Tagged With "trauma-informed care"
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Toolkit to Help Child Welfare Agencies Serve LGBTQ Families [ChronicleOfSocialChange.org]
As a growing number of states pass laws permitting discrimination against LGBTQ people interested in foster care and adoption, the Human Rights Campaign (HRC) Foundation has released a toolkit to help the child welfare field better serve LGBTQ families. The toolkit is part of HRC’s All Children-All Families program and provides webinars, assessment tools and best practices for professionals and caregivers working with people in the LGBTQ and child welfare communities. Numerous national...
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Trained or not, family doctors and pediatricians are on the front lines of mental health care [tennessean.com]
When a sick kid steps into the pediatrician’s office, it could be for just about anything: an ear infection, a twisted ankle or an upset stomach. And sometimes, behind all those outward symptoms, there is something deeper that needs attention. Pediatricians and family doctors have long served a crucial but largely undefined role in American mental health care, diagnosing and treating depression and anxiety in addition to everyday physical injuries and common diseases. But amid rising concern...
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Trauma-Informed Care is Not a Program For Your Clients
Understanding the long-term impact of developmental trauma, how trauma impacts the brain, and the science of resiliency is a powerful first step toward change. It is exciting to watch people begin to let this knowledge soak in… and even more exciting when they begin to ask “Now what?” As I have worked with organizations across the state, I have found that often what they are really looking for is the curriculum or recipe book that they can follow for their clients or students. Even those...
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Trauma-Informed Classrooms: Calming Corners
In our trauma-informed classrooms blog post last week, we talked about choices. We mentioned the benefit of having a space in the room where a child can go to help them calm down and become regulated. While this has become increasingly common at the elementary level, we have found that this is a tool that can work for students of all ages. Even when we survey adults about the things that help them to calm down when they are upset, one of the most common answers we hear is that they want time...
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Trauma-Informed Classrooms: Choices
One thing that is common among many traumatic events is a complete lack of choices. When a person feels like they do not have a choice or control, it can be triggering and cause the negative emotions that the person ties to the original trauma. While you can do a lot relationally with how you interact with your students, you can also set up your physical space with choices in mind. As you think about choices in your classroom, here are a couple of options you may want to consider. First of...
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Trauma-informed Healthcare Approaches: A Guide for Primary Care
Our recently published book, Trauma-informed Healthcare Approaches was written to share basic principles of trauma-informed care and ACEs science with general medical practitioners and administrators. As the recent #METOO movement has demonstrated, interpersonal trauma is widespread. A growing literature has demonstrated the impact of traumatic experiences on mental, physical health and wellbeing. Trauma survivors commonly access healthcare but their histories and needs are commonly...
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Trauma-Informed is Messy Business…
Words like trauma-informed and resiliency get thrown around a lot these days. And for many, the visions they call up are a bit too glossy. You see resiliency and trauma-informed aren’t always pretty. Resiliency can look like closing the bathroom door and collapsing in tears… but then washing your face and going back into the world, carrying the belief that you can survive and the hope that things will get better. It looks like begrudgingly going on that walk with a friend, when the little...
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Trauma-informed, Resilience-oriented Approaches Learning Community [thenationalcouncil.org]
By The National Council for Behavioral Health, October 2019 The National Council for Behavioral Health is pleased to announce the 2020-2021 Trauma-informed, Resilience-oriented Approaches Learning Community. Since 2011, we have worked with behavioral health, social service and community organizations to implement trauma-informed, resilience-oriented organizational change. This Learning Community will provide participating organizations, systems and communities with the tools and skills to...
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Two studies shed light on state legislators’ views on ACEs science and trauma policy
New and returning lawmakers take the oath of office on day one of Washington state's 2017 legislative session. — Jeanie Lindsay/Northwest News Network As advocates prepare to see how ACEs (adverse childhood experiences) science, trauma, and resilience play out in the 2020 state legislative sessions — many beginning in January — they are undoubtedly asking: “What does a legislator want?" It may be a stretch to play on Freud’s question: “What does a women want?", but the query captures how...
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UPDATED with The Human Element: Hosting a Film Screening to Start or Grow an ACEs Initiative: How-to Guide
Movie screenings of documentaries, such as Paper Tigers or Resilience are popular ways to introduce communities to ACEs science. Cissy White provides details about how to put on a screening event.
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USDA Announces Record-Breaking Funding for 2019 Farm to School Grants [USDA.gov]
By USDA, July 16, 2019 WASHINGTON, July 16, 2019 – U.S. Secretary of Agriculture Sonny Perdue announced today the award of more than $9 million in USDA Farm to School Program grants that will increase the amount of healthy, local f oods served in school s and c reate economic opportunities for nearby farmers. This year marks an all-time high of funding and projects in the program, with grants supporting 126 selected projects across 42 states, the District of Columbia, and Puerto Rico. These...
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WEBINAR: Amplify Impact from National Institute for Health Care Management (NIHCM) Foundation on 8/29
High-quality early childhood education (ECE) has an enormous positive impact on lifelong health, serving as a protective factor against adult disease and disability. Children who receive high-quality ECE stay in school longer and earn more income as adults, helping to close the income inequality gap. Yet parents sometimes struggle to access or pay for available programs, and only about 16% of children who were eligible for federal childcare subsidies in 2015 received them. Given the high...
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Webinar: Crossroads of Adverse Childhood Experiences (ACEs) and Developmental Disabilities
Physicians, nurses, psychologists, social workers, child life professionals, and other patient service providers are invited and encouraged to join a webinar entitled: "Crossroads of Adverse Childhood Experiences (ACEs) and Developmental Disabilities" Increased levels of toxic stress, which can be caused by recurrent or chronic exposure to adverse childhood experiences (ACEs), can impair neurodevelopment, behavior, and overall health of a child (Substance Abuse and Mental Health Services...
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Wellness and Resiliency Toolkit for Kids with Trauma
I'm excited to share a booklet created for youth in Oregon foster care at a Wellness camp this summer. Youth were provided with these quick, easy and effective (and evidence based) "Mindful Moments" exercises in their Wellness Toolkits and they were practiced throughout the day at camp so that they could be remembered in times of stress and dysregulation. The exercised are designed to quickly bring them back to a state of calm. The youth really enjoyed them, and found them easy and...
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What Happens When Old and Young Connect (dailygood.org)
This year, for the first time ever, the U.S. has more people over 60 than under 18. That milestone has brought with it little celebration. Indeed, there are abundant concerns that America will soon be awash in a gray wave, spelling increased health care costs for an aging population, greater housing and transportation needs, and fewer young workers contributing to Social Security. Some fear a generational conflict over shrinking resources, a looming tension between kids and “canes.” As I...
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What You and Your Family Need to Know About Maternal Depression [nytimes.com]
For the first time, a national health panel has recommended a way to prevent depression during and after pregnanc y. This condition, known as perinatal depression, affects up to one in seven women and is considered the most common complication of pregnancy. The panel, the United States Preventive Services Task Force, said two types of counseling can help keep symptoms at bay. Its recommendation means that under the Affordable Care Act, such counseling must be covered by insurance with no...
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When Hidden Grief Gets Triggered During COVID-19 Confinement
first published by The Meadows 4/15/20 Our sense of loss during the current COVID-19 crisis can trigger hidden emotions from when we experienced a sense of loss before. Whatever early losses you have had in your life — whether they be your own divorce, your parents, or both, or the abandonment of one parent, a childhood or parental illness or death, financial upheaval, constant moving around, or growing up with parental addiction or adverse childhood experiences (ACEs) — they are likely to...
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When pregnant women who abuse opioids are treated like criminals, their babies suffer (latimes.com)
Laws that punish women who abuse drugs during a pregnancy are often billed as a way to protect unborn babies from addiction. But new research finds they have the opposite effect: After states enact laws treating pregnant drug users as unfit mothers or criminals, the number of newborns who contend with drug withdrawal jumps significantly. The new findings suggest that laws that criminalize a mother’s drug use during pregnancy or threaten to remove newborns from their mothers’ care discourage...
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Why Intentionally Building Empathy Is More Important Now Than Ever (kqed.org)
Those in helping professions like teaching, social work, or medicine can buffer themselves from burnout and “compassion fatigue” with self-care strategies, including meditation and social support . A study of nurses in acute mental health settings found staff support groups helped buffer the nurses, but only if they were structured to minimize negative communication and focused on talking about challenges in constructive ways. English Professor Cris Beam also studies empathy and wrote a book...
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Why Kids With ACEs Shouldn't Get a Pass on Chores
Don't worry that chores are too stressful for kids with ACEs, says trauma researcher Bob Sege, MD. “You don’t want to coddle them,” Sege said, “because the message they will get is that they are damaged goods. They need to know that the adversity they suffered is only one part of them; it’s not all of them.”
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Why Resilience is Harmful and How to Improve it
Resilience is awesome, but also poses some risks and challenges. In 2012 a special edition of the Social Justice Studies academic research journal explored some of the risks. An intro and 5 academic research articles go very deeply into the topic of the "Dangers of Resilience Promotion." All the articles can be downloaded free at this link. https://journals.library.brocku.ca/index.php/SSJ/issue/view/70 I will attempt to summarize those 6 articles here in common language, cuz the articles are...
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Why the Nation Should Screen All Students for Trauma Like California Does [theconversation.com]
By Sunny Shin, The Conversation, November 18, 2019 As the first person to hold the new role of Surgeon General of California, Dr. Nadine Burke Harris is pushing an unprecedented plan to implement universal screenings for childhood trauma within the state’s schools. Childhood trauma is defined by the National Institute of Mental Health as an “emotionally painful or distressful” event that “often results in lasting mental and physical effects.” Burke Harris’ plan is already more than a dream:...
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Why Trauma Survivors Can't Just "Let It Go" [themighty.com]
Laura's Note: This article is preaching to the choir here, I know, but maybe some of us can use a reminder not to beat ourselves up for not succeeding at following the conventional "wisdom" on recovering from childhood trauma or other difficulties that occurred in the past (because for trauma, especially the childhood variety, it doesn't work) -- and to remind ourselves that it's not only OK to abandon to "let it go" method, but far more productive and healthy in the long run to take the...
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Working Sessions
Merita Irby (Managing Partner, Big Picture Approach Consulting And Co-Founder & Executive Vice President, The Forum For Youth Investment) led the interactive working sessions. Cross-sector table activities focused on identifying what “ready and resilient” look like; the skillsets and mindsets that will help children be “ready”; and how different organizations and sectors can effectively partner. The slides and workbooks that guided the activities are available here.
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YBRS survey and report from Monroe County, New York
Elizabeth Meeker, an ACEs Connection member from Monroe County, New York shared that her county schools added ACEs questions to their Youth Behavioral Risk Survey (YBRS) in 2015, which is administered to students in schools. They were kind enough to share the instrument as well as a summary report of findings (both attached here). Elizabeth has indicated that she is available to answer questions that you all may have about the implementation of the survey. Thank you Elizabeth, for sharing!
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Self-Care graphics
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10 Steps To Success: Building Systems to Prevent and Treat ACEs
Here are ten tested steps that guide our 100% Community initiative focused on the data-driven and cross-sector prevention of ACEs, trauma and health disparities. The ten steps are those taken by local stakeholders as part of the 100% Community initiative. Action teams will choose to focus on one of ten family-focused sectors, following the key phases of continuous quality improvement which include: assessment, planning, action and evaluation. We seek improvements in all ten sectors, from...
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12 Myths of the Science of ACEs
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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12 Myths of the Science of ACEs
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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30 people can end ACEs in your county. Why aren’t they?
No, we don’t need the president nor congress. We do need the following people in your county to stop business as usual and focus on preventing adverse childhood experiences (ACEs). City mayors City counselors County commissioners School board members These local elected leaders—many of them your neighbors and colleagues—have the capacity to collectively understand the emotional and financial costs of ACEs and trauma. We can’t have family-friendly cities and counties while we live in an...
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7 Ways to Help a Child Deal with Traumatic Stress
Traumatic stress feels awful. Thankfully, there are small things we can all do to help relax a hyperaroused nervous system.
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ACE Surveillance Study of Teachers and Administrators in Public and Private Schools in Southwest Nigeria, West Africa
Note: These findings were presented at the Child Trauma Conference in Lagos on October 25-26, 2019. Rationale: Many children today live with layers of stress both subtle and overt which in this report are collectively referred to as Adverse Childhood Experiences (ACEs). Specifically, these ACEs are physical, emotional and sexual abuse; physical and emotional neglect; household dysfunction and domestic violence as well as community violence. The children have a life marked by chaos,...
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ACEs Connection's Inclusion Tool makes sure nobody's left out
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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ACES Science 101 (FAQs)
What are ACEs? ACEs are adverse childhood experiences that harm children's developing brains so profoundly that the effects show up decades later; they cause much of chronic disease, most mental illness, and are at the root of most violence. ...
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ACEs teach us why racism is a health equity Issue: Dr. Flojaune Cofer (Part One)
Dr. Flojaune Cofer and Ben Duncan , each from public health backgrounds that focus on health disparities, addressed ACEs in the context of health equity for their panel entitled ACEs, Race, and Health Equity: Understanding and Addressing the Role of Race and Racism in ACEs Exposure and Healing . Cofer and Duncan co-presented to a standing-room-only audience on day one of the 2018 ACEs Conference: Action to Access co-hosted by ACEs Connection and the Center for Youth Wellness in San Francisco...
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Adult Health Problems Linked to Childhood Trauma
It is possible to reduce risk for ACEs It is possible to reduce risk for ACEs while also mitigating consequences for those already affected by these experiences by creating the conditions for healthy communities and focusing on primary prevention. The Centers for Disease Control and Prevention just released new information showing negative outcomes linked to ACEs, how we can help those who have experienced ACEs AND how we can prevent ACEs from happening in the first place! Learn what...
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Aligning Systems for Health: 2019 Call for Proposals [rwjf.org]
By Robert Wood Johnson Foundation, November 1, 2019 Required Components Aligning Systems for Health will explore the degree to which health equity is impacted or results from current models of collaboration incorporating health care, public health, and social services. Gaps in health are large, persistent and increasing, and RWJF is committed to a system that meets people’s goals and needs and addresses these gaps that many populations face. Studies should include a focus on health equity by...
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BABY ACES: When we consider the traumas that qualify as ACEs, babies need their own list.
Babies are obviously very different from older children developmentally, including their ability to understand and process trauma. Indeed, a baby may be completely unaware of an actual ACE— say, the incarceration of their father— which a middle schooler would be painfully aware of. Yet at the same time, the baby could be much-more-acutely impacted by the secondary effect of this same ACE: a sad, stressed, and distracted mother. Similarly, if a parent dies in a car accident when a child is in...
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Baylor College of Medicine students introduced to ACEs science
“I was one of those statistics that ACEs scientists and researchers talk about,” Dr. Gregory Williams, an administrator in the Baylor College of Medicine, told the school’s first-year class. Williams’ presentation about the science of adverse childhood experiences (ACEs) and his own experience as a trauma survivor, was organized by Dr. Reena Isaac of Texas Children’s Hospital for her class, "Hiding in Plain Sight: Understanding and Identifying Victims of Violence.” Williams regularly speaks...
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Building A Trauma Informed System of Care Toolkit
We are delighted to make available the Building Strong Brains of Tennessee funded, Building A Trauma Informed System of Care toolkit. This toolkit is based upon the work of the Northeast Tennessee ACEs Connection group and it's many partners since 2015. In time, Building Strong Brains of Tennessee will also have printed copies available. In preparing this toolkit, Dr. Andi Clements and I tried to share in a very transparent fashion the steps we've taken, mistakes we've made and inspiring...
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Building Organizational Resilience in the Face of a Ubiquitous Challenge
Ubiquitous: present, appearing, found everywhere. The challenges arising from the COVID-19 pandemic fit this definition better than any event I have experienced in my lifetime. We each have a moment when our life changed – a before and after COVID-19. For some it was a few weeks ago – when you worried about laying people off, contemplated canceling events or faced confounding questions such as “How do I keep my staff safe?” For many it was the news of Wednesday night, March 11: suspension of...
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California Is Giving Doctors Incentives To Ask Patients About Childhood Trauma [capradio.org]
By Sammy Caiola, Capital Public Radio, December 9, 2019 California health officials want children and adults on Medi-Cal to get screened for traumatic childhood events that can cause negative health effects down the line. Now the state has started giving doctors and nurses tools to do the screenings. People who experience adversity early in life have much higher chances of substance abuse, depression, or chronic diseases than their peers, according to national research. Gov. Gavin Newsom’s...
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California's First Surgeon General: Screen Every Student for Childhood Trauma [nbcnews.com]
By Patrice Gaines, NBC News, October 11, 2019 Dr. Nadine Burke Harris has an ambitious dream: screen every student for childhood trauma before entering school. "A school nurse would also get a note from a physician that says: 'Here is the care plan for this child's toxic stress. And this is how it shows up,'" said Burke Harris, who was appointed California's first surgeon general in January. "It could be it shows up in tummy aches. Or it's impulse control and behavior, and we offer a care...
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Can Music Heal Trauma? Exploring the Therapeutic Powers of Sound [pitchfork.com]
Imagine you are a newborn baby in an intensive care unit. Maybe you were born prematurely, or didn’t get enough oxygen during the delivery. There might be an IV in your tiny arm, with a small board holding it down so you can’t rip it out. You might have a tube going into your nose. You are alone, finally stabilizing after a traumatic event. But then, the doctors come in. “It’s as if you are finally safe in your nice warm bed and suddenly, out of nowhere, someone rips the sheets off of you,...
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Childhood PTSD is a Disease of Loneliness. Here's How to Learn to Connect Again.
Trauma from childhood is, in essence, an injury to the ability connect with people. And that's why so many people who were traumatized as kids experience loneliness throughout their lives -- sometimes even when they're surrounded by people. In this post I share a 10-minute video excerpted from my online course "Healing Childhood PTSD." it's all about loneliness and disconnection, and how to reconnect again. READ THE POST AND WATCHED HERE.
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COVID-19: The Trauma of Witnessing So Much Illness and Death Will Have Lasting Effects [medicinenet.com]
From MedicineNet, May 3, 2020 The tragic death by suicide this week of an emergency department physician who had been caring for COVID-19 patients in New York City underscores the huge psychological impact of the pandemic -- which will linger long after the virus is gone, experts say. "For frontline responders, the trauma of witnessing so much illness and death will have lasting effects for many," Bruce Schwartz, MD, president of the American Psychiatric Association (APA), said during the...
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CPTSD Confusion: How to Get Clarity in All Your Relationships (Resilience Series)
One of the the most common, painful adult manifestations of Childhood PTSD is difficulty perceiving reality accurately, especially around the meaning of interactions we have with other people. We have trouble sometimes predicting that a choice is risky, or that a person we meet is unreliable, or whether our own sense of discomfort is an appropriate response. This is the sixth article and video in my resilience series, focusing on eight obstacles to healing from childhood trauma, and the...
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Defang ACEs: End toxic stress by developing resilience through physician-community partnerships [Pediatrics]
" When I was 12, my parents became part of the Maryland foster care system. Over many years, we took care of a total of 6 boys who had been placed in foster care. Some had suffered from physical and sexual abuse, others from neglect. Often, their parents struggled with mental health and substance use disorders. The traumas my siblings had experienced had clear impacts on their immediate mental and physical health. What we did not know was that these adverse experiences could also have...