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PACEs in Medical Schools

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Sheltering in Place: ACEs-Informed Tips for Self-Care During a Pandemic

Jim Hickman ·
Millions of lives have been affected in unprecedented ways by the Coronavirus (COVID-19). We are all grappling with uncertainty—our daily routines interrupted, not knowing what is to come. For those of us who have Adverse Childhood Experiences (ACEs), these times can be particularly distressing. At the Center for Youth Wellness (CYW), we know that childhood trauma can have a significant impact on an individual’s health and well-being – both physiologically and psychologically. Since the...
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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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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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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 Community Spotlight Series: Dr. Richard Honigman, Central Nassau Pediatrics

Margaret Wayne ·
For our second community spotlight interview, I spoke with Dr. Richard Honigman, a pediatrician at Central Nassau Pediatrics in Levittown and infant mental health advocate. We discussed the importance of addressing childhood adversity and the relevant work he is doing both inside and outside his practice. Please note that responses have been adjusted for length and clarity. Dr. Honigman is also the first recipient of the 2019 Ed Tronick Award for Distinguished Contribution to Infant-Parent...
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ACEs Research Corner — November 2019

Harise Stein ·
[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

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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Becoming Trauma Informed (Millstein JGIM 2020)

Megan Gerber MD MPH ·
When I look at Victoria through a clearer lens, there are many clues—her anxiety, troubled marriage and family life, avoidance of physically intrusive examina- tions. I realize that I hardly know her at all. I focus on her health issues, and despite many stumbles, we have a nice rapport. I accept whatever she is willing to share about her tumultuous home life, but I do not ask how it all came to be so. Now I float with her in a reservoir of pain and shame.
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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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CPTSD and Social Awkwardness: Another Source of Isolation

Anna Runkle ·
For those of us who grew up with abuse and neglect at home, it can be hard to know how to ACT in social situations. Here's an example.... Have you ever been to a hotel where there is a person who is there to carry your bags, and even though you didn’t ask, they carry your bags to the room and it’s totally awkward, and you think “I’m supposed to give them a tip, right? I’ve, like seen this on TV. But you don’t have cash, and they’re just standing there ," and you think, "What do I do? What do...
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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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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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Governor Cuomo’s Cancer Research Initiative Disappointing. No ACES included.

Peter Chiavetta ·
I attended the presentation of Governor Cuomo's Cancer Research Initiative at the Buffalo Science Museum October 22, 2019. Brad Hutton Deputy Health Commissioner State of NY presented. Erie County Health Commissioners in attendance. It had all the data on the 4 major cancers in the East Side of Buffalo, NY. https://www.health.ny.gov/diseases/cancer/cancer_research_initiative/docs/erie_presentation.pdf I'm all excited. Prepared with 2 dozen ACE handouts. Sat quietly for the 45 minute power...
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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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My son was hospitalized and now he has PTSD

Stephanie Kennelly ·
“Grant, do you remember when you were in the hospital?” “Yes… they came to take the blood and I turned into a werewolf.” Original Post It happened quickly. A year ago my three year old had a collarbone fracture, it became infected and within 24 hours the situation was emergent. A week long hospital stay, one month with a PICC line and two months on oral antibiotics. Finally, the labs finally came back normal. The X-Ray was clean. Gillette Children’s Hospital closed our case. But the healing...
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ACEs Research Corner — May 2020

Harise Stein ·
[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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"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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What Do We Do? What Do We Do Now?

Jane Stevens ·
People’s response to the great chasms of structural inequities glaringly laid bare by the COVID-19 pandemic have been further inflamed by the murder of George Floyd and deaths of other African Americans in recent weeks. The acute emergency of the pandemic has eased, but the violence inflicted on racial minorities and now those who are protesting the inequities in our society has compounded the outrage. Right after the pandemic began running riot across the US, I often heard people ask: When...
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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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ACEs screening is about building relationships, says early adopter

R.J. Gillespie ·
Whether or not to screen for ACEs in primary care is an important debate—and I hear and respect the passion from both sides of the argument. I fall in the “pro-ACE assessments” camp, but with some important caveats. I think that assessments for ACEs are dramatically different from screening for autism or developmental delays. In my opinion, assessments for ACEs in primary care should be primarily about building relationships.
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A Better Normal Tuesday, June 30th at Noon PDT: Reinterpreting American Identity, a Community Discussion

Alison Cebulla ·
"I think that all of us, regardless of our racial or ethnic background, feel relieved that we no longer have to deal with the racism and the sexism associated with the system of slavery. But we treat the history of enslavement like we treat the genocidal colonization of indigenous people in North America, as if it was not that important, or worse, as if it never happened." —Angela Davis, "The Meaning of Freedom" Please join us for the ongoing community discussion of A Better Normal, our...
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Resilience for Children & Families: Being Brave When Things are Hard

Building Resilience with Children During Racial Discrimination & Violence: This attached Resilience Brief for Children has been the hardest one I have written yet. I have been an active advocate for the equal treatment of people from all backgrounds, religions, ethnic heritages, orientations, and families my entire life. It is hard to see the pain present today, not only due to COVID19 but also due to the harm and anger we see daily in the news. I want to share a story about the person...
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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...
Comment

Re: Free 2020 Virtual Trauma-Informed Care Conference

Carey Sipp ·
Thanks, Bharat, for the post! I will help spread the word by posting on the Georgia ACEs Connection site as well as the SE Region on ACEs Connection. I invite you and others to please use the social media bar below the story to share this out on Facebook, Twitter, LinkedIn, etc. and or to copy the link and email this story to colleagues. If we want to have a trauma-informed world we need the medical community helping to drive demand to make it so. We are grateful for you work to take ACEs...
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The importance of care coordination [medcitynews.com]

By Brooke Sabia, MedCity News, September 30, 2020 Some may ask the question, “What does a care coordinator do for my personal well-being?” There is no short answer as to what a patient can benefit from by receiving assistance from a care coordinator. Their job is to connect with high-risk individuals to uncover and identify needs in a patient-centered manner and in a way that takes into account whether the patient has endured any trauma. When people think of care coordination, they typically...
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The Intersection of Systematic Racism, the Pandemic, and SDoMH: Reality Mandates Change

Ellen Fink-Samnick ·
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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TODAY! 12/2 at noon - FREE! Supporting Patients in Pregnancy: ACEs and Maternal Health

Karen Clemmer ·
ACEs Aware presents " Supporting Patients in Pregnancy : ACEs and Maternal Health" Wed, Dec 2, 2020 12:00 PM - 1:00 PM PST Add to Calendar: Outlook ® Calendar | Google Calendar™ | iCal ® Please send your questions, comments and feedback to: info@acesaware.org How to Join the Webinar 1. Click the link to join the webinar at the specified time and date: Join Webinar Note: This link should not be shared with others; it is unique to you. Before joining, be sure to check system requirements to...
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Hope for Healing: A Mother's Triumph

Teri Wellbrock ·
It's her victory reward for overcoming her addiction. Now celebrating one and a half years sober! Look how far she's come since the first half of 2019! Hospitalized for detox from alcohol, repeated falls requiring hospital and rehab facility stays, threats of suicide, and trying desperately to escape the pain of her childhood trauma.
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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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Child Care Relief Funding in American Rescue Plan: State-by-State Estimates [CLASP]

March 10,2021 Editor’s note: This article includes CLASP estimates on child care relief funding each state, D.C., and Puerto Rico will receive of the $39 billion included in the American Rescue Plan Act (ARP Act) For decades, our country has had a child care crisis fraught with inequitable access for communities of color, unaffordable care for far too many families, poverty-level wages for early educators, and razorthin margins for providers. This long-term crisis has been exacerbated by the...
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Michael Belh

Michael Belh
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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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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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Surviving medical school with depression (www.kevinmd.com) & note

Christine Cissy White ·
Here are two excerpts from a powerful blog post on the KevindMd site which is written by an anonymous medical student. I recommend the entire blog post which can be found here . Cissy's note: If doctors to be, while in medical school are not treated well by the medical model they are being trained to perform in, how can we expect them to then treat patients with compassion and understanding? I think of this now not only as a trauma survivor, and a patient advocate, but as a mother to a...
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The best way to start any meeting. Ever.

Carey Sipp ·
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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Path to a Just Society: Our new infographic shares common language and an aspirational path.

Carey Sipp ·
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...
Comment

Re: A Trauma-Informed Approach to Vaccine Hesitancy (Sign On Letter Attached In First Line)

Jeoffry Gordon ·
It is really challenging to understand the vociferous rejection of powerful, effective, well proven medical therapies like vaccines even when your children are thus made vulnerable and even when people around you are getting ill and even dying. This obviously not a logical, rational process. Medicine and public health are to be faulted for trying to motivate a change in these attitudes by just repeating established clinical data. This post has a cogent and interesting analysis which adds to...
Comment

Re: A Trauma-Informed Approach to Vaccine Hesitancy (Sign On Letter Attached In First Line)

Jeoffry Gordon ·
It is really challenging to understand the vociferous rejection of powerful, effective, well proven medical therapies like vaccines even when your children are thus made vulnerable and even when people around you are getting ill and even dying. This obviously not a logical, rational process. Medicine and public health are to be faulted for trying to motivate a change in these attitudes by just repeating established clinical data. This post has a cogent and interesting analysis which adds to...
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Nourishing a Brain Wounded by Childhood Adversity

Dr. Glenn Schiraldi ·
The right mix of nutrients revitalizes the brain that's been wounded by ACEs. Good nutrition can quickly improve mood and functioning in the present, while improving the potential to rewire disturbing memories imprinted in childhood.
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My positive childhood experiences tree

Carey Sipp ·
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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Nightmares and ACEs: They No Longer Need Rule the Night

Dr. Glenn Schiraldi ·
Recurring nightmares lead to much needless suffering for survivors of adverse childhood experiences—suffering that goes well beyond disturbed sleep. Five steps help take back the night.
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Workshop REMINDER: Building the Movement with Populations with High Prevalence of Trauma - Friday @ 1pm EST/10am PST [npscoaliton.org]

We are excited to present the fifth workshop session this Friday and hope you can join us live! Of note, we are now offering participation certificates to those who can be with us live on Friday afternoons and to make that easier we have also decided to shorten this workshop session to 3 hours ! Please help us in #BuildingTheMovement by sharing this workshop series with colleagues and help us reach our next milestone of 3K registered. Day 5 - Building the Movement with Populations with High...
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Neuroplasticity, Imagery, and Adverse Childhood Experiences

Dr. Glenn Schiraldi ·
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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Join us to talk with the nation’s first known 'minister of gun violence prevention,' this Thursday for our podcast 'History. Culture.Trauma.'

Carey Sipp ·
Ingrid Cockhren, PACEs Connection CEO, welcomes Rev. Deanna Hollas , the nation’s first known “minister of gun violence prevention,” for this week’s episode of "History. Culture. Trauma." on Thursday, June 2, at 1 p.m. PT; 4 p.m. ET. They will discuss the more than 60 mass shootings in the United States during the month of May 2022 — including the shooting of 10 Black adults and one White adult in Buffalo, New York, and last week’s killing of 19 students and two teachers in Uvalde, Texas.
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Join us for the JUNE 2022 round of Creating Resilient Communities!

Donielle Prince ·
June event dates listed for the PACEs Connection Creating Resilient Communities Accelerator Program. JOIN US!!!
 
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