Tagged With "Judge J. Corpening"
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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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The Relentless School Nurse: When the Health Office Pass Includes Emotions
The collaboration between school counselors and school nurses creates safe spaces for students at school. Building a coalition between school counselors and school nurses creates a safety net for our most complex and challenging students while benefiting the whole school community. Promoting connections through intentional relationship building, and ensuring a school environment that is physically, emotionally and psychologically safe changes the culture and climate. Read about an amazing...
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Tools and how to use them is focus of second webinar on Community Resiliency Model, May 14, 2020
The second of two free Community Resiliency (CRM) webinars with Elaine Miller-Karas , key creator of the CRM, will be held Thursday, May 14, from 11 a.m. - 12:30 p.m. ET, (10 a.m. CT; 9 a.m. MT, and 8 a.m. PT) and will include the practical application of tools of the model. CRM is an ACEs science-based biological model for helping individuals become emotionally regulated during natural disasters and other dysregulating times. Miller-Karas will be joined by CRM trainers from Wilmington, NC:...
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University of Florida Graduate Public Health Course: Trauma-Informed Approaches for Individuals, Communities, and Public Health: Student Project Summaries
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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Webinar: Cultivating Our Best Selves in Response to COVID-19 | Tuesday, March 17 at Noon PDT
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 Oct. 17 — Integrating ACEs science in pediatrics: Early adopters share lessons from the field
An ACEs Connection webinar co-sponsored with 4 CA In 2017, California became the first state in the country to pass a law supporting universal screening for adverse childhood experiences (ACEs) in the 5.3 million children in the state’s Medicaid program. As clinicians around California await the state’s announcement of what this new policy will entail, many are wondering what it takes to integrate ACEs science in a pediatric practice. Meet Drs. Deirdre Bernard-Pearl, R.J. Gillespie and...
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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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Becoming Trauma Informed (Millstein JGIM 2020)
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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Dr. Felitti Teaching New ACE Information on National TV with Dr Brian Alman
Everybody benefits from the ACE Study and here is a very recent discussion on TV with Dr. Vincent J. Felitti and Dr. Brian Alman. Past, Present and Future generations are impacted by family members ACE scores and their lack of successful resolutions. Traumas can be healed after they are identified, understood and treated with a variety of proactive strategies. Listen to the fascinating lessons from Dr. Felitti and learn more about yourself, your family, stress, habits and addictions, as well...
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Dr. Vincent J. Felitti, M.D. has been recognized with the Albert Einstein Award of Medicine by the International Association of Who’s Who [kentuckyreports.com]
By Kentucky Reports, November 9, 2019 Dr. Vincent J. Felitti has over 50 years of experience in the field of Internal Medicine with extensive knowledge in the areas of childhood trauma, the genetic disease Hemochromatosis, and obesity. Serving as a Clinical Professor of Medicine at the University of California since 1982, Dr. Felitti’s knowledge and experience is broad and significantly biopsychosocial. Dr. Felitti achieved his Medical Degree from Johns Hopkins in 1962 after being inspired...
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Emergency Department Admissions for Child Sexual Abuse in the United States from 2010 to 2016 [jamanetwork.com]
By Jesse J. Helton, Jason T. Carbone, et al., JAMA Pediatrics, November 4, 2019 For children who have been sexually abused, emergency department (ED) professionals provide immediate medical care, including testing and treatment for sexually transmitted infections, prophylaxis for potential HIV exposure, and emergency contraception. In some cases, ED clinicians conduct forensic examinations to assist with child protection and criminal investigations. Physicians and nurses in EDs are among the...
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Got time for a little brainstorming with ACEsConnection?
On Friday, March 20, 2020, you're invited to join me to talk about how we, as a community, can continue to guide and educate ourselves about to deal with the effects of the spread of Covid-19, and how to continue those efforts with people who don't yet know about ACEs science. And, given this last week, how we can provide more support to stay in the front of our brains instead of feeding our amygdala.
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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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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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Diagnosing and Treating Systemic Racism (NEJM)
June 10, 2020. Michele K. Evans, M.D., Lisa Rosenbaum, M.D., Debra Malina, Ph.D., Stephen Morrissey, h.D., and Eric J. Rubin, M.D., Ph.D. For the New England Journal of Medicine. For physicians, the words “I can’t breathe” are a primal cry for help. As many physicians have left their comfort zones to care for patients with Covid-19–associated respiratory failure, the role of the medical profession in addressing this life-defining need has rarely been clearer. But as George Floyd’s repeated...
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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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ACEs screening is about building relationships, says early adopter
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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Adverse Childhood Experiences Are Associated With Childhood-Onset Arthritis in a National Sample of US Youth: An Analysis of the 2016 National Survey of Children's Health (Journal of Peds)
Tamar B Rubinstein et al. J Pediatr . 2020 . Abstract Objectives: To determine whether there is an association between adverse childhood experiences (ACEs) and childhood-onset arthritis, comparing youth with arthritis to both healthy youth and youth with other acquired chronic physical diseases (OCPD); and to examine whether ACEs are associated with disease-related characteristics among children with arthritis. Study design: In a cross-sectional analysis of data from the 2016 National Survey...
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Physician Burnout, Interrupted (NEJM)
By Pamela Hartzband, M.D., a nd Jerome Groopman, M.D. June, 25, 2020, N Engl J Med 2020; 382:2485-2487 DOI: 10.1056/NEJMp2003149. Before the onset of the Covid-19 pandemic, each day seemed to bring another headline about the crisis of physician burnout. The issue had been simmering for years and was brought to a boil by mounting changes in the health care system, most prominently the widespread implementation of the electronic health record (EHR) and performance metrics. 1 Initially, the...
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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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Do safe, stable, and nurturing relationships work? New research has important findings for responding to ACEs
While we know that adverse childhood experiences (ACEs) can cause risk behaviors, research has told us that the presence of protective factors can help mitigate the effects of ACEs. Common risk behaviors such as smoking tobacco and alcohol misuse can be a result from the trauma of childhood disadvantage. In responding to ACEs, public health research proposes that protective factors such as safe, stable, nurturing relationships (SSNRs) with a caring adult can mitigate the long-term effects of...
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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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Donald Trump is the product of abuse and neglect. His story is common, even for the powerful and wealthy.
“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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Structural Racism, Social Risk Factors, and Covid-19 — A Dangerous Convergence for Black Americans (NEJM)
Perspective by Leonard E. Egede, M.D., and Rebekah J. Walker, Ph.D. July 22, 2020, DOI: 10.1056/NEJMp2023616 . *Author Affiliations: From the Division of General Internal Medicine, Department of Medicine, and the Center for Advancing Population Science, Medical College of Wisconsin, Milwaukee. Current protests throughout the United States are highlighting the history of marginalization of and discrimination against Black Americans, including 250 years of slavery, 100 years of Jim Crow laws,...
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Baby courts: A proven approach to stop the multigenerational transmission of ACES in child welfare; new efforts to establish courts nationwide
The organization Zero To Three estimates that in the U.S., a child is taken into the child welfare system every six seconds. “Many of society’s most intractable problems can be traced back to childhood adversity. Being in the child welfare system increases the likelihood of more adversity and criminality. Baby court is a proven approach to healing the trauma of both child and parent, and breaking the cycle of maltreatment,” says Mimi Graham, Ed.D ., director of the Florida State University...
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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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NOW AVAILABLE ON DEMAND: The Repressed Role of Adverse Childhood Experiences in Adult Well-Being, Disease and Social Functioning: Turning Gold into Lead (Dr. Vincent J. Felitti) [avahealth.org]
The ACE Study reveals how typically unrecognized adverse childhood experiences are not only common, but causally underlie a number of the most common causes of adult social malfunction, biomedical disease, and premature death. Moreover, it enables one to see that the Public Health Problem is often an individual’s attempted Solution to childhood experiences about which we keep ourselves unaware. A renowned physician and researcher, Dr. Vincent J. Felitti is one of the world’s foremost experts...
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Addressing the caste system in U.S. healthcare in the era of COVID-19 (International Journal for Health Equity)
Sivashanker, K., Couillard, C., Goldsmith, J. et al. Addressing the caste system in U.S. healthcare in the era of COVID-19. Int J Equity Health 19, 184 (2020). https://doi.org/10.1186/s12939-020-01298-x Abstract In healthcare, we find an industry that typifies the unique blend of racism, classism, and other forms of structural discrimination that comprise the U.S. caste system—the artificially-constructed and legally-reinforced social hierarchy for assigning worth and determining opportunity...
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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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New Resource: Coping with Stress During the COVID-19 Pandemic One-Pager (English & Spanish!)
English: The California Department of Public Health, Injury and Prevention Branch (CDPH/IVPB) and the California Department of Social Service, Office of Child Abuse Prevention’s (CDSS/OCAP) , Essentials for Childhood (EfC) Initiative , ACEs Connection , and the Yolo County Children’s Alliance have co-created a newly developed resource, “Coping with Stress During the COVID-19 Pandemic” in both English and Spanish. This material is intended for Californian families experiencing the severe...
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Adverse Childhood Experiences and Decreased Renal Function: Impact on All-Cause Mortality in U.S. Adults (AJPM)
Mukoso N. Ozieh, MD, MSCR, Emma Garacci, MS, Jennifer A. Campbell, MPH, Rebekah J. Walker, PhD, Leonard E. Egede, MD, MS. RESEARCH ARTICLE | VOLUME 59, ISSUE 2 , E49-E57, AUGUST 01, 2020. DOI: https://doi.org/10.1016/j.amepre.2020.04.005 Introduction Evidence suggests that individuals with a history of adverse childhood experiences have higher odds of developing kidney disease than individuals with no adverse childhood experiences. However, no study has examined the influence of coexisting...
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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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How U.S. Medical Schools Are Training a Post-Pandemic Generation of Doctors [time.com]
By Jamie Ducharme, Time, November 24, 2020 In February 2019, the Kaiser Permanente health system announced a new kind of medical school. The school would be built “from the ground up” to prepare students for the complexities of the U.S. medical system. The curriculum would emphasize cultural competency, patient and provider well-being, and the elimination of socioeconomic disparities in the medical system. Students would see patients right away, and hands-on learning would replace many...
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Opportunity to sign on to “A Trauma-Informed Agenda for the First 100 Days of the Biden-Harris Administration”—Deadline Dec. 8th
The Campaign for Trauma-Informed Policy and Practice ( CTIPP ) is inviting individuals and organizations to express their support for a set of executive actions for the Biden-Harris Administration to take “to address trauma and build resilience throughout the country.” Most of these actions could be taken early in the Administration and would not require congressional action with the exception of some recommendations that could be included in a new stimulus package. The recommendations are...
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Research from San Bernardino pediatric population
Sharing our recent publication of data on ACEs and immune cell gene expression
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Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment
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...
Member
Laura J. Phipps
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Trauma-Informed Early Childhood Initiatives [CTIPP]
CTIPP CAN Call - Trauma-Informed Early Childhood Initiatives - September 15th, 2-3:30pm ET/11am-12:30pm PT - Join Zoom Meeting: https://us02web.zoom.us/j/742183645 Meeting ID: 742 183 645 One tap mobile +19292056099,,742183645# US (New York) Please join us for next week's CTIPP CAN Call, which will focus on building mental well-being for infants, toddlers and preschoolers and the adults who care for them. This month's presentation will feature Drs. Kaitlin Mulcahy and Gerry Costa, and Kelly...
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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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Today at noon: High Country Community Health - How An Integrated Model of Care Treats the Whole Person
Please join us today at noon for our WCCI Wednesday Conversation. We will be talking with Alysia Hoover-Thompson. She is a licensed psychologist and health service provider and the Director of Behavioral Health Integration at the High Country Community Health Center. She will be talking with us about how she sees trauma in the people she works with, how she helps them build resilience, and how she stays well. Read more here about HCCH: https://www.highcountrycommunityhealth.com/about-us Hope...
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November 17th CTIPP CAN Call and Campaign Office Hour Announcement
We are thrilled to have two presentations about how health care systems can implement trauma-informed practices into their work to improve outcomes by addressing social determinants of health featured on next Wednesday's CTIPP CAN call, and are also looking forward to the Campaign Office Hour call that comes afterward! Links and more information are below (please be aware of time zones!): CTIPP CAN Call - Trauma-Informed Health Care - November 17th, 2-3:30pm ET/11am-12:30pm PT - Join Zoom...
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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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February 16 CTIPP CAN Call - MIECHV Reauthorization
Funding for the Maternal, Infant, Early Childhood Home Visiting (MIECHV) program expires on September 30th of this year. MIECHV is the primary federal funding source for voluntary, evidence-based home visiting programs. Learn more about home visiting, MIECHV, and opportunities to engage in advocacy efforts this year. CTIPP CAN Call - February 16th, 2-3:30pm ET/11am-12:30pm PT Join Zoom Meeting https://us02web.zoom.us/j/ 742183645 Meeting ID: 742 183 645 One tap mobile...
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June 15th CTIPP CAN Call - Toward an Integrated Science of PACEs
Are you interested in learning about new research that integrates the latest brain and social science? Then please join CTIPP’s next Community Action Network (CAN) call on Wednesday, June 15, 2022, from 2:00 - 3:30 p.m. ET / 11:00 a.m. - 12:30 p.m. PT: https://us02web.zoom.us/j/ 742183645 Meeting ID: 742 183 645 +19292056099,,742183645# US (New York) Q&A session after presentations REGISTER / ADD TO CALENDAR The conversation will explore the integrated science of positive and adverse...
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A Nurse-Led, Well-Being Promotion Using the Community Resiliency Model, Atlanta, 2020–2021 [ajph.aphapublications.org]
By Ingrid M. Duva, Jordan R. Murphy, and Linda Grabbe, Photo: Unsplash, American Journal of Public Health, June 9, 2022 Abstract The wrath of COVID-19 includes a co-occurring global mental health pandemic, raising the urgency for our health care sector to implement strategies supporting public mental health. In Georgia, a successful nurse-led response to this crisis capitalized on statewide organizations’ existing efforts to bolster well-being and reduce trauma. Partnerships were formed and...
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Moving Forward After Adverse Childhood Experiences: How to Move from Suffering to Flourishing
Once the suffering resulting from adverse childhood experiences is managed, we can turn toward creating a more satisfying life.
Pursuing the honorable life leads to self-respect and inner peace. Compassion for mistakes, understanding their reasons, and applying integrity skills starts us on the path to flourishing.
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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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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...