Tagged With "Dr. Dayna Long"
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4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress
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...
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ACEs, biomarkers and the cost of adversity
How useful and necessary are biomarkers in telling the story of how toxic stress from adverse childhood experiences and resilience can impact a child’s long-term health? In the introduction to an article in the journal BioEssays , Dr. Kathryn Ridout, a Kaiser Permanente San Jose psychiatrist, and her co-authors examine what is known about two biomarkers and quote data on child maltreatment and its economic burden over time that says it all. “When totaling the costs of health care, child...
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ACEs Champion Julie Kurtz Gives Every Child (and Adult) a Voice
Julie Kurtz hasn’t stopped creating ways to build and promote resilience in herself and others who have experienced trauma since she left her family home for college at age 18. Although she experienced four types of adversity during her childhood, the CEO of the Center for Optimal Brain Integration has traveled a complex journey to mitigate those adversities by recognizing her own internal resilience, building skills to buffer her toxic and traumatic stress, uncovering her voice through...
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ACEs champion pediatricians talk about life and practice in a COVID-19 world
With the advent of the COVID-19 pandemic, healthcare providers everywhere are changing how they care for their patients. I asked a few members of the ACEs in Pediatrics community what they’re doing differently. Dr. R.J Gillespie, pediatrician at The Children’s Clinic in Portland, OR. Dr. R.J. Gillespie Gillespie says that, as much as possible, they’re switching to virtual visits, which allows them “to comfort and reassure our patients face-to-face as much as possible without risking their...
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ACEs Connection's COVID-19 resources for parents, educators & people practicing resilience (all of us)
We are in uncertain times. Homelife has changed. School schedules have changed. Our communities are not the same. Work, if we have it, has changed, too. The world is different and we don't know for how long. We don't know what our lives will look like on the other side, either. We are worried about health, housing, security, and our loved ones. We generally have more stress and less support, as we are taking care of our families, ourselves, and each other. It’s a lot, and for those dealing...
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ACEs Science Champion Series: Dr. Angela Bymaster: This Faith-Based Physician Integrates ACEs Science with Healing Arts
Dr. Angela Bymaster, a family physician at Washington Elementary School in San Jose, CA, operates her clinic in a portable unit on the school property.
Because the unit faces students as they are dropped off by their families, she gets to “pick up the kids” before they are sent to the clinic, practicing “upstream medicine.”
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ACEs screening in CA — a Q and A with Dr. Dayna Long
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...
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Agencies Combine to Provide some Health Services for Pescaderans [hmbreview.com]
By Ashlyn Rollins-Koons, Half Moon Bay Review, December 26, 2019 There are no dentists, primary care doctors, psychologists or pediatricians in Pescadero. The nearest emergency room is at least 30 minutes away. For some who don’t have the resources or time, that could mean doctor appointments are few and far between. Puente de la Costa Sur has been working to fill this gap by partnering with San Mateo County and health providers to provide critical services to the South Coast that residents...
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Policymaker Education Day Registration STILL OPEN!
Registration is still OPEN for another week to the second annual Policymaker Education Day hosted by the California Campaign to Counter Childhood Adversity (4CA) in Sacramento on May 22nd! Don't miss this opportunity to be able to share your thoughts and expertise with your Assemblymember or Senator on how to address childhood adversity in your communities. Guest speakers include Assemblymember Dr. Arambula of Fresno County, Ted Lempert of Children Now and Sarah Pauter of Phenomenal...
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Positive Childhood Experiences offset ACEs: Q & A with Dr. Robert Sege about HOPE
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...
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Program offers hundreds of young men, boys safe space to heal from ACEs
Dennis McCollins recounts some of the experiences that caused him to harden against the world as a teenager. “There were times I went to more funerals than birthdays,” says McCollins, who is the clinical director of the School Based Health Center at Greenwood Academy in Richmond, Calif. And it took its toll: “I spent time homeless. I got expelled [from school]. I was so angry and upset and mad,” he says. Dennis McCollins Then a man that he met when he was sent to Job Corps as a teen turned...
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Quakes and Tremors: What Foundations Can Do to Safeguard Childhood Wellbeing in the Wake of a Pandemic [fsg.org]
MARCH 31, 2020 | URSULA WRIGHT The world is experiencing a series of quakes and tremors caused by a global pandemic. The quakes are the unprecedented shocks and strains we are witnessing in our health, economic, and education systems. Tremors, on the other hand, are far less obvious because their disruptions occur at a much deeper level and during timeframes when the average individual may feel that they have successfully distanced themselves from the more pronounced quake(s). Both...
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Report reveals how foster care, juvenile and adult justice systems traumatize youth, calls for policy shifts
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...
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"Resilience" Comes to Santa Clara
In the first of a series of planned screenings of the film Resilience , the Santa Clara ACEs Connection community offered a panel led discussion about how to bring trauma informed practice and resilience building to the entire county. Rhoda Blankenship, Director of Maternal, Child and Adolescent Health for County Public Health Department, emceed the event, along with Andrew Cain, both of whom sit on the Santa Clara community collaborative steering committee. Following opening remarks by...
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San Bruno, CA, police reduce stress, burn-out with mindfulness
When Officer John Hampton of the San Bruno Police Department in San Bruno, CA, first heard that mindfulness training was being offered to him and his fellow cops, he had two reactions. John Hampton “I think my major reaction was: ‘Oh, there’s some hippy thing that they’re trying to get cops to do,’” he said. “When I say that, it’s funny because that’s not my voice. It’s the caricature of a police officer-like voice. In the back of my mind, I was interested and open to it, but that police...
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San Bruno, CA, police reduce stress, burn-out with mindfulness
When Officer John Hampton of the San Bruno Police Department in San Bruno, CA, first heard that mindfulness training was being offered to him and his fellow cops, he had two reactions. John Hampton “I think my major reaction was: ‘Oh, there’s some hippy thing that they’re trying to get cops to do,’” he said. “When I say that, it’s funny because that’s not my voice. It’s the caricature of a police officer-like voice. In the back of my mind, I was interested and open to it, but that police...
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San Mateo (CA) launches county initiative to tackle ACEs and build resilience
Attendees at the San Mateo event participate in ice-breaking exercise When you’re working with people who've had a lot of childhood and adult adversity, it’s hard for you to believe that anyone else can have a bad day, says Laura van Dernoot Lipsky. “Your neighbor or your best friend says: ‘I’ve had a bad day.’ And you think, ‘Oh, I’m sorry you had a bad day; were you sex trafficked today? No, you were not!'” Laura van Dernoot Lipsky Van Dernoot Lipsky, the author of Trauma Stewardship: An...
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Screening for Childhood Trauma
Dr. Ken Epstein has been in the social services sector for nearly four decades and has witnessed firsthand the long-term effects of trauma. As both the son and father of fellow social workers, the work runs in his blood. Now, he’s helping Bay Area health clinics screen for and address childhood trauma through the Resilient Beginnings Collaborative (RBC), led by Center for Care Innovations (CCI) and made possible by Genentech.
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Sesame Workshop and BTC Team Up to Help with Big Scary Feelings during the COVID-19 Crisis
Caring for Each Other: How to Use Sesame Street in Communities Resources for Health Emergencies with Families Now Wednesday, April 1, 2020 @ 3 PM ET We're all in this together, and that's why we're all coming together. Sesame Workshop and the Brazelton Touchpoints Center are partnering on a webinar series, beginning April 1st, to share online resources that can help us handle the sudden changes in our lives when we face health emergencies like the one that confronts us today. As a result of...
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Solano County launches its ACEs and resilience initiative inviting all to take action
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...
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Solano County's (CA) ACEs initiative, a robust community effort, makes room for input from all
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.
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Suisun Elementary (CA) makes ACEs science intrinsic to everyday life
Students start each day with meditation During her first year as principal of Suisun Elementary in Suisun City, Calif., in 2014 Ann Marie Neubert suspended 102 students — out of a student population of 550 —for disrupting their classes. It was a serious problem, but the school’s teachers didn’t know what to do. “[Teachers] felt like they were using all the tools in their toolbox and it wasn’t changing behavior,” she recalls. Ann Marie Neubert Too many students were spending too much time out...
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Survey: Healthcare providers, community organizations weigh in on California's ACEs screening program
In January, California took a historic leap forward to promote universal ACEs screening of the state’s 13 million adults and children in the Medi-Cal program. The eventual goal is to promote ACEs screening for all patients, but this is a first step in dealing with a major issue that ACEs science has identified: that many children will develop serious health problems later in life because the healthcare system is not currently set up to detect the roots of those problems. The term ACEs, which...
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Teaching Kindness Isn’t Enough [tolerance.org]
Note from Mai: This article really got me thinking, as the parent of a preschooler. In work and adult learning spaces, vague group agreements like "be kind" and "respect others" have always struck me as hollow. But I haven't considered the damage those simple rules can have in classrooms, with young children. I really appreciate Bret Turner's deeper exploration of this and hope everyone working with kids (parents, teachers, afterschool program providers, etc.) will apply some of his ideas.
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Toxic Stress, Behavioral Health, and the Next Major Era in Public Health by Mental Health America
To view the document, click on the following link: http://www.mentalhealthamerica.net/issues/toxic-stress-behavioral-health-and-next-major-era-public-health
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Trauma education and mindfulness help youth living amid gun violence
Armon Hurst, 2nd from left, first row, Teens on Target, courtesy of YouthAlive! Eighteen-year-old Armon Hurst serves as vice president of the student body at Castlemont High School in Oakland, Calif. He has a 4.0 grade point average, is an avid baseball player, and is slated to go to college next year. But until a few years ago, Hurst would find himself waking from nightmares in the middle of the night. It was difficult to concentrate at school, and he wasn’t eating well. Armon Hurst “There...
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When Schools Cause Trauma [tolerance.org]
Trauma-sensitive and trauma-informed schools are spreading around the country. But if they don’t start with how schools themselves can induce trauma, they won’t work. By CARRIE GAFFNEY ; ISSUE 62, SUMMER 2019 Increasingly, we are seeing pushes for trauma-sensitive and trauma-informed schools. We know that traumatic stress can have long-term health effects on developing brains and, in response, districts across the United States are acknowledging the role that trauma plays in students’...
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Whole-Family Wellness for Early Childhood: A New Model for Medi-Cal Delivery and Financing [cachildrentrust.org]
By California Children's Trust, September 2019 Whole-Family Wellness for Early Childhood: A New Model for Medi-Cal Delivery and Financing outlines a new approach for California to conceptualize, deliver, and fund a system of care for Medi-Cal eligible infants and toddlers that is grounded in family wellness. At present, California is not adequately addressing the needs of young children on Medi-Cal, allowing millions to miss out on important preventive care each year because Medi-Cal health...
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ACEs Science Champions Series: Why this financial coach integrates ACEs-based training
In foreground, Dr. Donielle Prince (l) and Saundra Davis (r) ____________________________ Saundra Davis, a financial coach and consultant who trains other coaches on building resilience among the working poor, knew she had met her partner in helping people deal with their “money disorders” when she first met Dr. Donielle Prince in Sacramento at a black women’s gathering in 2015. Dr. Prince works with ACEs Connection as its San Francisco Bay Area regional community facilitator. She also...
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Youth court banishes blame; leads with ACEs science
YMCA Marin County Youth Court in San Rafael, California In her opening statement, 17-year-old youth advocate Eva advises jurors how to proceed and summarizes her “client’s” good qualities. “As you will see, Julian is genuine, well-spoken and friendly. I recommend asking him about his friends and family, his future plans and his activities outside of school.” (First names only of all minors are used to protect their privacy.) Welcome to the YMCA Marin County (CA) Youth Court, one of 1,400...
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April Webinars from Embrace Race
WEBINAR: Thursday, April 16th, 8:30 to 9:30 pm ET What the COVID-19 Crisis Tells Us about Structural Racism Even as COVID-19 leaves its mark across the length and breadth of the United States, we know that some communities are being hit harder than others. The overrepresentation of Black and Brown people among COVID victims in New York City has received lots of attention because of the huge numbers involved, but the pattern repeats itself almost everywhere we have the data to document it.
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Bay Area doctors target health consequences of childhood trauma [sfchronicle.com]
By Erin Allday, 1/5/2020 A screening tool developed by Bay Area pediatricians to identify adverse childhood experiences, ranging from homelessness and food insecurity to physical and sexual abuse, will now help doctors statewide address trauma affecting patients’ health. The California Department of Health Care Services approved the tool — called PEARLS, for Pediatric ACEs and Related Life-Events Screener — last month. As of Jan. 1, its use is covered by Medi-Cal, and it will be available to...
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Building Children’s Resilience
Genentech is excited to launch a new philanthropic initiative, The Resilience Effect , to address childhood adversity and its long-term effects on health. For more than 40 years, our company has pursued groundbreaking science to improve the lives of people facing serious and life-threatening diseases. That’s why, when we learned about the emerging science behind the effects of toxic stress and the connection between early adverse childhood experiences and diseases later in life, we knew we...
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Bystander Intervention to stop anti-Asian/American and xenophobic harassment
As you know, anti-Asian and Asian American and xenophobic harassment are on the rise across the U.S. Unfortunately, anti-Asian and Asian American racism and xenophobia is not a new phenomenon. It has been part of our histories for a long time, and we have seen it manifested against different communities in many ways over the years. As the coronavirus pandemic escalates, we have seen more harassment, discrimination, and even violence directed at our communities. The Asian Americans Advancing...
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California issues update on state residents' ACE scores from 2011 & 2013 surveys
The latest adverse childhood experiences survey from the California Department of Public Health shows that 42% of the population has an ACE score of 3 or higher; 16% have an ACE score of 4 or higher. Those with an ACE score of 4 or higher are: 3x more likely to be current smokers 4x more likely to have a depressive disorder 2x more likely to have asthma 2x more likely to be obese 4x more likely to have COPD 3x more likely to have a stroke Here are a few other highlights from the six-page...
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California's 1st Surgeon General Spotlights Health Risks Of Childhood Adversity (npr.org)
In an interview last year, after her book , The Deepest Well: Healing the Long-Term Effects of Childhood Adversity, was published, Burke Harris told NPR's Cory Turner, "We all need to be part of the solution. If we each take ... our little piece, it's nuts how far we'll be able to go, together as a society, in terms of solving this problem. California Gov. Gavin Newsom took Burke Harris up on her challenge, appointing her the first-ever surgeon general of California. Newsom cites the toxic...
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California’s Surgeon General Readies Statewide Screening for Child Trauma [chronicleofsocialchange.org]
By Jeremy Loudenback, Chronicle of Social Change, September 19, 2019 Soon after being appointed California’s first-ever surgeon general, Nadine Burke Harris took off on a barnstorming tour across the state to talk about adverse childhood experiences and toxic stress, an issue she calls “the biggest public health crisis facing California today.” Before the pediatrician was appointed to her position in January by Gov. Gavin Newsom (D), Harris had founded and led the Center for Youth Wellness,...
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COVID-19: Mental health and well-being for ourselves and our children [news.berkeley.edu]
By Yasmin Anwar, Berkeley News, April 17, 2020 The intense social isolation, stress and uncertainty surrounding COVID-19 is shaping up to be its own mental health pandemic. Already, spikes in post-traumatic stress disorder are being documented among vulnerable populations, health workers and other front-line personnel. In the latest in a series of Berkeley Conversations: COVID-19 live webcasts, UC Berkeley psychologists Dacher Keltner , Sonia Bishop and Frank Worrell offered advice on how to...
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Culture of Care Conference Primer
I created this document as pre-reading for the Culture of Care conference on Nov. 18th, 2019, but I think it can be a helpful starting place for anyone who is new to ACEs and the movement towards trauma and resiliency-informed care. If you read through the resources, what resonated with you? What was confusing? What was missing? In the future I can reformat it to remove reference to the conference if there is interest in continuing to use or share this.
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Dr. Mona Delahooke Will Present at The Trauma-Responsive Schools Conference in California
Have you been hearing all the buzz about Dr. Mona Delahooke's new book, Beyond Behaviors ? In my opinion, it’s the best new book of 2019. Dr. Delahooke is a practicing pediatric clinical psychologist of thirty years. She is gaining critical acclaim and grassroots support for challenging the prevalent and pervasive behaviorist bias in schools. As a result, she is an emerging authority in the growing revolution to re-interpret children's misbehavior. She highlights much of the books' content...
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Dr. Nadine Burke Harris Presents at SCVMC-Pediatric Grand Rounds
Dr. Nadine Burke Harris presented today at Santa Clara Valley Medical Center during Pediatric Grand Rounds to a full room (standing room only) of pediatricians, nurse practitioners, physicians assistants, public health professionals and allied medical staff. With the show of hands, many of us in the room were familiar with ACEs science and the health impacts of toxic stress. With ease, Dr. Burke Harris dove into great detail of our bodies response to toxic stress and the multitude of...
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DULCE helps pediatricians in Oakland, CA, prevent toxic stress in newborns
On a recent day in early March, Laura Lopez met a former patient of hers in the waiting room of Highland Hospital’s pediatric clinic in Oakland, CA. The patient had forgotten her Medi-Cal card and called Lopez asking for help. But in the brief conversation, Lopez, a family specialist with the DULCE program, learned about some dire changes in the patient’s life. Laura Lopez “Without me even asking, she shared with me that she had separated from her partner, that she needs to apply for food...
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During COVID-19, how does a trauma-informed school pivot to distance learning?
All photos courtesy of Antioch Middle School staff Antioch Middle School seventh-grader Alyssia Garcia was accustomed to scanning the cafeteria during lunch for kids who might need her assistance. “I’d look for kids who looked sad, kids who were sitting alone, kids who looked angry,” says Garcia, a peer advocate at her school. Alyssia Garcia When she’d spot students sitting alone or looking sad, she’d approach them and ease into conversation. “If it’s a sad person, I’ll try to cheer them up...
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Early childhood educators learn new ways to spot trauma triggers, build resilience in preschoolers
A hug may be comforting to many children, but for a child who has experienced trauma it may not feel safe.
That’s an example used by Julie Kurtz, co-director of trauma informed practices in early childhood education at the WestEd Center for Child & Family Studies (CCFS), as she begins a trauma training session. Her audience, preschool teachers and staff of the San Francisco-based Wu Yee Children’s Services at San Francisco’s Women’s Building, listen attentively.
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ACEs Science Champions Series: First 5 San Mateo County (CA) Forges Ahead with Trauma-Informed Initiative
Each year for the past 20 years, First 5 San Mateo County has spent nearly $7 million to help meet the needs of children from birth through age five, and support their families. In 1998, First 5 was established and funded in California by Proposition 10, which funneled tobacco tax dollars into transforming the early childhood system and guaranteeing better outcomes for all counties in the state. In January 2018, the First 5 San Mateo County started a planning committee based on incorporating...
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‘For-Now Parents’ and ‘Big Feelings’: How Sesame Street Talks About Trauma [theatlantic.com]
ASTORIA, NEW YORK—Inside the Sesame Street studio in Queens, Elmo is playing “monsterball” with his friend, a new Muppet named Karli who has lime-green fur and two ponytails. (Monsterball, for what it's worth, appears to be the same as soccer, but with a furry ball.) Puppeteers, with their hands raised high and their heads cranked to the side to stay out of the camera’s shot, run around, making Elmo and Karli kick, laugh, and throw the ball. Outside, it’s a chilly gray December Monday, but...
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'Haven't Hugged My Mom in a Month:' Kids of Health Care Workers Feel the Strain [kqed.org]
By Sasha Khokha , Asal Ehsanipour Apr 17 As front line health care workers dedicate long hours to caring for patients during the COVID-19 crisis, life has changed for their own families — especially their children. Some hospital workers are staying away from their families to protect their kids. Others are living in the same house and taking extra precautions to avoid passing along the virus. Many children of nurses and doctors are navigating the unpredictability of life without regular...
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How California’s stay-at-home order disrupts services for young children [edsource.org]
ZAIDEE STAVELY , April 23, 2020 The stay-at-home order has upended some of California’s most crucial educational and health services for infants and toddlers — home visits and early intervention services — at a time when families may need them the most. Home visiting programs send nurses, social workers and other trained professionals to the homes of low-income parents to give health and early education advice. They also help children meet milestones, like crawling, picking up objects,...
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How collaboration helps clinic in San Mateo County, CA, tackle ACEs in children
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...
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How to Implement Trauma-informed Care to Build Resilience to Childhood Trauma [ChildTrends.org]
Children who are exposed to traumatic life events are at significant risk for developing serious and long-lasting problems across multiple areas of development. [1] , [2] , [3] , [4] However, children are far more likely to exhibit resilience to childhood trauma when child-serving programs, institutions, and service systems understand the impact of childhood trauma, share common ways to talk and think about trauma, and thoroughly integrate effective practices and policies to address it—an...