Tagged With "Moving Equity to the Center"
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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 Black Immigrant Woman Is Now the Most Powerful Health Official in California [vice.com]
By Richard Morgan, Vice, July 18, 2019. It was an early summer morning at the San Ysidro Health Center, situated on the Mexican border. A flu outbreak gripped a nearby ICE detention center, where a larger humanitarian crisis continued to unfold, threatening the future of hundreds of children. In a small conference room, brimming with 20 or so of the San Diego area’s most diverse academic and activist minds, Nadine Burke Harris sat at the head of the table. The 43-year-old pediatrician from...
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A Call to Children’s Residential Treatment Centers: Please, Please Do Your Own Trauma Work
The challenges of becoming an effective trauma-informed organization are considerable for sure. Taken as an opportunity, and not a burden, they present a unique platform for organizational learning, healing, and growth. Among so many other things, the efforts inure to the benefit of a milieu that becomes a sanctuary for healing and where little boys are not subject to blame for unintended treatment outcomes.
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A Case for Collecting Adverse Childhood Experiences Data
Let me start with a radical statement: I love data. One of my favorite activities in my role as chief strategy officer at Children & Families First , a large non-profit child and family services agency, is turning columns of numbers into sets of colorful graphs. But even more satisfying is watching someone engage with the data as it reveals previously hidden meaning. Since 2014, Children & Families First has been collecting adverse childhood experience (ACE) data from the people we...
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A Trauma Informed Mission Statement in Clinical Psychology
One of the earliest steps many ACEs Connection community initiatives take, is to create a mission statement. If you're ever stuck for ideas, check out examples like the attached statement from the University of San Francisco Center for Child and Family Development, School Based Counseling.
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ACEs Connection's Inclusion Tool makes sure nobody's left out
We developed ACEs Connection's Diversity, Equity & Inclusion Tool — called the Inclusion Tool, for short — to ensure that ACEs initiatives across the world focus on being inclusive when forming a steering committee, recruiting leaders, providing education about ACEs science, recruiting members, or providing resources and services within their communities. The more inclusive your ACEs initiative is, the more diverse it will be, giving your initiative a real shot at achieving equity and...
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ACEs Science and Racism
This is a collection of resources regarding structural racism and trauma. This list aims to give a broad overview and is not all-inclusive. We welcome suggestions; if you have any, please comment below! The titles below and the PDFs in attachments are in alphabetical order. BSC Full Report Trauma Resilient Informed City Baltimore: This is the full report of the work, data, lessons, and direct quotes from several teams of people from various backgrounds in the Baltimore community as they...
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ACEs teach us why racism is a health equity Issue: Dr. Flojaune Cofer (Part One)
Dr. Flojaune Cofer and Ben Duncan , each from public health backgrounds that focus on health disparities, addressed ACEs in the context of health equity for their panel entitled ACEs, Race, and Health Equity: Understanding and Addressing the Role of Race and Racism in ACEs Exposure and Healing . Cofer and Duncan co-presented to a standing-room-only audience on day one of the 2018 ACEs Conference: Action to Access co-hosted by ACEs Connection and the Center for Youth Wellness in San Francisco...
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Adding layers to the ACEs pyramid -- What do you think?
When the RYSE Center opened its doors in 2008 in Richmond, CA, says Kanwarpal Dhaliwal , community health director and a RYSE co-founder (and ACEsConnection member), staff members didn’t talk about complex trauma per se, but they...
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Addressing Trauma and Building Resiliency as Comprehensive Disaster Planning and Response
The attached memo is intended to make observations about communities affected by disaster-related trauma, and to offer recommendations for trauma-informed recovery. Community examples provide case studies or models for other communities grappling with similar issues. Suggested resources and tools provide communities with support for accelerated action. Memo authors represent active cross sector networks that contribute to resilient community infrastructure development, awareness building,...
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After 40 years in solitary, activist Albert Woodfox tells his story of survival [theguardian.com]
My wrists were handcuffed to my waist by a leather strap. These restraints would become standard for me for decades to come. They walked me to a car and I got in. A captain next to me started elbowing me in my chest, face, and ribs. They drove me to a building just inside the front gate that housed the reception center and death row. Inside was a cellblock called closed cell restricted, or CCR: another name for solitary confinement. In the stairwell they beat me viciously. I couldn’t fight...
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Association Between Posttraumatic Stress Disorder and Mortality Among Responders and Civilians Following the September 11, 2001, Disaster [jamanetwork.com]
By Ingrid Giesinger, Jiehui Li, Erin Takemoto, et al., Jama Network Open, February 5, 2020 Key Points Question What is the association of mortality with baseline and repeated assessments of posttraumatic stress disorder in a population exposed to the World Trade Center attacks on September 11, 2001, over 13 years of follow-up? Findings In this cohort study of 63 666 World Trade Center Health Registry enrollees, posttraumatic stress disorder was associated with an increased risk of mortality...
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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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ACEs Science Champions Series: Because of Andres Perez, 10,000+ Latinx parents in Northern California embrace trauma-informed parenting
Andres Perez immigrated to San Jose, Calif., from Mexico in 1990. He was 24 years old, undocumented, knew little English, lacked job skills, and had a pregnant wife to support. He hit the ground running by completing an ESL program in San Jose City College, and, while working days at any job he could find, at night he earned an associate of science degree with specialization in electronics and computers in 2002. Fortunately for thousands of Latinx parents and their children, he never worked...
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Blog Post | How Understanding Trauma Can Strengthen Health Care Organizations: A Q&A with Sandra Bloom
Knowledge regarding the impact of trauma on individual health and behavior has become more mainstream in health care over the last several years. However, the effects of trauma on groups, organizations, and entire systems of care, are not as widely understood. The Center for Health Care Strategies (CHCS) recently spoke with Sandra Bloom, MD, associate professor of health management and policy at Drexel University’s Dornsife School of Public Health and co-founder of the Sanctuary Model , to...
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Brief trauma training videos now available for families & professionals
Trauma Sensitive Approaches for Home and School is a series of three brief (under 10 minutes each) training videos for use by school personnel, families, child welfare and other professionals. Developed by Formed Families Forward, a parent resource center, as part of the Virginia Tiered Systems of Supports project, the videos cover: - Understanding Trauma Awareness; - Responding to Trauma; and - Building Trauma Sensitive Schools One page fact sheets are available to accompany each video.
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Building A Trauma Informed System of Care Toolkit
We are delighted to make available the Building Strong Brains of Tennessee funded, Building A Trauma Informed System of Care toolkit. This toolkit is based upon the work of the Northeast Tennessee ACEs Connection group and it's many partners since 2015. In time, Building Strong Brains of Tennessee will also have printed copies available. In preparing this toolkit, Dr. Andi Clements and I tried to share in a very transparent fashion the steps we've taken, mistakes we've made and inspiring...
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Building Bridges to Resilience in Santa Barbara County
The full moon was setting and the sun was rising as organizers from KIDS Network, Children & Family Resource Services, Casa Pacifica, and the Department of Behavioral Wellness began setting up the 2019 BRIDGES TO RESILIENCE Conference on October 14 th at the beautiful Hilton Santa Barbara Beachfront Resort. The stately halls and ballrooms were a flurry of activity as staff prepared to receive over 350 community members who work with children, youth and families in Santa Barbara County.
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Case Statement on Trauma Informed Approaches
Attached is a Case Statement on Trauma Informed Approaches--it is a review of the Greater Harrisburg Area's and beyond's ACE scores, the outcomes of these ACEs and some ideas of how to resolve the negative consequences of this crisis of epidemic proportions. Please use it to advance the cause of moving from the bad news of ACEs towards the good news of becoming trauma informed and resilient. I would also welcome your comments, questions and recommendations! Thank you.
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Change Package is Now Available!
Click here for the Change Package : Fostering Resilience and Recovery: A Change Package for Advancing Trauma – Informed Primary Care Earlier this year, to help primary care address the impacts of trauma, the National Council for Behavioral Health, with the support of Kaiser Permanente, launched a three-year initiative, Trauma-Informed Primary Care: Fostering Resilience and Recovery . “Trauma work is not new to the National Council. With effects across the lifespan, we’ve spent the last...
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COVID-19 and the Ten Principles of the CRISIS Framework Fostering Community Resilience and Preventing Vicarious Trauma
The COVID-19 pandemic has brought about community-wide sorrow and vicarious trauma. In order to be prepared to manage traumatic grief and vicarious trauma, healthcare leaders, local behavioral health providers and other professions in related fields, along with individuals, families and organizations, need to take active roles in preparing for community-wide bereavement. The ten principles of Barbara Rubel's CRISIS Framework (Community Resilience in Situations Involving Sorrow) can help you...
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Criminal Records Create Cycles of Multigenerational Poverty [americanprogress.org]
By Jaboa Lake, Center for American Progress, April 15, 2020 As many as 1 in 3 people in the United States have criminal records, creating barriers across several domains. Certain groups in particular—including people of color , sexual minorities , transgender and nonbinary people , people with disabilities , people with serious mental illness , and people living in poverty —experience disproportionate, negative impacts related to the criminal legal system. These disparities reflect...
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"Drive Thru Preschool"
During this time of social distancing and the legitimate scare of the COVID-19 pandemic, it is important to develop a sense of "normalcy" for our little ones (keiki). We can do this by keeping them on a schedule, making sure that we are listening to their concerns and meet their unmet needs. Due to COVID-19 preschools in Hawai'i have shut its doors to instruction, however this preschool has continued to operate by meeting the needs of the homeless and at-risk homeless families they serve.
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Environment Matters: It's More Than Just Common Sense
The connection we are trying to make with those we serve can be only as effective as the level of safety one feels within the space we are doing the work.
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Essentials for Childhood Framework
From the CDC’s Injury Prevention & Control, Division of Violence Prevention: "Safe, stable, nurturing relationships and environments are essential to prevent child abuse and neglect and to assure all children reach their full potential. The Essentials for Childhood Framework proposes strategies communities can consider to promote relationships and environments that help children grow up to be healthy and productive citizens so that they, in turn, can build stronger and safer families and...
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Expanding the Toolkit: Trauma-Informed Practice Institute. Addressing Indirect Trauma. Early Bird Registration OPEN NOW!
Addressing Indirect Trauma by Caring for the Caregivers Sat, 05 Oct 2019 8:00 a.m. – 4:30 p.m. EST Case Western Reserve University’s Tinkham Veale Ballroom 11038 Bellflower Rd, Cleveland, OH 44106 The Center on Trauma and Adversity will host the 2nd Annual Expanding the Toolkit: Trauma-Informed Practice Institute on October 5, 2019 at Case Western Reserve University’s Tinkham Veale University Center Ballroom. The focus of this year’s institute is on indirect trauma with keynote speakers:...
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Fearing Coronavirus, Many Rural Black Women Avoid Hospitals to Give Birth at Home (PEW TRUST)
By April Simpson, April 18, 2020, PEW Trust Black women are two to three times more likely to die from causes related to pregnancy than white women, regardless of income or education. Black midwives could be part of the solution, especially during the coronavirus pandemic, but restrictions on midwifery make it difficult to practice in many states. Pregnant women in Tennessee, Arkansas and Mississippi have been calling nonstop to CHOICES Midwifery Practice in Memphis, but the center is...
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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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In the Arena with NOW Podcast Episode, "Letting Communities Lead" (30 min)
The Networks of Opportunity for Child Wellbeing (NOW) is excited to share the second 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 second episode, we speak with members of the Young Child Wellness Council (YCWC) in Tuscaloosa, Alabama ,...
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Introducing Lisa Wright, Community Manager: Becoming Trauma-Informed & Beyond
Hello Trauma-Informed & Beyond Community! I am excited to be one of the community managers for this new ACEs Connection community. I have worked as an outpatient trauma-focused treatment clinical social worker since 1993. My work has included providing treatment for children, teens and adults who have experienced sexual abuse, physical abuse, exposure to violence (community, family and interpersonal), witness to homicide and those with problem sexual behavior/sexual offending histories.
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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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Launching or growing an ACEs initiative? We’ve got an app (& tools & guidelines) for that!!
Of the tens of thousands of communities across the U.S. (cities, counties, regions and states), we think a few hundred have launched ACEs initiatives so far. Two common obstacles that initiatives run up against are: What do we do once we all agree that everyone should know about ACEs science ? And, how do we measure our progress? Today we’re officially rolling out new guidelines, tools — and an app! — for that! Growing Resilient Communities 2.0 answers question #1. If the initiative’s goal...
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Leading an Organization Through the COVID-19 Crisis [blog.boardsource.org]
By Phil Buchanan, BoardSource, March 26, 2020 Editor’s note: Running an organization is a huge responsibility on its own, but doing so in today’s environment is truly a different beast. We are in uncharted waters. This post, originally published as a series of tweets by Phil Buchanan — president of the Center for Effective Philanthropy (CEP) and author of "Giving Done Right: Effective Philanthropy and Making Every Dollar Count" — touches on 15 things to keep in mind as you adjust to the many...
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ACEs Science Champions Series: Meet Florida's Johnny Appleseed. She plants seeds of ACEs science!
Dr. Mimi Graham is Florida’s Johnny Appleseed, but instead of planting apple trees, she’s been seeding hundreds of ACEs-science-informed schools, courts, juvenile detention centers, hospitals, childcare centers, home visiting programs, mental health agencies, law enforcement agencies, and drug treatment centers. Graham, who has served as director of the Florida State University Center for Prevention and Early Intervention Policy in Tallahassee since 1993, focuses on early childhood,...
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Mental Health In The Workplace
Mental health disorders and stress is something that affects countless working Americans each year. In fact, nearly one in five U.S. adults 18 or older reported some type of mental illness in 2016. Also, over 70 percent of adults reported at least one symptom of stress according to the Center for Disease Control and Prevention . Unfortunately, when people deal with mental health issues at work, it can affect business and lead to problems with job performance. Poor mental health and stress...
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Moving Equity to the Center - Part 2 (How I was inspired)
This past Friday, December 6, I attended the "Moving Equity to the Center - Part 2" forum in Fresno, CA. The morning began with the usual networking and acquiring of refreshments. The conversations were enlightening and engaging. I was able to meet several individuals who work in the Fresno community, and provided valuable insight to how issues are being confronted and addressed in Fresno County. Once we sat down we were addressed by Linda Gleason the founding Director of The Children's...
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New Peer Support Group Successes and Challenges
I started a weekly peer support group for women survivors of trauma in April 2018. It took a few weeks to get any uptake on the offer. In the beginning a few people who knew me trickled in to provide some encouragement. Some people working at the center that eventually agreed to give me access to a room to host the event, told me that if people got the sense that I was in it for the long haul, they would then start taking me up on my offer. I was determined to persist, so I stuck it out even...
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New Resource Center Dedicated to Helping Providers Address the Health Effects of Trauma
The new Trauma-Informed Care Implementation Resource Center offers a one-stop information hub for health care providers and other stakeholders interested in learning about and implementing trauma-informed care.
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NOTE NEW TIME: Planning to Join Us on 5/8 for a "Better Normal" discussion about systems transformation? Join us 1:00-2:00 PT!
Note new time for Friday, May 8 Better Normal discussion on systems transformation. We will meet from 1:00-2:00 and hear from RYSE Associate Director, Kanwarpal Dhaliwal, about the rapid emergency community response initiative, West Contra Costa Covid Community Care.
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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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Project FORECAST - Becoming a Trauma-Informed Workforce
TRAINING THE WORKFORCE BY INCREASING KNOWLEDGE AND BUILDING SKILLS Project FORECAST uses simulation-based learning experiences to develop trauma-informed critical thinking skills. Take advantage of this free opportunity to become a FORECAST facilitator and join us in developing a trauma-informed workforce. If you train students or child-serving professionals in the fields of: � Child protection � Law enforcement � Juvenile justice � Mental or behavioral health � Healthcare Join Project...
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Promoting Agency & Employee Wellness
Wellness is a key ingredient to building a more resilient workforce and has been a big part of the journey in becoming trauma-informed. I was asked by a police lieutenant last week what our agency, Greater Richmond SCAN (Stop Child Abuse Now) does to promote wellness. I told him about recent activities that I've organized within the CAC TFT Program (Child Advocacy Center Trauma-Focused Treatment Program) that I oversee and about ongoing agency efforts. This conversation got me thinking that...
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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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Resilience: A Conversation
Rebecca Lewis-Pankratz and I were having an exchange on social media about the word resilience. It went on and on. It lasted days. And days. It started on Twitter, moved to Facebook, and then crossed over to text messaging. There was no last word, no meet-in-the-middle moment or any kind of closure. Just confusion. Rebecca suggested we dive deeper, face to face, via a Zoom conversation to be shared on ACEs Connection. We wanted to know why some recoil at or reject the use (overuse) of the...
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Resource List -- ACEs Science Videos & Documentaries
You can find videos and video clips of ACEs presentations and on-air segments listed here.
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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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Resources for Supporting Children's Emotional Well-being during the COVID-19 Pandemic [childtrends.org]
By Jessica Dym Bartlett, Jessica Griffin, Dana Thomson, Child Trends, March 19, 2020 The following guidance, recommendations, and resources are provided by child trauma experts at Child Trends and the Child Trauma Training Center at the University of Massachusetts. The Center is housed at the University of Massachusetts with Child Trends as the lead evaluating agency, with funding from SAMHSA and the National Child Traumatic Stress Network and additional support from HRSA. While the Centers...