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PACEs in Pediatrics

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Resource: Screening for adverse childhood experiences (ACEs) in pediatric practices

Now that we know that trauma early in life can have a significant impact on an individual’s health and wellness throughout their life, health care organizations are beginning to focus on providing more trauma-informed care. Screening for adverse childhood experiences (ACEs) in pediatric, clinical settings promotes early intervention and can be a tangible entry point for organizations interested in providing trauma-informed care. The Center for Community Health and Evaluation is a nonprofit...

[Repost] Trauma-informed Care: It Takes More Than a Clipboard and a Questionnaire

California is about to launch an ambitious campaign to train tens of thousands of Medi-Cal providers to screen children and adults up to age 65 for trauma, starting on January 1, 2020. It is well-established that the early identification of trauma and providing the appropriate treatment are critical tools for reducing long-term health care costs for both children and adults. Research has shown that individuals who experienced a high number of traumatic childhood events are likely to die...

Unlocking the Potential of Electronic Health Records in Pediatric Healthcare [chapinhall.org]

By Allison Laffan, Kaela Byers, Julie McCrae, et al., Chapin Hall at the University of Chicago, 2019 As the pediatric healthcare field innovates to address social determinants of health and help families meet concrete needs, electronic health records can serve as an important tool for quality improvement and evaluation. Variation in systems, staff knowledge, skills, and availability of resources present barriers to realizing the full potential of this tool. Addressing these barriers...

California unveils ACEs Aware initiative to screen for trauma

Will screening for adverse childhood experiences (ACEs) in California be mandatory? No, but it’s recommended. Will there be training for physicians and staff on how to screen? Yes. Who will be reimbursed for screening patients in California? Physicians who serve patients in the state’s Medi-Cal program — for now. For more answers to these and other questions that surfaced during a Dec. 4 webinar introducing Californians to a new statewide initiative, read on. Come January 1, California will...

California Is Giving Doctors Incentives To Ask Patients About Childhood Trauma [capradio.org]

By Sammy Caiola, Capital Public Radio, December 9, 2019 California health officials want children and adults on Medi-Cal to get screened for traumatic childhood events that can cause negative health effects down the line. Now the state has started giving doctors and nurses tools to do the screenings. People who experience adversity early in life have much higher chances of substance abuse, depression, or chronic diseases than their peers, according to national research. Gov. Gavin Newsom’s...

ACES Aware Webinar: Dec 13th, 12-1pm PT - Public Comments about soon-to-be-released Request for Proposal

The Department of Health Care Services and the California Office of the Surgeon General are hosting a webinar of the Trauma-Informed Care Implementation Advisory Committee’s Provider Education and Engagement Subcommittee. Subcommittee members will discuss a draft Request for Proposal (RFP) released for public comment as part of the ACEs Aware initiative. The draft RFP invites external organizations to apply for grants to support provider training activities, provider engagement activities...

NPPC News and Resources

As 2019 comes to a close, we wish you a peaceful and healthy holiday season. As trauma-informed healthcare practitioners, this is also a time to acknowledge that the holidays can trigger loneliness and anxiety -- so please take time to care for yourself and perhaps provide extra support for your patients and families. As always, below you’ll find other news, webinars and resources we hope you find helpful for your ACEs screening efforts. Medi-Cal Funding Available for ACEs Screening Starting...

NPPC shares lessons learned and results from ACEs screening pilot sites

For Dr. Mercie Digangi, a pediatrician at Kaiser Southern California in Downey, CA, ACEs screening provided a crystal clear before-and-after in how she changed treatment plans for her pediatric patients, she explained to attendees of a December 2 webinar organized by the National Pediatric Practice Community on ACEs (NPPC) and cosponsored by ACEs Connection. Dr. Mercie Digangi One case that turned ACEs screening into a never-go-back moment for her was a three-year-old who was speech-delayed.

Updated scoring guide for the Whole Child Assessment

Calculating a Child-ACE score is not necessary for using the Whole Child Assessment to screen and counsel families. However, because we know some providers for different reasons may want to calculate a score, we have simplified and updated the scoring guide at the bottom of the WCA forms and provided scoring instructions. No changes to any questions were made. https://lluch.org/health-professionals/whole-child-assessment-wca

Research roundup on ACEs and resilience

The Empower Action Model: A Framework for Preventing Adverse Childhood Experiences by Promoting Health, Equity, and Well-Being Across the Life Span A Srivastav, M Strompolis, A Moseley, K Daniels - Health Promotion Practice, 2019 Postpartum depression screening in primary care K Orringer, S Kileny - Contemporary Pediatrics , 2019 Toward fostering resilience on a large scale: Connecting communities of caregivers SS Luthar, NL Kumar, R Benoit - Development and psychopathology, 2019 Mentoring...

Hundreds Attend ACEs Town Hall Featuring California Surgeon General Nadine Burke Harris (with video) [northcoastjournal.com]

By Iridian Casarez, North Coast Journal, November 22, 2019 The Sequoia Conference Center on Humboldt County Office of Education’s campus was at capacity, 448 people had landed a seat — while at least another 100 watched from a live stream in a separate room. The draw was a conversation among California’s first Surgeon General Nadine Burke Harris and a panel of locals spearheading Humboldt County’s efforts to alleviate the impacts of Adverse Childhood Experiences, also known as ACEs. “Thank...

Preventing ACEs - Press Release from Health Officials and 2019 CDC Report

Health Officials Seek to Prevent Adverse Childhood Experiences Press Release from the Association of State and Territorial Health Officials (ASTHO) ARLINGTON, VA (Nov. 6, 2019) —At least five of the top 10 leading causes of death are associated with adverse childhood experiences (ACEs), according to a new report released yesterday by the Centers for Disease Control and Prevention (CDC). ACEs, such as abuse, neglect, and witnessing violence or substance misuse in the home, can lead to...

WEBINAR - NPPC's Pilot Site Case Studies: Lessons Learned from ACEs Screening Implementation

The Center for Youth Wellness' National Pediatric Practice Community on ACES (NPPC) is a co-designed community committed to collaborative learning. To promote this learning, we have been working with six pilot sites over the last year, representing practices of various sizes and service delivery settings, to implement ACEs screening and intervention. On Monday, December 2nd at 1pm PT , we will be holding a webinar to discuss the findings of these pilot site case studies. To attend, please...

Change Package is Now Available!

Click here for the Change Package : Fostering Resilience and Recovery: A Change Package for Advancing Trauma – Informed Primary Care Earlier this year, to help primary care address the impacts of trauma, the National Council for Behavioral Health, with the support of Kaiser Permanente, launched a three-year initiative, Trauma-Informed Primary Care: Fostering Resilience and Recovery . “Trauma work is not new to the National Council. With effects across the lifespan, we’ve spent the last...

Opinion: All Doctors Should Practice Trauma-Informed Care [calhealthreport.org]

By Bob Erlenbusch and Drew Factor, California Health Report, November 20, 2019 “Adverse childhood experiences are the single greatest unaddressed public health threat facing our nation today,” Dr. Robert Block, former president of the American Academy of Pediatrics, has been widely quoted as saying. According to the Adverse Childhood Experiences Study, conducted in the 1990’s by the Centers for Disease Control & Prevention and Kaiser Permanente, adverse childhood experiences are common,...

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