Tagged With "Black Men"

By Brian R. Stork, Nicholas John Akselberg, Yongmei Qin, and David C. Miller, The Permanente Journal, January 24, 2020 ABSTRACT Introduction : The prevalence of childhood trauma, as measured by the Adverse Childhood Experiences (ACE) Study questionnaire, has been studied in a wide variety of community settings. However, little is known about physicians’ familiarity with and use of the ACE questionnaire or the prevalence of childhood trauma in the physician community. Objective: To survey a...

Hi - a colleague just shared this - Priscilla may have access to a more recent version? Best, Megan

What is trauma-informed care? Often using spe- cific examples juxtaposed with cogent summarizes of the research literature, Trauma-Informed Healthcare Approaches effectively communicates the broad prin- ciples and necessary components of the TIC approach at both an individual and systems level. I find Leigh Kimberg’s 4 Cs (Calm, Contain, Care and Cope) particular useful as a mnemonic for how how to apply trauma-informed principles to clinical care.

So pleased that KevinMD published this patient narrative. I was encouraged to share it here as well! https://www.kevinmd.com/blog/2...romotes-healing.html By MEGAN R. GERBER, MD | CONDITIONS | JULY 26, 2019 As physicians, we face the formidable task of working with patients who appear angry, never content with care or “made better” by anything we do. They may be known as “difficult,” unpleasant, or demanding. These patients are the most challenging and often the least rewarding to care for.

A national survey published in 2014 revealed a disturbing finding. Compared to college graduates pursuing other professions, medical students, residents and early career physicians experienced a higher degree of burnout. Citing that article, a group of researchers at University of California at Davis School of Medicine wondered whether medical students’ childhood adversity and resilience played a role in their burnout, said Dr. Andres Sciolla, an associate professor of psychiatry and...

Hello everyone! I've attached the meeting minutes to this post. I want to thank Pat Rush and Audrey Stillerman for an incredible presentation on their work at the THEN Center. Just a note- our meeting was recorded and will be posted on this site. I've outlined specific time marks on the document that correlate with topics at the meeting.

We found this helpful in designing learning expeiences in GME - it's PBL & evaluated, forgive if this is duplicate information. Aspects that could translate well to UME include: 'Five primary aims of the Core Concepts portion of the CCCT include: (a) enhance practitioners’ empathic understanding of the nature of traumatic experiences (b) facilitate the development of clinical reasoning and clinical judgment in practitioners who work (or plan to work) with [trauma-exposed pts] ...(e)...

Beautifully written and well done colleagues! Lewis-O'Connor A, Warren A, Lee JV, Levy-Carrick N, Grossman S, Chadwick M, Stoklosa H, Rittenberg E. Womens Health (Lond) . 2019 https://www.ncbi.nlm.nih.gov/pubmed/31456510

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...

Thank you for sharing your experience in using the ACE findings clinically. Attached is an article describing our doing this in a 135,000 adult patient sample where the ACE Questions were integrated into a lengthy medical history questionnaire filled out at home as Step 1 of comprehensive medical evaluation. The benefits were major. Unexpectedly, colleague (but not patient) resistance was also significant. Our getting this information initially by an inert mechanism rather than face-to-face...

This is a very interesting presentation, and I look forward to reading Dr. Strait's article in The Permanente Journal. The subject has great relevance for the military because there is highly suggestive evidence that ACE Scores and their generally not-understood sequelae may be more common in a volunteer military that in a draft military. Attached as Item 3 is an article describing how routine ACE screening was carried out on a very large scale in one Kaiser Department, and its effects and...

This is a very important article! Thanks for sharing!

Great presentation @Joshua S Strait - In VA we often cite this paper from Blosnich et al 2014: "Differences in the prevalence of ACEs were more pronounced among men by history of military service in the all-volunteer era than among men by history ofmilitary service in the draft era (Table 2)." Blosnich JR, Dichter ME, Cerulli C, Batten SV, Bossarte RM. Disparities in Adverse Childhood Experiences Among Individuals With a History of Military Service. JAMA Psychiatry. 2014;71(9):1041–1048.

@Joshua S Strait my colleague Jodie Katon also did a cite we cite often (when we try to argue for TIC in VA) but it did not look at era of service in the same way. BRFSS data. Katon JG, Lehavot K, Simpson TL, et al. Adverse Childhood Experiences, Military Service, and Adult Health. Am J Prev Med . 2015;49(4):573-582. doi:10.1016/j.amepre.2015.03.020 "Results: Those with military service had more total ACE than civilians. Higher ACE was associated with poorer HRQOL among women (physical...

By Rachel R. Hardeman, Eduardo M. Medina, and Rhea W. Boyd, New England Journal of Medicine, June 10, 2020 In Minnesota, where black Americans account for 6% of the population but 14% of Covid-19 cases and 33% of Covid-19 deaths, George Floyd died at the hands of police. “Please — I can’t breathe.” He was a black man detained on suspicion of forgery, an alleged offense that was never litigated or even charged, but for which he received an extrajudicial death sentence. “Please — I can’t...

Thank you for posting @Ellen Goldstein and for your enduring kind support! The pdf is now available and attached.....

https://www.mdedge.com/fedprac/article/225184/coronavirus-updates/trauma-informed-telehealth-covid-19-era-and-beyond Background: The Veterans Health Administration (VHA) entered the COVID-19 pandemic crisis with an existing and robust telehealth program, but it still faces a fundamental paradigm shift as most routine outpatient in-person care was converted to telehealth visits. Veterans are a highly trauma-exposed population, and VHA has long offered effective telemental health services.

Well done Drew and Mike. There is almost a total lack of attention to the pathophysiological impact of child hood trauma on adult physical as well as mental disease. The medical establishment has a tremendous inertia as you learned...from the clinic to the medical group to the professional society to medical schools and graduate training to clinical research there is a near ubiquitous resistance to considering the impact of childhood abuse and neglect on adults. A large CDC study showed that...

The following quote appeared in an editorial in The Lancet on June 13, 2020: "What can medical journals do? Our task is to educate ourselves and others about racism. We must support Black and minority ethnic health workers. And we must use evidence and our values to speak out for Black and minority ethnic communities. The Lancet is a journal with a deep colonial history: the journal has published work that supported the health of settler colonialists and that prioritised their health over...

The Trauma Informed Health Care Education and Research (TIHCER) Collaborative presents, Elaine Miller-Karas, LCSW, and Dr. Lindy Grabbe, who will share their experiences in cultivating well-being in individuals and communities using the Community Resiliency Model (CRM). They will share the basic tenets of the Community Resiliency Model, which is based on cutting-edge neuroscience and teaches six wellness skills to restore the mind, body, and spirit to well-being during or after a stressful...

[Editor's note: Dr. Harise Stein at Stanford University edits a web site — abuseresearch.info — that focuses on the effects of abuse, and includes research articles on PACEs. Every month, she posts the summaries of the abstracts and links to research articles that address only ACEs, PCEs and PACEs. Thank you, Harise!! — Rafael Maravilla] Domestic Violence – Effects on Children Makris G, Eleftheriades A, Pervanidou P. Early Life Stress, Hormones, and Neurodevelopmental Disorders. Horm Res...