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PACEs in Pediatrics

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The hazards of out-of-home care for children experiencing adverse home environments [thelancet.com]

There is mounting evidence that children who experience early adversity are at heightened risk for developing physical and psychological sequelae later in childhood; moreover, such sequelae can be biologically embedded, impacting multiple biological systems (including the epigenome), thereby elevating the risk that these effects will persist into adulthood. Two common forms of adversity that affect tens of millions of children each year are maltreatment and removal from parental care and...

Parents’ Adverse Childhood Experiences and Their Children’s Behavioral Health Problems

Pediatrics, August 2018, VOLUME 142 / ISSUE 2 by Adam Schickedanz, Neal Halfon, Narayan Sastry, Paul J. Chung BACKGROUND AND OBJECTIVES: Adverse childhood experiences (ACEs) include stressful and potentially traumatic events associated with higher risk of long-term behavioral problems and chronic illnesses. Whether parents’ ACE counts (an index of standard ACEs) confer intergenerational risk to their children’s behavioral health is unknown. In this study, we estimate the risk of child...

Parents’ Adverse Childhood Experiences and Their Children’s Behavioral Health Problems

Pediatrics, August 2018, VOLUME 142 / ISSUE 2 by Adam Schickedanz, Neal Halfon, Narayan Sastry, Paul J. Chung BACKGROUND AND OBJECTIVES: Adverse childhood experiences (ACEs) include stressful and potentially traumatic events associated with higher risk of long-term behavioral problems and chronic illnesses. Whether parents’ ACE counts (an index of standard ACEs) confer intergenerational risk to their children’s behavioral health is unknown. In this study, we estimate the risk of child...

Pediatrician Dr. Nadine Burke Harris tells Congress how forcibly separating children from their families impacts their health

Pediatrician, Founder and CEO of the Center for Youth Wellness Dr. Nadine Burke Harris explained the science of adverse childhood experiences and the potentially severe health consequences of forcibly separating children from their parents to Congress in testimony she gave on June 27. To view Dr. Nadine Burke Harris' testimony, please click here : https://www.youtube.com/watch?v=Z_KfxwXo1Oo&feature=youtu.be

The AAP opens up access to ACE studies to highlight long-term impact of family separations and detentions at the border

Photo by Gerald R. Nino/Wikimedia.org "We have created a collection of articles on toxic stress since the American Academy of Pediatrics Committee on Psychosocial Aspects of Child and Family Health, the Committee on Early Childhood, Adoption and Dependent Care, and the Section on Behavior and Developmental and Behavioral Pediatrics published their landmark policy statement, “ Early Childhood Adversity, Toxic Stress, and the Role of the Pediatrician: Translating Developmental Science into...

Study shows most pregnant women and their docs like ACEs screening

Photo/ CreativeCommons Would pregnant women participate in surveys from their doctors asking them about whether they had experienced trauma in their childhood? In surveying moms-to-be at two Northern California Kaiser sites, clinicians discovered that the women were receptive to filling out an adverse childhood experiences (ACE) survey, according to a study that was published earlier this year in the Journal of Women’s Health. In fact, researchers found out that the vast majority of pregnant...

Free webinar from Chandra Ghosh Ippen, PhD on "When We Are Scared..."

In this excellent free webinar, Chandra Ghosh Ippen, PhD, Associate Director of the Child Trauma Research Program at University of California, San Francisco, and Director of Dissemination and Implementation for Child-Parent Psychotherapy, talks about how to use her picture story book Once I Was Very Very Scared to help children and families heal from acute and chronic trauma. The webinar will be available in Spanish soon. https://www.youtube.com/watch?v=DcAPbDpgoso

Defang ACEs: End toxic stress by developing resilience through physician-community partnerships [Pediatrics]

" When I was 12, my parents became part of the Maryland foster care system. Over many years, we took care of a total of 6 boys who had been placed in foster care. Some had suffered from physical and sexual abuse, others from neglect. Often, their parents struggled with mental health and substance use disorders. The traumas my siblings had experienced had clear impacts on their immediate mental and physical health. What we did not know was that these adverse experiences could also have...

Parents who had severe trauma, stresses in childhood more likely to have kids with behavioral health problems [ScienceDaily.com]

A new study finds that severe childhood trauma and stresses early in parents' lives are linked to higher rates of behavioral health problems in their own children. The types of childhood hardships included divorce or separation of parents, death of or estrangement from a parent, emotional, physical or sexual abuse, witnessing violence in the home, exposure to substance abuse in the household or parental mental illness. "Previous research has looked at childhood trauma as a risk factor for...

NEW HRSA Funding Opportunity! Pediatric Mental Health Care Access Program

[Ed. note: This is from Hae Young Park, Acting Director of the Division of MCH Workforce Development, Maternal and Child Health Bureau, Health Resources and Services Administration] We are pleased to announce a new notice of funding opportunity (NOFO) for the Pediatric Mental Health Care Access Program. Please share broadly with your stakeholders and grantees. The purpose of this program is to promote behavioral health integration in pediatric primary care by supporting the development of...

Research Roundup: Integrating ACEs science into nursing curriculum, ACEs and addiction, two-generational approaches to preventing ACEs

Photo by Rhonda Baer/Wikimedia Commons A nursing school in Memphis integrates ACEs curriculum https://www.sciencedirect.com/science/article/pii/S8755722318300978 Looking at addiction through a trauma lens https://iacp.ie/files/UserFiles/Eisteach-Journals-Edited-Art/IJCP-Summer-2018-Art.pdf#page=16 What role do ACEs play in food addiction, bariatric surgery and weight loss outcomes? https://link.springer.com/article/10.1007/s11695-018-3370-1 Researchers investigate two-generational approaches...

Iowa project aims to have all pediatricians, family docs screen for ACEs

Dr. Amy Shriver is on a mission: to convince every pediatrician and family doctor in the State of Iowa to screen children for Adverse Childhood Experiences (ACEs). Dr. Amy Shriver The Des Moines-based Blank Children’s Hospital pediatrician is not alone. She’s part of Central Iowa ACES 360, a regional cross-sector coalition formed in 2011 that is working toward that ambitious goal. And they’re making substantial inroads. Central Iowa ACES 360 has just developed a one-hour trauma-informed...

New Federal Opportunities to Advance Two-Generation Approaches to Improving the Lives of Children and Parents [ascend.aspeninstitute.org]

Because of recent legislation passed in February and March of this year, the federal government will be providing significant new funding to state and local governments in 2018 and future years through an array of programs serving low-income children and parents. These new funding streams, and the legislations’ increased focus on improving outcomes using evidence-based approaches, create a remarkable opportunity for path-breaking governors and local leaders to transform how government...

Parents’ Adverse Childhood Experiences and Their Children’s Behavioral Health Problems [pediatrics.aappublications.org]

BACKGROUND AND OBJECTIVES: Adverse childhood experiences (ACEs) include stressful and potentially traumatic events associated with higher risk of long-term behavioral problems and chronic illnesses. Whether parents’ ACE counts (an index of standard ACEs) confer intergenerational risk to their children’s behavioral health is unknown. In this study, we estimate the risk of child behavioral problems as a function of parent ACE counts. METHODS: We obtained retrospective information on 9 ACEs...

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