Tagged With "What Happened to You?"
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AHRQ topic nomination and future for federal guidelines
TIHCER meeting. June 22, 2019. Thank you so much to Ellen Goldstein and Martina Jelley for allowing a brief presentation to the Oklahoma based meeting today re: the ACES TIC AHRQ topic nomination by the American College of Preventive Medicine ACPM work group. The dialog and slides from today were excellent (and I have shared some already with others). A notable quote was “all of our patients are traumatized”. Another take away is that supportive care for the effects of trauma “can reduce ED...
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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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August Meeting Minutes
Hello everyone, I've attached the meeting agenda from this month's call. Due to some technical difficulties, some of our meeting documentation was lost. However, we started some very important discussions on collaboration, successes in trauma informed care implementation, and obstacles we faced. I encourage everyone to continue having those conversations!
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Becoming Trauma Informed (Millstein JGIM 2020)
When I look at Victoria through a clearer lens, there are many clues—her anxiety, troubled marriage and family life, avoidance of physically intrusive examina- tions. I realize that I hardly know her at all. I focus on her health issues, and despite many stumbles, we have a nice rapport. I accept whatever she is willing to share about her tumultuous home life, but I do not ask how it all came to be so. Now I float with her in a reservoir of pain and shame.
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Biometrics in the Age of Trauma-Informed Checklists!
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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Book Review by Eve Rittenberg, MD (Trauma-informed Healthcare Approaches)
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.
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CA Surgeon General and DHCS Launch ACEs Aware Initiative and Website
Join a live webinar with California Surgeon General Dr. Nadine Burke Harris and Dr. Karen Mark Medical Director, Department of Health Care Services for a Medi-Cal provider introduction to the new ACEs Aware Initiative and the www.ACEsAware.org website. The Office of the California Surgeon General and the Department of Health Care Services (DHCS), in the first public unveiling of the initiative, will host a live webinar to share details of the new ACEs Aware Initiative for Medi-Cal providers...
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Call for Grants Notification: Advancing the Science behind Childhood Adversity
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
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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How trauma-informed care promotes healing: Patient Narrative
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.
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January TIHCER Zoom meeting
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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Links from Oct. 24 webinar
For all who attended — and who watch today's webinar — thank you for taking the time to do so. Below are some links you requested. Please don't hesitate to contact me if you have other questions. ACEs science and opioid addiction: Addiction doc says: It’s not the drugs. It’s the ACEs…adverse childhood experiences. Bad news-good news: Each additional ACE increases opioid relapse rate by 17%; each ACE-informed treatment visit reduces it by 2% Dr. Sumrok cofounded Integrative Health Centers...
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Medical Education Curriculum Expansion (TIC and ACEs)
This is Beth Pletcher, from Rutgers New Jersey Medical School. I wanted to share an experience that happened today - what I might call a curricular “win”. After introducing our TIC-ACEs module with small group, discussion-based sessions to all of our first year medical students three years ago as part of the Health Equities and Social Justice course ( https://www/medportal.org/publiction/10803/ ), we were unsure of how to continue to reinforce and build upon the TIC-ACEs knowledge across the...
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Medical students' ACE scores mirror general population, study finds
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...
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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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Models to Educate Patients/Parents on ACEs
Hi All, I am wondering if anyone knows of any existing models to educate patients/parents on the connection between childhood adversity and health outcomes? Thank you in advance! Also wanted to make sure everyone saw this article- which I thought to be a really exciting and optimistic contribution to the field: https://jamanetwork.com/journals/jamapediatrics/fullarticle/2749336 Thanks! Binny
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Powerful reason to teach all students about ACEs
I'm sure many of you have heard about Dr. Recinos' amazing book, I did not realize that learning about ACEs (curriculum!) promoted her healing: https://www.acesconnection.com/blog/how-i-healed-from-my-own-childhood-trauma
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RCT of simulation-based communication training improves patient-centeredness & health risk communication
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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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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TIHCER May Zoom meeting - Thursday, May 14, 3pm Central
Next month’s TIHCER presentation series will feature Annie Lewis O’Connor, Eve Rittenberg, and Nomi Levy-Carrick. They will be presenting: “ Trauma Inquiry and Impact of COVID-19 on Trauma Informed Care Initiatives ”. Annie Lewis-O’Connor, PhD, NP-BC, MPH, FAAN a oconnor@bwh.harvard.edu Senior Nurse Scientist, Founder & Director of the C.A.R.E Clinic, Brigham and Women’s Hospital; Instructor- Harvard Medical School Dr. Annie Lewis-O’Connor is a Board Certified Pediatric and Women’s...
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TIHCER monthly meeting Thursday, Oct 24th (3-4p) CT
Jane Stevens, founder and publisher of ACES Connection will be be our featured speaker for the TIHCER monthly meeting this Thursday, Oct 24th (3-4p) CT - see Zoom details below. Jane Stevens will review the status of ACEs Connection, and provide a sneak preview of their plans for providing more guidelines and tools for ACEs initiatives in communities, as well as details of the Cooperative of Communities that they are adding to ACEsConnection.com in early November. Jane Stevens Founder,...
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Trauma-Informed Care May Ease Patient Fear, Clinician Burnout [jamanetwork.com]
By Bridget M. Kuehn, JAMA Network, January 29, 2020 For many sexual assault survivors whom Anita Ravi, MD, MPH, sees as a New York City–based family physician, the prospect of even basic medical care can be frightening. Some have put off Papanicolaou tests and mammograms for years or even decades. To help them, Ravi has adopted a trauma-informed approach that works to restore patients’ trust and give them a greater sense of control over their visit. This may include asking permission before...
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Trauma Informed Care: Understanding and Responding to the Effects of Adverse Experiences Throughout the Lifespan (Webinar)
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)
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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What’s the Role of Physicians in the Aftermath of Mass Shootings? [mdlinx.com]
By Naveed Saleh, MDLinx, August 29, 2019 Domestic terrorism has become a nationwide epidemic—and it’s contagious. As of this writing, there have been 271 mass shootings in 2019, leaving 290 people dead and 1,121 injured, according to the non-profit organization Gun Violence Archive. In early August, the mass shootings in Dayton, OH, and El Paso, TX, resulted in the deaths of 31 people in less than one day’s time. Researchers have found that mass shootings are contagious, in the sense that...
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World-wide COVID experiences survey
From: Zgierska, Aleksandra < azgierska@pennstatehealth.psu.edu > Sent: Monday, April 20, 2020 9:55 AM Cc: Lennon, Robert < rlennon@pennstatehealth.psu.edu > Subject: World-wide COVID experiences survey Dear Friends and Colleagues We at Penn State have launched a world-wide survey, now translated into 20 languages to study the effective (vs ineffective) ways of communicating the the COVID pandemic related messages. This survey has been already completed by over 10,000 people...
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Re: Models to Educate Patients/Parents on ACEs
Hi, Binny: You should be able to find resources in the Parenting with ACEs community . Just peruse the blog directory for links to books, training, handouts, etc.
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Re: TIHCER April Zoom meeting - 4/27/20, 3-4pm CST
@Courtney Barry excellent presentation so grateful this was recorded so I could attend post-hoc. Have you considered retooling review as either a scoping review or an evidence map? Sometimes for areas with less published that format flies better with journals. JGIM accepts narrative reviews and is daily high impact for a primary care journal. Just a thought. Best, Megan
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Re: Center for Healthcare Strategies: Great Practice-based Resource
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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Re: How trauma-informed care promotes healing: Patient Narrative
Megan, What a powerful story. Thank you for sharing it. Eve
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Re: Medical Education Curriculum Expansion (TIC and ACEs)
Beth, Thank you for sharing what is a great example of an integrated curricula! Wonderful to see educators sharing these AHA moments and reflecting on meaningful learning. Lisa
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Re: The State of the Science on Trauma Inquiry
Thank you Ellen! We hope this paper will be a useful tool as the field of trauma inquiry develops further, and as we work towards a consensus on best practices.
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Re: Excellent Harvard Health Blog Post
Sometimes people wonder whether it is better to seek traumas by specific questions while others feel they should search for plausible trauma outcomes and then work backwards. As a result of our ACE Study findings, we decided to integrate specific ACE questions into our very lengthy general medical history questionnaire that was Step 1 of a system of unusually comprehensive adult medical evaluation that we had at Kaiser Permanente in San Diego. This was used with 440,000 middle-class adults...
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Re: Tulsa meeting outcome
Thank you, David! I very much agree with you. In fact, that is what I was going to promote as the next step. We need to form a competencies working group and it makes sense to me to review what already exists. I had hoped that the group would review the AVA document prior to the meeting and some did. I believe the focus required for going through details of competencies will need to happen within the context of multiple sessions, online and in person, will time for reflection in between. I...
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Re: Trauma-informed primary care for residents
Hello TIHCER Members, Please let us know when you publish an article, book chapter, etc, record a presentation, have an experience and reflections to share with us, or you want to pose a question to the community for input and feedback. This is our trauma-informed care learning community and we want to hear from you! Let us know about your successes so that we can celebrate and learn from you!
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Re: Consequences of Military Sexual Trauma for Perinatal Mental Health: How Do We Improve Care for Pregnant Veterans with a History of Sexual Trauma?
Hi, yes of course! It would be an honor. Best, Megan
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Re: Becoming Trauma Informed (Millstein JGIM 2020)
I agree, this is an excellent and very moving article. And I value his simple and caring question and invitation that a patient can respond to or think about over time. “Have you experienced anything that makes seeing a doctor difficult or scary for you?” Megan, thanks for sending this article. Brigid
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Re: Becoming Trauma Informed (Millstein JGIM 2020)
Thank you @Brigid McCaw I'll pass your feedback onto Jeff, I know he'll be honored!
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Re: Consequences of Military Sexual Trauma for Perinatal Mental Health: How Do We Improve Care for Pregnant Veterans with a History of Sexual Trauma?
Dear Dr. Gerber, What an important message for those who are in the military or those who know someone in the military. May I copy (e.g. clone) this story to other communities on ACEs Connection - such as ACEs in Maternal Health ? Thank you very much for posting! Karen
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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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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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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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Trauma-Informed Healthcare Approaches: A Guide for Primary Care
https://www.springer.com/us/book/9783030043414
On sale through 9/30/2020.
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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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Healthcare providers learn skills to prevent burnout, build resilience
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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March CTIPP CAN Call
Thank you to Aidan Phillips from the WAVE Trust for his excellent and engaging presentation for attendees of our monthly Campaign for Trauma-Informed Policy and Practice (CTIPP) call for March. The information he shared is invaluable as we continue our work to influence change at the national level through the National Trauma Campaign . If you were unable to join, would like to watch again, or want to share with others, you can find the call recording here . Additionally, if you would like...
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Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment
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...