Tagged With "Atlas of the Heart"
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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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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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5 Things to Know as California Starts Screening Children for Toxic Stress [californiahealthline.org]
By Barbara Feder Ostrov, California Healthline, January 7, 2020 Starting this year, routine pediatric visits for millions of California children could involve questions about touchy family topics, such as divorce, unstable housing or a parent who struggles with alcoholism. California now will pay doctors to screen patients for traumatic events known as adverse childhood experiences, or ACEs, if the patient is covered by Medi-Cal — the state’s version of Medicaid for low-income families. The...
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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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Back to Our Roots: Catalyzing Community Action for Mental Health and Wellbeing [preventioninstitute.org]
Mental health is at the heart many of the challenges we face, including trauma and adverse childhood experiences, social isolation, institutionalized bias and discrimination, and ‘diseases of despair’ that manifest in depression, suicide, and substance misuse. Addressing social determinants of health is key to helping communities navigate adversity, heal, and flourish. PI’s new report, Back to Our Roots: Catalyzing Community Action for Mental Health and Wellbeing , illustrates how improving...
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Bad childhood experiences can make us unhealthy [Sacbee.com]
Vincent Felitti, a Kaiser Permanente physician in San Diego in the 1990s, had a radical idea. Instead of just asking patients about their symptoms, what would happen if doctors asked them about their childhoods? His hypothesis, built on a hunch informed by experience, was that childhood trauma was connected to poor health later in life. Felitti helped lead an exhaustive study of 17,000 patients that seemed to confirm his theory. That was in 1998. But for years Felitti’s study and his...
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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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Bipartisan trauma resolution passes the House unanimously
In the late afternoon on Feb. 26, the House of Representatives unanimously passed H. Res. 443 , a resolution recognizing the importance and effectiveness of trauma-informed care and calling for a national trauma awareness month and trauma-informed awareness day. The impetus for the resolution resides with the First Lady of Wisconsin, Tonette Walker, who has taken a strong leadership role in advancing trauma-informed policy and practice statewide through Fostering Futures , and has elevated...
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BRFSS ACEs Modules in California
In 2008 California was the first and only state to include the ACEs module in the Behavioral Risk Factor Surveillance System (BRFSS) survey. The results were reported at a BRFSS conference in 2009. The state also included ACEs modules in...
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Building Resilience Through Understanding Substance Use Disorders and Their Impacts on Others
The reach of substance use disorders in America is far more significant than people think. 21+ million Americans struggle with substance use disorders. Their substance use and addiction-related behaviors impact 100 million more Americans. These are the moms, dads, husbands, wives, children, brothers, sisters, grandchildren.... Together, these two groups represents more than one-third of the American population!
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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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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 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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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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Cal WORKs Training Academy: Compassion Fatigue
Front-line and case workers for the TANF program (Temporary Assistance for Needy Families) are at high risk for compassion fatigue. They hear approximately 30 stories of trauma, abuse and hardship each day. Complaints from workers vary from “How many stories of torture will have to I hear.” “It feels like I am spitting at a forest fire.” “After 12 years in the field, I am now on blood pressure medication.” This year the Cal WORKs Training Academy featured a workshop on compassion fatigue...
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California Assembly Health Committee OKs ACEs resolution 16-0
The California Assembly Health Committee today approved, by a vote of 16-0, a resolution to encourage statewide policies to reduce children’s exposure to adverse childhood experiences. California took a page from Wisconsin’s playbook with the introduction of legislation ( California Assembly Concurrent Resolution (ACR) No. 155 ) on May 28. It drew upon ideas from Wisconsin’s legislation ( Senate Joint Resolution 59 ), approved by the legislature this early this year. Both...
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California issues update on state residents' ACE scores from 2011 & 2013 surveys
The latest adverse childhood experiences survey from the California Department of Public Health shows that 42% of the population has an ACE score of 3 or higher; 16% have an ACE score of 4 or higher. Those with an ACE score of 4 or higher are: 3x more likely to be current smokers 4x more likely to have a depressive disorder 2x more likely to have asthma 2x more likely to be obese 4x more likely to have COPD 3x more likely to have a stroke Here are a few other highlights from the six-page...
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California Looks To Lead Nation In Unraveling Childhood Trauma [californiahealthline.org]
Imagine identifying a toxin so potent it could rewire a child’s brain and erode his immune system. A substance that, in high doses, tripled the risk of heart disease and lung cancer and reduced life expectancy by 20 years. And then realizing that tens of millions of American children had been exposed. Dr. @Nadine Burke Harris, California’s newly appointed surgeon general, will tell you this is not a hypothetical scenario. She is a leading voice in a movement trying to transform our...
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California Looks To Lead Nation In Unraveling Childhood Trauma [witnessla.com]
Imagine identifying a toxin so potent it could rewire a child’s brain and erode his immune system. A substance that, in high doses, tripled the risk of heart disease and lung cancer and reduced life expectancy by 20 years. And then realizing that tens of millions of American children had been exposed. Dr. @Nadine Burke Harris, California’s newly appointed surgeon general, will tell you this is not a hypothetical scenario. She is a leading voice in a movement trying to transform our...
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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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Vital Signs: Estimated Proportion of Adult Health Problems Attributable to Adverse Childhood Experiences and Implications for Prevention [cdc.gov]
By Melissa T. Merrick, Derek C. Ford, Katie A. Ports, et al., Centers for Disease Control and Prevention, November 5, 2019 Summary What is already known about this topic? Adverse childhood experiences are common and are associated with many poor health and life outcomes in adulthood. What is added by this report? Nearly 16% of adults in the study population reported four or more types of adverse childhood experiences, which were significantly associated with poorer health outcomes, health...
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WEBINAR: Fostering Equity: Creating Shared Understanding for Building Community Resilience
Struggling with how to Foster Equity Conversations in Community? Join the national partners of the Building Community Resilience Networks as we share our lessons learned in fostering equity as a strategy to prevent childhood adversity and build community resilience. Wednesday, February 26th 12pm-1:15pm Eastern More info at go.gwu.edu/EquityWebinar As a nation we have agonized over how to approach conversations on race, racism, inequity and racial justice. Too often we have opted to attempt...
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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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Webinar Slides and Recording: Transformational Resilience for Climate Change Traumas and Toxic Stresses with Bob Doppelt
Recorded live October 28, 2019. Find the slides attached below. The webinar recording: You will learn: how climate change creates personal, family, and community traumas and toxic stresses; how those traumatic stressors trigger feedbacks that expand and aggravate ACEs and many other person, social, community, and societal maladies; why current approaches are woefully inadequate to address what is already occurring and rapidly steaming toward us and why prevention is the only realistic...
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What the ACEs Screening Movement Can Learn from the Healthcare Hotspotting Movement
No brief intervention or short-term infusion of services is a silver bullet that will overcome the long-term harm caused by structural racism, poverty, and multi-generational trauma.
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When Being Trauma-Informed Is Not Enough
Trauma-informed care is the new gold standard. For the last several years, Echo has been providing professional development in trauma-informed care but we’re beginning to notice a worrying aspect of the new push to train staff and transform systems. Some human service professionals are seeing ‘trauma-informed care’ as another skill to add to their resume or a box to check off on a grant proposal. But if the information stays with the professionals and is not used to empower survivors, then...
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Why is it so hard to get mentally ill Californians into treatment? Three bills tell the tale (calmatters.org)
What responsibility does government have to protect people with serious mental illnesses who refuse treatment? How should it balance the right to liberty with the need for care? At the heart of the long effort to answer these questions is a law signed in 1967 by then-Gov. Ronald Reagan. Aimed at safeguarding the civil rights of one of society’s most vulnerable populations, the Lanterman-Petris-Short Act put an end to the inappropriate and often indefinite institutionalization of people with...
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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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Women’s Need for Medical Care Spikes Following Sexual Assault, Study Finds (calhealthreport.org)
Women who experience sexual assault are more likely to need medical care for mental health and stress-related problems in the year following the attack, new research suggests. Researchers at Kaiser Permanente analyzed the medical records of 1,350 women in northern California who were sexually assaulted between 2009 and 2015. They compared the women’s use of health-care services and their diagnoses in the years before and after the assault. The study also compared the victims’ records with...
Calendar Event
2019 Civic Leadership Forum
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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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Sonoma County ranks among top 5 healthiest in California [Pressdemocrat.com]
For years, local politicians, county health officials and health care professionals have been talking about making Sonoma County the healthiest county in the state by 2020, a goal that is at the heart of numerous local health, education and socio-economic initiatives. In 2011, Sonoma County ranked 12th among 56 California counties surveyed in the first County Health Rankings by the Robert Wood Johnson Foundation. It took three years for the county to break into the top 10, reaching eighth.
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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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Subsidized housing used to stem teacher shortages [OCRegister.com]
SAN FRANCISCO – As the days get shorter, first grade teacher Esmeralda Jimnez watches the dimming afternoon sky outside her classroom window the way her pupils watch the clock at dismissal time. The studio apartment Jimnez rents for $1,783 a month, or 43 percent of her salary, is located in one of San Francisco’s sketchiest neighborhoods. Getting home involves running a gauntlet of feces-strewn sidewalks, popping crack pipes, discarded needles and menacing comments — daily...
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Substance Use Disorder and Brain Development
The inputs a brain experiences during its developmental stages have a profound impact on whether that person will develop a substance use disorder (if they choose to drink or use other drugs). In turn, developing a substance use disorder (SUD) as a tween, teen, or young adult dramatically influences that person's brain development. And why is understanding this causality important? The risk factors for developing a substance use disorder are the result of inputs the brain experiences (or...
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RockSoberFest 2019 Boonville California
Sitting under redwood trees and listening to great music with a community of people was how I experienced RockSoberFest 2019. The three day event, in the small town of Boonville in Northern California was organized to provide a safe space for people in recovery to have fun with friends and family. “Our goal is to provide a great weekend of fun, fellowship, friends, family while enjoying music. A grass-roots organization trying to create a place where performers who are clean and sober can...
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Sacramento County ACEs & Resilience Awareness and Action Day Proclamation
March 14, 2019 Dear Resilient Sacramento Members, The ACEs Connection Resilient Sacramento Community is working on a Proclamation for the Board of Supervisors/Chair’s approval and signature to designate May 22 nd as Adverse Childhood Experiences & Resilience Awareness and Action Day. As a member of this Community, I have been working on this effort and am thrilled to report there are similar efforts in progress or passed in cities, counties, and states across the country, including the...
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San Bruno, CA, police reduce stress, burn-out with mindfulness
When Officer John Hampton of the San Bruno Police Department in San Bruno, CA, first heard that mindfulness training was being offered to him and his fellow cops, he had two reactions. John Hampton “I think my major reaction was: ‘Oh, there’s some hippy thing that they’re trying to get cops to do,’” he said. “When I say that, it’s funny because that’s not my voice. It’s the caricature of a police officer-like voice. In the back of my mind, I was interested and open to it, but that police...
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San Diego County numbers show lifespan gap between rich and poor (inewsource.org)
The wealthiest men in San Diego County can expect to live almost a decade longer than their poorest counterparts. That’s one of the findings from the Health Inequality Project , a report written by researchers from Stanford, Harvard and MIT. In 2014, the most recent year available, a 40-year-old San Diego County man in the top quarter of income earners could expect to live to almost 90. A man of the same age in the bottom quarter of income would only expect to live to 80. Steven Eldred with...
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Saving Lives And Saving Money [CaliforniaHealthLine.org]
Don Meade doesn’t like hospitals, but he uses them. In just one year, he made 62 trips to the emergency room. He rattles off the names of local hospitals in Orange and Los Angeles counties like they’re a handful of pills. “St. Joseph’s in Orange, [Saddleback Memorial in] Laguna Hills,” he says. “The best one for me around here is PIH in Whittier.” At 52, Meade has chronic heart disease and other serious ailments, and he is recovering from a longtime addiction to crack cocaine. Today, he...
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Schools to take on 'emotional learning' [SanDiegoUnionTribune.com]
t Cherokee Point Elementary School, first-grade teacher Hagit Patolai roams her classroom to asses student progress on a “fact versus opinion” writing assignment. She crouches down to read over the shoulder of a boy, asking him to point to the words (beautiful and cool) that indicate his illustrated story about a rainbow is based on his opinions. Why are people’s opinions important, she asks. It’s a question that gets at more than the lesson at hand. Patolai keeps detailed records on the...
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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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Senate HELP Committee approves opioid bill with major trauma-related provisions
The Senate Health, Education, Labor & Pensions (HELP) Committee unanimously approved The Opioid Crisis Response Act of 2018 Act on April 24. Significant provisions were included from the Heitkamp-Durbin Trauma-Informed Care for Children and Families Act (S. 774), including creation of a task force on trauma, and grants for trauma-informed schools.
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September 18, 2019 Sierra Region Learning Community: Highlights and Resources
The first Sierra Learning Community for the 2019-20 fiscal year focused upon Best Practices in Trauma Informed Care: Building Youth Resiliency. The power point and other materials distributed to attendees is available in the Resources Section. View the recording by clicking here: September 18, 2019 Sierra Learning Community ANNOUNCEMENTS Make sure to visit the Strategies2.0 YouTube Channel to access recordings of all the Strategies2.0 sponsored webinars and Learning Communities. The channel...
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Sesame Street Resources for Families Coping After Natural Disasters
In the aftermath of recent hurricanes and wildfires, the Sesame Street in Communities team wanted to reach out to provide information on our available resources to help families cope in the aftermath of natural disasters, and other traumatic experiences. Bilingual videos, articles, printables and more, are all available for free on our website at www.sesamestreetincommunities.org . Here are the links to a few topic pages that may be most useful to you as you work with families in the...
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Suisun Elementary (CA) makes ACEs science intrinsic to everyday life
Students start each day with meditation During her first year as principal of Suisun Elementary in Suisun City, Calif., in 2014 Ann Marie Neubert suspended 102 students — out of a student population of 550 —for disrupting their classes. It was a serious problem, but the school’s teachers didn’t know what to do. “[Teachers] felt like they were using all the tools in their toolbox and it wasn’t changing behavior,” she recalls. Ann Marie Neubert Too many students were spending too much time out...
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Supporting Your Child Through the Wildfire Disaster: 6 Tips From a Child Psychologist
Wellness Blog by Kirsten Kuzirian Supporting Your Child Through the Wildfire Disaster: 6 Tips From a Child Psychologist October 10, 2017 / Kirsten Kuzirian In the last 48 hours, our California communities have been thrown into survival mode as they race to protect the people, animals, and structures they cherish. As families leave their homes for safe shelter or stay monitoring media updates with bags packed, parents are wondering how this will impact their children. Napa and Folsom Child...
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Teen suicide clusters prompt mandate for California schools to confront taboo topic (calmatters.org)
In California and across the country, suicide is the second leading cause of death among teens—a grim reminder that many high school students’ primary barrier to adulthood is themselves. More young people take their own lives than the number killed by cancer, heart disease, birth defects, stroke, flu, pneumonia and chronic lung disease combined. And under legislation set to take effect in January, school systems up and down the state will be forced to confront the taboo topic head-on.