Tagged With "primary care"
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A call to action for public health nurses during the COVID‐19 pandemic (Wiley Online Library)
Joyce K. Edmonds PhD, MPH, RN , Shawn M. Kneipp PhD , Lisa Campbell DNP . First published: 12 April 2020. https://doi.org/10.1111/phn.12733 Public health nurses (PHNs) are on the frontline of the public health crisis the world now knows as the COVID‐19 pandemic. They serve on mobile strike teams investigating case‐contacts, deliver education on self‐isolation and quarantine through hotlines and home visits, and interpret the rapidly shifting guidance from the Centers for Disease Control and...
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AMCHP Urges Congress to Support These Priorities for Maternal and Child Health in the Next COVID-19 Relief Package (AMCHP)
May 7, 2020. AMCHP Urges Congress to Support These Priorities for Maternal and Child Health in the Next COVID-19 Relief Package Additional Resources for the Title V Maternal and Child Health Services Block Grant Due to COVID-19, there are already gaps being felt in Maternal and Child Health services, with additional resources needed to address these issues both now and in the aftermath of the immediate crisis. These range from delays in initial newborn hearing and bloodspot screening to...
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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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Cultivating Deliberate Resilience During the Coronavirus Disease 2019 Pandemic (JAMA Network)
JAMA Pediatr. Published online April 14, 2020. doi:10.1001/jamapediatrics.2020.1436 Coronavirus disease 2019 (COVID-19) is affecting our health care community in unprecedented ways. As a pediatric oncologist who studies resilience in the context of illness, I started thinking about what this pandemic means for our professional resilience a few weeks ago, when the first US patient with fatal COVID-19 died in my home city of Seattle, Washington. Promoting resilience among health care workers...
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Del Mar (CA) nurse launches virtual support group for healthcare providers (KUSI News)
By KUSI Newsroom staff, April 27, 2020. SAN DIEGO (KUSI) – Del Mar nurse Pantea Vahidi has launched the ‘ Caring for Those Who Care’ virtual support group for nurses, and other healthcare providers, with the intention of supporting those bravely fighting on the front lines of the novel Coronavirus all around the world. The groups are held daily ; interested nurses, and healthcare professionals, can register via www.PanteaVahidi.com. “ COVID -19 has humbled us to recognize that regardless of...
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Efforts to Reduce Black Maternal Mortality Complicated by COVID-19 [chcf.org]
By Xenia Shih Bion, California Health Care Foundation, April 20, 2020 Latoyha Young had a birth plan. She was going to have the baby in Sacramento with community doula Joy Dean by her side. Dean was funded by the county’s Black Child Legacy Campaign , which works to reduce the disproportional number of Black infant and child deaths in Sacramento. But in mid-March, when Young went into labor just as Governor Gavin Newsom ordered Californians to stay at home to avoid spreading the novel...
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Forsyth County Trauma Informed Care Network
The Forsyth County Trauma Informed Network is taking great strides into recognizing and addressing community post Covid-19 impacts. PowerPoint attached.
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Hundreds of Miles From Home, Nurses Fight Coronavirus on New York's Front Lines [nytimes.com]
By Jenny Gross, The New York Times, April 28, 2020 Each night at dusk, in an otherwise desolate Times Square, hundreds of nurses in blue scrubs gather to board buses that take them to hospitals across New York City. Of the thousands of nurses who have come from other states to shore up New York’s hospitals, more than 4,000 are staying in Midtown Manhattan. During the day, many rest at their hotels, amid darkened Broadway marquees, quiet streets and boarded up shops. At night, they face...
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'I Can't Turn My Brain Off': PTSD and Burnout Threaten Medical Workers [nytimes.com]
By Jan Hoffman, The New York Times, May 16, 2020 The coronavirus patient, a 75-year-old man, was dying. No family member was allowed in the room with him, only a young nurse. In full protective gear, she dimmed the lights and put on quiet music. She freshened his pillows, dabbed his lips with moistened swabs, held his hand, spoke softly to him. He wasn’t even her patient, but everyone else was slammed. Finally, she held an iPad close to him, so he could see the face and hear the voice of a...
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Primary Care & Telehealth Strategies for Addressing the Secondary Health Impacts of COVID-19
From ACEs Aware, May 13, 2020 This webinar will focus on building understanding and identifying primary care and telehealth strategies and tools to address the secondary health effects of the COVID-19 emergency. Widespread stress and anxiety regarding COVID-19, compounded by the economic distress due to lost wages, employment and financial assets; mass school closures; and necessary physical distancing measures can result in an increase of stress-related health conditions. These secondary...
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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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Why Is the Pandemic Killing So Many Black Americans [podcasts.apple.com]
By The Daily, The New York Times, May 20, 2020 Some have called the pandemic “the great equalizer.” But the coronavirus is killing black Americans at staggeringly higher rates than white Americans. Today, we explore why. Guest: Linda Villarosa, a writer for The New York Times Magazine covering racial health disparities, who spoke to Nicole Charles in New Orleans, La. about the death of her husband, Cornell Charles, known as Dickey. He was 51. For more information on today’s episode, visit...
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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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Mental Health Awareness: When Suffering Is Not an Illness
When I was an adolescent and young adult, I struggled with depression. As I reflect back on that time, so much of what I was experiencing was deeply tied to coming to terms with my sexuality. Growing up in the 1980’s in a relatively conservative town, I was closeted (even to myself) until I was a young adult. The pain and fear of being different, of not belonging, of being judged or rejected for who I was more than my adolescent brain could wrap its conscious head around.
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Forsyth County Trauma Informed Care Network
The Forsyth County Trauma Informed Network is taking great strides into recognizing and addressing community post Covid-19 impacts. PowerPoint attached.
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Experience of emergency department use among persons with a history of adverse childhood experiences [bmchealthservres.biomedcentral.com]
By Eva Purkey, Colleen Davison, Meredith MacKenzie, et al., BMC Health Services Research, May 24, 2020 Background Adverse childhood experiences (ACEs) are associated with increased morbidity and mortality, lower levels of distress tolerance, and greater emotional dysregulation, as well as with increased healthcare utilization. All these factors may lead to an increased use of emergency department (ED) services. Understanding the experience of ED utilization among a group of ED users with...
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What Do We Do? What Do We Do Now?
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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Mental Health Outcomes Among Frontline and Second-Line Health Care Workers During Coronavirus Disease 2019 (COVID-19) Pandemic in Italy [jamanetwork.com]
By Rodolfo Rossi, Valentina Socci, and Francesca Pacitti, JAMA Network, May 28, 2020 Introduction Health care workers (HCWs) involved in the coronavirus disease 2019 (COVID-19) pandemic are exposed to high levels of stressful or traumatic events and express substantial negative mental health outcomes,1 including stress-related symptoms and symptoms of depression, anxiety, and insomnia. In this cross-sectional study, we report on mental health outcomes among HCWs in Italy. Methods This...
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NEW Trauma-informed Care Podcast (CME provided)
Join us as we delve into the paradigm-shifting ethos of trauma-informed care with renowned expert Dr. Megan Gerber. Dr. Gerber is an Associate Professor of Medicine at Boston University School of Medicine and serves as Medical Director of Women’s Health for VA Boston where she directs the Women’s Health Fellowship. Dr. Gerber edited the textbook, “Trauma-informed Health Care Approaches: A Guide for Primary Care.” We discuss the framework for trauma-informed universal precautions, as well as bas
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Announcing the Connected Care Accelerator (Request for Applications) [Center for Care Innovations]
* CA SPECIFIC The Connected Care Accelerator, an initiative of the California Health Care Foundation , has been designed in partnership with the Center for Care Innovations to support safety net practices — including community health centers and independent physician practices that predominantly serve low-income communities — in different implementation phases of “virtual care,” also commonly known as “telehealth” or “telemedicine.” The accelerator has two separate tracks: For the...
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Recognizing history of Black nurses a first step to addressing racism and discrimination in nursing (The Conversation)
By Keisha Jefferies, May 11, 2020, The Conversation. During the coronavirus pandemic, nurses are among the nation’s front-line workers. Over the years and to this day, the contributions of Black nurses are hard-fought, unrecognized and under-appreciated. Nurses are essential in care delivery, policy directives and in shaping the health-care system. The year 2020 is the year of the nurse and midwife . Yet, Canada’s history of racism and segregation has contributed to residual anti-Black...
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Penn. Study Screens for PTSD in COVID-19 Front Line Workers (EMS World)
By Lisa Gartner, May 8, 2020 Tribune News Service. It was National Nurses Day on Wednesday, but that evening, as her neighbors stepped outside to bang their pots and pans, Maureen May’s mind was somewhere else. She was thinking about a recent day at Temple University Hospital, where she works in the infant intensive care unit. In a blur it became clear that a mother positive for COVID-19 would need an emergency C-section. The second the baby was born, May had to take the child away from her.
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Nurse burnout, stress from COVID-19 pandemic pose challenge for leaders (nurse.com)
By Leslie Kelly, April 20, 2020, Nursing Careers. Leading during a crisis requires strength, perseverance and calm. The COVID-19 pandemic created a demand on healthcare professionals that led to nurse burnout, feelings of conflict, guilt and overwhelming stress and anxiety . As a nurse leader, increased stress comes from caring for your staff, patient care and administrative concerns. A discussion about recognizing and responding to nurse burnout and secondary traumatic stress must first...
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Linda Grabbe: Helping her communities develop resilience through the Community Resilience Model
Grabbe searched for models that would help her homeless and addicted patients. “There are good body-based models for psychotherapy, which may be the most effective approach for trauma,” she says, “but hardly any of my patients were receiving any kind of therapy. There are thousands of people in our communities who have high ACE scores who will never get the years of psychotherapy they deserve. CRM is a self-mental wellness care tool and is exquisitely trauma-sensitive—so it can help enormously.”
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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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Help Navigating the Road to Community Resiliency
The first time I ever heard the words trauma-informed care and the Adverse Childhood Experiences (ACEs) study was in the summer of 2014. At the time, I was working for the local Police Department as the Director of a grant-funded Crime Reduction Project aimed at reducing drug-related and violent crime. Of the many program goals, one was to develop a rehabilitative corrections program for felony offenders with addictions in order to reduce recidivism. Though I’ve lived in this region for...
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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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Health Disparity, Racial Weathering, and Social Determinants: How Do We Create Antiracist Healthcare? [saragottfriedmd.co]
By Sara Gottfried, Dr. Sara Gottfried MD, July 13, 2020 I take respectful care of my patients regardless of skin color, but in the past few years, I’ve realized that is not enough. There are many sources of information that have influenced me. Conversations, particularly a recent interview with integrative physician Andrea Pennington MD. Books, mentioned in this article, including How to Be an Antiracist by Boston University Professor Ibram X. Kendi and founder of the Antiracism Center for...
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UCSF study shows health workers grappling with pandemic anxiety: 'It's exhausting' [sfchronicle.com]
By Mallory Moench, San Francisco Chronicle, July 21, 2020 Dr. Robert Rodriguez’s anxiety rises and falls with the number of coronavirus cases and deaths. Fear that he could get infected at his San Francisco General Hospital job, or bring the virus home, affects his sleep. He doesn’t hug his 16-year-old son as much. Other worried family members avoid interacting with him. The stress isn’t sustainable, he said. “If day after day, you’re waking up and dealing with patients that are extremely...
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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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Confessions of a California Covid Nurse (Bloomberg)
By Michael Lewis, July 30, 2020, Bloomberg. Notes From A Pandemic: A California county’s efforts to stop the spread has also become a battle with the public’s denial. Erica Dykehouse will wait for minds to change. The Humboldt County Public Health department in California is inside what used to be a juvenile jail. The offices are former prison cells. A few of the doors still have the small windows with the sliding panels that allowed guards to observe prisoners. The basement is a dungeon,...
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Preventing a Parallel Pandemic — A National Strategy to Protect Clinicians’ Well-Being (NEJM)
Victor J. Dzau, M.D., Darrell Kirch, M.D., and Thomas Nasca, M.D. August 6, 2020 N Engl J Med 2020; 383:513-515. DOI: 10.1056/NEJMp2011027. The Covid-19 pandemic, which had killed more than 60,000 Americans by May 1, has been compared with Pearl Harbor and September 11 — cataclysmic events that left indelible imprints on the U.S. national psyche. Like the volunteers who flooded into Manhattan after the World Trade Center attacks, the health care providers working on the front lines of the...
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‘Death by structural poverty’: US south struggles against Covid-19 [theguardian.com]
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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Back-to-School in a Pandemic? Questions, Concerns, and Discussion with School Nurse, Robin Cogan
Robin is a brilliant, passionate, and vocal school nurse with almost two decades of experience as a New Jersey school nurse in the Camden City School District. She is the Legislative Co-Chair for the New Jersey State School Nurses Association and she joined us last week for A Better Normal community discussion about back-to-school (or not) plans families are facing this school year. Robin serves as faculty in the School Nurse Certificate Program at Rutgers University-Camden School of Nursing...
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Who helps the helpers? Why health care workers need 'emotional PPE' (TODAY)
By Meghan Holohan & Tony Bauer, August 14, 2020, TODAY. As an emergency room nurse, Kristin Dorow thought she understood the complexities of her job. Each shift brought a different, and sometimes exciting, challenge but she felt adept at quickly assessing and treating a patient. When COVID-19 patients started flooding her Austin, Texas area hospital, work — and life — started getting tougher. “It’s just this physical and mental exhaustion … (I'm) constantly going through in my mind, ‘Is...
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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
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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ACEs Aware Seeking Applicants to Support Clinical Work [acesaware.org]
ACEs Aware Seeking Applicants to Support Clinical Work Apply by September 15, 2020 ACEs Aware , led by the Office of the California Surgeon General (CA-OSG) and the California Department of Health Care Services (DHCS), is hiring for three new positions to further the mission of supporting Medi-Cal providers across California with training, clinical protocols, and payment for screening children and adults for Adverse Childhood Experiences (ACEs). Aurrera Health Group is the project management...
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After years of attempts, bill to empower nurse practitioners passes Calif. legislature [centerforhealthjournalism.org]
By Kellie Schmitt, Center for Health Journalism, September 1, 2020 A measure that grants California nurse practitioners the ability to practice without physician supervision passed the state legislature Monday, the culmination of a long and contentious legislative journey. The bill gained momentum as the pandemic put a spotlight on health care disparities and workforce shortages. After years of similar attempts , the state legislature passed AB 890, sponsored by Assembly Member Jim Wood,...
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Trauma-Informed Healthcare Approaches: A Guide for Primary Care
https://www.springer.com/us/book/9783030043414
On sale through 9/30/2020.
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CALIFORNIA ACES ACADEMY: Parental ACEs and Pediatrics: Transforming Well Care [avahealth.org]
CALIFORNIA ACES ACADEMY (CAA) , funded by ACEs Aware, is providing free online training to Medi-Cal providers and others featuring: Practical strategies for integrating trauma-informed health care into your team’s practice that improves patients’ well being and the productivity of your practice. Meet colleagues with experience and success providing trauma-informed health care in their practices. Learn from national and local experts. Talk to other professionals from your region in small...
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Introducing ACEs (Adverse Childhood Experiences) and Resilience to First-Year Medical Students [mededportal.org]
By Edore Onigu-Otite, Sindhu Idicula, MedEdPORTAL, September 15, 2020 Abstract Introduction: Adverse childhood experiences (ACEs) are associated with negative mental and physical health outcomes and predictive of higher sociodemographic risk. Introducing ACEs into undergraduate medical education is key to prevention, early recognition, and intervention. Methods: In a 1-hour lecture, held live and viewed online, we delivered a condensed introduction to ACEs to first-year medical students.
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Addiction Born Out of ACEs and The Return of Hope [avahealth.org]
The downstream effect of childhood trauma has been well documented regarding the biological and psychosocial impacts. This presentation will highlight the neurobiological changes associated with ACEs that function as a "primer" for the onset of addiction and related behaviors. It will conclude with principles for influencing these same pathways that assist with restoration of the mind and health downstream effect of childhood trauma has been well documented regarding the biological and...
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RSVP now! FREE Learning opportunity for CA healthcare providers: Oct 1, 2020 at noon PST
RSVP now for a presentation by Susie Wiet, MD who is an integrative developmental psychiatrist with expertise in holistic treatment of trauma-addiction, dual diagnosis, and complex psychiatric disorders. Target Audience T his activity is intended for CALIFORNIA physicians, physician assistants, registered nurses, nurse practitioners, psychologists and social workers engaged in the care of patients who have experienced violence or trauma. Educational Objectives After completing these...
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Improving Discharge Care for Children with Special Health Care Needs through a Nurse-led Learning Collaborative (Lucile Packard Foundation)
September 22, 2020 *Wondering if there is a connection between ACEs and children with special healthcare needs - there is a connection, click HERE to read a Child Trends report. Please see below to learn what nurses are doing to address the unique needs of children with special healthcare needs and their families. Source Being discharged from the hospital is a vulnerable time for families and caregivers of children with special health care needs (CSHCN). Appropriate resources and support are...
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Free 2020 Virtual Trauma-Informed Care Conference
Each year, STAR hosts a Trauma-Informed Care Conference to help educate the next generation of leaders and build a strong network of Trauma-Informed professionals in the state of Georgia. The conference will be held on Saturday, October 3rd from 10:00am- 1:00pm EST and Sunday, October 4th , 2020 from 2:00pm-5:00pm EST conducted virtually via Zoom.
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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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'A Better Normal:' Can universal ACEs screening be equitable? -- Concerns and solutions
Can universal ACEs screening be equitable? A conversation about concerns and solutions. When: Tuesday, Oct. 13, 2-3:30 pm PDT/5-6:30 pm EDT This webinar explores what it takes to ensure that equity is built into the process of screening and providing support for families who have experienced trauma and want help. REGISTER HERE Background At the beginning of this year, California, through the ACEs Aware initiative began rolling out universal screening for adverse childhood experiences (ACEs),...