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Tagged With "PRIMARY PREVENTION"

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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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Book Review by Eve Rittenberg, MD (Trauma-informed Healthcare Approaches)

Megan Gerber MD MPH ·
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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California Statewide Screening for Child Trauma in Primary Care [ChronicleofSocialChange.org]

Ellen Goldstein ·
California is leading the nation in our response to trauma. Newsom approved a budget in June that will help California move toward universal ACEs screening, a goal that Nadine Burke Harris has long supported. The state is setting aside about $45 million next year to reimburse Medicaid providers in the state for trauma screenings of adults and children, and another $50 million to train 88,000 primary care providers on how to administer these screenings and to respond with trauma-informed...
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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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How trauma-informed care promotes healing: Patient Narrative

Megan Gerber MD MPH ·
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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Implementation of the Adverse Childhood Experiences Conversation in Primary Care [academic.oup.com]

By Victoria Bodendorfer, Afton M Koball, Cary Rasmussen, et al., Oxford University Press, November 23 ,2019 Abstract Background Research has focused on screening for adverse childhood experiences, rather than provision of education as a part of routine anticipatory guidance. An adverse childhood experiences ‘conversation’ is one method that has not been studied empirically but represents a complimentary or alternative approach to screening which could overcome many existing barriers.
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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]

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)...
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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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Trauma-informed Healthcare Approaches: A Guide for Primary Care

Former Member ·
Our recently published book, Trauma-informed Healthcare Approaches was written to share basic principles of trauma-informed care and ACEs science with general medical practitioners and administrators. As the recent #METOO movement has demonstrated, interpersonal trauma is widespread. A growing literature has demonstrated the impact of traumatic experiences on mental, physical health and wellbeing. Trauma survivors commonly access healthcare but their histories and needs are commonly...
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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."
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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...
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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Re: How trauma-informed care promotes healing: Patient Narrative

Brigid McCaw ·
excellent blog post. Personal, specific stories really elucidate how the TIC perspective can help us engage more effectively and fully with our patients. Brigid > On Jul 30, 2019, at 1:24 PM, ACEsConnection < communitymanager@acesconnection.com > wrote: >
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Re: How trauma-informed care promotes healing: Patient Narrative

Megan Gerber MD MPH ·
I've been asked to post these on the main site and here in our group as well - sorry if it appears I am being duplicative!
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Re: How trauma-informed care promotes healing: Patient Narrative

Eve Rittenberg ·
Megan, What a powerful story. Thank you for sharing it. Eve
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Re: Trauma-informed primary care for residents

Ellen Goldstein ·
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: 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: TIHCER June Zoom 2020

Megan Gerber MD MPH ·
@Joshua S Strait my colleague Jodie Katon also did a cite we cite often (when we try to argue for TIC in VA) but it did not look at era of service in the same way. BRFSS data. Katon JG, Lehavot K, Simpson TL, et al. Adverse Childhood Experiences, Military Service, and Adult Health. Am J Prev Med . 2015;49(4):573-582. doi:10.1016/j.amepre.2015.03.020 "Results: Those with military service had more total ACE than civilians. Higher ACE was associated with poorer HRQOL among women (physical...
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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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Re: TIHCER ZOOM JULY 2020

Jeoffry Gordon ·
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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Trauma-Informed Healthcare Approaches: A Guide for Primary Care

Megan Gerber MD MPH ·
https://www.springer.com/us/book/9783030043414 On sale through 9/30/2020.
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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...
Member

Leigh Kimberg

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.
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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 for "Building the Movement with Coalitions", presented by the Campaign for Trauma-informed Policy and Practice, PACEs Connection, and the National Prevention Science Coalition to Improve Lives

Jesse Maxwell Kohler ·
Please register now at this link to reserve your spot. You’re invited to participate in Building the Movement with Coalitions, the first of eight remarkable workshops featured in the series, “ Building a National Movement to Prevent Trauma and Foster Resilience ”. The first half-day workshop will occur virtually on January 7th from 1-5pm ET/10am-2pm PT. It focuses on the history and future of the movement and building community-owned, trauma-informed, prevention-focused, and healing-centered...
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Register now! Building the Movement in the Child Welfare and Justice Systems February 4, 2022

Jesse Maxwell Kohler ·
February 4th, 2022 - 1pm-5pm ET/10am-2pm PT - Building the Movement in the Child Welfare and Justice Systems Making these sectors trauma-informed, prevention-focused, and healing-centered You’re invited to participate in the third of eight remarkable workshops featured in the series, “Building a National Movement to Prevent Trauma and Foster Resilience”. This half-day workshop will occur virtually and focus on promising practices in the child welfare and justice systems, as well as teach...
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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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February 16 CTIPP CAN Call - MIECHV Reauthorization

Jesse Maxwell Kohler ·
Funding for the Maternal, Infant, Early Childhood Home Visiting (MIECHV) program expires on September 30th of this year. MIECHV is the primary federal funding source for voluntary, evidence-based home visiting programs. Learn more about home visiting, MIECHV, and opportunities to engage in advocacy efforts this year. CTIPP CAN Call - February 16th, 2-3:30pm ET/11am-12:30pm PT Join Zoom Meeting https://us02web.zoom.us/j/ 742183645 Meeting ID: 742 183 645 One tap mobile...
Member

Karen Clemmer

Karen Clemmer
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...
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Re: The 2023 Creating Resilient Communities Accelerator Program is now Open For Registration

Carey Sipp ·
Hello Tasneem - thank you for letting us know. You belong to four different communities and are receiving the article from each community. I am asking our network manager to email you with instructions on how to prevent this from happening again. Thank you for letting us know! Carey
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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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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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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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Re: Positive and Adverse Childhood Experiences and Association with Adult Mental and Relational Health in Medical Students, Residents, and Fellows

Carey Sipp ·
Wow! I am so bummed about missing this! Michael and I talked about a community such as TIHCER about 5.5 years ago when he was a med school student about to graduate from Emory and I’d recently started at what was then ACEs Connection. I knew we needed a community that would get ACEs science into medical and nursing schools, allied health. With Gail Kennedy’s help I connected with Andres Sciolla at the University of California Davis, and connected him with Greg Williams at Baylor and Stan...
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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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Plans afoot to bring stability to PACEs Connection

Carey Sipp ·
To all of you, who, like me, love this website and want to see it and its communities flourish as we work to prevent and heal trauma; build resiliency: please know there is a move afoot by a small group of strategic partners to find a suitable host for PACEs Connection. More will be announced in the coming days. In the meantime, friends, we are figuring out email addresses and other communications logistics and opportunities. PEACE! Carey Sipp, former director of strategic partnerships ...
 
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