Tagged With "trauma-informed care"
Blog Post
4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress
Four years ago, Dr. Leslie Dempsey would never have talked about ACEs — adverse childhood experiences — with her patients. Now ACEs is a common topic. “Just as I don’t feel awkward asking someone if they smoke or do intravenous drugs, I don’t really feel awkward talking about their childhood traumas in a way that it relates to their health. It’s just integrated into obtaining background and social history,” she says. Dr. Leslie Dempsey Dempsey is a physician in obstetrics who oversees a team...
Blog Post
8th Annual Foster Care Youth Conference- 3/21
Registration is now open for the 8th Annual Foster Care Youth Conference! The conference is open to all foster care and transitional aged youth (ages 14-24) in Alameda, Contra Costa, Solano or Yolo counties. The conference will provide approximately 150 foster care/kinship and transitioning youth with an opportunity to participate in workshops covering resumes and interviewing, communication, trade demos, hair and barbering, fashion, art and sports. Eligible youth will receive a stipend for...
Blog Post
ACES Aware Webinar: Dec 13th, 12-1pm PT - Public Comments about soon-to-be-released Request for Proposal
The Department of Health Care Services and the California Office of the Surgeon General are hosting a webinar of the Trauma-Informed Care Implementation Advisory Committee’s Provider Education and Engagement Subcommittee. Subcommittee members will discuss a draft Request for Proposal (RFP) released for public comment as part of the ACEs Aware initiative. The draft RFP invites external organizations to apply for grants to support provider training activities, provider engagement activities...
Blog Post
ACEs, biomarkers and the cost of adversity
How useful and necessary are biomarkers in telling the story of how toxic stress from adverse childhood experiences and resilience can impact a child’s long-term health? In the introduction to an article in the journal BioEssays , Dr. Kathryn Ridout, a Kaiser Permanente San Jose psychiatrist, and her co-authors examine what is known about two biomarkers and quote data on child maltreatment and its economic burden over time that says it all. “When totaling the costs of health care, child...
Blog Post
ACEs champion pediatricians talk about life and practice in a COVID-19 world
With the advent of the COVID-19 pandemic, healthcare providers everywhere are changing how they care for their patients. I asked a few members of the ACEs in Pediatrics community what they’re doing differently. Dr. R.J Gillespie, pediatrician at The Children’s Clinic in Portland, OR. Dr. R.J. Gillespie Gillespie says that, as much as possible, they’re switching to virtual visits, which allows them “to comfort and reassure our patients face-to-face as much as possible without risking their...
Blog Post
ACES Science 101 (FAQs)
What are ACEs? ACEs are adverse childhood experiences that harm children's developing brains so profoundly that the effects show up decades later; they cause much of chronic disease, most mental illness, and are at the root of most violence. ...
Blog Post
ACEs Science Champion Series: Dr. Angela Bymaster: This Faith-Based Physician Integrates ACEs Science with Healing Arts
Dr. Angela Bymaster, a family physician at Washington Elementary School in San Jose, CA, operates her clinic in a portable unit on the school property.
Because the unit faces students as they are dropped off by their families, she gets to “pick up the kids” before they are sent to the clinic, practicing “upstream medicine.”
Blog Post
ACEs screening in CA — a Q and A with Dr. Dayna Long
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
ACEs Validated My Teaching Experience
When I first heard about the CDC-Kaiser Permanente ACE Study , it felt like a light bulb had actually gone on. Finally, FINALLY, someone was validating what I saw every single day teaching in East Oakland. For eight years, I taught at an elementary school in the most violent part of Oakland , the part that the police called the “Killing Zone.” The kids in my class had seen friends, neighbors, and family members shot or stabbed, and routinely hid in bathrooms and closets when gang fights...
Blog Post
At El Dorado ACEs Collaborative meeting, NPPC talks ACEs, new connections forged
More than 65 people showed up in person in Placerville or via teleconferencing from South Lake Tahoe on Feb. 21 to learn about the National Pediatric Practice Community on ACEs (NPPC), a program of the San Francisco-based Center for Youth Wellness . Among the discussion points made by NPPC Program Manager Leena Singh were the connection between ACEs and health outcomes, the need for doing universal ACEs screening, and the necessary infrastructure to implement ACEs screening, according to...
Blog Post
Berkeley City College group screens Resilience, looks at ACEs through a social justice lens
As far back as she can remember, Berkeley City College Mental Health Specialist Janine Greer understood that there was a connection between adverse childhood experiences (ACEs) and health. She had a sense early on that racism figures large in that equation. “Looking around in my community – I’m African American, I noticed that even people who had healthy habits got funky diseases,” she said. “And I’m thinking there must be some sort of health trouble that happens if you’re always stressed.”...
Blog Post
Building trust is now a critical part of health care
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...
Blog Post
Children's Defense Fund Releases Report on Child Trauma Policy at RYSE Youth Center policy forum in Richmond, CA
Report and event materials attached below... On September 18, 2015, RYSE Youth Center, CA Children's Defense Fund, and ACEs Connection hosted the event for 60 participants from local and state wide direct service and policy programs to come...
Blog Post
Doctor-patient role-playing featured in ACEs Connection webinar
On an ACEs Connection webinar on Monday, Dr. Andrew Seaman, an assistant professor at Oregon Health & Science University, showed how he navigates his students through the science of adverse childhood experiences (ACEs). And, in an unusual twist for a webinar, Seaman and O’Nesha Cochran, a peer mentor with the Mental Health Association of Oregon, role-played doctor-patient interactions to show how to develop the skills to communicate with patients with high ACE scores. About 90 people...
Blog Post
Doctor-patient role-playing featured in ACEs Connection webinar
On an ACEs Connection webinar on Monday, Dr. Andrew Seaman, an assistant professor at Oregon Health & Science University, showed how he navigates his students through the science of adverse childhood experiences (ACEs). And, in an unusual twist for a webinar, Seaman and O’Nesha Cochran, a peer mentor with the Mental Health Association of Oregon, role-played doctor-patient interactions to show how to develop the skills to communicate with patients with high ACE scores. About 90 people...
Blog Post
Dozens of stakeholders representing thousands of practitioners send public comments on Calif. ACEs-screening plan
Update: We posted this story on Tuesday evening and received a response from the Department of Health Care Services Wednesday that clarifies additional information. DHCS information Officer Katharine Weir said that subject to budget approval by the legislature and the governor: The reimbursement rate will be $29. Federally Qualified Health Centers will also be reimbursed for screening pediatric patients for trauma through Prop 56 funds and federal matching funds. In response to a question...
Blog Post
Dr. Nadine Burke Harris Presents at SCVMC-Pediatric Grand Rounds
Dr. Nadine Burke Harris presented today at Santa Clara Valley Medical Center during Pediatric Grand Rounds to a full room (standing room only) of pediatricians, nurse practitioners, physicians assistants, public health professionals and allied medical staff. With the show of hands, many of us in the room were familiar with ACEs science and the health impacts of toxic stress. With ease, Dr. Burke Harris dove into great detail of our bodies response to toxic stress and the multitude of...
Blog Post
DULCE helps pediatricians in Oakland, CA, prevent toxic stress in newborns
On a recent day in early March, Laura Lopez met a former patient of hers in the waiting room of Highland Hospital’s pediatric clinic in Oakland, CA. The patient had forgotten her Medi-Cal card and called Lopez asking for help. But in the brief conversation, Lopez, a family specialist with the DULCE program, learned about some dire changes in the patient’s life. Laura Lopez “Without me even asking, she shared with me that she had separated from her partner, that she needs to apply for food...
Blog Post
During COVID-19, how does a trauma-informed school pivot to distance learning?
All photos courtesy of Antioch Middle School staff Antioch Middle School seventh-grader Alyssia Garcia was accustomed to scanning the cafeteria during lunch for kids who might need her assistance. “I’d look for kids who looked sad, kids who were sitting alone, kids who looked angry,” says Garcia, a peer advocate at her school. Alyssia Garcia When she’d spot students sitting alone or looking sad, she’d approach them and ease into conversation. “If it’s a sad person, I’ll try to cheer them up...
Blog Post
Early childhood educators learn new ways to spot trauma triggers, build resilience in preschoolers
A hug may be comforting to many children, but for a child who has experienced trauma it may not feel safe.
That’s an example used by Julie Kurtz, co-director of trauma informed practices in early childhood education at the WestEd Center for Child & Family Studies (CCFS), as she begins a trauma training session. Her audience, preschool teachers and staff of the San Francisco-based Wu Yee Children’s Services at San Francisco’s Women’s Building, listen attentively.
Blog Post
Equal Footing: Oakland Program Keeps Foster Youth on Track to Graduate with Their Peers [chronicleofsocialchange.org]
When Tramischa Cole , a homeless 24-year-old mother of one, stumbled across a Civicorps flier in 2015, she didn’t expect to be accepted into the Bay Area’s only accredited high school and job training program for 18 to 26 year olds. It’s not that Civicorps had a waiting list: Cole was worried her parenting responsibilities and lack of housing would be an issue. “I told them I’m homeless and I don’t have child care,” Cole said. “I thought everything I was telling them would be something to...
Blog Post
Explore NPPC’s New ACEs Screening Resources Website
Join the National Pediatric Practice Community on ACEs (NPPC) on Wednesday, April 25 at 12:00 PM PST for a Q&A session and an exploration of its new member website, which provides a wide range of resources to help pediatric practices make the case and implement screening for adverse childhood experiences (ACEs). NPPC is an initiative of the Center for Youth Wellness.
Blog Post
First health-related cost of ACEs study shows $113 billion price tag for California; just one ACE costs $28 billion
Researchers who have been looking for a way to quantify the health toll of ACEs in dollar terms, now have an example in a newly-released study of California. ACEs exacted a toll costing an estimated $113 billion annually, according to the study in the journal PLOS One that was commissioned by the Center for Youth Wellness. ACEs-associated cardiovascular disease was the condition that lead author Ted Miller dubbed “the giant in the room.” It accounted for $29.6 billion in spending, more than...
Blog Post
From Clinic to Courtroom, Fighting for Immigrant Health Care [californiahealthline.org]
By Ana B. Ibarra, California Healthline, December 18, 2019 Jane Garcia started as an intern at La Clínica de La Raza in the late 1970s, attracted by its mission to provide health care to all — especially immigrants, regardless of their legal status or ability to pay. Forty years later, Garcia, 66, is the chief executive officer of the organization, which now operates more than 30 clinics in Alameda, Contra Costa and Solano counties and serves about 90,000 patients a year. About 65% of its...
Blog Post
Genentech Call for Grants Notification: Advancing the Science behind Childhood Adversity
Grant opportunity from Genentech, for communities deeply engaged in applying ACEs science.
Blog Post
Handouts for parents about ACEs, toxic stress & resilience
Hey everyone, here are some handouts that our founder, Jane Stevens, discovered as she was writing a story about the trauma-in formed elementary schools in Spokane, WA . We've updated it, and provided three different versions. The text is the...
Blog Post
Have you heard about the film Wrestling Ghosts? On September 29, it's coming to Oakland! And to Santa Cruz on 9/30.
This Wrestling Ghosts screening promises to be a healing event for all who gather. And our hope is that it will catalyze the formation of a lasting local network of support around parents and care providers of children in the Bay Area. As things speed up all across the Bay, we need supportive infrastructure now more than ever.
Blog Post
How collaboration helps clinic in San Mateo County, CA, tackle ACEs in children
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...
Blog Post
How do these pediatricians do ACEs screening? Early adopters tell all.
Last week, three pediatricians — with a combined experience of 15 years integrating ACEs science into their practices — reflected on the urgency they felt several years ago that prompted them to begin screening patients for childhood adversity and resilience when there was practically no guidance at all. Along their journey , they accumulated a list of lessons learned for other pediatricians and family clinics to use. The three pediatricians participated in the ACEs Connection webinar,...
Blog Post
Hundreds to thousands to tens of thousands: The ACEs/trauma-informed/resilience-building movement accelerates in the San Francisco Bay Area
Last Friday, on a sunny Spring day in Santa Clara, CA, about 100 people gathered to celebrate a milestone: Over the last 10 months, 65 trainers from Trauma Transformed, a regional trauma-informed center and clearinghouse in the San Francisco Bay Area, have educated 4,048 people in six counties about trauma-informed principles and practices.
Blog Post
In ACEs Connection webinar, physicians talk trauma, offer tips for helping pediatric immigrant patients
Dr. Raul Gutierrez, a pediatrician in the San Francisco Bay Area, said he and his fellow clinicians see constant fear and its health consequences every single day among the largely immigrant and Latino population they serve. It’s all the result of anti-immigrant policies and the news cycle that feeds the fear. Dr. Raul Gutierrez “It is almost inescapable with the repercussions of immigration policy on the radio, television, social media and from friends and family,” Gutierrez told the 69...
Blog Post
Interactive training on nature and health for health care providers, Oakland, Ca
October 27, 2018 8:45 AM 5:00 PM PDT Calling all health care providers! Save the date! Saturday October 27th, 2018 Join The Center for Nature and Health and Primary Care Clinic, UCSF Benioff's Children's Hospital: When: Saturday, October 27th, 2018, 8:30 a.m.–5:00 p.m. (Outdoor time included!) Where: CHORI Library, 5700 Martin Luther King Jr. Way, Oakland, Ca Register now: www.bitly.com/ucsf- nature2018 Featured speakers: Daphne Miller, MD, Physician and author Jose Gonzalez, Founder, Latino...
Blog Post
Is your voice at the table? Talking about trauma: Findings and opportunities from an analysis of news coverage [bmsg.org]
Although new media platforms are changing the way people consume the news, newspapers (including their online components) continue to influence local and national policy debates, and traditional news outlets remain a key source of information for the majority of news consumers. 2 News coverage can set the agenda for debates regarding public policies that could prevent or address childhood trauma. 3-6 If news coverage doesn't discuss childhood trauma or doesn't make connections to the...
Blog Post
Kaiser family medicine clinic launches 4-question ACE survey pilot for adults
In July, medical residents in family medicine at Kaiser Permanente in San Jose, CA, began screening adult patients for adverse childhood experiences (ACEs). But it’s an ACE survey with a twist: it’s shorter, not the 10-question survey of the original CDC-Kaiser Permanente ACE Study , according to Dr. Kathryn Ridout who is leading the pilot along with Dr. Francis Chu and Dr. Alec Uy . Why a shorter ACE survey? Dr. Kathryn Ridout “When we were doing our initial discussions with stakeholders in...
Blog Post
Leaders in SF public housing deal with their own and community trauma head on
Sengthong Sithounnolat, Jeris Woodson, Donald Greene, Ashley Blanco On a recent Saturday, 10 people gather around a table at the offices of Trauma Transformed in Oakland, Calif., where quotes from figures like Frederick Douglas, Nelson Mandela, and Coretta Scott King grace one wall as light streams in from a skylight above. The group is known as the Resident Warriors, which meets weekly. One participant talks of her recovery from addiction and her mother’s murder. Another mentions being...
Blog Post
Legislation Signals Growing Support for Significance of Trauma Indicators
by David Gorn, California Healthline Sacramento Bureau Thursday, January 28, 2016 As a college student, Rob Bonta had a summer job working as a counselor for troubled kids. Now, two decades later he is bringing legislation to address some of the needs he saw then. "I worked with some of these kids as a counselor out of college, and I'd walk them home and hear some of these stories," Assembly member Bonta (D-Oakland) said. "Shootings they heard. Or shootings they witnessed the night before."...
Blog Post
Lesson learned integrating ACEs science into health clinics: Staff first, THEN patients
Nearly two years ago, a team of colleagues at LifeLong Medical Clinics jumped at the opportunity to integrate practices based on ACEs science to prevent and heal trauma in their patients when it joined a two-year learning collaborative known as the Resilient Beginnings Collaborative (RBC). A few months after training began, the staff realized they had to put on the brakes.
Blog Post
Looking for a way to explain the link between trauma and the current immigration child separations? Check out these articles from a host of experts
Here is a roundup of a few articles by experts in various fields that provide context and detail to the understanding that child separations are more than a saddening inconvenience- they are detrimental to the emotional and physical well-being of young people.
Blog Post
Mapping Trauma Informed Care throughout First 5 Associations
On April 15th, representatives from 6 counties met on a conference call to discuss recent First 5 activities around Trauma Informed Care (TIC). Since our first gathering at last year's Association Summit, we have been meeting quarterly via conference call and have learned that there is a lot going on with TIC. So much is going on that we decided to send out a survey gathering data to map all our TIC efforts across the state. Please let us know if you are at a First 5 and are interested in...
Blog Post
Marin Community Clinics in California screen babies for ACEs, provide support in effort to prevent trauma
When Marin Community Clinics (MCC) first considered screening their patients for adverse childhood experiences (ACEs) they already had decided that if they were going to prevent children from acquiring ACEs, they had to take a radical approach.
Blog Post
Mark your calendar for March 10 tweet chat on CA ACEs screening!
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:...
Blog Post
Meetup Notes: 1/21/15
Alameda County ACEs Connection Group Meet Up 1/14/15, 3-4:30pm, Café Leila, Berkeley, CA Participants: Jennifer Lynn-Whaley, Ben Rubin, Rachel Gilgof, Susanne Harkless, Stephanie Guinosso, Rona Renner, Craig McLaughlin, John Torres, Alicia St....
Blog Post
Middle school tackles everybody's trauma; result is calmer, happier kids, teachers and big drop in suspensions
Sixth grader Cayla White (right) helps lead class meditation with Niroga Institute’s Lauren Banister (photo: Laurie Udesky) ________________________________ During the 2014/2015 school year, things were looking grim at Park Middle School in Antioch, CA. At the time, staff couldn’t corral student disruptions. Teacher morale was plummeting. By the end of February 2015, 192 kids of the 997 students had been suspended -- 19.2 percent of the student population. “I was watching really good people...
Blog Post
New ACEs data on Kidsdata.org
On behalf of California Essentials for Childhood, I am very excited to announce the release of a new Child Adversity and Resilience data topic on Kidsdata.org! This has been a collaborative effort between the CA Essentials for Childhood Initiative's Shared Data and Outcomes Work Group and the Lucile Packard Foundation for Children’s Health. I represent ACEs Connection Network on Essentials and am the co-chair of the Shared Data & Outcomes Work Group so I couldn't be more thrilled about...
Blog Post
New Grant Opportunity & Program for Bay Area Health Centers: Resilient Beginnings Collaborative
In partnership with Genentech Charitable Giving, the Center for Care Innovations is excited to launch the Resilient Beginnings Collaborative . We’ll select 5-7 Bay Area organizations to participate in this 24-month learning and action community dedicated to addressing childhood adversity in pediatric safety net care settings. We’ll provide access to technical expertise, in-person convenings, site visits to exemplars, and coaching, as well as $80,000 grants to each participating team. If you...
Blog Post
New Prevention Institute Report Offers Framework for Preventing Community Trauma, Building Resilience
A new Prevention Institute report, featured Wednesday in USA Today , offers a groundbreaking framework for understanding the relationship between community trauma and violence. In doing so, the report provides insight into how we can overcome the inequities that contribute to a cycle of inner-city gun violence, poverty, unemployment, and poor health in communities of color. As additional treatment models are developed for individual trauma, there is a growing need for addressing trauma as a...
Blog Post
NPPC shares lessons learned and results from ACEs screening pilot sites
For Dr. Mercie Digangi, a pediatrician at Kaiser Southern California in Downey, CA, ACEs screening provided a crystal clear before-and-after in how she changed treatment plans for her pediatric patients, she explained to attendees of a December 2 webinar organized by the National Pediatric Practice Community on ACEs (NPPC) and cosponsored by ACEs Connection. Dr. Mercie Digangi One case that turned ACEs screening into a never-go-back moment for her was a three-year-old who was speech-delayed.
Blog Post
Oakland, CA, trying out model used in Baltimore to reduce trauma, increase resilience
Oakland BSC activity: Photo/ Courtesy of Trauma Transformed/East Bay Agency for Children When a group of community organizations in Baltimore came together in 2015, they already knew trauma figured large in many lives. There was violence in the community, in schools, and in community members’ homes. Police brutality occurred. Many suffered the loss of loved ones to incarceration or death. There were house fires and homelessness. Much of the dysfunction was systemic and rooted in racism,...
Blog Post
Oakland, CA, youth organization takes next step in systems change to heal trauma
In a room in East Oakland, Calif., photos of children are projected on a screen. “Who is that?” asks Briana Moore, a licensed clinical social worker in private practice and a master trainer for the East Bay Agency for Children’s Trauma Transformed program. “Bill Clinton,” responds one of the 20 employees of the East Oakland Youth Development Center (EOYDC).
Blog Post
Oakland Promise Brilliant Baby is giving families a Resilient Start
Program Provider Sadie Williams works with financial coach Judit Trinidad as they practice family engagement for Oakland Promise Brilliant Baby Program enrollees.