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California PACEs Action

Blog posts -- Healthcare

For Low-Income Youth in California, Much is Promised But Little Received with Mental Health Services (chronicleofsocialchange.org)

Mental health disorders in childhood and adolescence are extremely common. Studies estimate between 13 and 20 percent of American children experience a mental disorder in a given year. National survey data indicates that one in five children and teens will suffer a mental disorder that severely impairs daily life. Common mental illnesses include anxiety disorder, depression and attention deficit hyperactivity disorder (ADHD). Yet research also indicates that many children in need of mental...

Trauma Screenings Advisory Group (AB 340) Hosts First Meeting

On Friday, April 20, 2018, the AB 340 Workgroup, otherwise known as the Trauma Screenings Advisory Group, met for the first time to discuss the legislative charge to update, amend, or develop, if appropriate, tools and protocols for screening children for trauma as defined, within the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) benefit in Medi-Cal. Both Children Now and Center for Youth Wellness were appointed members of the Trauma Screenings Advisory Workgroup, and we...

Mental Health in California: For Too Many, Care Not There (chcf.org)

Federal and state laws mandating parity in coverage of mental and physical illness, together with expansion under the ACA of both Medi-Cal eligibility and scope of mental health services, have made more services available to more Californians. Public and private actors have devoted significant resources to expand access to care, better integrate physical and mental health care, and reduce stigma. Despite these efforts, the incidence of some mental illnesses continues to rise, many...

California's Child Poverty Rate Highest in Country

Kidsdata and Public Policy Institute of California (PPIC) have partnered to release the latest data on poverty among California's children. Poverty and inequitable distribution of resources are fundamental impediments to healthy and well children. Addressing poverty among all children must be a key part of programs and policies that aim to maximize health and well being. Guest author, Caroline Danielson, who is a senior fellow at the Public Policy Institute of California, shares important...

CA pediatrician develops, tests, gets state OK for whole-child assessment tool that includes ACEs

Over the last dozen years or so, many pediatricians, astounded by the ramifications of the science of adverse childhood experiences (ACEs) on the children they care for, began integrating this science into their practices. The most common approach has been to ask parents about ACEs using a questionnaire, and to use this information to counsel parents and identify resources for the family. Different practices have been using different questionnaires: Some ask parents for their ACE scores...

Minding the mind: County mental health official making strides (register-pajaronian.com)

More than three years ago, Mental Health and Substance Abuse Services Director Erik Riera came to Santa Cruz County aiming to address the vast mental health needs of the community. Trauma informed care Using a grant to begin training all staff in trauma informed care, Riera started a year ago on a goal of training every employee in the health service agency with this model. Integrated Behavioral Health Program When the Affordable Care Act expanded Medi-Cal for the community, Riera was able...

STATE HEALTH CARE STRATEGIES TO ADDRESS CHILDREN’S TRAUMA, EXPOSURE TO VIOLENCE AND ACEs

I found this document by Futures Without Violence to be a useful resource. From the forward: The health care system plays an important role both in identifying children who may be exposed to extreme adversity and violence, currently and in the past, and in providing the evidence-based interventions that can help children heal from trauma and prevent health conditions and other poor outcomes associated with trauma and ACEs. The health care system is also central in supporting the greatest...

Alternative IHEBA with ACEs for California (and Other) Pediatricians

If you are a pediatrician serving Medicaid managed care patients in California, then you are required to use the Staying Healthy Assessment or an alternative IHEBA (Individual Health Education Behavioral Assessment) at all well-child visits. The bad news is that getting approval to use an alternative IHEBA is a tedious process. The good news is that as of October 27, 2016 the Whole Child Assessment (WCA) is available for use in English and Spanish. Most importantly, the WCA has been...

Avoiding The ER: Paramedics Link Patients To Local Mental Health Treatment [CA Healthline and USA Today]

For Kelly Kjelstrom, plugging the gaps in mental health care can mean something as simple as a late-night taco and a friendly chat with a patient. Kjelstrom, 45, is a community paramedic in Modesto, California. Part of his job is to help psychiatric patients avoid the emergency room, where they can get “boarded” for days, until they are released or a bed opens up at an inpatient facility. When a 911 call involves a potential mental health crisis, specially trained paramedics like Kjelstrom...

Shasta County Public Health looks to measure wellness by looking back at childhood experiences [Redding.com]

The Shasta County Department of Public Health is looking at a new way to address healthiness, and it starts by looking back at childhood experiences. Adverse Childhood Experiences, also known as ACEs, are childhood experiences that are unhappy, unhealthy and hurtful before age 18. According to the Centers for Disease Control and Prevention, looking at ACEs suggests that these "experiences are major risk factors for the leading causes of illness and death as well as poor quality of life in...

A 2014/2015 Visionary of the Year nominee continues to reshape the conversation about childhood [SFGate.com]

Since her nomination for the Visionary of the Year award in 2015, pediatrician Nadine Burke Harris has remained steadfast in her goal to broaden the conversation about the link between childhood trauma and health. In a world where many still believe mental and behavioral health is disconnected from physical health, Burke-Harris’ continues to make a compelling case for how the two are synchronous.  “The definition of trauma is changing. Trauma used to be mental and behavioral...

YES Partnership to offer youth mental health first-aid training [UnionDemocrat.com]

A new program in Tuolumne County aims to help youth who are having a mental health crisis. The program, presented by the YES Partnership, is called Youth Mental Health First Aid, and the first training course was held last week in Sonora.  Another training session is planned for February and is free thanks to a grant from the Sonora Area Foundation and Mental Health Services Act funding through Tuolumne County Behavioral Health Department.  Youth Mental Health First Aid is designed...

Customizing ACEs Screening for High School Students in Santa Rosa, CA

When students show up for an appointment at the Elsie Allen Health Center, which is located on the Elsie Allen High School campus in Santa Rosa, CA, one of the first things they do is take an ACE survey. Instead of answering the 10-question survey developed for the CDC-Kaiser Permanente Adverse Childhood Experiences Study (ACE Study), they respond to 16 questions. That’s because the questionnaire was designed by the clinic staff to address the kinds of experiences – such as...

 
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