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12 Myths of the Science of ACEs

Jane Stevens ·
The two biggest myths about ACEs science are: MYTH #1 — That it’s just about the 10 ACEs in the ACE Study — the CDC-Kaiser Permanente Adverse Childhood Experiences Study . It’s about sooooo much more than that. MYTH #2 — And that it’s just about ACEs…adverse childhood experiences. These two myths are intertwined. The ACE Study issued the first of its 70+ publications in 1998, and for many people it was the lightning bolt, the grand “aha” moment, the unexpected doorway into a blazing new...
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ACEs & African Americans Community on ACEs Connection

Ingrid Cockhren ·
ACEs Connection envisions a resilient world where ALL people thrive. We are an anti-racist organization committed to the pursuit of social justice. In our work to promote resilience and prevent and mitigate ACEs, we intentionally embrace and uplift people who have historically not had a seat at the table. ACEs Connection celebrates the voices and tells the stories of people who have been barred from decision-making and who have shouldered the burden of systemic and economic oppression as the...
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ACEs Connection “Map the Movement” now includes an up-to-date section on laws and resolutions

Photo credit: Texasarchitects.org An updated map of laws and resolutions addressing ACEs science and trauma-informed policies is now available in the “Laws and Resolutions” section of Map the Movement (you can also find "Map the Movement" on the navigation bar on the ACEs Connection home page). The earliest law on the map was passed in the state of Washington in 2011, creating an ACEs science public-private partnership. The data base of the National Conference of State Legislatures (NCSL) is...
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ACEs Connection's Inclusion Tool makes sure nobody's left out

Ingrid Cockhren ·
We developed ACEs Connection's Diversity, Equity & Inclusion Tool — called the Inclusion Tool, for short — to ensure that ACEs initiatives across the world focus on being inclusive when forming a steering committee, recruiting leaders, providing education about ACEs science, recruiting members, or providing resources and services within their communities. The more inclusive your ACEs initiative is, the more diverse it will be, giving your initiative a real shot at achieving equity and...
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Action needed today by trauma advocates to urge Congress to address mental health and trauma in current COVID-19 legislation

The follow is a message from Dan Press, Legal Advisor to the Campaign for Trauma-Informed Policy and Practice ), about the need to contact Congress regarding a COVID 19 funding bill being considered this weekend. He is urging ACEs science/trauma advocates and leaders to send emails to their U.S. Senators and Representatives immediately to address the mental health and trauma implications of this pandemic. All – I hate to bother you on a Sunday, but we urgently need you to contact Congress to...
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ACEs Science Champions Series: Byron Hall: A mentor rich with experience counsels teen parents in NC

Sylvia Paull ·
Byron Hall mentors adolescent parents for the Community Enrichment Organization , a nonprofit in Tarboro, NC, which partners with a program that supports to keep adolescent parents in school. One of the parents he mentors is 13 years old. At the age of 17, Hall was an adolescent parent himself, growing up with a single parent in the Bronx, NY, then an African American community where drug-dealing and prostitution were common. For the counselor, helping these young men and women, who are...
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Campaign for Trauma-Informed Policy and Practice (CTIPP) launches new grassroots initiative to engage and educate Congress

CTIPP (Campaign for Trauma-Informed Policy and Practice) today announced the launch of the National Trauma Campaign , calling for federal action to prevent and address childhood trauma and build resilience through educating and engaging Congress. Its widely circulated communication invited people from around the country to join the new grassroots initiative. The campaign provides ways for everyone to get involved by joining the effort, becoming a Local Liaison to take the lead in every state...
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Community Resiliency Model (CRM) Information Session

Carla Whaley ·
Rowan County is excited to take the next steps across all sectors to foster a resilient community. We will be offering the Community Resiliency Model Trainer Training on January 27 th – 31 st , 2020. The location will be in downtown Salisbury at St. John’s Lutheran Church. Breakfast, lunch, and snacks will be provided for trainees for the entirety of the training. The Community Resiliency Model (CRM) of the Trauma Resource Institute trains community members to not only help themselves but to...
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GABOR MATÉ JOINS EP. 3 on May 21 with Darrell Hammond and Filmmaker Michelle Esrick. [crackedupmovie.com]

CRACKED UP THE EVOLVING CONVERSATION TRAUMA AS THE ROOT CAUSE OF ADDICTION With DARRELL HAMMOND DIRECTOR MICHELLE ESRICK and RENOWNED TRAUMA AND ADDICTION EXPERT GABOR MATÉ, M.D. author of In the Realm of Hungry Ghosts: Close Encounters With Addiction MODERATED BY JANE STEVENS, FOUNDER OF ACES CONNECTION Hosted by ACES Connection Thursday May 21st at 2pm PDT / 3p MT / 4p CT / 5pm EDT FREE FOR ALL WHO REGISTER! IF YOU REGISTER, BUT CAN NOT ATTEND, YOU WILL RECEIVE A RECORDING WITHIN ONE WEEK.
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Hurricane Dorian’s on the way. Florence taught us how to be resilient!

Mebane Boyd ·
As we prepare for the arrival of Hurricane Dorian's effects later this week, certainly there are feelings of anxiety and confusion. Already? We haven't even finished recovering from Hurricane Florence! Let's choose to remember all the things we have learned from one another about being resilient in the face of stress over the course of the past year. We have learned about the body's response to stress and trauma, and that adding "stressors" and triggers to these can cause us to feel even...
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Investments in New Hanover County’s Resiliency Paying Off During Time of Pandemic

Mebane Boyd ·
Cliff Barnett, Wilmington city council member; pastor at Warner Temple AME Zion, and chair of the Family Faith and Community committee for the New Hanover Resiliency Task Force (RTF), shares experience in using sign language during a regularly scheduled RTF meeting. (Other photos are from recent monthly RTF meetings). With training, community’s front lines are proving resilient to and aware of trauma’s impact WILMINGTON, NORTH CAROLINA April 7, 2020 Two years ago, the Resiliency Task Force...
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North Carolina's New Hanover County Resiliency Task Force Marks First Year

Carey Sipp ·
New Hanover Resiliency Task Force Chairman Scott Whisnant thanks Executive Director Mebane Boyd for her leadership, and his "Resilient Vision Award." The July 27, 2019 meeting of the New Hanover Resiliency Task Force marked the first year of the group’s work since hiring a coordinator, but the gag gifts handed out in celebration told the real story of the community building, affection, and joy experienced in the members’ work together. New Hanover County’s Chief Planning Officer, Beth...
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North Carolina Statewide ACEs Connection Site Launches

Carey Sipp ·
Community managers from 12 of 17 North Carolina ACEs Initiatives and the North Carolina statewide site met and exchanged information and ideas. North Carolina launched a statewide ACEs Connection site at the Benchmarks' Partnering for Excellence Annual Conference today. "We are excited to organize the state and connect people with their local resources to each other, and to be able to capture and catalogue all the great work that is being done on the community level," said Catherine Joyner.
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Nurturing relationships in childhood boost adult mental health, relationships

Christina Bethell ·
We're proud to announce major research that suggests that positive childhood experiences — such as supportive family interactions, caring relationships with friends, and connections in the community — are associated with reductions in chances of adult depression and poor mental health, and increases in the chances of having healthy relationships in adulthood. This association was true even among those with a history of adverse childhood experiences.
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Overview of the Community Resiliency Model, used worldwide to help trauma survivors re-regulate their central nervous system, offered in two, free 90-minute webinars.

Carey Sipp ·
Elaine Miller Karas , key creator of the Community Resiliency Model (CRM), will be joined by CRM trainers from Wilmington, NC, Allison Wine , behavioral specialist, and Kelly Purcell , instructional coach and multi-tiered support specialist for this free, two-part training. Register now for two, FREE 90-minute sessions May 7 from 11 a.m. - 12:30 p.m. EST and May 14 from 11 a.m. - 12:30 p.m. EST (The complete overview requires attendance at both sessions. Registration link below registers you...
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Packed Room for October New Hanover Resiliency Task Force

Mebane Boyd ·
Thanks to Judge Jay Corpening and Dr. Kim Cook who made impactful presentations to the Resiliency Task Force yesterday. Attendees learned about the different initiatives that have moved the needle of the justice system towards being more trauma-informed in the past several years such as the Raise the Age Initiative, the School/Justice Partnership, Misdemeanor Diversion Program, and Juvenile Attendance Council. There is more work to do, but it was exciting to hear about all that has been...
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People Are Buying Houses Unaware of 'Forever Chemicals' in Their Well Water [northcarolinahealthnews.org]

By Greg Barnes, North Carolina Health News, January 6, 2020 No one told Army veteran Carter Bryant about groundwater contamination near the Chemours Fayetteville Works plant when he bought a home there in July. Bryant said he knew almost nothing about GenX and other per- and polyfluoroalkyl substances — commonly known as PFAS or “forever chemicals” — before he and his family moved in. About two months later, Bryant said, he received a notice from Chemours stating that contaminants in his...
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Sheltering in Place: ACEs-Informed Tips for Self-Care During a Pandemic

Jim Hickman ·
Millions of lives have been affected in unprecedented ways by the Coronavirus (COVID-19). We are all grappling with uncertainty—our daily routines interrupted, not knowing what is to come. For those of us who have Adverse Childhood Experiences (ACEs), these times can be particularly distressing. At the Center for Youth Wellness (CYW), we know that childhood trauma can have a significant impact on an individual’s health and well-being – both physiologically and psychologically. Since the...
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Snapshot of ACEs Statutes and Resolutions

The attached table summarizes all of the statutes and passed resolutions that contain the words "Adverse Childhood Experiences (ACEs)" and trauma-informed language through the end of 2018. There are nearly 60 statutes with the earliest law enacted in Washington State in 2011. The laws are categorized by subject matter such health care, education, training, and funding. If you are aware of something we missed, please leave a comment to this post.
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State ACE survey reports

The following are links to state reports on Behavioral Risk Factor Surveillance System (BRFSS) ACEs module data. Also included at the end of the list are links to the CDC 5-state study and a 10-state plus the District of Columbia study on ACEs...
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The Black Community, COVID-19 & Trauma [sdvoice.com]

By Latanya West, San Diego Voice, May 15, 2020 In January 2019, Governor Gavin Newsom appointed Dr. Nadine Burke Harris as California’s first-ever Surgeon General. An award-winning physician, researcher and advocate, Dr. Burke Harris’ career has been dedicated to serving vulnerable communities and combating the root causes of health disparities. Her work is equally dedicated to changing the way our society responds to one of the most serious, expensive and widespread public health crises of...
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The Center for Youth Wellness Launches Childhood Adversity Screening Program with Leading North Carolina Health Systems [PR Newswire]

Jim Hickman ·
Charlotte pilot program with Atrium Health and Novant Health supports state's goal to address social, economic and environmental health to improve child and family health outcomes The Center for Youth Wellness (CYW) announced it is partnering with two leading U.S. health systems in the Southeast to launch a screening program on childhood adversity. CYW's National Pediatric Practice Community (NPPC) has done on-site training at the headquarters of Atrium Health and Novant Health in Charlotte,...
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The Tiny Cell that Connects our Physical and Mental Health, and Solves a Decades-old Mystery of Why Toxic Stress Leads to Brain Changes that Spark Depression, Anxiety

Donna Jackson Nakazawa ·
More than a decade ago, I was diagnosed with several autoimmune diseases, one after another, including Guillain-Barré syndrome , which left me paralyzed twice while raising two young children. All told I spent six years in and out of bed and hospitals, learning, between crises, to use a cane or walker to navigate life as a working-mother-with-chronic-illness. My immune system was repeatedly and mistakenly attacking my body, causing the nerves in my arms, legs, and those I needed to swallow...
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Tools and how to use them is focus of second webinar on Community Resiliency Model, May 14, 2020

Carey Sipp ·
The second of two free Community Resiliency (CRM) webinars with Elaine Miller-Karas , key creator of the CRM, will be held Thursday, May 14, from 11 a.m. - 12:30 p.m. ET, (10 a.m. CT; 9 a.m. MT, and 8 a.m. PT) and will include the practical application of tools of the model. CRM is an ACEs science-based biological model for helping individuals become emotionally regulated during natural disasters and other dysregulating times. Miller-Karas will be joined by CRM trainers from Wilmington, NC:...
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Trauma Informed Care and Community Resilience

Laneita Williamson ·
It’s 2020 and we have exciting work ahead of us, with many projects initiated in Forsyth county and prior hard work coming to fruition. Our first of three or four Trauma Informed Care and Community Resilience meetings for 2020 brought us two wonderful guest speakers to kick off the year at Wake Forest Baptist Health. We were pleased to hear how (Rachel Zimmer, N.P.) and community leader (Eric Mathis) are interconnected. These two very unique speakers have their own work and efforts but how...
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UNDERSTANDING TRAUMA: NHC Resiliency Task Force Offers Virtual Screenings of Informative Documentary [encorepub.com]

Former Member ·
By Brooke Suddeth on April 21, 2020 Resilience is defined as the ability to recover quickly from difficulties. Residents of Wilmington are no stranger to having to recover quickly from disasters, especially during hurricane season. There also are personal hardships less frequently discussed but equally difficult to overcome. The New Hanover County Resiliency Task Force is committed to building a more understanding and compassionate community that recognizes the impact of childhood trauma.
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Webinar: Cultivating Our Best Selves in Response to COVID-19 | Tuesday, March 17 at Noon PDT

Elaine Miller Karas ·
How to use the skills of the Community Resiliency Model (CRM) for self and others to be the calm in the storm as we face the unknown. Free Webinar Tuesday, March 17 at Noon PDT Speakers: Elaine Miller-Karas, LCSW Linda Grabbe, PhD, FNP-BC, PMHNP-BC Zoom Webinar Registration Link: https://zoom.us/j/715837300 Additional ways to join are listed at the bottom of this post. About the webinar leaders: Elaine Miller-Karas is the Executive Director and co-founder of the Trauma Resource Institute and...
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Webinar Oct. 17 — Integrating ACEs science in pediatrics: Early adopters share lessons from the field

Laurie Udesky ·
An ACEs Connection webinar co-sponsored with 4 CA In 2017, California became the first state in the country to pass a law supporting universal screening for adverse childhood experiences (ACEs) in the 5.3 million children in the state’s Medicaid program. As clinicians around California await the state’s announcement of what this new policy will entail, many are wondering what it takes to integrate ACEs science in a pediatric practice. Meet Drs. Deirdre Bernard-Pearl, R.J. Gillespie and...
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When Hidden Grief Gets Triggered During COVID-19 Confinement

Tian Dayton ·
first published by The Meadows 4/15/20 Our sense of loss during the current COVID-19 crisis can trigger hidden emotions from when we experienced a sense of loss before. Whatever early losses you have had in your life — whether they be your own divorce, your parents, or both, or the abandonment of one parent, a childhood or parental illness or death, financial upheaval, constant moving around, or growing up with parental addiction or adverse childhood experiences (ACEs) — they are likely to...
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Re: Hurricane Dorian’s on the way. Florence taught us how to be resilient!

Carey Sipp ·
Thank you and an invitation to other communities affected by Dorian. Thank you Mebane, for this inspiring, helpful post and for allowing me to share it with other communities in Florida, Georgia, North Carolina, and South Carolina. As the Southeast Region community facilitator for ACEs Connection, I am praying for all in the path of this powerful hurricane, and all those who've already experienced its devastating impact. I have seen communities come together, as New Hanover County has, to...
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What Do We Do? What Do We Do Now?

Jane Stevens ·
People’s response to the great chasms of structural inequities glaringly laid bare by the COVID-19 pandemic have been further inflamed by the murder of George Floyd and deaths of other African Americans in recent weeks. The acute emergency of the pandemic has eased, but the violence inflicted on racial minorities and now those who are protesting the inequities in our society has compounded the outrage. Right after the pandemic began running riot across the US, I often heard people ask: When...
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Wake Forest Baptist Health Medical Student Webex Training from the Community on Covid

Laneita Williamson ·
Greetings, Several organizations in Forsyth County came together to provide training to WFBH medical students. They shared real time information on how patients are suffering in the community, the barriers noted during Covid, actions taken and additional steps needed. But most of all students were introduced to a very different lens of the patients life. To watch the training please select the link below, scroll to the very bottom and select the last hyperlink ...
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Racism's Effect on Health, and the Heartbreak of Being a Black Parent Right Now: California's Surgeon General Speaks [kqed.org]

By KQED Science, KQED, June 14, 2020 The coronavirus pandemic and the recent killing of George Floyd have brought longstanding racial inequities into sharp focus. One of those disparities concerns the high rate of coronavirus transmission among people of color. To talk about the intersection of race and health, KQED's Brian Watt spoke last week with California Surgeon General Dr. Nadine Burke Harris, who is known for her pioneering work on the role that childhood stress and trauma play on...
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ACEs Connection Anti-Racism Resources

Morgan Vien ·
Hi everyone! We'd like to introduce our new ACEs Connection Anti-Racism Resources List c ulled from resources shared by Learn4Life, Prevention Institute., Rise Magazine , V A TICN , Vital Village , 10% Happier . and our own ACEs Connection members and staff . You can access them from this widget on the top right side of our home page or by clicking here. The list has the following categories of resources: Racial Trauma, Historical Trauma, & Healing Police Brutality & Reform...
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'A Better Normal' Community Discussion Series: How to Grow a Resilient Community - July 7, 2020

Interested in learning what it takes to Grow a Resilient Community? Do you want to learn how to become a member of ACEs Connection Cooperative of Communities? If so, please join us Tuesday, July 7th, 12-1pm PDT for our next 'A Better Normal' community discussion series. In this discussion we will be talking with Brian Semsem of Fresno's Every Neighborhood Partnership. We will be talking to Brian about what led him to work with ACEs and resilience. In addition, we will be discussing the path...
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Do safe, stable, and nurturing relationships work? New research has important findings for responding to ACEs

Alyssa Koziarski ·
While we know that adverse childhood experiences (ACEs) can cause risk behaviors, research has told us that the presence of protective factors can help mitigate the effects of ACEs. Common risk behaviors such as smoking tobacco and alcohol misuse can be a result from the trauma of childhood disadvantage. In responding to ACEs, public health research proposes that protective factors such as safe, stable, nurturing relationships (SSNRs) with a caring adult can mitigate the long-term effects of...
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Greater Richmond Trauma Informed Community Network, first to join ACEs Cooperative of Communities, shows what it means to ROCK!

Jane Stevens ·
In 2012, Greater Richmond SCAN and five other community partners hatched a one-year plan to educate the Richmond, Virginia, community about ACEs science and to embed trauma-informed practices. Eight years later, the original group has evolved into the Greater Richmond Trauma-Informed Community Network (GRTICN) with 495 people and 170 organizations. And they're just scratching the surface.
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Donald Trump is the product of abuse and neglect. His story is common, even for the powerful and wealthy.

Jane Stevens ·
“In order to cope,” writes Mary Trump, “Donald began to develop powerful but primitive defenses, marked by an increasing hostility to others and a seeming indifference to his mother’s absence and father’s neglect….In place of [his emotional needs] grew a kind of grievance and behaviors—including bullying, disrespect, and aggressiveness—that served their purpose in the moment but became more problematic over time. With appropriate care and attention, they might have been overcome.”
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Trauma-informed policing: Learn how three highly experienced community leaders strengthen ties between police and community

Carey Sipp ·
ACEs initiative participants in communities where there is tension between the community and law enforcement will want to join Becky Haas in a compelling conversation on law enforcement, ACEs science, COVID-19 and the Black Lives Matter movement and protests. Haas is a nationally recognized adverse childhood experiences (ACEs) science initiative builder and trainer. She and colleagues Renee Wilson-Simmons, the head of the ACE Awareness Foundation of Memphis, Tennessee, and Maggi Duncan,...
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Baby courts: A proven approach to stop the multigenerational transmission of ACES in child welfare; new efforts to establish courts nationwide

Carey Sipp ·
The organization Zero To Three estimates that in the U.S., a child is taken into the child welfare system every six seconds. “Many of society’s most intractable problems can be traced back to childhood adversity. Being in the child welfare system increases the likelihood of more adversity and criminality. Baby court is a proven approach to healing the trauma of both child and parent, and breaking the cycle of maltreatment,” says Mimi Graham, Ed.D ., director of the Florida State University...
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Does VP Candidate Kamala Harris know about ACEs?  You bet!

Nadine Burke Harris, California’s Surgeon General, has a lot in common with the vice presidential candidate Kamala Harris—Jamaican heritage, surname, home state—and a commitment to addressing ACEs and toxic stress. As reported in the New Yorker article by Paul Tough, “The Poverty Clinic,” Dr. Harris told Kamala Harris, then San Francisco district attorney, about ACEs in 2008 and in response, she offered to help. District Attorney Harris then introduced her to professor of child and...
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New ACEs initiatives learn about strategic plan development from from New Hanover (NC) Resiliency Task Force executive director Mebane Boyd

Carey Sipp ·
The desire to see other ACEs initiatives grow and flourish was evident at a recent meeting of the Resilient Columbus County (North Carolina) ACEs initiative when Mebane Boyd, executive director of the New Hanover Resiliency Task Force (also in North Carolina), shared with the Columbus County and neighboring Pender County groups how New Hanover created and works on its strategic plan. In the spirit of sharing, Boyd agreed to let ACEs Connection post the strategic plan and the video of the...
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RFP launched - deadline to submit workshop proposals is October 2

Ennis Baker ·
Use this link to learn more and to submit: Requests for Proposals for 2020 Virtual NC Infant & Early Childhood Mental Health, Home Visiting & Parenting Education Conference This is the second annual combined conference presented by the the Smart Start network and the North Carolina Infant/Young Child Mental Health Association (NCIMHA), and NCIMHA’s 9 th annual conference. It will include two days focused on infant and early childhood mental health, home visiting, and parenting...
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The Best for our Children: Considering ACEs in Voter Engagement.

Jvanete Skiba ·
The presidential race is a big-ticket item, but hundreds of other state and local races will impact critical issues like school funding, childcare and early education, nutrition programs, and health care. Every seat in the NC General Assembly is on the ballot, along with the Governor’s race, a US Senate seat, congressional races, and more. When it comes to elevating the importance of racial equity, voting is vital to make marginalized voices heard. Policies and systems can be changed by our...
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Hope and Progress, No Matter What! — an ACEs Connection/Cambia Health Foundation “Better Normal”, Oct. 22, 2020

Jane Stevens ·
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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The Intersection of Systematic Racism, the Pandemic, and SDoMH: Reality Mandates Change

Ellen Fink-Samnick ·
Systematic racism is at the core of mental health disparities and social determinants of mental health (SDoMH).Upstream factors obstruct patient access to needed and appropriate assessment, timely intervention, with treatment for these populations often reflecting poorer quality, and ending prior to completion of treatment. COVID-19 and the recent pandemic have only amplified meso and micro-level gaps in care. considered, provided, and reimbursed.
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"A Better Normal" Community Discussion Series- Our Reckoning with Race and Equity at ACEs Connection

Donielle Prince ·
Register for A Better Normal- Our reckoning with race and equity at ACEs Connection
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"A Better Normal" Community Discussion: Suicide Awareness and Community Cafes

Karen Clemmer ·
Join us on Friday November 6, 2020 from noon to 1:00 PST as we come together and join Satya Chandragiri MD, Bonnie O’Hern RN, Denise Proudfoot RN, & Michael Polacek RN for a discussion around the tender issue of suicide. Together we will discuss ways people and providers can support each other and encourage communities to take action to support one another around suicide prevention, crisis intervention, and the layers of culture and structural barriers to care. A special emphasis will be...
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Make “Giving Tuesday” your day to support the work of ACEs Connection. Help us meet our matching grant goal of $50K, and your gift will be matched, dollar-for-dollar!

Carey Sipp ·
"This Giving Tuesday, and every day, we thank you for your support," said members of the ACEs Connection staff on a recent "all staff Zoom." L-R (top row) Laurie Udesky, Carey Sipp, Gail Kennedy, Lara Kain (second row) Cissy White, Rafael Maravilla, Donielle Prince, Jenna Quinn (third row) Ingrid Cockhren, (off camera) Alison Cebulla, Jane Stevens. Out that day, and grateful all the same, were Karen Clemmer, Dana Brown, Elizabeth Prewitt, Marianne Avari, and Samantha Sangenito Called “the...
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Opportunity to sign on to “A Trauma-Informed Agenda for the First 100 Days of the Biden-Harris Administration”—Deadline Dec. 8th

The Campaign for Trauma-Informed Policy and Practice ( CTIPP ) is inviting individuals and organizations to express their support for a set of executive actions for the Biden-Harris Administration to take “to address trauma and build resilience throughout the country.” Most of these actions could be taken early in the Administration and would not require congressional action with the exception of some recommendations that could be included in a new stimulus package. The recommendations are...
 
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