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Study Finds Children Separated From Their Parents At The Border Experience High Levels Of Anxiety [texasstandard.org]

Texas’ southern border is ground zero in the nation’s immigration debate. We’ve covered concerns that the Trump administration’s family separation policy could have lasting traumatic effects on the migrant children separated from their parents at the border. A recent study looked at the health impact on kids who are part of families of mixed legal status, such as the roughly 1,800 kids in the Rio Grande Valley who had a parent deported by Immigration and Customs Enforcement last year. Tania...

Association of behavioral health factors and social determinants of health with high and persistently high healthcare costs [Preventive Medicine Reports]

Editor's note: A common interest among ACEs in Pediatrics members is finding research that shows how ACE scores correlate with high cost health care utilization. This study in Preventive Medicine Reports looks into that correlation. " To our knowledge, no other studies have examined the e ff ects of ACEs on utilization and cost, independent of medical condition acuity. ACEs exposure emerged as the sole factor independently associated with both initial and persistent high-cost status, aside...

A Message from the President of the Illinois Chapter, American Academy of Pediatrics

Dear Illinois ACE Connection members, Children and families from all demographic and socioeconomic backgrounds in Illinois experience trauma, adversity, and chronic stress. Social determinants such as where we live, work, and play, can further exacerbate positive or negative physical, emotional, and behavioral health issues. The critical factor that determines if a child, family, and/or community can manage trauma, adversity, and chronic stress successfully is resilience : the process by...

Interactive training on nature and health for health care providers, Oakland, Ca

October 27, 2018 8:45 AM 5:00 PM PDT Calling all health care providers! Save the date! Saturday October 27th, 2018 Join The Center for Nature and Health and Primary Care Clinic, UCSF Benioff's Children's Hospital: When: Saturday, October 27th, 2018, 8:30 a.m.–5:00 p.m. (Outdoor time included!) Where: CHORI Library, 5700 Martin Luther King Jr. Way, Oakland, Ca Register now: www.bitly.com/ucsf- nature2018 Featured speakers: Daphne Miller, MD, Physician and author Jose Gonzalez, Founder, Latino...

Documentary Broken Places uses archival footage to tell stories of ACEs and resilience over time

Why do children exposed to the same level of adversity in childhood have different outcomes? Why do some thrive and others become completely damaged? These were the kinds of burning questions that prompted filmmaker Roger Weisberg to produce the documentary Broken Places , which was shown in a private screening at the 2018 National ACEs Conference in San Francisco. The film delves into the adverse childhood experiences (ACEs) that each of the adults profiled in it endured first as children.

Pediatric Symposium at National ACEs conference offers lessons learned and the way forward

To set in motion the Pediatric Symposium at the 2018 National ACEs Conference in San Francisco, Dr. Nadine Burke Harris, founder and CEO of the Center for Youth Wellness, told the audience of several hundred attendees that the American Academy of Pediatrics has made it very clear to its membership how critical it is that every pediatrician understand how toxic stress impacts the health of their patients. But, she said, when it surveyed its membership it found that only 11 percent knew about...

Wellness and Resiliency Toolkit for Kids with Trauma

I'm excited to share a booklet created for youth in Oregon foster care at a Wellness camp this summer. Youth were provided with these quick, easy and effective (and evidence based) "Mindful Moments" exercises in their Wellness Toolkits and they were practiced throughout the day at camp so that they could be remembered in times of stress and dysregulation. The exercised are designed to quickly bring them back to a state of calm. The youth really enjoyed them, and found them easy and...

Trauma-Informed Care — Reflections of a Primary Care Doctor in the Week of the Kavanaugh Hearing [NEJM.org]

Today, it was my third patient of the morning: a woman with a history of childhood sexual abuse and an abusive marriage. She shared with me her distress, her escalating nightmares and flashbacks over the past week. She held out her left arm to me, where for the first time since her adolescence, she had started cutting herself. And then my sixth patient struggled unsuccessfully to tolerate a Pap smear, as her anxiety became unbearable. Yesterday, it was my fourth patient, with a history of...

Let's meet at the National ACEs Conference Oct. 15-17th!

Dear ACEs in Pediatrics members: I am looking forward to seeing many of you at the National ACEs Conference next week in San Francisco! I will be attending the Pediatric symposium. You'll recognize me as the person typing away on my computer, hoping to capture some of the highlights to share later on in blog posts here and elsewhere on ACEs Connection. I've spoken or corresponded with many of you over the last year. It's been my great pleasure in learning from the community, getting ideas...

Physician Perspectives: Examining the Intersections of White Privilege and Racism in Medicine [medicalbag.com]

Two powerful articles published in the Annals of Family Medicine examined the issue of white privilege within the medical community. In the first piece, 1 author Max J. Romano, MD, MPH, from the Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, opens with an anecdote of an experience during work at a hospital, when he witnessed other staff members making generalizations about a recently deceased patient based on that patient's race: "One hospital staff member removed a...

Fathers' postnatal hormone levels predict later caregiving, study shows [medicalxpress.com]

Much has been written about what happens to mothers hormonally during pregnancy and after, but what about fathers? In a first-of-its-kind study, University of Notre Dame Assistant Professor of Anthropology Lee Gettler and lead author Patty Kuo, visiting assistant professor of psychology, focused on how dads' biology around the birth of their children relates to their parenting down the road. They partnered with Notre Dame psychologists and Memorial Hospital of South Bend to analyze...

New survey paints dire picture of challenges black moms face in health care system [centerforhealthjournalism.org]

A new California survey of pregnant and new mothers paints a bleak picture of what it’s like to be a black mother. In Listening to Mothers in California, black mothers reported not being heard by their health providers and said they experienced discrimination during childbirth. They also experienced higher rates of anxiety and depression during and after pregnancy than white women. The findings add fuel to a growing sense of urgency on maternal health. On Wednesday, California Gov. Brown...

The quest to find biomarkers for toxic stress, resilience in children — A Q-and-A with Jack Shonkoff

The JPB Research Network on Toxic Stress , led by Dr. Jack Shonkoff, is working on developing biological and behavioral markers for adverse childhood experiences (ACEs) and resilience that they believe will be able to measure to what extent a child is experiencing toxic stress, and what effect that stress may be having on the child’s brain and development. The JPB Research Network on Toxic Stress is comprised of scientists, pediatricians and community leaders, and is a project of the Center...

Mr. Rogers, Trauma-Informed Care, and the Limits of Information

Fred Rogers, in his 1969 testimony before the Senate subcommittee on communications in defense of public television, transforms a clearly skeptical Senator Pastore from, "Alright Rogers you've got the floor" to, "Looks like you just earned the 20 million dollars." How does he accomplish this transformation? One line from Senator Pastore gives us some insight. Several minutes into Mr. Rogers testimony he says, "This is the first time I've had goosebumps in the last two days," to which Rogers...

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