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PACEs in Medical Schools

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Parent Handouts updated and available In Dari, English & Spanish

Christine Cissy White ·
The updated parent handouts are now available in Spanish as well as English and Dari. Here's the blog post with links to all three versions of each flyer. All versions of the Understanding ACEs and Parenting to Prevent & Heal ACEs parent handouts can be downloaded, distributed, and used freely. Both flyers were made with generous support from Family Hui, a Program of Lead for Tomorrow, who is responsible for making the Spanish and Dari translations available. These are updates of the...
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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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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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Webinar: Cultivating Our Best Selves in Response to COVID-19 | Tuesday, March 17 at Noon PDT

Elaine Miller Karas ·
How to use the skills of the Community Resiliency Model (CRM) for self and others to be the calm in the storm as we face the unknown. Free Webinar Tuesday, March 17 at Noon PDT Speakers: Elaine Miller-Karas, LCSW Linda Grabbe, PhD, FNP-BC, PMHNP-BC Zoom Webinar Registration Link: https://zoom.us/j/715837300 Additional ways to join are listed at the bottom of this post. About the webinar leaders: Elaine Miller-Karas is the Executive Director and co-founder of the Trauma Resource Institute and...
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Webinar: The Human Impact of Climate Change

Alison Cebulla ·
The Community Resiliency Model Disaster Relief Program Climate change emergencies are real and the human toll during and in the aftermath impact children, teens and adults. This webinar will hear from Kelly Doty, a survivor, who lost her home in Paradise and is working in a community-based program to help the children and their parents in the aftermath. Elaine Miller-Karas, the key developer of the Community Resiliency Model Disaster Relief Program, will explain the program and how it helps...
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When Hidden Grief Gets Triggered During COVID-19 Confinement

Tian Dayton ·
first published by The Meadows 4/15/20 Our sense of loss during the current COVID-19 crisis can trigger hidden emotions from when we experienced a sense of loss before. Whatever early losses you have had in your life — whether they be your own divorce, your parents, or both, or the abandonment of one parent, a childhood or parental illness or death, financial upheaval, constant moving around, or growing up with parental addiction or adverse childhood experiences (ACEs) — they are likely to...
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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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ACEs & African Americans Community on ACEs Connection

Ingrid Cockhren ·
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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California unveils ACEs Aware initiative to screen for trauma

Laurie Udesky ·
Will screening for adverse childhood experiences (ACEs) in California be mandatory? No, but it’s recommended. Will there be training for physicians and staff on how to screen? Yes. Who will be reimbursed for screening patients in California? Physicians who serve patients in the state’s Medi-Cal program — for now. For more answers to these and other questions that surfaced during a Dec. 4 webinar introducing Californians to a new statewide initiative, read on. Come January 1, California will...
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Cancer as a survivor

Christine Cissy White ·
Many people use the phrase CPTSD to stand for PTSD from complex trauma. To me, C-PTSD means cancer and PTSD. I have cancer and I’m a trauma survivor. I’m a survivor with cancer but not yet a cancer survivor. Will I be a survivor squared?
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Donna Jackson Nakazawa on bringing down the stress-threat response

Christine Cissy White ·
Cissy's note: Donna Jackson Nakazawa has graciously allowed me to cross-post some of her current and future Facebook page posts here in the Practicing Resilience for Self-Care and Healing community on ACEs Connection . Hello Friends. As a SciComm journalist with 30 years of reporting and 6 books under my belt, which focus on how our stress response governs our immune health, I’ve been thinking about what I have learned, and how I might help you quiet your body and mind during this # pandemic...
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During COVID-19: The need for your skills. Self-care resources. Share your TI responses? Thank you!

Mimi graham ·
Dear Trauma F riends and C olleagues: The COVID 19 pandemic offers a critical opportunity to share your unique skills in coping with stress and trauma. Many of us and the families we serve may be shifting through the stages of change and grief----denial, anger, bargaining, acceptance---about this pandemic. You may be adjusting to telehealth and virtual visits but know that our families need your reassurance and help in regulating and coping. Hope you’re all practicing self-care while you...
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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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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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Last week to register or apply for a scholarship--Creating a Resilient Community Conference

Kelsey Visser ·
This is the final week to register or request a scholarshi p to attend the virtual Creating a Resilient Community: From Trauma to Healing Conference on April 21st. This virtual event with cutting edge community resilience and trauma healing speakers Dr. Kenneth Ginsburg and Dr. Wendy Ellis will provide a platform to convene as a community to learn, connect, and envision a path forward together to transform our region into one of prevention, hope, healing and resilience for all. Conference...
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Re: ACEs & African Americans Community on ACEs Connection

Lisa Eason ·
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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"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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Reimagining Healthcare as a Community Investment

Jennifer A Walsh ·
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

Jeoffry Gordon ·
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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Help Navigating the Road to Community Resiliency

Becky Haas ·
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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'A Better Normal' Community Discussion Series: How to Grow a Resilient Community - July 7, 2020

Interested in learning what it takes to Grow a Resilient Community? Do you want to learn how to become a member of ACEs Connection Cooperative of Communities? If so, please join us Tuesday, July 7th, 12-1pm PDT for our next 'A Better Normal' community discussion series. In this discussion we will be talking with Brian Semsem of Fresno's Every Neighborhood Partnership. We will be talking to Brian about what led him to work with ACEs and resilience. In addition, we will be discussing the path...
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Donor to help School of Medicine students understand and address systemic racism (SC.edu)

Karen Clemmer ·
By Alyssa Yancey, July 1, 2020, SC.edu. A surprising gift and commitment from bestselling author and Giraffe University founder Chris Jarvis comes at an important time. In support of the University of South Carolina School of Medicine Columbia’s commitment to diversity and inclusion, Jarvis has ensured all first-and second-year medical students receive a copy of “ Fatal Invention: How Science, Politics, and Big Business Re-create Race in the Twenty-first Century ” by Dorothy Roberts.
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Donald Trump is the product of abuse and neglect. His story is common, even for the powerful and wealthy.

Jane Stevens ·
“In order to cope,” writes Mary Trump, “Donald began to develop powerful but primitive defenses, marked by an increasing hostility to others and a seeming indifference to his mother’s absence and father’s neglect….In place of [his emotional needs] grew a kind of grievance and behaviors—including bullying, disrespect, and aggressiveness—that served their purpose in the moment but became more problematic over time. With appropriate care and attention, they might have been overcome.”
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Trauma-Informed Healthcare Approaches: A Guide for Primary Care

Megan Gerber MD MPH ·
https://www.springer.com/us/book/9783030043414 On sale through 9/30/2020.
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'A Better Normal:' Can universal ACEs screening be equitable? -- Concerns and solutions

Laurie Udesky ·
Can universal ACEs screening be equitable? A conversation about concerns and solutions. When: Tuesday, Oct. 13, 2-3:30 pm PDT/5-6:30 pm EDT This webinar explores what it takes to ensure that equity is built into the process of screening and providing support for families who have experienced trauma and want help. REGISTER HERE Background At the beginning of this year, California, through the ACEs Aware initiative began rolling out universal screening for adverse childhood experiences (ACEs),...
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ACEs Champion: The reintroduction of Michael Hayes — from ACEs awakening to ACEs community service

Sylvia Paull ·
It wasn’t until his fifth prison term in a North Carolina county jail — his fourth conviction for driving under the influence — that Michael Hayes volunteered to take an ACE survey that changed his life. The 48-year-old father of six sons and one daughter had spent a number of years in and out of prison. During his last term, to get some time out of the cell where he spent 16 hours a day, he volunteered to attend a class offered by RHA Health Services, a nonprofit that incorporates the...
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The Adverse Childhood Experiences Recovery Workbook (Dr. Glenn Schiraldi)

Dr. Glenn Schiraldi ·
A new guide for healing the hidden wounds from ACEs The Adverse Childhood Experiences Recovery Workbook Glenn R. Schiraldi, Ph.D. Oakland, CA: New Harbinger Publications, Inc., 2021, 232 pages Practical, powerful skills for healing the hidden wounds of childhood trauma “ Dr. Glenn Schiraldi is one of the world’s most trusted experts on stress and resilience. His Adverse Childhood Experiences Recovery Wor kbook is the most complete, accessible, and evidence-based healing resource available.
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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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2021 Kids Count Data Book [aecf.org]

Natalie Audage ·
From The Annie E. Casey Foundation, June 21, 2021 SUMMARY The 32nd edition of the Annie E. Casey Foundation's KIDS COUNT ® Data Book describes how children across the United States were faring before — and during — the coronavirus pandemic. This year’s publication continues to deliver the Foundation’s annual state rankings and the latest available data on child well-being. It identifies multiyear trends — comparing statistics from 2010 to 2019. In addition, the report shares data on how...
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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.
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Historical Trauma in the American Midwest Event Recap

Alison Cebulla ·
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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Parenting to Prevent & Heal ACEs Handout

Natalie Audage ·
This handout is based on the work of Donna Jackson Nakazawa , who worked with us and generously allowed us to paraphrase content from her book, Childhood Disrupted: How Your Biography Becomes Your Biology & How You Can Heal . Donna's book specifically addresses those of us parenting with ACEs (which she also does brilliantly in the powerful documentary, Wrestling Ghosts , which is about parenting and healing from ACEs). This handout can be downloaded, distributed, and used freely. It is...
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PACEs Champion Dr. Lourdes Valdez uses Reach Out and Read as one way to integrate practices based on PACEs science

Sylvia Paull ·
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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Resilient Georgia Presents: Trauma, Resilience, and the Community Resiliency Model

Cameron Bates ·
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

Jesse Maxwell Kohler ·
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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Adverse Childhood Experiences, the Brain, and Sleep

Dr. Glenn Schiraldi ·
Sufficient, good quality sleep strengthens the brain wounded by ACEs in many ways. Intelligent sleep strategies improve mood, brain (and medical) health, brain function, and the capacity to rewire negative neural pathways imprinted in childhood.
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Georgia Reads "What Happened to You?" and Parent Leadership Month

Deborah Chosewood ·
Since late 2021 and into 2022, the Georgia Essentials for Childhood Initiative has been encouraging parents, caregivers, professionals, all those who work with or around young people, and all those who may have experienced their own trauma to read the book "What Happened to You? Conversations on Trauma, Resilience, and Healing" , coauthored by Oprah Winfrey and Bruce D. Perry, MD, PhD. The inaugural Georgia Reads initiative was launched in November 2021 with a webinar hosted by the Georgia...
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Register now! Dr. Bruce Perry to discuss historical trauma and help launch new "Connecting Communities One Book at a Time" book study with his best-seller, "What Happened to You?"

Carey Sipp ·
Please join us on June 28 from 1:30-3:00 p.m. ET for a virtual conversation with best-selling author Bruce Perry. Ingrid Cockhren , CEO of PACEs Connection; Mathew Portell , PACEs Connections’ director of communities, and Perry, a psychiatrist and neuroscientist, will engage in a conversation concerning historical trauma and Perry’s best-selling book " What Happened to You? Conversations on Trauma, Resilience and Healing, " which he co-authored with Oprah Winfrey. Please share this blog...
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How to Help Survivors of Extreme Climate Events (psychologytoday.com)

Carey Sipp ·
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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Decolonizing Healthcare Education and Practice (nonprofitquarterly.org)

Anna Tarazevich on pexels.com Author: To read Sonia Sarkar's article, please click here. In their new book, Inflamed , doctors Rupa Marya and Raj Patel explore how colonialism makes us sick while also shaping our core beliefs about how healthcare providers should make us better. For example, Lakota elders in the book describe the forces that led to widespread prevalence of diabetes in their communities: colonizers arrived and dammed a river that traditionally fertilized a rich river valley...
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Lightening the Load We Carry from Childhood: 10 Ways to Forgive the Unkindest Cuts

Dr. Glenn Schiraldi ·
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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Re: Adverse Childhood Experiences and Care for the Soul

Jeff Linkenbach ·
Thank you Dr. Schiraldi for this wonderful post. ACES affect us deeply and leads to what Dr. Eduardo Duran calls, 'soul wounds.' So healing and care of the soul are central to our PACES work. Thomas Moore's book 'CARE OF THE SOUL: A GUIDE FOR CULTIVATING DEPTH AND SACREDNESS IN EVERYDAY LIFE (1992)' speaks to our need to care for soul rather than cure the soul. Our work at The Montana Institute begins with SPIRIT 1st as a way to cultivate sacred space for soulwork that we do with HOPE -...
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💗 Get A FREE Copy of My NEW Book - It's Not About Food, Drugs, or Alcohol: It's About Healing Complex PTSD

Mary Giuliani ·
Hi Everyone! The good news is after seven years, with a five year break (AKA stall-out), I have finally finished my new book and have titled it: It's Not About Food, Drugs, or Alcohol: It's About Healing Complex PTSD Although my book won't be available to the general public until its launch date on Feb 21 st , 2023, I am offering FREE advance reader copies to a limited amount of people this week. Below is a summary of what my book's about and how to qualify to get a free copy this week.
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Finding Joy After Adverse Childhood Experiences

Dr. Glenn Schiraldi ·
Adverse childhood experiences understandably can numb feelings, including feelings of joy, happiness, and pleasure. Making time to be joyful rewires the wounded brain. Once healing has progressed, the capacity for joy can usually be expanded through the repeated application of proven joy strategies.
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My Book "It's Not About Food, Drugs, or Alcohol: It's About Healing Complex PTSD" Has Launched! Join Us For My Zoom Launch Party

Mary Giuliani ·
Hello My Beloved PACEsconnection Community! Your Invited! I wanted to personally invite you to join me and my special trauma warrior guests, Carey Sipp, Andi Fetzner, and Teri Wellbrock for my Zoom Book Launch Party for my new book: "It's Not About Food, Drugs, or Alcohol: It's About Healing Complex PTSD"! There will be FREE giveaways, Q&A, special guests, and tons of FUN! To join the party you must register via the below Zoom link:...
 
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