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PACEs in Pediatrics

Tagged With "California Teachers"

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Parenting Matters: Supporting Parents of Children Ages 0-8 (The National Academies Press 2016)

Former Member ·
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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Positive Childhood Experiences offset ACEs: Q & A with Dr. Robert Sege about HOPE

Laurie Udesky ·
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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Report reveals how foster care, juvenile and adult justice systems traumatize youth, calls for policy shifts

Laurie Udesky ·
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

Laurie Udesky ·
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] Trauma-informed Care: It Takes More Than a Clipboard and a Questionnaire

Jim Hickman ·
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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SAVE THE DATE! ACEs Aware Initiative Webinar [acesaware.org]

Wednesday, February 26, 2020 Noon – 1 p.m. Join a live webinar with: Dr. Nadine Burke Harris, MD, MPH – California Surgeon General Dr. Karen Mark, MD, PhD – Medical Director, Department of Health Care Services Dr. Melissa Merrick, PhD – President & CEO, Prevent Child Abuse America Dr. Brigid McCaw, MD, MPH, MS, FACP – Clinical Advisor, ACEs Aware The webinar will provide an overview of the ACEs Aware initiative; why providers should screen for Adverse Childhood Experiences (ACEs); the...
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Beyond Trauma: Building Resilience to ACEs (brochure)

Christine Cissy White ·
Wish you had a fairly easy and short way to share all about ACEs? Wish it was in-depth enough to share with teachers, doctors, nurses and therapists but not so long or jargony it puts family and friends to sleep? Here's the perfect thing to share when you've been all up in the faces with ACEs and want to back up your words before, during or after. This brochure is comprehensive but not so long that it remains in the "I'll get to it later," pile. Please feel free to print, forward, download...
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Building trust is now a critical part of health care

Laurie Udesky ·
In a video clip , a hospital patient turns away in protest as a physician enters the room. “Why do you all keep coming in my room!” she asks in frustration. The physician moves a chair out of the way and sits down at eye level with the patient. “You’ve had to see so many people,” he acknowledges. “And I’m tired of it!” she yells. “I already know I have to get both of my legs cut off. That’s what they keep saying. I don’t have a choice!” “You don’t feel like you have a choice,” he repeats...
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California has Begun Screening for Early Childhood Trauma, But Critics Urge Caution [sciencemag.org]

By Emily Underwood, Science, January 29, 2020 On 1 January, California became the first U.S. state to screen for adverse childhood experiences (ACEs)—early life hardships such as abuse, neglect, and poverty, which can have devastating health consequences in later life. The project is not just a public health initiative, but a vast experiment. State officials aim to cut the health impacts of early life adversity by as much as half within a generation. But critics say the health benefits of...
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California Is Giving Doctors Incentives To Ask Patients About Childhood Trauma [capradio.org]

By Sammy Caiola, Capital Public Radio, December 9, 2019 California health officials want children and adults on Medi-Cal to get screened for traumatic childhood events that can cause negative health effects down the line. Now the state has started giving doctors and nurses tools to do the screenings. People who experience adversity early in life have much higher chances of substance abuse, depression, or chronic diseases than their peers, according to national research. Gov. Gavin Newsom’s...
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California Teachers Build a 'Nest' For Migrant Kids at the Border [kqed.org]

By Sasha Khokha, KQED, October 25, 2019 Classical music plays, silk curtains blow in the wind and comfy couches offer a place to curl up with a book. There are wooden toys, colorful magnetic blocks, and crayons organized by color in glass jars. Children use light projectors to make patterns and shapes on the walls. It may sound like a high-end early childhood education center in California, but this is Tijuana. The students and their parents have fled violence in Central America, or other...
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It's More Than Pay: Striking Teachers Demand Counselors and Nurses [nytimes.com]

By Dana Goldstein, The New York Times, October 24, 2019 In a typical week, Adrienne Vaccarezza-Isla, a school counselor in Chicago, might help a dozen eighth graders apply to high schools across the city. Or try to convince a mother that her daughter, who had seen her get shot years earlier, should join a group for students dealing with trauma. Or work with sixth and seventh graders on time management. Even though she is the only counselor for 650 children at Avondale-Logandale Elementary...
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Little kids and 'toxic stress': we can solve this [cnn.com]

Alicia Doktor ·
All children have incredible potential, most with parents, teachers and other adults in their lives who want the best for them. Unfortunately, many schools, particularly those that serve children with the greatest need, face obstacles that limit children's educational success -- rote curriculums, insufficient support for teachers and scant extracurricular options, to name a few. Educators, parents and policymakers have long acknowledged such obstacles, but we now know that there is another...
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Managing Post-Traumatic Stress in a Pandemic: Practices & Resources Updated Regularly

Christine Cissy White ·
[Ed. note: Cissy posted this in the Practicing Resilience community, and it's cross-posted here to make sure everyone sees it. We don't want anyone to miss out on these resources!] Are you looking for new ways to get connected, supported, or to manage stress while managing post-traumatic stress during this pandemic? I am. No matter what our past or present life circumstances, it's safe to say a whole bunch of us are feeling more stressed and if we live with chronic post-traumatic stress to...
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Mark your calendar for March 10 tweet chat on CA ACEs screening!

Laurie Udesky ·
Hey ACEs Connection communities! Please join us for a boisterous tweet chat about ACEs screening in California on March 10 at 10 am Pacific/ 1 pm Eastern for #SaludTues, hosted by @saludamerica and co-hosted by @CYWSanFrancisco, @acesconnection and @CHCShealth. Get your thumbs ready, and spread the word! What: Tweet chat Who: Salud America, co-hosted by Center for Youth Wellness, ACEs Connection and Center for Health Care Strategies. When: Tuesday, March 10, 10am Pacific/ 1 pm Eastern Why:...
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National Mandate for ACE Testing for ALL New Parents!

John Trayser ·
It was about three years ago when I first heard about ACEs on NPR. It truly legitimized everything I had written about family and relationships with the outside world. I read The Teenage Brain and Childhood Disrupted. We are making huge strides in sharing the scientific findings about childhood trauma in as many avenues as we can it appears. Yet, I have a deep sadness at times that ACEs is an after the fact scorecard of traumas inflicted on our children. My most significant moment in reading...
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New Screenings for Childhood Trauma Raise Hopes, Questions [calhealthreport.org]

By Claudia Boyd-Barrett, California Health Report, December 20, 2019 California health officials are gearing up for the launch of a statewide screening effort that aims to help doctors measure children’s exposure to trauma and their risk of related health problems. Starting Jan. 1, California will become the first state in the nation to reimburse health care providers who screen patients enrolled in the Medi-Cal program for “adverse childhood experiences” or ACEs. The $40 million effort has...
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Opinion: All Doctors Should Practice Trauma-Informed Care [calhealthreport.org]

By Bob Erlenbusch and Drew Factor, California Health Report, November 20, 2019 “Adverse childhood experiences are the single greatest unaddressed public health threat facing our nation today,” Dr. Robert Block, former president of the American Academy of Pediatrics, has been widely quoted as saying. According to the Adverse Childhood Experiences Study, conducted in the 1990’s by the Centers for Disease Control & Prevention and Kaiser Permanente, adverse childhood experiences are common,...
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Parental Disengagement in Childhood and Adolescent Male Gun Carrying [pediatrics.aappublications.org]

Alicia Doktor ·
OBJECTIVES: To examine the association between parental disengagement in childhood and adolescent gun carrying and determine whether this association is accounted for by externalizing problems and affiliation with delinquent peers during early adolescence. METHODS: The sample included 503 boys (55.7% African American, 40.6% white, 3.7% other) recruited from first-grade classrooms in Pittsburgh public schools. Multi-informant assessments were conducted regularly (semiannually then annually)...
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Re: The Relentless School Nurse: Pediatricians + School Nurses = Powerful Partners

Laurie Udesky ·
Hi Robin, Thanks so much for linking to your blog here! I wonder if you know of any existing collaborations between pediatricians and school nurses around ACEs prevention? It's great that you're writing about this, particularly because so many who are involved in preventing ACEs understand the need for cross sector collaboration. I wonder if you saw my article that was posted in ACEs in Pediatrics about Kavitha Selvraj, a pediatrician and former teacher, who is also a member of this forum.
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Re: 9 Big Questions as California Starts to Screen Kids for Trauma, ACEs [salud-america.org]

Priya Batra ·
the links to read the whole article don't work
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Re: 9 Big Questions as California Starts to Screen Kids for Trauma, ACEs [salud-america.org]

Laurie Udesky ·
HI Priya, Thank you. It should be fixed momentarily.
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Re: As California Moves to Screen Children for Childhood Trauma, Poverty Has To Be Part of the Equation

Ariane Marie-Mitchell ·
Hi Jim, I completely agree that poverty is important, but add these two comments for consideration: 1) The AB340 work group already recommended that trauma screening include ACEs and other social determinants such as poverty. We recommended for use the Whole Child Assessment, the PEARLS, or any other tool that a pediatrician wants to use that meet these criteria; 2) While poverty is important, it is NOT the same as ACEs. The literature on ACEs guides us toward specific interventions. While...
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Doctors and teachers could team up to reduce stress in schools [reuters.com]

Alicia Doktor ·
(Reuters Health) - - Partnerships between teachers and doctors could help students and school staffers better deal with “toxic stress,” suggests a former teacher turned doctor. Pediatricians can help build resilience in both children and teachers to counter the effects of traumatic childhood experiences, poverty and violence, Dr. Kavitha Selvaraj of the Ann and Robert H. Lurie Children’s Hospital in Chicago writes in the journal Pediatrics. “Before I was a pediatrician, I was a teacher, and...
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Evidence-based therapies can ameliorate behavior problems in maltreated children [AAPPublications.org]

Samantha Sangenito ·
A father brings his 10-year-old to your office because the boy is having a hard time paying attention at school, gets in fights with classmates and is oppositional with his teacher. As you take the psychosocial history, it’s important to ask whether the child has been exposed to any abuse, neglect, abandonment or other traumas, according to the updated AAP clinical report Clinical Considerations Related to the Behavioral Manifestations of Child Maltreatment. [For more of this story, written...
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Family Resilience And Connection Promote Flourishing Among US Children, Even Amid Adversity [healthaffairs.org]

Marianne Avari ·
Flourishing and its predictors and links to health outcomes are well documented in adults, including among those facing adversities. Less is known about flourishing and its correlates among children, especially those who face circumstances such as adverse childhood experiences (ACEs), chronic illness, or poverty. Studies show that flourishing is distinct from an absence of physical or mental illness and other adversities; that flourishing can and does exist amid these circumstances; and that...
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Finding the Right Words About COVID-19 [chcf.org]

By Kate Meyers, California Health Care Foundation, March 26, 2020 Health care organizations in California and around the US are working incredibly hard to prepare for or respond to a surge of patients suffering from symptoms related to COVID-19. Appropriately, preparation has focused on trying to ensure adequate numbers of health care professionals and sufficient supplies and equipment in the right places at the right times as the demand grows. That focus on numbers and logistics is...
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For a pediatrician and former teacher ACEs awareness came from a punch in the face

Laurie Udesky ·
Dr. Kavitha Selvaraj did not learn about adverse childhood experiences (ACEs) from a class in medical school. Her first awareness of ACEs came after a student slugged her in the face when she was a new teacher in a school in Los Angeles. She had heard a chorus in the hallway urging her students she refers to as “J” and “N” to “Fight! Fight! Fight,” she writes in an essay in a recent issue of the journal Pediatrics . The two were trading punches. When she stepped in the middle to break it up...
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Graduations, non-linear paths, & the importance of getting started

Lori Chelius ·
With graduation season upon us, I have been thinking a lot about one of my favorite graduation speeches. It’s the speech that Shonda Rhimes, creator of Grey’s Anatomy, gave in 2014 at Dartmouth College. She references the typical expected advice from a graduation speech: “Follow your dreams. Listen to your spirit. Change the world. Make your mark. Find your inner voice and make it sing. Embrace failure. Dream. Dream and dream big..." And then she says, “I think that’s crap.”
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Hearing in House Education and Labor Early Childhood Subcommittee addresses intersection of trauma and education

Dr. Nadine Burke Harris (l) and Karina Chicote, Churchill Fellow from western Australia meet after congressional hearing After watching the hearing on a monitor in the overflow room, Karina Chicote, a Churchill Fellow from western Australia, and I hustled to the hearing room in hopes of speaking to the lead witness, Nadine Burke Harris, MD, the first Surgeon General of the State of California. She was deep in conversation with others, including a young woman who wanted to tell her how...
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Helping Teenagers Feel 'Connected' to School Yields Benefits 20 Years Later [blogs.edweek.org]

Marianne Avari ·
By Sarah Sparks, Education Week, June 24, 2019. Adolescents can be challenging for educators to keep engaged—but putting in the effort to make them feel connected to school can pay off well into adulthood. In a study published this morning in the journal Pediatrics, researchers at the federal Centers for Disease Control and Prevention tracked more than 14,000 middle and high school students over 20 years. They found that students who felt connected to their school and family as adolescents...
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How collaboration helps clinic in San Mateo County, CA, tackle ACEs in children

Laurie Udesky ·
Dr. Elizabeth Grady is a pediatrician at the South San Francisco Clinic, a community clinic of San Mateo Medical Center. She and Susana Flores , a senior public health nurse with San Mateo County Health, spoke with me about how the clinic and other health agencies in San Mateo have been able to craft ways to work together to prevent and heal toxic stress in children. Grady also talked about how she and Flores have been working with the Resilient Beginnings Collaborative (RBC), a group of...
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Hundreds Attend ACEs Town Hall Featuring California Surgeon General Nadine Burke Harris (with video) [northcoastjournal.com]

By Iridian Casarez, North Coast Journal, November 22, 2019 The Sequoia Conference Center on Humboldt County Office of Education’s campus was at capacity, 448 people had landed a seat — while at least another 100 watched from a live stream in a separate room. The draw was a conversation among California’s first Surgeon General Nadine Burke Harris and a panel of locals spearheading Humboldt County’s efforts to alleviate the impacts of Adverse Childhood Experiences, also known as ACEs. “Thank...
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Researchers share learned lessons from screening for adverse childhood experiences in pediatric clinics

Laurie Udesky ·
What are the reasons that parents or caregivers do not fully disclose their own or their young children’s ACEs when asked to fill out an ACE screening form in their child’s pediatrician’s office? That was one of the many questions raised in a recent webinar entitled Screening for Adverse Childhood Experiences in the Pediatric Primary Care Setting: Practical Considerations and Lessons Learned . Dr. Kavitha Selvaraj, an attending physician at the Ann & Robert H. Lurie Children’s hospital...
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5 Things to Know as California Starts Screening Children for Toxic Stress [californiahealthline.org]

By Barbara Feder Ostrov, California Healthline, January 7, 2020 Starting this year, routine pediatric visits for millions of California children could involve questions about touchy family topics, such as divorce, unstable housing or a parent who struggles with alcoholism. California now will pay doctors to screen patients for traumatic events known as adverse childhood experiences, or ACEs, if the patient is covered by Medi-Cal — the state’s version of Medicaid for low-income families. The...
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9 Big Questions as California Starts to Screen Kids for Trauma, ACEs [salud-america.org]

By Amanda Merck, Salud America!, February 12, 2020 Early childhood adversity like abuse and divorce is a root cause of many of the greatest public health challenges we face today. But doctors don’t even screen children for exposure to adversity. That’s changing in California, thanks to Dr. Nadine Burke Harris and other child advocates. As of Jan. 1, 2020, almost 100,000 physicians in 8,800 clinics will be reimbursed for routinely screening Medi-Cal patients for adverse childhood experiences...
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After 5-year journey to integrate ACEs science, Santa Rosa, CA, pediatric clinic is trauma-informed, from head to toe

Jane Stevens ·
Dr. Meredith Kieschnick was among the first physicians in the U.S. to hear the term, "adverse childhood experiences". That was in 1998, early on in her career as a pediatrician, when the CDC-Kaiser Permanente Adverse Childhood Experiences Study (ACE Study) published its initial findings in the American Journal of Preventive Medicine . “I attended a conference at which (Dr. Vincent) Felitti spoke,” she recalls. Felitti, at that time director of the Health Appraisal Center at Kaiser Permanente...
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As California Moves to Screen Children for Childhood Trauma, Poverty Has To Be Part of the Equation

Jim Hickman ·
In California, we are coming full circle in recognizing the connection between poverty and health.
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Bay Area Doctors Target Health Consequences of Childhood Trauma [sfchronicle.com]

By Erin Allday, San Francisco Chronicle, January 5, 2020 A screening tool developed by Bay Area pediatricians to identify adverse childhood experiences, ranging from homelessness and food insecurity to physical and sexual abuse, will now help doctors statewide address trauma affecting patients’ health. The California Department of Health Care Services approved the tool — called PEARLS, for Pediatric ACEs and Related Life-Events Screener — last month. As of Jan. 1, its use is covered by...
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Some 350 Florida Leaders Expected to Attend Think Tank with Dr. Vincent Felitti, Co-Principal Investigator of the ACE Study; Expert on ACEs Science

Carey Sipp ·
Leaders from across the Sunshine State will take part in a “Think Tank” in Naples, FL, on Monday, August 6, to help create a more trauma-informed Florida. The estimated 350 attendees will include policy makers and community teams made up of school superintendents, law enforcement officers, judges, hospital administrators, mayors, PTA presidents, child welfare experts, mental health and substance abuse treatment providers, philanthropists, university researchers, state agency heads, and...
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Strengths-based Approaches to Screening Families for Health-Related Social Needs in the Healthcare Setting [Center for the Study of Social Policy]

Laurie Udesky ·
How do you screen families to determine whether they have enough to eat or if they feel safe in their homes or communities without alienating them? In this new brief, authors Dr. Renee Boynton-Jarrett and JoHannah Flacks describe strength-based approaches to screening for health related social needs.
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Survey: Healthcare providers, community organizations weigh in on California's ACEs screening program

Laurie Udesky ·
In January, California took a historic leap forward to promote universal ACEs screening of the state’s 13 million adults and children in the Medi-Cal program. The eventual goal is to promote ACEs screening for all patients, but this is a first step in dealing with a major issue that ACEs science has identified: that many children will develop serious health problems later in life because the healthcare system is not currently set up to detect the roots of those problems. The term ACEs, which...
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The Relentless School Nurse: Do Kids Yoga With Nurse G!

Robin M Cogan ·
I am continuously inspired by the generosity of spirit that is being shared during this complicated and unprecedented time. There are artists, musicians, storytellers, and teachers creating opportunities for families to bring some structure to our very unstructured day. You can find a variety of classes, concerts, and virtual gatherings through social media. One shining example that I wanted to share is the story of 'Kids Yoga with Nurse G'. I am continuously inspired by the generosity of...
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The Relentless School Nurse: The Ripple Effect - When Community Violence Comes to School

Robin M Cogan ·
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...
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The Relentless School Nurse: When the Health Office Pass Includes Emotions

Robin M Cogan ·
The collaboration between school counselors and school nurses creates safe spaces for students at school. Building a coalition between school counselors and school nurses creates a safety net for our most complex and challenging students while benefiting the whole school community. Promoting connections through intentional relationship building, and ensuring a school environment that is physically, emotionally and psychologically safe changes the culture and climate. Read about an amazing...
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This is How Dutch Kids Enjoy and Learn from Keeping Vegetable Gardens (brightvibes.com)

Fruits and vegetables and everything you need can be bought at the supermarket nowadays. Due to this convenience, kids hardly know where their food comes from, much less how to grow it. By teaching them how to grow their own vegetables, their interest in healthy food is sparked. It’s fun, they learn a lot and spend time in nature. Every week the kids from this middle school in the Netherlands go to the vegetable garden with their teacher and a volunteer parent. At the vegetable garden they...
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Traumatic Experiences Widespread Among U.S. Youth, New Data Show

Jane Stevens ·
[This is a media release from the Robert Wood Johnson Foundation.] New national data show that at least 38 percent of children in every state have had at least one Adverse Childhood Experience or ACE, such as the death or incarceration of a parent, witnessing or being a victim of violence, or living with someone who has been suicidal or had a drug or alcohol problem. In 16 states, at least 25 percent of children have had two or more ACEs. Findings come from data in the 2016 National Survey...
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Update on bills re: childhood adversity in California Legislature

Kelly Hardy ·
Below is an updated table of bills that address childhood adversity in the Legislature in 2019. The list is not exhaustive, so please email Kelly Hardy with Children Now if you think a bill is missing and/or if you have any questions. Email: khardy @childrennow.org . Here are key dates for the remainder of the legislative session: July 10 = last day for bills to pass out of policy committees July 12 – August 12 = Summer recess August 30 = last day for fiscal bills to pass out of committee...
 
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