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Preventable trauma in childhood costs north America and Europe US$ 1.3 trillion a year [WHO]

Karen Clemmer ·
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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Screening for ACEs in Pediatric Practice [American Academy of Pediatrics - CA Chapter 2]

By Ariane Marie-Mitchell, American Academy of Pediatrics, October 2019 In the August newsletter, we provided an overview of the definition and impact of adverse childhood experiences (ACEs) (http://aapca2.org/aces). In this article, we will explore the argument in favor of screening for ACEs in pediatric practice, and describe the process and results of a California state advisory group on screening for trauma. The American Academy of Pediatrics (AAP) recommended screening for toxic stress...
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The Center for Youth Wellness Launches Childhood Adversity Screening Program with Leading North Carolina Health Systems [PR Newswire]

Jim Hickman ·
Charlotte pilot program with Atrium Health and Novant Health supports state's goal to address social, economic and environmental health to improve child and family health outcomes The Center for Youth Wellness (CYW) announced it is partnering with two leading U.S. health systems in the Southeast to launch a screening program on childhood adversity. CYW's National Pediatric Practice Community (NPPC) has done on-site training at the headquarters of Atrium Health and Novant Health in Charlotte,...
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The Relentless School Nurse: ACEs Impact Nurses More Than We Realized!

Robin M Cogan ·
I ran across this message on www.acesconnection.com and not only did it catch my attention, but it also made me want to dig deeper. Could it be true that nurses have a higher ACEs score than other healthcare professionals? It seemed true in this small survey, but was this a representation of a trend? If it was, the implications in nursing practice could be tremendous and concerning. What I found was that there is a grand canyon gap in research. The minimal studies that do exist confirm that...
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TIC: News and Notes for the Week of October 21, 2019 [dhs.wisconsin.gov]

Scott A Webb ·
ACEs, Adversity's Impact There is only one boat: The myth of normalcy by Dr. Gabor Mate Understanding historical trauma to strengthen community Childhood trauma linked to early, premarital childbirth and poor health for women Early life racial discrimination linked to depression, accelerated aging When mothers are killed by their partners, children often become 'forgotten' victims. It's time they were given a voice Children's language skills may be harmed by social hardship Does racism...
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Trauma-Informed Care as a Universal Precaution: Beyond the Adverse Childhood Experiences Questionnaire [jamanetwork.com]

By Nicole Racine, Teresa Killam, and Sheri Madigan, JAMA Pediatrics, November 4, 2019 Experiences of childhood adversity are common, with more than 50% of adults reporting having experienced at least 1 adversity as children and more than 6% exposed to 4 or more adverse childhood experiences (ACEs). There is currently a controversial debate in the medical field as to whether the ACEs questionnaire, which asks about abuse, neglect, and household dysfunction before age 18 years, should be...
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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 Oct. 17 — Integrating ACEs science in pediatrics: Early adopters share lessons from the field

Laurie Udesky ·
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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Why Emotional Eating Can Be a Consequence of Trauma

Rachel Eddins ·
Research suggests that trauma can be a cause of emotional eating, or the drive to consume “comfort foods,” to manage the negative emotions directly related to past negative events.
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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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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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Emotional Well-Being and Coping During COVID-19 [psychiatry.ucsf.edu]

From Weill Institute for Neurosciences, UCSF, May 2020 These are unprecedented times. We need to work extra hard to manage our emotions well. Expect to have a lot of mixed feelings. Naturally we feel anxiety, and maybe waves of panic, particularly when seeing new headlines. A recent article by stress scientist and Vice Chair of Adult Psychology Elissa Epel, PhD, outlines the psychology behind the COVID-19 panic response and how we can try to make the best of this situation. Our anxiety is...
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How do these pediatricians do ACEs screening? Early adopters tell all.

Laurie Udesky ·
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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NPPC shares lessons learned and results from ACEs screening pilot sites

Laurie Udesky ·
For Dr. Mercie Digangi, a pediatrician at Kaiser Southern California in Downey, CA, ACEs screening provided a crystal clear before-and-after in how she changed treatment plans for her pediatric patients, she explained to attendees of a December 2 webinar organized by the National Pediatric Practice Community on ACEs (NPPC) and cosponsored by ACEs Connection. Dr. Mercie Digangi One case that turned ACEs screening into a never-go-back moment for her was a three-year-old who was speech-delayed.
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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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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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Trauma informed pain treatment

bennet davis ·
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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‘Death by structural poverty’: US south struggles against Covid-19 [theguardian.com]

Carey Sipp ·
Monica McCasklill, left, and her daughter Kena Johnson, at their home in Greenwood, Missisppi. They respectively lost their grandmother and great grandmother, Ethel Huntley, to Covid-19. Huntley lived in a nearby nursing home and the family allege failings in her primary care. Photograph: Rory Doyle/The Guardian. By Oliver Laughland, The Guardian, August 5, 2020 Poor access to healthcare, failed political leadership and the endurance of segregation and racism have contributed to a surge in...
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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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New ACEs initiatives learn about strategic plan development from from New Hanover (NC) Resiliency Task Force executive director Mebane Boyd

Carey Sipp ·
The desire to see other ACEs initiatives grow and flourish was evident at a recent meeting of the Resilient Columbus County (North Carolina) ACEs initiative when Mebane Boyd, executive director of the New Hanover Resiliency Task Force (also in North Carolina), shared with the Columbus County and neighboring Pender County groups how New Hanover created and works on its strategic plan. In the spirit of sharing, Boyd agreed to let ACEs Connection post the strategic plan and the video of the...
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Make “Giving Tuesday” your day to support the work of ACEs Connection. Help us meet our matching grant goal of $50K, and your gift will be matched, dollar-for-dollar!

Carey Sipp ·
"This Giving Tuesday, and every day, we thank you for your support," said members of the ACEs Connection staff on a recent "all staff Zoom." L-R (top row) Laurie Udesky, Carey Sipp, Gail Kennedy, Lara Kain (second row) Cissy White, Rafael Maravilla, Donielle Prince, Jenna Quinn (third row) Ingrid Cockhren, (off camera) Alison Cebulla, Jane Stevens. Out that day, and grateful all the same, were Karen Clemmer, Dana Brown, Elizabeth Prewitt, Marianne Avari, and Samantha Sangenito Called “the...
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ACEs Connection/CTIPP Southeastern Leaders’ call: State updates, funding information, and “mind-blowing” information about helping people out of poverty

Carey Sipp ·
Southeastern ACEs Connection and national CTIPP leaders on the quarterly leader call welcomed guest speaker Rebecca Lewis-Pankratz (top left) for their quarterly call. Also among those present were (top row l-r) Carey Sipp, Jesse Kohler, Jesse Hardin, (second row, l-r) Patti Tiberi, Mebane Boyd, Jen Drake-Croft, Dan Press, (third row, l-r) Mimi Graham, Christopher Freeze, Margaret Stagmeier, (fourth row, l-r) Emily Marsh, Liz Peterson, Alyssa Koziarski and Janet Pozmantier. Also present was...
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Therapists Donate Their Time to Counsel Distressed Health Care Workers [jamanetwork.com]

By Mary Chris Jaklevic, JAMA, January 13, 2021 D aniel Hao, MD, wasn’t emotionally prepared for the crush of severely ill patients with coronavirus disease 2019 (COVID-19) who came under his care in March 2020. Many were young, sedated, and dying alone. Sometimes while FaceTiming with their families, Hao saw very young children on the screen. “It was frightening,” Hao, an anesthesia resident at Massachusetts General Hospital in Boston, said in an interview. “A lot of the things that we...
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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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bennet davis

bennet davis
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Learn how to secure federal funding for your community. A Better Normal with CTIPP, Dave Ellis, Dan Jurman

Carey Sipp ·
The nearly $2 trillion American Rescue Plan Act has several buckets of funding that can be used to promote trauma-informed and healing-centered projects. PACEs Connection communities can apply for this funding, according to leaders of the Campaign for Trauma-informed Policy and Practice (CTIPP), the National Trauma Campaign, and PACEs Connection. The “Better Normal” webinar on Friday, May 14 at 3 p.m. EST; Noon PST, Dan Press, Jesse Kohler and Marlo Nash of CTIPP will begin by describing...
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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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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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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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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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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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Tune in March 3 for new PACEs Connection podcast—History. Culture. Trauma. — with guest Agnes Woodward

Carey Sipp ·
Hosted by PACES Connection CEO Ingrid Cockhren In consideration of Women's History month, the entire month of March will be dedicated to the women creating a legacy in the worldwide PACEs movement. In this episode, we will talk with Agnes Woodward. Agnes is using her knowledge of historical trauma and the healing power of the arts to raise awareness of the adversity indigenous women face and how they can also heal themselves, their families and future generations. About Agnes Woodward:...
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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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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 in Recognizing a “Resilient & Thriving Communities Week” across North Carolina’s Local Communities June 6-12, 2022

Kellie Reed Ashcraft ·
Resilient & Thriving Communities Week June 6-12, 2022 Boone, NC: June 8, 2022: A voluntary statewide coalition of people from local community collaboratives, interested staff from North Carolina non-profit organizations, and governmental agencies has organized and are facilitating the first ever “Resilient & Thriving Communities Week” in North Carolina, June 6-12, 2022! This special week is the result of discussions that began two years ago. A volunteer leader of a local North...
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The True Power of Community Resiliency Model (CRM) Skills for Foster Youth/Families

Kristy Blackwell ·
In 2020 when I first started working with Coastal Horizons, my co-worker Amy talked about the CRM Trainings she was giving. At that point I was new and wanted to learn more about it so I went to my first 8 hour CRM training. Little did I know this training would become a new way of communicating with the children in my home. See I am a single kinship/foster/adoptive/birth mother to at least four children, all of which have experience a great deal of trauma. At first I started by using the...
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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...
Comment

Re: MEDICAL and ACADEMIC NARROWMINDEDNESS BLOCK PROGRESS

Laneita Williamson ·
Thank you for writing this article. I appreciate the concerns and thoughts you have shared, agreeing this position statement needed to deeply expand. In medicine there are times that there is a giant leap from a 30 minute introduction on ACEs to some clinicians believing they have all the knowledge base needed to run with leading major process changes, without reviewing prior data or efforts. This is often due to their limited time but yet passion to drive change. The other concern is the...
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Highly-honored school nurse and nurse educator Robin Cogan calls PACEs Connection her ‘north star’; urges each member’s support!

Carey Sipp ·
Note: PACEs Connection is in dire financial straits. We are asking for support, from you, our 57,505 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. Since sounding the alarm this summer, we’ve raised about $24,000 . To get a sense of who your fellow members are, who is donating and why, please enjoy and share...
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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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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).

Carey Sipp ·
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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“Going Way Upstream” - Panelists at Resilient Pender County Conference report on current trauma prevention and healing efforts; look to future

Amy Read ·
Amy Read of Coastal Horizons introduces the panel following a viewing of "Resilience: The Biology of Stress, The Science of Hope", at the Pender Resiliency Task Force Mini Conference Thursday, June 8 ,at Heide Trask High School in Rocky Point. A "dream team" of subject-matter expert panelists (L-R) were Ryan Estes of Coastal Horizons, Ben David, district attorney for Pender and New Hanover counties, Judge J. H. Corpening, district court judge for New Hanover and Pender counties, Taylor...
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PACEs Research Corner — May 2023, Part 2

Harise Stein ·
[Editor's note: Dr. Harise Stein at Stanford University edits a web site — abuseresearch.info — that focuses on the effects of abuse, and includes research articles on PACEs. Every month, she posts the summaries of the abstracts and links to research articles that address only ACEs, PCEs and PACEs. Thank you, Harise!! — Rafael Maravilla] Domestic Violence – Effects on Children Makris G, Eleftheriades A, Pervanidou P. Early Life Stress, Hormones, and Neurodevelopmental Disorders. Horm Res...
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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

Carey Sipp ·
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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Sharpen Eating Disorder Prevention for Physicians

Robyn Hussa Farrell ·
Trauma-informed, disordered eating prevention training for physicians launches in South Carolina after 13 years of collaborative efforts.
 
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