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Edgecombe County PACEs Connection (NC)

Tagged With "Partnership for Children"

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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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Personal stories the set tone of hearing in U.S. Senate HELP Committee on Opioid Crisis Response Act

Jennifer Donahue, Delaware Office of the Child Advocate, testifies before the HELP Committee (Jennifer Perry to her right) ____________________________________________________________ Some seasoned advocates say legislators are influenced by stories while their staffs are swayed by data. There was some of both at the April 11 hearing on the draft Opioid Crisis Response Act of 2018 of the U.S. Senate HELP (Health, Education, Labor & Pensions) Committee but it was the personal stories that...
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Resilience Week [resilienceweek.co]

By UNC TV, November 6, 2019 UNC-TV Public Media North Carolina presents the statewide broadcast premiere of the special documentary feature Resilience: The Biology of Stress & the Science of Hope, Tuesday, November 19, at 8 PM, as part of Resilience Week—a statewide initiative to build awareness of childhood trauma, prevention and resilience. The hour-long film focuses on adverse childhood experiences (ACEs), what Dr. Robert Anda and Laura Porter of ACE Interface have termed, “the...
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Resilience Week [resilienceweek.co]

Carey Sipp ·
By UNC TV, November 6, 2019 UNC-TV Public Media North Carolina presents the statewide broadcast premiere of the special documentary feature Resilience: The Biology of Stress & the Science of Hope, Tuesday, November 19, at 8 PM, as part of Resilience Week—a statewide initiative to build awareness of childhood trauma, prevention and resilience. The hour-long film focuses on adverse childhood experiences (ACEs), what Dr. Robert Anda and Laura Porter of ACE Interface have termed, “the...
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Sesame Street Resources for Families Coping After Natural Disasters

Andrea Cody ·
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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Shasta County, CA using videos to educate, activate & celebrate

Karen Clemmer ·
Here are four great YouTube videos highlighting some of the work happening on the ground in Shasta County. They are motivated and mobilized. According to one of the providers speaking towards the end of one video - patients/clients had positively "profound" responses to learning about their ACEs - and they felt empowered to do what they could do to not have their children have the same experience. More videos available here .
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Sheltering in Place: ACEs-Informed Tips for Self-Care During a Pandemic

Jim Hickman ·
Millions of lives have been affected in unprecedented ways by the Coronavirus (COVID-19). We are all grappling with uncertainty—our daily routines interrupted, not knowing what is to come. For those of us who have Adverse Childhood Experiences (ACEs), these times can be particularly distressing. At the Center for Youth Wellness (CYW), we know that childhood trauma can have a significant impact on an individual’s health and well-being – both physiologically and psychologically. Since the...
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Systems Are Not People-Shaped

Robin Saenger ·
A few weeks ago I was at a big kickoff event for a new county-wide project to address what our communities feel are the biggest concerns we face. It definitely had its moments and I was all eyes and ears ready to absorb new info and be inspired by the power of coming together for a purpose. One of the last things that I heard that morning was to show the promise of next steps – the speaker said that basically in order to do anything meaningful – you, of course, need a building which – good...
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Tennessee report chronicles progress in addressing health and success of children from infancy to college and beyond

Tiffany Thomas-Turner ·
Tennessee First Lady Crissy Haslam this week released a report highlighting eight years of progress by the state to improve the lives of children and families. Prioritizing Tennessee’s Children: Our Promise to Future Generations reflects an early commitment by Governor Bill Haslam’s administration to make the health and success of all Tennessee children a state priority. In conjunction with Governor Haslam’s Children’s Cabinet and Deputy Governor Jim Henry, First Lady Haslam set out to...
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THE BUILD HEALTH CHALLENGE 2019 CALL FOR APPLICATIONS

Karen Clemmer ·
To read the announcement and all details, click HERE and see below key dates. BUILD is looking to support dynamic collaboratives driving sustainable improvements in community health. Are you ready to BUILD with us? For this new third cohort, BUILD is looking to support up to 17 innovative collaboratives across the US t hat include a community-based organization, hospital or health system, and public health department working together in dynamic ways to address upstream challenges and drive...
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The Developing Brain & Adverse Childhood Experiences (ACEs)

Lisa Frederiksen ·
Thanks to an explosion in scientific research now possible with imaging technologies, such as fMRI and SPECT, experts can actually see how the brain develops. This helps explain why exposure to adverse childhood experiences can so deeply influence and change a child's brain and thus their physical and emotional health and quality of life across their lifetime. The above time-lapse study was conducted over 10 years. The darker colors represent brain maturity (brain development). I have added...
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The Kids Aren’t All Right [theatlantic.com]

Catherine Joyner ·
COVID-19 doesn’t appear to be a major concern for children’s health, but the youngest among us will still bear the larger burdens of trauma and economic fallout. One of the lonely silver linings of the COVID-19 pandemic is that the disease doesn’t appear to be that bad for kids. Although children are certainly not immune, and a study of the outbreak in Wuhan indicates that infants are susceptible to severe complications, most healthy kids don’t seem to face a significant risk of death. So...
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The Strong and Stressed Black Woman By Inger E. Burnett-Zeigler [The New York Times]

Carey Sipp ·
Ms. T., 75, came to see me for therapy after a man stole her purse. He was in a car and lured her over under the guise of asking directions. Then he grabbed her bag and stepped on the accelerator. She was dragged halfway down the block before she let go. When I saw her a month later, she was still in physical pain from her injuries and emotional pain from having endured a traumatic experience. Ms. T. had raised three successful children as a single mother, while enjoying a prosperous career...
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Thinking About Racial Disparities in COVID-19 Impacts Through a Science-Informed, Early Childhood Lens [developingchild.harvard.edu]

By Jack P. Shonkoff and David R. Williams, Center on the Developing Child, April 27, 2020 The COVID-19 virus is ruthlessly contagious and, at the same time, highly selective. Its capacity to infect is universal, but the consequences of becoming infected are not. While there are exceptions, children are less likely to show symptoms, older adults and those with pre-existing medical conditions are the most susceptible, and communities of color in the United States are experiencing dramatically...
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Tools and how to use them is focus of second webinar on Community Resiliency Model, May 14, 2020

Carey Sipp ·
The second of two free Community Resiliency (CRM) webinars with Elaine Miller-Karas , key creator of the CRM, will be held Thursday, May 14, from 11 a.m. - 12:30 p.m. ET, (10 a.m. CT; 9 a.m. MT, and 8 a.m. PT) and will include the practical application of tools of the model. CRM is an ACEs science-based biological model for helping individuals become emotionally regulated during natural disasters and other dysregulating times. Miller-Karas will be joined by CRM trainers from Wilmington, NC:...
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Toxic stress from El Paso, Dayton, Gilroy shootings addressed in Thursday Community Resilience Model Webinar

Carey Sipp ·
An ACEs Connection webinar will offer helpful self-regulation tools to those rocked by recent shootings in Gilroy, CA, El Paso, TX , and Dayton, OH. The Building Resilient Communities webinar is offered by ACEs Connection this Thursday, August 9, at 10:00 AM PDT / 1 :00 PM E D and will last approximately 1 hour. Elaine Miller-Karas will teach her Community Resilienc y Mode l. Find registration details below. This webinar is free and open to the public. It serves professionals and community...
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Unsafe conditions for children in wake of COVID-19 [northcarolinahealthnews.org]

By Sarah Ovaska, North Carolina Health News, April 28, 2020 The spread of the novel coronavirus has meant an unprecedented retreat from our everyday lives – schools unexpectedly shut down, restaurants closed, and many jobs suddenly disappeared. Children as a whole seem to be avoiding the more serious health effects of COVID-19. But that doesn’t mean they are all safe. The closure of public schools and some child care facilities means some vulnerable children could be staying in homes that...
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Virtual Screening of Broken Places on March 21st & Registration for ACEs Connection Members!

Christine Cissy White ·
Please join us on Thursday, March 21st for a special virtual screening of Broken Places , the latest U.S. documentary on early childhood trauma and resilience. The film will be offered via a private Vimeo link with passcode to all registered members of ACEs Connection, for free, accessible in the United States and internationally. REGISTER TODAY: To register, please visit : https://goo.gl/forms/apdoINwgtQmydEXK2 The viewing portal for the film will open on Vimeo at 6am EST and close at 11pm...
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Hurricane Dorian’s on the way. Florence taught us how to be resilient!

Mebane Boyd ·
As we prepare for the arrival of Hurricane Dorian's effects later this week, certainly there are feelings of anxiety and confusion. Already? We haven't even finished recovering from Hurricane Florence! Let's choose to remember all the things we have learned from one another about being resilient in the face of stress over the course of the past year. We have learned about the body's response to stress and trauma, and that adding "stressors" and triggers to these can cause us to feel even...
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Webinar: Cultivating Our Best Selves in Response to COVID-19 | Tuesday, March 17 at Noon PDT

Elaine Miller Karas ·
How to use the skills of the Community Resiliency Model (CRM) for self and others to be the calm in the storm as we face the unknown. Free Webinar Tuesday, March 17 at Noon PDT Speakers: Elaine Miller-Karas, LCSW Linda Grabbe, PhD, FNP-BC, PMHNP-BC Zoom Webinar Registration Link: https://zoom.us/j/715837300 Additional ways to join are listed at the bottom of this post. About the webinar leaders: Elaine Miller-Karas is the Executive Director and co-founder of the Trauma Resource Institute and...
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Webinar Oct. 17 — Integrating ACEs science in pediatrics: Early adopters share lessons from the field

Laurie Udesky ·
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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Whole People Series & Study Guide (www.pbs.org)

Christine Cissy White ·
There's a fantastic five-part series, Whole People , done by PBS, " spotlighting the impact of Adverse Childhood Experiences (ACES) through personal and community stories. It explores the long-term costs to personal well-being and our society. While much work needs to be done, there are many innovative developments to prevent and treat ACES. We all play a role in becoming a whole people." It's amazing. The five topics covered are as follows: Childhood Trauma Healing Communities A New...
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Yes, Stress Really is Making You Sick [newsweek.com]

By Adam Piore, Newsweek, March 2, 2020 In the mid-2000s, Dr. Nadine Burke Harris opened a children's medical clinic in the Bayview section of San Francisco, one of the city's poorest neighborhoods. She quickly began to suspect something was making many of her young patients sick. She noticed the first clues in the unusually large population of kids referred to her clinic for symptoms associated with attention deficit hyperactivity disorder—an inability to focus, impulsivity, extreme...
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12 Myths of the Science of ACEs

Jane Stevens ·
The two biggest myths about ACEs science are: MYTH #1 — That it’s just about the 10 ACEs in the ACE Study — the CDC-Kaiser Permanente Adverse Childhood Experiences Study . It’s about sooooo much more than that. MYTH #2 — And that it’s just about ACEs…adverse childhood experiences. These two myths are intertwined. The ACE Study issued the first of its 70+ publications in 1998, and for many people it was the lightning bolt, the grand “aha” moment, the unexpected doorway into a blazing new...
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71 ACEs Initiatives Join ACEs Connection in 2019

Christine Cissy White ·
We are proud to celebrate the 71 community initiatives that joined the ACEs Connection network in 2019. They are listed below, and can be found along with all existing ACEs Connection communities via the ACEs Connection map. Communities in the United States: Midwest ACEs Indiana Coalition Ardmore (OK) Behavioral Health Collaborative: Chisago County (MN) ACEs Initiative Franciscan Health ACEs Connection FH–Jasper & Newton Counties (IN ) FH–LaPorte County (IN) FH–Lake County (IN)...
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ACEs Connection “Map the Movement” now includes an up-to-date section on laws and resolutions

Photo credit: Texasarchitects.org An updated map of laws and resolutions addressing ACEs science and trauma-informed policies is now available in the “Laws and Resolutions” section of Map the Movement (you can also find "Map the Movement" on the navigation bar on the ACEs Connection home page). The earliest law on the map was passed in the state of Washington in 2011, creating an ACEs science public-private partnership. The data base of the National Conference of State Legislatures (NCSL) is...
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ACEs Connection's Inclusion Tool makes sure nobody's left out

Ingrid Cockhren ·
We developed ACEs Connection's Diversity, Equity & Inclusion Tool — called the Inclusion Tool, for short — to ensure that ACEs initiatives across the world focus on being inclusive when forming a steering committee, recruiting leaders, providing education about ACEs science, recruiting members, or providing resources and services within their communities. The more inclusive your ACEs initiative is, the more diverse it will be, giving your initiative a real shot at achieving equity and...
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Action needed today by trauma advocates to urge Congress to address mental health and trauma in current COVID-19 legislation

The follow is a message from Dan Press, Legal Advisor to the Campaign for Trauma-Informed Policy and Practice ), about the need to contact Congress regarding a COVID 19 funding bill being considered this weekend. He is urging ACEs science/trauma advocates and leaders to send emails to their U.S. Senators and Representatives immediately to address the mental health and trauma implications of this pandemic. All – I hate to bother you on a Sunday, but we urgently need you to contact Congress to...
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Article of the Year, Spanking is an ACE

Robbyn Peters Bennett ·
Child Abuse & Neglect Article of the Year 2017 Child Abuse & Neglect, The International Journal, is pleased to announce the winner of its ‘Article of the Year’. The papers shortlisted for this title have demonstrated outstanding contribution to research on child welfare and we wish to recognise these scholars and research topics within the community. The papers selected for this title were voted on by the editorial team and editorial board (33 votes) of Child Abuse & Neglect. For...
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Be the Spark: Igniting trauma-informed change within our communities

Lara Kain ·
Authors note: This piece is co-authored by @Lara Kain and @Christine Cissy White. Though we had never worked together or met, we were asked to co-present on creating t rauma-informed changes in communities by the Attachment Trauma Network for the first national (now annual) Creating Trauma-Sensitive Schools Summit in Washington, DC. This article is an expanded essay version of that presentation). Be the Spark Oprah Winfrey helped mainstream discussion about...
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Benchmarks' PFE 4th Annual Conference: "Envisioning Resilient Communities"

Julia Holcomb ·
Benchmarks' PFE 4th Annual Conference will be held on Wednesday, September 11, 2019 (9:00am-5:00pm) and Thursday, September 12, 2019 (8:30am-3:00pm) at the Hawthorne Inn & Conference Center in Winston-Salem, NC. Benchmarks' Partnering for Excellence (PFE) redesigns the local child welfare/behavioral health system, changing the way DSS, LME/MCOs, local providers and the wider community understand the need for accessible, appropriate health services for children, youth and families who...
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Benchmarks' PFE 4th Annual Conference: "Envisioning Resilient Communities"

Julia Holcomb ·
Benchmarks' PFE 4th Annual Conference will be held on Wednesday, September 11, 2019 (9:00am-5:00pm) and Thursday, September 12, 2019 (8:30am-3:00pm) at the Hawthorne Inn & Conference Center in Winston-Salem, NC. Benchmarks' Partnering for Excellence (PFE) redesigns the local child welfare/behavioral health system, changing the way DSS, LME/MCOs, local providers and the wider community understand the need for accessible, appropriate health services for children, youth and families who...
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Beyond ACES Summit: The Impact of Race, Culture, and Poverty Social Media Toolkit

Brian Little, CHD ·
The Beyond ACES Summit: The Impact of Race, Culture, and Poverty registration is LIVE! The summit theme is #MovingBeyondACES (adverse childhood experiences). This year is historically significant because it marks the 400th anniversary of the arrival of enslaved Africans to Virginia. It was also a time that marked significant trauma. The summit touches on many different aspects of life and history. It was showcase the heartfelt talent of youth through dance and movement, music, theatre and...
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ACEs Science Champions Series: Byron Hall: A mentor rich with experience counsels teen parents in NC

Sylvia Paull ·
Byron Hall mentors adolescent parents for the Community Enrichment Organization , a nonprofit in Tarboro, NC, which partners with a program that supports to keep adolescent parents in school. One of the parents he mentors is 13 years old. At the age of 17, Hall was an adolescent parent himself, growing up with a single parent in the Bronx, NY, then an African American community where drug-dealing and prostitution were common. For the counselor, helping these young men and women, who are...
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Community Sessions of the Buncombe ACE Speaker's Bureau

Adrienne Gilbert ·
Our Buncombe County/Asheville ACEs Speakers’ Bureau has partnered up with United Way, Green Opportunities, and Asheville City Schools to present community sessions co-occurring with the Homework Diners. The community sessions are open to everyone, regardless of whether you have children or not. By joining with the Homework Diners, a community meal and child enrichment become available to those attending the community sessions. Please invite anyone and everyone you know. The more we connect,...
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Davidson County NC Community Broken Places Screening

Julia Holcomb ·
Last week, Benchmarks’ Partnering for Excellence partnered with American Children’s Home to host a free screening of the documentary Broken Places open to everyone in the community. Broken Places revisits three different families that were filmed 15-30 years ago to see how the toxic stress and trauma that they experienced has affected them over the years. It turns out that some people are very damaged by toxic stress and trauma, while others are able to thrive, and the film explores this...
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Focusing on "Creating Nurturing Systems"

Jenny Cooper ·
In just six weeks, stakeholders from across North Carolina will get together to learn about system integration work with youth involved with child welfare. This is the third annual Benchmarks' Partnering for Excellence (PFE) Conference and this year, we have decided to really focus on "Creating Nurturing Systems". While the daily work of PFE can be hard and challenges us to think of new ways to meet the needs of the family, the annual conference offers us a way to celebrate our successes and...
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Foster Care Case Numbers Continue to Climb in NC, as Opioid Crisis Affects Families [northcarolicahealthnews.org]

By Sarah Ovaska-Few, North Carolina Health News, September 24, 2019 North Carolina could use more people like Lisa Link, as the state grapples with record numbers of children entering and staying in the already stretched foster care system. Link, an auto broker and owner of a small used-car lot in Charlotte, opted five years ago to become a foster parent after years of helping with family members’ children. She was single, in her early 40s, and wanted to help children coming out of difficult...
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Funding bills in House and Senate call for the Surgeon General to address ACEs and health outcomes

Committee reports for the fiscal year 2019 funding bills for the Departments of Labor, Health and Human Services and Education (Labor/HHS) call for the Office of the Surgeon General to report on the connection between adverse childhood experiences (ACEs) and negative long-term health outcomes, including future substance misuse. The House Appropriations Committee report contains stronger and more specific language than the Senate report—it directs the Office of the Surgeon General to submit a...
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How do these pediatricians do ACEs screening? Early adopters tell all.

Laurie Udesky ·
Last week, three pediatricians — with a combined experience of 15 years integrating ACEs science into their practices — reflected on the urgency they felt several years ago that prompted them to begin screening patients for childhood adversity and resilience when there was practically no guidance at all. Along their journey , they accumulated a list of lessons learned for other pediatricians and family clinics to use. The three pediatricians participated in the ACEs Connection webinar,...
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Hurricane Florence first responders receive free trauma/resilience training

Carey Sipp ·
In a webinar offered this morning by Elaine Miller Karas , executive director of the Trauma Resource Institute in Claremont, CA, leaders from several North Carolina ACEs Connection communities affected by flooding and other damage by Hurricane Florence learned more about trauma response and how to better help their communities find resilience. Karas, who was delivering her Community Resiliency Model (CRM) training at Duke University in Durham, NC, offered the free training and provided...
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IN ATLANTA, AFFORDABLE HOUSING BOOSTS SCHOOL PERFORMANCE, TENANT HEALTH (From Nationswell 2.15.18) by Josh Green

Carey Sipp ·
REAL ESTATE ENTREPRENEUR MARJY STAGMEIER IS THE ANTI-SLUMLORD, A CONSCIENTIOUS CAPITALIST, AN INVESTOR WHO GENUINELY CARES. Among the rolling hills and dense pine canopies east of Atlanta’s I-285 bypass, down the street from a halal meat market, two Buddhist temples and Good Times Country Cookin’, sits the Willow Branch Apartment Homes. The complex is tucked behind a flapping “Welcome” flag, which is emblematic of Clarkston, a small but famously global suburb that has been coined “Ellis...
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Incarcerating Youth Should Be 'Last Resort' During Pandemic [thecrimereport.org]

By Andrea Cipriano, The Crime Report, May 7, 2020 On any given day, approximately 43,600 people younger than 18 years of age are held in youth detention facilities across America. Even under normal circumstances, many detention facilities are unable to provide a clean and safe environment for these young individuals, and the coronavirus pandemic has exacerbated the trauma these children experience in detention, according to the American Academy of Pediatrics (AAP). Incarcerating young people...
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Introducing the 5 Newest ACEs Connection Communities (February, 2019)

Christine Cissy White ·
Please welcome and explore the five newest communities to join our network in Alabama, Florida, Kentucky, New Jersey, and North Carolina. 4 New Communities Join ACEs Connection! BOUNCE - Jefferson County (KY) Edgecombe County (NC) ACEs Connection First 5 Alabama ACEs Connection Healthy Charlotte County (FL) ACEs Connection Newark (NJ) Trauma-Informed Community Network Please find more details about each one of them below. Follow links for a list of all of our ACEs Connection communities or...
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Investments in New Hanover County’s Resiliency Paying Off During Time of Pandemic

Mebane Boyd ·
Cliff Barnett, Wilmington city council member; pastor at Warner Temple AME Zion, and chair of the Family Faith and Community committee for the New Hanover Resiliency Task Force (RTF), shares experience in using sign language during a regularly scheduled RTF meeting. (Other photos are from recent monthly RTF meetings). With training, community’s front lines are proving resilient to and aware of trauma’s impact WILMINGTON, NORTH CAROLINA April 7, 2020 Two years ago, the Resiliency Task Force...
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Join ROI’s “Resilience Bench” as a mentor: Share your superpower and make an impact in a 45-minute phone call with one of ROI’s community board members:

Carey Sipp ·
JOIN THE BENCH: Click here to complete a short 3-question interest form. By signing up, you are simply expressing an interest in being part of this pilot and doing a one-time 45-minute phone call with a Community Board member. Who is on ROI’s community board? : a 5 person group of community members from diverse backgrounds and experiences, with particular attention to those most impacted by trauma and working to strengthen resilience in our community. Why join the Bench of Supporters?: A...
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"Moving From Trauma Understanding to Trauma Responsive" - SAMHSA Forum

Becky Haas ·
Johnson City to co-host forum on community-wide systems of care On Sept. 5, the City of Johnson City will co-host a forum entitled Moving from Understanding to Implementing Trauma-Responsive Services in conjunction with the Substance Abuse Mental Health Services Administration (SAMSHA). The forum will address SAMHSA recommendations for communities to treat trauma as a component of effective behavioral health service delivery. Statistics recently released from the Tennessee Department of...
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Nine Simple Trauma-Informed Gestures for Educators

Eric Rossen, PhD, NCSP ·
The promotion of trauma-sensitive and trauma-informed schools has grown tremendously in education. Broadly speaking, trauma-informed schools maintain a framework whereby the entire school staff maintains awareness of the impacts of toxic stress and trauma, and strive to ensure that all students feel safe, supported, and connected. Such awareness and motivation among educators and caregivers to promote such a framework presents multiple opportunities to change the lives of students and help...
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North Carolina 2018 State Profile

Morgan Vien ·
Hi, Everyone: Here’s the state profile for North Carolina. To review the entire profile, open the PDF that is attached to this post. If you have corrections or additions, please leave them in the comments section of this post. We’ll be reviewing the comments regularly and doing fact-checks. The information you give us will also help us determine how to organize and expand the information in the state profiles. We will be turning this post into a living profile that, with your help and input,...
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Nurturing relationships in childhood boost adult mental health, relationships

Christina Bethell ·
We're proud to announce major research that suggests that positive childhood experiences — such as supportive family interactions, caring relationships with friends, and connections in the community — are associated with reductions in chances of adult depression and poor mental health, and increases in the chances of having healthy relationships in adulthood. This association was true even among those with a history of adverse childhood experiences.
 
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