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PACEs in Pediatrics

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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)

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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Parenting, Menopause & ACEs After-the-Chat Summary: Carey Sipp

Christine Cissy White ·
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]

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

Dan Bollinger ·
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...
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Parents’ Adverse Childhood Experiences and Their Children’s Behavioral Health Problems

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

Alicia Doktor ·
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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Parents’ Substance Abuse May Up Kids’ Risk of Medical & Behavioral Disorders [PsychCentral.com]

Samantha Sangenito ·
A new report finds that children whose parents or caregivers misuse alcohol or have a substance abuse problem face an increased risk of medical and behavioral problems. The study calls for pediatricians to take an active role in assessing a child’s risk and to support the family to get the help they need. Experts have known that children whose parents or caregivers misuse alcohol or use, produce or distribute drugs face an increased risk of medical and behavioral problems. In the new...
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Parents who had severe trauma, stresses in childhood more likely to have kids with behavioral health problems [ScienceDaily.com]

Samantha Colson ·
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...
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Past child abuse may influence adult response to antidepressants [Reuters.com]

Samantha Sangenito ·
Antidepressants don’t work for everyone, and having a history of abuse during childhood may signal a low likelihood that the drugs will improve an adult’s symptoms of major depression, a recent study suggests. While there are few reliable predictors of which people will respond to specific antidepressants, lots of previous research links a history of trauma early in life with how well people tend to do on these drugs, researchers note in the journal Translational Psychiatry. "The presence of...
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Pediatric research: COVID-19 will lead to more childhood trauma. Health care must take it into account. [dispatch.com]

By Abbie Roth, The Columbus Dispatch, May 3, 2020 You might have seen the headlines warning that, as the COVID-19 pandemic continues, the current mental health crisis facing youth in the United States will only worsen. Like adults, children are experiencing new or intensified stressors as a result of the pandemic, including loss of routine, separation from friends and extended family, and increased anxiety and frustration. Some more extreme stressors — food insecurity, loss of a parent or...
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Pediatric Research: COVID-19 Will Lead to More Childhood Trauma. Health Care Must Take it Into Account[dispatch.com]

Former Member ·
Written by Abbie Roth for the Dispatch, May 3 2020 You might have seen the headlines warning that, as the COVID-19 pandemic continues, the current mental health crisis facing youth in the United States will only worsen. Like adults, children are experiencing new or intensified stressors as a result of the pandemic, including loss of routine, separation from friends and extended family, and increased anxiety and frustration. Some more extreme stressors — food insecurity, loss of a parent or...
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Pediatric Symposium at National ACEs conference offers lessons learned and the way forward

Laurie Udesky ·
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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Pediatrician and Psychiatrist present ACEs to Medical Licensing Board

Leslie Lieberman ·
Ps ych ia tr ist Sandr a Bloo m , Co-chair of the Philadelphia ACE Task Force and Associate Professor of at the Dornsife School of Public Health at Drexel  University, and Pediatrician Roy Wade of Children's Hospital of Philadelphia and a...
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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
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Pediatricians can help children through separation and divorce [ChronicleNewspaper.com]

Samantha Sangenito ·
Pediatricians can support children whose parents are going through a divorce or separation by identifying the need for intervention and maintaining positive, neutral relationships with both parents, according to a new clinical report released by the American Academy of Pediatrics. More than 1 million American children annually are affected by their parents’ break-up and may suffer emotional trauma that requires extra support, according to the report, “Helping Children and Families Deal With...
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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 Knew About Family Separation Long Before the Public Did - And They Were Worried [psmag.com]

Alicia Doktor ·
In the early months of 2018, a disturbing rumor traveled from the southern border of the United States into the office of Dr. Colleen Kraft: Pediatricians in the Southwest were reporting that they had begun to encounter migrant children whom the government had separated from their parents. The reports began to reach Kraft soon after she began her one-year term as president of the American Academy of Pediatrics, one of the country's foremost professional organizations of doctors dedicated to...
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Pediatricians screen parents for ACEs to improve health of their babies

Jane Stevens ·
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

Ariane Marie-Mitchell ·
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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Pediatricians Want Parents to Keep Children's Vaccination Appointments amid Coronavirus [people.com]

By Claudia Harmata, PEOPLE, April 17, 2020 With social distancing in full effect due to the novel coronavirus (COVID-19) pandemic, parents are wondering if and when it’s OK to take their kids to the doctor, whether for a routine appointment or if their child is sick. While it’s important that families stay home when they can, health experts say parents should not skip routine appointments, especially those that involve vaccinations. “The American Academy of Pediatrics recommends that we keep...
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Physician Perspectives: Examining the Intersections of White Privilege and Racism in Medicine [medicalbag.com]

Alicia Doktor ·
Two powerful articles published in the Annals of Family Medicine examined the issue of white privilege within the medical community. In the first piece, 1 author Max J. Romano, MD, MPH, from the Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, opens with an anecdote of an experience during work at a hospital, when he witnessed other staff members making generalizations about a recently deceased patient based on that patient's race: "One hospital staff member removed a...
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Pinetree Institute Podcast With Dr. Christina Bethell: Positive Childhood Experiences (PCEs) and ACEs.

David Cote ·
The Pinetree Institute is a Maine non-profit located on the NH border in Eliot. They conduct research and present workshops on ACEs and resilience. A workshop with Dr. Christina Bethell was scheduled for today, but was cancelled because of COVID-19. Dr. Bethell's field of expertise is PCE (Positive Childhood Experiences) and their role in combatting ACEs and promoting resilience throughout the lifetime. Because of the circumstances, Pinetree Institute is offering a 40 minute podcast in which...
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Positive Childhood Experiences and Adult Mental and Relational Health in a Statewide Sample: Associations Across Adverse Childhood Experiences Levels [jamanetwork.com]

By Christina Bethell, Jennifer Jones, Narangerel Gombojav, et al., JAMA Pediatrics, September 9, 2019 Question : Are positive childhood experiences (PCEs) associated with adult depression and/or poor mental health (D/PMH) and adult-reported social and emotional support (ARSES) independent from adverse childhood experiences (ACEs)? Findings : In this cross-sectional study, adults reporting higher PCEs had lower odds of D/PMH and greater ARSES after accounting for ACEs. The associations of...
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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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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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Positive Youth Development Office of Adolescent Health (www.hhs.gov)

Former Member ·
The Office of Adolescent Health has identified a comprehensive range of federal resources on positive youth development. Below, find adolescent positive youth development resources on the following topics. (There are multiple links to resources...
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Power of Family Resilience to Protect Children From Bullying [sciencedaily.com]

By American Academy of Pediatrics, Science Daily, October 25, 2019 Studies show that children exposed to childhood trauma known as adverse childhood experiences (ACEs) are at increased risk of being bullied or bullying others. New research being presented at the American American Academy of Pediatrics (AAP) 2019 National Conference & Exhibition suggests that family resilience -- the ability to work together to overcome problems, for example -- reduces this risk. The research abstract,...
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Power of Play: Theraplay's approach to trauma-informed intervention

Laurie Udesky ·
Editor's note: The message below comes by way of Madison Hammett, MPH, MSW, a Policy Analyst with IL ACEs Response Collaborative Health & Medicine Policy Research Group, mhammett@hmprg.org “The Power of Play: Theraplay’s Approach to Trauma-Informed Intervention”. You can find the updated recording HERE (NOTE: GoToWebinar will ask for your registration info at the link). We will also be uploading the recording to our webinar archive on our website HERE in the coming days.
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Prescribing nature for health draws providers to Oakland, CA, conference

Laurie Udesky ·
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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Prevalence of Adverse Childhood Experiences From the 2011-2014 Behavioral Risk Factor Surveillance System in 23 States (www.jamanetwork.com) & Note

Christine Cissy White ·
Cissy's note: Melissa Merrick, PhD (pictured above), is a Senior Epidemiologist with the Surveillance Branch in the Division of Violence Prevention at CDC’s National Center for Injury Prevention and Control. She will be the keynote speaker at the Massachusetts Essentials for Childhood summit and share about new ACEs data (see below) about which populations have the highest levels of ACEs on average. An except from this article published on the JAMA Network can be found below. Please follow...
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Preventing ACEs - Press Release from Health Officials and 2019 CDC Report

Tory Henderson ·
Health Officials Seek to Prevent Adverse Childhood Experiences Press Release from the Association of State and Territorial Health Officials (ASTHO) ARLINGTON, VA (Nov. 6, 2019) —At least five of the top 10 leading causes of death are associated with adverse childhood experiences (ACEs), according to a new report released yesterday by the Centers for Disease Control and Prevention (CDC). ACEs, such as abuse, neglect, and witnessing violence or substance misuse in the home, can lead to...
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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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