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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/
Blog Post

Change Package is Now Available!

Ellen Goldstein ·
Click here for the Change Package : Fostering Resilience and Recovery: A Change Package for Advancing Trauma – Informed Primary Care Earlier this year, to help primary care address the impacts of trauma, the National Council for Behavioral Health, with the support of Kaiser Permanente, launched a three-year initiative, Trauma-Informed Primary Care: Fostering Resilience and Recovery . “Trauma work is not new to the National Council. With effects across the lifespan, we’ve spent the last...
Blog Post

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]

Former Member ·
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...
Blog Post

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)...
Blog Post

Trauma-informed primary care for residents

Ellen Goldstein ·
Andrea Garroway recently joined TIHCER. She published the following article describing a brief interdisciplinary intervention to train medical residents in trauma-informed primary care at a Veterans Affairs hospital. See attached article. "We generated a trauma- informed care curriculum involving five 1- hour didactic sessions, 10- minute group reflection regarding patient interactions prior to each didactic session, and optional patient care observation and feedback."
Comment

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...
Comment

Re: TIHCER June Zoom 2020

Vincent J. Felitti, MD ·
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...
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Re: TIHCER June Zoom 2020

Joshua S Strait ·
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 ."
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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.....
Blog Post

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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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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Doctor's Orders: Program Prescribes Fresh Fruits, Vegetables to Idahoans [publicnewsservice.org]

Rosie Hanna ·
Eric Tegethoff, Public News Service (12/10/2020) BOISE, Idaho -- A pilot program that prescribes a trip to the produce aisle has been a success in Idaho. The Nebraska-based Gretchen Swanson Center for Nutrition evaluated the Idaho Hunger Relief Task Force's (IHRTF) Prescription for Fresh Fruits and Vegetables program, which offers vouchers to food-insecure patients with diabetes and prediabetes. It found significant improvements in participants' health; Julie Walker, manager of diabetes...
Blog Post

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.
Blog Post

My positive childhood experiences tree

Carey Sipp ·
This is the third of three stunning illustrations showing how PACEs (positive and adverse childhood experiences) affected the family of Cendie Stanford, graphic artist and founder of the nonprofit ACEs Matter. This one looks at her positive childhood experiences. The day before her 16th birthday, Cendie Stanford’s older brother was shot and killed by a young man who, just two years earlier, had been her boyfriend. “I was heartbroken that two people I loved were out of my life forever,” says...
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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...
File

TIHCER-Epic-02232023.pdf

Martina Jelley ·
Blog Post

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...
Blog Post

“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...
Blog Post

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...
Blog Post

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...
Blog Post

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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