Tagged With "Healthcare Workers"
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One state. One year. (Partial) Cost of ACEs = $5.2 billion.
In looking at the impact of childhood trauma, you can’t get much clearer than this: In 2017, ACEs among Tennessee adults led to an estimated $5.2 billion in direct medical costs and lost productivity from employees missing work. That’s just one year, according to the new report, “ The Economic Cost of ACEs in Tennessee ," released on Feb. 1, 2019 by The Sycamore Institute in Nashville, Tenn. And to provide some perspective, $5.2 billion is one-seventh of the state’s annual budget . This $5.2...
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Announcing Trauma and Resilience Competencies for Nursing Education
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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Child Abuse Doc: We Often Wish for a Different Explanation [medpagetoday.com]
By Antoinette Laskey, MedPage Today, December 1, 2019 I always knew I wanted to be a doctor. I also always knew working with children is what brought me the most joy. Finding the subspecialty of child abuse pediatrics was not something I had anticipated. In medical school, I had the opportunity to work with a child abuse pediatrician when a child was brought in for medical care after being sexually assaulted. We examined the child, calmed the obviously distressed parent, and talked with the...
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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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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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Mount Sinai Announces Center for Stress, Resilience and Personal Growth [newswise.com]
Newswise — (New York, NY – April 30, 2020 ) -- Mount Sinai Health System (MSHS), one of New York’s largest integrated health systems, announced today the launch of the Mount Sinai Center for Stress, Resilience and Personal Growth, a first-of-its-kind initiative in North America that is designed to address the psychosocial impact of COVID-19 on the mental health and lives of frontline health care providers at Mount Sinai and will serve as a model for institutions and communities around the...
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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...
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NPPC shares lessons learned and results from ACEs screening pilot sites
For Dr. Mercie Digangi, a pediatrician at Kaiser Southern California in Downey, CA, ACEs screening provided a crystal clear before-and-after in how she changed treatment plans for her pediatric patients, she explained to attendees of a December 2 webinar organized by the National Pediatric Practice Community on ACEs (NPPC) and cosponsored by ACEs Connection. Dr. Mercie Digangi One case that turned ACEs screening into a never-go-back moment for her was a three-year-old who was speech-delayed.
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Prioritizing Physician Mental Health as COVID-19 Marches On [jamanetwork.com]
By Jennifer Abbasi, JAMA Network, May 20, 2020 I n the spring of 2013, Eileen Barrett, MD, MPH, lost a colleague to suicide. The two worked at the Indian Health Service’s Gallup Indian Medical Center in New Mexico, where Barrett was the deputy chief of medicine. Even before the tragic event, she saw workers struggle under administrative burdens and hold themselves personally responsible for problems outside of their control. With her coworker’s death it became painfully clear that clinician...
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Could Community Health Workers and Promotores de Salud Help California Respond to COVID-19? (CHCF Blog)
By Rob Waters, June 4, 2020, California Health Care Foundation. Aida Meza has been working as a promotora de salud, a community health worker, since she moved across the border from Tijuana, Mexico, to the San Diego area 23 years ago. She came to Chula Vista with her husband, an American citizen, so they could send their kids to better schools. “At first I cried every day because I wanted to go back to my home,” she said. Then the principal at her children’s school, Vista Square Elementary,...
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Reimagining Healthcare as a Community Investment
At this point, COVID-19 has been a part of our lives for nearly six months now. While the most recent current events are not unfamiliar social problems, this pandemic has provided us with a stronger lens with which to see many of the underlying inequities within our communities. This article, “The Moral Determinants of Health,” explores these inequities by illustrating the systemic imbalances within the field of medicine and the amount of resources we allocate to solving problems as opposed...
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Re: Reimagining Healthcare as a Community Investment
Let us be clear: Guaranteeing medical services as a right to all Americans is not only a moral mandate, it is an investment in individual freedom and capacity, in family security and opportunity, as well as community solidarity and peace. The rest of the mature developed world places this priority along side fire departments, schools, and housing as collective public goods guaranteed by the government. Here in the USA this moral mandate has been retarded first by racism (those states which...
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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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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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Tools to Mitigate Work Stress and Prevent Burnout: For Health Care Providers during COVID and Beyond
Whether you work in a hospital, a safety net clinic, or in another health care setting, no health care provider working during the COVID-19 pandemic needs to read the flurry of news stories that highlight the extreme stress experienced by people in this line of work – you already know it firsthand. This webinar will introduce health care providers to the Community Resiliency Model ( CRM ), an evidence-based method of managing traumatic stress, preventing burnout and building resiliency. This...
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Whole People Film Discussion on Tuesday, December 15th at 7p.m. EST
ACEs Connection, the Campaign for Trauma-Informed Policy & Practice ( CTIPP), and the Relentless School Nurse will be hosting a Zoom discussion on Tuesday, Dec, 15th at 7p.m. EST about parts 1, 2, and 3 of Whole People. We hope you can join us: Pre-Registration Link Quotes from Childhood Trauma (Part 1 of Whole People): If you have yet to watch the Whole People series, you can still do so by visiting the PBS website. There is no cost to watch. 101 | Childhood Trauma | 102 | Healing...
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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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Texas Lawmaker Wants to Require Trauma Training for Attorneys, Judges [imprintnews.org]
By Brittney Martin, The Imprint, January 6, 2021 Tara Hutton remembers how the little girl she had been fostering for a year began acting out on the day a new social worker came to their house in Magnolia, Texas. As Hutton and the social worker talked, the girl kept interrupting and trying to get Hutton’s attention. She insisted on bringing her Play-Doh outside, despite knowing it was an inside-only toy. Though the girl likely couldn’t explain why she felt rattled by the appearance of a new...
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The pandemic is changing how we think about domestic violence, new survey shows (centerforhealthjournalism.org)
Amid a pandemic that shined a harsh light on domestic violence , Californians are increasingly viewing these abuses as a pressing social issue, according to a new survey of nearly 2,000 adults. Two-thirds of Californians consider domestic violence a public issue rather than private family matter, and 91% of participants said domestic violence is a serious societal issue, the survey found. “This info has given some validation to things folks have been talking about for a long time...
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Time to boost community based health worker programs in low-income countries [thehill.com]
By Henry B. Perry, The Hill, April 5, 2021 As we all work together to overcome the current global COVID-19 pandemic and be better prepared for future ones, it is important to embrace the opportunity afforded by this crisis to “build back better,” as President Biden says, — not only for global health security but also for accelerating health improvements and socio-economic development for the poorest of the poor around the world. Now is the time for the United States to provide financial and...
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2011-2021—A decade of steady growth in ACEs and TI laws and resolutions in the states
In 2019 and 2020, dozens of states enacted nearly 60 laws and resolutions that reference adverse childhood experiences or trauma. In this post, there's an interactive map that shows them all.
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The best way to start any meeting. Ever.
Following a brief mindfulness check-in, PACEs Connection staff meetings begin with the review of our Vision, Mission, and Values statements, as well as our Equity and Inclusion Statement. At a recent meeting, top row, L-R, Ingrid Cockhren, Carey Sipp, Donielle Prince, Jane Stevens. Middle row, L-R, John Flores, Porter Jennings-McGarity, Jenna Quinn, Gail Kennedy. Bottom row, L-R, Rafael Maravilla, Natalie Audage, Alison Cebulla, Samantha Sangenito. A couple of times last week I felt my body...
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A Trauma Informed Approach to Vaccine Fear
PLEASE SIGN ON TO THIS MEMO TO SUPPORT OUTREACH ALONG THESE LINES TO THE ADMINISTRATION! If the goal is to impact meaningful change, it might prove helpful to view vaccine fear through a trauma informed-lens. There is an intentional shift from the use of the word “hesitancy” and instead using the more specific and appropriate term “fear”. We are more likely to change that which we better define and understand. The following memo has been developed with input from an interdisciplinary team of...
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PACEs Champion Dr. Lourdes Valdez uses Reach Out and Read as one way to integrate practices based on PACEs science
Our interview for this profile took place over two continents, from the U.S. to Lima, Peru, where Lourdes Valdez, pediatrician in Butte County, California, for 23 years, was attending to family affairs after the death of her mother. Valdez grew up in Lima, and later earned her medical degree in Peru before moving to Iowa City, Iowa, in 1992 for her residency. She said her mother helped make her a resilient person. Although working full time as an economist and statistician, her mother made a...
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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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The True Power of Community Resiliency Model (CRM) Skills for Foster Youth/Families
In 2020 when I first started working with Coastal Horizons, my co-worker Amy talked about the CRM Trainings she was giving. At that point I was new and wanted to learn more about it so I went to my first 8 hour CRM training. Little did I know this training would become a new way of communicating with the children in my home. See I am a single kinship/foster/adoptive/birth mother to at least four children, all of which have experience a great deal of trauma. At first I started by using the...
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California Set to Become First State in Nation to Expand Medicaid Services for Justice-Involved Individuals (DHCS)
SACRAMENTO – California today became the first state in the nation to offer a targeted set of Medicaid (Medi-Cal in California) services to youth and adults in state prisons, county jails, and youth correctional facilities for up to 90 days prior to release. Currently, Medi-Cal services are generally available only after release from incarceration. Through a federal Medicaid 1115 demonstration waiver, the Department of Health Care Services (DHCS) will establish a coordinated community...
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How much would the NAS poverty reduction packages reduce referrals to CPS and foster care placements? Would they reduce racial disproportionality in child welfare? (nasonline.org).
Because of a collaboration with Columbia University and UW-Madison, we have answers to these questions. By Peter Peter Pecora, Casey Family Programs, March 17, 2023 - Overview The National Academy of Sciences (NAS) recently released a “ roadmap ” to reduce child poverty by as much as half through the implementation of a series of social policy packages. The aim of this study was to simulate the reductions in Child Protective Services (CPS) involvement and foster care placements that are...
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How The Physician Shortage Is Impacting Children With ACEs
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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Re: How The Physician Shortage Is Impacting Children With ACEs
Of course Charlie Fletcher is very right here; we all want to support and help our kids, especially those that have been traumatized. BUT speaking as a family doc the situation in the medical care system is very, very much worse than what is described in this essay: (1) Especially for the traumatized kids, the US has a 19th century mental health system. I say this because many behavioral health providers and the American Psychiatric Association do not even recognize the pathologic dynamic...