Tagged With "structural racism"
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Announcing Trauma and Resilience Competencies for Nursing Education
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?
Hi - a colleague just shared this - Priscilla may have access to a more recent version? Best, Megan
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Meeting Minutes for September 23rd
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.
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Opinion: All Doctors Should Practice Trauma-Informed Care [calhealthreport.org]
By Bob Erlenbusch and Drew Factor, California Health Report, November 21, 2019 “Adverse childhood experiences are the single greatest unaddressed public health threat facing our nation today,” Dr. Robert Block, former president of the American Academy of Pediatrics, has been widely quoted as saying. According to the Adverse Childhood Experiences Study, conducted in the 1990’s by the Centers for Disease Control & Prevention and Kaiser Permanente, adverse childhood experiences are common,...
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SW Core Curriculum - borrow elements?
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 State of the Science on Trauma Inquiry
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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Re: TIHCER Zoom meeting 2-27-20
Recording starts about 5 minutes into the presentation - technical difficulties! Will also post the slide set.
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Inside Boston Hospitals, A Reckoning With Racism (WBUR)
By Martha Bebinger, June 19, 2020, WBUR As calls for racial justice continue on Boston streets, conversations have shifted to what’s next. That’s true inside hospitals as well, where the life-long effects of racism play out every day. “You could almost take any chronic disease in America, diabetes, hyper-tension, and there will be higher rates and worse outcomes in Black Americans,” says Dr. Rose Olson, a resident physician at Brigham and Women’s Hospital. “That’s not due to biology or...
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Academic Medicine and Black Lives Matter Time for Deep Listening (NEJM)
By Clyde W. Yancy, MD, MSc 1 , JAMA. Published June 30, 2020. doi:10.1001/jama.2020.12532 E choes of “medicine as the noble profession” continue to resonate, now 35 years since my legendary Chair of Medicine imbued me with this guiding ethos. Nobility in medicine is not obsolete; the selflessness, courage, self-sacrifice, and altruism on gallant display in the response to COVID-19 reassures that at its core, this ethic of egalitarian service remains intact and deeply established in the DNA...
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Re: Trauma-Informed Telehealth in the COVID-19 Era and Beyond
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
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
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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Re: TIHCER ZOOM JULY 2020
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...
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Emergency departments look inward to deepen practices that support traumatized patients
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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MORE THAN A ROUGH YEAR - Dr. Marshall Fleurant (TIHCER Steering Committee Member)
When we tell future generations about 2020, how will we remember it? Will we remember it as a “rough year,” a year of death and injustice? Or as the year that prompted the renewal of a revolution to move our ideals of health equity for all forward? We, as healthcare providers and institutions, have the power and privilege to dismantle systemic racism in medicine and society and to have a meaningful impact on the well-being of the communities we serve, if we all commit to continuously work toward
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Medicine and medical science: Black lives must matter more The Lancet
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...
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Free 2020 Virtual Trauma-Informed Care Conference
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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Hope and Progress, No Matter What! — an ACEs Connection/Cambia Health Foundation “Better Normal”, Oct. 22, 2020
The election is upon us. In two short weeks, we voters in this country decide who will lead us for the next four years. We have the opportunity to embrace — as a national priority — the tenets of understanding, nurturing and healing that underlie the science of adverse childhood experiences and move in a direction that embraces cultural and racial equity and anti-racism. Or not.
What is clear is that no matter what, the ACEs movement will continue.
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A New Hippocratic Oath Asks Doctors To Fight Racial Injustice And Misinformation [NPR]
First-year medical student Sean Sweat "didn't want to tiptoe around" issues of race when she sat down with 11 of her classmates to write a new version of the medical profession's venerable Hippocratic oath. "We start our medical journey amidst the COVID-19 pandemic, and a national civil rights movement reinvigorated by the killings of Breonna Taylor, George Floyd and Ahmaud Arbery," begins the alternate version of the oath, rewritten for the class of 2024 at the University of Pittsburgh...
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A Comprehensive Policy Framework to Understand and Address Disparities and Discrimination in Health and Health Care: A Policy Paper From the American College of Physicians [acpjournal.org]
By Josh Serchen, Robert Doherty, and Omar Atiq, Annals of Internal Medicine, January 12, 2021 Abstract Racial and ethnic minority populations in the United States experience disparities in their health and health care that arise from a combination of interacting factors, including racism and discrimination, social drivers of health, health care access and quality, individual behavior, and biology. To ameliorate these disparities, the American College of Physicians (ACP) proposes 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?"
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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Jeoff Gordon sees PACEs science, PACEs Connection playing a vital role in ‘relieving some of the most anguishing pain in our society.’
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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Building Individual and Community Well-Being: The Community Resiliency Model
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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PACEs Research Corner — May 2023, Part 2
[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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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.
(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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Health Equity and the Social Determinants of Health Are NOT Synonyms
Successful health equity strategies must be inclusive, and focus on all marginalized and minoritized persons and their communities. Any lesser view will continue to yield a faulty health equity equation.
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Re: Health Equity and the Social Determinants of Health Are NOT Synonyms
Well, said! I hope this post and your concerns gain a wide audience among PACES membership. The basic problem is access to needed and beneficial medical and mental health services for all Americans - that would be an equitable health system. SDOH (social determinants of health), CDOH (commercial) and PDOH (political - even within the analysis by Dawes from the Satcher Institute) are all convenient euphemisms allowing everyone to politely, clinically, and academically avoid dealing with the...
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Healing the Generations - Historic, Two-Day Event Virtual Event On Trauma, Race, and The Body
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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Trauma-Informed Competency Set for Undergraduate Medical Education
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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Continuing our series from the TIHCER Special Section on TIC in The Permanente Journal
Continuing our series from the TIHCER Special Section on TIC in The Permanente Journal – we have two great presentations this month! Read the entire special section on Innovations in Trauma-Informed Health Care: https://www.thepermanentejournal.org/collection-trauma-informed-healthcare Presentation #1 Time to Move Forward: Resilience and Trauma-Informed Care Building on advances in neuroscience and resilience research, the authors advocate for a shift from the pathology focused biomedical...
