Tagged With "California Surgeon General"
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A Message to California Health Care Providers About COVID-19 and Toxic Stress [acesaware.org]
By Nadine Burke Harris and Karen Mark, ACEs Aware, March 30, 2020 Our global community is facing confusing and uncertain times. As the unprecedented novel coronavirus continues to spread, the health and safety of our nearly 40 million Californians is the number-one priority for our state, the Office of the California Surgeon General, and the Department of Health Care Services (DHCS). This includes the physical, mental, and psychological well-being of all individuals. As the crisis deepens,...
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ACES Aware Webinar: Dec 13th, 12-1pm PT - Public Comments about soon-to-be-released Request for Proposal
The Department of Health Care Services and the California Office of the Surgeon General are hosting a webinar of the Trauma-Informed Care Implementation Advisory Committee’s Provider Education and Engagement Subcommittee. Subcommittee members will discuss a draft Request for Proposal (RFP) released for public comment as part of the ACEs Aware initiative. The draft RFP invites external organizations to apply for grants to support provider training activities, provider engagement activities...
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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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Opinion: Screenings Alone Won’t Prevent Adverse Childhood Experiences—We Must Address Community Trauma [calhealthreport.org]
By Rachel A. Davis and Howard Pinderhughes, California Health Report, December 19, 2019 Earlier this month, California’s Surgeon General Nadine Burke Harris launched an ambitious campaign to reduce adverse childhood experiences, which can cause lifelong health problems. With more than 60 percent of Californians saying they were exposed to a traumatic childhood event, adverse childhood experiences are at crisis levels in the state. The ACEs Aware campaign will train and pay health care...
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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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Prescribing nature for health draws providers to Oakland, CA, conference
There’s now a growing body of research showing the positive health effects of nature. At a recent conference in Oakland, CA, clinicians who prescribe nature to help buffer ACEs and toxic stress experienced by children and families shared findings from their own research and others.
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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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Promoting a Community Approach for Mental Well-Being in Our Littlest Citizens [Chronicle of Social Change]
Several years ago, my sister and I watched my 2-year-old nephew’s behavior change dramatically. He started wetting the bed, throwing temper tantrums and getting frustrated so quickly. In any other child, it might have been normal “terrible twos,” but in him we knew something was definitely wrong. At the time, my sister and her husband were getting divorced. Ultimately, we found out that my nephew thought it was his fault, thus the acting out. This was my first exposure to the impact of...
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Racial Minorities More at Risk in the Workplace and the Economy [escholarship.org]
By Institute of Governmental Studies, University of California, Berkeley, May 6, 2020 The latest Berkeley IGS Poll reveals that the COVID-19 pandemic is having especially large effects on the safety and economic well-being of people of color in California. Racial minorities are significantly more likely to report having jobs that place them in regular contact with others and they are more concerned that their jobs place them at risk of contracting the disease. When it comes to safety in...
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Researchers Call for Quality-Improvement Changes in Medi-Cal Plans [chcf.org]
By Xenia Shih Bion, California Health Care Foundation, October 7, 2019 California should move swiftly to improve the quality of care in the managed care plans that serve 80% of Medi-Cal’s nearly 14 million enrollees, according to researchers at the University of California, San Francisco (UCSF). Led by Professor of Medicine Andrew Bindman, MD, with support from CHCF, the researchers examined 41 quality measures and found that more than half of the quality measures stayed the same or declined...
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Save the Date: July 11, 4CA Policymaker Education Day in Sacramento
Save the Date: Tuesday, July 11 4CA Policymaker Education Day on Childhood Adversity, Sacramento The California Campaign to Counter Childhood Adversity (4CA) invites you to Sacramento for Policymaker Education Day. Our lawmakers need to hear from you about how adverse childhood experiences and childhood trauma affect your community and what they can do to help. Join with allies from across California to engage your elected officials on this important issue. Who: 4CA Policymaker Education Day...
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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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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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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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Update on bills re: childhood adversity in California Legislature
Below is an updated table of bills that address childhood adversity in the Legislature in 2019. The list is not exhaustive, so please email Kelly Hardy with Children Now if you think a bill is missing and/or if you have any questions. Email: khardy @childrennow.org . Here are key dates for the remainder of the legislative session: July 10 = last day for bills to pass out of policy committees July 12 – August 12 = Summer recess August 30 = last day for fiscal bills to pass out of committee...
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We're All in This Together - COVID-19 Statement and Resources [childrennow.org]
From Children Now, The Children's Movement of California, March 18, 2020 Children Now is deeply concerned about the severe impact of the novel coronavirus on California’s children and families, especially children of color, families in poverty, families that are undocumented, and kids experiencing or who have experienced trauma. During this time, we are continuing to keep children and their families at the center of our work. We are diligently monitoring a range of national, state and local...
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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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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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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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California Office of the Surgeon General Invites Sector-Specific Vignettes
The California Office of the Surgeon General (OSG) is creating a report to be published in the summer of 2020. The report will feature the public health response to preventing and mitigating Adverse Childhood Experiences (ACEs) and toxic stress—tentatively titled “ Halving the Burden of ACEs and Toxic Stress in a Generation—California’s Blueprint for an ACEs-Aware Public Health Movement .” An important portion of the report will be dedicated to outlining primary, secondary, and tertiary...
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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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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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First health-related cost of ACEs study shows $113 billion price tag for California; just one ACE costs $28 billion
Researchers who have been looking for a way to quantify the health toll of ACEs in dollar terms, now have an example in a newly-released study of California. ACEs exacted a toll costing an estimated $113 billion annually, according to the study in the journal PLOS One that was commissioned by the Center for Youth Wellness. ACEs-associated cardiovascular disease was the condition that lead author Ted Miller dubbed “the giant in the room.” It accounted for $29.6 billion in spending, more than...
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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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Lesson learned integrating ACEs science into health clinics: Staff first, THEN patients
Nearly two years ago, a team of colleagues at LifeLong Medical Clinics jumped at the opportunity to integrate practices based on ACEs science to prevent and heal trauma in their patients when it joined a two-year learning collaborative known as the Resilient Beginnings Collaborative (RBC). A few months after training began, the staff realized they had to put on the brakes.
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Mark your calendar for March 10 tweet chat on CA ACEs screening!
Hey ACEs Connection communities! Please join us for a boisterous tweet chat about ACEs screening in California on March 10 at 10 am Pacific/ 1 pm Eastern for #SaludTues, hosted by @saludamerica and co-hosted by @CYWSanFrancisco, @acesconnection and @CHCShealth. Get your thumbs ready, and spread the word! What: Tweet chat Who: Salud America, co-hosted by Center for Youth Wellness, ACEs Connection and Center for Health Care Strategies. When: Tuesday, March 10, 10am Pacific/ 1 pm Eastern Why:...
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May Revise Budget Impacts to ACEs Aware [acesaware.org]
By ACEs Aware, May 20, 2020 Dear Stakeholders: The state of California is facing an unprecedented budget shortfall due to the economic disruptions caused by the COVID-19 emergency. The state must make difficult budgetary decisions to protect access to vital services and programs, including Medi-Cal. While we are all facing these significant budget changes together, we also know that Californians are experiencing increased levels of stress. That stress, combined with disruptions to accessing...
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Mental Health Care Could Get Easier for New Moms Under New California Rules [capradio.org]
By Sammy Caiola, Capital Public Radio, December 18, 2019 When Susan Yee Kearns brought her son home from the hospital a year and a half ago, she started worrying about him almost immediately. She woke up thinking he might have died. She was afraid to be away from him. “There was a lot of anxiety,” the Sacramento mom said. So she sought mental health help through her Medi-Cal insurance. But Yee Kearns' provider told her that Medi-Cal would only cover 60 days of treatment. When it was over,...
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More than 70 4CA participants converge on Sacramento, talk ACEs to power
Mai Le, an ACEs champion and program associate with First 5 San Mateo, wasted no time getting to the point of why she was asking lawmakers to support legislation that would help prevent adverse childhood experiences (ACEs). “When I was a child, my father had a psychotic break and was eventually diagnosed with schizophrenia,” she said in a conversation with Eric Dietz, a staff member for State Senator John Moorlach (R-Costa Mesa). L-R: Eric Dietz, Richa Sharma, Mai Le “I’m a high achiever,...
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Not 'Just in Your Head': California Rolls Out Mental Health Guides for Coping With Coronavirus [kqed.org]
By Marisa Lagos Apr 7 Gov. Gavin Newsom opened his daily briefing Tuesday on the status of the coronavirus pandemic in California a bit differently than normal: With a mantra he says his mother used to repeat. "She said, 'Stand guard at the door of your mind,'" Newsom said. "Honestly, it took me a decade-plus to figure out what she was ultimately saying. But she was focused on, more than anything else, our capacity to be resilient and to meet challenges head-on, our capacity as human beings...
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Racism's Effect on Health, and the Heartbreak of Being a Black Parent Right Now: California's Surgeon General Speaks [kqed.org]
By KQED Science, KQED, June 14, 2020 The coronavirus pandemic and the recent killing of George Floyd have brought longstanding racial inequities into sharp focus. One of those disparities concerns the high rate of coronavirus transmission among people of color. To talk about the intersection of race and health, KQED's Brian Watt spoke last week with California Surgeon General Dr. Nadine Burke Harris, who is known for her pioneering work on the role that childhood stress and trauma play on...
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California reaches milestone with ACEs initiatives pulsing in all 58 counties. Next: All CA cities.
Karen Clemmer, the Northwest community facilitator with ACEs Connection, was already deeply interested in the CDC/Kaiser Permanente Adverse Childhood Experiences Study when she and a colleague from the Child Parent Institute were invited to lunch by ACEs Connection founder and publisher Jane Stevens in 2012. But that lunch meeting changed everything.
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ACEs Aware in Action July Newsletter [acesaware.org]
Have You Completed the ACEs Aware Training? Eligible Medi-Cal providers : It’s not too late to self-attest to completing the ACEs Aware training. As a reminder, eligible Medi-Cal providers must self-attest to completing the certified ACE training to receive payment for ACE screenings conducted after July 1, 2020. Don't Forget to Self-Attest ACEs Aware has answers to your attestation questions at ACEsAware.org/FAQ . After finishing your training at Training.ACEsAware.org , you can find the...
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Sesame Street in Communities Provides Support for Kids Impacted by Wildfires
For resources and activities to help kids feel safe and comforted, visit: https://cdn.sesamestreet.org/sites/default/files/media_folders/Images/SupportAfterEmergency_Printable_Fire_FamilyGuide.pdf?_ga=2.91031322.1860374799.1600088181-1279904627.1598558329
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Think beyond ACEs screening, advises California funders workgroup in new report
Californians have experienced an alarming epidemic of adverse childhood experiences. Between 2011 and 2017, 60 percent of Californians reported experiencing at least one type of childhood adversity; about 16 percent experienced four or more. People who experience four or more ACEs are 1.5 times as likely to have heart disease, 1.9 times as likely to have a stroke, and 3.2 times as likely to have asthma as people who have experienced no ACEs. (For more information about ACEs and ACEs science,...
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New Report: ACEs BRFSS Data Report- An Overview of Adverse Childhood Experiences in California
A newly developed document titled “Adverse Childhood Experiences Data Report: Behavioral Risk Factor Surveillance System (BRFSS), 2011-2017: An Overview of Adverse Childhood Experiences in California” has just been released and can be found following link and attached to this blog post. The purpose of this resource is to report state and county prevalence of Adverse Childhood Experiences (ACEs) in California; describe ACEs-related geographic and demographic disparities; and to offer details...
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ACEs Aware in Action: November Newsletter [acesaware.org]
ACEs Aware in Action COMING SOON: New ACEs Aware Grant Opportunity to Support Trauma-Informed Networks of Care In early December 2020, the Office of the California Surgeon General and the Department of Health Care Services plan to release a Request for Proposal (RFP) for a second round of ACEs Aware grant funds. The new grants will target communities that want to build or execute on a robust network of care to effectively respond to ACE screenings and meet the needs of patients and families.
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As the Pandemic Rages on, a Conversation about Stress and Coping [alumni.berkeley.edu]
By Maddy Weinberg, California Magazine, December 2020 As California’s first-ever surgeon general, how do you hope to shape the position? Dr. Nadine Burke Harris: Governor Newsom established the position of California Surgeon General with the understanding that some of the most pernicious, but least-addressed health challenges are the upstream factors that eventually become chronic and acute conditions that are far more difficult and expensive to treat. As the first California Surgeon...
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Becoming ACEs Aware in a Challenging Year [acesaware.org]
Becoming ACEs Aware in a Challenging Year Adverse Childhood Experiences (ACEs) and toxic stress represent a public health crisis that has been, until recently, largely unrecognized by our health care systems and society, but there is hope. On January 1, 2020, eligible Medi-Cal providers began to receive a $29 payment for conducting qualifying ACEs screenings for children and adults up to age 65 with full-scope Medi-Cal. As many of you know, this is part of the ACEs Aware initiative , a...
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Register Now! February Webinar: "How ACEs Aware Training Can Support Providers and Patients During COVID-19" [acesaware.org]
1.0 Continuing Medical Education (CME) / Maintenance of Certification (MOC) Credit Available* Wednesday, February 24, 2021 Noon - 1 p.m. Register Here Please join us for our next ACEs Aware webinar to discuss the secondary health effects associated with stress caused by COVID-19. Presenters will share how ACEs Aware training and resources to treat toxic stress can equip providers with the knowledge and tools they need to effectively incorporate ACE screening into patient care, and to better...
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Road Map for Ending Domestic Violence in California: A Life Course Approach to Prevention
Futures Without Violence (FUTURES) is excited to share A Road Map for Ending Domestic Violence in California: A Life Course Approach to Prevention with the ACEs Connection community. The Road Map , a policy paper supported by Blue Shield of California Foundation, draws upon our work at FUTURES as well as research and study on best practices for preventing violence. It presents four evidenced-based prevention and intervention strategies to prevent and end domestic violence in California:...
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To solve the Black maternal mortality crisis, start with upending racist practices
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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New Resource Available: Creating Safe, Stable, Nurturing Relationships and Environments for Children
The Essentials for Childhood Initiative would like to share a new resources titled, “Creating Safe, Stable, Nurturing Relationships and Environments for Children.” This new resource is intended to elevate primary prevention strategies that support creating Safe, Stable, Nurturing Relationships and Environments (SSNR&Es) for children and highlight 2019 data from the Awareness, Commitment, and Norms Survey provided by the Centers for Disease Control and Prevention (CDC). This document was...
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ACEs Aware in Action: May Newsletter [acesaware.org]
ACEs Aware in Action May 2021 Our State of CAre is ACEs Aware This month, we launched a statewide health care provider engagement campaign to expand the reach and impact of the ACEs Aware initiative. The campaign is designed to help clinical health care teams understand the importance of screening for adverse childhood experiences (ACEs), and invites them to join the ACEs Aware movement by getting trained and certified to screen for ACEs. The campaign uses digital and print media to raise...
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Dispatches from the Field: Pioneers of Healing and Resilience [burkefoundation.org]
From The Burke Foundation, May 19, 2021 Interview with Dr. Nadine Burke Harris & Dave Ellis We recently sat down with Dr. Nadine Burke Harris, California’s first surgeon general, and Dave Ellis, the first executive director of the Office of Resilience at the New Jersey Department of Children and Families. A pioneering voice on prevention, early identification, and treatment of Adverse Childhood Experiences (ACEs), Dr. Burke Harris gained national prominence with her viral 2015 TED talk...
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Upcoming Peer-to-Peer and Network of Care Events
Western Youth Services is hosting various Peer-to-Peer and Network of Care Events for May and June 2021.
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Trauma-Informed Policies: Shifting organizational cultures
During the July Kings County ACEs Network of Care event, we dove into a deeper understanding of evidence-based trauma-informed policy development by looking at a real-life example of a training policy developed by Kings United Way, one of our Network of Care partners. Finally, we invited the community to share their successes and lessons learned through a Community Highlight segment. As we move our community toward being ACEs Aware and trauma-informed, we feel it is imperative that we lead...
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California advocates press for expansion of visiting rights to incarcerated loved ones
In a recent nightmare, 8-year-old Jovina dreamt that her father got COVID-19. He was getting sicker, but she and her mother weren’t able to get there in time. “There,” in her father’s case, is a cell at the California Correctional Center (CCC) in Susanville, California, nearly 300 miles from where she lives in San Jose. In Jovina’s mind are a swarm of worries about her father’s welfare, her mother Benee Vejar reports. If an earthquake shakes the Bay Area, Jovina says, “What if the building...