Tagged With "Guidance for Pediatricians"
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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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8 Myths About Screening For Adverse Childhood Experiences
I’d like to take this opportunity to address some of the objections to screening for ACEs that I have come across. It is true that some areas of research are still emerging, such as protocols, but in other ways we are twenty years behind using the information we have to make a positive difference in our patients lives and in training new physicians to be more comfortable addressing social and experiential determinants of health.
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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...
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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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Attorney General Kamala D. Harris Unveils Bureau of Children’s Justice
LOS ANGELES On February 12, 2015, Attorney General Kamala D. Harris unveiled the Bureau of Childrens Justice within the California Department of Justice that will work to ensure all of Californias children are on track to meet...
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Beyond Paper Tigers is Back!
Back for the second year, Beyond Paper Tigers conference will take place June 28th and 29th in Walla Walla, WA. Featuring Dr. Ken Ginsburg from Children's Hospital of Philadelphia as the keynote speaker, BPT builds on the story of one community and how they've learned that embracing trauma-informed care and implementing ACEs science truly takes a village. Operationalizing the latest in brain science, BPT will provide concrete strategies for intervention with youth, families, and communities...
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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...
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CA pediatrician develops, tests, gets state OK for whole-child assessment tool that includes ACEs
[Editor's note: This blog was first posted in April 2017. Dr. Marie-Mitchell updated the assessment by modifying a few of the questions, so we are republishing with the new assessment, one in Spanish and one in English.] 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...
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CA Surgeon General Talks Black Mental Health [sacobserver.com]
By Genoa Barrow, The Sacramento Observer, April 29, 2020 As a pediatrician, Dr. Nadine Burke-Harris has spent years trying to get African American families in San Francisco’s Bayview-Hunters Point area to see the long term benefits of addressing their mental health. As California’s first Surgeon General, Dr. Burke-Harris is driving home the message on a larger scale. She’s done extensive research on adverse childhood experiences and toxic stress and getting to their root causes. In speaking...
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ACEs and Our Day with Dr. Vincent Felitti
“Where there is no struggle, there is no strength.” –Oprah Winfrey We think we can speak for all who attended the CA Department of Health Care Services Learning Series on January 17 th when we say we are immensely grateful to Dr. Felitti for sharing with us findings from the original CDC-Kaiser ACE study and inspiring us with his passion and heartfelt commitment to this body of work. Dr. Felitti, who turned 81 years old the next day on January 18 th , was the co-principal investigator on the...
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ACEs champion pediatricians talk about life and practice in a COVID-19 world
With the advent of the COVID-19 pandemic, healthcare providers everywhere are changing how they care for their patients. I asked a few members of the ACEs in Pediatrics community what they’re doing differently. Dr. R.J Gillespie, pediatrician at The Children’s Clinic in Portland, OR. Dr. R.J. Gillespie Gillespie says that, as much as possible, they’re switching to virtual visits, which allows them “to comfort and reassure our patients face-to-face as much as possible without risking their...
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ACEs Connection Webinar: The trauma toll on pediatric immigrants, refugees and their families
ACEs Connection Webinar: The trauma toll on pediatric immigrants, refugees and their families You’ll receive tips for health care providers in pediatric settings and beyond When: Friday, Dec. 14, 2018, 10:30-11:30 am Pacific Time/1:30-2:30 Eastern Time Please register here for this webinar. Our speakers include: Dr. Heyman Oo , MD MPH is a primary care pediatrician in Marin County and an Associate Physician/Clinical Instructor for the General Pediatrics Department at Zuckerberg San Francisco...
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ACEs screening in CA — a Q and A with Dr. Dayna Long
Last year, the California Department of Health Care Services rolled out its plans for universal screening for trauma among its pediatric and adult Medicaid population. Beginning January 1, 2020, California physicians were able to receive an incentive payment of $29 for each pediatric patient screened for ACEs using the PEARLs ( Pediatrics Adverse Childhood and Resilience Study) tool. Dr. Dayna Long talked with ACEs Connection staff reporter Laurie Udesky about ACEs science, what led to the...
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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...
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As California Moves to Screen Children for Childhood Trauma, Poverty Has To Be Part of the Equation
In California, we are coming full circle in recognizing the connection between poverty and health.
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California healthcare providers adapt ACEs screening from in-person to virtual environment
Dr. Amy Shekarchi, a pediatrician based in Los Angeles, CA, was helping to lead the rollout of ACEs screening among 50 health care providers at six clinics affiliated with the L.A. County Department of Health Services when the COVID-19 pandemic hit—days before she was set to launch the effort. “We had trained everybody in doing face-to-face [ACEs screening], and when COVID-19 happened we thought, let’s not throw the screening out. Everybody was ready,” says Shekarchi, who is the pediatric...
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California is Right to Focus on Adverse Childhood Experiences. Other States Should Follow [calmatters.org]
By Chuck Ingoglia (Guest), Cal Matters, February 2, 2020 It’s time to change the conversation in health care. Rather than asking, “What is wrong with this person?” medical professionals might ask, “What happened to this person?” California Surgeon General Nadine Burke Harris and an increasing number of practitioners are changing the conversation because they recognize that trauma early in life—child separation, racism, neglect, abuse or poverty, for instance—can manifest itself years later...
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Webinar covered how to build trauma-informed connections via telehealth
When Dr. Erika Roshanravan, a family physician with CommuniCare in Woodland, CA, thinks back to her patient visits prior to the COVID-19 pandemic, one way she drew their deep-seated concerns was to ask the reason for the visit and to interject throughout, “Is there anything else?” And it’s asking that question during phone and video visits that has also helped her understand the true reason for her patients’ needs now, she told people who attended an ACEs Aware webinar on April 29 entitled:...
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Webinar Oct. 17 — Integrating ACEs science in pediatrics: Early adopters share lessons from the field
An ACEs Connection webinar co-sponsored with 4 CA In 2017, California became the first state in the country to pass a law supporting universal screening for adverse childhood experiences (ACEs) in the 5.3 million children in the state’s Medicaid program. As clinicians around California await the state’s announcement of what this new policy will entail, many are wondering what it takes to integrate ACEs science in a pediatric practice. Meet Drs. Deirdre Bernard-Pearl, R.J. Gillespie and...
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Webinar Oct. 17 — Integrating ACEs science in pediatrics: Early adopters share lessons from the field
An ACEs Connection webinar co-sponsored with 4 CA In 2017, California became the first state in the country to pass a law supporting universal screening for adverse childhood experiences (ACEs) in the 5.3 million children in the state’s Medicaid program. As clinicians around California await the state’s announcement of what this new policy will entail, many are wondering what it takes to integrate ACEs science in a pediatric practice. Meet Drs. Deirdre Bernard-Pearl, R.J. Gillespie and...
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Whom do we call to report the mistreatment of children by the federal government? [washingtonpost.com]
By Nadine Burke Harris, Washington Post, July 11, 2019. Nadine Burke Harris is the surgeon general of California. Children in dirty clothes who haven’t been bathed in days. Eight-year-olds caring for toddlers out of necessity. Kids deprived of the safe, stable and nurturing care that’s fundamental to their health and well-being. As a pediatrician who has spent my career working to address childhood trauma, I’ve unfortunately seen it all. And I’ve had to make my share of reports to Child...
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Wisconsin state agencies end year one of trauma-informed learning community; goal is to be first trauma-informed state
Here in California, many people think that it’s only liberal Democrats who have a corner on championing the science of adverse childhood experiences (ACEs) and putting it into practice. That might be because people who use ACEs science don’t expel or suspend students, even if they’re throwing chairs and hurling expletives at the teacher. They ask "What happened to you?" rather than "What's wrong with you?" as a frame when they create juvenile detention centers where kids don’t fight, reduce...
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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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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...
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States Produce a Bumper Crop of ACEs bills in 2017—nearly 40 bills in 18 states
A scan done in March by the National Conference of State Legislatures (NCSL) through StateNet of bills introduced in 2017 that specifically include adverse childhood experiences (ACEs) in the text produced a surprising volume of bills (close of 40) in a large number of states (18). A scan done a year ago produced less than a handful. NCSL is a bipartisan organization that serves both state legislators and their staffs. The shear volume of bills in so many states represents a promising...
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Rising from the Ashes: How Trauma-Informed Care Nurtures Healing in Rural America [The Rural Monitor]
By Jenn Lukens April 17, 2019 It was late July 2018 when the Mendocino Complex wildfire broke out in rural Lake County, California. It burned more than 450,000 acres and destroyed 280 structures before it was contained. Ana Santana managed to fill some storage bins with sentimental items – her kids’ blankets, pictures, and art projects – before fleeing her home. Santana is the facilitator of the Lake County Children’s Council and Program Director for Healthy Start Youth and Family Services ,...
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Screening for Childhood Trauma
Dr. Ken Epstein has been in the social services sector for nearly four decades and has witnessed firsthand the long-term effects of trauma. As both the son and father of fellow social workers, the work runs in his blood. Now, he’s helping Bay Area health clinics screen for and address childhood trauma through the Resilient Beginnings Collaborative (RBC), led by Center for Care Innovations (CCI) and made possible by Genentech.
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Survey: Healthcare providers, community organizations weigh in on California's ACEs screening program
In January, California took a historic leap forward to promote universal ACEs screening of the state’s 13 million adults and children in the Medi-Cal program. The eventual goal is to promote ACEs screening for all patients, but this is a first step in dealing with a major issue that ACEs science has identified: that many children will develop serious health problems later in life because the healthcare system is not currently set up to detect the roots of those problems. The term ACEs, which...
Calendar Event
ACEs Town Hall with Dr. Nadine Burke Harris
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Toxic Childhoods [politco.com]
Often times, a pediatrician or medical professional well-versed in the effects of ACEs or toxic stress can be the initial bridge to services, support, and building resilience for children, youth and families served by child welfare. It's exciting and encouraging to read about more and more pediatricians grounding their medical practice within ACEs framework. A toddler came into my examination room recently at Bayview Child Health Center in Bayview Hunters Point, an underserved, largely...
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ACEs Science Champions Series: Training future counselors to integrate ACEs science in the classroom
Nemia with peacock used in therapy with children. Talking with an animal is often easier than talking with an adult for a child who's experienced abuse. _________________________________________ Toni Nemia, program and clinical director for the University of San Francisco Child and Family Center's School-Based Family Counseling, says that her graduate students are often surprised to hear that ACEs science (adverse childhood experiences) has an international reach. In fact, Scotland is an...
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Trauma-informed Care: It Takes More Than a Clipboard and a Questionnaire
California is about to launch an ambitious campaign to train tens of thousands of Medi-Cal providers to screen children and adults up to age 65 for trauma, starting on January 1, 2020. It is well-established that the early identification of trauma and providing the appropriate treatment are critical tools for reducing long-term health care costs for both children and adults. Research has shown that individuals who experienced a high number of traumatic childhood events are likely to die...
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Trump's Food Stamp Cuts Threaten Children's Potential [sfchronicle.com]
By Kim Newell, San Francisco Chronicle, December 17, 2019 As a pediatrician, I know that one of the most powerful tools for ensuring the health of my patients and of all our nation’s children is nutritious food. As such, school lunch in particular is vital, not only to their health but also to their learning capacity. The Trump administration has recently proposed changes to the federal Supplemental Nutrition Assistance Program. Nearly a million students may lose automatic eligibility for...
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Understanding Gaps in Developmental Screening and Referral [pediatrics.aappublications.org]
By Mei Elansary and Michael Silverstein, Pediatrics, March 2020 In this issue of Pediatrics, Lipkin et al describe trends in pediatrician-reported developmental screening and referral practices between 2002 and 2016. The authors compare data across serial American Academy of Pediatrics (AAP) Periodic Surveys conducted in 2002, 2009, and 2016. They demonstrate that pediatricians’ self-reported use of formal developmental screening tools increased from 21% in 2002 to 63% in 2016 and that...
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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. Nadine Burke Harris (podcast) [armchairexpertpod.com]
By Dax Shepard, Armchair Expert, October 10, 2019 Nadine Burke Harris is an American pediatrician who is the 1st and current Surgeon General of California. She is known for her work in adverse childhood experiences. Nadine visits the Armchair Expert to discuss the impact childhood trauma has on health and longevity, she talks about her own experience with childhood adversity and she gives tools to buffer those who have many ACEs. Nadine talks about the screening process she pioneered and Dax...
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Dr. Nadine Burke-Harris Shares Concerns About The Impact COVID-19 Is Having On Blacks [sacobserver.com]
Dr. Nadine Burke-Harris joined Gov. Newsom for the first time last week to announce a number of actions leaders have taken to address the pandemic. By Genoa Barrow, Sacramento Observer, April 17, 2020 As a pandemic sheds a spotlight on long-standing health inequities for African Americans, California’s surgeon general looks to find lasting solutions. Dr. Nadine Burke-Harris was named to the new position created by Gov. Gavin Newsom in January 2019. She is an African American pediatrician,...
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DULCE helps pediatricians in Oakland, CA, prevent toxic stress in newborns
On a recent day in early March, Laura Lopez met a former patient of hers in the waiting room of Highland Hospital’s pediatric clinic in Oakland, CA. The patient had forgotten her Medi-Cal card and called Lopez asking for help. But in the brief conversation, Lopez, a family specialist with the DULCE program, learned about some dire changes in the patient’s life. Laura Lopez “Without me even asking, she shared with me that she had separated from her partner, that she needs to apply for food...
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Early Discount 20th Annual Families & Fathers Conference
Call to action- Fathers and Families Coalition of America is nearing the 20th Annual Families and Fathers Conference, March 4-7, 2019 in Los Angeles, California with a comprehensive program that hosts presenters from the United Kingdom, Scotland, Ireland, Australia, Nigeria, Puerto Rico, Bolivia and throughout the United States. We are providing the conference information for your consideration to participate. We are asking you to share this conference information with your community...
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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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Lesson learned integrating ACEs science into health clinics: Staff first, THEN patients
Nearly two years ago, a team of colleagues at LifeLong Medical Clinics jumped at the opportunity to integrate practices based on ACEs science to prevent and heal trauma in their patients when it joined a two-year learning collaborative known as the Resilient Beginnings Collaborative (RBC). A few months after training began, the staff realized they had to put on the brakes.
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Love in the TIme of Coronavirus: Inequities and Supporting Children
This blog is re-posted from positiveexperience.org/blog/ Link there for associated resources, and for the other blogs in the series. Having safe, stable, and equitable environments to live, learn and play forms the second of the 4 Building Blocks of HOPE. Children need homes where they feel safe and secure and have their basic needs met. Children thrive in an environment that encourages curiosity and provides opportunities for learning to play and interact with other children. Today’s blog...
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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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More than 70 4CA participants converge on Sacramento, talk ACEs to power
Mai Le, an ACEs champion and program associate with First 5 San Mateo, wasted no time getting to the point of why she was asking lawmakers to support legislation that would help prevent adverse childhood experiences (ACEs). “When I was a child, my father had a psychotic break and was eventually diagnosed with schizophrenia,” she said in a conversation with Eric Dietz, a staff member for State Senator John Moorlach (R-Costa Mesa). L-R: Eric Dietz, Richa Sharma, Mai Le “I’m a high achiever,...
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Nadine Burke Harris debuts "The Deepest Well: Healing the Long-Term Effects of Childhood Adversity" in Philadelphia
Dr. Nadine Burke Harris debuted her book, The Deepest Well: Healing the Long-Term Effects of Childhood Adversity , at the Philadelphia Free Library this evening in a talk and book signing. This first stop in an ambitious book tour that crisscrosses the country reflects a mission that Burke Harris has pursued for nearly a decade: to spread the knowledge about the science of adverse childhood experiences, and about how people can use this knowledge to help solve our most intractable problems.
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National Conference of State Legislatures Legislative Summit features Nadine Burke Harris
Photo of Nadine Burke Harris by Liz Hafalia, The Chronicle _______________________________________________ Dr. Nadine Burke Harris, pediatrician and CEO of the Center For Youth Wellness, and Dr. Melissa Merrick, behavioral scientist at CDC’s National Center for Injury Prevention and Control and lead scientist on the ACE Study , will present at a session on today titled “Improving Children’s Chances by Combating Early Trauma" at the National Conference of State Legislatures (NCSL) meeting in...
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New organization calls all pediatricians to end crisis that's "hiding in plain sight"
When the question of screening patients for adverse childhood experiences (ACEs) was first raised a couple of years ago, Santa Barbara pediatrician Andria Ruth had mixed feelings about it.
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Newsom Appoints Pediatrician and Public Health Expert to Lead CHHS [nbclosangeles.com]
Gov. Gavin Newsom Wednesday appointed Mark Ghaly, a practicing pediatrician and director of health and social impact at the Los Angeles County Department of Health Services, to head the California Health and Human Services Agency. As HHSA secretary, Ghaly, 44, of South Pasadena, will help lead the administration's efforts to advance the governor's health care agenda, including proposals to lower prescription drug costs, provide coverage to young undocumented adults through Medi-Cal, and help...