Tagged With "U.S. Territories"
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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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Preventable trauma in childhood costs north America and Europe US$ 1.3 trillion a year [WHO]
By World Health Organization (photo by WHO/Malin Bring) The findings of a new study on the life-course health consequences and associated annual costs of adverse childhood experiences (ACEs) show that preventable trauma in childhood costs north America and the European Region US$ 1.3 trillion a year. The article, published in the Lancet and co-authored by Dinesh Sethi and Jonathon Passmore, Programme Manager, Violence and Injury Prevention, WHO/Europe, looks at the legacy of ACEs and their...
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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...
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University of Florida Graduate Public Health Course: Trauma-Informed Approaches for Individuals, Communities, and Public Health: Student Project Summaries
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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5 Tips for Supporting College Age Students' Mental Health [blogs.psychcentral.com]
By Andrea Schneider, PsychCentral, February 7, 2020 Did you know that the second leading cause of death in people ages 15-22 is suicide (ACHA, 2020)? Those are some sobering statistics. After a recent move from S CA to N Ca, I am currently serving in a new role in which I am the Lead Counselor on a college campus for this age range. Unfortunately, those statistics don’t lie. I am deeply involved in creating new programs, strategies, and direct clinical support for the students my campus...
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9 New Communities Join ACEs Connection
ACEs Connection Hawai'i Hawai'i is a place of natural beauty, multicultural heritages and practicing cultural arts that provides wellness and healing. However, cultural, historical & generational trauma has lead to an imbalance in our ahupua'a or ecosystem. Join us as we educate, empower & celebrate wellness and resilience building in our communities using trauma and culture aware strategies. Mahalo Community Manager: @Daniel Goya Northeast Region Hawaii Carey's
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A Nurse Survivor Shares Her Story and Concerns
Yesterday was another trauma informed care training to nurses. I'm still very amazed at the biases that occur around sex, drugs, abortion, alcoholism, mental health or other challenges. As typical I received a follow up email from a survivor with their thoughts, not about the training but about the response of other humans around human behaviors and actions. The nurse survivor that emailed me felt so empowered to make a change that she has requested that I share her story with others in the...
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ACEs Research Corner — November 2019
[Editor's note: Dr. Harise Stein at Stanford University edits a web site -- abuseresearch.info -- that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she's posting the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens] Jackson DB, Chilton M, Johnson KR, Vaughn MG. Adverse Childhood Experiences and Household Food Insecurity. Am J Prev Med. 2019 Nov;57(5):667-674. PMID: 31522923...
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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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For Community Health Centers, a Hands-On Guide to Building Partnerships [chcf.org]
By Carlina Hansen, California Health Care Foundation, October 15, 2019 Before joining CHCF, I spent almost 20 years as executive director of the Women’s Community Clinic in San Francisco. In my time there, we forged some valuable partnerships to serve our clients and community, including our merger with another community health center, HealthRIGHT 360. It was during the merger process that I learned first-hand one of the biggest challenges to forging such partnerships — and it wasn’t what I...
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Forsyth County Trauma Informed Care Network
The Forsyth County Trauma Informed Network is taking great strides into recognizing and addressing community post Covid-19 impacts. PowerPoint attached.
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How do these pediatricians do ACEs screening? Early adopters tell all.
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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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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ACEs Research Corner — May 2020
[Editor's note: Dr. Harise Stein at Stanford University edits a web site -- abuseresearch.info -- that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she's posting the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens] Williams AB, Smith ER, Trujillo MA, et. al. Common health problems in safety-net primary care: Modeling the roles of trauma history and mental health. J Clin...
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Forsyth County Trauma Informed Care Network
The Forsyth County Trauma Informed Network is taking great strides into recognizing and addressing community post Covid-19 impacts. PowerPoint attached.
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2020 Health Equity Call for Research (AAMC)
2020 Health Equity Call for Research: AAMC Consumer Survey of Health Care Access Introduction In recognition of the importance of research and the dissemination of evidence-based solutions to achieve health equity, the AAMC (Association of American Medical Colleges) founded the Collaborative for Health Equity: Act, Research, Generate Evidence (CHARGE), a forum for investigators, clinicians, and community partners to collaborate and improve upon research that aims to minimize disparities in...
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Hidden in Plain Sight — Reconsidering the Use of Race Correction in Clinical Algorithms (NEJM)
By Darshali A. Vyas, M.D., Leo G. Eisenstein, M.D., and David S. Jones, M.D., Ph.D., June 17, 2020, NEJM. Physicians still lack consensus on the meaning of race. When the Journal took up the topic in 2003 with a debate about the role of race in medicine, one side argued that racial and ethnic categories reflected underlying population genetics and could be clinically useful. 1 Others held that any small benefit was outweighed by potential harms that arose from the long, rotten history of...
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THURSDAY!! Cracked Up, The Evolving Conversation: Generational Trauma - Breaking the Cycle [crackedupmovie.com]
CRACKED UP THE EVOLVING CONVERSATION Episode 4: Generational Trauma - Breaking the Cycle with Darrell Hammond, Comedian, actor, SNL Legend Michelle Esrick, Filmmaker, activist Bessel van der Kolk, MD, Author of The Body Keeps the Score Jane Stevens, Founder of ACES Connection and special guest Jane Fonda Academy Award-winning actor, producer, author and activist Thursday June 25th at 1pm PDT / 2p MT / 3p CT / 4pm EDT Hosted by ACEs Connection THE PRICE OF THIS LIVE EVENT IS $12.50 We have...
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Linda Grabbe: Helping her communities develop resilience through the Community Resilience Model
Grabbe searched for models that would help her homeless and addicted patients. “There are good body-based models for psychotherapy, which may be the most effective approach for trauma,” she says, “but hardly any of my patients were receiving any kind of therapy. There are thousands of people in our communities who have high ACE scores who will never get the years of psychotherapy they deserve. CRM is a self-mental wellness care tool and is exquisitely trauma-sensitive—so it can help enormously.”
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Childhood Physical Neglect Is Associated With Exaggerated Systemic and Intracellular Inflammatory Responses to Repeated Psychosocial Stress in Adulthood (PMC)
By Hannah M. C. Schreier, Yuliya I. Kuras, [...], and Nicolas Rohleder Abstract Experiences of child maltreatment are associated with a host of adverse mental and physical health outcomes in adulthood. Altered reactivity to psychosocial stress exposure may partially explain known associations between early experiences of maltreatment and later life health. The present study focuses on examining whether experiences of child maltreatment are associated with physiological reactions to initial...
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Health Disparity, Racial Weathering, and Social Determinants: How Do We Create Antiracist Healthcare? [saragottfriedmd.co]
By Sara Gottfried, Dr. Sara Gottfried MD, July 13, 2020 I take respectful care of my patients regardless of skin color, but in the past few years, I’ve realized that is not enough. There are many sources of information that have influenced me. Conversations, particularly a recent interview with integrative physician Andrea Pennington MD. Books, mentioned in this article, including How to Be an Antiracist by Boston University Professor Ibram X. Kendi and founder of the Antiracism Center for...
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Incidence of Stress Cardiomyopathy During the Coronavirus Disease 2019 Pandemic (JAMA)
By : Ahmad Jabri, MD ; Ankur Kalra, MD ; Ashish Kumar, MBBS ; et al, July 9, 2020, JAMA. Question Is psychological, social, and economic stress associated with coronavirus disease 2019 (COVID-19) associated with the incidence of stress cardiomyopathy? See attached pdf - or [ Please click here to read more. ]
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ACEs and Gynecological Problems - A Conversation Starter
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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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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Does VP Candidate Kamala Harris know about ACEs? You bet!
Nadine Burke Harris, California’s Surgeon General, has a lot in common with the vice presidential candidate Kamala Harris—Jamaican heritage, surname, home state—and a commitment to addressing ACEs and toxic stress. As reported in the New Yorker article by Paul Tough, “The Poverty Clinic,” Dr. Harris told Kamala Harris, then San Francisco district attorney, about ACEs in 2008 and in response, she offered to help. District Attorney Harris then introduced her to professor of child and...
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Implementing the Neurosequential Model of Therapeutics in Tennessee: Parent and Clinician Perspectives (Child Wefare)
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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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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Association of Childhood Violence Exposure With Adolescent Neural Network Density (JAMA)
By Leigh G. Goetschius, MS; Tyler C. Hein, MD; Sara S. McLanahan, PhD; Jeanne Brooks-Gunn, PhD; Vonnie C. McLoyd, PhD; Hailey L. Dotterer, MS; Nestor Lopez-Duran, PhD; Colter Mitchell, PhD; Luke W. Hyde, PhD; Christopher S. Monk, PhD; Adriene M. Beltz, PhD. JAMA Netw Open. 2020; 3(9):e2017850. doi: 10.1001/jamanetworkopen.2020.17850 Question Are violence exposure and social deprivation associated with person-specific patterns (heterogeneity) of adolescent resting-state functional...
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Rural Opportunity Institute of Edgecombe County offers Free Reconnect for Resilience Training
The Rural Opportunity Institute of Edgecombe County is offering the Reconnect for Resilience Training -- normally offered at $295 per person -- with the cost waived for the April 6-2, 2021 training. s scholarships front grant funding. Sign-up here: https://bit.ly/3m6FJIZ Date: April 6-9, 2021 (on Zoom) Time: 9 am to 12:30 pm EST At this Reconnect for Resilience training you will learn seven skills and eight rapid resets to help balance your nervous system, manage stress, build resilience,...
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Research from San Bernardino pediatric population
Sharing our recent publication of data on ACEs and immune cell gene expression
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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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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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ACEs, Sugar Addiction, and Weight Gain by Dr. Felitti & Dr. 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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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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Executive Summary: Eisner Health's Journey Through Implementing Trauma Informed Care
Eisner Health's Journey Through Implementing Trauma Informed Care Since July 2020, ACEs Aware has awarded 185 grants totaling $45.1 million to organizations statewide to augment the state of California’s work on the ACEs Aware initiative. Origins Training & Consulting received one of these grants to tell the story of Eisner Health's journey in implementing a trauma-informed approach as written by @Lori Chelius . Executive Summary “When we take care of ourselves, that’s when we can...
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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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Meagan S Williams
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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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My positive childhood experiences tree
This is the third of three stunning illustrations showing how PACEs (positive and adverse childhood experiences) affected the family of Cendie Stanford, graphic artist and founder of the nonprofit ACEs Matter. This one looks at her positive childhood experiences. The day before her 16th birthday, Cendie Stanford’s older brother was shot and killed by a young man who, just two years earlier, had been her boyfriend. “I was heartbroken that two people I loved were out of my life forever,” says...
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Neuroplasticity, Imagery, and Adverse Childhood Experiences
The disturbing neural imprints from adverse childhood experiences need not be a life sentence. Imagery is an extremely helpful tool to modify the circuitry of the brain, utilizing the principle of neuroplasticity. Imagery strengthens and stabilizes the brain, while laying down alternative neural pathways.
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Rewire Hidden Shame from Adverse Childhood Experiences
Deep-rooted shame resulting from adverse childhood experiences can weigh you down. These skills can help.
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3 More Ways to Rewire Shame from Adverse Childhood Experiences
These three cognitive countermeasures round out the skills for neutralizing shame imprinted in the first 18 years of life. They complement the right brain strategies described in recent articles.
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Vital Signs: Drug Overdose Deaths, by Selected Sociodemographic and Social Determinants of Health Characteristics — 25 States and the District of Columbia, 2019–2020 (cdc.gov)
Summary What is already known about this topic? Drug overdose deaths increased 30% in the United States from 2019 to 2020. Known health disparities exist in overdose mortality rates, particularly among certain racial/ethnic minority populations. What is added by this report? From 2019 to 2020, overdose death rates increased by 44% and 39% among non-Hispanic Black (Black) and non-Hispanic American Indian or Alaska Native persons, respectively. As county-level income inequality increased,...
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Control in Healthcare: History and Reclamation of Bodily Autonomy (nonprofitquarterly.org)
This is the introduction and first installment of a five-part series, Reclaiming Control: The History and Future of Choice in Our Health , examining how healthcare in the US has been built on the principle of imposing control over body, mind, and expression. However, that legacy stands alongside another: that of organizers, healers, and care workers reclaiming control over health at both the individual and systems levels. Published in five monthly installments from July to November 2022,...
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How to Help Survivors of Extreme Climate Events (psychologytoday.com)
By Elaine Miller-Karas MSW, LCSW Building Resiliency to Trauma Psychology Today, September 30, 2022 Mental health can suffer after extreme climate events. KEY POINTS Mental health conditions exacerbated by natural disasters include post-traumatic stress disorder, depression, and anxiety. After a disaster, the number of people needing assistance from the mental health systems strains or exceeds community capacity. There are simple strategies helpers can use to help survivors restore...
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Moving Forward After Adverse Childhood Experiences, Part 2: Harness the Liberating Power of Forgiveness
The well-timed choice to forgive deep injuries from childhood, though difficult, can greatly improve psychological wellbeing and free us to move ahead. Four keys to forgiveness lay the foundation for cultivating healing forgiveness skills.
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MEDICAL and ACADEMIC NARROWMINDEDNESS BLOCK PROGRESS
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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Lightening the Load We Carry from Childhood: 10 Ways to Forgive the Unkindest Cuts
While the process of forgiving painful offenses from childhood can be very difficult, efforts to forgive bring great rewards. The process begins with acknowledging the pain, applying self-compassion, and taking even small and faltering steps to get the forgiveness ball rolling.
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MEDICAL and ACADEMIC NARROWMINDEDNESS BLOCK PROGRESS
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...