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Tagged With "chronic stress"

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Announcing Trauma and Resilience Competencies for Nursing Education

Kathleen Wheeler ·
The authors are pleased to announce the Trauma and Resilience Competencies for Nursing Education. These competencies serve as a guideline of minimal expectations and reflect essential knowledge, skills and behaviors for three levels of nursing education: 1) undergraduate, 2) graduate, and 3) psychiatric nurse practitioner programs. The Trauma and Resilience Competencies, developed in 2018 at the Egan School of Nursing and Health Studies at Fairfield University in Connecticut by an Expert...
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APA Trauma Competencies - is this the latest?

Megan Gerber MD MPH ·
Hi - a colleague just shared this - Priscilla may have access to a more recent version? Best, Megan
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Biometrics in the Age of Trauma-Informed Checklists!

Matthew Bennett ·
This week's Matt's Mumblings explores supplementing Trauma-Informed Checklists with biometrics to develop more meaningful outcomes in the trauma-informed journey.
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Call for Grants Notification: Advancing the Science behind Childhood Adversity

Ellen Goldstein ·
Genentech is actively seeking applications for scientific project support. Click on a link below for more information and detailed instructions on submitting a Call for Grant Notification (CGN) application. NEW! CGN Application - Advancing the Science Behind Childhood Adversity (Application due on October 1, 2019) https://www.gene.com/good/giving/corporate-giving/scientific-project-support...
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Center for Healthcare Strategies: Great Practice-based Resource

Megan Gerber MD MPH ·
I am increasingly finding myself sharing pdfs, infographics from this wonderful organization's site, I am sure most of you have seen it but just in case: https://www.traumainformedcare.chcs.org/screening-for-adverse-childhood-experiences-and-trauma/
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Consequences of Military Sexual Trauma for Perinatal Mental Health: How Do We Improve Care for Pregnant Veterans with a History of Sexual Trauma?

Megan Gerber MD MPH ·
Sharing our recent editorial which includes a call for TIC in maternity care: "Nevertheless, there are ways in which VA may be able to augment the maternity care pregnant veterans receive to empower and facilitate more trauma-informed approaches to obstetric care. These include investing in programs to ensure peer support, possibly through use of mobile health technology; facilitating collaboration with maternity care providers through provision of handheld/electronic maternity records...
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COVID-19 and Healthcare worker's families: behind the scenes of frontline response [thelancet.com]

By Amine Souadka, Hajar Essangri, Amine Benkabbou, et al., EClinical Medicine, May 17, 2020 During the COVID-19 outbreak, healthcare professionals are exposed to a high-risk of infection and mental health problems, but also fear of contagion and spreading the virus to their families. In fact, considering them as individuals implies looking beyond their function as frontline responders and taking into account their societal role as parents, spouses and offspring. While work-family balance is...
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FPs Are Best Equipped to Tackle Adverse Childhood Experiences [aafp.org]

By Brent Sugimoto, American Academy of Family Physicians, January 29, 2020 Quick quiz: Which of the following is not associated with exposure to adverse childhood experiences, also known as ACEs? [child being threatened] A) Heart disease B) Cancer C) Chronic lung disease D) Obesity E) Parkinson's disease The answer: All of the above conditions have been closely associated with ACEs except Parkinson's disease, but a recent study suggests that even Parkinson's disease(www.ncbi.nlm.nih.gov) may...
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January TIHCER Zoom meeting

Martina Jelley ·
Our next TIHCER monthly meeting will be on Monday, Jan 27 th (3-4p) CT. Binny Chokshi and Daniel Chen will be presenting on their recent publication, Becoming Trauma Informed: Validating a Tool to Assess Health Professional’s Knowledge, Attitude , and Practice (see attached). In addition, Binny will give us her practical wisdom on considering an adaptive leadership approach for ACEs screening. See articles attached. Martina Jelley is inviting you to a scheduled Zoom meeting. Join Zoom...
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Mount Sinai Announces Center for Stress, Resilience and Personal Growth [newswise.com]

Newswise — (New York, NY – April 30, 2020 ) -- Mount Sinai Health System (MSHS), one of New York’s largest integrated health systems, announced today the launch of the Mount Sinai Center for Stress, Resilience and Personal Growth, a first-of-its-kind initiative in North America that is designed to address the psychosocial impact of COVID-19 on the mental health and lives of frontline health care providers at Mount Sinai and will serve as a model for institutions and communities around the...
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RCT of simulation-based communication training improves patient-centeredness & health risk communication

Frances Kathleen Wen ·
https://www.sciencedirect.com/science/article/pii/S0738399110000340 This article is one of the few (only) RCTs looking at simulation-based communication training relevant to ACEs, which included a 2-year follow-up of observed skills in medical visits.
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Study finds meditation and aerobic exercise relieves stress in medical school students (EurekAlert)

Karen Clemmer ·
Rutgers, Released May 4, 2020, Journal of Alternative and Complementary Medicine. Rutgers professor and medical school student collaborating on research touched by pandemic. Rutgers Robert Wood Johnson Medical School student Paul Lavadera expected his career would put him on the front lines of dealing with medical emergencies. But he never could have imagined he'd be graduating during the biggest global pandemic in a century when he joined forces two years ago with Tracey Shors,...
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SW Core Curriculum - borrow elements?

Megan Gerber MD MPH ·
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)...
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The Impact of Childhood Adversity on Health and COVID-19 [acpm.org]

By Kevin Sherin, American College of Preventive Medicine, May 7, 2020 There is a growing dialog about COVID-19 and its impacts on childhood adversity (ACEs), chronic stress, and mental health across the lifespan. The fear and social isolation associated with COVID-19 commonly exacerbates existing chronic stresses. Reports are surfacing of increased mental health problems, anxiety, partner violence, depression, suicidality, child abuse, opioid use disorder, other substance abuse, drug...
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The State of the Science on Trauma Inquiry

Ellen Goldstein ·
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
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Trauma Informed Care: Understanding and Responding to the Effects of Adverse Experiences Throughout the Lifespan (Webinar)

Shairi Turner MD MPH ·
Please join the Project Co-Directors (TICHER Members) for an overview of 42 innovative and original (free to the pubic) virtual cases. These cases highlight a patient centered approach to the care of patients who have survived traumatic life experiences. Experiences that include, for example, sexual assault, interpersonal and community violence, military sexual trauma, and child abuse. The virtual cases comprise a comprehensive online training curriculum created for physicians and other...
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UPDATED CALL-IN DETAILS: Trauma Informed Care: Understanding and Responding to the Effects of Adverse Experiences Throughout the Lifespan (Webinar)

Ellen Goldstein ·
Please join the Project Co-Directors (TICHER Members) for an overview of 42 innovative and original (free to the pubic) virtual cases. These cases highlight a patient centered approach to the care of patients who have survived traumatic life experiences. Experiences that include, for example, sexual assault, interpersonal and community violence, military sexual trauma, and child abuse. The virtual cases comprise a comprehensive online training curriculum created for physicians and other...
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Re: Center for Healthcare Strategies: Great Practice-based Resource

Vincent J. Felitti, MD ·
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...
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Addressing adverse childhood experiences and health risk behaviors among low-income, Black primary care patients: Testing feasibility of a motivation based intervention (General Hospital Psychiatry)

Karen Clemmer ·
Ellen Goldstein, James Topitzes, Jen Birstler, Richard L. Brown a University of Wisconsin-Madison, Department of Family Medicine, United States of America b University of Wisconsin-Milwaukee, Helen Bader School of Social Welfare, United States of America c University of Wisconsin-Madison, Biostatistics d Concerto Health, United States of America A B S T R A C T Objective: This pilot study tests the feasibility of implementing a two-session intervention that addresses adverse childhood...
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Re: Trauma-Informed Telehealth in the COVID-19 Era and Beyond

Megan Gerber MD MPH ·
Thank you for posting @Ellen Goldstein and for your enduring kind support! The pdf is now available and attached.....
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Trauma-Informed Telehealth in the COVID-19 Era and Beyond

Ellen Goldstein ·
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.
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Trauma-Informed Medical Education (TIME): Advancing Curricular Content and Educational Context

Andrea Garroway ·
Trauma-Informed Medical Education (TIME): Advancing Curricular Content and Educational Context Given that key perspectives and practices are cemented during medical education, the authors advocate teaching trauma-informed care in UME, including curricular content, clinical skills, and self-care techniques. Taylor Brown, Sarah Berman, Katherine McDaniel, MSc, Caitlin Radford, Pooja Mehta, MD, Jennifer Potter, MD, and David A. Hirsh, MD
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Emergency departments look inward to deepen practices that support traumatized patients

Laurie Udesky ·
An interdisciplinary team of clinicians from Brigham and Women’s Hospital had a bold idea in 2017. They would completely change the way things worked in their hospital’s emergency department so that the care provided to their patients was infused with a trauma-informed approach. That means recognizing how widespread trauma is and using a myriad of techniques to mitigate its harmful effects among patients, providers and staff. The realization of just how widespread trauma is came to light in...
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ACEs Aware Seeking Applicants to Support Clinical Work [acesaware.org]

ACEs Aware Seeking Applicants to Support Clinical Work Apply by September 15, 2020 ACEs Aware , led by the Office of the California Surgeon General (CA-OSG) and the California Department of Health Care Services (DHCS), is hiring for three new positions to further the mission of supporting Medi-Cal providers across California with training, clinical protocols, and payment for screening children and adults for Adverse Childhood Experiences (ACEs). Aurrera Health Group is the project management...
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Free 2020 Virtual Trauma-Informed Care Conference

Bharat Sanders ·
Each year, STAR hosts a Trauma-Informed Care Conference to help educate the next generation of leaders and build a strong network of Trauma-Informed professionals in the state of Georgia. The conference will be held on Saturday, October 3rd from 10:00am- 1:00pm EST and Sunday, October 4th , 2020 from 2:00pm-5:00pm EST conducted virtually via Zoom.
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Supporting Patients in Pregnancy: ACEs and Maternal Health [acesaware.org]

This webinar will offer information around the importance of ACE screening as it relates to maternal health. Speakers will share resources for providers looking to introduce ACE screening, examples of how to create a healing environment for patients, and case studies on how to respond with trauma-informed care. Upon completion of the activity, participants should be better able to: • Recognize the science and impact of ACEs and toxic stress, understand the value of ACE screening, and apply...
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Healthcare providers learn skills to prevent burnout, build resilience

Laurie Udesky ·
It’s an enormous understatement to say that healthcare workers today are suffering. Every day, you hear interviews with nurses, physicians, social workers, and others in healthcare saying they’re pushed to the breaking point and beyond. But, by using skills taught in the Community Resiliency Mode l (CRM), even people under severe stress can weather the onslaught, do their work, and get along with colleagues. CRM is an evidence-based training program that’s being used by millions of people in...
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How ACEs Aware Training Can Support Providers and Patients During COVID-19

Ellen Goldstein ·
The February ACEs Aware webinar discusses the secondary health effects associated with stress caused by COVID-19. Presenters share how ACEs Aware training and resources to treat toxic stress can equip providers with the knowledge and tools they need to effectively incorporate ACE screening into patient care, and to better respond to and support their patients during this time. Faculty: Devika Bhushan, MD, FAAP – Chief Health Officer, Office of the California Surgeon General Eric Ball, MD,...
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Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment

Jeoffry Gordon ·
Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment Jeoffry B. Gordon, MD, MPH May 23, 2021 As a family doc practicing in San Diego I was privileged to hear Dr. Vincent Felitti talk about his inspired development of the ACEs questionnaire and its association with many adult mental and physical diseases directly from him only a few years after his original insight. Yet, although I had a lively clinic and learned how to manage a vast array of medical...
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2011-2021—A decade of steady growth in ACEs and TI laws and resolutions in the states

In 2019 and 2020, dozens of states enacted nearly 60 laws and resolutions that reference adverse childhood experiences or trauma. In this post, there's an interactive map that shows them all.
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Surviving medical school with depression (www.kevinmd.com) & note

Christine Cissy White ·
Here are two excerpts from a powerful blog post on the KevindMd site which is written by an anonymous medical student. I recommend the entire blog post which can be found here . Cissy's note: If doctors to be, while in medical school are not treated well by the medical model they are being trained to perform in, how can we expect them to then treat patients with compassion and understanding? I think of this now not only as a trauma survivor, and a patient advocate, but as a mother to a...
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Register now! Dr. Bruce Perry to discuss historical trauma and help launch new "Connecting Communities One Book at a Time" book study with his best-seller, "What Happened to You?"

Carey Sipp ·
Please join us on June 28 from 1:30-3:00 p.m. ET for a virtual conversation with best-selling author Bruce Perry. Ingrid Cockhren , CEO of PACEs Connection; Mathew Portell , PACEs Connections’ director of communities, and Perry, a psychiatrist and neuroscientist, will engage in a conversation concerning historical trauma and Perry’s best-selling book " What Happened to You? Conversations on Trauma, Resilience and Healing, " which he co-authored with Oprah Winfrey. Please share this blog...
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A Nurse-Led, Well-Being Promotion Using the Community Resiliency Model, Atlanta, 2020–2021 [ajph.aphapublications.org]

Karen Clemmer ·
By Ingrid M. Duva, Jordan R. Murphy, and Linda Grabbe, Photo: Unsplash, American Journal of Public Health, June 9, 2022 Abstract The wrath of COVID-19 includes a co-occurring global mental health pandemic, raising the urgency for our health care sector to implement strategies supporting public mental health. In Georgia, a successful nurse-led response to this crisis capitalized on statewide organizations’ existing efforts to bolster well-being and reduce trauma. Partnerships were formed and...
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Jeoff Gordon sees PACEs science, PACEs Connection playing a vital role in ‘relieving some of the most anguishing pain in our society.’

Carey Sipp ·
Note: PACEs Connection is in dire financial straits. We are asking for support, from you, our 57,586 members, to help cover the loss of foundation funding that was promised and did not come through. Pay and hours have been cut for our staff—most of us will be laid off for the month of December. Another grant will pick up in January, but we will still be underfunded. Since sounding the alarm this summer, we’ve raised about $26,000 . Thankfully, about 25% of new donors are making monthly...
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North Carolina moves closer to creating nation's first ACEs-informed courts system

Carey Sipp ·
(l-r) Judge J. Corpening; Ben David, district attorney, New Hanover County; Chief Justice Paul Newby; Judge Andrew Heath, executive director, Administrative Office of the Courts of the Chief Justice's ACEs Informed Courts Task Force. David and Heath serve as Task Force co-chairs . “There is not any more important work going on in the State of North Carolina,” said Ben David, District Attorney for New Hanover County and co-chair of the Chief Justice’s ACEs-Informed Task Force . The Task force...
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Building Individual and Community Well-Being: The Community Resiliency Model

Ellen Goldstein ·
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...
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“Going Way Upstream” - Panelists at Resilient Pender County Conference report on current trauma prevention and healing efforts; look to future

Amy Read ·
Amy Read of Coastal Horizons introduces the panel following a viewing of "Resilience: The Biology of Stress, The Science of Hope", at the Pender Resiliency Task Force Mini Conference Thursday, June 8 ,at Heide Trask High School in Rocky Point. A "dream team" of subject-matter expert panelists (L-R) were Ryan Estes of Coastal Horizons, Ben David, district attorney for Pender and New Hanover counties, Judge J. H. Corpening, district court judge for New Hanover and Pender counties, Taylor...
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PACEs Research Corner — May 2023, Part 2

Harise Stein ·
[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...
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Resilience: An Essential Ingredient in Building Health and Well-being

Ellen Goldstein ·
The Trauma Informed Health Care Education and Research (TIHCER) Collaborative presents: L aurie Leitch, Ph.D. has been a practicing psychotherapist, clinical trainer, consultant, social entrepreneur, and researcher for over 25 years. She is Director of Threshold GlobalWorks ( www.thresholdglobalworks.com ), dedicated to cultivating and amplifying resilience in individuals and within communities, organizations, and systems. Committed to promoting workplaces and communities in which principled...
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Review of “First 60 Days” booklet: Leveraging author’s work and movement could spark revolution to prevent and heal trauma, one precious baby, child, and caregiver at a time.

Carey Sipp ·
(This is a review of what I believe is an important new resource for the PACEs [for positive and adverse childhood experiences] science movement. Opinions expressed are my own, and are shared as a parent, advocate, author, and longtime student of trauma, healing, and prevention. Thoughts are also shared through my lens as someone who believes, deeply, in the incredible importance of and value in building healthier, more compassionate communities to support and nurture pregnant and new...
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Trauma-Informed Workplaces

Ellen Goldstein ·
The Trauma Informed Health Care Education and Research (TIHCER) Collaborative presents... Vickie Choitz, Director of Trauma and Resilience at Work Corporation for a Skilled Workforce In this webinar, Corporation for a Skilled Workforce (CSW) will share information on how to cultivate trauma-informed workplaces to support staff who experience toxic stress and trauma. They will share examples from the Detroit at Work public workforce development system; a pilot with substance use disorder...
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Call to Action & Toolkit: Urge Congress to Support Trauma-Informed Legislation

Laura Braden Quigley ·
It’s time to take action and make our voices heard to build healthy, resilient communities! The Campaign for Trauma-Informed Policy and Practice (CTIPP) is organizing trauma-informed advocates, activists, and stakeholders to urge their U.S. Senators and Representatives to support two bipartisan, bicameral bills that would significantly help prevent, address, and mitigate the negative impacts of trauma through community-based/led initiatives.
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Early Relational Health Innovators Partner In Program Supported by PACEs Connection Cooperative of Communities Members in Twelve California Counties

Carey Sipp ·
Christina Bethell, Ph.D, MBA, MPH, founder of the Child and Adolescent Health Measurement Initiative (CAHMI), principal author of the groundbreaking study on positive childhood experiences, and creator of the free Well Visit Planner, among other innovations. Two internationally-respected leaders and innovators in complementary aspects of early relational health and childhood and maternal health equity recently launched a partnership they believe will benefit everyone from newborn babies and...
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Healing the Generations - Historic, Two-Day Event Virtual Event On Trauma, Race, and The Body

lynn waymer ·
Presented by Clifford Beers Community Care Center, the Mashantucket Pequot Tribal Nation and KPJR Films, Healing the Generations is a two-day conference which brings together trauma-informed authors, leaders, and changemakers whose work focuses on resilience, trauma, and anti-racism. REGISTER HERE Collectively, we recognize the health implications that grief, loss, political unrest, and racial trauma have on the human body. We are convinced that in our families, communities, and ancestors,...
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SunnysideFlex: A Web-Based Intervention for Posttraumatic Stress Disorder during Pregnancy

Ellen Goldstein ·
The Trauma Informed Health Education and Research (TIHCER) Collaborative presents, SunnysideFlex: A Web-Based Intervention for Posttraumatic Stress Disorder during Pregnancy Presentation: Posttraumatic stress disorder (PTSD) affects 4-8% of women in the general population during pregnancy, but up to 33% of women from disadvantaged or minoritized communities. Unfortunately, PTSD is rarely detected or treated in obstetric settings. Further, there is a massive shortage of providers trained in...
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Building Resilience is a Team Effort that Starts Early

Porter Jennings-McGarity ·
“YES!” was the response of Gaile Osborne, executive director of Foster Family Alliance of North Carolina (FFANC), when asked for input on a new program to help foster and kinship care families learn how to support the brain development of young children. “I love these Brain Insights materials. How soon can we start?” said Osborne upon receiving the "The First 60 Days ” booklet on myths about newborns and their caregivers and the eight “ Neuro-Nurturing ” ringed books. The materials delivered...
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Trauma-Informed Competency Set for Undergraduate Medical Education

Ellen Goldstein ·
The National Collaborative on Trauma-Informed Health Care, Education and Research (TIHCER) presents: Trauma-Informed Competency Set for Undergraduate Medical Education Trauma is nearly universal and a root cause of numerous health and social problems, including 6 of the 10 leading causes of death. Research has substantiated the profound impact of trauma on the brain and body - and why trauma training is critical to the education and practice of health professionals. Yet a critical lag...
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Navigating Journeys: Chile Crece Contigo's Integrated Health Approach to Child and Family Well-Being, a Chilean Model for Family Support in the Healthcare System

Ellen Goldstein ·
The National Collaborative on Trauma-Informed Health Care, Education and Research (TIHCER) presents: Navigating Journeys: Chile Crece Contigo's Integrated Health Approach to Child and Family Well-Being, a Chilean Model for Family Support in the Healthcare System – Dr. Claudia Lara This session offers an exploration of Chile Crece Contigo's integrated health service model. It will begin with an introduction to Chile Crece Contigo and its global objectives, followed by a look at the...
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Special Section on Innovations in Trauma-Informed Health Care

Ellen Goldstein ·
We are delighted to share that our special section on 'Innovations in Trauma-Informed Health Care' is now available online. Access the special collection: https://www.thepermanentejournal.org/collection-trauma-informed-healthcare Access the full issue: https://www.thepermanentejournal.org/toc/tpj/28/1 Download a pdf of the entire special section (TOC attached): https://tihcer.weebly.com/trauma-informed-health-care.html Please help us to spread the word by sharing the above URLs with your...
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