On an ACEs Connection webinar on Monday, Dr. Andrew Seaman, an assistant professor at Oregon Health & Science University, showed how he navigates his students through the science of adverse childhood experiences (ACEs). And, in an unusual twist for a webinar, Seaman and O’Nesha Cochran, a peer mentor with the Mental Health Association of Oregon, role-played doctor-patient interactions to show how to develop the skills to communicate with patients with high ACE scores. About 90 people...

On an ACEs Connection webinar on Monday, Dr. Andrew Seaman, an assistant professor at Oregon Health & Science University, showed how he navigates his students through the science of adverse childhood experiences (ACEs). And, in an unusual twist for a webinar, Seaman and O’Nesha Cochran, a peer mentor with the Mental Health Association of Oregon, role-played doctor-patient interactions to show how to develop the skills to communicate with patients with high ACE scores. About 90 people...

Dr. Elizabeth Grady is a pediatrician at the South San Francisco Clinic, a community clinic of San Mateo Medical Center. She and Susana Flores , a senior public health nurse with San Mateo County Health, spoke with me about how the clinic and other health agencies in San Mateo have been able to craft ways to work together to prevent and heal toxic stress in children. Grady also talked about how she and Flores have been working with the Resilient Beginnings Collaborative (RBC), a group of...

Dr. Raul Gutierrez, a pediatrician in the San Francisco Bay Area, said he and his fellow clinicians see constant fear and its health consequences every single day among the largely immigrant and Latino population they serve. It’s all the result of anti-immigrant policies and the news cycle that feeds the fear. Dr. Raul Gutierrez “It is almost inescapable with the repercussions of immigration policy on the radio, television, social media and from friends and family,” Gutierrez told the 69...

How do you ask patients about current and past trauma? And how do you respond to their disclosures? Those are two key questions that members of a national collaborative who are among the early adopters of trauma-informed care practices have answered in a recent article in the journal Women’s Health Issues. Dr. Edward Machtinger To Dr. Edward Machtinger, the lead author of the paper entitled, “ From treatment to Healing: Inquiry and response to recent and past trauma in adult health care” ,...

For Dr. Mercie Digangi, a pediatrician at Kaiser Southern California in Downey, CA, ACEs screening provided a crystal clear before-and-after in how she changed treatment plans for her pediatric patients, she explained to attendees of a December 2 webinar organized by the National Pediatric Practice Community on ACEs (NPPC) and cosponsored by ACEs Connection. Dr. Mercie Digangi One case that turned ACEs screening into a never-go-back moment for her was a three-year-old who was speech-delayed.

In a room in East Oakland, Calif., photos of children are projected on a screen. “Who is that?” asks Briana Moore, a licensed clinical social worker in private practice and a master trainer for the East Bay Agency for Children’s Trauma Transformed program. “Bill Clinton,” responds one of the 20 employees of the East Oakland Youth Development Center (EOYDC).

Program Provider Sadie Williams works with financial coach Judit Trinidad as they practice family engagement for Oakland Promise Brilliant Baby Program enrollees.

Program Provider Sadie Williams works with financial coach Judit Trinidad as they practice family engagement for Oakland Promise Brilliant Baby Program enrollees.

Tufts University medical professor Dr. Robert Sege directs the Center for Community-Engaged Medicine and is nationally known for his research on effective health systems approaches that address social determinants of health. He is also the principal investigator for the HOPE framework (Healthy Outcomes from Positive Experiences).The HOPE framework is based on research that shows how positive childhood experiences can mitigate the effects of adverse childhood experiences. Sege and colleagues...

Four years ago, Dr. Leslie Dempsey would never have talked about ACEs — adverse childhood experiences — with her patients. Now ACEs is a common topic. “Just as I don’t feel awkward asking someone if they smoke or do intravenous drugs, I don’t really feel awkward talking about their childhood traumas in a way that it relates to their health. It’s just integrated into obtaining background and social history,” she says. Dr. Leslie Dempsey Dempsey is a physician in obstetrics who oversees a team...

Last year, the California Department of Health Care Services rolled out its plans for universal screening for trauma among its pediatric and adult Medicaid population. Beginning January 1, 2020, California physicians were able to receive an incentive payment of $29 for each pediatric patient screened for ACEs using the PEARLs ( Pediatrics Adverse Childhood and Resilience Study) tool. Dr. Dayna Long talked with ACEs Connection staff reporter Laurie Udesky about ACEs science, what led to the...

YWFC sponsored Sister Warriors meeting When she was 15 years old, Lucero Herrera was put in a rehab program by San Francisco’s Juvenile Court because she was getting drunk regularly. And in doing so, the court failed to explore the root of her drinking. Had they done so, she said, they would have found that anger and trauma were lurking underneath, driven by her ACEs: adverse childhood experiences. Lucero Herrera "Why did they put me in a drug program when I had an anger problem? I went...

It was almost a ritual, but one that regularly disrupted the parenting class at a San Francisco-based child abuse prevention organization. Every time a siren blared in the streets below, a female participant bolted out of the room to seek safety in the windowless interior rooms of the multilevel labyrinthine white Victorian that houses Safe & Sound . Molly Jardiniano And it didn’t just happen in the parenting class. “When she heard the fire trucks, she said she would become paralyzed,...

A product of the Essentials for Childhood Initiative (EfC), the Child Adversity and Well-Being Dashboards contain indicators of child adversity, health and well-being utilizing data available on kidsdata.org . For more information about the dashboards, please refer to the California Data Dashboards page. The San Francisco County Data Dashboard contains select indicators of child adversity and well-being. The dashboard is a product of the Shared Data and Outcomes Workgroup of the California...

Elizabeth Huntley recalls the day when her family’s life was turned upside down. “One day my mom woke up and she packed up all of our clothes, all five of us…and she took me and my younger sister who had the same father… down to my paternal grandmother’s house…and she left us there. She took my middle sister to a town near Birmingham, Ala., and left her there. She took my only brother and an older sister back to Huntsville and left them at a sister’s house. Then she went back to that housing...

In a house called “Johanna’s House” on a tree-lined side street in Vallejo, Calif., four women are filling out the adverse childhood experiences (ACE) survey given to them by Maria Guevara, the founder of Vallejo Together, an organization that serves homeless residents in Vallejo. The house was named for Johanna Dilag, a homeless woman who was found dead along with her dog.

To view the document, click on the following link:  http://www.mentalhealthamerica.net/issues/toxic-stress-behavioral-health-and-next-major-era-public-health      

Bridge Housing Corporation and Health Equity Institute, San Francisco, CA Federal housing programs such as HOPE VI and CHOICE Neighborhoods mandate community leadership as integral revitalization efforts and have institutionalized this...

The Rev. Darrell Armstrong, pastor of the historic Shiloh Baptist Church in Trenton, New Jersey, is an accomplished man. He graduated from Stanford University in public policy and went on to get his master’s degree in divinity studies at Princeton. As a former director in the New Jersey Department of Human Services, he was responsible for New Jersey’s statewide strategy for preventing child abuse and neglect. Armstrong has also worked as an entrepreneur, workshop facilitator, and radio host.

It’s shocking: Preschoolers are three times more likely to be expelled than children in elementary, middle and high school, according to figures from the U.S. Department of Health & Human Services. Boys are four times more likely than girls to be kicked out, and African American children are twice as likely as Latinx and White children. One organization with childcare centers and mental health providers in Kentucky and Ohio began a long journey 15 years ago, when they began hearing about...

Awareness about health outcomes are as much about the long-term impact caused by adverse childhood experiences as they are by positive childhood experiences. By providing education on trauma-informed awareness and resilience building frameworks, the CRC Accelerator certification is a tool for both.

Something amazing keeps happening in our CRC Accelerator program that we want to shout out from the rooftops this December. Thanks to our committed participants, the number of CRC graduates keeps increasing! The number of graduates has increased by 15x this year. As we head into a new year, w e are grateful for the unique role CRC Accelerator participants have played in expanding the PACEs movement through the willingness to explore healing-centered practices through a PACEs science lens.

To prepare for the year ahead, we have a few very special announcements we’re excited to share. First, we’d like to take a moment to acknowledge the 700+ community champions, facilitators, managers, and advocates in our COOP and Growing Resilient Communities program for your commitment.

As we head into our full CRC curriculum this January, we invite current and future CRC Accelerator participants to join us with collective care and self care in mind.

Nationally recognized days of awareness remind us of important civil and human rights movements led by Black and African-American communities and social justice advocates. February puts leadership, education, access, justice, policy, and governance under the spotlight. Through a PACEs science lens, this month is an opportunity to consider trauma-informed transformation through a PACEs science lens as the way forward.

As we’ve recently announced, the CRC Accelerator is taking an indefinite hiatus, but this moment of growth is anything but goodbye. Two years into this unique program, we are aware of the incredible impact access can have on PACEs initiatives and we now have a CRC Fellowship that grows with each CRC graduate.