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Edgecombe County PACEs Connection (NC)

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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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Rural Health [healthaffairs.org]

By Alan R. Weil, Health Affairs, December 9, 2019 This month’s Health Affairs explores many dimensions of health and health care for the one out of five Americans who live in what the US Census Bureau defines as a rural area. Much attention is focused these days on the relatively poor health outcomes and heightened rate of socioeconomic disadvantage of rural America. As Janice Probst and colleagues point out in their overview paper, rural mortality rates only started falling behind urban...
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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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The Black Community, COVID-19 & Trauma [sdvoice.com]

By Latanya West, San Diego Voice, May 15, 2020 In January 2019, Governor Gavin Newsom appointed Dr. Nadine Burke Harris as California’s first-ever Surgeon General. An award-winning physician, researcher and advocate, Dr. Burke Harris’ career has been dedicated to serving vulnerable communities and combating the root causes of health disparities. Her work is equally dedicated to changing the way our society responds to one of the most serious, expensive and widespread public health crises of...
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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 Sacramento Violence Intervention Program, Trauma & ACEs

Alicia Doktor ·
On May 22, I had the opportunity to experience a presentation by DeAngelo Mack on the Sacramento Violence Intervention Program, Trauma and ACEs. The presentation was at Kaiser Sacramento and was directed to residents in the organization. I have worked with @DeAngelo Mack, @Chris Cooper and @Esmeralda Huerta through Resilient Sacramento for the past few years and have admired their work in the community, this was the first opportunity I had to attend...
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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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TRAUMA INFORMED CARE Johnson City's trauma informed system of care is model for the country [Johnson City Press]

Carey Sipp ·
Becky Haas, community crime prevention manager for the Johnson City Police Department, hopes the Trauma Informed Care system created here will spread throughout the nation. Johnson City is on the verge of becoming a completely Trauma-Informed Care community, which local officials believe can improve the health, education and social lives of everyone who lives in the region. And Johnson City’s efforts to create this system of care could spur a national movement. That belief was apparent...
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Trauma is Messy

Jon Eppley ·
I will always remember the day that, as a student teacher, I watched as a student entered my second-grade room covered in blood. After quickly establishing that he was not injured, we learned that the blood was that of his brother who had been shot the night before. No parents were around that night, so this second grader became the sole caregiver of his bleeding brother. My student would never be the same. We didn’t care about grades or test scores. We just knew that this moment would...
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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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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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Welcome, Forsyth County (North Carolina) ACEs Connection!

Carey Sipp ·
Introducing Forsyth County (North Carolina) ACEs Connection , one of the newest communities in Southeastern U.S. region , the geographic area I support for ACEs Connection. Forsyth County ACEs Connection is a team of community partners from all sectors working towards collaborative, intentional and integrated trauma informed care in our county. The new site manager for Forsyth County ACEs Connection is is Laneita Williamson, who is an inpatient rehabilitation compliance coordinator and a...
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Why Is the Pandemic Killing So Many Black Americans [podcasts.apple.com]

Carey Sipp ·
By The Daily, The New York Times, May 20, 2020 Some have called the pandemic “the great equalizer.” But the coronavirus is killing black Americans at staggeringly higher rates than white Americans. Today, we explore why. Guest: Linda Villarosa, a writer for The New York Times Magazine covering racial health disparities, who spoke to Nicole Charles in New Orleans, La. about the death of her husband, Cornell Charles, known as Dickey. He was 51. For more information on today’s episode, visit...
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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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A Nurse Survivor Shares Her Story and Concerns

Laneita Williamson ·
Yesterday was another trauma informed care training to nurses. I'm still very amazed at the biases that occur around sex, drugs, abortion, alcoholism, mental health or other challenges. As typical I received a follow up email from a survivor with their thoughts, not about the training but about the response of other humans around human behaviors and actions. The nurse survivor that emailed me felt so empowered to make a change that she has requested that I share her story with others in the...
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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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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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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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Cultivating Deliberate Resilience During the Coronavirus Disease 2019 Pandemic [jamanetwork.com]

By Abby R. Rosenberg, JAMA Pediatrics, April 14, 2020 Coronavirus disease 2019 (COVID-19) is affecting our health care community in unprecedented ways. As a pediatric oncologist who studies resilience in the context of illness, I started thinking about what this pandemic means for our professional resilience a few weeks ago, when the first US patient with fatal COVID-19 died in my home city of Seattle, Washington. Promoting resilience among health care workers and organizations starts with...
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Efforts to Reduce Black Maternal Mortality Complicated by COVID-19 [chcf.org]

By Xenia Shih Bion, California Health Care Foundation, April 20, 2020 Latoyha Young had a birth plan. She was going to have the baby in Sacramento with community doula Joy Dean by her side. Dean was funded by the county’s Black Child Legacy Campaign , which works to reduce the disproportional number of Black infant and child deaths in Sacramento. But in mid-March, when Young went into labor just as Governor Gavin Newsom ordered Californians to stay at home to avoid spreading the novel...
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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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GABOR MATÉ JOINS EP. 3 on May 21 with Darrell Hammond and Filmmaker Michelle Esrick. [crackedupmovie.com]

CRACKED UP THE EVOLVING CONVERSATION TRAUMA AS THE ROOT CAUSE OF ADDICTION With DARRELL HAMMOND DIRECTOR MICHELLE ESRICK and RENOWNED TRAUMA AND ADDICTION EXPERT GABOR MATÉ, M.D. author of In the Realm of Hungry Ghosts: Close Encounters With Addiction MODERATED BY JANE STEVENS, FOUNDER OF ACES CONNECTION Hosted by ACES Connection Thursday May 21st at 2pm PDT / 3p MT / 4p CT / 5pm EDT FREE FOR ALL WHO REGISTER! IF YOU REGISTER, BUT CAN NOT ATTEND, YOU WILL RECEIVE A RECORDING WITHIN ONE WEEK.
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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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How The Eastern Cherokee Took Control Of Their Health Care [KHN.org]

By Katja Ridderbusch, Kaiser Health News, July 22, 2019. CHEROKEE, N.C. — Light pours through large windows and glass ceilings of the Cherokee Indian Hospital onto a fireplace, a waterfall and murals. Rattlesnake Mountain, which the Cherokee elders say holds ancient healing powers, is visible from most angles. The hospital’s motto — “Ni hi tsa tse li” or “It belongs to you” — is written in Cherokee syllabary on the wall at the main entrance. “It doesn’t look like a hospital, and it doesn’t...
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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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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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It took 3 years, 6 versions to develop ACEs screener that works for parents & providers

Laurie Udesky ·
It’s irrefutable: Widespread research shows that adverse childhood experiences (ACEs) are common. That’s why researchers in a recent study insist: “It behooves pediatric providers to take an active role in preventing and identifying childhood adversity in order to reduce the health consequences of toxic stress.” In other words, if you want your kids to have a good shot at a healthy life, make sure they — and you — are educated about and screened for ACEs and resilience. In a recent study —...
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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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New Study Reveals Annual Cost of Childhood Adversity in California Is Approximately $113 Billion [prnewswire.com]

Marianne Avari ·
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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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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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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One state. One year. (Partial) Cost of ACEs = $5.2 billion.

Jane Stevens ·
In looking at the impact of childhood trauma, you can’t get much clearer than this: In 2017, ACEs among Tennessee adults led to an estimated $5.2 billion in direct medical costs and lost productivity from employees missing work. That’s just one year, according to the new report, “ The Economic Cost of ACEs in Tennessee ," released on Feb. 1, 2019 by The Sycamore Institute in Nashville, Tenn. And to provide some perspective, $5.2 billion is one-seventh of the state’s annual budget . This $5.2...
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What Do Coronavirus Racial Disparities Look Like State by State [npr.org]

Carey Sipp ·
By Maria Godoy and Daniel Wood, National Public Radio, May 30, 2020 In April, New Orleans health officials realized their drive-through testing strategy for the coronavirus wasn't working. The reason? Census tract data revealed hot spots for the virus were located in predominantly low-income African-American neighborhoods where many residents lacked cars. In response, officials have changed their strategy, sending mobile testing vans to some of those areas, says Thomas LaVeist , dean of...
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Self-Care Tips for Black People Who Are Struggling With This Very Painful Week [VICE]

Caitlin LaVine ·
by Rachel Miller , VICE.com, May 28 2020, 7:25pm. Friends, I don’t need to tell you that it’s been an especially hard few weeks for Black people in the United States. Breonna Taylor . Ahmaud Arbery . Chris Cooper . George Floyd . Tear-gassing the protesters who had the gall to be upset about a racist murder . All of this, during a time when Black people are disproportionately dying from the COVID-19 pandemic . It’s exhausting. Amid all this suffering, it can be hard to believe Audre Lorde...
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Advancing Racial Equity Webinar Series [apha.org]

By Tia Taylor Williams, American Public Health Association, May 2020 Alarming disparities within the COVID-19 pandemic — such as higher hospitalizations and death rates among African Americans — are sadly predictable and highlight the urgent need to address the root causes of health inequities. APHA is hosting this four-part webinar series to give an in-depth look at racism as a driving force of the social determinants of health and equity. The series will explore efforts to address systems,...
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Racism's Effect on Health, and the Heartbreak of Being a Black Parent Right Now: California's Surgeon General Speaks [kqed.org]

By KQED Science, KQED, June 14, 2020 The coronavirus pandemic and the recent killing of George Floyd have brought longstanding racial inequities into sharp focus. One of those disparities concerns the high rate of coronavirus transmission among people of color. To talk about the intersection of race and health, KQED's Brian Watt spoke last week with California Surgeon General Dr. Nadine Burke Harris, who is known for her pioneering work on the role that childhood stress and trauma play on...
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Help Navigating the Road to Community Resiliency

Becky Haas ·
The first time I ever heard the words trauma-informed care and the Adverse Childhood Experiences (ACEs) study was in the summer of 2014. At the time, I was working for the local Police Department as the Director of a grant-funded Crime Reduction Project aimed at reducing drug-related and violent crime. Of the many program goals, one was to develop a rehabilitative corrections program for felony offenders with addictions in order to reduce recidivism. Though I’ve lived in this region for...
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Do safe, stable, and nurturing relationships work? New research has important findings for responding to ACEs

Alyssa Koziarski ·
While we know that adverse childhood experiences (ACEs) can cause risk behaviors, research has told us that the presence of protective factors can help mitigate the effects of ACEs. Common risk behaviors such as smoking tobacco and alcohol misuse can be a result from the trauma of childhood disadvantage. In responding to ACEs, public health research proposes that protective factors such as safe, stable, nurturing relationships (SSNRs) with a caring adult can mitigate the long-term effects of...
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Greater Richmond Trauma Informed Community Network, first to join ACEs Cooperative of Communities, shows what it means to ROCK!

Jane Stevens ·
In 2012, Greater Richmond SCAN and five other community partners hatched a one-year plan to educate the Richmond, Virginia, community about ACEs science and to embed trauma-informed practices. Eight years later, the original group has evolved into the Greater Richmond Trauma-Informed Community Network (GRTICN) with 495 people and 170 organizations. And they're just scratching the surface.
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Donald Trump is the product of abuse and neglect. His story is common, even for the powerful and wealthy.

Jane Stevens ·
“In order to cope,” writes Mary Trump, “Donald began to develop powerful but primitive defenses, marked by an increasing hostility to others and a seeming indifference to his mother’s absence and father’s neglect….In place of [his emotional needs] grew a kind of grievance and behaviors—including bullying, disrespect, and aggressiveness—that served their purpose in the moment but became more problematic over time. With appropriate care and attention, they might have been overcome.”
 
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