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PACEs in Pediatrics

Tagged With "Well-Child"

Blog Post

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

Laurie Udesky ·
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
Blog Post

Resource: What is epigenetics?

Bonnie Berman ·
How does epigenetics relate to child development? New resource from the Harvard Center on the Developing Child explains. Science tells us that the interactions between genes and environment shape human development. “Epigenetics” is an emerging area of scientific research that shows how environmental influences—including the experiences we provide for children—actually affect the expression of their genes. This means that the old idea that genes are "set in stone" has been disproven. Nature...
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Building a Trauma-Informed Approach with Pediatric Physical Therapists

Jessica Barreca ·
In the profession of physical therapy (PT), the word "trauma" typically leads one to think of the physical manifestations of a catastrophic injury, subsequent emergency medical care, and lengthy rehabilitation services. However, the psychological aspects of trauma are not always as visible. Throughout an individual’s lifespan, PTs will provide services to restore function, manage pain, and increase physical activity. We provide education, hands-on care, and therapeutic exercise to improve...
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10 Nature Activities to Help Get Your Family Through the Coronavirus Pandemic [childrenandnature.org]

By Richard Louv, Children & Nature Network, March 16, 2020 If the coronavirus spreads at the rate that experts believe it will, schools, workplaces and businesses will continue to close. Here’s a thread of silver lining. We’ll have more time for each other and nature. And, at least so far, nature’s always open. Getting outside — but at a safe distance from other people — can be one way to boost your family’s resilience. If you spend too much time indoors, “your vitamin D level goes...
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14 Ways to Show Your Child Love: Valentine's Day and Every Day [aap.org]

From the American Academy of Pediatrics, February 5, 2020 One of the most important parts of parenting is also the sweetest: showing your child plenty of love and affection. “Building strong bonds and a positive relationship with your child has a nurturing effect on their physical, emotional, and social development,” said Jennifer Shu, MD, FAAP, a spokesperson for the American Academy of Pediatrics (AAP) and medical editor of its parenting website, HealthyChildren.org. “As parents, the...
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Launching a Revolution [hsph.harvard.edu]

By Madeline Drexler, Harvard Public Health, Winter 2020 In 2007, pediatrician Nadine Burke Harris, MPH ’02, set out on an idealistic mission: to deliver quality medical care to one of San Francisco’s poorest and most underserved neighborhoods—Bayview-Hunters Point, in the isolated southeastern corner of the city. Before Burke Harris arrived on the scene, only one pediatrician was serving the neighborhood’s 10,000 children. The community’s plight was starkly apparent in its ZIP code. In 17 of...
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FREE WEBINAR "Clinician Burnout or Wellness: Care Team Well-being and the Health of the Nation"

Madison Hammett ·
Join the Illinois ACEs Response Collaborative on Thursday, February 6th for this free webinar highlighting provider burnout and the role of team wellness in trauma-informed transformation!
Blog Post

Home Gun Safety Queries in Well-Child Visits [jamanetwork.com]

By Carole H. Stipelman, Greg Stoddard, Kyle Bata, et al., JAMA Pediatrics, October 28, 2019 Firearms are a leading cause of death in US children, and the rate of suicide by firearms in people aged 10 to 19 years has increased since 2008.1 In the United States, 4.6 million children (approximately 7%) live in households with at least 1 gun that is stored loaded and unlocked.2 Safe storage of guns and ammunition may decrease the occurrence of self-inflicted or unintentional firearm injury to...
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Integrating Healthcare and Early Childhood Systems Requires Capacity and Expertise [chapinhall.org]

By Angeline Spain, Angela Sander, and Amanda Brownd, Chapin Hall at the University of Chicago, 2020 Pediatric well-child visits represent a critical, often untapped opportunity to ask families about unmet social care needs and connect them with early childhood and other community services. Innovating in this space to address social determinants of health, early childhood organizations are increasingly building healthcare partnerships with the goal of increasing family access to services and...
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43 Amazing Benefits of Child-led Free Play

Neve Spicer ·
Self-directed free play is vital for the healthy development of children. Here we see 43 science-backed benefits it brings.
Blog Post

ACEs screening in CA — a Q and A with Dr. Dayna Long

Laurie Udesky ·
Last year, the California Department of Health Care Services rolled out its plans for universal screening for trauma among its pediatric and adult Medicaid population. Beginning January 1, 2020, California physicians were able to receive an incentive payment of $29 for each pediatric patient screened for ACEs using the PEARLs ( Pediatrics Adverse Childhood and Resilience Study) tool. Dr. Dayna Long talked with ACEs Connection staff reporter Laurie Udesky about ACEs science, what led to the...
Blog Post

Tally of Children Split at Border Tops 5,400 in New Count [nytimes.com]

By The Associated Press, The New York Times, October 24, 2019 U.S. immigration authorities separated more than 1,500 children from their parents at the Mexico border early in the Trump administration, the American Civil Liberties Union said Thursday, bringing the total number of children separated since July 2017 to more than 5,400. The ACLU said the administration told its attorneys that 1,556 children were separated from July 1, 2017, to June 26, 2018, when a federal judge in San Diego...
Blog Post

The Brain Architects Podcast: COVID-19 Special Edition: Self-Care Isn’t Selfish

Laurie Udesky ·
In the second episode of our special COVID-19 series of The Brain Architects , host Sally Pfitzer speaks with Dr. Rahil Briggs, National Director of ZERO TO THREE’s HealthySteps program , to discuss how pediatricians are serving their patients during the pandemic, including using telehealth; why caregiver health is child health; and what she hopes the healthcare system can learn as a result of the pandemic. To read the transcript and find a link to the podcast provided by the Center for the...
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Tip Sheet: Help Kids Identify and Report Child Abuse and Neglect

Bonnie Berman ·
New Kid-Friendly Tip Sheet Now Available from Child Welfare Information Gateway Many children and youth may not know what to do if they or a friend are being abused or neglected. This new tip sheet< https://lists.icfwebserv ices.com/t/420738/3948237/ 44276/2/ > helps kids recognize and respond to the signs of child abuse and neglect. How You Can Help Someone Who Is Being Abused or Neglected< https://lists.icfweb services.com/t/420738/3948237/ 44276/4/ > provides age-appropriate...
Blog Post

Updated scoring guide for the Whole Child Assessment

Ariane Marie-Mitchell ·
Calculating a Child-ACE score is not necessary for using the Whole Child Assessment to screen and counsel families. However, because we know some providers for different reasons may want to calculate a score, we have simplified and updated the scoring guide at the bottom of the WCA forms and provided scoring instructions. No changes to any questions were made. https://lluch.org/health-professionals/whole-child-assessment-wca
Blog Post

Webinar: Leveraging Advances in Science to Achieve Breakthrough Impacts at Scale for Young Children Facing Adversity

Bonnie Berman ·
DATE: Thursday, February 21, 2019 TIME: 11:00-11:45am Jack P. Shonkoff, M.D., Director of the Center on the Developing Child at Harvard University, will address how new science is changing how we think about early childhood adversity and resilience – and how early experiences affect lifelong health and development. He will emphasize the need to address (and measure) individual differences in response to adversity and to intervention in very young children. He will also show how we can move...
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Webinar — Moving to universal ACEs screening: Findings from a CA advisory group on screening children for trauma

Leah Medoff ·
On April 23rd, 2019 from 12:00pm-1:30pm PST the National Pediatric Practice Community on ACEs (NPPC) , an initiative of the Center for Youth Wellness, will be hosting a webinar to support efforts to screen all children for adverse childhood experiences (ACEs) and additional adversities. This webinar will summarize the findings of a state advisory group assigned to review tools and protocols for screening children for trauma, and provide an introduction to two tools the advisory group...
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What Our Children Need Us to Know, Right Now

Jondi Whitis ·
Teaching children how to better navigate crisis, right now.
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Why screen if there are no services? (Barbara J. Howard - Pediatric News)

Former Member ·
  Why screen if there are no services? By: DR. BARBARA J. HOWARD OCTOBER 6, 2014 Behavioral Consult Do you remember the discussion of the ethical dilemma of Huntington’s disease you probably participated in during medical school? The...
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Child Life specialists empower kids in hospitals, disasters and now the pandemic

Laurie Udesky ·
In late May, Betsy Andersen’s 7-year-old son, Ezra, had a serious meltdown. He and his six-year-old sister Abby had been enjoying an online Zoom interaction with “Miss Eileen,” “Miss Savannah,” a couple of their colleagues, and a puppet. Betsy Andersen “I could see him trailing off and then he started crying,” says Andersen, who lives in Mundelein, Illinois. But before she swooped in, she heard Miss Eileen talking to him: “She was saying ‘Hey, I see you’re having some big emotions.” Speaking...
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Wellness navigators in clinics screening for ACEs help prevent crises in patients' lives

Laurie Udesky ·
A patient came into the Goleta location of the Santa Barbara Neighborhood Clinics pleading with people at the front desk to speak to Mayra Garcia, a wellness navigator at the clinic, despite not having an appointment. The clinic is part of a network of four clinics in the Santa Barbara region of California that serve mainly patients on Medi-Cal, the state’s Medicaid program, or patients who are uninsured. Mayra Garcia “She was crying. Her husband had been deported. She couldn’t pay the rent,...
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WEBINAR: Parental ACEs and Pediatrics: Transforming Well Care on 9/17

Bonnie Berman ·
12-1pm on September 17 Registration for the CALIFORNIA ACES ACADEMY- Second Free Live Webinar with Free CME/CE is now available. Dr. RJ Gillespie will present Parental ACEs and Pediatrics: Transforming Well Care. This is a supplemental training. For Aces Aware Medi-Cal certification visit ACEsAware.org . Please see the attachment for more information
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O’Donnell: Opening 'so many doors for families': COVID-19 underscores importance of wraparound care for new moms and children

Linda Manaugh ·
For once, being a biracial, low income, Medicaid patient didn't work against Selina Martinez. In 2015, two weeks after giving birth at a Manhattan hospital, Martinez arrived at Montefiore Medical Center in the Bronx where she was diagnosed with salmonella. During a monthlong stay, hospital staff members learned times were tough for the new mom. She'd been getting psychiatric care since the stillbirth of her last child, her husband was recovering at home from pancreatic cancer treatment and a...
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Berger, Dalton & Miller: How Much More Data Do We Need? Making the Case for Investing in Our Children

Linda Manaugh ·
Child maltreatment is well recognized as one of the most significant contributors to pediatric morbidity and mortality throughout the world. 1 , 2 The effect of child maltreatment on morbidity and mortality in older adults has been documented for >20 years as demonstrated by the Adverse Childhood Experiences (ACEs) study. 3 The impact of maltreatment on teenage suicide and other mental health diagnoses is also well known. 4 , 5 To date, however, a direct relationship between maltreatment...
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Research article on ACEs and immune cell gene expression in children

Ariane Marie-Mitchell ·
Sharing our recent publication of pilot data on ACEs (assessed using the Whole Child Assessment) and immune cell gene expression in children age 5-11 years old
Comment

Re: Research article on ACEs and immune cell gene expression in children

Daun Kauffman ·
Thank you for sharing
Blog Post

Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment

Jeoffry Gordon ·
Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment Jeoffry B. Gordon, MD, MPH May 23, 2021 As a family doc practicing in San Diego I was privileged to hear Dr. Vincent Felitti talk about his inspired development of the ACEs questionnaire and its association with many adult mental and physical diseases directly from him only a few years after his original insight. Yet, although I had a lively clinic and learned how to manage a vast array of medical...
Comment

Re: Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment

Suzanne Frank ·
Bravo! This will be a very useful tool for those of us who interact with ACEs/PACEs hesitant health care professionals. Thank you!
Blog Post

Child Abuse and Neglect: What It Is and What to Do About It

Bonnie Berman ·
We all have a role to play in making sure children have the opportunity to thrive. In Child Abuse and Neglect: What It Is and What to Do About It , you will learn more about the types of child maltreatment, what to do when you think a child or family needs more support, and how to make a report if you suspect that a child has been abused or neglected. We all want children to be safe and healthy. However, the heartbreaking reality is that every year thousands of children are victims of child...
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Jeoff Gordon sees PACEs science, PACEs Connection playing a vital role in ‘relieving some of the most anguishing pain in our society.’

Carey Sipp ·
Note: PACEs Connection is in dire financial straits. We are asking for support, from you, our 57,586 members, to help cover the loss of foundation funding that was promised and did not come through. Pay and hours have been cut for our staff—most of us will be laid off for the month of December. Another grant will pick up in January, but we will still be underfunded. Since sounding the alarm this summer, we’ve raised about $26,000 . Thankfully, about 25% of new donors are making monthly...
Comment

Re: Exploring the Connection Between Adverse Childhood Experiences and Diabetes

Jeoffry Gordon ·
Very good article. Important citation. The connection between childhood trauma and physical disease (as distinguished from psychological turmoil) is often overlooked, especially among medical doctors. If only they would appreciate this situation! See my article "The importance of child abuse and neglect in adult medicine," Jeoffry B. Gordon, Pharmacology, Biochemistry and Behavior 211 (2021) 173268 Available online 7 September 2021.
Blog Post

Exploring the Connection Between Adverse Childhood Experiences and Diabetes

Charlie Fletcher ·
Life is hard. None of us makes it through unscathed. Unfortunately, though, some of us have a much tougher journey on this planet than others. Most distressingly of all, children and babies are by no means immune from the wounds that this world all too often inflicts. Indeed, for many children, trauma is not a future threat but a present reality. And these adverse childhood experiences (ACE) can have a devastating long-term impact across all domains of a child’s life. This includes...
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How much would the NAS poverty reduction packages reduce referrals to CPS and foster care placements? Would they reduce racial disproportionality in child welfare? (nasonline.org).

Carey Sipp ·
Because of a collaboration with Columbia University and UW-Madison, we have answers to these questions. By Peter Peter Pecora, Casey Family Programs, March 17, 2023 - Overview The National Academy of Sciences (NAS) recently released a “ roadmap ” to reduce child poverty by as much as half through the implementation of a series of social policy packages. The aim of this study was to simulate the reductions in Child Protective Services (CPS) involvement and foster care placements that are...
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The 2023 Creating Resilient Communities Summer Curriculum is Now Open for Registration

Kahshanna Evans ·
PACEs Connection is excited to roll out our summer 2023 *CRC* curriculum dates. Members who complete the CRC will qualify for a fall 2023 fellowship program.
Blog Post

What Children Really Need Is Adults That Understand Development

Deborah McNelis M.Ed ·
The brain doesn’t fully develop until about the age of 25. This fact is sometimes quite surprising and eye opening to most adults. It can also be somewhat overwhelming for new parents and professionals who are interacting with babies and young children every day, to contemplate. It is essential to realize however, that the greatest time of development occurs in the years prior to kindergarten. And even more critical to understand is that by age three 85 percent of the core structures of the...
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Early Relational Health Innovators Partner In Program Supported by PACEs Connection Cooperative of Communities Members in Twelve California Counties

Carey Sipp ·
Christina Bethell, Ph.D, MBA, MPH, founder of the Child and Adolescent Health Measurement Initiative (CAHMI), principal author of the groundbreaking study on positive childhood experiences, and creator of the free Well Visit Planner, among other innovations. Two internationally-respected leaders and innovators in complementary aspects of early relational health and childhood and maternal health equity recently launched a partnership they believe will benefit everyone from newborn babies and...
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Empathy: Can It Make The Difference?

Deborah McNelis M.Ed ·
Emotion has an enormous impact on imprinting memory in our brains. I had an experience when I was 6 years old that included emotion and I have the memory of it all of these many years later. It was a 6 year old birthday sleepover party. There were 7 girls invited that lived near each other and played together most days. A girl new to the neighborhood was invited only due to the requirement of the birthday girl’s mother. I was also invited. I lived a block away but did play with these girls...
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A BETTER CHILD WELFARE SYSTEM

Jeoffry Gordon ·
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