Tagged With "Help Me Grow"
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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 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 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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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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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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Safe & Sound: Integrating protective factors and ACEs science to end child abuse in San Francisco in 50 years
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,...
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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 Jose, Ca physician to talk ACEs science at community gathering
When Dr. Angela Bymaster thinks about ACEs exposure, her thoughts often turn to the adolescents who are her patients now. “It’s the teenagers who keep me up at night,” says Bymaster, a family medicine doctor who works at the Washington Neighborhood Health Clinic in San Jose. The clinic serves low-income families in a predominantly Latino neighborhood. Dr. Angela Bymaster “They’re so often starting with the behaviors themselves. The teenagers are the intersection of adverse childhood events...
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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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San Mateo County Child Care Response Team: Resources for Families
The San Mateo County Child Care Response Team has created a quick, easy-to-read, summary of essential community resources for families with children ages 0-18 who are struggling as a result of COVID-19. Available in English , Spanish , and Chinese . The resource pages are linked above, and attached in this post. They also live on San Mateo County Office of Educations's For Families page: https://www.smcoe.org/other/for-families/ Please help us share these documents widely! Thank you. SMC...
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School by school, Berkeley Healthy Schools Collaborative is forging ahead on building resilience
What began as a presentation by ACEs Connection's Donielle Prince about ACEs science for members of the Berkeley Healthy Schools Collaborative morphed into a lively discussion about how the 11 members who attended the meeting were involved in shepherding trauma-informed practices into their organizations and schools. Prince, who is ACEs Connection’s San Francisco Bay Area community facilitator, talked about the evolution of ACEs Connection into a network of more than 22,000 members in...
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Shifting the focus from trauma to compassion
photo: Rolf Schweitzer/CCO Dr. Arnd Herz, a self-described champion for ACEs science, would like nothing more than to witness a greater appreciation of how widespread adverse childhood experiences are. Herz, a pediatrician and director of Medi-Cal Strategy for the Greater Southern Alameda Area for Kaiser Permanente Northern California, would also like to encourage more people in health care to engage in a trauma-informed care approach, a change in practice that he says not only benefits...
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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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Study unearths patterns in San Jose homeless population's ACE scores
Photo by Terabass/ CC-SA-3.0 It was around 2010 that Dr. Angela Bymaster was seeing a disturbing pattern in the histories of her adult patients. She already knew that patients who saw her at the Valley Homeless Health Care Program in San Jose, CA, where she worked at the time, were homeless or recently homeless. What was most troubling to Bymaster was knowing that their current precarious existence could have been prevented. Dr. Angela Bymaster “Over and over and over again I was hearing the...
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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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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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Trauma-informed groups rev up to address race, inclusion
Eighteen-year-old Kia Hanson has always enjoyed her time as a youth leader at the East Oakland Youth Development Center (EOYDC). She’s worked mostly with five- and six-year-olds since she began in 2016. Recently, she tapped into new skills, especially if the kids were having a meltdown. Kia Hanson “If they’re off, we ask them, ‘What’s wrong?’ ‘Do you want to talk about anything?’,” she explains. “Basically asking before assuming they’re mad at the world for no reason.” What made the...
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Webinar Oct. 17 — Integrating ACEs science in pediatrics: Early adopters share lessons from the field
An ACEs Connection webinar co-sponsored with 4 CA In 2017, California became the first state in the country to pass a law supporting universal screening for adverse childhood experiences (ACEs) in the 5.3 million children in the state’s Medicaid program. As clinicians around California await the state’s announcement of what this new policy will entail, many are wondering what it takes to integrate ACEs science in a pediatric practice. Meet Drs. Deirdre Bernard-Pearl, R.J. Gillespie and...
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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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Youth-led community organizing as a tool for building resilience
It started as an answer to a youth-led campaign. Young people in arts programs in San Francisco Bay Area schools had produced spoken word videos about inequities in their communities that helped put them at risk for type 2 diabetes. Dr. Jean Junior The response by their peers was enormous, according to Dr. Jean Junior, who volunteered for the project as a pediatric resident at the University of California at San Francisco (UCSF). “Young people would say ‘You’ve actually gotten me interested.
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Berkeley City College group screens Resilience, looks at ACEs through a social justice lens
As far back as she can remember, Berkeley City College Mental Health Specialist Janine Greer understood that there was a connection between adverse childhood experiences (ACEs) and health. She had a sense early on that racism figures large in that equation. “Looking around in my community – I’m African American, I noticed that even people who had healthy habits got funky diseases,” she said. “And I’m thinking there must be some sort of health trouble that happens if you’re always stressed.”...
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Building trust is now a critical part of health care
In a video clip , a hospital patient turns away in protest as a physician enters the room. “Why do you all keep coming in my room!” she asks in frustration. The physician moves a chair out of the way and sits down at eye level with the patient. “You’ve had to see so many people,” he acknowledges. “And I’m tired of it!” she yells. “I already know I have to get both of my legs cut off. That’s what they keep saying. I don’t have a choice!” “You don’t feel like you have a choice,” he repeats...
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Coronavirus underscores need for healing America’s racial divisions [sfchronicle.com]
By Shawn Ginwright, April 14, 2020 The reports of racial disparities among COVID-19 victims should not surprise us. African Americans and Latinos have typically experienced disproportionate exposure to a range of health issues. For example, African Americans are twice as likely to die of heart disease as their white counterparts. Consider that Latinos are 50% more likely than whites to die of diabetes or liver disease. These issues are not determined by biology, but by a history of policies...
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Doctor-patient role-playing featured in ACEs Connection webinar
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...
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Doctor-patient role-playing featured in ACEs Connection webinar
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...
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Documentary Wrestling Ghosts tracks a journey from trauma to resilience
When prompted by a life coach to comfort the child inside of her, Kim Montleon, a young mother at the center of the documentary film, Wrestling Ghosts , says emphatically: “I can’t do that; I’m afraid I won’t come back!” That’s the beginning of Montleon’s two-year struggle to dig deep into her own harrowing childhood trauma to find a way to heal so that she can nurture her young children. The documentary by filmmaker Ana Sofia Joanes was screened to more than 140 people on Saturday,...
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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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Explore NPPC’s New ACEs Screening Resources Website
Join the National Pediatric Practice Community on ACEs (NPPC) on Wednesday, April 25 at 12:00 PM PST for a Q&A session and an exploration of its new member website, which provides a wide range of resources to help pediatric practices make the case and implement screening for adverse childhood experiences (ACEs). NPPC is an initiative of the Center for Youth Wellness.
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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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Funding opportunities for programming focused on healing ACEs
Funding opportunities for programming focused on healing ACEs
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Got time for a little brainstorming with ACEsConnection?
On Friday, March 20, 2020, you're invited to join me to talk about how we, as a community, can continue to guide and educate ourselves about to deal with the effects of the spread of Covid-19, and how to continue those efforts with people who don't yet know about ACEs science. And, given this last week, how we can provide more support to stay in the front of our brains instead of feeding our amygdala.
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Healing in place: Game on to flip the COVID19 threat into a positive experience for our children
As I was considering the children sheltering-in-place this morning and reflecting on lessons from my own childhood, I wondered: Can we heal-in-place too? I was born after the 1962 Cuban missile crisis, another collective trauma affecting everyone. Yet, it was nevertheless passed on to me by the adults in my life in the form of constant reminders that the U.S. could be blown into bits any second. When I started school, there were constant “hide under the chair” earthquake drills I took to be...
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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 do these pediatricians do ACEs screening? Early adopters tell all.
Last week, three pediatricians — with a combined experience of 15 years integrating ACEs science into their practices — reflected on the urgency they felt several years ago that prompted them to begin screening patients for childhood adversity and resilience when there was practically no guidance at all. Along their journey, they accumulated a list of lessons learned for other pediatricians and family clinics to use. The three pediatricians participated in the ACEs Connection webinar,...
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“I’m Terrified”: Pregnant Health Care Workers at Risk for Coronavirus Are Being Forced to Keep Working [propublica.org]
by Nina Martin and Bernice Yeung April 1, 1:30 p.m. EDT Pregnant nurses and doctors say they are being forced to go to work with no formal accommodations or extra protections to keep them safe from the coronavirus, even though they are immunocompromised and data is still emerging about the risks of fetal transmission. Dozens of pregnant medical workers reached out to ProPublica, saying they were weighing whether to stay in jobs they view as dangerous or quit, which could add to the burdens...
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Immigrant teens, parents explore ACEs, resilience in 5-week course with family doc
Dr. Angela Bymaster, a family doctor in San Jose, Calif., was determined to find a way to teach ACEs science to her patients. Teens would come to the Washington Neighborhood Clinic clearly depressed by a range of problems at home that were contributing to risky sexual behavior and marijuana use, as well as preventable health problems like extreme obesity.
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Leaders in SF public housing deal with their own and community trauma head on
Sengthong Sithounnolat, Jeris Woodson, Donald Greene, Ashley Blanco On a recent Saturday, 10 people gather around a table at the offices of Trauma Transformed in Oakland, Calif., where quotes from figures like Frederick Douglas, Nelson Mandela, and Coretta Scott King grace one wall as light streams in from a skylight above. The group is known as the Resident Warriors, which meets weekly. One participant talks of her recovery from addiction and her mother’s murder. Another mentions being...
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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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Looking for a way to explain the link between trauma and the current immigration child separations? Check out these articles from a host of experts
Here is a roundup of a few articles by experts in various fields that provide context and detail to the understanding that child separations are more than a saddening inconvenience- they are detrimental to the emotional and physical well-being of young people.
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Middle school tackles everybody's trauma; result is calmer, happier kids, teachers and big drop in suspensions
Sixth grader Cayla White (right) helps lead class meditation with Niroga Institute’s Lauren Banister (photo: Laurie Udesky) ________________________________ During the 2014/2015 school year, things were looking grim at Park Middle School in Antioch, CA. At the time, staff couldn’t corral student disruptions. Teacher morale was plummeting. By the end of February 2015, 192 kids of the 997 students had been suspended -- 19.2 percent of the student population. “I was watching really good people...