Tagged With "Black patients"
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12 Things I Wish My Doctor Understood About Childhood Trauma
It doesn’t happen that often anymore, but one place where I almost always get triggered with my Childhood PTSD symptoms is when I visit the doctor. I could never even put this into words before. But now that I’m mostly healed from my Childhood PTSD symptoms, I want to express what I wish my doctors – all the doctors of my life – had understood about the effects of Childhood trauma, about me. Note: This is one of my most personal posts ever. Unless you’re someone who really prefers text, I...
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2019 National Trauma-Informed Health Care Education and Research (TIHCER) Meeting – Tulsa, OK
A newly established national group of experts known as TIHCER (pronounced “tīs-er”) recently convened for a first-time working meeting at The University of Oklahoma in Tulsa to advance the important cause of T rauma- I nformed H ealth C are E ducation and R esearch. The gathering brought 26 members representing 10 states. This diverse group of experts comprise members from a variety of healthcare professions — medicine (physicians and residents/medical students), clinical psychology,...
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A Pandemic Benefit: The Expansion of Telemedicine [nytimes.com]
By Jane Brody, The NY Times, May 11, 2020. Even if no other good for health care emerges from the coronavirus crisis, one development — the incorporation of telemedicine into routine medical care — promises to be transformative. Using technology that already exists and devices that most people have in their homes, medical practice over the internet can result in faster diagnoses and treatments, increase the efficiency of care and reduce patient stress. Without having to travel to a doctor’s...
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ACEs & African Americans Community on ACEs Connection
ACEs Connection envisions a resilient world where ALL people thrive. We are an anti-racist organization committed to the pursuit of social justice. In our work to promote resilience and prevent and mitigate ACEs, we intentionally embrace and uplift people who have historically not had a seat at the table. ACEs Connection celebrates the voices and tells the stories of people who have been barred from decision-making and who have shouldered the burden of systemic and economic oppression as the...
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ACEs Research Corner — January 2020
Research papers this month include links between ACEs and bullying, dropping out of high school, adult disability, and the effects of countering ACEs.
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ACEs Research Corner — November 2019
[Editor's note: Dr. Harise Stein at Stanford University edits a web site -- abuseresearch.info -- that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she's posting the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens] Jackson DB, Chilton M, Johnson KR, Vaughn MG. Adverse Childhood Experiences and Household Food Insecurity. Am J Prev Med. 2019 Nov;57(5):667-674. PMID: 31522923...
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At an HIV Clinic, Patients and Staff Have a Voice in Shaping Trauma Informed Care
Dr. Edward Machtinger, director of the Women and HIV Program, front row, center and clinic staff To the casual observer, the offices of the Women and HIV Program at the University of California San Francisco look like any other primary care clinic. There’s a waiting room with vinyl-covered chairs for the clinic’s patients. Staff check in patients from a non-descript desk ringed with a bank of computers. A video screen promotes the clinic’s services. But as you make your way further into a...
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At an HIV Clinic, Patients and Staff Have a Voice in Shaping Trauma Informed Care
Dr. Edward Machtinger, director of the Women and HIV Program, front row, center and clinic staff To the casual observer, the offices of the Women and HIV Program at the University of California San Francisco look like any other primary care clinic. There’s a waiting room with vinyl-covered chairs for the clinic’s patients. Staff check in patients from a non-descript desk ringed with a bank of computers. A video screen promotes the clinic’s services. But as you make your way further into a...
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Conversations with the Becoming Trauma-Informed & Beyond Community Managers & Invitation to You
"Over the last few years there has been a positive increase in the amount of awareness in our communities on understanding the impact of trauma, ACES and resilience. Training has become more frequent and accessible, but I have noticed that many people are still stuck on what to do next. What do I do with all of this knowledge? How do I actually change my response? What does being trauma informed actually look like in practice?" Melissa McGinn Our Becoming Trauma-Informed & Beyond...
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CYW's Provider Training Courses now available online
In response to an overwhelming demand for information about ACEs science, screening tools, and guidance on how to implement ACEs screening, CYW has developed a suite of online courses in order to make our training more accessible to a broader audience. Developed by a team of pediatricians, research scientists, public health experts, and clinical quality improvement experts, these courses are the first of four online courses that will aid medical providers/practitioners in understanding and...
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Dissecting Racial Bias in an Algorithm Used to Manage the Health of Populations [science.sciencemag.org]
By Ziad Obermeyer, Brian Powers, Christine Vogeli, and Sendhil Mullainathan, Science, October 25, 2019 Racial bias in health algorithms The U.S. health care system uses commercial algorithms to guide health decisions. Obermeyer et al. find evidence of racial bias in one widely used algorithm, such that Black patients assigned the same level of risk by the algorithm are sicker than White patients (see the Perspective by Benjamin). The authors estimated that this racial bias reduces the number...
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Helping Someone with PTSD: Helping a Loved One While Taking Care of Yourself (www.helpguide.org/)
"PTSD can take a heavy toll on relationships. It can be hard to understand your loved one’s behavior—why they are less affectionate and more volatile. You may feel like you’re walking on eggshells or living with a stranger. You may have to take on a bigger share of household tasks, deal with the frustration of a loved one who won’t open up, or even deal with anger or disturbing behavior. The symptoms of PTSD can also lead to job loss, substance abuse, and other problems that affect the whole...
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Heyman Oo integrates ACEs science as foundation of pediatric care
Dr. Heyman Oo, a 34-year-old primary care pediatrician, first learned about the science of adverse childhood experiences in medical school at a grand rounds held around 2012 at Rady Children’s Hospital in San Diego, which she attended from 2009 to 2014. The presenter was none other than Dr. Nadine Burke Harris, a pediatrician who went on to become California’s first Surgeon General. The founder and former director of the Center for Youth Wellness drew millions of views for her TED talk on...
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How to Put Racial Equity at the Center of Neighborhood Investment [housingmatters.urban.org]
By Kimberley Burrowes, Housing Matters, February 19, 2020 The effects of discriminatory policies limit opportunities for people of color and their communities. The lingering effects of redlining and racial covenants have left many historic, once-thriving Black neighborhoods in need of revitalization as hypervacancy, blight, and neighborhood social and economic distress restrict opportunities for residents to build wealth for future generations. New investments can revitalize neighborhoods...
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Immigrant teens, parents explore ACEs, resilience in 5-week course with family doc
Dr. Angela Bymaster, a family doctor in San Jose, Calif., was determined to find a way to teach ACEs science to her patients. Teens would come to the Washington Neighborhood Clinic clearly depressed by a range of problems at home that were contributing to risky sexual behavior and marijuana use, as well as preventable health problems like extreme obesity.
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Introducing Melissa McGinn, Community Manager: Becoming Trauma Informed & Beyond
What can readers expect to learn from you? At this point in my career I am doing less direct practice, and more teaching, training and consulting. My focus has really shifted to helping individuals, organizations and systems put their knowledge of trauma, ACES and resilience into practice. What does being trauma informed actually look like in our day to day interactions, on the job, or in our community? Over the last few years there has been a positive increase in the amount of awareness in...
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Introducing NEW Becoming Trauma-Informed & Beyond Community
Earlier this year @Dawn Daum wrote to us when she was ready to share ACEs science with people in the organization she works in to make a case for moving towards more trauma-informed care for the benefit of the staff and those they serve. She was frustrated because almost all the training and resources she found were geared towards schools, clinical staff or to organizations working with children and families rather than ACE-impacted adults in the workplace and who are...
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Laying the Groundwork for Trauma-Informed Care
Adopting a trauma-informed approach to care offers the potential to not only improve patient health outcomes, but also enhance the well-being of health care professionals. While becoming a trauma-informed health care organization can be resource-intensive, there are relatively simple, foundational steps health care providers can take to move toward fully adopting a trauma-informed approach to care. A new CHCS brief outlines practical recommendations for health care organizations interested...
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New Trauma-Informed Primary Care Change Package Now Available!
Are you looking to make your clinical practice safer and more supportive for those affected by trauma? Do you need concrete guidance about how to make your primary care organization more trauma-informed? If yes, be sure to access the newly released Fostering Resilience and Recovery: A Change Package for Advancing Trauma-Informed Primary Care Change Package ! This resource, from the National Council for Behavioral Health and supported by Kaiser Permanente, is a field-informed guide, developed...
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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.
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Podcast: "Honoring Culture, Language, and Family: Stories from the Navajo Nation" (30 min)
The Networks of Opportunity for Child Wellbeing (NOW) is excited to share the fifth episode of In the Arena with NOW , a podcast series that lifts up the voices of community leaders who are “in the arena” -- in classrooms, playgrounds, Congressional halls, hospitals, and neighborhood streets -- working to make sure that all children and families can live healthy, thriving lives. In our fifth episode, Honoring Culture, Language, and Family: Stories from the Navajo Nation , we speak with...
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Report: ACEs and trauma-informed care across 8 countries
The International Initiative for Mental Health Leadership (IIMHL) is a virtual international collaborative which aims to strengthen leadership and thereby improve services for people with mental health or addiction issues. Eight countries belong to IIMHL: Australia, Canada, England, Ireland, New Zealand, Scotland, Sweden and the US. Countries’ pay a small amount to belong and in exchange there are regular communications on innovation, research and national work plus every 16 months a...
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Researchers (JAMA) Call for Structural Competency in Psychiatry (www.madinamerica.com)
Excerpt from piece in Mad in America written by Zenobia Morrill : Read more .
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Resource List -- Trauma-Informed Guides, Presentations, & Self-Assessment Tools
The resources listed in this blog focus on how to implement trauma-informed and resilience-building practices based on ACEs science.
These materials can be used by organizations, agencies, programs, and communities to better understand how to bring a trauma-informed lens to their work.
Resources are divided according to format type (guide/toolkit, presentations, videos, webinars) and organized alphabetically.
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Self-Care Resources
Self-care is a key element of a trauma-informed approach, at individual, organization, and community levels. This internet resource list includes links to introductions to ACEs and the ACE Study, self-care, secondary trauma and mindfulness. Self-Care - General Self-Care Starter Kit, School of Social Work, University of Buffalo http://socialwork.buffalo.edu/...are-starter-kit.html Relaxation Tool Kit, Navy and Marine Corps Public Health Center...
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Shifting the focus from trauma to compassion
photo: Rolf Schweitzer/CCO Dr. Arnd Herz, a self-described champion for ACEs science, would like nothing more than to witness a greater appreciation of how widespread adverse childhood experiences are. Herz, a pediatrician and director of Medi-Cal Strategy for the Greater Southern Alameda Area for Kaiser Permanente Northern California, would also like to encourage more people in health care to engage in a trauma-informed care approach, a change in practice that he says not only benefits...
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The implicit bias of, “Mental Illness” and “mentally ill”, a lexicon of hurt.
How can we heal from the implicit bias of “ Mental Illness ” and “ mentally ill ”? I hear these words and it sounds like fingernails scraping down the chalkboard. “ The stain of dehumanization colors the mind, body and spirit and it is not so easily washed away.” - Michael Skinner Recently I read a blog post at the ACEsConnection website, “Erasing My ACES” by Sirena Wheeler. It was posted on April, 19, 2020. It struck a chord with me, many in fact and it put me on a spiral down memory lane.
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The Trauma-Informed Supervisor Training Tool
That is the question that so many of us champions of change are asking ourselves right now. Luckily, the information is and logistics of how to make this happen are becoming clearer. Thank you to @Christina Cunningham, Prevention Coordination Specialist for the Fairfax County Department of Neighborhood and Community Services for allowing me to share this resource with our community. (see attached PDF file) It has been a valuable tool in helping me coordinate an agency training on the...
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The Trauma Resiliency Model: A “Bottom-Up” Intervention for Trauma Psychotherapy (Journal of the American Psychiatric Nurses Association)
Grabbe L, Miller-Karas E. The Trauma Resiliency Model: A “Bottom-Up” Intervention for Trauma Psychotherapy. Journal of the American Psychiatric Nurses Association. 2017; 24 (1): 76-84.
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This Survivor is Helping Doctor's Patients Not Die 20 Years Too Young
Earlier this year I shared one piece of my trauma history with my family doctor... it’s finally out in the open, but I really wish I didn’t have to be the one to start that conversation every time.
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TIC: News and Notes for the Week of July 8, 2019
ACEs, Adversity's Impact ACEs linked to higher health care costs in adulthood Beyond the ACE score: Examining the relationship between timing of developmental adversity, relational health and developmental outcomes in children Toxic stress: The other health crisis politicians should be talking about California doctors to begin screening for trauma Lupus patients with adverse childhood experiences report worse disease activity and overall health, study says Dr. Gabor Mate on childhood trauma,...
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Trauma Informed Care e learning modules - open access
From the website: Many of the people we interact with every day have been affected by overwhelming stress or traumatic experiences. Traumatic experiences change a person and can create turmoil within a person and in their life. This is especially true if events and/or conditions happen in childhood. The consequences of trauma are far reaching and can be directly or indirectly linked to mental illness, addictions, chronic disease, suicide, and overall, a failure to thrive. The purpose of the...
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Trauma Informed Care in Hospital Settings - is it missing?
Sometimes life throws a curve ball and the best you can do is bunt. It's been almost two weeks since my nearly 80 yo mother fell at home and dragged herself towards the phone, using her walking stick to knock the handset onto the floor to call 911. Not wanting to alarm her neighbor's she asked that the ambulance drive up without their siren. I received a call from my mom's cell phone and I was surprised to hear a mans voice - the EMT - my mom was being transported by ambulance..... at the...
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Trauma-informed Healthcare Approaches: A Guide for Primary Care
Our recently published book, Trauma-informed Healthcare Approaches was written to share basic principles of trauma-informed care and ACEs science with general medical practitioners and administrators. As the recent #METOO movement has demonstrated, interpersonal trauma is widespread. A growing literature has demonstrated the impact of traumatic experiences on mental, physical health and wellbeing. Trauma survivors commonly access healthcare but their histories and needs are commonly...
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We Need a Healing Movement
What if you had developed a cure for the most painful and costly public health problem in America, you had proven that it worked, and you were offering it for free, but could not reach those who need it most because no one wants to talk about the problem? Tragically, this is my reality and the truth about human nature. It is easier to suffer in silence than acknowledge the painful things that happen to us. Over 20 years ago, researchers at the Centers for Disease Control and Kaiser...
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What's Lost When Black Children Are Socialized Into a White World [theatlantic.com]
By Dani McClain, The Atlantic, November 21, 2019 Jessica Black is a Pittsburg, California, mother of two black teenagers, both of whom have been disciplined multiple times at their middle and high schools. Her daughter has been suspended more than once, and teachers often deem her son’s behavior out of line, reprimanding him for not taking off his hoodie in class and for raising his voice. In observing her own family and others, Black has noticed a pattern: Behaviors that many black parents...
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Why Resilience is Harmful and How to Improve it
Resilience is awesome, but also poses some risks and challenges. In 2012 a special edition of the Social Justice Studies academic research journal explored some of the risks. An intro and 5 academic research articles go very deeply into the topic of the "Dangers of Resilience Promotion." All the articles can be downloaded free at this link. https://journals.library.brocku.ca/index.php/SSJ/issue/view/70 I will attempt to summarize those 6 articles here in common language, cuz the articles are...
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Working with Trauma During the COVID-19 Pandemic [psychotherapy.net]
By Jacqueline Simon Gunn, Psychotherapy.net, March 19, 2020 I walked into the grocery store Sunday morning after a relaxing run. As soon as I came in the doors, I saw the headline of the newspaper in bold letters reporting that New York was in a state of emergency. Anxiety coursed through me. Earlier that same morning, I’d had a phone session with a patient who was becoming increasingly anxious due to news of the spread of COVID-19. She was starting to feel like she couldn’t leave the house.
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Re: This Survivor is Helping Doctor's Patients Not Die 20 Years Too Young
THANK YOU for posting this Dawn! And THANK Joyelle for writing it! SO right on! And I LOVE the patient form and am going to use it with my care providers the next time i see them. I have shared ACEs info with my care providers in the past without being explicit about MY ACEs with them and they seemed interested in the topic but didnt connect ACEs back to me (one said oh that would be useful for the patients at the community clinic and i said yes but it is also useful here with her patients...
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The Black Community, COVID-19 & Trauma [sdvoice.com]
By Latanya West, San Diego Voice, May 15, 2020 In January 2019, Governor Gavin Newsom appointed Dr. Nadine Burke Harris as California’s first-ever Surgeon General. An award-winning physician, researcher and advocate, Dr. Burke Harris’ career has been dedicated to serving vulnerable communities and combating the root causes of health disparities. Her work is equally dedicated to changing the way our society responds to one of the most serious, expensive and widespread public health crises of...
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The City That Remade Its Police Department [bloomberg.com]
By Sarah Holder, Bloomberg Businessweek, June 4, 2020 Across the U.S., protesters have taken to the streets to express rage after the killing of George Floyd by a Minneapolis police officer, Derek Chauvin. The demonstrations themselves have led to more police shows of force. In Brooklyn, two cops rammed their New York City Police Department SUVs into a crowd of protesters. In Philadelphia, officers sprayed tear gas at demonstrators who were penned in between a highway and a fence. But across...
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Intergenerational trauma is 'pain' passed down generations, hurting Black people's health [globalnews.ca]
By Olivia Bowden, Global News, June 22, 2020 Some Black parents teach their children never to lose a receipt in case you’re accused of stealing or to keep your hands out of your pocket so they are visible to those around you. These are just some of the lessons Black people may tell their children to keep them safe from violence linked to anti-Black racism, said Myrna Lashley, an assistant professor in the department of psychology at McGill University in Montreal. But the need to constantly...
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Stolen Breaths [njem.org]
By Rachel R. Hardeman, Eduardo M. Medina, and Rhea W. Boyd, New England Journal of Medicine, June 10, 2020 In Minnesota, where black Americans account for 6% of the population but 14% of Covid-19 cases and 33% of Covid-19 deaths, George Floyd died at the hands of police. “Please — I can’t breathe.” He was a black man detained on suspicion of forgery, an alleged offense that was never litigated or even charged, but for which he received an extrajudicial death sentence. “Please — I can’t...
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The Health Care System Has the Black Community in a Choke Hold [chcf.org]
By Vanessa Grubbs, California Health Care Foundation, August 4, 2020 It was the Black woman’s third trip to the emergency department because she was feeling short of breath. She was starting to panic. She knew the COVID-19 death toll was climbing and that it was far worse for Black people than white people , and yet the doctors told her to go home again. But this time she pleaded, “If you all don’t admit me to the hospital, I’m going to die. I can’t breathe.” This is the story told by Sheila...
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Trauma Informed Care during COVID 19: Webinar
Trauma-Informed Care During COVID-19: Key Concepts and Applications for Frontline Providers November 19 th , 2020 6:00 PM – 7:30 PM EST https://sgim.users.membersuite.com/events/0a004b4d-0078-c579-d848-8a9912649d81/details Join us for an in-depth look at how trauma and adverse childhood experiences impact the health of individuals and minority populations, particularly the impact during COVID-19. The COVID 19 pandemic is traumatic in itself. As clinicians, we have seen its effect,...
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Healthcare providers learn skills to prevent burnout, build resilience
It’s an enormous understatement to say that healthcare workers today are suffering. Every day, you hear interviews with nurses, physicians, social workers, and others in healthcare saying they’re pushed to the breaking point and beyond. But, by using skills taught in the Community Resiliency Mode l (CRM), even people under severe stress can weather the onslaught, do their work, and get along with colleagues. CRM is an evidence-based training program that’s being used by millions of people in...
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New Book Integrates Trauma-informed Practices For End-of-Life Care
The pandemic has forced professionals and their organizations to practice without a relevant playbook. Reactive attention to suffering for high volumes of critically ill patients many with limited chance of survival, have replaced proactive dialogues on pain relief, symptom management, and quality of life. Trauma-informed practices have never been more vital to understand and render across populations.
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New Episode of Transforming Trauma: The Need for Trauma-Informed Care: a Conversation with Dr. Laurence Heller and Dr. Christina Bethell
Transforming Trauma Episode 33: The Need for Trauma-Informed Care: a Conversation with Dr. Laurence Heller and Dr. Christina Bethell In this episode of Transforming Trauma, host Sarah Buino facilitates an important discussion between NARM creator Dr. Laurence Heller and Dr. Christina Bethell, researcher, author, policy advocate, and professor at Johns Hopkins University and the Bloomberg School of Public Health. Dr. Bethell is on the Board of Directors for the Campaign for Trauma-Informed...
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Heal the Forest for the Tree
“ Trauma always happens within a context, and so does healing. To understand the impact of trauma means being acutely sensitive to the environment—to the conditions under which people grew up, to how they live today, and to the journeys they have taken along the way .” (Andrea Blanch, Beth Filson, and Darby Penney National Center for Trauma Informed Care guidebook ) Creating an environment that exudes calm, safety, and compassion is a goal of trauma-informed systems. It is a profound...
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Executive Summary: Eisner Health's Journey Through Implementing Trauma Informed Care
Eisner Health's Journey Through Implementing Trauma Informed Care Since July 2020, ACEs Aware has awarded 185 grants totaling $45.1 million to organizations statewide to augment the state of California’s work on the ACEs Aware initiative. Origins Training & Consulting received one of these grants to tell the story of Eisner Health's journey in implementing a trauma-informed approach as written by @Lori Chelius . Executive Summary “When we take care of ourselves, that’s when we can...