Tagged With "Child Protective Services"
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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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TIC: News and Notes for November 2019
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
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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Toxic Stress: Issue Brief on Family Separation and Child Detention [immigrationinitiative.harvard.edu]
By Jack P. Shonkoff, Immigration Initiative at Harvard, October 2019 Background The separation of children from their parents and their prolonged detention for an indefinite period of time raise profound concerns that transcend partisan politics and demand immediate resolution. Forcibly separating children from their parents is like setting a house on fire. Preventing rapid reunification is like blocking the first responders from doing their job. And subjecting children to prolonged...
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What a Pediatrician Can Do for a Child Seeking Asylum-And What She Can't [newyorker.com]
By Rachel Pearson, The New Yorker, October 8, 2019 On a cool spring afternoon, in a clinic that serves refugee and immigrant families, I sit across from a teen-age girl. She is otherwise known as an unaccompanied alien child, or U.A.C. She left her home in Central America, crossed the southern border, and was detained for a week—in Texas, she thinks—in a facility where breakfast was a cold bean burrito, lunch was a cup of microwavable noodle soup, and dinner was a cold bean burrito. She says...
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When Hidden Grief Gets Triggered During COVID-19 Confinement
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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World Premiere: Stress & Resilience: How Toxic Stress Affects Us, and What We Can Do About It [developingchild.harvard.edu]
By Center on the Developing Child, Harvard University, November 13, 2019 When the stress in your life just doesn’t let up, and it feels like you have no support to get through the day—let alone do everything you need to do to be the best parent you can be—it can seem like there’s nothing that can make it better. But there are resources that can help, and this kind of stress—known as “toxic stress”—doesn’t have to define your life. In this video, learn more about what toxic stress is, how it...
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Action needed today by trauma advocates to urge Congress to address mental health and trauma in current COVID-19 legislation
The follow is a message from Dan Press, Legal Advisor to the Campaign for Trauma-Informed Policy and Practice ), about the need to contact Congress regarding a COVID 19 funding bill being considered this weekend. He is urging ACEs science/trauma advocates and leaders to send emails to their U.S. Senators and Representatives immediately to address the mental health and trauma implications of this pandemic. All – I hate to bother you on a Sunday, but we urgently need you to contact Congress to...
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Association of Exposure to Civil Conflict With Maternal Resilience and Maternal and Child Health and Health System Performance in Afghanistan [jamanetwork.com]
By Nadia Akseer, Arjumand Rizvi, Zaid Bhatti, et al., JAMA Network Open, November 8, 2019 Key Points Question: Is conflict severity associated with the performance of health systems and population health outcomes in Afghanistan during the 2003 to 2018 reconstruction period? Findings: In this survey study of 64 815 women in Afghanistan, notable health and health system improvements were made despite increasing conflict after 2010. However, regions with greater conflict had lower gains in...
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Child Abuse Doc: We Often Wish for a Different Explanation [medpagetoday.com]
By Antoinette Laskey, MedPage Today, December 1, 2019 I always knew I wanted to be a doctor. I also always knew working with children is what brought me the most joy. Finding the subspecialty of child abuse pediatrics was not something I had anticipated. In medical school, I had the opportunity to work with a child abuse pediatrician when a child was brought in for medical care after being sexually assaulted. We examined the child, calmed the obviously distressed parent, and talked with the...
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Doulas & Covid-19: A toolkit for doulas (DONA International)
Please the attached toolkit for more information. From the toolkit: Best practices when working with clients Given how new this virus is, we currently have very little data on how it might affect pregnant people and newborns. Guidelines from the CDC outline recommendations for how to support pregnant and laboring people with Coronavirus. (3) There is currently no evidence that the virus is spread from mother to baby in utero, or that it is transmitted in human milk. (4)
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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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Home Gun Safety Queries in Well-Child Visits [jamanetwork.com]
By Carole H. Stipelman, Greg Stoddard, Kyle Bata, et al., JAMA Pediatrics, October 28, 2019 Firearms are a leading cause of death in US children, and the rate of suicide by firearms in people aged 10 to 19 years has increased since 2008.1 In the United States, 4.6 million children (approximately 7%) live in households with at least 1 gun that is stored loaded and unlocked.2 Safe storage of guns and ammunition may decrease the occurrence of self-inflicted or unintentional firearm injury to...
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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
“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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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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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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Re: An exploration of medical student attitudes towards disclosure of mental illness (Medical Education Online)
For all it's worth I am a family doc with 35 years experience in practice and many years mentoring medical students. I also served 8 years on my state's medical licensing and discipline board and 10 years on my community hospital's bioethics committee. Needless to say physicians are human beings too and have the same array of frailties as the rest of humanity. These days in addition to 'ordinary' mental illness and the awesome assumption of responsibility for life and death the docs carry...
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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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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...
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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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Eighteenth Edition: Preventing ACEs | Healing Adversity | Promoting Resilience
Aligning Resources Across Georgia To Support Resiliency To Our Resilient Georgia Partners and Stakeholders: Mark your calendars for our Lunch and Learn taking place July 21st from 12 to 12:45. We launched Resilient Georgia Lunch and Learn series this year to provide a place for our regional coalition partners, peers, and stakeholders to share opportunities for partnership across the state. Next month will feature Sewn Arts . Sewn Arts is a nonprofit organization working throughout Georgia...
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Re: A Trauma-Informed Approach to Vaccine Hesitancy (Sign On Letter Attached In First Line)
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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Re: A Trauma-Informed Approach to Vaccine Hesitancy (Sign On Letter Attached In First Line)
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
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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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
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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Nightmares and ACEs: They No Longer Need Rule the Night
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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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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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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Jeoff Gordon sees PACEs science, PACEs Connection playing a vital role in ‘relieving some of the most anguishing pain in our society.’
Note: PACEs Connection is in dire financial straits. We are asking for support, from you, our 57,586 members, to help cover the loss of foundation funding that was promised and did not come through. Pay and hours have been cut for our staff—most of us will be laid off for the month of December. Another grant will pick up in January, but we will still be underfunded. Since sounding the alarm this summer, we’ve raised about $26,000 . Thankfully, about 25% of new donors are making monthly...
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Exploring the Connection Between Adverse Childhood Experiences and Diabetes
Life is hard. None of us makes it through unscathed. Unfortunately, though, some of us have a much tougher journey on this planet than others. Most distressingly of all, children and babies are by no means immune from the wounds that this world all too often inflicts. Indeed, for many children, trauma is not a future threat but a present reality. And these adverse childhood experiences (ACE) can have a devastating long-term impact across all domains of a child’s life. This includes...
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North Carolina moves closer to creating nation's first ACEs-informed courts system
(l-r) Judge J. Corpening; Ben David, district attorney, New Hanover County; Chief Justice Paul Newby; Judge Andrew Heath, executive director, Administrative Office of the Courts of the Chief Justice's ACEs Informed Courts Task Force. David and Heath serve as Task Force co-chairs . “There is not any more important work going on in the State of North Carolina,” said Ben David, District Attorney for New Hanover County and co-chair of the Chief Justice’s ACEs-Informed Task Force . The Task force...
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How much would the NAS poverty reduction packages reduce referrals to CPS and foster care placements? Would they reduce racial disproportionality in child welfare? (nasonline.org).
Because of a collaboration with Columbia University and UW-Madison, we have answers to these questions. By Peter Peter Pecora, Casey Family Programs, March 17, 2023 - Overview The National Academy of Sciences (NAS) recently released a “ roadmap ” to reduce child poverty by as much as half through the implementation of a series of social policy packages. The aim of this study was to simulate the reductions in Child Protective Services (CPS) involvement and foster care placements that are...
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Register Now for Inaugural Statewide Summit: Leveraging North Carolina’s Assets to Prevent Childhood Trauma — Virtually & In Raleigh April 27-28!
Information from Summit Brochure and registration site available here . North Carolina’s first Statewide Trauma Summit – a virtual and in-person summit – will beheld Thursday and Friday, April 27-28, in Raleigh, at The McKimmon Conference and Training Center, Summit leaders announced recently. “Momentum is growing in NC for building trauma-informed systems that strengthen resilience and weed out systemic and often intergenerational sources of child trauma. To advance this work, it is...
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Drug Addiction and ACEs: A Journey Through the Gates of Hell to Redemption
Attachment disruptions and other hidden wounds from ACEs can render one more vulnerable to drug addiction. Genuine, mature love from others, and for oneself, can change the course of one's life. A recent book highlights the path from childhood trauma to addiction to recovery.
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“Caring for our own” theme emerges at May Meeting of North Carolina Chief Justice’s Task Force on ACEs-Informed Courts
Ben David, co-chair of the North Carolina Chief Justice's Task Force on ACEs-Informed Courts, shares plans to sustain the work done during the two-year term of the Task Force, to "care for our own" speaking of North Carolina's children, youth, families, communities, victims of crimes, members of law enforcement, the judiciary and court officers and staffers. He also shared Chief Justice Paul Newby's hopes of "getting ACEs-informed courts" into the culture, and said a national conference for...
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What Children Really Need Is Adults That Understand Development
The brain doesn’t fully develop until about the age of 25. This fact is sometimes quite surprising and eye opening to most adults. It can also be somewhat overwhelming for new parents and professionals who are interacting with babies and young children every day, to contemplate. It is essential to realize however, that the greatest time of development occurs in the years prior to kindergarten. And even more critical to understand is that by age three 85 percent of the core structures of the...
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Early Relational Health Innovators Partner In Program Supported by PACEs Connection Cooperative of Communities Members in Twelve California Counties
Christina Bethell, Ph.D, MBA, MPH, founder of the Child and Adolescent Health Measurement Initiative (CAHMI), principal author of the groundbreaking study on positive childhood experiences, and creator of the free Well Visit Planner, among other innovations. Two internationally-respected leaders and innovators in complementary aspects of early relational health and childhood and maternal health equity recently launched a partnership they believe will benefit everyone from newborn babies and...
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Releasing the Grip on Your Difficult Past
Three burdensome happens learned in trying to cope with adverse childhood experiences can be changed. Efforts to drop and replace these troubling habits can be extremely liberating.
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Trauma-Informed Competency Set for Undergraduate Medical Education
The National Collaborative on Trauma-Informed Health Care, Education and Research (TIHCER) presents: Trauma-Informed Competency Set for Undergraduate Medical Education Trauma is nearly universal and a root cause of numerous health and social problems, including 6 of the 10 leading causes of death. Research has substantiated the profound impact of trauma on the brain and body - and why trauma training is critical to the education and practice of health professionals. Yet a critical lag...
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Trauma-Informed Competency Set for Undergraduate Medical Education
The National Collaborative on Trauma-Informed Health Care, Education and Research (TIHCER) presents: Trauma-Informed Competency Set for Undergraduate Medical Education Trauma is nearly universal and a root cause of numerous health and social problems, including 6 of the 10 leading causes of death. Research has substantiated the profound impact of trauma on the brain and body - and why trauma training is critical to the education and practice of health professionals. Yet a critical lag...
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Chronic Illness, Adverse Pre-Onset Experiences (APOEs) and A Splinter Metaphor
This splinter story is an APOE metaphor, a term I have coined as "adverse pre-onset experiences" aka APOEs. This builds on the term for our knowledge that ACEs (adverse childhood experiences) influence risk for chronic illness.
This is about how chronic illness starts for many of us within weeks or months of a stressful or traumatic event. And how we think, very normally, that this particular event is the cause...