Tagged With "Using ACEs"

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...

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...

Thank you Dr. Felitti for your kind words and helpful attachments. Your paper is so important, especially in light of the military families I work with. Your words are inspiring and transformative: "We realized that asking , initially via an inert mechanism with later followup in the exam room, coupled with listening and implicitly accepting the person who had just shared his or her dark secrets, is a powerful form of doing ."

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.

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

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.

As a clinician, researcher and policy specialist devoted to the prevention and treatment of the ill effects of child abuse and neglect (CAN) I read “Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the American College of Preventive Medicine” (Sherin KM, Stillerman A, Chandrasekar L, Went N, Niebuhr DW. Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the...

[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...