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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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Benchmarks' PFE 4th Annual Conference: "Envisioning Resilient Communities"

Julia Holcomb ·
Benchmarks' PFE 4th Annual Conference will be held on Wednesday, September 11, 2019 (9:00am-5:00pm) and Thursday, September 12, 2019 (8:30am-3:00pm) at the Hawthorne Inn & Conference Center in Winston-Salem, NC. Benchmarks' Partnering for Excellence (PFE) redesigns the local child welfare/behavioral health system, changing the way DSS, LME/MCOs, local providers and the wider community understand the need for accessible, appropriate health services for children, youth and families who...
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Benchmarks' PFE 4th Annual Conference: "Envisioning Resilient Communities"

Julia Holcomb ·
Benchmarks' PFE 4th Annual Conference will be held on Wednesday, September 11, 2019 (9:00am-5:00pm) and Thursday, September 12, 2019 (8:30am-3:00pm) at the Hawthorne Inn & Conference Center in Winston-Salem, NC. Benchmarks' Partnering for Excellence (PFE) redesigns the local child welfare/behavioral health system, changing the way DSS, LME/MCOs, local providers and the wider community understand the need for accessible, appropriate health services for children, youth and families who...
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Focusing on "Creating Nurturing Systems"

Jenny Cooper ·
In just six weeks, stakeholders from across North Carolina will get together to learn about system integration work with youth involved with child welfare. This is the third annual Benchmarks' Partnering for Excellence (PFE) Conference and this year, we have decided to really focus on "Creating Nurturing Systems". While the daily work of PFE can be hard and challenges us to think of new ways to meet the needs of the family, the annual conference offers us a way to celebrate our successes and...
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How do these pediatricians do ACEs screening? Early adopters tell all.

Laurie Udesky ·
Last week, three pediatricians — with a combined experience of 15 years integrating ACEs science into their practices — reflected on the urgency they felt several years ago that prompted them to begin screening patients for childhood adversity and resilience when there was practically no guidance at all. Along their journey , they accumulated a list of lessons learned for other pediatricians and family clinics to use. The three pediatricians participated in the ACEs Connection webinar,...
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Hurricane Florence first responders receive free trauma/resilience training

Carey Sipp ·
In a webinar offered this morning by Elaine Miller Karas , executive director of the Trauma Resource Institute in Claremont, CA, leaders from several North Carolina ACEs Connection communities affected by flooding and other damage by Hurricane Florence learned more about trauma response and how to better help their communities find resilience. Karas, who was delivering her Community Resiliency Model (CRM) training at Duke University in Durham, NC, offered the free training and provided...
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It took 3 years, 6 versions to develop ACEs screener that works for parents & providers

Laurie Udesky ·
It’s irrefutable: Widespread research shows that adverse childhood experiences (ACEs) are common. That’s why researchers in a recent study insist: “It behooves pediatric providers to take an active role in preventing and identifying childhood adversity in order to reduce the health consequences of toxic stress.” In other words, if you want your kids to have a good shot at a healthy life, make sure they — and you — are educated about and screened for ACEs and resilience. In a recent study —...
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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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THE BUILD HEALTH CHALLENGE 2019 CALL FOR APPLICATIONS

Karen Clemmer ·
To read the announcement and all details, click HERE and see below key dates. BUILD is looking to support dynamic collaboratives driving sustainable improvements in community health. Are you ready to BUILD with us? For this new third cohort, BUILD is looking to support up to 17 innovative collaboratives across the US t hat include a community-based organization, hospital or health system, and public health department working together in dynamic ways to address upstream challenges and drive...
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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 is Messy

Jon Eppley ·
I will always remember the day that, as a student teacher, I watched as a student entered my second-grade room covered in blood. After quickly establishing that he was not injured, we learned that the blood was that of his brother who had been shot the night before. No parents were around that night, so this second grader became the sole caregiver of his bleeding brother. My student would never be the same. We didn’t care about grades or test scores. We just knew that this moment would...
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Virtual Screening of Broken Places on March 21st & Registration for ACEs Connection Members!

Christine Cissy White ·
Please join us on Thursday, March 21st for a special virtual screening of Broken Places , the latest U.S. documentary on early childhood trauma and resilience. The film will be offered via a private Vimeo link with passcode to all registered members of ACEs Connection, for free, accessible in the United States and internationally. REGISTER TODAY: To register, please visit : https://goo.gl/forms/apdoINwgtQmydEXK2 The viewing portal for the film will open on Vimeo at 6am EST and close at 11pm...
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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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THURSDAY!! Cracked Up, The Evolving Conversation: Generational Trauma - Breaking the Cycle [crackedupmovie.com]

CRACKED UP THE EVOLVING CONVERSATION Episode 4: Generational Trauma - Breaking the Cycle with Darrell Hammond, Comedian, actor, SNL Legend Michelle Esrick, Filmmaker, activist Bessel van der Kolk, MD, Author of The Body Keeps the Score Jane Stevens, Founder of ACES Connection and special guest Jane Fonda Academy Award-winning actor, producer, author and activist Thursday June 25th at 1pm PDT / 2p MT / 3p CT / 4pm EDT Hosted by ACEs Connection THE PRICE OF THIS LIVE EVENT IS $12.50 We have...
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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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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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NIHB Launches Adverse Childhood Experiences (ACES) Hub

Dennis Haffron ·
The National Indian Health Board, in collaboration with CDC, has launched a new resource hub! Many Tribal individuals, families, and communities have been impacted by childhood experiences causing physical and mental health adversities throughout the lifespan. However, with understanding and effort, individuals and communities can confront Adverse Childhood Experiences (ACES) for positive health outcomes. This information hub, launched by the National Indian Health Board includes a "resource...
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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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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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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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Whole People Watch Weekend on ACEs Connection (Dec. 11th - 13th)

Christine Cissy White ·
The Transform Trauma with ACEs Sciences FREE Film Festival continues this weekend. Please join us to watch parts 1, 2, and 3 of the PBS Whole People series at your convenience, on ACEs Connection, by clicking play on the videos below: Whole People | 101 | Childhood Trauma | Episode 1 (27 min) Preview: Whole People | 102 | Healing Communities | Preview | Episode 2 Whole People | 102 |Healing Communities Episode 2 (27 min) Whole People | 103 |A New Response | Episode 3 (27 min) This is one of...
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ACEs Connection/CTIPP Southeastern Leaders’ call: State updates, funding information, and “mind-blowing” information about helping people out of poverty

Carey Sipp ·
Southeastern ACEs Connection and national CTIPP leaders on the quarterly leader call welcomed guest speaker Rebecca Lewis-Pankratz (top left) for their quarterly call. Also among those present were (top row l-r) Carey Sipp, Jesse Kohler, Jesse Hardin, (second row, l-r) Patti Tiberi, Mebane Boyd, Jen Drake-Croft, Dan Press, (third row, l-r) Mimi Graham, Christopher Freeze, Margaret Stagmeier, (fourth row, l-r) Emily Marsh, Liz Peterson, Alyssa Koziarski and Janet Pozmantier. Also present was...
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Join Special Guest Father Paul Abernathy for a Zoom Discussion on March 16th, at 7p.m. EST to discuss the Whole People Documentary Series and Trauma-Informed Community Development

Christine Cissy White ·
On behalf of ACEs Connection , the CTIPP (The Campaign for Trauma -Informed Policy & Practice), and the Relentless School Nurse , we want to invite you to the streaming of parts 4 and 5 of the Whole People documentary series on the weekend o f M arch 12th through March 14th, 2021. We will stream both parts on ACEs Connection in the Transforming Trauma with ACEs Sciences Film Festival community. The documentary viewing will be followed by a discussion with special guest, Father Paul...
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North Carolina to infuse ACEs science into state judiciary system

Carey Sipp ·
Plans to integrate practices and policies based on the science of adverse childhood experiences in North Carolina’s 4,000-person,100-county statewide judiciary were announced today. Jon David, district attorney for North Carolina’s 15th District, and District Court Judge Quintin McGee of the same district revealed plans to work with North Carolina Chief Justice Paul Newby and Administrative Office of the Courts Director Andrew Heath to create a statewide commission focusing on the science of...
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A Better Normal Friday, March 26, 2021: PACEs and HOPE with Dr. Christina Bethell

Jane Stevens ·
Please join us for our next installment of A Better Normal, our live webinar series in which we imagine and create our society as trauma-informed! You may have seen we changed our name recently from ACEs Connection to PACEs Connection. Please join us to learn all about the groundbreaking research of Positive Childhood Experiences and how this is going to transform the work we are all doing. >>Click here to register<< PACEs and HOPE Live Event Friday, March 26, 2021 Noon PT / 1pm...
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Rural Opportunity Institute of Edgecombe County offers Free Reconnect for Resilience Training

Carey Sipp ·
The Rural Opportunity Institute of Edgecombe County is offering the Reconnect for Resilience Training -- normally offered at $295 per person -- with the cost waived for the April 6-2, 2021 training. s scholarships front grant funding. Sign-up here: https://bit.ly/3m6FJIZ Date: April 6-9, 2021 (on Zoom) Time: 9 am to 12:30 pm EST At this Reconnect for Resilience training you will learn seven skills and eight rapid resets to help balance your nervous system, manage stress, build resilience,...
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Liz winer

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To solve the Black maternal mortality crisis, start with upending racist practices

Laurie Udesky ·
It’s been all over the news for months: Black women in the United States are dying from complications during their pregnancies or in childbirth at alarming rates, and those deaths are preventable. Less well explored is how systemic racism and historical trauma have been at the core of what’s driven up these rates over several decades. A March 20 conference entitled The Impact of ACEs on Black Maternal Health took an in-depth look into why Black maternal mortality and complications during...
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Learn how to secure federal funding for your community. A Better Normal with CTIPP, Dave Ellis, Dan Jurman

Carey Sipp ·
The nearly $2 trillion American Rescue Plan Act has several buckets of funding that can be used to promote trauma-informed and healing-centered projects. PACEs Connection communities can apply for this funding, according to leaders of the Campaign for Trauma-informed Policy and Practice (CTIPP), the National Trauma Campaign, and PACEs Connection. The “Better Normal” webinar on Friday, May 14 at 3 p.m. EST; Noon PST, Dan Press, Jesse Kohler and Marlo Nash of CTIPP will begin by describing...
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ACEs Parent Handouts & ACEs One Pagers & Link to GRC (UPDATED 4/28/21)

Christine Cissy White ·
We have so many wonderfu https://www.acesconnection.com/fileSendAction/fcType/0/fcOid/508261416693856202/filePointer/508261416693856263/fodoid/507698389112989542/Coping%20With%20Stress%20During%20the%20COVID-19%20Pandemic%20One-Pager_Accesible_English.pdf l resources shared by members. However, a few of you have asked me for help in retrieving them. Here's several of the most commonly shared ACEs handouts, info graphics and one pagers, with links to download. PLEASE share yours! I'm working...
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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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The best way to start any meeting. Ever.

Carey Sipp ·
Following a brief mindfulness check-in, PACEs Connection staff meetings begin with the review of our Vision, Mission, and Values statements, as well as our Equity and Inclusion Statement. At a recent meeting, top row, L-R, Ingrid Cockhren, Carey Sipp, Donielle Prince, Jane Stevens. Middle row, L-R, John Flores, Porter Jennings-McGarity, Jenna Quinn, Gail Kennedy. Bottom row, L-R, Rafael Maravilla, Natalie Audage, Alison Cebulla, Samantha Sangenito. A couple of times last week I felt my body...
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NC Child Legislative and Policy Update call 11 a.m. EST, Fri. Sept.10, 2021

Adam Sotak (Guest) ·
Special NC Child Legislative Update: COVID Delta Variant & Children Presenters: Dr. Zack Moore, State Epidemiologist & Dr. Kelly Kimple, Women’s & Children’s Health Section Chief Friday, 9/10, 11:00 am All Friday updates will be provided live in both English and Spanish. Sign up here to attend. 2021 NC Statewide Virtual Policy Institute The NC Collaborative for Children, Youth, and Families and Prevent Child Abuse NC announce that registration for the 2021 Policy Institutes is...
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2021 Resilience Symposium Friday, October 1, 2021 in New Bern, NC

Tamra Church ·
Please join us for the 2021 Resilience Symposium in New Bern, NC on Friday, October 1, 2021 from 8am-5pm. The past year has been stressful, even traumatic for many, shedding light on the importance for us to prioritize building our own resiliency to thrive. For those in the helping professions, stress, burnout, and vicarious trauma are taking their toll on our personal and professional lives. The good news, there is HOPE. Join us to hear from national speakers to learn ways we can work...
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FREE WEBINAR - The Impact of Mind Matters: Preliminary Evidence of Effectiveness in a Community-Based Sample

Emily P Jackson ·
Becky Antle, Ph.D., Professor of Social Work and esteemed University Scholar at the University of Louisville, won The Dibble Institute’s national competition to evaluate Mind Matters: Overcoming Adversity and Building Resilience in 2019. As a result, Dr. Antle and her colleagues have conducted a randomized controlled trial to examine the impact of Mind Matters on a host of outcomes related to trauma symptoms, emotional regulation, coping and resiliency, and interpersonal skills for at-risk...
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[The Grand Finale] All new Talks on Trauma featuring 33+ amazing experts, celebrities & healers [wisdomoftrauma.com]

Carey Sipp ·
We are just a few days away from broadcasting our all-new 7-day event October 4‒10 , which includes the Talks on Trauma Series Part 2 , a showing of the Wisdom of Trauma Movie, daily meditations, integration sessions, and artistic performances. Dr. Gabor Maté will be in conversation with 33+ trauma experts, physicians, authors, visionaries and artists. The talks will be exploring how trauma relates to parenting, chronic pain, the medical paradigm, the climate crisis, politics, spirituality,...
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Path to a Just Society: Our new infographic shares common language and an aspirational path.

Carey Sipp ·
Our version of a “Path to a Just Society” is our first attempt at creating a common language and identifying points along the path to a just society. The Race and Equity workgroup of PACEs Connection started the project in early 2021, following a staff meeting where we realized that we, our organization and the movement needed this. We think it can help all of us gauge where we are, where we want to be, and what’s needed to get to the next level of integrating practices and policies based on...
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Learning with Indigenous communities to advance health equity [rwjf.org]

On Indigenous People's Day, we celebrate the values, practices and policies of Tribal Nations, which treat land and water as an ancestral gift to be preserved and protected. As we cope with oil spills, wildfires, and historic droughts, that worldview can help guide us to a sustainable, equitable, and healthy future. Now more than ever, we need that wisdom to help us reclaim the health of the earth > More RWJF resources: Connecting Indigenous Knowledge and Practices webinar : Learn how...
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Join us October 27, 2021 for the inaugural event in our Trauma-Informed Criminal Justice System series, “The Relationship between PACEs and the Criminal Justice System”

Porter Jennings-McGarity ·
Please join us for a new series entitled: Trauma-Informed Criminal Justice. This monthly series will feature conversations facilitated by Porter Jennings-McGarity, PACEs Connection Midwest and Tennessee community facilitator and criminal justice consultant, with special guests to discuss the need for trauma-informed criminal justice system reform. Using a PACEs-science lens, this series will examine the relationship between trauma and the criminal justice system, what needs changing, and...
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November 17th CTIPP CAN Call and Campaign Office Hour Announcement

Jesse Maxwell Kohler ·
We are thrilled to have two presentations about how health care systems can implement trauma-informed practices into their work to improve outcomes by addressing social determinants of health featured on next Wednesday's CTIPP CAN call, and are also looking forward to the Campaign Office Hour call that comes afterward! Links and more information are below (please be aware of time zones!): CTIPP CAN Call - Trauma-Informed Health Care - November 17th, 2-3:30pm ET/11am-12:30pm PT - Join Zoom...
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NC Trauma-Informed Communities Project Mini-Conference #3

Kelly Purcell ·
We are looking forward to our next mini-conference, “The Power of Collective Healing ” on Wednesday, January 19, 2022 from 9am-11am . If you haven’t already, register today for a calendar invitation and zoom link. In this mini-conference, we will focus on the concept of resilience and strengths within ourselves and communities. We’ll discuss adversity with an intersectional lens and share specific skills and strategies that individuals, communities, and organizations can implement in the...
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January 19th CTIPP CAN Call - Trauma-Informed Initiatives in Baltimore and Maryland

Jesse Maxwell Kohler ·
Join us next Wednesday for two excellent CTIPP CAN presentations to begin our 2022 lineup. Baltimore Councilman Zeke Cohen will discuss the work, started by the late Congressman Elijah Cummings, that is making the city of Baltimore trauma-informed. Claudia Remington will describe new trauma informed initiatives by the State of Maryland, including legislation that created a Commission to develop a comprehensive strategy to make the State trauma informed. We will also report on the first...
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February 18, 2022 - Day 4 - Building the Movement through Transformative Justice and Faith-Based Communities

Jesse Maxwell Kohler ·
Day 4 - Building the Movement through Transformative Justice and Faith-Based Communities February 18, 2022 - 1pm to 5pm ET/10am to 2pm PT Panel 1: Transformative Justice Grant-funded workshop provided by Mazzoni Center and WOAR. This workshop will give a foundational look at transformative justice with the goal of better understanding how to support people who have experienced violence through community-based approaches. The audience will learn about the core tenets of transformative...
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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...
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North Carolina initiatives featured on today's CTIPP CAN Call. Join us 2 p.m. - 3:30

Jesse Kohler ·
We invite you to join this month's CTIPP CAN call, which we've mentioned during the Building the Movement workshops . We'll discuss how multi-sector coalitions can address trauma and promote resilience - we hope to see you there! CTIPP CAN: Wednesday, March 16, 2022 from 2:00-3:30 p.m. ET / 11:00 a.m.-12:30 p.m. PT https://us02web.zoom.us/j/742183645 Meeting ID: 742 183 645 +19292056099,,742183645# US (New York) Q&A session after presentations Our featured guests include the Winer Family...
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Introducing the Creating Resilient Communities Accelerator Program at PACEs Connection!

Donielle Prince ·
Introducing the Creating Resilient Communities Accelerator Program at PACEs Connection, a 16 hour program, free and open to the public, to learn key topics in organizing PACEs science informed resilient communities.
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May is Foster Care Awareness Month

Kelly Purcell ·
Key Facts and Statistics from Childwelfare.gov Include these key points in your messaging to demonstrate the important role relative and kinship caregivers play in supporting family connections that are essential to a child’s health and well-being. There are over 407,000 children and youth in foster care , and 34 percent were placed with relatives or kin. The term kin encompasses both relatives (those related by blood or marriage) and fictive kin (those who are unrelated but have such a...
 
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