Tagged With "Toxic Stress"
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PCO Webinar—Poverty and Child Health in the United States
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The Connection between Asthma and Toxic Stress
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Parenting Matters: Supporting Parents of Children Ages 0-8 (The National Academies Press 2016)
A study published by The National Academies of Sciences in 2016 resulting in 10 Recommendations to build support for parents... "Over the past several decades, researchers have identified parenting- related knowledge, attitudes, and practices that are associated with improved developmental outcomes for children and around which parenting- related programs, policies, and messaging initiatives can be designed. However, consensus is lacking on the elements of parenting that are most important...
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Parenting, Menopause & ACEs After-the-Chat Summary: Carey Sipp
Have you talked with friends, siblings or co-workers about Parenting with ACEs while going through the change? Do you have any fascinating facts to share about how your OBGYN prepared or supported you when thrown by midlife, hormonal shifts and emotional residue from traumatic stress? Me either. And it's a shame. A lot of people parent, go through menopause, and have survived a bunch of ACEs. Conversations and information shouldn't be so hard to find. But they are. T hat's the reason we...
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Parenting stress associated with epigenetic differences in African American mothers [medicalxpress.com]
Parenting can be stressful - and this stress may be influencing the DNA methylation of African American mothers, finds a new study led by NYU Rory Meyers College of Nursing published in the Journal of Clinical and Translational Science. Stress can contribute to a range of health problems, including high blood pressure and heart disease - health issues that are particularly pervasive among African American women. The stress that parents feel in their roles adds to overall maternal stress...
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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...
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Pediatricians Group: Doctors Should Prescribe Play Time For Kids (boston.cbslocal.com)
A new report is recommending kids do something critical for healthy development – play. The report ‘ The Power of Play ’ from the American Academy of Pediatrics recommends all pediatricians tell children that playing with parents and peers is a critical part of healthy development, fundamental for learning life skills and reducing stress. Dr. Michael Yogman of Mount Auburn Hospital authored the report which shows playtime has decreased significantly in the past 15 years, while screen time...
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Pediatricians screen parents for ACEs to improve health of their babies
The Children’s Clinic , tucked in a busy office park five miles outside downtown Portland, OR, and bustling with noisy babies, boisterous kids and energetic pediatricians, seems ordinary enough. But, for the last two years, a quiet...
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Pediatricians screening for ACEs at Loma Linda University
Attached is the Whole Child Assessment which is being used by pediatricians to screen for ACEs at Loma Linda University. For further questions about the development or use of the WCA, please contact Ariane Marie-Mitchell at Loma Linda University, amariemitchell@llu.edu .
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Please stop saying parenting is hard for everyone & read Parenting with PTSD instead
Sometimes, we feel anxious, intrusive, or afraid when changing or bathing or own babies. Sometimes, we feel sick to our stomachs and worried while potty training, nurturing, or disciplining our toddlers. Sometimes, we feel shame-filled and ill-equipped when talking about puberty, body parts, or sexuality because of how and where we were compromised by caregivers as children as in our bodies, homes, and families. P arenting is brutally hard for some. If affection, attention and intimacy have...
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Positive Childhood Experiences offset ACEs: Q & A with Dr. Robert Sege about HOPE
Tufts University medical professor Dr. Robert Sege directs the Center for Community-Engaged Medicine and is nationally known for his research on effective health systems approaches that address social determinants of health. He is also the principal investigator for the HOPE framework (Healthy Outcomes from Positive Experiences).The HOPE framework is based on research that shows how positive childhood experiences can mitigate the effects of adverse childhood experiences. Sege and colleagues...
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Positive Relationships Can Buffer Childhood Trauma and Toxic Stress, Researchers Say [bostonglobe.com]
By Kay Lazar, The Boston Globe, October 15, 2019 Traumatic events and toxic relationships during childhood can cast long shadows, often damaging mental health well into adulthood. But a growing body of research suggests sustained, positive relationships with caring adults can help mitigate the harmful effects of childhood trauma. And specialists say pediatricians, social workers, and others who work with kids should take steps to monitor and encourage those healthy relationships — just as...
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Prescribing nature for health draws providers to Oakland, CA, conference
There’s now a growing body of research showing the positive health effects of nature. At a recent conference in Oakland, CA, clinicians who prescribe nature to help buffer ACEs and toxic stress experienced by children and families shared findings from their own research and others.
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Primary Care & Telehealth Strategies for Addressing the Secondary Health Impacts of COVID-19
From ACEs Aware, May 13, 2020 This webinar will focus on building understanding and identifying primary care and telehealth strategies and tools to address the secondary health effects of the COVID-19 emergency. Widespread stress and anxiety regarding COVID-19, compounded by the economic distress due to lost wages, employment and financial assets; mass school closures; and necessary physical distancing measures can result in an increase of stress-related health conditions. These secondary...
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Providing Psychosocial Support to Children and Families in the Aftermath of Disasters and Crises
Disasters take a unique toll on children, with the potential to have short- and long-term impact on their physical and emotional health and development. The American Academy of Pediatrics (AAP) clinical report, “Providing Psychosocial Support to...
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Psychology Needs New Concepts and Healing Models for Racial Trauma [madinamerica.com]
The American Psychologist journal published a new special issue that features the latest psychological research on racial trauma. Feminist psychologist and clinical practitioner, Dr. Lillian Comas-Díaz and her colleagues, introduced the special issue and its mission to foreground novel conceptual models of racial trauma, promote healing on individual and collective levels, and highlight consideration of historical racial injuries. The special issue provides a contemporary examination of...
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REMINDER: Nominate a Trauma-Informed Care Champion: #TICchampion
This week (Dec. 3-7), the Center for Health Care Strategies (CHCS) invites you to recognize people around you who are trauma-informed care champions. Nominate someone via Twitter using #TICchampion, and learn about other champions across the nation by following @CHCShealth.
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Report reveals how foster care, juvenile and adult justice systems traumatize youth, calls for policy shifts
YWFC sponsored Sister Warriors meeting When she was 15 years old, Lucero Herrera was put in a rehab program by San Francisco’s Juvenile Court because she was getting drunk regularly. And in doing so, the court failed to explore the root of her drinking. Had they done so, she said, they would have found that anger and trauma were lurking underneath, driven by her ACEs: adverse childhood experiences. Lucero Herrera "Why did they put me in a drug program when I had an anger problem? I went...
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Report reveals how foster care, juvenile and adult justice systems traumatize youth, calls for policy shifts
YWFC sponsored Sister Warriors meeting When she was 15 years old, Lucero Herrera was put in a rehab program by San Francisco’s Juvenile Court because she was getting drunk regularly. And in doing so, the court failed to explore the root of her drinking. Had they done so, she said, they would have found that anger and trauma were lurking underneath, driven by her ACEs: adverse childhood experiences. Lucero Herrera "Why did they put me in a drug program when I had an anger problem? I went...
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[Repost] Building Trauma-Informed Connections via Telehealth During COVID-19 [acesaware.org]
By ACEs Aware, April 21, 2020 The physician speakers will share opportunities and guidance for providing trauma-informed care via telehealth as well as resources providers can offer to patients to help mitigate the impact of COVID-19 related stress on physical and mental health. This is particularly critical for patients who have experienced, or who are currently experiencing, Adverse Childhood Experiences (ACEs) or other adversities. Futures Without Violence will share resources providers...
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[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...
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Research
Gene-Environment Interactions (Rhesus Monkeys) Stephen J. Suomi, Ph.D. How Gene-Environment Interactions Can Influence Emotional Development in Rhesus Monkeys http://www.thefpr.org/private/pdf/BROWNC~1.pdf Genetic and Environmental Determinants of...
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Research roundup: ACEs among incarcerated women; testing technology to help reduce substance use; prenatal support as an intervention to prevent ACEs
photo by Rhoda Baer/Wikimedia Common Life as she knows it: The effects of adverse childhood experiences on intimate partner violence among women prisoners [Child Abuse & Neglect] "Most incarcerated women suffer from adverse childhood experiences (ACEs), such as abuse (e.g., physical, sexual, emotional), neglect, (e.g., physical, emotional), and chaotic home environments (e.g., witnessing domestic violence), and adult intimate partner violence (IPV). Yet the majority of research on the...
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Research roundup: IPV and intergenerational trauma, screening for adversity, early child ACES and epigenetic changes
Maternal witness to intimate partner violence during childhood and prenatal family functioning alter newborn cortisol reactivity [Academic Pediatrics] I screen, you screen, we all scream for risk screens [The Journal of Pediatrics] Screening for Toxic Stress Risk Factors at Well-Child Visits: The Addressing Social Key Questions for Health Study [The Journal of Pediatrics] Environmental influences on health and development: nutrition, substance exposure, and adverse childhood experiences...
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Research roundup: Toxic stress biomarkers; trauma-informed curriculum; an ACEs pilot from Wales; resilience in justice-involved youth
Novel method of measuring chronic stress for preterm infants: Skin cortisol Psychoneuroendocrinology Current State of Trauma-Informed Education in the Health Sciences: Lessons for Nursing Journal of Nursing Education Asking about adverse childhood experiences (ACEs) in health visiting Adverse Childhood Experiences and Psychological Distress in Juvenile Offenders: The Protective Influence of Resilience and Youth Assets Journal of Adolescent Health
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Research roundup: Two-gen approach to depression; cross-sector collaboration for special health care needs; ACEs and resilience screening at a Vermont clinic, and more resilience
CC3.0/Urcomunicacion Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice Pediatrics Psychosocial Factors in Children and Youth With Special Health Care Needs and Their Families Pediatrics ACEs and Resilience: Increasing patient knowledge of Adverse Childhood Experiences and stress coping techniques University of Vermont Adverse childhood experiences and sources of childhood resilience: a retrospective study of their combined relationships with child...
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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
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Researchers find connection between heart rate and peer victimization [medicalxpress.com]
Penn State Scranton assistant professors of psychology Karin Machluf and P. Douglas Sellers II, along with their colleague, Christopher Aults from King's College in Wilkes-Barre, have found in a study that heart rate reactivity is a biological moderator between peer victimization (bullying) and internalizing problems (anxiety/depression) in adolescent girls. The researchers' paper, titled "Adolescent Girls' Biological Sensitivity to Context: Heart Rate Reactivity Moderates the Relationship...
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Resource List -- Articles on ACEs in Pediatric Practices
Do the Roots of Mental Health Issues Lie in Early Childhood? [WAMU.org] -- Short article about Dr. Rahil Briggs at Montefiore Comprehensive Healthcare Center in the Bronx. May 27, 2016 Boston's architect of Community Well-Being: Reneé Boynton-Jarrett [ACEsTooHigh.com] -- How Dr. Boynton-Jarrett integrates ACEs science into her practice and community. Feb. 22, 2016 Stemming the cycle of toxic stress -- for the kids' sake [Kaiser Health News] -- How Drs. RJ Gillespie and Teri Pettersen...
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Resource list -- Books
Brandt, Joyelle and Daum, Dawn -- Parenting with PTSD: the impact of childhood abuse on parenting , 2017. " Our Mission: 1. To build a supportive community for parenting survivors, normalize the PTSD responses they may be having, and share resources for healing from adverse childhood experiences (ACEs) or other traumatic events. 2. To educate professionals working in the fields of physical, mental, and social health about common triggers that arise for parents with PTSD, and the challenges...
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Resource List -- Guides & Toolkits
AAP Trauma Toolbox for Primary Care -- This 6-part series was designed with the primary care practice in mind – those who may or may not be familiar with adverse childhood experiences (ACEs) and the process of asking families about exposure to ACEs or other traumatic events. The series includes: Adverse Childhood Experiences and the Lifelong Consequences of Trauma (in Spanish ) Addressing Adverse Childhood Experiences and Other Types of Trauma in the Primary Care Setting (in Spanish ) The...
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Resource list -- Handouts & tools
ACEs and Toxic Stress in Spanish -- A Spanish-language overview from AAP of "toxic stress, how it affects the body's systems, and how we can promote resiliency in children to help protect against toxic stress." ACE Surveys (different types of) -- A list of the original ACE study, adapted surveys, and expanded surveys. Circle of Parents -- " Circle of Parents ® provides a friendly, supportive environment led by parents and other caregivers. It’s a place where anyone in a parenting role can...
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Resource list -- Practices/ Frameworks
Benchmarks NC -- " Benchmarks is an alliance of nationally accredited agencies committed to providing quality care, leadership, and accountability in services to children, adults and families in North Carolina. Member agencies of Benchmarks deliver a broad continuum of behavioral health, child welfare, education, development disabilities and residential support services." Center on the Developing Child , Harvard University -- "We are a multidisciplinary team committed to driving...
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Resource List -- Research & Reports
AcademyHealth -- "As the professional home and leading national organization for health services researchers, policymakers, and health care practitioners and stakeholders, AcademyHealth – together with its members – increases the understanding of methods and data used in the field, enhances the professional skills of researchers and research users, and expands awareness." Anda RF, Felitti VJ, Bremner JD, Walker JD, Whitfield C, Perry BD, Dube SR, Giles WH. The enduring effects of abuse and...
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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...
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Resources for health care providers to prevent burnout during COVID-19
Editor's note: We will be providing ACEs in Pediatric members with resources to help navigate the challenges of COVID-19. Please see these resources below, including registration for a webinar to help prevent burnout in health care providers. It was complied by the Illinois ACEs Response Collaborative. Healthcare Workers and the Workplace Healthcare providers, human service workers, journalists, and the service industry are all facing enormous difficulties in the face of coronavirus.
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Review of ACE studies confirms supporting parent-child relationship is key
When health care providers screen their pediatric patients for ACEs, what interventions might help improve outcomes for children? Dr. Ariane Marie-Mitchell, a pediatrician in the Department of Preventive Medicine at Loma Linda University, and a colleague sought an answer to that question in a systematic review of studies that was published recently in the American Journal of Preventive Medicine. As part of their inquiry, Marie-Mitchell and her co-investigator, Rashel Kostolansky , who was a...
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Review of Tools for Measuring Exposure to Adversity in Children and Adolescents [Journal of Pediatric Health Care]
photo/ Creative Commons " Exposure to childhood adversity can result in negative behavioral and physical health outcomes due to potential long-term embedding into regulatory biological processes. Screening for exposure to adversity is a critical first step in identifying children at risk for developing a toxic stress response. We searched PubMed, PsycArticles, and CINAHL for studies published between January 1, 2012, and December 31, 2016, as well as other sources, to identify potential...
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Safe Spaces. Safe Places: Creating Welcoming and Inclusive Environments for Traumatized LGBTQ Youth (2015 Video from the NCTSN)
This video from the National Child Traumatic Stress Network introduces the viewer to the needs of LGBTQ youth who have experienced trauma. For educators, juvenile justice professionals/law enforcement/first responders, mental...
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"Scars That Don’t Fade"
"A stressful childhood can have psychological-and physiological-fallout in adulthood. Researchers are now narrowing in on how stress wounds the brain and the body." - Proto |MGH Dispatches from the Frontiers of Medicine
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Screening for ACEs in Pediatric Practice [American Academy of Pediatrics - CA Chapter 2]
By Ariane Marie-Mitchell, American Academy of Pediatrics, October 2019 In the August newsletter, we provided an overview of the definition and impact of adverse childhood experiences (ACEs) (http://aapca2.org/aces). In this article, we will explore the argument in favor of screening for ACEs in pediatric practice, and describe the process and results of a California state advisory group on screening for trauma. The American Academy of Pediatrics (AAP) recommended screening for toxic stress...
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September 2017 Special Issue of Academic Pediatrics: Child Well-Being and Adverse Childhood Experiences in the US
The United States is on the threshold of advancing much needed improvements in child and population well-being by addressing the epidemic of adverse childhood experiences and finding ways to come together, use what we know, and heal and catalyze a new epidemic of child and family flourishing. A special issue of Academic Pediatrics highlights new national research with inspiring commentaries across a wide range of leaders, each of whom calls out the critical importance of an immediate, strong...