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PACEs in Pediatrics

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8 Categories of Adversity That Shape Health: Adverse Babyhood Experiences (ABEs), ACEs and ACEs+, ACREs, and More

As I've discovered since leaving my career as a family doctor, retraining as a somatic trauma therapist, and scouring the research for 20 years - adversity of all kinds, in all phases of our lives, and in past generations influences our health. As does discrimination. Like ACEs, these 7 additional categories of adversity shape health. They increase opportunities for prevention, identify early indicators of risk, and offer more tools for healing chronic illness and other effects of trauma.

Berger, Dalton & Miller: How Much More Data Do We Need? Making the Case for Investing in Our Children

Child maltreatment is well recognized as one of the most significant contributors to pediatric morbidity and mortality throughout the world. 1 , 2 The effect of child maltreatment on morbidity and mortality in older adults has been documented for >20 years as demonstrated by the Adverse Childhood Experiences (ACEs) study. 3 The impact of maltreatment on teenage suicide and other mental health diagnoses is also well known. 4 , 5 To date, however, a direct relationship between maltreatment...

Supporting Skagit County (WA) Families in Need

In 2012, retired from a career in maternity nursing, I joined an effort to start a food bank in our town of 900 people. Though small, we were prepared for most requests; that is, until the day a mother came in search of baby diapers. We had none, so one of our volunteers bought a package of diapers to give her the next time she came in. Soon after, more women came looking for diapers, including a mother-to-be who was expecting twins. She was going to need help. We felt empathy for her and...

Child Maltreatment and Mortality in Young Adults [pediatrics.aappublications.org]

By Leonie Segal, Jason M. Armfield, Emmanuel S. Gnanamanickam, et al., Pediatrics, December 2020 BACKGROUND: Child maltreatment (CM) is a global public health issue, with reported impacts on health and social outcomes. Evidence on mortality is lacking. In this study, we aimed to estimate the impact of CM on death rates in persons 16 to 33 years. METHODS: A retrospective cohort study of all persons born in South Australia 1986 to 2003 using linked administrative data. CM exposure was based on...

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...

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...

CORRECTED LINK: “We Are Resilient: Strengthening Resilience in Ourselves and Our Patients”

This is a one-hour webinar on December 16 from 3-4pm PST by Dovetail Learning is cosponsored by the Center for Care Innovations and ACEs Connection. It is second in a webinar series on health care provider wellness. Please click here to register. Healthcare providers are experiencing high levels of stress from the COVID surge. Add vicarious trauma from screening for ACEs and it can feel overwhelming. We Are Resilient™ designed to improve our own resilience as healthcare providers. It also...

Launching Today, New ‘All In For Kids Fund’ Will Work to Prevent Childhood Adversity [futureswithhoutviolence.org]

Effort Aims to Prevent Childhood Trauma, Break the Cycle of Domestic Violence and Promote Healing During COVID-19 and beyond Genentech, Blue Shield of California Foundation Team with Futures Without Violence to Support Community-Led Approaches to Protect Children, Support Communities Virtual Event Series Kick-Offs New Initiative Today SAN FRANCISCO – Futures Without Violence today announced the launch of the All In For Kids Fund with a $5 million seed investment from Genentech and $1.5...

COVID-19: Pandemic has hit special needs kids hard, advocate's report says [vancouversun.com]

By Randy Shore, Vancouver Sun, December 4, 2020 An astonishing number of families raising special needs children have been unable to access government respite funding and emergency supports put in place in response to the COVID-19 pandemic, according to a special report by B.C.’s representative for children and youth. The pandemic has cast a harsh light on a “crisis decades in the making” for families that rely on support for children with lifelong disabilities, neurological conditions and...

A hospital builds awareness about trauma, deploys acts of empathy

In late 2018, Roberta Azzo, an operations program manager at Bon Secours St. Francis Medical Center in Midlothian, Virginia, decided to take an all-hands-on-deck approach to infusing the hospital’s culture with a trauma-informed approach to care. This involves recognizing that trauma is widespread and that it can cause all kinds of troubled behavior, learning ways to de-escalate that behavior, and preventing practices that trigger patients and staff who have experienced trauma. The hospital...

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...

The Relentless School Nurse: The Unset Thanksgiving Table

For almost thirty years, our family hosted Thanksgiving that included extended family and friends. My kids would laugh at me when I insisted on setting the Thanksgiving table a week before the holiday. It was a joyful time in our household and evokes the sweetest memories for me of our close-knit family that has now grown up. I began hosting Thanksgiving when I was in college. The tradition started one year when my parents and younger sister headed to Florida for a long Thanksgiving weekend,...

New nonprofit breast milk bank launches in San Diego (sandiegouniontribune.com)

San Diego — Every year, about 260 of the tiniest premature babies in California hospitals develop an often-fatal bowel disease known as necrotizing enterocolitis, or NEC. Nobody knows what causes NEC, but a common factor in many cases is the use of formula to feed these very low-birth-weight babies because the mother’s breast milk is not available. Replacing that formula with pasteurized breast milk in every California hospital newborn intensive care unit could be a positive step in reducing...

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