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PACEs in Pediatrics

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Participation of Children and Adolescents in Live Crisis Drills and Exercises [pediatrics.aappublications.org]

By David J. Schonfeld, Marlene Melzer-Lange, Andrew N. Hashikawa, et al., Pediatrics, August 2020 Abstract Children and adolescents should be included in exercises and drills to the extent that their involvement advances readiness to meet their unique needs in the event of a crisis and/or furthers their own preparedness or resiliency. However, there is also a need to be cautious about the potential psychological risks and other unintended consequences of directly involving children in live...

Fighting Food Insufficiency in the Time of Covid-19 [positiveexperience.org/blog]

Loren McCullough, 8/26/20, positiveexperience.org/blog HOPE involves a change in mindset. For many of us, our professional training and inclinations lead us to discover risks, problems, and deficits. In this blog (the first from our new team member, Loren McCullough), we examine national data that points to severe problems with the food supply – as experienced by families. Hidden within the data, we also see evidence for hope. Family and community engagement have buffered some of these...

California ACEs Academy Event: The Repressed Role of Adverse Childhood Experiences in Adult Well-Being, Disease and Social Functioning: Turning Gold into Lead

Thursday, September 3, 2020 12:00pm - 1:00pm PDT | presented by Dr. Vincent J. Felitti *Priority will be given to Medi-Cal providers* 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...

Newly Launched Page: Stories of HOPE [positiveexperience.org/blog]

By Chloe Yang, 8/19/20, positiveexperience.org/blog As the pandemic stretches far into the foreseeable future, with jobs, schooling, housing, and almost every other aspect of life a swirl of uncertainty, it is easy to fixate on the negative. Here at HOPE, we do not deny the devastating severity of the pandemic’s effect on lives across the nation. We do not deny Covid-19’s exacerbation of long-standing systemic inequities in healthcare, housing, education, employment, and more. However, we...

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...

Emergency departments look inward to deepen practices that support traumatized patients

An interdisciplinary team of clinicians from Brigham and Women’s Hospital had a bold idea in 2017. They would completely change the way things worked in their hospital’s emergency department so that the care provided to their patients was infused with a trauma-informed approach. That means recognizing how widespread trauma is and using a myriad of techniques to mitigate its harmful effects among patients, providers and staff. The realization of just how widespread trauma is came to light in...

Santa Clara County ACES Network Summer/Fall 2020 Virtual Events

August 5 at 11 am-12:15 Zoom: Panel ACES Screening in Primary Care Register with the link below: https://us02web.zoom.us/meetin...mbcGew8XBeI8bhYX25iY September 9 at 11AM-12:15 Zoom : Pedi ACES Screen reveals DV witness workflow;ACES Aware Santa Clara County Grantee updates;Diverse ACES screening perspectives. October : Attend the VMC Virtual DV conference, SCC Virtual DV Conference , ACES & Trauma-Informed Pediatric Care—SAVE THE DATE—October 10, 2020 UCSF will be hosting a special...

ACEs research roundup: ACEs, racism, promoting equity and resilience

Racial /Ethnic Disparities in Health Care Access Are Associated with Adverse Childhood Experiences , Journal of Racial and Ethnic Health Disparities Racism , Psycho-Social Stress, and Health-related Quality of Life International Journal of Maternal Child Health and AIDS Promoting equity and resilience: Wellness navigators' role in addressing adverse childhood experiences American Psychological Association Co‐Occurring Youth Profiles of Adverse Childhood Experiences and Protective Factors:...

Dozens of Prosecutors and Youth Corrections Officials Call to Close All Youth Prisons [imprintnews.com]

By Michael Fitzgerald, The Imprint, July 30, 2020 In a sign of the nation’s rapid rethinking of the justice system prompted by protests against racism and police brutality, dozens of elected prosecutors, corrections officials and probation chiefs have called for all youth prisons to be shut down. They described the lockups as “ineffective, inefficient and inhumane.” The open statement , posted online and announced at a virtual news conference Thursday, goes beyond pushing for “the closure of...

Family Well-being in Grandparent- Versus Parent-Headed Households [pediatrics.aappublications.org]

By Eli Rappaport, Nallammai Muthiah, Sarah A. Keim, and Andrew Adesman, Pediatrics, August 2020 Abstract BACKGROUND AND OBJECTIVES: Little is known about the 2% of US children being raised by their grandparents. We sought to characterize and compare grandparent- and parent-headed households with respect to adverse childhood experiences (ACEs), child temperament, attention-deficit/hyperactivity disorder (ADHD), and caregiver aggravation and coping. METHODS: Using a combined data set of...

Children will pay long-term stress-related costs of COVID-19 unless we follow the science [statnews.com]

By Nadine Burke Harris, STAT, August 4, 2020 The world is learning more about the uncommon but puzzling ways Covid-19 can show up in kids, keeping worried parents on the lookout for symptoms of the disease. We should also be concerned about how toxic stress brought on by the pandemic, or made worse by it, will affect children’s developing brains and bodies and their future health. In millions of households, kids are experiencing an incredible amount of stress and anxiety. They’ve lost the...

Effect of a Videoconference-Based Online Group Intervention for Traumatic-Stress in Parents of Children With Life-threatening Illness [jamanetwork.com]

By Frank Muscara, Maria C. McCarthy, Meredith Rayner, et al., JAMA Network Open, July 31, 2020 Key Points Español 中文 (Chinese) Question Is an acceptance and commitment therapy–based group intervention, delivered using videoconferencing, effective in reducing posttraumatic stress symptoms in parents of very ill children? Findings This randomized clinical trial found that videoconference-based acceptance and commitment therapy (compared with a waiting list) was effective in reducing...

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...

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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