Tagged With "toxic stress"
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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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Childhood Trauma, Neglect Linked to Increased Risk of Cardiovascular Disease Risk (HCP Live)
By Patrick Campbell, May 1, 2020, HCP Live. While most ongoing research into the impact of mental stress focuses on current stress, a new analysis of the CARDIA study suggests a dysfunctional childhood could be linked to increased risk of cardiovascular disease 30 years later. Results of the analysis indicate children who experienced childhood dysfunction, such as family dysfunction, abuse, and neglect, were more likely to experience cardiovascular disease and all-cause mortality, even after...
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COVID-19 and Healthcare worker's families: behind the scenes of frontline response [thelancet.com]
By Amine Souadka, Hajar Essangri, Amine Benkabbou, et al., EClinical Medicine, May 17, 2020 During the COVID-19 outbreak, healthcare professionals are exposed to a high-risk of infection and mental health problems, but also fear of contagion and spreading the virus to their families. In fact, considering them as individuals implies looking beyond their function as frontline responders and taking into account their societal role as parents, spouses and offspring. While work-family balance is...
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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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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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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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Overview of the Community Resiliency Model, used worldwide to help trauma survivors re-regulate their central nervous system, offered in two, free 90-minute webinars.
Elaine Miller Karas , key creator of the Community Resiliency Model (CRM), will be joined by CRM trainers from Wilmington, NC, Allison Wine , behavioral specialist, and Kelly Purcell , instructional coach and multi-tiered support specialist for this free, two-part training. Register now for two, FREE 90-minute sessions May 7 from 11 a.m. - 12:30 p.m. EST and May 14 from 11 a.m. - 12:30 p.m. EST (The complete overview requires attendance at both sessions. Registration link below registers you...
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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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Study finds meditation and aerobic exercise relieves stress in medical school students (EurekAlert)
Rutgers, Released May 4, 2020, Journal of Alternative and Complementary Medicine. Rutgers professor and medical school student collaborating on research touched by pandemic. Rutgers Robert Wood Johnson Medical School student Paul Lavadera expected his career would put him on the front lines of dealing with medical emergencies. But he never could have imagined he'd be graduating during the biggest global pandemic in a century when he joined forces two years ago with Tracey Shors,...
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The Black Community, COVID-19 & Trauma [sdvoice.com]
By Latanya West, San Diego Voice, May 15, 2020 In January 2019, Governor Gavin Newsom appointed Dr. Nadine Burke Harris as California’s first-ever Surgeon General. An award-winning physician, researcher and advocate, Dr. Burke Harris’ career has been dedicated to serving vulnerable communities and combating the root causes of health disparities. Her work is equally dedicated to changing the way our society responds to one of the most serious, expensive and widespread public health crises of...
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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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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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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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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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"Addiction begins with solving a problem, the problem of human pain, emotional pain"
In his groundbreaking book , In the Realm of Hungry Ghosts: Close Encounters with Addiction , trauma and addiction expert Dr. Gabor Maté writes, “There are almost as many addictions as there are people.” ACEs Connection founder and publisher Jane Stevens read that quote as a springboard to asking Maté to define addiction and explain whether or not it is always rooted in adverse childhood experiences. Maté, along with filmmaker Michelle Esrick and Saturday Night Live star Darrell Hammond,...
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How nurses are coping with the stress from the coronavirus — it isn’t easy (Miami Herald)
By Ana Veciana-Suarez, April 28, 2020, Miami Herald. Each has a compelling story about what inspired them to become a nurse. Now each of them has a gripping worry about contracting COVID-19. As these frontline healthcare workers mark another Nurses Week in May, it’s never been more stressful to help sick people get healthy — yet that hasn’t stopped nurses from going to work. “Typically,” says Barbara Bruce, a 42-year RN veteran who works for Memorial Healthcare System in Broward, “you don’t...
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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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Racism's Effect on Health, and the Heartbreak of Being a Black Parent Right Now: California's Surgeon General Speaks [kqed.org]
By KQED Science, KQED, June 14, 2020 The coronavirus pandemic and the recent killing of George Floyd have brought longstanding racial inequities into sharp focus. One of those disparities concerns the high rate of coronavirus transmission among people of color. To talk about the intersection of race and health, KQED's Brian Watt spoke last week with California Surgeon General Dr. Nadine Burke Harris, who is known for her pioneering work on the role that childhood stress and trauma play on...
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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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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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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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Maternal exposure to childhood trauma is associated during pregnancy with placental-fetal stress physiology (Biological Psychiatry)
By Nora K. Moog, MSc, Claudia Buss, PhD, [...], and Pathik D. Wadhwa, MD, PhD, Biol Psychiatry. 2016 May 15; PMCID: PMC4777678. The effects of exposure to childhood trauma (CT) may be transmitted across generations, however the time period(s) and mechanism(s) have yet to be clarified. We address the hypothesis that intergenerational transmission may begin during intrauterine life via the effect of maternal CT exposure on placental-fetal stress physiology, specifically placental...
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How a Pandemic Could Advance the Science of Early Adversity [jamanetwork.com]
By Danielle Roubinov, Nicole R. Bush, and W. Thomas Boyce, JAMA Pediatrics, July 27, 2020 The reach of the coronavirus disease 2019 (COVID-19) pandemic is global, a health crisis with a ubiquity never before experienced. While the physical health consequences of COVID-19 appear to affect proportionally fewer children compared with adults, its psychosocial consequences may be magnified within families who consistently weather a landscape of severe stressors or adverse childhood experiences...
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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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Why the dean of early childhood experts wants to get beyond the brain [centerforhealthjournalism.org]
By Ryan White, Center for Health Journalism, July 23, 2020 Harvard’s Jack Shonkoff, a luminary in the field of early childhood, has spent years showing that events in the earliest years of life have profound implications for how budding brains develop, and in turn, shape a child’s later potential at school and work. Now, Shonkoff says it’s time to connect the brain to the rest of the body. “The message now is to say that there is a revolution going on in molecular biology and genomics and in...
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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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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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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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Elevated “Hunger” Hormone Leaves Trauma-Exposed Teens at Higher Risk for PTSD
Chronic stress increases a blood-based hormone called acyl-ghrelin for years after the initial traumatic stressor exposure in some adolescents, and those with elevated levels of the hormone are more likely to develop post-traumatic stress disorder (PTSD) and to experience more severe cases of the condition, according to a study conducted by researchers at the Icahn School of Medicine at Mount Sinai and published August 20 in JAMA Network Open . ...
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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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Does racism make us sick? Amid a national reckoning, the question gains new importance [sfchronicle.com]
By Tatiana Sanchez, San Francisco Chronicle, August 24, 2020 Elaine Shelly has lived with multiple sclerosis for 30 years. But she said she still panics whenever she has to see a new neurologist because of racial discrimination she’s experienced in the past. Even getting a proper diagnosis for her illness was a battle. “I’d go to these neurologists who would tell me that Black people don’t get M.S. and that I must be mentally ill,” said Shelly, 63, of San Leandro. A former print journalist,...
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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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Strong relationships in adulthood won't 'fix' effects of early childhood adversity (Science Daily)
Materials provided by University of Notre Dame . Original written by Jessica Sieff. Note: Content may be edited for style and length. August 3, 2020, University of Notre Dame. Summary: Harsh conditions in early life are a fundamental cause of adult stress, and according to new research on wild baboons, this effect is not explained by a lack of social support in adulthood. [ Please click here to read more. ]
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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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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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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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'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),...
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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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Supporting Patients in Pregnancy: ACEs and Maternal Health [acesaware.org]
This webinar will offer information around the importance of ACE screening as it relates to maternal health. Speakers will share resources for providers looking to introduce ACE screening, examples of how to create a healing environment for patients, and case studies on how to respond with trauma-informed care. Upon completion of the activity, participants should be better able to: • Recognize the science and impact of ACEs and toxic stress, understand the value of ACE screening, and apply...
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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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Workplace mental health: from bit player to the red carpet? (Health Europa
By Adrian Wakeling, November 16, 2020, Health Europa. It has become increasingly apparent that mental health is becoming a bigger player in the story of our working lives. After decades in a purely non-speaking part – one of those characters who move their lips in the background and form part of the ‘rent a crowd’ – workplace mental health is finally being given the chance to be heard and influence the plot. Of course, many of the lines we hear have become a little over-familiar and...
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SAVE THE DATE - DECEMBER 2020 WEBINAR: "Supporting Patients in Pregnancy: ACEs and Maternal Health" [acesaware.org]
"Supporting Patients in Pregnancy: ACEs and Maternal Health" 1.0 Continuing Medical Education/Maintenance of Certification Credit Available* Wednesday, December 2, 2020 Noon – 1 p.m. Register for the Webinar This webinar will provide information for women’s health providers about the importance of ACE screening in improving maternal and child health. Speakers will share resources for providers looking to introduce ACE screening in their practice, examples of how to create a healing...
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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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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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USING RELATIONAL HEALTH DURING THE PANDEMIC TO HELP PREVENT TOXIC STRESS IN YOUR CHILD, PATIENTS, AND CLIENTS
This short and practical paper explains how relationships are vital to health, and what you can do as a health provider to help children and families be healthy in the face of increasing stress and physical distancing. The fear and social isolation associated with COVID-19 are worsening existing chronic stressors, as well as creating new ones for families who are experiencing new kinds of adversity. People are feeling isolated and alone and have less emotional support than they did prior to...
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Whole People Watch Weekend on ACEs Connection (Dec. 11th - 13th)
The Transform Trauma with ACEs Sciences FREE Film Festival continues this weekend. Please join us to watch parts 1, 2, and 3 of the PBS Whole People series at your convenience, on ACEs Connection, by clicking play on the videos below: Whole People | 101 | Childhood Trauma | Episode 1 (27 min) Preview: Whole People | 102 | Healing Communities | Preview | Episode 2 Whole People | 102 |Healing Communities Episode 2 (27 min) Whole People | 103 |A New Response | Episode 3 (27 min) This is one of...
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Whole People Film Discussion on Tuesday, December 15th at 7p.m. EST
ACEs Connection, the Campaign for Trauma-Informed Policy & Practice ( CTIPP), and the Relentless School Nurse will be hosting a Zoom discussion on Tuesday, Dec, 15th at 7p.m. EST about parts 1, 2, and 3 of Whole People. We hope you can join us: Pre-Registration Link Quotes from Childhood Trauma (Part 1 of Whole People): If you have yet to watch the Whole People series, you can still do so by visiting the PBS website. There is no cost to watch. 101 | Childhood Trauma | 102 | Healing...