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PACEs in Medical Schools

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

Robin M Cogan ·
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...
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TIC: News and Notes for November 2019

Scott A Webb ·
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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Tools and how to use them is focus of second webinar on Community Resiliency Model, May 14, 2020

Carey Sipp ·
The second of two free Community Resiliency (CRM) webinars with Elaine Miller-Karas , key creator of the CRM, will be held Thursday, May 14, from 11 a.m. - 12:30 p.m. ET, (10 a.m. CT; 9 a.m. MT, and 8 a.m. PT) and will include the practical application of tools of the model. CRM is an ACEs science-based biological model for helping individuals become emotionally regulated during natural disasters and other dysregulating times. Miller-Karas will be joined by CRM trainers from Wilmington, NC:...
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University of Florida Graduate Public Health Course: Trauma-Informed Approaches for Individuals, Communities, and Public Health: Student Project Summaries

Lindsey King ·
The University of Florida College of Public Health and Health Professions partnered with Peace4Tarpon under the Robert Wood Johnson Mobilizing Action for Resilient Communities (MARC) grant. Together they created 2 online graduate courses that focus on addressing ACEs and creating trauma-informed and resilience-based programs from a public health approach. Peace4Gainesville and Peace4 TheBigBend have also contributed to these courses. This post is intended to showcase some of the work of the...
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12 Things I Wish My Doctor Understood About Childhood Trauma

Anna Runkle ·
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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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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Announcing Trauma and Resilience Competencies for Nursing Education

Kathleen Wheeler ·
The authors are pleased to announce the Trauma and Resilience Competencies for Nursing Education. These competencies serve as a guideline of minimal expectations and reflect essential knowledge, skills and behaviors for three levels of nursing education: 1) undergraduate, 2) graduate, and 3) psychiatric nurse practitioner programs. The Trauma and Resilience Competencies, developed in 2018 at the Egan School of Nursing and Health Studies at Fairfield University in Connecticut by an Expert...
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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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How Can a Doctor Stop from Burning Out in the Pandemic? (greatergood.berkeley.edu)

Over the din of the negative pressure machine, I shouted goodbye to my patient. I zipped my way out of one of the little plastic enclosures in our emergency department (ED). With disgust and a bit of fear, I carefully shed my gloves, gown, and face shield. Only my precious mask remained on my face. I thought, This is a whole new world, and I hate it . The problem is that I’m losing that deep feeling of connection with patients, which is such an important part of this work. A few weeks ago,...
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How do these pediatricians do ACEs screening? Early adopters tell all.

Laurie Udesky ·
Last week, three pediatricians — with a combined experience of 15 years integrating ACEs science into their practices — reflected on the urgency they felt several years ago that prompted them to begin screening patients for childhood adversity and resilience when there was practically no guidance at all. Along their journey , they accumulated a list of lessons learned for other pediatricians and family clinics to use. The three pediatricians participated in the ACEs Connection webinar,...
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Intimate Partner Violence Screening and Intervention: The American College of Preventive Medicine Position Statement (Abstract) [sciencedirect.com]

By Tanya M. Phares, Kevin Sherin, Suzanne Leonard Harrison, et al., American Journal of Preventive Medicine, December 2019 The purpose of this paper is to produce a position statement on intimate partner violence (IPV), a major sociomedical problem with recently updated evidence, systematic reviews, and U.S. Preventive Services Task Force guidelines. This position statement is a nonsystematic, rapid literature review on IPV incidence and prevalence, health consequences, diagnosis and...
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Jones: Day 2: Soda, cigarettes and trauma: How Adverse Childhood Experiences alter brain chemistry, cultivate unhealthy habits and prompt premature death

Linda Manaugh ·
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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"Addiction begins with solving a problem, the problem of human pain, emotional pain"

Laurie Udesky ·
In his groundbreaking book , In the Realm of Hungry Ghosts: Close Encounters with Addiction , trauma and addiction expert Dr. Gabor Maté writes, “There are almost as many addictions as there are people.” ACEs Connection founder and publisher Jane Stevens read that quote as a springboard to asking Maté to define addiction and explain whether or not it is always rooted in adverse childhood experiences. Maté, along with filmmaker Michelle Esrick and Saturday Night Live star Darrell Hammond,...
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Physician Burnout, Interrupted (NEJM)

Karen Clemmer ·
By Pamela Hartzband, M.D., a nd Jerome Groopman, M.D. June, 25, 2020, N Engl J Med 2020; 382:2485-2487 DOI: 10.1056/NEJMp2003149. Before the onset of the Covid-19 pandemic, each day seemed to bring another headline about the crisis of physician burnout. The issue had been simmering for years and was brought to a boil by mounting changes in the health care system, most prominently the widespread implementation of the electronic health record (EHR) and performance metrics. 1 Initially, the...
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ACEs and Gynecological Problems - A Conversation Starter

Dianne Couts ·
Gynecological problems as a result of ACEs, and particularly of Childhood Sexual Abuse (CSA), are rarely discussed in books and articles about the ACEs. The author would like to see that issue become part of the ACEs conversation.
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Implementing the Neurosequential Model of Therapeutics in Tennessee: Parent and Clinician Perspectives (Child Wefare)

Karen Clemmer ·
Child Welfare publication, Child Trends, September 25, 2020. The QIC-AG is a five-year project working with eight sites that implemented evidence-based interventions or developed and tested promising practices which, if proven effective, can be replicated or adapted in other child welfare jurisdictions. Effective interventions are expected to achieve long-term, stable permanence in adoptive and guardianship homes for waiting children as well as children and families after adoption or...
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NOW AVAILABLE ON DEMAND: The Repressed Role of Adverse Childhood Experiences in Adult Well-Being, Disease and Social Functioning: Turning Gold into Lead (Dr. Vincent J. Felitti) [avahealth.org]

Tasneem Ismailji ·
The ACE Study reveals how typically unrecognized adverse childhood experiences are not only common, but causally underlie a number of the most common causes of adult social malfunction, biomedical disease, and premature death. Moreover, it enables one to see that the Public Health Problem is often an individual’s attempted Solution to childhood experiences about which we keep ourselves unaware. A renowned physician and researcher, Dr. Vincent J. Felitti is one of the world’s foremost experts...
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Opportunity to sign on to “A Trauma-Informed Agenda for the First 100 Days of the Biden-Harris Administration”—Deadline Dec. 8th

The Campaign for Trauma-Informed Policy and Practice ( CTIPP ) is inviting individuals and organizations to express their support for a set of executive actions for the Biden-Harris Administration to take “to address trauma and build resilience throughout the country.” Most of these actions could be taken early in the Administration and would not require congressional action with the exception of some recommendations that could be included in a new stimulus package. The recommendations are...
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Committed: How a 6-Year-Old Revealed Florida's Dysfunctional System of Baker Acting Kids [centerforhealthjournalism.org]

By JacqueLynn Hatter, Center for Health Journalism, December 13, 2020 The number of children who are taken for involuntary psychiatric evaluations in Florida increases every year. This is the first story in a five-part series about how the state's Baker Act affects children. Each day in Florida, about 100 kids are involuntarily committed for psychiatric exams under the state's Baker Act. The law was not designed for children, yet over the past few years, the number of minors taken for mental...
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8 Categories of Adversity To Help Medicine Better Understand, Prevent and Treat Chronic Illness: ACEs, ABEs, Discrimination and More

Veronique Mead ·
I was a family doctor when the first symptoms of what would turn out to become a disabling chronic illness first began to arise. I didn't know about ACEs back then and even if I had, I would have thought my score was zero and that ACEs didn't apply to me. What I've learned in the 20 years since then is that my ACE score is actually a two, which increases the chances of ever being hospitalized for an autoimmune disease by 70%.
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Research from San Bernardino pediatric population

Ariane Marie-Mitchell ·
Sharing our recent publication of data on ACEs and immune cell gene expression
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ACEs Parent Handouts & ACEs One Pagers & Link to GRC (UPDATED 4/28/21)

Christine Cissy White ·
We have so many wonderfu https://www.acesconnection.com/fileSendAction/fcType/0/fcOid/508261416693856202/filePointer/508261416693856263/fodoid/507698389112989542/Coping%20With%20Stress%20During%20the%20COVID-19%20Pandemic%20One-Pager_Accesible_English.pdf l resources shared by members. However, a few of you have asked me for help in retrieving them. Here's several of the most commonly shared ACEs handouts, info graphics and one pagers, with links to download. PLEASE share yours! I'm working...
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Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment

Jeoffry Gordon ·
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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Eighteenth Edition: Preventing ACEs | Healing Adversity | Promoting Resilience

Cameron Bates ·
Aligning Resources Across Georgia To Support Resiliency To Our Resilient Georgia Partners and Stakeholders: Mark your calendars for our Lunch and Learn taking place July 21st from 12 to 12:45. We launched Resilient Georgia Lunch and Learn series this year to provide a place for our regional coalition partners, peers, and stakeholders to share opportunities for partnership across the state. Next month will feature Sewn Arts . Sewn Arts is a nonprofit organization working throughout Georgia...
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StrongBrains Coaching: Using PACEs and Brain Science to Coach Kids for a Lifetime of Good Choices

Allison Wine ·
How can brain science help a Pop Warner football team of 10-year-olds win the big game, and avoid depression when they're adults? Join us for the August edition of the Up2Us Sports Lunch and Learn Series and find out. The monthly lunch and learn session, usually exclusively for UP2US member coaches, is now open to the public on a first-come, first-served basis. Register today using the link at the end of this post. The session is Wednesday, August 11 at noon CST, and features the Rev. Dr.
Member

Lib Edwards

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ACEs, Sugar Addiction, and Weight Gain by Dr. Felitti & Dr. Alman

Brian Alman ·
In many cases, sugar addiction (just like other forms of addiction) can be linked to ACEs. When adverse childhood experiences go unresolved, sugar is easily accessible and can provide a temporary pressure relief valve from toxic stress. Sometimes, this way of coping is unconscious because the sugar-eating habits are reinforced by the brain’s altered hardwiring that craves that next dopamine hit. Then, there's the weight gain...
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ACEs and the Resilient Brain

Dr. Glenn Schiraldi ·
Beyond the main pillars of sleep, exercise, and nutrition, these six practices optimize brain health and functioning in the present, while preparing the brain to adaptively rewire the hidden wounds from toxic childhood stress.
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How Integrity Can Heal Burnout (mindful.org)

Struggling to make an organizational decision that could adversely impact employees, or feeling unable to provide your children with care and attention while balancing the demands of work and your own need for rest, represent situations where moral suffering could arise. Whatever the exact nature of the decisions and dilemmas we face, the feeling of being too pressured or undersupported to act in alignment with our values has real effects on our mental health, and on whether we reach a point...
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Re: Why Are So Many Women Suddenly Being Diagnosed With ADHD? (refinery29.com)

Jeoffry Gordon ·
Everyone should read Dr. Ahsan's essay. Its perspective on the cultural, societal, and political causes of mental distress is eye-opening, insightful and very pertinent. She echoes the iconoclastic views of R.D. Liang 50 years ago, another open-minded Brit. As she says " The diagnosis of individual 'mental disorder' can make us believe there’s something wrong with us rather than the world around us, and that healing happens in isolation." This is true in many but by no means all cases. Like...
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Paying for mental health care leaves families in debt and isolated (npr.org)

Image: Jesse Zhang for NPR and KHN Author: To read Yuki Noguchi's article, please click here. Untold numbers of families like Rachel's are dealing with myriad challenges finding and paying for mental health care, and then ending up in debt. There are too few therapists and psychologists in the U.S. — and fewer still who provide treatment paid for by insurance. That compounds the financial toll on families. Tabulating the impact isn't easy. Many do what Rachel did: They refinance their house,...
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MEDICAL and ACADEMIC NARROWMINDEDNESS BLOCK PROGRESS

Jeoffry Gordon ·
As a clinician, researcher and policy specialist devoted to the prevention and treatment of the ill effects of child abuse and neglect (CAN) I read “Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the American College of Preventive Medicine” (Sherin KM, Stillerman A, Chandrasekar L, Went N, Niebuhr DW. Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the...
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MEDICAL and ACADEMIC NARROWMINDEDNESS BLOCK PROGRESS

Jeoffry Gordon ·
As a clinician, researcher and policy specialist devoted to the prevention and treatment of the ill effects of child abuse and neglect (CAN) I read “Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the American College of Preventive Medicine” (Sherin KM, Stillerman A, Chandrasekar L, Went N, Niebuhr DW. Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the...
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An autistic teen needed mental health help. He spent weeks in an ER instead. (centerforhealthjournalism.org)

A photo of Zachary Chafos dressed as one of his favorite Pixar characters, Mr. Incredible, at his home in Clarksville, Md. (Matt McClain/The Washington Post) Author: To read William Wan's article, please click here. By his fourth week waiting for help in the emergency room, Zachary Chafos’s skin had turned pale white from lack of sun. His mother, Cheryl Chafos, bathed her autistic teenage son daily in the ER’s shower, trying to scrub the sickly pallor off him. His father, Tim Chafos, held...
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Medical and academic narrowmindedness block progress

Jeoffry Gordon ·
As a clinician, researcher and policy specialist devoted to the prevention and treatment of the ill effects of child abuse and neglect (CAN), I read “Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the American College of Preventive Medicine”, a position statement by the American College of Preventive medicine, with dismay . (Sherin KM, Stillerman A, Chandrasekar L, Went N, Niebuhr DW. Recommendations for Population-Based...
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Jeoff Gordon sees PACEs science, PACEs Connection playing a vital role in ‘relieving some of the most anguishing pain in our society.’

Carey Sipp ·
Note: PACEs Connection is in dire financial straits. We are asking for support, from you, our 57,586 members, to help cover the loss of foundation funding that was promised and did not come through. Pay and hours have been cut for our staff—most of us will be laid off for the month of December. Another grant will pick up in January, but we will still be underfunded. Since sounding the alarm this summer, we’ve raised about $26,000 . Thankfully, about 25% of new donors are making monthly...
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A Promising Treatment for Hidden Wounds from ACEs

Dr. Glenn Schiraldi ·
Accelerated Resolution Therapy (ART) is an emerging trauma therapy for the hidden wounds resulting from Adverse Childhood Experiences. Research to date shows ART for traumatized adults is quick, effective, safe, and well-tolerated. Consistent with new understanding of the brain and body-centered treatment approaches, ART primarily targets trauma images and associated physical and emotional sensations, creatively and efficiently using eye movements and strategies from other trauma treatments.
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How The Physician Shortage Is Impacting Children With ACEs

Charlie Fletcher ·
All children need a secure, safe, and stable environment as they grow up. Young kids must have the care and support they need to aid in their development. But children with adverse childhood experiences (ACEs) are especially prone to struggling as they age if they don’t have stability. While stability and support can come from a child’s housing situation and those who raise them, they also need quality care from the doctors in their lives. A lack of secure, safe, and stable healthcare for...
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Psychologist Enrique Echeburúa: ‘People who die by suicide want to stop suffering, not to stop living’ (msn.com)

Enrique Echeburúa at his office, in San Sebastián, Spain. © Javier Hernandez Juantegui (EL PAÍS) To read more of Daniel Mediavilla's article, please click here. Enrique Echeburúa (San Sebastian, Spain, 72 years old), Professor Emeritus of Clinical Psychology at the University of the Basque Country (UPV/EHU), says that when a suicide occurs, there are other victims beyond the deceased, and they do not receive adequate support. “The first thing [we need to do] is make it easier for the family...
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“Going Way Upstream” - Panelists at Resilient Pender County Conference report on current trauma prevention and healing efforts; look to future

Amy Read ·
Amy Read of Coastal Horizons introduces the panel following a viewing of "Resilience: The Biology of Stress, The Science of Hope", at the Pender Resiliency Task Force Mini Conference Thursday, June 8 ,at Heide Trask High School in Rocky Point. A "dream team" of subject-matter expert panelists (L-R) were Ryan Estes of Coastal Horizons, Ben David, district attorney for Pender and New Hanover counties, Judge J. H. Corpening, district court judge for New Hanover and Pender counties, Taylor...
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Keys to Calming Anxiety from Adverse Childhood Experiences

Dr. Glenn Schiraldi ·
Anxiety rooted in the hidden wounds from childhood need not be a lifelong sentence. A combination of effective strategies offer hope and help to alleviate anxious conditions, including excessive worry and panic attacks, that originate in childhood.
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Does Worry (Tied to ACEs) Keep You Up at Night?

Dr. Glenn Schiraldi ·
Worry rooted in adverse childhood experiences can rob you of energy and joy, and cause a variety of anxiety symptoms. This post explains the ACEs/worry connection and the principles for managing worry.
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Chronic Illness, Adverse Pre-Onset Experiences (APOEs) and A Splinter Metaphor

Veronique Mead ·
This splinter story is an APOE metaphor, a term I have coined as "adverse pre-onset experiences" aka APOEs. This builds on the term for our knowledge that ACEs (adverse childhood experiences) influence risk for chronic illness. This is about how chronic illness starts for many of us within weeks or months of a stressful or traumatic event. And how we think, very normally, that this particular event is the cause...
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