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Resilience USA

Resources, posts, discussions, chats about national efforts to build a trauma-informed, resilience-building nation.

Tagged With "Centers for Disease Control"

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Interim report of the President’s opioid commission says its final report will address early intervention strategies for children with ACEs

On August 8, President Trump spoke to the opioid crisis in this country and declined to declare a national emergency as recommended by the “President’s Commission on Combating Drug Addiction and the Opioid Crisis.” Instead, the President emphasized the law and order aspects of the problem and the importance of preventing drug use in the first place since addiction is so hard to overcome. The Commission will make a final report in the fall. The recently released interim report makes eight...
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Michigan Lawmakers Declare Childhood Trauma a Critical Health Issue [wwmt.com]

By Rachel Glaser, WWMT West Michigan, February 13, 2020 Childhood trauma has life-long, wide reaching consequences, according to a study by the U.S. Centers for Disease Control and Prevention on adverse childhood experiences, also known as ACEs. In early February, Michigan lawmakers passed a resolution declaring that ACEs a critical health issue. State officials estimated 70% of Michigan adults experienced one ACE before the age of 18. The CDC scores people on a scale of 0-10 for adverse...
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Need 45 Trauma-Informed Practitioners or Clinicians For Study on Using a Brain Regulation Headband-Bellabee Designed To Help Trauma Survivors Regulate Their Brains.

Mary Giuliani ·
Need 45 Trauma-Informed Practitioners or Clinicians For Study on Using a Brain Regulation Headband-Bellabee Designed To Help Trauma Survivors Regulate Their Brains. All trauma informed practitioners who are suffering with or who work with adults or children suffering with C-PTSD, PTSD, Developmental Trauma, Depression, Anxiety, ADHD & Sleep Disorders are welcome to apply to be considered for this study. The deadline to request and submit your application is: March 20, 2020 As a trauma...
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New director of Office of Drug Control Policy shares vision [register-herald.com]

Alicia Doktor ·
Using the recently released opioid response plan from the West Virginia Department of Health and Human Resources as a centerpiece, the new Office of Drug Control Policy director aims to build upon the plan with areas of his own expertise. Dr. Michael Brumage, appointed as director earlier this month, hopes to focus on the role ACEs (Adverse Childhood Experiences) play in the opioid epidemic, as well as how providers can approach pain management with and without medication. "ACEs is a major...
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New Research Analyzes State-Level Impact of USDA Proposal to End SNAP Broad-Based Categorical Eligibility [stateofobesity.org]

By The State of Obesity, September 8, 2019 A proposed rule from the United States Department of Agriculture (USDA) that would eliminate the Supplemental Nutrition Assistance Program (SNAP)’s broad-based categorical eligibility (BBCE) would cause SNAP households in 39 states, the District of Columbia, Guam, and the U.S. Virgin Islands to lose program eligibility, according to an impact assessment conducted by Mathematica. The analysis, funded by the Robert Wood Johnson Foundation, finds that...
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Opioid legislation with significant trauma provisions clears the Congress, awaits President Trump’s signature

On October 3, the U.S. Senate voted 98-1 (only Sen. Mike Lee, R-UT voted nay) to approve The SUPPORT for Patients and Communities Act (H.R. 6 or previously titled the Opioid Crisis Response Act) , a final step before the President’s signature. The House approved the measure by a vote of 393-8 on September 28. The Senate approved an earlier version of this legislation on September 17 and as reported on ACEs Connection , it includes significant provisions taken from or aligned with the goals...
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Pelosi, Speier talk gun control at a San Francisco town hall [San Francisco Chronicle]

(From left to right) State Surgeon General Nadine Burke Harris, Rep. Jackie Speier, and Nancy Pelosi, speaker of the U.S. House of Representatives, participate in a town hall meeting on gun violence at Lincoln High School in San Francisco, Calif., on Tuesday, August 27 Photo: Yalonda M. James / The Chronicle Editor's note: In her role as state surgeon general, Dr. Harris addressed gun violence as preventable and important to treat as a public health issue. She said that in 2017, there were...
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Personal stories from witnesses, U.S. representatives provided an emotional wallop to House Oversight and Reform Committee hearing on childhood trauma

Room erupts in applause for the grandmother of witness William Kellibrew during July 11 House Oversight and Reform Committee hearing. The power of personal stories from witnesses and committee members fueled the July 11 hearing on childhood trauma in the House Oversight and Reform Committee* throughout the nearly four hours of often emotional and searing testimony and member questions and statements (Click here for 3:47 hour video). The hearing was organized into a two panels—testimony from...
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Personal stories the set tone of hearing in U.S. Senate HELP Committee on Opioid Crisis Response Act

Jennifer Donahue, Delaware Office of the Child Advocate, testifies before the HELP Committee (Jennifer Perry to her right) ____________________________________________________________ Some seasoned advocates say legislators are influenced by stories while their staffs are swayed by data. There was some of both at the April 11 hearing on the draft Opioid Crisis Response Act of 2018 of the U.S. Senate HELP (Health, Education, Labor & Pensions) Committee but it was the personal stories that...
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Preventable trauma in childhood costs north America and Europe US$ 1.3 trillion a year [WHO]

Karen Clemmer ·
By World Health Organization (photo by WHO/Malin Bring) The findings of a new study on the life-course health consequences and associated annual costs of adverse childhood experiences (ACEs) show that preventable trauma in childhood costs north America and the European Region US$ 1.3 trillion a year. The article, published in the Lancet and co-authored by Dinesh Sethi and Jonathon Passmore, Programme Manager, Violence and Injury Prevention, WHO/Europe, looks at the legacy of ACEs and their...
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Public health strategies, ACEs, and much more to learn [ClaremoreProgress.com]

Jane Stevens ·
What does a legislator do when not in session? Last month, I was asked by the Speaker to attend a regional meeting of key state policymakers with the Center for Disease Control and Prevention (CDC). It seems the committee chairmen of our health-related committees couldn’t attend, so I was afforded the opportunity to learn about something not exactly in my wheelhouse. The meeting was sponsored by the National Conference of State Legislatures, and is the third such specialized session they’ve...
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Rural Areas Have The Highest Suicide Rates And Fewest Mental Health Workers (huffingtonpost.com)

There is a severe shortage of mental health workers across the U.S., but the problem is most pronounced in rural areas. There isn’t a single psychiatrist in 65 percent of nonmetropolitan counties , and almost half of those counties don’t have a psychologist, according to a report from the American Journal of Preventive Medicine released this month. But even when a rural area does have some mental health workers, they alone usually can’t address the entire population’s needs. Many residents...
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Senate HELP Committee approves opioid bill with major trauma-related provisions

The Senate Health, Education, Labor & Pensions (HELP) Committee unanimously approved The Opioid Crisis Response Act of 2018 Act on April 24. Significant provisions were included from the Heitkamp-Durbin Trauma-Informed Care for Children and Families Act (S. 774), including creation of a task force on trauma, and grants for trauma-informed schools.
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Senate HELP Committee schedules hearing on April 11 on draft opioid bill with key provisions addressing trauma and seeks stakeholder comments

Key provisions that are closely aligned with sections the Heitkamp-Durbin “Trauma-Informed Care for Children and Families Act (S. 774)” are included in opioid legislation that is advancing in the U.S. Senate. A draft bill, “The Opioid Crisis Response Act,” is the subject of a hearing on Wednesday, April 11 in the Senate HELP (Health, Education, Labor, and Pensions) Committee and a mark-up of the legislation is expected over the next several weeks. Senator Heitkamp’s office highlighted three...
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Spending Deal Would End Two-Decade Freeze on Gun Research [usnews.com]

By Associated Press, U.S. News & World Report, December 16, 2019 A bipartisan deal on a government spending bill would for the first time in two decades provide money for federal research on gun safety. A law adopted in the 1990's has effectively blocked such research and prohibits federal agencies from engaging in advocacy on gun-related issues. The spending bill, set for a House vote as soon as Tuesday, would provide $25 million for gun violence research, divided evenly between the...
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Strategies to combat trauma addressed in second of three congressional briefings

U.S. Senator Heidi Heitkamp (D-ND) (above) delivered a strong and passionate call to address childhood adversity to reap a “huge payback” in combating addiction, family violence, and poor education -- the “challenges that confront American families.” [For a video of the briefing, click here . It begins at 17:13 minutes with the first presentation by Andrea Blanch. The sound improves at 23:11 minutes when Sen. Heitkamp's remarks begin.] The July 14th event was the second of three...
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Study: Community Trauma from Gun Violence Results in Negative Health and Behavioral Outcomes (Violence Policy Center)

Research on trauma is frequently featured in mainstream news outlets, pointing to its connection to a range of behavioral and health outcomes. While trauma can have multiple interpretations, for the purposes of this report, it is the result of experiencing or witnessing chronic and sustained violence, or specific events that can have lasting effects on individuals. Researchers have identified 13 distinct types of trauma, including community violence. Community violence is an umbrella term...
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Suicides in Teen Girls Hit 40-Year High (nbcnews.com)

The suicide rate among teenage girls continues to rise and hit a 40-year high in 2015, according to a new analysis released Thursday. Suicide rates doubled among girls and rose by more than 30 percent among teen boys and young men between 2007 and 2015, the updated breakdown from Centers for Disease Control and Prevention finds. It's all part of a growing national trend for more suicides, said CDC suicide expert Thomas Simon. Simon said suicide is preventable and parents, friends, teachers...
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These Shelters are Accepting Unexpected Family Members - the Four-Legged Ones - and it's Saving Lives (nationswell.com)

Multiple studies and surveys show a link between domestic abuse and pet abuse. Women in domestic shelters were 11 times more likely to report that their partner had hurt or killed pets compared to a control group of women. But even more alarming is the fact that women are refusing to seek shelter for fear of abandoning their pets. Surveys show that up to 40% of women report being unable to escape out of fear of what will happen to their pets. According to Sheltering Families and Animals...
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Trauma and ACEs missing in response to opioid crisis, says national organization

A new policy brief (attached) issued this week by the Campaign for Trauma-Informed Policy and Practice (CTIPP) forcefully develops the case for trauma-informed approaches to address the opioid crisis—to prevent and treat addiction—based on strong evidence that adverse childhood experiences (ACEs) are at the root of the crisis. CTIPP is a national organization that advocates for trauma-informed prevention and treatment programs at the federal, state and local levels. Successful strategies to...
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Trauma-informed Care: It Takes More Than a Clipboard and a Questionnaire

Jim Hickman ·
California is about to launch an ambitious campaign to train tens of thousands of Medi-Cal providers to screen children and adults up to age 65 for trauma, starting on January 1, 2020. It is well-established that the early identification of trauma and providing the appropriate treatment are critical tools for reducing long-term health care costs for both children and adults. Research has shown that individuals who experienced a high number of traumatic childhood events are likely to die...
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Traumatic Experiences Widespread Among U.S. Youth, New Data Show

Jane Stevens ·
[This is a media release from the Robert Wood Johnson Foundation.] New national data show that at least 38 percent of children in every state have had at least one Adverse Childhood Experience or ACE, such as the death or incarceration of a parent, witnessing or being a victim of violence, or living with someone who has been suicidal or had a drug or alcohol problem. In 16 states, at least 25 percent of children have had two or more ACEs. Findings come from data in the 2016 National Survey...
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Trump Administration Announces $1.8 Billion in Funding to States to Continue Combating Opioid Crisis [hhs.gov]

By U.S. Department of Health and Human Services, September 4, 2019 Today, the U.S. Department of Health and Human Services (HHS) announced more than $1.8 billion in funding to states to continue the Trump administration’s efforts to combat the opioid crisis by expanding access to treatment and supporting near real-time data on the drug overdose crisis. The Centers for Disease Control and Prevention announced more than $900 million in new funding for a three-year cooperative agreement with...
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Two studies shed light on state legislators’ views on ACEs science and trauma policy

New and returning lawmakers take the oath of office on day one of Washington state's 2017 legislative session. — Jeanie Lindsay/Northwest News Network As advocates prepare to see how ACEs (adverse childhood experiences) science, trauma, and resilience play out in the 2020 state legislative sessions — many beginning in January — they are undoubtedly asking: “What does a legislator want?" It may be a stretch to play on Freud’s question: “What does a women want?", but the query captures how...
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U.S. Senate begins debate on bipartisan addiction and recovery legislation

Starting today, the U.S. Senate takes up the bipartisan Comprehensive Addiction and Recovery Act (CARA, S. 524) to address the national crisis of opioid drug addiction. The legislation—authored by Senators Sheldon Whitehouse (D-RI) and Rob Portman (R-OH)—gives states tools to “prevent drug abuse, treat addiction, and reduce overdose deaths.” The prevention section of the bill calls for a “federal inter-agency task force to review, modify, and update best practices for pain management and...
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U.S. Senate champion on trauma, Heidi Heitkamp, provides inspired and hope-filled leadership

Last evening I posted a video of a June 5 congressional briefing that I attended on trauma and the opioid crisis with a plan to write a post about the event today. In the comfort of my living room, I played the beginning of the video, hoping to find a good screen shot to use with the article, but instead was surprisingly moved by the second listening of the words of U.S. Sen. Heidi Heitkamp (D-ND) about why the issue of trauma is so important her: She says it gives her hope.
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U.S. Senate passes opioid legislation with trauma-related provisions

On Monday evening, the U.S. Senate approved 99-1 the Opioid Crisis Response Act (OCRA) of 2018 (Senator Mike Lee, R-UT was the lone “no” vote). The rare, multi-committee, bipartisan bill includes significant provisions taken from or aligned with the goals of the Heitkamp-Durbin Trauma-Informed Care for Children and Families Act (S. 774) , including the creation of an interagency task force to identify trauma-informed best practices and grants for trauma-informed practices in schools. The...
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Unprecedented childhood trauma hearing in U.S. Congress on July 11 to feature data from new state fact sheets on ACEs prevalence, impacts

A hearing of unprecedented scope and depth (this link will take you to a list of witnesses and all of their statements plus an overview memo on the hearing from committee staff) on ACEs science and childhood trauma — " Identifying, Preventing, and Treating Childhood Trauma: A Pervasive Public Health Issue that Needs Greater Federal Attention " — will be held today in the House Committee on Oversight and Reform. You can watch the live stream at 10:00 am ET through this link . Nine witnesses...
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Youth Survey Data Shows Rise in Vaping, Depression [vtdigger.com]

By Lola Duffort, Vermont Digger, February 7, 2020 Half of all high school students in Vermont have tried electronic vapor products like e-cigarettes, up from just 30% in 2015. That’s according to results from the 2019 Youth Risk Behavior Survey, a study administered statewide to thousands of Vermont students every two years. The YRBS was developed by the Centers for Disease Control in 1990 to monitor behaviors that contribute to the leading causes of death, disease and injury among young...
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5 Takeaways on America’s Increasing Suicide Rate (nytimes.com)

In a week when two celebrities, first the designer Kate Spade and then the chef and television host Anthony Bourdain , took their own lives, new federal data was released showing that suicide rates have been increasing for years in almost every state and across demographic lines. The escalating crisis has affected nearly every group and place , but the study from the Centers for Disease Control and Prevention showed that some parts of the country have been hit especially hard. Here’s a...
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A comprehensive Trauma-Informed Care bill quietly introduced in the final days of the 114th Congress

In the final weeks of the 114 th Congress, Senators Heitkamp, Durbin, and Franken introduced The Trauma-Informed Care for Children and Families Act (S. 3519)—a wide ranging bill that proposes new strategies to expand trauma-informed best practices and models, train clinicians, law enforcement officials, teachers and health care providers in trauma-informed approaches, and improve the understanding of trauma’s impact and prevalence. Despite the lack of fanfare around the bill’s introduction,...
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A Healthy Early Childhood Action Plan: Policies for a Lifetime of Well-being[TFAH]

NOVEMBER 2015 A Healthy Early Childhood Action Plan: Policies for a Lifetime of Well-being highlights more than 40 policy target areas that are key to achieving national goals of reducing toxic stress and Adverse Childhood Experiences (ACEs)...
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Abortion. Transgender rights. Voting access. Polarizing issues could dominate statehouse agendas in 2020. [Washington Post]

Virginia House Del. Jeffrey M. Bourne, left, stands onstage with Lashrecse D. Aird, center, who won her House District 63 race, and Virginia state Sen. Jennifer L. McClellan at a Democratic election watch party at Hilton Richmond Downtown on Nov. 5. (Matt McClain/The Washington Post) Republican-controlled state legislatures are gearing up to try to tighten abortion laws across the country, while some states controlled by Democrats are looking to enshrine the right to choose into law. It’s...
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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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Bipartisan trauma resolution passes the House unanimously

In the late afternoon on Feb. 26, the House of Representatives unanimously passed H. Res. 443 , a resolution recognizing the importance and effectiveness of trauma-informed care and calling for a national trauma awareness month and trauma-informed awareness day. The impetus for the resolution resides with the First Lady of Wisconsin, Tonette Walker, who has taken a strong leadership role in advancing trauma-informed policy and practice statewide through Fostering Futures , and has elevated...
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BPC Releases First Comprehensive, Transparent Study of Federal Funding to Fight Opioid Epidemic [Bipartisan Policy Center]

Editor's note: In addition to an overview of how states are spending federal opioid dollars, the Bipartisan Policy Center report also includes 5 state in-depth briefs—Arizona, Louisiana, New Hampshire, Ohio and Tennessee. News release Tuesday, March 26, 2019 Washington, D.C. – In 2017, more than 70,000 people in the United States died from a drug overdose, with almost 50,000 of these deaths involving an opioid. Americans are now at greater risk of dying from an opioid overdose than a car...
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California's First Surgeon General: Screen Every Student for Childhood Trauma [nbcnews.com]

By Patrice Gaines, NBC News, October 11, 2019 Dr. Nadine Burke Harris has an ambitious dream: screen every student for childhood trauma before entering school. "A school nurse would also get a note from a physician that says: 'Here is the care plan for this child's toxic stress. And this is how it shows up,'" said Burke Harris, who was appointed California's first surgeon general in January. "It could be it shows up in tummy aches. Or it's impulse control and behavior, and we offer a care...
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CDC releases first US data on COVID-19 cases in children [Ars Technica]

Laurie Udesky ·
Photo by Eric Froehling on Unsplash In all of the grim statistics of COVID-19’s devastation, one seemingly bright spot has been that children seem to be largely unaffected. They consistently make up small percentages of confirmed cases and nearly all have a mild form of the disease. But as more data accumulates, we’re getting a clearer picture of what COVID-19 looks like in children—and when its youngest victims are not spared from the worst. On Monday, April 6, public health researchers at...
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Centers for Disease Control and Prevention, Division of Injury Prevention

Gail Kennedy ·
The Centers for Disease Control and Prevention, which partnered with Kaiser Permanente in San Diego on the Adverse Childhood Experiences Study (ACE Study), maintains a small ACE Study office, which is part of the Injury Prevention & Control, Division of Violence Prevention. It maintains the official ACE Study website , which features basic ACE Study data, major findings, the full-length questionnaires used in the in study, and a list of publications produced by ACE Study...
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Comprehensive legislation introduced in U.S. Senate and House to address trauma

Senators Heidi Heitkamp and Dick Durbin at the Dec. 1, 2016 Congressional Briefing on addressing childhood trauma ________________________________________________________ The “Trauma-Informed Care for Children and Families Act” ( S. 774 , H.R. 1757 ) was introduced on March 29 in the Senate by Sen. Heidi Heitkamp (D-ND) with co-sponsors Dick Durbin (D-IL), Al Franken (D-MN), and Cory Booker (D-NJ) and, for the first time in the House of Representatives by Chicago Rep. Danny K. Davis (D-IL7).
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Congressional Briefing Addresses Public Policy to Improve Response to ACEs

In the final weeks of the 114 th Congress, Senator Heidi Heitkamp (D-ND) welcomed her colleague Senator Dick Durbin (D-IL) as a new host in the third and final briefing on addressing adverse childhood experiences (ACEs). The December 1 briefing focused on public policies to improve coordination, prevention and response to childhood trauma. In addition to joining forces to raise awareness of the impact of ACEs, Senators Heitkamp and Durbin are drafting legislation based on a framework they...
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Defying Prevention Efforts, Suicide Rates Are Climbing Across the Nation (nytimes.com)

Suicide rates rose steadily in nearly every state from 1999 to 2016 , increasing 25 percent nationally, the Centers for Disease Control and Prevention reported on Thursday. In 2016, there were more than twice as many suicides as homicides. The figures were released two days after the death of celebrity designer Kate Spade . The New York City medical examiner’s office has ruled her death a suicide . The new analysis found that nearly 45,000 Americans aged 10 or older died by their own hand in...
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Donna Jackson Nakazawa Chats Live with Jane Stevens & You: Nov. 14th

Christine Cissy White ·
Featured Guest: @Donna Jackson Nakazawa Topic: Well-Being, Self-Care & ACEs Date: November 14th, 2017 Time: 10 AM PST / 1 PM EST Where: Here / Chats Donna Jackson Nakazawa is an winning researcher, writer and public speaker on health and family issues. She explores the intersection between neuroscience, immunology, and the deepest inner workings of the human heart. Her most recent book, Childhood Disrupted: How Your Biography Becomes Your Biology, and How You Can Heal , examines...
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Durbin, Capito, colleagues introduce bipartisan, bicameral legislation to address childhood trauma [Office of Senator Durbin of IL]

The following is a press release issued by the office of U.S. Senator Durbin (D-IL) on Monday, June 10, announcing the introduction of bipartisan bicameral legislation that builds on last year’s opioid legislation SUPPORT for Patients and Communities Act and recommendations from a recent GAO report. A link to the bill and other information will be provided as soon as possible. In the meantime, an earlier draft of the bill and a section by section are attached to this post. For Immediate...
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Education, inspiration, and action—Maryland lawmakers take deeper dive into ACEs science and how it informs policy

While members of the Maryland General Assembly did not dominate the Dec. 13th “MGA ACEs Roundtable” in numbers, they commanded the room and enlivened a focus on how ACEs science can inform current and future policies considered by elected officials.
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Growth through Trauma-Informed Strategies: Coaching and Consultation with Rick Griffin

Tara Mah ·
There is a Chinese proverb that states, “If you want 1 year of prosperity, grow grain. If you want 10 years of prosperity, grow trees. If you want 100 years of prosperity, grow people." The benefits are evident, yet the real question becomes, “how do you grow people?” This Big Idea Session, CRI’s Trauma Coaching and Trauma Consultation Training, answers this question. Schools, organizations, and parents are discovering that the traditional “command and control” style of working with...
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Hearing in U.S. House Education and Labor Early Childhood Subcommittee addresses intersection of trauma and education

Dr. Nadine Burke Harris (l) and Karina Chicote, Churchill Fellow from western Australia meet after congressional hearing After watching the hearing on a monitor in the overflow room, Karina Chicote, a Churchill Fellow from western Australia, and I hustled to the hearing room in hopes of speaking to the lead witness, Nadine Burke Harris, MD, the first Surgeon General of the State of California. She was deep in conversation with others, including a young woman who wanted to tell her how...
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HHS releases additional $487 million to states, territories to expand access to effective opioid treatment; 2019 SOR grants will total $1.4 billion [hhs.gov]

Karen Clemmer ·
[March 20, 2019] Today, the U.S. Department of Health and Human Services (HHS) released an additional $487 million to supplement first-year funding through its State Opioid Response (SOR) grant program. The awards to states and territories are part of HHS’s Five-Point Opioid Strategy and the Trump administration’s tireless drive to combat the opioid crisis. Together with the $933 million in second-year, continuation awards to be provided under this program later this year, the total amount...
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How One Connection at CYW’s ACEs Conference Sparked Awareness into Action

Lori Chelius ·
Origins offers a number of training and consulting services. We developed The Basics as a half-day session to provide the foundation to support trauma-informed and resilience practices across sectors and industries. The session includes an overview of the Adverse Childhood Experiences (ACE) Study, the neurobiology of toxic stress, the impact of social and historical trauma, and the science of resilience. We have tested The Basics with two cross-sector audiences, in Los Angeles and Phoenix.
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Hundreds gathered in City Heights last month for the San Diego premier of Resilience -The Biology of Stress and Science of Hope.

The crowd arrived to the aroma of freshly popped popcorn that wafted through the Cherokee Point Elementary School auditorium. With bags of popcorn and plates filled with fresh-cut fruits and vegetables from trays on tables lining the wall, the service providers, policy makers, community advocates, graduate students, teachers and parents settled in for a movie and a panel discussion that brought many to tears. Dr. Dawn Griffin, a professor in Alliant International University departments of...
 
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