Want You to Know [marieclaire.com.au]
By Grace Back, Marie Claire, October 28, 2019 The 28th of October marks the tenth anniversary of Blue Knot Day, established by the Blue Knot Foundation to raise awareness of the more than five million adult survivors of complex trauma. This year's theme was: untangle the knot of complex trauma. Blue Knot Foundation President Dr Cathy Kezelman AM said Blue Knot Day was about uniting Australians to help untangle the knot and complexities of trauma and abuse to support the recovery, resilience...
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Why Emotional Eating Can Be a Consequence of Trauma
Research suggests that trauma can be a cause of emotional eating, or the drive to consume “comfort foods,” to manage the negative emotions directly related to past negative events.
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12 Things I Wish My Doctor Understood About Childhood Trauma
It doesn’t happen that often anymore, but one place where I almost always get triggered with my Childhood PTSD symptoms is when I visit the doctor. I could never even put this into words before. But now that I’m mostly healed from my Childhood PTSD symptoms, I want to express what I wish my doctors – all the doctors of my life – had understood about the effects of Childhood trauma, about me. Note: This is one of my most personal posts ever. Unless you’re someone who really prefers text, I...
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7 Ways to Help a Child Deal with Traumatic Stress
Traumatic stress feels awful. Thankfully, there are small things we can all do to help relax a hyperaroused nervous system.
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ACEs & African Americans Community on ACEs Connection
ACEs Connection envisions a resilient world where ALL people thrive. We are an anti-racist organization committed to the pursuit of social justice. In our work to promote resilience and prevent and mitigate ACEs, we intentionally embrace and uplift people who have historically not had a seat at the table. ACEs Connection celebrates the voices and tells the stories of people who have been barred from decision-making and who have shouldered the burden of systemic and economic oppression as the...
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Adverse Childhood Experiences (ACEs) and Community Physicians: What We've Learned [thepermanentejournal.org]
By Brian R. Stork, Nicholas John Akselberg, Yongmei Qin, and David C. Miller, The Permanente Journal, January 24, 2020 ABSTRACT Introduction : The prevalence of childhood trauma, as measured by the Adverse Childhood Experiences (ACE) Study questionnaire, has been studied in a wide variety of community settings. However, little is known about physicians’ familiarity with and use of the ACE questionnaire or the prevalence of childhood trauma in the physician community. Objective: To survey a...
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Becoming Trauma Informed (Millstein JGIM 2020)
When I look at Victoria through a clearer lens, there are many clues—her anxiety, troubled marriage and family life, avoidance of physically intrusive examina- tions. I realize that I hardly know her at all. I focus on her health issues, and despite many stumbles, we have a nice rapport. I accept whatever she is willing to share about her tumultuous home life, but I do not ask how it all came to be so. Now I float with her in a reservoir of pain and shame.
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Borderline Personality Disorder has Strongest Link to Childhood Trauma [eurekalert.org]
By Mike Addelman, EurekAlert!, November 18, 2019 People with Borderline Personality Disorder are 13 times more likely to report childhood trauma than people without any mental health problems, according to University of Manchester research. The analysis of data from 42 international studies of over 5,000 people showed that 71.1% of people who were diagnosed with the serious health condition reported at least one traumatic childhood experience. The study was carried out by researchers at The...
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CPTSD and Social Awkwardness: Another Source of Isolation
For those of us who grew up with abuse and neglect at home, it can be hard to know how to ACT in social situations. Here's an example.... Have you ever been to a hotel where there is a person who is there to carry your bags, and even though you didn’t ask, they carry your bags to the room and it’s totally awkward, and you think “I’m supposed to give them a tip, right? I’ve, like seen this on TV. But you don’t have cash, and they’re just standing there ," and you think, "What do I do? What do...
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From Trauma-Informed to Asset-Informed Care in Early Childhood [brookings.edu]
By Ellen Galinsky, Brookings Institute, October 23, 2019 The focus on “toxic stress,” ACEs (Adverse Childhood Experiences), and trauma-informed care have been game-changers in the field of early childhood development. They have helped us recognize the symptoms of trauma, provide appropriate assistance to children, and understand that prolonged adversity in the absence of nurturing relationships can derail a child’s healthy development. Just look at the media’s and the public’s reaction to...
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GABOR MATÉ JOINS EP. 3 on May 21 with Darrell Hammond and Filmmaker Michelle Esrick. [crackedupmovie.com]
CRACKED UP THE EVOLVING CONVERSATION TRAUMA AS THE ROOT CAUSE OF ADDICTION With DARRELL HAMMOND DIRECTOR MICHELLE ESRICK and RENOWNED TRAUMA AND ADDICTION EXPERT GABOR MATÉ, M.D. author of In the Realm of Hungry Ghosts: Close Encounters With Addiction MODERATED BY JANE STEVENS, FOUNDER OF ACES CONNECTION Hosted by ACES Connection Thursday May 21st at 2pm PDT / 3p MT / 4p CT / 5pm EDT FREE FOR ALL WHO REGISTER! IF YOU REGISTER, BUT CAN NOT ATTEND, YOU WILL RECEIVE A RECORDING WITHIN ONE WEEK.
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Healing Hurt People: Helping Victims of Violence Heal from Their Trauma and Become Community Peer Health Workers [citywidestories.com]
By Michael Butler, City Wide Stories, November 1, 2019 Healing Hurt People started in 2008 as an initiative to help victims of violence heal and deal with the trauma of their injuries; more than a decade later the organization has created a sustainable model for hospitals across the city of Philadelphia. Young men that have dealt with violence are encouraged to go through training, become community peer health workers, and help those who have gone through similar experiences. We spoke with...
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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.
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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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Re: Becoming Trauma Informed (Millstein JGIM 2020)
As a family doc with 40 years of practice under my belt I heard the phrase "Trauma Informed Care." for the first time in 2019. This not so benign neglect is complimented by adult medicine's obliviousness to the pervasive morbidities caused by the fact that about 20% of our adult patients were abused as children. This affects both mental and physical health. Training in adult medicine is void of attention to both child abuse and TIC, much to the detriment of our patients.
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Re: ACEs & African Americans Community on ACEs Connection
The more solid scientific evidence, the better the chances of convincing the medical community that we will not make a dent in the numbers of chronic diseases/ mental health and substance issues, until we provide treatment for ACEs, generational trauma .... as readily as we prescribe a pill. Thank you for the work you are doing!
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Experience of emergency department use among persons with a history of adverse childhood experiences [bmchealthservres.biomedcentral.com]
By Eva Purkey, Colleen Davison, Meredith MacKenzie, et al., BMC Health Services Research, May 24, 2020 Background Adverse childhood experiences (ACEs) are associated with increased morbidity and mortality, lower levels of distress tolerance, and greater emotional dysregulation, as well as with increased healthcare utilization. All these factors may lead to an increased use of emergency department (ED) services. Understanding the experience of ED utilization among a group of ED users with...
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NEW Trauma-informed Care Podcast (CME provided)
Join us as we delve into the paradigm-shifting ethos of trauma-informed care with renowned expert Dr. Megan Gerber. Dr. Gerber is an Associate Professor of Medicine at Boston University School of Medicine and serves as Medical Director of Women’s Health for VA Boston where she directs the Women’s Health Fellowship. Dr. Gerber edited the textbook, “Trauma-informed Health Care Approaches: A Guide for Primary Care.” We discuss the framework for trauma-informed universal precautions, as well as bas
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Help Navigating the Road to Community Resiliency
The first time I ever heard the words trauma-informed care and the Adverse Childhood Experiences (ACEs) study was in the summer of 2014. At the time, I was working for the local Police Department as the Director of a grant-funded Crime Reduction Project aimed at reducing drug-related and violent crime. Of the many program goals, one was to develop a rehabilitative corrections program for felony offenders with addictions in order to reduce recidivism. Though I’ve lived in this region for...
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Baby courts: A proven approach to stop the multigenerational transmission of ACES in child welfare; new efforts to establish courts nationwide
The organization Zero To Three estimates that in the U.S., a child is taken into the child welfare system every six seconds. “Many of society’s most intractable problems can be traced back to childhood adversity. Being in the child welfare system increases the likelihood of more adversity and criminality. Baby court is a proven approach to healing the trauma of both child and parent, and breaking the cycle of maltreatment,” says Mimi Graham, Ed.D ., director of the Florida State University...
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Trauma informed pain treatment
A patient-centered approach to opioid tapers must account for the reality that many people who are given a prescription for an opioid to treat pain have significant mental health conditions—for which opioids act as a psychotropic agent. An opioid taper must therefore address psychological trauma, in particular.
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Psychological Trauma Is the Next Crisis for Coronavirus Health Workers [Scientific American]
After his roughest days in a New York City emergency room, physician Matthew Bai feels his whole body relax when he sees his wife and 17-month-old daughter. “My light at the end of the tunnel is going home to family,” Bai says. When Manhattan’s Mount Sinai Hospital started to overflow with COVID-19 patients in late March, however, Bai and his wife decided she should take their toddler and stay with her parents in New Jersey. The risk of spreading the virus to his family was too great. Now...
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Trauma-Informed Healthcare Approaches: A Guide for Primary Care
https://www.springer.com/us/book/9783030043414
On sale through 9/30/2020.
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Re: Free 2020 Virtual Trauma-Informed Care Conference
Thanks, Bharat, for the post! I will help spread the word by posting on the Georgia ACEs Connection site as well as the SE Region on ACEs Connection. I invite you and others to please use the social media bar below the story to share this out on Facebook, Twitter, LinkedIn, etc. and or to copy the link and email this story to colleagues. If we want to have a trauma-informed world we need the medical community helping to drive demand to make it so. We are grateful for you work to take ACEs...
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Free 2020 Virtual Trauma-Informed Care Conference
Each year, STAR hosts a Trauma-Informed Care Conference to help educate the next generation of leaders and build a strong network of Trauma-Informed professionals in the state of Georgia. The conference will be held on Saturday, October 3rd from 10:00am- 1:00pm EST and Sunday, October 4th , 2020 from 2:00pm-5:00pm EST conducted virtually via Zoom.
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The Intersection of Systematic Racism, the Pandemic, and SDoMH: Reality Mandates Change
Systematic racism is at the core of mental health disparities and social determinants of mental health (SDoMH).Upstream factors obstruct patient access to needed and appropriate assessment, timely intervention, with treatment for these populations often reflecting poorer quality, and ending prior to completion of treatment. COVID-19 and the recent pandemic have only amplified meso and micro-level gaps in care. considered, provided, and reimbursed.
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A New Hippocratic Oath Asks Doctors To Fight Racial Injustice And Misinformation [NPR]
First-year medical student Sean Sweat "didn't want to tiptoe around" issues of race when she sat down with 11 of her classmates to write a new version of the medical profession's venerable Hippocratic oath. "We start our medical journey amidst the COVID-19 pandemic, and a national civil rights movement reinvigorated by the killings of Breonna Taylor, George Floyd and Ahmaud Arbery," begins the alternate version of the oath, rewritten for the class of 2024 at the University of Pittsburgh...
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Hope for Healing: A Mother's Triumph
It's her victory reward for overcoming her addiction. Now celebrating one and a half years sober! Look how far she's come since the first half of 2019! Hospitalized for detox from alcohol, repeated falls requiring hospital and rehab facility stays, threats of suicide, and trying desperately to escape the pain of her childhood trauma.
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ACEs Connection/CTIPP Southeastern Leaders’ call: State updates, funding information, and “mind-blowing” information about helping people out of poverty
Southeastern ACEs Connection and national CTIPP leaders on the quarterly leader call welcomed guest speaker Rebecca Lewis-Pankratz (top left) for their quarterly call. Also among those present were (top row l-r) Carey Sipp, Jesse Kohler, Jesse Hardin, (second row, l-r) Patti Tiberi, Mebane Boyd, Jen Drake-Croft, Dan Press, (third row, l-r) Mimi Graham, Christopher Freeze, Margaret Stagmeier, (fourth row, l-r) Emily Marsh, Liz Peterson, Alyssa Koziarski and Janet Pozmantier. Also present was...
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March CTIPP CAN Call
Thank you to Aidan Phillips from the WAVE Trust for his excellent and engaging presentation for attendees of our monthly Campaign for Trauma-Informed Policy and Practice (CTIPP) call for March. The information he shared is invaluable as we continue our work to influence change at the national level through the National Trauma Campaign . If you were unable to join, would like to watch again, or want to share with others, you can find the call recording here . Additionally, if you would like...
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Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment
Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment Jeoffry B. Gordon, MD, MPH May 23, 2021 As a family doc practicing in San Diego I was privileged to hear Dr. Vincent Felitti talk about his inspired development of the ACEs questionnaire and its association with many adult mental and physical diseases directly from him only a few years after his original insight. Yet, although I had a lively clinic and learned how to manage a vast array of medical...
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PACEs Connection presents the "Historical Trauma in America" series
PACEs Connection's Race & Equity Workgroup will be examining historical trauma in the United States of America and its impact on American society in a series of virtual discussions. This series will highlight each unique region within the United States and outline how unresolved historical trauma has impacted every aspect of American life and directly shapes the socio-political landscape of today as well as the overall well-being of Americans. Discussions will make connections between...
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Historical Trauma in the American Midwest Event Recap
On September 16, 2021, PACEs Connection hosted our second event in our Historical Trauma in America series . This event was led by Ingrid Cockhren, the director of the PACEs Connection Cooperative of Communities; and Porter Jennings-McGarity, our community facilitator of the Midwest Region. It featured guest speaker Agnes Woodward who is Plains Cree from Kawacatoose First Nation, Saskatchewan, Canada. To download the slide deck from this presentation, click here. Then click "download file".
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Path to a Just Society: Our new infographic shares common language and an aspirational path.
Our version of a “Path to a Just Society” is our first attempt at creating a common language and identifying points along the path to a just society. The Race and Equity workgroup of PACEs Connection started the project in early 2021, following a staff meeting where we realized that we, our organization and the movement needed this. We think it can help all of us gauge where we are, where we want to be, and what’s needed to get to the next level of integrating practices and policies based on...
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Re: Path to a Just Society: Our new infographic shares common language and an aspirational path.
This is a great graphic, but is field of view needs to be expanded. In my opinion to minimize, prevent trauma, you have to get beyond individual and family focused remediation. An improved graphic would include attention to poverty, racism, homelessness, and poor education, among others as factors needing attention to minimize trauma and get to a "just society." This view expands to include not only individual support, therapy, social work, and empathy, but also political action.
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Need to fund your resilience initiative? Here’s how.
Chart is sample page from county-by-county funding allocated as part of ARPA. Information is available by clicking here. This is the first of several articles on the importance of any resilience-focused entity, including your PACEs Connection community, seeking out the people in your area allocating ARPA funding and asking for money. Organizations do not necessarily have to be 501 C-3 nonprofits to receive funding. Thanks to federal American Rescue Plan Act (ARPA) funding to states in April...
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Resilient Georgia Presents: Trauma, Resilience, and the Community Resiliency Model
The Community Resiliency Model (CRM) is a set of trauma-informed skills that can help people monitor their bodily sensations and ground themselves towards their Resilient Zone. CRM is supporting individuals towards resilience in Georgia and across the nation. To read more about the basis of CRM and how it's being used today, check out our newest blog post here .
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Register now for "Building the Movement with Coalitions", presented by the Campaign for Trauma-informed Policy and Practice, PACEs Connection, and the National Prevention Science Coalition to Improve Lives
Please register now at this link to reserve your spot. You’re invited to participate in Building the Movement with Coalitions, the first of eight remarkable workshops featured in the series, “ Building a National Movement to Prevent Trauma and Foster Resilience ”. The first half-day workshop will occur virtually on January 7th from 1-5pm ET/10am-2pm PT. It focuses on the history and future of the movement and building community-owned, trauma-informed, prevention-focused, and healing-centered...
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Ethical Self-Care
Hello, The Ethical Self-Care training has been updated, and while I don't have it set up as a webinar yet for CEUs, the video of the live training from 12.29.21 is available here https://www.youtube.com/watch?v=ktkBwFjh5HA for learning purposes. Whether you want to be as ethical as possible in your field, or be more informed and able to hold others accountable as needed, the materials provided in this training are for you. Description for the training: To optimize ethical practice, it is...
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January 19th CTIPP CAN Call - Trauma-Informed Initiatives in Baltimore and Maryland
Join us next Wednesday for two excellent CTIPP CAN presentations to begin our 2022 lineup. Baltimore Councilman Zeke Cohen will discuss the work, started by the late Congressman Elijah Cummings, that is making the city of Baltimore trauma-informed. Claudia Remington will describe new trauma informed initiatives by the State of Maryland, including legislation that created a Commission to develop a comprehensive strategy to make the State trauma informed. We will also report on the first...
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Building a National Movement to Prevent Trauma and Foster Resilience Workshop Series Session 2 - January 21st, 2022 from 1-5pm ET/10am-2pm PT - Education and Health Care
Lee Johnson III PhD and Sandra Bloom MD to lead discussion on emerging trauma-informed policies and practices in the education and health care fields. What are ways that these fields are taking PACEs, Prevention, and Trauma science into consideration, and what can advocates do to help further advance these and other promising practices? It's free to join, so sign up at this link today! You’re invited to participate in Building the Movement in Education and Health Care , the second of eight...