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PACEs in Pediatrics

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We Shouldn't Rely on Child Protective Services to Address Family Adversity [imprintnews.org]

By Kelley Fong, The Imprint, September 20, 2020 For many parents, it’s their worst fear: a knock on the door from a state social worker with the power to take their children. With 1 in 3 children nationwide experiencing a Child Protective Services (CPS) investigation during childhood following a report of child maltreatment, this experience is all too common for U.S. families, especially Black and Native American families. Child maltreatment conjures images of critically injured or severely...

Painful Questions: What Happens When Doctors Uncover Adverse Childhood Experiences?

This excellent article reviews arguments for and against universal pediatric screening for ACEs in California. It also highlights Dr. Nadine Burke Harris' concern concern that if we know ACEs science, it is irresponsible not to take action. She indicates that she has not heard alternative proposals for action from critics of screening. However, such alternatives exist and include universal pediatric developmental screening and policy initiatives aimed at primary prevention of adversity.

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...

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...

Freedom From Trauma – Powerful & Profound Practices To Heal Trauma & Consciously Create The Body, Mind, Spirit You Truly Desire

We are living in complicated and stressful times. What needs to be healed seems more palpable than ever. It feels like the call to release what no longer serves has never been louder and we are feeling that tug at our core. While the founder of The League of Extraordinary People, Alfred White, has been gaining more clarity everyday on this, he was invited to be part of an event, more like a movement, to help others find freedom from what has been holding them back. It is a free, online...

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...

Plans of US Parents Regarding School Attendance for Their Children in the Fall of 2020 [jamanetwork.com]

By Emily Kroshus, Matt Hawrilenko, Pooja S. Tandon, et al., JAMA Pediatrics, August 14, 2020 Key Points Question What do parents plan to do about school attendance in the fall of 2020, and what factors are influencing these plans? Findings In this survey study of 730 US parents of school-aged children, 31% of parents indicated they will probably or definitely keep their child home this fall if schools open for in-person instruction. Factors associated with planning to keep children home were...

The Pandemics of Racism and COVID-19 [pediatrics.aappublications.org]

By Tina L. Cheng and Alison M. Conca-Cheng, Pediatrics, August 31, 2020 COVID-19 is a recent crisis. Racism is an enduring crisis which is inflamed in the presence of other crises. The Chinese word for "crisis” is composed of two characters, one signifying "danger" and the other, "opportunity." The pandemics of COVID-19 and racism present clear danger. Our duty is to make sense of the opportunity by learning, understanding, and taking action. In this issue of Pediatrics, Cheah et al.1...

Addressing students' social, emotional and behavioral stress -- not truama -- when they return to school [smartbrief.com]

By Howie Knoff, SmartBrief, August 31, 2020 Throughout this pandemic, the American public has sometimes had to choose between science and beliefs, between objective data and personal testimonials. And while the medical, social, economic and educational toll from the COVID-19 virus is unprecedented, some of the effects have been politicized by our leaders, and sensationalized by the press. Sadly, the latter has occurred when discussing the emotional status of our students as districts prepare...

Health advocates highlight extreme COVID burnout, stark inequities and strong call for action

Dr. Elisa Nicholas, a pediatrician and chief executive officer of TCC Family Health Clinics in Long Beach, California, relays an example of how the COVID-19 pandemic has wreaked havoc on the lives of the clinics’ patients. Most had already been struggling financially prior to the pandemic. “Both the mother and father came down with coronavirus,” said Nicholas. “Their child was in on a telephone visit with one of our doctors. They did not have any way to get food. They had no money to pay for...

Asking the Right Questions: Implementing Behavioral Health Screening in a Pediatric Emergency Department

Jessica Williams wants you to know that depressed kids don’t have a “look”. As the lead social worker in charge of the behavioral health screening protocol at Nemours/Alfred I duPont Hospital for Children, it’s her job to educate clinicians, staff, and families about the one thing they can do to identify kids in crisis: ask them the right questions. “Kids that appear to be depressed, whatever you think that might look like, they might not actually be depressed,” she explains. “And sometimes...

Wellness navigators in clinics screening for ACEs help prevent crises in patients' lives

A patient came into the Goleta location of the Santa Barbara Neighborhood Clinics pleading with people at the front desk to speak to Mayra Garcia, a wellness navigator at the clinic, despite not having an appointment. The clinic is part of a network of four clinics in the Santa Barbara region of California that serve mainly patients on Medi-Cal, the state’s Medicaid program, or patients who are uninsured. Mayra Garcia “She was crying. Her husband had been deported. She couldn’t pay the rent,...

Effects of a Brief Mindfulness-Based Program on Stress in Health Care Professionals at a US Biomedical Research Hosptial [jamanetwork.com]

By Rezvan Ameli, Ninet Sinaii, Colin P. West, et al., JAMA Network Open, August 25, 2020 Key Points Español 中文 (Chinese) Question Is a brief mindfulness-based program effective and feasible in reducing stress among health care professionals during work hours? Findings In this randomized clinical trial including 78 participants randomized to a 5-session (7.5-hour total) mindfulness program or a life-as-usual control, participants in the mindfulness program reported reduced stress and anxiety...

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