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PACEs in Pediatrics

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Child’s behavior may be linked to parent’s adverse childhood experiences [contemporarypediatrics.com]

Parents who have experienced adverse childhood experiences (ACEs), such as abuse, neglect, or household dysfunction, are more likely than parents without these experiences to have children with behavioral health problems, according to an analysis of data from several large, nationally representative surveys of US households that addressed ACEs and children’s behavioral problems and diagnoses. Of the more than 2500 children for whom researchers had data, one-fifth had a parent who reported...

Child abuse could leave 'molecular scars' on its victims [medicalxpress.com]

Children who are abused might carry the imprint of that trauma in their cells—a biochemical marking that is detectable years later, according to new research from the University of British Columbia and Harvard University. The findings, based on a comparison of chemical tags on the DNA of 34 adult men, still need confirmation from larger studies, and researchers don't know if this tagging—known as methylation—affects the victims' health. But the difference in methylation between those who had...

Migrant Children Moved Under Cover of Darkness to a Texas Tent City [nytimes.com]

In shelters from Kansas to New York, hundreds of migrant children have been roused in the middle of the night in recent weeks and loaded onto buses with backpacks and snacks for a cross-country journey to their new home: a barren tent city on a sprawling patch of desert in West Texas. Until now, most undocumented children being held by federal immigration authorities had been housed in private foster homes or shelters, sleeping two or three to a room. They received formal schooling and...

Heroin children, removed: Children of the opioid epidemic face neglect, trauma [Cincinnati Enquirer]

"The infants often cry and cry. Some of the toddlers go limp when caregivers pick them up. Others hug every adult in sight. Some older children with younger brothers and sisters act as if they are little parents. “They’re very protective, and they struggle with being separated from their siblings,” says Tiffany McDonald, a Cincinnati Children’s Hospital Medical Center social worker. “It’s a survivor skill,” says Mary Greiner, a Cincinnati Children’s physician and expert in child abuse and...

Documentary Wrestling Ghosts tracks a journey from trauma to resilience

When prompted by a life coach to comfort the child inside of her, Kim Montleon, a young mother at the center of the documentary film, Wrestling Ghosts , says emphatically: “I can’t do that; I’m afraid I won’t come back!” That’s the beginning of Montleon’s two-year struggle to dig deep into her own harrowing childhood trauma to find a way to heal so that she can nurture her young children. The documentary by filmmaker Ana Sofia Joanes was screened to more than 140 people on Saturday,...

A Pediatrician Tells His Former Patient: ‘I Am Disappointed in Myself’ [theatlantic.com]

“Like so many rape survivors in this country living through this particular moment in history,” Deborah Copaken wrote last week, “I have been so brought to my knees by this latest allegation that I, too, was inspired to speak out.” After Copaken described her experience, her former pediatrician got in touch with her, and shared his letter with The Atlantic. [For more on this story, go to https://www.theatlantic.com/letters/archive/2018/09/pediatrician-i-didnt-discuss-sexuality-patients/571516/ ]

Trauma Informed Care from the Baby's Perspective

The Association for Prenatal and Perinatal Psychology and Health is pioneering a model of care that includes the baby starting at conception. Our model also includes transgenerational and intergenerational trauma, prenatal experiences, birth and attachment and bonding. We have a conference on this topic October 5-7, 2018, in Denver, CO. See: https://birthpsychology.com/2018-conference/welcome I will be a the Zero to Three conference representing our programs for a poster session. If you are...

“Motherless Children Have the Hardest Time”: Epigenetic Programming and Early Life Environment  [pediatrics.aappublications.org]

The Blind Willie Johnson blues song “Motherless Children” highlights the maternal bonds that we all know are critical to emotional and cognitive development. Authors of previous work looking at infant stress response have found that these bonds begin in utero and can be influenced by both maternal and paternal influences and across multiple generations. 1 The observations of Barker et al 2 on the Dutch famine birth cohort of World War II were perhaps the first published observations of this...

Research roundup: ACEs and children with Autism Spectrum Disorder; ACEs impact on pre-diabetes; parental incarceration and health care use; can a safe neighborhood reduce the risk of obesity?

Adverse Childhood Experiences Are Associated with Unmet Healthcare Needs among Children with Autism Spectrum Disorder [The Journal of Pediatrics] Objective: "To explore associations between level of adverse childhood experiences (ACEs) and unmet healthcare needs among children with autism spectrum disorder (ASD) using a population-based sample." The Differential Impact of Adverse Childhood Experiences in the Development of Pre-Diabetes in a Longitudinal Cohort of US Adults [The Journal of...

Montefiore to test out lower ACE score cut-off in pediatric patients

photo/ CCO 1.0 Screening their pediatric patients for Adverse Childhood Experiences (ACEs) showed researchers at Montefiore Medical Center that their cut-off score of 4 for referring children and families for help was too high, says Dr. Dana Crawford, a pediatric psychologist and the director of the Trauma-Informed Care Program at Montefiore Medical Center in Bronx, NY. Dr. Dana Crawford Their analysis of the results not only confirmed what pediatricians had suspected, it helped them...

Childhood trauma and Its lifelong health effects more prevalent among minorities [NPR Health Shots]

Photo: Woodleywonderworks/ CC 2.0 "When researchers first discovered a link in the late 1990s between childhood adversity and chronic health problems later in life, the real revelation was how common those experiences were across all socioeconomic groups. But the first major study to focus on adverse childhood experiences (ACEs) was limited to a single healthcare system in San Diego. Now a new study — the largest nationally representative study to date on ACEs — confirms that these...

ACEs Research Corner — September 2018

[Editor's note: Dr. Harise Stein at Stanford University edits a web site -- abuseresearch.info -- that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she's posting the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens] Schickedanz A, Halfon N, Sastry N, Chung PJ. Parents' Adverse Childhood Experiences and Their Children's Behavioral Health Problems. Pediatrics. 2018 Aug;142(2).

Kaiser family medicine clinic launches 4-question ACE survey pilot for adults

In July, medical residents in family medicine at Kaiser Permanente in San Jose, CA, began screening adult patients for adverse childhood experiences (ACEs). But it’s an ACE survey with a twist: it’s shorter, not the 10-question survey of the original CDC-Kaiser Permanente ACE Study , according to Dr. Kathryn Ridout who is leading the pilot along with Dr. Francis Chu and Dr. Alec Uy . Why a shorter ACE survey? Dr. Kathryn Ridout “When we were doing our initial discussions with stakeholders in...

Colorado Launches Two Generation Approach to Family Services [chronicleofsocialchange.org]

Colorado is testing a new approach to providing services to struggling families in an effort to address the intergenerational cycle of poverty, incarceration and foster care. Two Generation (2Gen) is a new initiative by the state recognizing that children and their parents are best served by recognizing the needs of the entire family unit. “CDHS embedded the 2Gen approach into all of our services, recognizing that our clients only succeed when their providers or children also get the support...

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