Tagged With "cost burden"
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2018 Humboldt County Community Health Assessment
If a health outcome is seen to a greater or lesser extent between groups of people, there is a disparity. Each year in Humboldt County hundreds of individuals die unnecessarily from preventable diseases and conditions. Tackling this issue requires a broad public health perspective, addressing all of the determinants of health: access to care, racism (and other “isms”), personal behavior, social and physical environments, policies and education. Humboldt County as a whole suffers a health...
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2019 Economics of Child Abuse in Mendocino County
Mendocino recently shared 2019 data related to the economic impacts of child abuse. The attached documents are in a printable format.
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37th Annual Child Abuse Prevention Symposium Recap
"Speak Out! Confronting the Culture of Child Sexual Abuse and Secrecy" was the theme of Santa Clara County's 37th Annual Child Abuse Prevention Symposium which featured a Keynote conversation with Olympic Gold Medal winning gymnast and current UCLA Assistant Gymnastics Coach Jordyn Wieber. Jordyn, and other athletes and survivors of former USA Gymnastics team doctor and serial child sex abuser Larry Nassar, earlier spoke to a U.S. Senate Subcommittee about a “culture of silence” more...
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AVA Regional Academies: Building Trauma-Informed, Resilient, and Healthy Communities
Last week, I was fortunate to be a part of a small group of professionals in San Diego to attend the Academy on Violence and Abuse preconference session for the 30 th Annual San Diego International Conference on Child and Family Maltreatment. The conference draws over 1,800 professionals in the maltreatment field from around the world each year. The session, titled: Building Trauma Informed, Resilience, and Healthy Communities: Regional, National, and Global Perspectives , had an ambitious...
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Bail reform: Awaiting trial, but can’t afford bond? Silicon Valley moving to free more suspects (mercurynews.com)
While state and federal lawmakers continue to grapple with bail reform, Santa Clara County moved ahead Tuesday with a wide-ranging plan that includes creating a nonprofit fund to post bonds for low-risk defendants who otherwise couldn’t afford it. The fund is believed to be the first in California, cementing the county’s role as a statewide leader in a national reform movement. Bail reform advocates, including local police chiefs and civil rights leaders, argue that bail has become an unfair...
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AB 494 (BERMAN) SIGNED: CALFRESH ACCESS SIMPLIFIED IN RECOGNITION OF HOUSING CRISIS [CAFB]
By Becky Gershon, July 16, 2019 for California Food Bank Association The law will help Californians, especially newly eligible SSI recipients, quickly access & maximize CalFresh benefits. On July 12 th , Governor Newsom signed into law AB 494 – authored by anti-hunger champion Assemblymember Marc Berman. The California Association of Food Banks was a co-sponsor of this legislation, in partnership with the Western Center on Law and Poverty, and the Coalition of California Welfare Rights...
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Adult Health Burden and Costs in California During 2013 Associated with Prior Adverse Childhood Experiences [journals.plos.org]
By Ted R. Miller, Geetha M. Waehrer, Debora L. Oh, et al., Plos One, January 28, 2020 Abstract Objectives To estimate the adult health burden and costs in California during 2013 associated with adults’ prior Adverse Childhood Experiences (ACEs). Methods We analyzed five ACEs-linked conditions (asthma, arthritis, COPD, depression, and cardiovascular disease) and three health risk factors (lifetime smoking, heavy drinking, and obesity). We estimated ACEs-associated fractions of disease risk...
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Adversity and resiliency: The case for integrating ACEs and Strengthening Families approaches
Attached is the PowerPoint that was presented by Diane Kellegrew, Jane Stevens and Katie Albright in a webinar April 16. And below is the slide that ID's the presenters.
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All hands on deck (from a distance): remote care for traumatized moms and babies
Dear colleague, Coronavirus is forcing providers and allied professionals serving mothers and babies to make unprecedented decisions. Should pregnant women needing care go through our hospital quarantine entrance? Should moms deliver without partners, family or doulas present? Be sent home early before key screenings or jaundice treatment are completed? To make matters worse, our systems aren't ready for basic remote care of mothers and infants now "socially distanced". Prenatal, post-partum...
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An Opportunity the Office of Surgeon General Can't Pass Up
I don't know about you, but I've talked to dozens of people applying for the ACEs Aware RFP, due Feb. 10. Watching myself and my colleagues hustle and brainstorm on how to work together to submit ideas for this opportunity has been very inspiring. Although we have no idea how many grant awards will be made, we know that only a fraction of what must be hundreds of RFP submissions will be funded this year. It would be a tragedy to waste the efforts of those who will have spent many hours on...
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Archived Webinar: Childhood Adversity – Data to Help Advocate for Change
The recording and slides for the March 29 webinar, Childhood Adversity: Data to Help Advocate for Change , are now available. In this webinar, panelist Marissa Abbott of the California Department of Public Health discussed how to describe the burden of childhood adversity in your community, how to frame your message most effectively, and how to engage and mobilize your community to address the roots and effects of childhood adversity. In addition, panelist Lori Turk-Bicakci of kidsdata.org...
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Updated Community Health Assessment now available [Humboldtgov.org]
The Community Health Assessment (CHA), a comprehensive overview of the health of the Humboldt County community, was presented at the Board of Supervisors meeting this afternoon. The Humboldt County Department of Health & Human Services (DHHS) Public Health report looks at traditional public health measures of illness, mortality, nutrition and physical activity in the community. The CHA also includes data about income, housing status, community safety and access to care, as underlying...
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Webinar: Childhood Adversity – Data to Help Advocate for Change
Join panelists from kidsdata.org and the California Department of Public Health on March 29 to explore ways to engage and mobilize your community to address the roots and effects of childhood adversity.
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Webinar recording available: Making Meaningful Change—Addressing ACEs through Public Policy
On February 18, 2020, nationally recognized experts discussed policy and advocacy strategies on local, state, and national levels using evidence from studies they have conducted with legislators and the general public. Speakers shared advocacy and messaging "how to’s" including communicating the effects of structural racism as an ACE, fostering equity as an essential component of resilience, and leveraging the power of community-based ACE, trauma and resilience networks to inform policy.
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What should trauma-informed cities and counties ask their states for?
The people who are doing most of the pioneering work to integrate trauma-informed, resilience-building practices based on ACEs research (writ large) are doing so in cities and counties across the U.S. Now that more state agencies are learning about ACEs, many people in local communities are wondering what they can ask states for to help grow local efforts. Karen Clemmer, the maternal child adolescent health coordinator for Sonoma County’s Department of Health Services, and I were...
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Who Can Afford Rent in California's Many Regions [chpc.net]
By California Housing Partnership, October 2019 The California Housing Partnership has regularly documented the severity of the housing affordability crisis that affects every county in the State. As the crisis has deepened in recent years, more and more families have been affected, leading some State leaders— particularly those from higher cost coastal areas—to consider investing scarce resources to help the “missing middle” afford housing. As planning for a new budget and legislative cycle...
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Women of color face highest rent burden in Bay Area [Marin I J]
By Bay City News Service Aug 13, 2019 This past May, residents of the 64-unit Strawberry Hill complex in Vallejo came home to find a troubling notice on their doors. Beginning in June, their rent was going to nearly double. The new owners of the apartment complex, San Francisco-based The Reliant Group , had plans to renovate the building. Tenants, panicked over losing their homes, and the Vallejo Housing Justice Coalition went to Mayor Bob Sampayan and the City Council, which passed an...
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Women’s Well-Being Index, interactive map [California Budget and Policy Center]
California Women's Well-Being Index In Partnership With the Women's Foundation of California Women's Well-Being Index: Overall When women thrive, their families and communities prosper . Yet despite decades of progress, women still face persistent disparities on a range of issues, from economic security to health to participation in political leadership. By viewing women’s well-being as encompassing various distinct yet interrelated components, policymakers, advocates, service providers, and...
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Solano County launches its ACEs and resilience initiative inviting all to take action
Elizabeth Huntley recalls the day when her family’s life was turned upside down. “One day my mom woke up and she packed up all of our clothes, all five of us…and she took me and my younger sister who had the same father… down to my paternal grandmother’s house…and she left us there. She took my middle sister to a town near Birmingham, Ala., and left her there. She took my only brother and an older sister back to Huntsville and left them at a sister’s house. Then she went back to that housing...
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Solano County's (CA) ACEs initiative, a robust community effort, makes room for input from all
In a house called “Johanna’s House” on a tree-lined side street in Vallejo, Calif., four women are filling out the adverse childhood experiences (ACE) survey given to them by Maria Guevara, the founder of Vallejo Together, an organization that serves homeless residents in Vallejo. The house was named for Johanna Dilag, a homeless woman who was found dead along with her dog.
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Starting Now: A Policy Vision for Supporting the Healthy Growth and Development of Every California Baby [ChildrenNow.org]
In the first three years of a child’s life, foundational brain architecture is established, making children’s earliest experiences the most important. The creation of healthy brain architecture is dependent on good health, positive and nurturing relationships with adults, exposure to enriching learning opportunities and safe neighborhoods. Yet too often in California, children—especially children of color, foster youth, and those growing up in poverty—lack the components critical for a...
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State Dropping Ball in Dealing With Childhood Trauma, New Report Says [CaliforniaHealthline.org]
The lowest of 31 grades issued in the 2016 California Children's Report Card released on Wednesday was for dealing with the effects of childhood trauma. In Children Now's biennial assessment of the status of California kids, researchers gave the state a "D-" for how it deals with childhood trauma. The report contends that children who experience traumatic problems such as abuse, neglect and witnessing violence at home can suffer serious long-term consequences, including health...
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RYSE Center's Listening Campaign: Young people in Richmond, CA help adults understand trauma, violence, coping, and healing
"My experience with violence is very brutal...I grew up with violence as if it were my sibling." - LC participant (youth) "We know we can't run the city- it's too complex- but our experience and our voices should count, especially because we're the most effected ." - LC participant (youth) "Our city's problems are shared by us all; we are all part of the problem AND the solution. Listening is a key component to healing." - LC Share Out partici pant (adult) Three years ago, RYSE Center in...
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Senate HELP Committee schedules hearing on April 11 on draft opioid bill with key provisions addressing trauma and seeks stakeholder comments
Key provisions that are closely aligned with sections the Heitkamp-Durbin “Trauma-Informed Care for Children and Families Act (S. 774)” are included in opioid legislation that is advancing in the U.S. Senate. A draft bill, “The Opioid Crisis Response Act,” is the subject of a hearing on Wednesday, April 11 in the Senate HELP (Health, Education, Labor, and Pensions) Committee and a mark-up of the legislation is expected over the next several weeks. Senator Heitkamp’s office highlighted three...
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The Economics of Child Abuse: A Study of California
While the impact of maltreatment on a child and their family is devastating, child maltreatment also has serious effects far beyond those for the victim. Maltreatment results in ongoing costs to taxpayers, institutions, businesses, and society at large. Local communities bear the brunt of these costs in the form of medical, educational, and judicial costs, though more tragic signs are seen in homelessness, addiction, and teen pregnancy. To create a concrete understanding of the widespread...
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Trauma-Informed Care as a Universal Precaution: Beyond the Adverse Childhood Experiences Questionnaire [jamanetwork.com]
By Nicole Racine, Teresa Killam, and Sheri Madigan, JAMA Pediatrics, November 4, 2019 Experiences of childhood adversity are common, with more than 50% of adults reporting having experienced at least 1 adversity as children and more than 6% exposed to 4 or more adverse childhood experiences (ACEs). There is currently a controversial debate in the medical field as to whether the ACEs questionnaire, which asks about abuse, neglect, and household dysfunction before age 18 years, should be...
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Untreated Postpartum Depression and Anxiety Costs California Billions, Report Concludes [CA Health Report]
Untreated mood and anxiety disorders associated with pregnancy are costing California billions of dollars in health care spending, social services expenses and productivity losses, according to a new report. The study , conducted by the research firm Mathematica with funding from three foundations including the California Health Care Foundation, estimates the cost of untreated perinatal mood and anxiety disorders (PMADs) in California at $2.4 billion for all births in 2017. This includes...
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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...
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Dr. Vincent Felitti ACEs - January 17, 11am-12:30pm DHCS Auditorium
CA Department of Health Care Services and Department of Public Health welcome Dr. Vincent Felitti, Co-Principal Investigator of the O riginal CDC-Kaiser Adverse Childhood Experiences ( ACEs ) Study, 1995-1997 The DHCS Office of the Medical Director and CDPH would like to invite you to hear Dr. Felitti speak about the seminal ACE Study, one of the largest investigations of childhood abuse and neglect and later-life health and well-being. The ACE Study now includes more than 80 publications...
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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...
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Just one year of child abuse costs San Francisco, CA, $300 million….but it doesn’t have to
In 2015, 5,545 children in San Francisco, CA, were reported to have experienced abuse. Of those, the reports of 753 children were substantiated. The expense to San Francisco for not preventing that abuse will cost $400,533 per child over his or her lifetime. That adds up to $301.6 million for just that one year, according to “ The Economics of Child Abuse: A Study of San Francisco.” And, because child abuse is profoundly underreported, the costs are likely to be as much as $5.6 billion/year,...
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Latino's coronavirus burden [sfchronicle.com]
By Joaquin Palomino and Tatiana Sanchez, San Francisco Chronicle, May 8, 2020 As people came into San Francisco General Hospital with chest pain, dry coughs and fevers — telltale signs of the new coronavirus — Dr. Vivek Jain noticed an unsettling pattern: The vast majority of people so sick that they needed to be hospitalized were Latino. Jain, an infectious disease specialist who is part of the team directing the hospital’s COVID-19 response, was prepared to see an influx of low-income...
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Medi-Cal Patients Flocking to ERs More Than Before ACA [KQED.org]
Medi-Cal patients are swamping California emergency rooms in greater numbers than they did before the Affordable Care Act took effect, despite predictions that the health law would ease the burden on ERs. Emergency room visits by people on Medi-Cal rose 75 percent over five years, from 800,000 in the first quarter of 2012 to 1.4 million in the last quarter of 2016, according to data recently released by the state’s Office of Statewide Health Planning and Development. The most dramatic...
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New Rankings Show Healthiest and Least Healthy Counties in California [March 19, 2019 Public Health Institute]
REPORT EXPLORES THE IMPACT OF SEVERE HOUSING COST BURDEN ON RESIDENTS Marin County ranks healthiest in California and Lake County is the least healthy county in the state, according to the annual County Health Rankings, released today by the Robert Wood Johnson Foundation (RWJF) and the University of Wisconsin Population Health Institute (UWPHI). The Rankings are available at www.countyhealthrankings.org . An easy-to-use snapshot that compares counties within states, the Rankings show that...
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New Research Shows Impact of Adverse Childhood Experiences and Toxic Stress Costs $112.5 Billion per Year to California [acesaware.org]
By Cate Powers, ACEs Aware, February 28, 2020 The California Surgeon General today shares new research from the Pacific Institute for Research & Evaluation (PIRE) that identifies the health-related costs of Adverse Childhood Experiences and toxic stress to California cost $112.5 billion annually. This estimate includes direct ACEs-related health care expenditures totaling $10.5 billion annually, with an additional $102 billion in the cost of disease burden, including premature death and...
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New Study Reveals Annual Cost of Childhood Adversity in California Is Approximately $113 Billion [prnewswire.com]
SAN FRANCISCO , Jan. 28, 2020 /PRNewswire/ The Center for Youth Wellness announces the release of an in-depth study on the health-related cost of adverse childhood experiences (ACEs) in the state of California . A number of studies have investigated the cost of child maltreatment, but the current study, entitled " Adult health burden and costs in California during 2013 associated with prior adverse childhood experiences ," is the first to examine the cost associated with adult health...
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New Study Shows Communities Can Reduce the Effects of Adverse Childhood Experiences [Mathematic Policy Research]
[ Ed. note: Following is a media release published yesterday by Mathematica Policy Research. This follows on the heals of the report, "Self-Healing Communities" that Laura Porter, Dr. Robert Anda and WHO wrote for the Robert Wood Johnson Foundation. Both reports and executive summaries are attached to this blog post. Both reports are significant, because they show that community ACEs initiatives -- with "modest investments and limited staff" -- are solving some of our most intractable...
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Next "A Better Normal" community discussion series: April 2, 2020/ Secondary Traumatic Stress and Caregivers
Our next COVID-19 "Better Normal" community discussion is Thursday, April 2, with Vic Compher and Rodney Whittenberg, producers of CAREGIVERS (Portraits of Professional CAREgivers: Their Passion, Their Pain). These wonderful folks are bringing an entire team of people from the secondary traumatic stress committees from the Philadelphia ACE Task Force (PATF).
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Next "A Better Normal" community discussion series: April 3, 2020/ Maternal health and pediatrics in the time of COVID-19
Steve Sack • Star Tribune The "Better Normal" community discussion for Friday, April 3, 2020, features two wonderful staff members from ACEs Connection: Karen Clemmer, community facilitator for the Northwest, Far Northern California, Alaska and Hawaii; and reporter Laurie Udesky, who is also community manager for the ACEs in Pediatrics community on ACEsConnection.com. Karen Clemmer Join them at noon PT/ 1 pm MT/ 2 pm CT/ 3 pm ET and share your thoughts, ideas, questions, concerns, and...
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Over 10,000 California students are demanding free tuition - and it's working (mic.com)
From 1980 to 2014, California cut state cut funding to the tune of 54% per University of California student and 41% per California State University student, and in-state tuition costs have nearly tripled for students in both systems since 1991. In a December report , the University of California’s Global Food Initiative found that 44% of undergraduate students had reported experiencing food insecurity, and 5% of both U.C. undergraduate and graduate student populations reported having...
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Personal stories from witnesses, U.S. representatives provided an emotional wallop to House Oversight and Reform Committee hearing on childhood trauma
Room erupts in applause for the grandmother of witness William Kellibrew during July 11 House Oversight and Reform Committee hearing. The power of personal stories from witnesses and committee members fueled the July 11 hearing on childhood trauma in the House Oversight and Reform Committee* throughout the nearly four hours of often emotional and searing testimony and member questions and statements (Click here for 3:47 hour video). The hearing was organized into a two panels—testimony from...
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Pilot project: Housing homeless people cuts state’s health care burden (calmatters.org)
The state Department of Health Care Services wants to interrupt the cycle between the street, the hospital, and back again by trying to house the most vulnerable and reduce their health care costs. The project began in 2016, and is known as “ Whole Person Care .” The pilot project is intended to model how Medi-Cal could take a more active role in addressing the state’s homeless crisis. For now, more than two-dozen county level health agency administrators are given state funding with the...
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Radical Inquiry: Research Praxis for Healing and Liberation
RYSE Center in Richmond, CA was born of out of young people of color (YPOC) organizing to shift the conditions of violence, distress, and dehumanization in which they suffer, survive, succeed, dream, and die. We center the lived experiences of YPOC, we lead with love and sacred rage to cultivate healing and build movement, and we take risks as an essential part of transformation and justice, of liberation. We do this in a physical space that feels safe, welcoming, and affirming; that is...
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Child Welfare Disaster Response Fact Sheet (Children Now)
California faces devastating wildfires every year that displace thousands of people and leave many of them without basic resources and homes to return to. This year, California faces concurrent crises as wildfire season approaches and the COVID-19 pandemic continues to ravage communities across the state. Additional resources and supports will be necessary to help wildfire victims, who have already been adversely affected by job losses, school closures, the isolation of stay-at-home orders,...
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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...
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California Office of the Surgeon General Invites Sector-Specific Vignettes
The California Office of the Surgeon General (OSG) is creating a report to be published in the summer of 2020. The report will feature the public health response to preventing and mitigating Adverse Childhood Experiences (ACEs) and toxic stress—tentatively titled “ Halving the Burden of ACEs and Toxic Stress in a Generation—California’s Blueprint for an ACEs-Aware Public Health Movement .” An important portion of the report will be dedicated to outlining primary, secondary, and tertiary...
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California Office of the Surgeon General Invites Sector-Specific Vignettes
The California Office of the Surgeon General (OSG) is creating a report to be published in the fall of 2020. The report will feature the public health response to preventing and mitigating Adverse Childhood Experiences (ACEs) and toxic stress—tentatively titled “ Halving the Burden of ACEs and Toxic Stress in a Generation—California’s Blueprint for an ACEs-Aware Public Health Movement .” An important portion of the report will be dedicated to outlining primary, secondary, and tertiary...
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CDC: Childhood Trauma Is A Public Health Issue And We Can Do More To Prevent It
Yesterday, NPR published the following story: CLICK HERE "Childhood trauma causes serious health repercussions throughout life and is a public health issue that calls for concerted prevention efforts. That's the takeaway of a report published Tuesday from the Centers for Disease Control and Prevention. Experiencing traumatic things as a child puts you at risk for lifelong health effects, according to a body of research. The CDC's new report confirms this, finding that Americans who had...
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Housing The Homeless Cuts State's Health Care Burden [kpbs.org]
By Matt Tinoco, KPCC, November 5, 2019 The reality of California’s homeless crisis is that there is little social safety net to catch the very poorest residents before they fall to the streets. As more than 100,000 people find homes on California’s sidewalks, roadways and parks, the costs mount for local and state governments. Nowhere is this more acute than the state’s public health care system. Medi-Cal covers many homeless people’s escalating health needs as they become sicker while...
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How Adverse Childhood Experiences Cost $1.33 Trillion a Year (psychologytoday.com)
https://www.psychologytoday.com/us/blog/experimentations/201909/how-adverse-childhood-experiences-cost-133-trillion-year