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PACEs in Pediatrics

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Understanding Motivation: Building the Brain Architecture That Supports Learning, Health, and Community Participation [developingchild.harvard.edu]

A healthy, engaged community depends on people achieving to the best of their potential, contributing actively to the economy and public well-being, and helping the next generation to thrive. A complex set of intertwined social and biological factors influences people’s motivation to participate actively and productively in schools, jobs, and communities–and to persevere in the face of setbacks. To unlock this puzzle and ensure that all people have the opportunity to develop motivation to...

January 2019 NPPC Announcements

The NPPC team at the Center for Youth Wellness is excited to share details about our second cohort of Pilot Sites, our ACEs webinar series with OptumHealth education and our new podcast series: ‘Voices from the Field’. Read on to find out more. Apply for the National Pediatric Practice Community Pilot Site Cohort 2! The National Pediatric Practice Community(NPPC) is pleased to open the application process for NPPC's second cohort of pilot sites. Participation will not only support your...

National collaborative provides roadmap for doctors to ask about adult patients' ACEs, current trauma

How do you ask patients about current and past trauma? And how do you respond to their disclosures? Those are two key questions that members of a national collaborative who are among the early adopters of trauma-informed care practices have answered in a recent article in the journal Women’s Health Issues. Dr. Edward Machtinger To Dr. Edward Machtinger, the lead author of the paper entitled, “ From treatment to Healing: Inquiry and response to recent and past trauma in adult health care” ,...

Brain biomarkers identify those at risk of severe PTSD symptoms [medicalxpress.com]

Using sophisticated computational tools, researchers at Yale University and the Icahn School of Medicine have discovered biomarkers that may explain why symptoms of post-traumatic stress disorder (PTSD) can be so severe for some people and not for others. The findings are reported Jan. 21 in the journal Nature Neuroscience. The study of combat veterans who have been exposed to intense events shows that those with severe symptoms of PTSD have distinct patterns of neurological and...

Governor Newsom announces Nadine Burke Harris to be CA's first-ever surgeon general

Governor Gavin Newsom today announced the appointment of Dr. Nadine Burke Harris, a national leader in pediatric medicine, to serve as California’s first-ever Surgeon General. There is overwhelming consensus in the scientific community around early warning signs and childhood determinants of serious health outcomes. As California's Surgeon General, Dr. Burke Harris will urge policymakers at every level of government and leaders across the state to consider the social determinants of health,...

Pediatricians Knew About Family Separation Long Before the Public Did - And They Were Worried [psmag.com]

In the early months of 2018, a disturbing rumor traveled from the southern border of the United States into the office of Dr. Colleen Kraft: Pediatricians in the Southwest were reporting that they had begun to encounter migrant children whom the government had separated from their parents. The reports began to reach Kraft soon after she began her one-year term as president of the American Academy of Pediatrics, one of the country's foremost professional organizations of doctors dedicated to...

What Exactly is a Toddler Tantrum?

Several years ago NPR had a story about temper tantrums, describing a study showing that the sounds children make during a tantrum indicate that they are primarily sad rather than angry. The written version of the story opens with description of tantrums as " the cause of profound helplessness among parents." I thought this was an interesting choice of words, as I have always thought of tantrums as representing a sense of helplessness in children. In fact, in my over 20 years of practicing...

Early Bird registration ends Feb 2 for the AAP Trauma Informed Pediatric Provider Course

Early bird registration ends soon for the 2019 AAP Trauma Informed Pediatric Provider (TIPP) Course scheduled March 2-5, 2019 in San Antonio, TX. Learn from other pediatric healthcare providers about the recent science, evidence base and treatments of adversity, resiliency and toxic stress. AAP Past-President, Dr. Colleen Kraft, will deliver the keynote presentation Pediatricians as Leaders in Addressing Toxic Stress and Trauma in Children . For more information, a schedule of speakers and...

Shifting the focus from trauma to compassion

photo: Rolf Schweitzer/CCO Dr. Arnd Herz, a self-described champion for ACEs science, would like nothing more than to witness a greater appreciation of how widespread adverse childhood experiences are. Herz, a pediatrician and director of Medi-Cal Strategy for the Greater Southern Alameda Area for Kaiser Permanente Northern California, would also like to encourage more people in health care to engage in a trauma-informed care approach, a change in practice that he says not only benefits...

Research roundup: Prospective ACE study and commentary about it; ways of asking about trauma; research on the power of internal resilience in juvenile offenders and a companion essay

Association of Childhood Trauma Exposure With Adult Psychiatric Disorders and Functional Outcomes JAMA Open Prospective Study Delves Deeper Into Mental Health Effects of Childhood Trauma Psychiatry From Treatment to Healing: Inquiry and Response to Recent and Past Trauma in Adult Health Care Women's Health Issues Adverse Childhood Experiences and Psychological Distress in Juvenile Offenders: The Protective Influence of Resilience and Youth Assets Journal of Adolescent Health Adverse...

Twin Cities PBS Documentary Series about ACE's

PBS will be airing a documentary series on ACE's. If you do not have this station at home, each episode is available to watch online after it has aired (https://www.tpt.org/whole-people/). The Documentary Series Whole People airs Sunday nights on TPT MN at 7 p.m. (CST) beginning January 13 running through February 10, 2019. The documentary series is the result of a three-year partnership between CentraCare and TPT MN. Watch the Documentaries Episode #1 (January 13th) Episode #2 (January...

Trauma presents unique challenges to ELL students [PilotTribune]

photo by Liz/ CC2.0 Editor's note: This excerpt from an article in the Storm Lake Pilot-Tribune in Storm Lake, Iowa highlights how teachers in the Storm Lake School District are being trained in how to recognize trauma in their English Language Learners, which make up the majority of the student population . "With 63 percent of Storm Lake’s students being English language learners (ELL), cultural diversity is a given for teachers. But the trauma inherent with immigrants and refugees in...

The Relentless School Nurse: The Ripple Effect - When Community Violence Comes to School

Elizabeth (Liz) Clark, MSN, RN NCSN is a school nurse's school nurse. Her leadership skills were honed as President of the CO Association of School Nurses. She served on the national level as the CO NASN Director, completing her term in 2017. Liz has a prominent presence on Twitter and uses the social media platform to elevate school nursing practice. Liz is a natural teacher and you can find her sharing the most recent peer-reviewed articles with colleagues to promote health and learning. A...

Research roundup: Two-gen study highlights case for early intervention; mitigating adversity in foster children; testing an expanded ACE survey

Linkage between teen mother's childhood adversity and externalizing behaviors in their children at age 11: Three aspects of parenting Child Abuse & Neglect Decision-making in foster care: A child-centered approach to reducing toxic stress in foster children Children and Youth Services Review Expanding Concepts of Youth Adversity: Relationships With a Positive Patient Health Questionnaire–2 Journal of Pediatric Health Care

Join us in San Antonio for the 2019 AAP Trauma Informed Pediatric Provider course

The American Academy of Pediatrics will once again be holding the Trauma-Informed Pediatric Provider Course: Addressing Childhood Adversity and Promoting Resilience March 2-5, 2019 in San Antonio, TX. The Trauma-Informed Pediatric Provider course will assist health care providers and those working in or with child servicing agencies to identify children who have experienced adversity, trauma and toxic stress and will discuss their presentation and the risk factors involved. This three and...

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